Browsing by Author "Karabag, G"

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    Sex estimation via the measurement of the seventh cervical vertebrae on Computerized Tomography images
    Karabag, G; Zeybek, V; Can, F; Yavuz, MS
    Background: Sex estimation from skeletal remains is crucial for estimating an individual's biological profile. Although the pelvis and skull are most commonly used for sex estimation, other skeletal elements, e.g., the vertebrae, have reportedly demonstrated acceptable accuracy rates. The aim of this study was to evaluate the efficacy of using seventh cervical vertebra measurements on computed tomography images for sex estimation. Material and methods: Cervical computed tomography images of 300 female and 300 male patients (>= 20 aged 60 <= years) were evaluated. Sex estimation modeling was performed with eight measurements of the seventh cervical vertebrae, and indices and corpus volume obtained from the measurements. Corpus length and width, foramen vertebra length and width, corpus height, spinous process angle, and spinous process height and length of each seventh cervical vertebra were measured. Foramen vertebral index, spinous process index, and corpus volume were used as indices. The Independent Sample T test was used to compare the means of two independent groups showing normal distribution, and the Mann-Whitney U test was used for data that were not normally distributed. Binary logistic regression analysis was performed using the Forward Wald approach in modeling the categorical dependent variable with independent variables. Results: According to multivariate logistic regression analysis, sex estimation from measurements was 87.7% accurate, whereas index and volume were up to 85.3% accurate. Conclusions: In conclusion, the seventh cervical vertebra is dimorphic with a high accuracy rate for the Turkish population and can be used for sex estimation.
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    Elderly suicides in Turkey
    Zeybek, V; Karabag, G; Yavuz, MS
    Due to the unique physical and psychosocial characteristics of this age group, it is expected that the characteristics of elderly suicides are different from other groups. Knowing the characteristics of elderly suicides guides prevention strategies. The objective of this study was to evaluate the demographic characteristics, methods and reasons for suicide in elderly suicide cases using the data of the Turkish Statistical Institute between 2002 and 2019. Of the completed suicides among older adults, 4,208 (74%) cases were men and 1,481 (26%) were women. Crude suicide rates of all elderly age groups were higher than the general population. Illness was the most common reason for suicide. The second leading cause of suicide was marital conflicts in women, while financial difficulties were observed in men. Hanging was the most common method in both genders. It is remarkable that the use of gunshot considerably increases as years progress and the ratio of men (n:962) to women (n:16) reach 60. Considering these findings together with epidemiologic data predicting that this increase in the elderly population will almost double within less than 30 years, it is apparent that suicide is a major issue among older adults.
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    The importance of clinical approach in aggravated sexual abuse: Case report
    Karabag, G; Tanriverdi, HI; Yavuz, MS; Genç, A; Akin, U; Saraç, S
    The reported rate of sex crimes, some of the most severe acts of violence that can be perpetrated against an individual, is increasing across all societies, regardless of gender or age of the victim. Sexual abuse has been defined, in part, as the involvement of a child in sexual activity for which they are incapable of giving consent, that they cannot fully comprehend, or for which they are developmentally immature. Molestation of the anorectal region is frequently encountered when the victim of sexual abuse is a male child.Tenderness around the anus, ecchymosis, and detachment in the anal sphincter and rectum mucosa may be observed in the acute examination of children who have been subjected to aggravated sexual abuse; however, injuries related to the anus or the rectum may also occur as a result of an accident. An 11-year-old male patient was referred from another health center with a report of being at risk of death. The injury that was said to be the result of accidentally sitting on a knife.An examination in the lithotomy position revealed perianal ecchymosis, a superficial laceration at 1 and 6 o'clock, and a deep laceration at 7 o'clock. Based upon a suspicion of sexual abuse, anal and rectal swab specimens were obtained.The pediatric surgery department performed a primary repair of the lacerations.The microscopic examination of the swab specimens revealed cells showing sperm morphology, and therefore the appropriate forensic statements were made and the swab specimens were sent to the judicial authority for genetic analysis. This report emphasizes the importance of the awareness of physicians regarding the prompt collection and submission of potentially evidential biological samples in a case of suspected sexual abuse though it may be presented as an accident.