Objectives:To define the dimensions of the frontal sinus in groups standardized for age and gender and to discuss the reasons and the effects of the variations.Methods:Frontal sinus measurements were obtained from paranasal CT scans of 180 males and 180 females in the Radiology Department of Dursun Odabas Medical Center of Yuzuncu Yil University, Van, which is located in Eastern Turkey, between February and March 2016. The width and height of sinuses were measured on a coronal plane, and the anteroposterior length was measured on an axial plane. Volumes were calculated using the Hospital Information Management Systems and Image Archiving and Management System program. The Statistical Package of the Social Science version 13 was used for statistical analyses.Results:We determined differences in the frontal sinus measurements of different age groups in a Turkish adult population. Frontal sinus dimensions were usually higher in females and lower in males after 40-49 years of age than their younger counterparts, but the measurements were lower in females and higher in males in 70≤ years of age group than 60-69 years of age. Left frontal sinus was dominant in young age groups but right frontal sinus was dominant in groups 40-49 years of age or older.Conclusion:We observed crossing of the measurements between the different age groups, which we could not find clear explanations. The results of such studies may affect forensic identification from frontal sinus measurements.

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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: 0-176 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.

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BackgroundFemale suicide is an important problem not only for women but for public health in general.MethodsAutopsy reports from the Van Chief Public Prosecutor’s Office from 2005 to 2011 were reviewed retrospectively in order to analyse female deaths from suicide.ResultsSixty-six female suicide cases were recorded during 2005–2011. The mean age of the cases was 22.64 (sd = 10.09) years, and nine were below the age of 15. The most common method of suicide was hanging (44 cases, 66.7 %). Five (7.6 %) of the cases were under treatment for depression, and 12 (18.2 %) cases had a previous suicide attempt.ConclusionsCultural suppression of females and prevention of their socialization in enclave societies are risk factors for female suicides. The number of female suicide attempts, especially recurring attempts, should be reduced via psychiatric scanning, follow-up sessions and therapy for high-risk individuals.

GirişDünya Sağlık Örgütü (WHO) tarafından eksiklik, "psikolojik, fizyolojik veya anatomik bir yapı veya fonksiyonun kaybı ya da anormalliği"; maluliyet ise, "bu eksiklik ile ilişkili olarak ortaya çıkan bir sakatlık, herhangi bir kısıtlama ya da bir şekilde bir insan için normal sayılan ölçüler dâhilinde bir faaliyet gerçekleştirme yeteneği olmaması hali" olarak tanımlanmıştır (1). Akkurt, vücudun veya ÖZET Amaç: Bu çalışmada, Van ilinde maluliyet muayenesi için başvuran 548 olguya ait raporların geriye dönük değerlendirilmesinin yapılarak, Van ilindeki maluliyet olguların profillerinin belirlenmesi ve daha önce ülkemizde yapılan çalışmalarda rastlamadığımız üzere maluliyet oranları ile yaş ve cinsiyetin arasında istatistiksel bir ilişki olup olmadığının araştırılması amaçlanmıştır. Gereç ve Yöntemler:Çalışmamızda 01.01.2014 tarihinden, 31.12.2015 tarihine kadar olan 2 yıllık dönemde müracaat etmiş 548 kişiye ait maluliyet raporları geriye dönük olarak incelenmiş; bu olgular olay türü, yaş, cinsiyet, yaralanmanın meydana geldiği ay ve yıl, yaralanmanın meydana geldiği bölge, maluliyete esas teşkil eden veya maluliyete mahal olmayacak vücut bölgeleri, her vücut bölgesine göre maluliyet oranlarının dağılımı ve genel maluliyet oranları yönünden değerlendirilmiştir.Bulgular: Olguların %69,9'u erkek, %30,1'i ise kadındı. Olguların %91,6'sını trafik kazaları sonucu yaralanmaların oluşturduğu saptanmış, %19,5'inde yaralanmaları sekel bırakmadan iyileştiğinden maluliyet tayinine mahal olmadığına karar verilmişti.Sonuç: Çalışmamızda, kadın olguların ortalama maluliyet puanları ile erkek olguların ortalama maluliyet puanları arasında istatistiksel olarak anlamlı bir fark saptanmamış olmasına karşın; yaş gruplarına göre maluliyet oranı ortalama puanlarının 40 yaş üstündeki artışı istatistiksel olarak anlamlı bulunmuş olup, bu durum, yaşlanma ile birlikte ortaya çıkan osteoporoz, artroz gelişimi, kalp ve akciğer hastalıkları v.b. gibi durumların travma sonucu ortaya çıkan hasarın şiddetlenmesinde ve iyileşme sürecinin gelişiminin engellenmesinde rol aldıkları şeklinde değerlendirilmiştir.Anahtar Kelimeler: Maluliyet, maluliyet oranı, sosyal sigortalar, cinsiyet, yaş grupları ABSTRACT Objective: In this study, medico-legal reports about 548 cases admitted for disability assessment in Van were retrospectively evaluated. It was aimed to determine the profiles of disabilty cases in Van, and the investigation of statistical correlation between disability rates and age/sex which had not take part in the studies in the Turkish literature. Materials and Methods:In this study, medico-legal reports about 548 cases who were admitted for two years period from 01.01.2014 to 31.12.2015 were retrospectively reviewed. These cases were evaluated according to event type, age, sex, injury date, distincs, injured body regions resulted in disabilty or not, distrubution of disability rates for every region and general disability rates.Results: 69.9% of cases were males and 30.1% were females. The injuries occured due to traffic accidents in 91.6...

Objective: The aims of this article are to report largest series of lightning-related deaths in Turkey, to review the literature about this subject, to define similarities and differences, between autopsy findings of the presented series and literature information. Methods: In this article, autopsy reports and crime scene investigation data of 11 lightningrelated fatalities that occurred in Van and Hakkari Provinces (Turkey) from January 1 st, 2011 to December 31 st , 2015 were retrospectively reviewed. Results: Eleven (2.53%) of 1,699 deaths which evaluated by medico-legal autopsy in Van and Hakkari Province in five years period, died due to lightning strikes. Of these cases, 10 (90.1%) were males and 1 (9.9%) was female (p<0.05). All cases between 11 and 33 age range. All cases was injured outdoors. Conclusion: We think that, the number of deaths due to lightning strike, that has seen relatively rare in Turkey, may be reduced with additional personal precautions such as to avoid from staying under trees or the vicinity of a high tower, to avoid from touching with metal object, to avoid from to lie on the ground, to avoid from to lie on the ground, to avoid from leaning against a wall, to crouch outdoors or enter indoor such as a building or car.

ÖZETAmaç: Çalışmamızda cinsel istismar mağduru çocuk ve ergenlerin sosyodemografik özellikleri, istismar sonrası gelişen ruhsal tanıları, istismar süresi, istismar sıklığı, cinsel istismar ve istismarcı ile ilişkili özellikleri incelemesi amaçlanmıştır. Gereç ve Yöntem:Van adliyesi adli tıp şubesinde 01.01.2010 ile 30.06.2015 tarihleri arasında bilirkişi adli heyet raporu düzenlenmesi amacıyla yönlendirilen adli olguların (n=90) bilgileri geriye dönük olarak incelenmiştir. Genel fizik muayenesi adli tıp uzmanları tarafından yapıldı. Hasta ve ebeveynleri ile psikiyatrik görüşme çocuk ve ergen ruh sağlığı ve hastalıkları uzmanı ve yetişkin psikiyatri uzmanı tarafından yapılmıştır. Bulgular: Çalışmamız 4 ile 18 yaş aralığında (11,9±4,02) değişen 60 (%66,7) kız ve 30 (%33,3) erkek olmak üzere toplam 90 çocuk ve ergen mağdurlardan oluşmaktadır. En sık bildirilen cinsel istismar tipi kızlarda %48,3 ile vajinal penetrasyon, erkeklerde %90 ile anal penetrasyon olduğu belirlendi. Olguların %31,1'i (n=28) birden fazla cinsel istismara maruz kaldığını, %5,6'si (n=5) birden fazla istismarcının olduğu ve 12,2'sinin (n=11) de bir yıldan daha uzun süre cinsel istismara maruz kaldığı bulunmuştur. Olguların %64,4'inde (n=58) istismarcının tanıdık biri ve %21,1'ünde (n=19) aileden biri olduğu tespit edilmiştir. Çocuk ve ergenlerin %28,9'ında (n=26) travma sonrası stres bozukluğu (TSSB), %5,6'sında (n=5) akut stres bozukluğu (ASB), %8,9'inde (n=8) major depresif bozukluk (MDB) tespit edilmiştir.Sonuç: Cinsel istismar mağdurlarında başta TSSB olmak üzere psikopatoloji gelişme riskinin artığını göstermektedir. Kız cinsiyet ve ilköğretim çağında ABSTRACT Objective: The aim of this study was to investigate the sociodemographic features of sexually abused children and adolescents who were sent for forensic evaluation, besides that psychopathologies developing after the abuse. Materials and Methods:Ninety child and adolescents who were admitted to Van judicial branch of forensic medicine units for forensic evaluation due to sexual abuse have been enrolled to the study between 01.01.2010 and 30.06.2015 retrospectively. General physical examination was carried out by forensic experts. The clinical interviews were conducted by two expert psychiatrists.Results: Our study consists of 60 (66,7%) girls and 30 (33,3%) boys aged between 4 and 18 years (11,9±4,02) old. The most frequently reported sexual abuse type was vaginal penetration in girls (48,3%) and anal penetration in boys (90%). It was found that 12,2 % (n=11) of victims were exposed to sexual abuse longer than a year, 31,1% (n=28) of victims were exposed more than one sexual abuse and 5,6% (n=5) of victims were abused by more than one abuser. Concerning the abusers; 64,4% (n=58) were familiar and 21,1% (n=19) were among family members. 28,9% (n=26) of the child and adolescents were diagnosed with Posttraumatic Stress Disorder, 8,9% (n=8) Major Depressive Disorder and 5,6% (n=5) Acute Stress Disorder. Conclusion:It has been found that female gender and primary education level are high...