Tourette's Syndrome (TS) is a neuropsychological disorder characterized by the presence of multiple involuntary motor tics accompanied by one or more vocal tics. Articles about TS and criminal responsibility and the restriction of civil rights are limited. A person with TS was evaluated to consider his criminal responsibility after swearing at a referee during a football game. He was also evaluated as to whether or not he was capable of professionally driving a service bus. Additionally, medico-legal situations regarding military service, obtaining a shotgun license and marriages of patients with TS were considered.
Correct 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.
Objective: Sexual crimes are one of the most offensive crimes committed against individuals. Given that individuals from every age and both genders are affected from this action. It appears as a serious problem that threatens society and preventive measures have to be taken against it. It is an undeniable fact that; mental health seriously affected by sexual assaulted or abuse. In this study, we aimed to evaluate forensic psychiatric examination reports of the cases that are send to examine whether or not any permanent psychiatric impairment after sexual assault or abuse. Methods: Findings from examination of cases which are sent to Department of Forensic Medicine, Medical Faculty of Celal Bayar University between October 2012 and February 2014 for determining permanent psychiatric impairment were evaluated. Results: Number of examined cases was 55 and number of diagnosed cases was 33. The age range of cases were from 7 to 77 years (SD=20.39±13.17). Of the cases; 57.6% (n=19) were younger than 18, 87.9% (n=29) were women, 63.7% (n=21) were simple sexual assaulted or abused, in the 72.8% offender was known by cases, in the 30.3% (n=10) crime happened at the home of offender or case. As a result of forensic psychiatric evaluation, in the %30.3 of cases (n=10) were detected permanent psychiatric impairment. Conclusion: Examination of cases has to be performed scrupulously because, permanent psychiatric impairment by sexual crimes, not only negatively affect case his/her social environment but also it is a country's laws punishment-enhancing factor.
A 57-year-old man was found at his home by his neighbor. The body of the victim was lying on the right side of the door. A copper wire, whose plastic parts were untied, and surrounded the left and right hand palmar and dorsal faces. The wire was connected by an extension to an electric socket in the room. There was blood and toilet paper around the left hand wrist. Suicide note was found on the taboret
Göz travmaları, yaşam kalitesini azaltarak iş gücü kaybına neden olabilen önemli bir sağlık problemi olmasının yanı sıra körlüğün ve görmeyle ilgili morbiditenin önemli birkaç nedeninden biridir. Travma sonrası çeşitli nedenlerden dolayı retina dekolmanı meydana gelmektedir. Bu çalışmada, yüz travmasından dokuz ay sonra retina dekolmanı nedeni ile ameliyat olan ve sağ gözünde görme kaybı gerçekleşen olgu sunulmuştur. Travma sonrası ilk altı hafta içerisinde saptanan retina dekolmanlarında tedavi başarı oranlarının, altı haftadan sonra saptananlara oranla daha iyi olduğu da ifade edilmektedir. Bu nedenle travma sonrası fundus muayenesinin ve izlemlerinin yapılması, ileride oluşabilecek görme kayıplarını engelleme açısından önemlidir. Ancak, ne yazık ki rutin uygulamalarda, yüz travmaları sonrasında özellikle göz travması yoksa veya radyolojik görüntülerde patoloji saptanmamışsa fundus muayenesinin yapılmadığı belirtilmektedir. İleride meydana gelecek görme kayıpları ile beraber muhtemel malpraktis iddiaları, bu tür olgularda karşımıza çıkmayı bekleyen bir sorun olarak gözükmektedir.
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