The Council of Forensic Medicine

İstanbul, Turkey

The Council of Forensic Medicine

İstanbul, Turkey
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Baysal A.,Istanbul Aydin University | Baltaci H.,Turkish State Meteorological Service | Ozbek N.,Technical University of Istanbul | Destanoglu O.,The Council of Forensic Medicine | And 2 more authors.
Environmental Monitoring and Assessment | Year: 2017

The understanding of the impurities in natural snow is important in realizing its atmospheric quality, soil characteristics, and the pollution caused to the environment. Knowledge of the occurrence of major ions and trace metals in the snow in the megacity of Istanbul is very limited. This manuscript attempts to understand the origin of major soluble ions (fluoride, acetate, formate, chlorite, chloride, nitrite, chlorate, bromide, nitrate, sulfate, phosphate, and perchlorate) and some trace metals (Fe, Mn, Cd, Co, Ni, Pb, Zn, Cu) in winter surface snow, collected in Istanbul, Turkey. The sampling of the surface snow was conducted after each precipitation during the winter of 2015–2016 at three sites in the city. Besides the statistical evaluation of the major ions, and some trace metal concentrations, the chemical variations along with atmospheric circulations, which are important modification mechanisms that influence the concentrations, were investigated in the study. At examined locations and times, 12 major anions were investigated and in these anions fluoride, chlorite, chlorate, bromide, and perchlorate in the snow samples were below the detection limit; only SO4 2−, NO3 −, and CI− were found to be in the range of 1.11–17.90, 0.75–4.52, and 0.19–3.01 mg/L. Also, according to the trace element determination, the concentration was found to be 29.2–53.7, 2.0–16.1, 1.0–2.2, 50.1–71.1, 24.2–35.2, ND–7.9, 43.2–106.6, and 3.0–17.7 μg/L for Fe, Mn, Cd, Co, Ni, Pb, Zn, and Cu, respectively. The major anions and investigated trace elements here originated mainly from anthropogenic and atmospheric circulation and mainly influenced by northerly and southerly circulation patterns. While the main limitations in the present study may be the low number of samples that may not be entirely representative, accurately reflect identification, or support other previously observed local measurements, we believe that the type of data presented in this study has the potential to be used in the field of environmental risk assessment and, as result, for human health. © 2017, Springer International Publishing Switzerland.

Arslan M.N.,Council of Forensic Medicine | Kertmen C.,Duzce Branch Office | Melez D.O.,Council of Forensic Medicine | Evcuman D.,Canakkale Branch Office | Buyuk Y.,The Council of Forensic Medicine
Ulusal Travma ve Acil Cerrahi Dergisi | Year: 2017

BACKGROUND: Traumatic injury is near the top of World Health Organization list of leading causes of death, and one of the major factors affecting mortality is the severity of the trauma. During medical intervention for trauma patients, some injuries may be overlooked, and this misstep may be the basis of a malpractice claim. The objective of this study was to provide a new approach to evaluating medical malpractice cases by discussing the benefits of the use of trauma scores. METHODS: Cases of alleged malpractice that were discussed and concluded between 2010 and 2013 were selected from the case archive of the General Committee of the Council of Forensic Medicine (GC of CFM). Injury severity scores were calculated from the medical records of accused physicians and from the autopsy or final clinical evaluation records and compared. RESULTS: Between the years 2010 and 2013, 263 cases of alleged medical malpractice were discussed and concluded by the general committee. Of these, in 25 cases of patient death, the reason for admission to the hospital was traumatic injury. Various surgical specialties were involved. In these 25 cases, 34 physicians were accused of medical malpractice, and the General Committee classified the interventions of 14 physicians in 12 cases as “malpractice.” Missed injuries and unrecognized diagnoses can be established by comparing the Injury Severity Score and New Injury Severity Score values in the findings of accused physicians with the subsequent findings of last evaluation or autopsy. CONCLUSION: In a medical malpractice case, calculating injury severity scores may assist an expert witness or judge to detect any unseen injuries and to determine the likely survival potential of the patient, but these values do not provide enough information to evaluate all of the evidence or draw conclusions about the entire case. All contributing factors to trauma severity should be considered along with the trauma score and other case factors. © 2017 TJTES.

Ozaslan A.,Istanbul University | Karadayi B.,Istanbul University | Kolusayin M.O.,Istanbul University | Kaya A.,Istanbul University | Afsin H.,The Council of Forensic Medicine
Romanian Journal of Legal Medicine | Year: 2012

Stature estimation is a commonly used parameter in identification searched by medico-legal experts and forensic anthropologists. To estimate stature; measurements of hand length (HL), hand breadth (HB), wrist breath (WB), foot length (FL), foot breadth (FB) and ankle breadth (AB) were used in this study. It was aimed to predict most useful variables and to perform formulas originated from those variables significantly correlated to stature. Measurements were obtained from 356 volunteers. The best correlation value among 6 searched variables were detected in foot dimensions as FL variable for males r=0.696 and for females r=0.496 and in hand dimensions as HL variable for males r=0.578 and for females r=0.309, respectively. The least estimation error in stature prediction was achieved with using all variables in defined regression equations. Lengths measurements belong to hand and foot dimensions were more useful parameters than breadth measurements of those in stature estimation. © 2012 Romanian Society of Legal Medicine.

Karaday B.,Istanbul University | Afsin H.,The Council of Forensic Medicine | Ozaslan A.,Istanbul University | Karaday S.,Public Health Agency
Imaging Science in Dentistry | Year: 2014

Purpose: In this study, we aimed to develop dental charts for Turkish children and young adults of both genders within the age group of 4.5-22.5 years according to tooth mineralization and eruption in a format similar to that proposed by AlQahtani et al. Materials and Methods: In total, 753 digital panoramic radiographs from 350 males and 403 females were assessed. The permanent teeth were evaluated according to the classification system described by Demirjian et al. The eruption stage was assessed with Bengston's system, which was modified by AlQahtani et al at four points. Results: Teeth generally developed earlier in females than in males. This was particularly notable in the age group of 5-14 years. However, this difference was usually visible in only one stage, not in all teeth. It has been determined that the mixed dentition period ended with the shedding of the second deciduous molars in both genders. Conclusion: The dental charts presented here included information that could be beneficial to dental clinicians in making appropriate diagnosis and planning orthodontic and surgical procedures. These charts also provided datasets for preliminary dental age estimation in Turkish children and young adults. © 2014 by Korean Academy of Oral and Maxillofacial Radiology.

Melez I.E.,Bezmialem Foundation University | Avsar A.,Kahramanmaras Sutcu Imam University | Baspinar B.,The Council of Forensic Medicine | Melez D.O.,The Council of Forensic Medicine | And 2 more authors.
Journal of Forensic Sciences | Year: 2014

Homicide-suicide is a tragic phenomenon which typically does not result in a criminal charge or trial. However, correct diagnosis and classification of homicide-suicide cases are important to determine the perpetrators and dynamics of each category properly. The deaths in the homicide-suicide acts can be divided into two categories with respect to the number of involved individuals: dyadic deaths and triple or multiple deaths. These two categories can also be divided into two subgroups according to the chronology of the incidents: simultaneous deaths and consecutive deaths. Herein, a simultaneous homicide-suicide case of a father and daughter where both deaths occurred through drowning which was not found in the selected literature review and where the victim was a child is presented. The article aims to clarify the term discrepancies about multiple death cases in the literature and to discuss the pathological and psychosocial characteristics of the simultaneous dyadic death cases. © 2014 American Academy of Forensic Sciences.

PubMed | Istanbul University and The Council of Forensic Medicine
Type: | Journal: Journal of forensic and legal medicine | Year: 2016

The occurred death of a convict in prison, police custody cell or in a hospital always attracts public attention and can be considered as a complex phenomenon. The aim of this study is to evaluate the data obtained from autopsies performed to the custody and prison deaths in Istanbul and to discuss the possible solutions by comparing with the literature. It is also aimed to discuss the postponement of the sentence and presidential amnesty facts in Turkey. Deaths of inmates, which occurred in hospitals, prisons, prison medical rooms, police vans and police custody cells between 2010 and 2012 in Istanbul, Turkey were included in the study. Totally 125 cases were found and 98.4% of them were male. Natural deaths accounted for a great majority of deaths (83.2%). The most common natural cause was cardiovascular diseases. Unnatural deaths accounted for 15.2% of the deaths. Death reason cannot be determined for 1.6% of the cases. More than half of the cases (56%) were died at the hospital, 34.4% were died at the prison, 4% of them at the police van, 3.2% were died under police custody and 2.4% were died at the prison medical room. Moreover, twelve of these cases had applied to Third Specialization Board previously for postponement of the sentence or Presidential amnesty. Totally five of these cases found suitable for postponement of the sentence. Prison conditions should be improved, prisoners with chronic diseases should be examined periodically and if appropriate their sentences should be postponed until they heal.

PubMed | Gazi University and The Council of Forensic Medicine
Type: | Journal: Journal of forensic and legal medicine | Year: 2015

Cupping is a traditional treatment method that has been used for thousands of years to diminish pain, restore appetite and improve digestion, remove tendency to faint or remove bad blood from the body. The suction of the cup is created by fire or mechanical devices. This procedure may result in circular erythema, petechiae, purpura, ecchymosis, burns and may be mistaken for trauma-related ecchymosis or livor mortis. Forty-year-old male was died by shotgun injuries in the same day of the wounding. Circular ecchymoses were observed on the forehead, within the scalp of occipital region, the back of the neck, and on the back. They were defined as ecchymoses in the first examination made by a general practitioner. In the external examination during the legal autopsy superficial incisions were observed on the circular ecchymoses. The shape, localization and color of and the characteristics of incisions on the circular lesions were concluded to be caused by the dry cupping therapy and wet cupping therapy procedures. These lesions and their formation mechanisms should be well-known by the forensic medical examiners and the other medical personnel involved in the forensic medical examination.

PubMed | The Council of Forensic Medicine
Type: | Journal: Journal of forensic and legal medicine | Year: 2016

The aim of this study was to examine and compare similarities and differences among types of parricide committed by adult offenders. The forensic psychiatric evaluation reports of the 4th Specialization Board of the Council of Forensic Medicine from 2009 to 2011 in Turkey were screened retrospectively. One hundred thirty-five adult perpetrators of parricide (125 male, 10 female) were detected, 51.9% of whom committed patricide, 40% of whom matricide and 8.1% of the perpetrators committed double parricide. Most of the perpetrators used sharp instruments as the killing method. No mental disorders were detected in 58.5% of the perpetrators, while psychotic disorders were identified in 30.4% of the cases. This study supported the predominance of sharp instruments as the killing method and a preponderance of matricide among the offenders with psychotic disorders. Although psychotic disorders were the most commonly detected mental disorders in the parricide offenders, most of them did not suffer from mental disorders.

PubMed | Istanbul University and The Council of Forensic Medicine
Type: Journal Article | Journal: Journal of forensic sciences | Year: 2016

The aim of this study was to analyze the differences between the handwritings of schizophrenia patients and healthy subjects in addition to the changes that occurred in schizophrenia patients handwriting in response to the treatment. The test subjects were 29 schizophrenia patients and 29 healthy individuals with the same age, gender, and dominant hand. The changes in the handwritings were examined according to 14 different parameters. On the day of admittance, the percentage of extra letters was 16.7%, and after 7-10days of hospitalization, it rose to 33.3%. The percentage of skipped words decreased from 29.2% to 16.7% after 7-10days of hospitalization, and to 10% after 3weeks. The letters written by schizophrenia patients are significantly larger in height and width compared to the control group. The schizophrenia patients showed a higher incidence of crossed-out letters, adding extra words, missing punctuation as well as missing words.

PubMed | Bülent Ecevit University and The Council of Forensic Medicine
Type: | Journal: Journal of forensic sciences | Year: 2016

Fetal deaths are important cases for forensic medicine, as well as for criminal and civil law. From a legal perspective, the determination of whether a deceased infant was stillborn is a difficult process. Such a determination is generally made during autopsy; however, no standardized procedures for this determination exist. Therefore, new facilitative approaches are needed. In this study, three new support systems based on 10 autopsy parameters were tested for their ability to correctly determine whether deceased infants were alive or stillborn. Performances were analyzed and compared with one another. The artificial neural networks and radial basis function network models had 90% accuracy (the highest among the models tested), 100% sensitivity, and 83.3% specificity. Thus, the models presented here provide additional insights for future studies concerning infant autopsies.

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