Makale Arama

In this study, 479 criminal children were sent to Forensic Medicine Divisional Directorateship for their discrimination and mental capacities to be sulted for child correction institutions. Twenty five children were out of the age range of examination of disc-rimination and mental capacity. Remaining 454 sub-jects were largely males (96.5 %). The large per-centage of criminal ages were 15 (39.7 %) and 14 (33.9 %) years of age. The most attempted erime was steeling and burglary (54.4 %). Of those 96.6 % were the age of discrimination and mental capacity and knowing attempted to the crimes. Twenty sub-jects, although they had the ages older than 11 years old, were below the discrimination and mental ca-pacity level. Among them two (10.0 %) were mentally retarded. Ten subjects (50.0 %) were inclined to at-tempt criminal temptations due ta their fawer socio-economic cultural type of living. Of those, six (30.0 %) of thern were lacking behind the psychobiological developments and unaware of the judgement of their criminal acts. The remaining two (10.0 %) subjects were deaf and dumb, and they were considered to have low level of discriminative ability and mental ca-pacity. This study when compared ta similar studles carried out else where in Turkey, it can be concluded that the type of erime attempted and the ratio of disc-riminative and mental capacity were of similar.

Frequency of comorbid anxiety disorders and their relations to other clinical variables were examined in a clinical sample with diagnosis of attention deficit hyperactivity disorder (ADHD). The sample consisted of 66 newly diagnosed children with ADHD aged 6 to 18 years. Diagnosis of the ADHD and anxiety disorders and definition of ADHD subgroups were determined according to DSM IV criteria by using Schedule for Affective Disorders and Schizophrenia for School Aged Children Lifetime Version. Weschler Intelligence Scale for Children-Revised was applied to exclude the children with mental retardation. Forthy eight (72.7%) subjects were diagnosed with combined type ADHD, 10 (15.2%) were predominantly inattentive type and 8 (12.1%) were predominantly hyperactivity-impulsive type. Twenty six (39.4%) children with ADHD had at least one comorbid anxiety disorders. Social anxiety disorder was detected in 21.2 % (n:14), seperation anxiety disorder in 16.7 % (n:11), obsessive compulsive disorder in 9.1 % (n:6), generalized anxiety disorder in 4.5 % (n:3) and panic disorder in 4.5% (n:3) of the cases. The frequency of obsessive compulsive disorder was statistically higher in the hyperactive-impulsive subgroups of ADHD compared to others. The impact of comorbid diagnoses of anxiety disorders on clinical evaluation and treatment method in ADHD cases was discussed.

Porencephaly is a disorder of Central nervous system characterized by cysts/ cavities in the cerebral hemisphere. It has varied clinical manifestations like seizures, paresis, learning disabilities, mental retardation and rarely psychiatric manifestations. Among psychiatric symptoms, psychosis is the most commonly seen manifestation. There have been only few case reports of porencephaly presenting with psychiatric syndromes. Hereby the author discusses a unique case of porencephaly with seizure disorder, organic personality change and agitated depression.

One of the ways for the child to get familiar with its surrounding environment and to build up relations with the same is bringing any possible object to the mouth for tasting. Thus, the children happen to swallow foreign bodies of sorts and sizes unimaginable. A great portion of the grown up children swallowing foreign bodies demonstrate mental deficiencies or psychological problems. The clinic symptoms may be coughing, dyspnoea, hoarseness, breathing difficulty, weakened respiratory sounds and hyper saliva in the mouth. The foreign bodies are usually coins. We want to share an alternative treatment in foreign body aspirations. In this article is demonstrated an alternative approach for foreign body aspiration in four years old patients with down syndrome. The patient developed no complications during the medical intervention and discharged under recommendations. Foreign body aspiration is common in childhood. The majority of foreign bodies are coins. Approach to foreign body aspiration in a patient’s clinical presentation, type of foreign bodies, inserted in the aspiration time and the response shall be decided to treatment according to the conditions. Approaching treatment is endoscopy, observation or operation. In emergency alternative methods can be used such as balloon extraction with foley catheter by experienced surgeons.

The aim of the present study is to identify the diagnoses of patients who referred to a child and adolescent psychiatry outpatient clinic. Medical records of 2109 patients referred to the Children and Adolescent Psychiatry outpatient clinic at Ordu States Hospital, between January 2012 and April 2013 were studied retrospectively. It was found that the patients were mostly male (59.6 %) and within 7 to 18 years of age (78.6%). It was also determined that 74.8% of patients had at least one diagnosis. The diagnosis rate of 44.8% in patients between the ages of 0-6, 84.6% of patients aged 7-11 were determined as 80.3% in patients aged 12-18. Of the cases, 9.7% were diagnosed with multiple conditions. They were mainly in the attention deficit hyperactivity disorder (ADHD) group. The most common diagnosis was attention deficit hyperactivity disorder followed by depression, anxiety disorders, enuresis and mental retardation, respectively. When the distribution of the diagnoses to sex were assessed, the most common diagnoses in boys are ADHD, enuresis, depression, generalized anxiety disorder and mental retardation respectively, they were ADHD, depression, generalized anxiety disorder, enuresis and mental retardation in girls. In our study, although the externalizing disorders are the most frequent diagnoses, there are differences between genders. The rate of comorbid diagnosis was found to be considerable. In the presence of comorbid diagnoses, the disorder is experienced more heavily and psychosocial functionality gets deteriorated. To know the most common diagnoses, diagnosis differences within genders and possible diagnoses for certain age groups will be useful for improving child and adolescent psychiatry services.

Sociodemographic and clinical features of 226 children, who were admitted to the outpatient clinic of psychiatry department of Selcuk University for the first time, between september 1993-and september 1994. were analyzed retrospectively. The purpose of this study is to reveal the problems of an adult psychiatrist when he come face to face with the children in a condition where female. Most of the children were between 12-14 years old and were the first child of the family. The patients admitted to the clinic mostly because of their parents regrests. The second reason of admittance was other physicians consultation request for female, and legal report for male. The differance was significant (p<0.05). Main complaints were enuresis, mental retardation, con-duct disorder, developmental articulation disorder for males, and somatic. depressive and conversive for females_ The differents was statistically sig-nificantly (p<0.05). As a result, 226 first admissions to a clinic in-dicates the need to a child psychiatrist in this dist-rict.

This study was aimed to compare the knowledge levels of health education teachers with others in basic health subjects. This crosssectional study was performed in all high schools in Konya city center in 2011. The sample consisted of teachers who taught health education or counseled in health related clubs and same number of teachers of other lessons. Data were obtained by a questionnaire filled by teachers themselves under the supervision of interviewer. First part of the questionnaire was about demographic information while the second consisted of 35 questions evaluating the knowledge about protection, improvement, vaccines, contagion, diet, healthy behavior, adolescent health, first approach to frequently encountered health problems, etc. Overall level of health knowledge was assessed by summing the points for each subject, 2 for known, 1 for partially known and 0 for unknown/blank, and converting them to percentage. T test and variation analysis were used for data analysis. The mean age of 314 teachers participated in the study was 39±8, 55% of them were males, 45% were females and 90% were married. 39% of the participants consisted of health education teachers and guide teachers of health related clubs, 61% were the teachers of other lessons. The average score was higher in health education group (56±16) than the other teachers (43±14). The knowledge score was also higher in female teachers and graduates of health related faculties (biology, physical education, child development). Teaching health education or counseling in a health related club increases the general knowledge level of teachers. In writers’ opinion, improving the knowledge level of teachers in health might help students to acquire positive behaviors about health as the current level is not adequate and significant number of wrong answers was present.

It is not ceı-tain that wheiher there is a relati-onship between handedness and nonverbal intelli-gence. In this study, the relationship between Geschwind scores which is an index of handedness and nonverbal intelligence with which measured Canel culture-free test was investigated on 752 u-ıziversity students. No effect of familial sinistrality on nonverbal intelligence was determined and there were statistically more ambidexter in low IQ group. The results were evaluated in the light of relevant literature.

Wrestling has been regarded as a form of hand-to-hand combat among individuals throughout the history of mankind and has come to this day as a high man-partridge virtue (1). Wrestling is the struggle of two wrestlers to dominate each other by using technique, skills, strength and intelligence in accordance with ILA (International Amateur Wrestling Federation) rules without using tools on the mats of certain sizes.

Objective: ıt was aimed to retrospectively evaluate the sociodemographic characteristics, anxiety and depression levels of adolescent mothers who were referred for marriage leave. Material and methods: 65 adolescent cases who became mother when they applied to the outpatient clinic for marriage permission between 2018-2020. Hospital records, sociodemographic data and edited forensic reports including psychiatric evaluations of the cases were reviewed retrospectively. In order to determine their depression and anxiety levels during the evaluation period, they were asked to fill in the anxiety and depression scale-revised self-report scale and kent e-g-y and porteus labyrinths intelligence tests applied by the psychologist were applied to evaluate the cognitive development.

Results: The mean age of the subjects included in the study was 16.33±0.307 years. It was determined that the mean age at which they were married unofficially was 15.44±0.499 years. It was observed that the average education period was 5.08±1.461 years. Before the unofficial marriage, 70.8% of the cases lived in the village and 29.2% in the city, after the marriage, 53.8% of the cases lived in the village and 46.2% in the city. It has been determined that 27.7% of unofficial marriages are consanguineous marriages. It was determined that the mean age of the children of the patients when they applied to the clinic was 4.05±3,701 months.

Conclusion: Girls who married early and gave birth before the age of 18, ıt reveals that their education period is short, their socioeconomic level is low, the age gap with their spouses is high, and their spouses' job opportunities are limited. The development of intervention programs and legal regulations aimed at preventing early marriages may contribute to the prevention of both adolescent marriages and the negative consequences of being an adolescent mother.