Browsing by Author "Uluçay, T"
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Item Comparison of the Effects of Two Legal Blood Alcohol Limits: The Presence of Alcohol in Traffic Accidents According to Category of Driver in Izmir, TurkeyKarakus, A; Idiz, N; Dalgiç, M; Uluçay, T; Sincar, YObjectives: Under existing Turkish road traffic law, there are 2 different blood alcohol concentration (BAC) limits allowed for drivers in 2013: zero blood alcohol and <= 0.50g/L. All public transport, taxi, commercial, and official vehicle drivers must maintain a zero blood alcohol concentration while driving. Private vehicle drivers must maintain a BAC of 0.50g/L or lower. The aim of the recent study was to evaluate the effect of these 2 legal blood alcohol limits on nonfatal traffic accidents that occurred due to the driver being under the influence of alcohol. Methods: This retrospective study was performed to evaluate the blood alcohol concentration of 224 drivers in nonfatal road accidents between June 2010 and July 2011 using headspace gas chromatography at the Izmir Forensic Medicine Group Presidency, Turkey. All cases evaluated by the toxicology department were entered into a database. We used descriptive statistics, chi(2) test, and independent sampling test to analyze the data. Results: The total number of drivers involved in nonfatal traffic accidents was 224; 191 were private vehicle drivers and 33 were public transport, taxi, commercial, and official vehicle drivers. In the present study, alcohol was detected in the blood of about 27.2% (n = 61) of the 224 drivers. Sixty (31.4%) private vehicle drivers involved in nonfatal traffic accidents tested positive for alcohol. BAC values were also above the legal limit (0.50g/L) in 27.7% (n = 53) of private vehicle drivers. However, the BAC was above the legal limit in only 3% (n = 1) of public transport, commercial, and official vehicle drivers involved in nonfatal traffic accidents. These results showed that private vehicle drivers subject to a BAC limit of <= 0.50g/L were significantly associated with an increased risk of nonfatal accident involvement than drivers subject to a zero BAC limit (odds ratio [OR] = 12.29, 95% confidence interval [CI], 1.64-92.22; Fisher's exact test, P <.001). Mean BAC in private vehicle drivers subject to a 0.50g/L level (52.60mg/dl +/- 94.84) was significantly higher than that of drivers subject to a zero alcohol level (10.76mg/dl +/- 61.80; t = 2.44, P <.001). Conclusion: In light of our results, lowering the BAC limit for private vehicle drivers may reduce the level of driving under the influence of alcohol. A change in the law will decrease the rates of alcohol-related road accidents in Turkey.Item THE EVALUATION OF THE BOUNDARIES OF THE ABILITY TO MANAGE BEHAVIOUR AND PERCEPTION OF THE LEGAL MEANING AND THE CONSEQUENCES OF ACT OF THE STUDENTS ACCORDING TO A SCENARIO-BASED STUDYUluçay, T; Asirdizer, M; Yavuz, MS; Dizdar, MG; Zeyfeoglu, YObjective: The aims of this study were to determine the differences among the limits of the ability to manage behaviour and perception of the legal meaning and the consequences of the act with a scenario-based study over the students ages between 10-18 in the primary and secondary schools; and to investigate its interactions with environmental factors. Material and Method: The results of the questionnaires, which were filled out by 969 students were evaluated in this study. The descriptive characteristics of the students who attended this research were defined. For each scenario, the rates of expected responses were determined for each question. Results: From 1.8% to 29.2% of the students did not have the perception of what is true or false or the perception of what is crime or not crime. From 1.9% to 66.1% of the students did not have foresight about the legal meaning and the consequences of the act. The environmental factors did not seem to affect them. Conclusion: The ability to manage behaviour and perception of the legal meaning and the consequences of the act for attributed crimes to every under-18-year-old child should be evaluated in special units and special juvenile courts.Item The importance of medico-legal evaluation in a case with intraabdominal gossypibomaUluçay, T; Dizdar, MG; SunayYavuz, M; Asirdizer, MData concerning the incidence of gossypiboma tend to fluctuate and is difficult to estimate because of a low reporting rate lest medico-legal implication. Gossypiboma is frequently located in the abdominal and pelvic cavities after gynecologic and upper abdominal surgical operations but can also follow thoracic, orthopedic, and urological and neurosurgical procedures. In medical literature, there are few articles about the medico-legal evaluation of gossypiboma although it is typically subjected to a medicolegal process. In this article, we reported a 22-year-old female case with intraabdominal gossypiboma following a cesarean procedure and discussed the importance of medico-legal evaluation of gossypiboma. (C) 2010 Elsevier Ireland Ltd. All rights reserved.Item Incorrect identification in forensic medicine (wrong conclusion): a case reportZeyfeoglu, Y; Uluçay, T; Yavuz, MS; Asirdizer, MCorrect identification of lesions in examined patients is as important in forensic medicine application as it is in the medical profession. However, general practitioners and clinicians often fail to give proper attention to the definition and recording of the lesions and clinical findings in patients. Additionally, the identification of the lesion is sometimes deficient or incorrect. This has hindered, particularly in traumatic events that are of a forensic nature, reaching accurate conclusions during the interpretative and legal phases. In this study, we describe the case of a nine-year-old boy admitted to the hospital following a traffic accident. During his evaluation, an ecchymosis resembling a rail on his chest was noted. Consequently, legal/judicial authorities suspected the child may have been exposed to violence or child abuse and he was referred to our department. Practitioners may contribute to inaccurate decisions/conclusions if they fail to give the necessary detailed attention during the forensic interpretation (detailed examination and recording of lesions) and judicial process or if they have insufficient knowledge on this subject. This case is submitted as an interesting example since it included the possibility of inaccurate conclusion and judgment.