M. Fatih Yavuz

Age assessment by rib phase analysis in Turks

The Işcans phase method for the estimation of adult age at death from the sternal extremity of the fourth rib was introduced in 1983. Over the years, numerous tests have confirmed the reliability of this technique on varied samples. However, no large scale study has been conducted to test the application of this method on a modern white sample geographically, genetically, and culturally diverse from the American white database. Therefore, the purpose of this paper is to apply rib phase standards to a Turkish sample to test if the progression of morphological changes follow the same age sequence. Using a sample of 150 males and 144 females of known age at death, each rib was phased using the standards developed by Işcan and associates in 1984 and 1985. The phase estimations were then subject to an analysis of variance. The results of the study indicated that Turkish ribs show the same morphological characteristics that define the phases at nearly identical ages. Variation as measured by the standard deviation increased from phase 5 on in both sexes. In conclusion, this study demonstrated that the rib phase standards can be accurately applied to Turks. Investigations of this nature are vital because one cannot assume that a method developed from one group is applicable to a distant population, especially in medicolegal proceedings.

Medico‐legal child deaths in Istanbul: data from the Morgue Department

Background: Before determining health policies, finding solutions to problems and taking precautions, one should define the problems and their regional and national dimensions. Data about causes of death vary from country to country and, therefore, it is clear that precautions should be based on regional data and needs, which will be more effective.

Comparison of Turkish Injury Scale (TIS) with the Abbreviated Injury Scale (AIS)

According to the Turkish Penal Code, Section 456, an assailant is punished in a correlation to the severity of the victims injury. In this study, the injury scale used in Turkey in the basis code 456 is compared with Abbreviated Injury Scale (AIS). For this aim, a total of 984 cases out of the total amount reported at the Traumatology Section of the Turkish Council for Forensic Medicine were randomly selected and evaluated retrospectively. In all, 40.7% of injuries were caused by blunt trauma, whereas 59.3% were caused by a penetrating trauma. According to the Turkish Injury Scale (TIS), 40.3% of the cases were scored to be of a first degree of injury, 15.6% as second degree and 44.1% as third degree. When compared, the score points 3, 4 and 5 in the AIS were seen to be nearly equivalent to the TIS of third degree. From this point of view, in the modified AIS 91.1% of first degree of injury, 51.2% of second degree and 97.2% of third degree of injury are harmonious with TIS. Generally, 83.2% of the cases are harmonious with the AIS system. The purpose of this study is to determine what was the source of differences and to focus on particular traumatic lesions in order to determine a possible rearrangement of the Turkish Injury Scale.

Evaluation of forensic perinatal and neonatal autopsies in Istanbul

ObjectiveAutopsy findings play an important role in prevention of perinatal and neonatal deaths. Therefore, we attempted to reveal demographic and forensic features of these deaths in Turkey.MethodsWe retrospectively reviewed autopsy reports for 184 cases of perinatal deaths released from Istanbul Forensic Medicine Institute Morgue between 2000 and 2002 and investigated demographic and medico-legal features of the cases.ResultsThe mean age of the cases was 2.98 ± 6.41 days. Fifteen point two percent (15.2 2%) of the cases were of murder, 52.7% of the cases were illegitimate children and 41.3% had the ability to survive.ConclusionIt can be suggested that autopsy and post-mortem examinations should be performed in order to determine the real causes and contributing factors of perinatal and neonatal deaths. Data obtained in autopsies and postmortem examinations will make great contributions to the prevention of these deaths.