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2000-2005 yılları arasında Düzce Tıp Fakültesi Adli Tıp Anabilim Dalına başvuran cinsel saldırı olgularının muayene süreçlerinin değerlendirilmesi
(2008) Büken, Bora; Büken, Erhan; Erkol, Zerrin
2000 - 2005 yılları arasında Düzce Tıp Fakültesi Adli Tıp Anabilim Dalı’na cinsel saldırı iddiası ile başvuran olgular retrospektif olarak incelendi. Toplam 53 olgunun 44’ ünün ( %83,1) kadın olduğu saptandı. Mağdurların 03-39 (ortalama 17,11 6,74) yaş arasında, saldırganların ise 17-56 (ortalama 27,09 11,24) yaş aralığında bulunduğu görüldü. %47,2 olgu bir kez cinsel saldırıya maruz kaldığını belirtirken, %39,6 olgu cinsel saldırının 5’den fazla sayıda gerçekleştiğini beyan etmişti. Saldırganlardan 23’ü (%43,4) tanıdık, 7’si (%13,2) daha önceki sevgili, 4’ü (%7,5) baba ve 4’ü (%7,5) yakın erkek akraba olup, 6 (%11,3) olgu eşleri tarafından istemedikleri şekilde cinsel ilişkiye zorlandıklarını belirtmişlerdi. Olguların 34 (%64,15)’ünün ilk başvuru yeri Cumhuriyet Savcılığı olup, sadece 2 (%3,77) olgu ilk olarak hastaneye başvurmuştu. Mağdurların 11’i (%20,8) ilk 24 saat, 4’ü (% 5,7) ilk 72 saat içinde şikayetleri sonucu ilk muayeneye alınmışlardı. 7 olguda “Akut Stres Bozukluğu” ve olaydan 6 ay sonra yeniden muayeneye gönderilen 10 olguda “Trav-ma Sonrası Stres Bozukluğu” (TSSB) tanısı konmuş, 6 olguda aşağı debilite düzeyinde zeka geriliği saptanmıştı.
Accidental Ligature Strangulation by an Ironing Machine: An Unusual Case
(Wiley-Blackwell Publishing, Inc, 2010) Doğan, Kamil Hakan; Demirci, Şerafettin; Günaydın, Gürsel; Büken, Bora
In this paper, we present a case of a 53-year-old woman who had her headscarf catch on the cylinder ironing machine in the laundry of the hospital where she worked. The hospital workers found the woman dead with her head stuck to the ironing machine. After the death scene investigation and autopsy were completed, it was determined that the death occurred as a result of accidental ligature strangulation. Accidental ligature strangulation in which an article of clothing is caught in such an electrical machine and strangles the wearer is very rare. This case highlights the fact that these kinds of machines can be hazardous to work around and that increased safety measures should be taken to insure worker safety; additionally, the people who use these machines should be educated on the potential hazards.
Allele distribution data for 16 short tandem repeat loci in Bolu
(Tubitak Scientific & Technical Research Council Turkey, 2010) Tuğ, Ayşim; Erkol, Zerrin; Çetinyürek, Aysun; Alakoç, Yeşim Doğan; Elma, Cüneyt; Büken, Bora; Erkol, Hayri
Aim: To examine the short tandem repeat (STR) data of Bolu population and compare the data with previously published population studies and with the data of a neighboring province, Duzce (a former district of Bolu), which became a province after the earthquake in 1999. Materials and methods: Blood samples were taken from 175 unrelated individuals. DNA was isolated using a DNA Kit and the amplification was performed using an AmpFeSTR Identifier kit. Genotyping was carried out by an ABI Prism 310 genetic analyzer by using a reference ladder. Several parameters, such as allele frequencies, Hardy-Weinberg equilibrium, power of exclusion, power of discrimination, pairwise comparison, were calculated and correction test was used to confirm significant differences found in the comparative analysis Results: According to their power of exclusion and power of discrimination values, the most discriminating loci were D18S51 and D2S1338 whereas TPOX appears to be the least The most discriminating loci and paternity index were found to be different in Bolu and its former district, Duzce, which is an interesting result. Conclusion: The results indicate the importance of local population studies, because in regions where migration occurs and marriages between members of different ethnic groups are not socially acceptable, genetic data are affected.
Analysis of Tractor-Related Deaths
(Taylor & Francis Inc, 2013) Erkol, Zerrin; Büken, Bora; Hekimoğlu, Yavuz; Erkol, Hayri; İnce, Haluk; Erzengin, Ömer Utku
The aim of the study was to evaluate the properties of tractor-related death cases and discuss the precautions in order to prevent such events. For this aim, reports made between 2006 and 2009 by the First Specialty Board of Council of Forensic Medicine (FSBCFM), Turkey, were evaluated retrospectively. Forty-one tractor-related death cases were included in this study. Thirty-five (85.4%) of the cases were male. The mean age was 42.52 +/- 25.1 (with a range between 1 and 84 years old). The average time interval between the incident and death was 13.76 +/- 33.53 days (range: 0176 days) and 20 (48.8%) cases died on the incident spot or during transportation to the hospital. Among the cases, 34.1% (n=14) were drivers, whereas 39.0% (n=16) were passengers and the remaining were pedestrians (26.9%, n=11). The accident was caused by the tractor rolling over in 34.1%, the victim being run over in 22.0%, and the victim falling from the tractor or trailer in 22.0% of the cases. Most of the events (56.1%) occurred on the road. In conclusion, tractors must not be used as a transportation vehicle for passengers. Periodic training of drivers can be useful for reducing tractor-related accidents.
Assessing the Age Determination Cases Which Have Been Analyzed at Forensic Medicine Departments of 5 Different Region's Universities in Turkey Between Years 1998-2005
(Ortadogu Ad Pres & Publ Co, 2009) Isır, Aysun Baransel; Büken, Bora; Tokdemir, Mehmet; Dülger, H. Ergin; Erel, Özcan; Fedakar, Recep
Objective: In forensic medicine practice, age determination is used for forensic identifications of living and dead people. Age determination is important to clarify the legal obligations of people and their punishment. Recently, the most common method for age prediction is physical examination, as well as radiologic evaluation of bone growth and other methods designed for age prediction. The aim of our research was to assess the age determination cases, which were analyzed according to the "Gok Atlas" frequently used in Turkey, in the Department of Forensic Medicine in 5 different universities, Gaziantep, Firat, Adnan Menderes, Uludag and Duzce. Material and Methods: In this study, 275 male and 312 female cases were included who were referred to the university by the courts for age determination between 1998 and 2005 years. Bone ages and chronological ages were compared radiologically to determine the similarities or differences in several age groups. Results: In the 0-12 age group (total 39 cases), 31 cases (79.5%) had bones ages higher than the chronological ages, 6 cases (15.4%) had equivalent bone and choronological ages and 2 cases (5.1%) had bone ages lower than the chronological ages. In the 13-22 age group, bone ages were higher than chronological ages in 79.8%, lower in but %9.6 and the were equivalent to chronological ages in 10.6%. Conclusion: Physical growth seems to affect the growth of bones in the "pubertal period". For age determination after puberty, the use of more sophisticated methods is suggested In conclusion, a method of age determination suitable for the Turkish population is urgently required.
Ateşli silahların adolesans döneminde stres yapıcı faktör olarak etkisi
(2009) Büken, Bora; Erkol, Zerrin; Bahçebaşı, Talat; Büken, Erhan; Özdinçer, Sevda; Ercan, Nadire
Amaç: Çalışmada ateşli silah ile temas etmiş lise öğrencilerinin davranışlarının ve karıştıkları/tanık oldukları ateşli silahla gerçekleştirilmiş şiddet olaylarının incelenmesi ve ateşli silah ile temasın stress arttırıcı bir faktör olup olmadığının araştırılması amaçlandı. Yöntem: Çalışma, ateşli silah kullanımı yaygın olan Düzce İli'nde yapıldı. Öğrencilerin ateşli silah edinme yönündeki tutum ve davranışlarının, ateşli silahlar ile gerçekleştirilen şiddet olayları hakkındaki görüşlerinin, kendilerinin ateşli silah ile direkt olarak yüzyüze gelip gelmediğinin ve ateşli silah ile gerçekleştirilmiş şiddet eylemlerine tanık olup olmadıklarının sorgulanmasına yönelik sorular içeren bir anket hazırlandı. Ankete ?stres düzey ölçeği? eklendikten sonra, Düzce'de okuyan toplam 8304 lise öğrencisi arasından rastlantısal yöntemle seçilen 791 öğrenciye uygulandı. Sonuçlar, SPSS 11.0 veri tabanı kullanılarak değerlendirildi. Bulgular: Ateşli silahlarla temas eden öğrencilerin bir şiddet olayı ile karşılaşsın veya karşılaşmasın stres düzeylerinin uyum güçlüğü düzeyine ulaşabildiği; stres düzeyi üzerinde akran grupları ve kardeşler arasında kabadayılık niteliğindeki agresif davranışların etkin olduğu; şiddet olaylarına maruz kalma ve tanıklık deneyimlerinin stres düzeyi üzerinde önemli rol oynadığı; stres düzeyi üzerinde cinsiyet, gelir düzeyi ve evde kendine ait bir oda bulunmamasının da rolü bulunduğu saptandı. Beklenenin aksine evde veya çevresinde ateşli silah bulunmasının, ateşli silahla temas olmadıkça ergenlik dönemindeki gençlerin stres düzeyi üzerinde etkisinin olmadığı, çevrelerinde silah seslerinin duyulmasının stres düzeyi üzerine en etkili faktörlerden olduğu belirlendi. Sonuç: Ergenlik döneminde, strese yol açan ateşli silahlar ile temasın ve bölgemizde yaygın olan silah atma eylemlerinin önlenmesi gerektiği düşünülmektedir.
Cinsel istismar mağduru çocuk ve ergenlerde istismar ve istismarcıya ilişkin özelliklerin ve psikopataloji ile ilişkili risk etkenlerinin değerlendirilmesi
(2018) Yektaş, Çiğdem; Tufan, Ali Evren; Büken, Bora; Çetin, Nihal Yurteri; Yazıcı, Merve
Amaç: Bu çalışmada, bir çocuk ve ergen ruh sağlığı ve hastalıkları kliniğine adli mercilerce yönlendirilen istismar mağduru çocuk ve ergen olguların sosyodemografik özelliklerinin, istismar ve istismarcıların niteliğinin ve istismar sonrası klinik tanılarının değerlendirilmesi ile psikopatoloji gelişimini yordayan etkenlerin belirlenmesi amaçlan-mıştır. Yöntem: Adli mercilerce yönlendirilen 3-18 yaşları arasındaki 106 çocuk ve ergenin (83 kız, 23 erkek) sosyo-demografik ve klinik bilgileri dosyaları ve adli raporları incelenerek geriye dönük olarak değerlendirilmiştir. Bulgular: Örneklemin %63.2’si ergenlik dönemindeki kızlardan oluşuyordu. En sık bildirilen cinsel istismar tipi cinsel uyarılma için bedene dokunmaydı (%47.2). Çocukların %10.4’ünün birden fazla yolla cinsel istismara uğradığı belirlendi. Olguların %32.1’i cinsel istismar sırasında fiziksel şiddet görmüştü. Örneklemin %17.0’si başka istismar türlerine de uğramıştı. Tüm örneklemde yineleyen cinsel istismar oranı %69.8 olarak saptandı. Cinsel istismar edilen olgula-rın %50.0’ının aile içinde farklı tipte istismarlara da uğradığı bildiriliyordu. Cinsel istismara maruz kalan çocuklara en sık konulan klinik tanılar sırasıyla travma sonrası stres bozukluğu (%24.5), uyum bozukluğu (%16.0) ve akut stres bozu kluğu (%11.3) oldu. Sonuç: Çalışmamızdaki olguların önemli bir bölümünün kızlardan oluşması kız çocukların daha fazla istismara maruz kaldığı bilgisini desteklemektedir. İstismarcıların hepsi erkek cinsiyette olup çoğunlukla çocuğun tanıdığı kişilerdir. Zeka geriliği olan ve istismar sırasında fiziksel şiddet gören çocuk ve ergen-lerde ruhsal sorun gelişme riski daha yüksek bulunmuştur. (Anadolu Psikiyatri Derg 2018; 19(5):501-508)
Comparison of the three age estimation methods: Which is more reliable for Turkish children?
(Elsevier Ireland Ltd, 2009) Büken, Bora; Erzengin, Ömer Utku; Büken, Erhan; Şafak, Alp Alper; Yazıcı, Burhan; Erkol, Zerrin
Background: Three atlases-the GOK, the Greulich-Pyle (GP), and the Tanner-Whitehouse (TW3)-are used frequently for age determination in Turkey, The purpose of this study was to evaluate the applicability of these three methods related to the skeletal age assessment for Turkish adolescents. Materials and methods: The conventional roentgenograms of the left hands and wrists, elbows. shoulders, and pelvises of 333 healthy Caucasian children (164 females, 169 males) who fit the study and the criteria of each atlas were obtained. The mean differences (+/- standard deviation [S.D.] in years) between the chronologic age (CA) and the skeletal age (BA), which were obtained by using each age estimation method, were calculated and tested using t-test. Results: For girls, the most accurate method was the TW3 (mean differences (d): -0.21 (p < 0.05)). following by the GP (d: 0.66 (p < 0.001), and the GOK (d: 2.99 (p < 0.001)). For boys, the most accurate method was the GP (d: 0.02 (p > 0.05)), followed by the TW3 (d: 0.18 (p < 0.05)) and GOK (d: 1.05 (p < 0.001)). Discussion and conclusions: Results show that the TW3 (for girls) and the GP (for boys) methods are more appropriate than the GOK atlas for estimating the BA. GOK could be used for boys aged 11-14 years but it should not be used for girls. (c) 2008 Elsevier Ireland Ltd. All rights reserved.
Covid-19 Pandemisinde Düzce Universitesi Tıp Fakültesi Mezuniyet Öncesi Eğitiminin Deneyimleri ve Pandemi Sürecinin Eğitime Yansımaları
(Tıp Eğitimini Geliştirme Derneği, 2021) Gamsızkan, Zerrin; Büken, Bora; Kayıkçı, Ali; Şahin, İdris
Tüm Kurumsal ve toplumsal düzeni değiştiren Covid-19 pandemisi, tıp eğitiminde de önemli değişikliklere neden olmuştur. Tıp Eğitiminin teorik ve uygulamalı bir eğitim olması, öğrenci merkezli bir eğitim için emek veren Düzce Tıp Fakültesi Dekanlığı tarafından da vurgulanarak, eğitimin aksamaması için gerekli müdahaleler yapılmıştır. Devam eden müfredat, Düzce Universitesi Üniversitesi Rektörlüğü Bilgi İşlem Daire Başkanlığının koordinasyonu ile dijital platforma entegre edilmiştir. Tıp Fakültesi Öğretim Üyelerinin, öğrencileri ile çevrim içi buluşarak interaktif ders sunumu imkanı olan bu uygulamanın her aşaması gerek öğretim üyeleri gerekse öğrenci geri bildirimleriyle daha işlevsel hale getirilmiştir. Uzayan pandemi dolayısıyla dönem sonunda uzaktan sınav yapabilmek için Üniversitemizin imkanlarıyla sınav ortamı alt yapısı oluşturularak ölçme değerlendirme yapılmıştır. Yeni eğitim-öğretim yılının daha etkin olması için gerekli alt yapı çalışmaları dinamik olarak devam etmektedir.
The Effect of Firearms in Inducing Stress in High School Students in the City of Duzce (Turkey)
(Turkiye Sinir Ve Ruh Sagligi Dernegi, 2009) Büken, Bora; Erkol, Zerrin; Bahçebaşı, Talat; Büken, Erhan; Özdinçer, Sevda; Ercan, Nadire
The Effect of Firearms in Inducing Stress in High School Students in the City of Dune (Turkey) Objective: This study aimed to examine the behaviors of high school students exposed to firearms and firearms-related violence, which they had perpetrated or witnessed, and whether or not these events were related to stress. Method: The study was conducted in Duzce province, which is characterised by the widespread use of firearms. A questionnaire was prepared to ascertain students' attitudes and behaviors towards owning firearms, their thoughts about firearms-related violence, and whether or not they had been a victim or witness to firearms-related violence. After a stress level scale was added to the questionnaire, it was administered to 791 students randomly chosen from the 8304 students that were attending all high schools in Duzce. The results were evaluated with using SPSS v.11.0 software. Results: The level of stress in students that had contact with firearms, whether or not they were faced with a violent act, may be reached the adaptation difficulty level. Aggressive behaviors like hectoring occurred between coequal groups and brothers/sisters, affectedstress levels. Exposure to and witnessing violent acts had important roles on level of stress. Gender, income level, and lack of a private room at home for adolescents affected stress levels. Contrary to expectations, the presence of firearms at home or in their surroundings did not have an effect on stress levels. Hearing the sound of gunfire was one of the most important factors related to stress levels. Conclusion: Because of its ability to induce stress in adolescents, they must be protected form exposure firearms and their use, which is widespread in Duzce.
Evaluation of abuse and abuser's features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse
(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2018) Yektaş, Çiğdem; Tufan, Ali Evren; Büken, Bora; Yurteri Çetin, Nihal; Yazıcı, Merve
Objective: The aim of this study to determine sociodemographic variables, characteristics of abuses and abusers, clinical diagnosis after abuse and factors associated with the psychopathology of sexually abused children and adolescents who referred to the department of child and adolescent psychiatry with the request of criminal report. Methods: Sexually abused 106 children and adolescents (83 girls and 23 boys) aged 3-18 years who referred for criminal reports were evaluated. Case files and criminal reports were examined retrospectively. Results: Great majority of the group was consisted of adolescent girls (63.2%). Touching to the body for sexual arousal was the most reported type of the sexual abuse (47.2%). 10.4% of the children reported multiway abuse. 32.1% of the cases experienced physical violence during sexual abuse. Other victims were also present in 17.0% (n=18) Recurrent sexual abuse was found in 69.8% of cases. 50.0% of sexually abused cases were also exposed to different types of abuse within the family. The most common clinical diagnoses were post-traumatic stress disorder (24.5%) adjustment disorder (16.0%) and acute stress disorder (11.3%). Conclusion: Consistent with the literature, our finding, in which a significant proporiton of the cases were girls, shows that the girls are exposed to the sexual abuse more than boys. All abusers are male who were mostly familiar to the victims. Children and adolescents with mental retardation and experienced physical violence during abuse had a higher risk of developing psychopathology.
The evaluation of forensic age estimation in obese children
(Romanian Legal Med Soc, 2018) Çelik, Mehmet Saki; Büken, Bora; Arslanoğlu, İlknur; Bolu, Semih; Sungur, Mehmet Ali
Objective. The purpose of this study is to evaluate the difference between chronological age and bone age of obese children and to examine the differences in the growth of obese children in terms of their bone age and secondary sex criteria for the forensic age estimation. Material and Methods. The sample of this study consists of 274 obese children (153 girls and 121 boys) who applied to Pediatric Outpatient Clinic of Duzce University School of Medicine between January 2013 and February 2016. Children's left-hand wrist graphs were evaluated retrospectively with Tanner-Whitehouse (TW3) Bone Age Atlas for age estimation. Results. In the present study, it was found that the difference between bone age and chronological age due to obesity in females was less than one year. However, the differences between bone age and chronological age were more than one year in males at 5,8,9,10,11,12 years. In both genders, it was found that the difference was statistically significant in all parameters evaluated according to Tanner criteria. Conclusion. In the present study it was found that it is possible to use TW3 atlas in obese children but it is crucial to evaluate obese children considering the level and duration of obesity. Since the variation may be more than one year in obese boys, it is also recommended to evaluate with other methods for age estimation in obese boys.
Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License
(2019) Yektaş, Çiğdem; Büken, Bora
Objective: The aim of this study was to investigate the sociodemographic and clinical characteristics of adolescents referred to a university hospital by the judicial authority for determining whether any mental and physical impediments to marriage exist. Methods: 70 adolescents who were consulted to child and adolescent psychiatry inquired by the judicial authorities if there was any impediment to marriage were included to study. Psychiatric examination of the adolescents was performed according to DSM 5. Data obtained from the study were examined retrospectively with the method of file scanning system. Results: Mostly (94.3%) female children with a mean age of 16.05 ± 0.2 years were included in the study. None of the children attended to school during the assessment. Most (89.5%) of the children were living in a family environment with a low socioeconomic level. The most frequently psychiatric diagnoses were; attentiondeficit hyperactivity disorder (%4.3, n=3), depressive disorder (%4.3, n=3), mental retardation (%2.8, n=2) and post-traumatic stress disorder (%1.4, n=1). 85.7% of the children decided to marry individuals they got acquainted from their immediate circle or from social media, while marriage of only 14.3% (n=10) of them were previously arranged by their families. Conclusions: Socio-economic level, family characteristics and attending to school are important predisposing factors for early marriages. It was also considered that marriage at this age means an attempt for gaining an early autonomy. Encouraging to continue formal education for the development of healthy autonomy will be an important factor to prevent early marriages.
Evaluation of the psychiatric examination findings of victims decided to have sexual abuse occurred as a result of trial
(2020) Kandemir, Ferhan; Büken, Bora; Erkol, Zehra Zerrin; Büken, Erkan
In the study; it is aimed to examine the personal, environmental, and incident factors that may affect the mental health of the victims of sexual abuse and to discuss thedata in the light of the literature. Total 449 (8.7%) cases that were sent with a history of sexual abuse in 5157 cases, which were reported between 2005 and 2012 in theDepartment of Forensic Medicine, Faculty of Medicine, Düzce University, were examined. Among these cases, 68 (15.1%) cases, which were judged to have committedsexual abuse, were included in the study. Of the cases, 44 (64.7%) were female and 24 (35.3%) were male. In their second mental examination, which was made sixmonths after the date of the incident; there were no psychiatric pictures in 43 (63.2%) cases, Post Traumatic Stress Disorder (PTSD) in 14 (20.6%) cases, depression inthree (4.4%) cases, PTSD in three (4.4%) cases, and depression, anxiety disorder in one (1.5%) case, depression, and anxiety disorder in one (1.5%) case. Three (4.4%)cases were referred to another center without a diagnosis. The risk of being affected of mental health in the late period was found increased by 11.32 times in the caseswhich have psychiatric findings during the first examination, by 12.52 times if the action took place in the form of anal penetration, by 6.9 times if deprived of liberty andby 15.88 times if the attacker was a foreigner. Long-term follow-up of victims of sexual abuse by the psychiatry clinic is important in terms of continuing their normalsocial life as healthy individuals
Factors affecting disclosure time of sexual abuse in children and adolescents
(Wiley, 2022) Yurteri, Nihal; Erdogan, Ayten; Büken, Bora; Yektaş, Çiğdem; Çelik, Mehmet Saki
Background The aim of this study is to determine the factors affecting early and delayed disclosure time of child sexual abuse (CSA). Early disclosure of CSA is considered to be crucial for child protection. Methods A total of 125 sexually abused children and adolescents, who had been evaluated by child adolescent psychiatry and forensic medicine specialists, were enrolled in this study. Files of medical and criminal data were analyzed retrospectively and synchronously by child adolescent psychiatrist and forensic medicine specialist authors who had evaluated victims using the standard procedures of Duzce University Faculty of Medicine Child Abuse Assessment Council. Univariate and multivariate logistic regression analyses were conducted to evaluate predictors. Results Delayed disclosers were found to be younger than early disclosers. Among the delayed disclosers, there were also more victims of intrafamilial CSA, fewer victims of penetration, and fewer voluntary disclosures. Multivariate logistic regression revealed that younger age and intrafamilial CSA were independent predictors of delayed disclosure of CSA. Conclusions The results of our study contribute to an understanding of the factors related to delayed disclosure and underline the need for age-appropriate education and prevention programs targeted to increase the awareness of sexual abuse, particularly intrafamilial abuse, and to promote voluntary disclosure in children and adolescents, especially for younger age groups. The education of potential recipients of CSA and further education of professionals is extremely important in order to support children and adolescents' voluntary disclosure of CSA.
High-intent suicide and the Beck's Suicide Intent scale: a case report
(In House Publications, 2013) Erkol, Zerrin; Cantürk, Nergis; Oğuz, H.; İnce, Haluk; Büken, Bora; Görücü, G.
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Homicide-Suicide in Konya, Turkey Between 2000 and 2007
(Wiley, 2010) Doğan, Kamil Hakan; Demirci, Şerafettin; Günaydın, Gürsel; Büken, Bora
Homicide followed by the suicide of the murderer is a relatively rare lethal incident in which an individual kills another person and subsequently dies by suicide. Cases involving a homicide and a suicide in which death examinations and autopsies were performed at The Konya Branch of the Forensic Medicine Council between 2000 and 2007 were retrospectively investigated. During the studied time period, there were 10 homicide-suicide cases identified with 10 perpetrators killing 12 victims. Nine of the perpetrators were men and eight of the victims were women. The precipitating motive was an impending divorce in four of the cases. Two perpetrators were described as severely depressed, one had a diagnosis of antisocial personality disorder, and one was a pedophile who had reactive depression. Firearms were used in eight of the homicide cases and seven of the suicides. Constricting the use of firearms may reduce/prevent future homicide-suicide cases, as it is the most commonly used method to carry out homicide-suicides.
In an Accidental Electrocution Cousing Death, Victim Given to Family Without Death Certificate or Forensic Declaration. Is Phisician Faulty?
(Düzce Üniversitesi, 2013) Büken, Bora; Büken, Erhan; Kandemir, Ferhan
Today, one of the most important issues of all physicians is assessment of judicial problems after a death. In this case,victim was a child who had injured from electric shock and arrived to hospital in cardiopulmonary arrest condition. Noresuscitative attempts were successful. The child was dead. Without any death certificate of forensic declaration, hisbody was given to the family and police was informed of this death after electric shock. The body was seized by PublicProsecution Office and investigated. The cause of death was declared as electric shock. It was asked to our forensicmedicine department if the physician had a fault or an omission in this case. By this way, with the existing laws andregulations we argued the approach and responsibility of a physician to these kind of forensic conditions.
Is the "Gok Atlas" sufficiently reliable for forensic age determination of Turkish children?
(Tubitak Scientific & Technical Research Council Turkey, 2008) Büken, Bora; Büken, Erhan; Şafak, Alp Alper; Yazıcı, Burhan; Erkol, Zerrin; Mayda, Atilla Senih
Aim: We investigated whether the contemporary use of the Gok Atlas method is sufficiently reliable for forensic age estimations of Turkish children. Materials and Methods: Plain radiographs of 2,18 females and 298 males between 11 and 22 years of age were taken. Paired sample t-tests, Pearson correlation coefficients, and linear regression were used to determine the differences and model the relationships between mean skeletal (bone) age (BA) and mean chronological age (CA), using SPSS 11.5 statistical software. Results: In all cases, the CA and BA scores were significantly different and showed high correlation (P < 0.05). The regression model was significant (P < 0.01). According to age groups, the BA was greater than the CA for all age groups by 0.09-3.10 years for boys and 0.44-3.05 years for girls, and this difference was significant for all age groups > 14 years for boys and for those 11-18 years of age for girls. The standard deviation of the difference between BA and CA for boys between 11 and 18 years of age and for girls between 11 and 20 years of age was > 1 year. Conclusions: We found a large discrepancy between CA and BA according to the Gok Atlas. This discrepancy may be significantly misleading, especially in criminal liability cases.
Is the "Gök Atlas" sufficiently reliable for forensic age determination of Turkish children?
(2008) Büken, Bora; Büken, Erhan; Şafak, Alp Alper; Yazıcı, Burhan; Erkol, Zerrin; Mayda, Atilla Senih
Aim: We investigated whether the contemporary use of the Gök Atlas method is sufficiently reliable for forensic age estimations of Turkish children. Materials and Methods: Plain radiographs of 248 females and 298 males between 11 and 22 years of age were taken. Paired sample t-tests, Pearson correlation coefficients, and linear regression were used to determine the differences and model the relationships between mean skeletal (bone) age (BA) and mean chronological age (CA), using SPSS 11.5 statistical software. Results: In all cases, the CA and BA scores were significantly different and showed high correlation (P < 0.05). The regression model was significant (P < 0.01). According to age groups, the BA was greater than the CA for all age groups by 0.09-3.10 years for boys and 0.44-3.05 years for girls, and this difference was significant for all age groups >14 years for boys and for those 11-18 years of age for girls. The standard deviation of the difference between BA and CA for boys between 11 and 18 years of age and for girls between 11 and 20 years of age was >1 year. Conclusions: We found a large discrepancy between CA and BA according to the Gök Atlas. This discrepancy may be significantly misleading, especially in criminal liability cases. © TÜBİTAK.

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