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    A case of pica with motor-mental retardation and with foreign bodies in the larynx and gastrointestinal tract: Autopsy results and current literature review
    (Galenos Yayıncılık, 2021) Aykır, Ömer Faruk; Kandemir, Ferhan; Yavuz, Mehmet Sunay; Akın, Ufuk; Erkol, Zehra Zerrin
    Pica is the continuous consumption of non-nutritive and non-food items for at least one month. In this study, a 17-year-old boy pica case diagnosed with motor-mental retardation due to cerebral palsy was presented. It was learned that the case was exhibiting object swallowing behaviour. He was found dead in the field by his relatives. At the autopsy, a 3.5x3.0x2.5 cm foreign body (stone) that completely obstructed the upper part of the larynx lumen was removed. In addition, three foreign bodies were removed from the cecum region. The death was caused by mechanical asphyxia due to foreign body aspiration.
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    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 the data 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 the Department of Forensic Medicine, Faculty of Medicine, Düzce University, were examined. Among these cases, 68 (15.1%) cases, which were judged to have committed sexual 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 six months 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 in three (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 cases which 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 and by 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 normal social life as healthy individuals
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    Mucus plugging problem in patients treated in the intensive care unit: A case report
    (2020) Kandemir, Ferhan; Aslan, Mehmet Cengil; Erkol, Zehra Zerrin; Hösükler, Erdem
    In this paper, we will present a case who died in ICU during treatment for suicidal organophosphate intoxication. It is aimed to draw attention to the importance of regular tracheal aspiration and bronchoscopy, especially in intubated patients during treatment in ICU. In the medical documents of the case, it was learned that a 67-year-old male case was brought to a private hospital with a history of suicidal Jestis 2.5 EC, Alban EC4 (organophosphate) intake. The case died after being treated in the ICU for a total of 15 days following organophosphate intake. At autopsy, during an internal examination, approximately 5x2x1,5 cm in size, with brown-black color, organized, hardened paste consistency mucus plug was observed which was localized in the bifurcation of the trachea. It is considered to be useful to evaluate the indication of bronchoscopy in cases with better general conditions and hope for recovery.
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    Risk factor in victims of sexual assaults who acquaınted, and met with their perpetrators via social networking services
    (Nobel İlaç, 2014) Büken, Bora; Erkol, Zehra Zerrin; Kandemir, Ferhan; Büken, Erhan
    Objective: In this study, our aim was to analyze the cases who had been exposed to sexual abuse by the individuals whom the internet user was acquainted with via social networks, and met them outdoors with the intention to distract attention to the potential dangers of social networks, and also discuss possible measures to be taken to ensure safe use of internet. Material and Method: For this purpose, 13 out of 162 cases who had been referred to the Department of Forensic Medicine, between the years 2011, and 2013 with a history of exposure to sexual abuse by the perpetrators whom they had gotten in personal contact after their acquaintance via internet were included in the study. Results: All of victims were female and perpetrators were male. Mean age of the cases was 17.00 +/- 2.3 years. Only one case was in the age group of >= 19 years. Sexual assault was claimed to be perpetrated via vaginal (n=4), anal (n=3), both vaginal, and anal (n=3) penetrations, while in three cases, any incident of penetration was not alleged. Physical examination revealed evidence of vaginal (n=3), anal (n=3) or both vaginal, and anal (n=1) penetrations. Conclusion: It is not completely possible to prevent children from exposure to harmful environment, and behaviours encountered on-line, so we think that necessary accumulation of information about harmful internet content, and educational courses on effective protection from its adverse effects will be beneficial.
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    Risk factors in victims of sexual assaults who acquainted, and met with their perpetrators via social networking services
    (Nobelmedicus, 2014) Büken, Bora; Erkol, Zerrin; Kandemir, Ferhan; Büken, Erhan
    Objective: In this study, our aim was to analyze the cases who had been exposed to sexual abuse by the individuals whom the internet user was acquainted with via social networks, and met them outdoors with the intention to distract attention to the potential dangers of social networks, and also discuss possible measures to be taken to ensure safe use of internet.; Material and Method: For this purpose, 13 out of 162 cases who had been referred to the Department of Forensic Medicine, between the years 2011, and 2013 with a history of exposure to sexual abuse by the perpetrators whom they had gotten in personal contact after their acquaintance via internet were included in the study.; Results: All of victims were female and perpetrators were male. Mean age of the cases was 17.00±2.3 years. Only one case was in the age group of ?19 years. Sexual assault was claimed to be perpetrated via vaginal (n=4), anal (n=3), both vaginal, and anal (n=3) penetrations, while in three cases, any incident of penetration was not alleged. Physical examination revealed evidence of vaginal (n=3), anal (n=3) or both vaginal, and anal (n=1) penetrations.; Conclusion: It is not completely possible to prevent children from exposure to harmful environment, and behaviours encountered on-line, so we think that necessary accumulation of information about harmful internet content, and educational courses on effective protection from its adverse effects will be beneficial. © 2014, Nobelmedicus. All rights reserved.