Foreigners Dying in Istanbul

Abstract:  The study included 411 deaths selected from 14,647 medicolegal deaths autopsied in the Morgue Department of Forensic Medicine Institute Directorate, affiliated with the Ministry of Justice, between 1998 and 2002. Data were collected from court documents, coroner's investigation reports, and autopsy reports. The parameters of age, gender, nationality and origin, cause and place of death in foreigners dying in Istanbul were evaluated in the study. Out of 14,647 medicolegal deaths, 3.5% were foreigners from 34 different nationalities. The nationality with the highest rate of foreigner deaths (34%) was Romanian. Out of 411 deaths, 74.3% were male and 25.7% were female. Of all cases, 64.4% were tourists visiting Istanbul and 35.6% had a job in Istanbul. Of 146 foreigners employed in Istanbul, 94.5% did not have a work permit, while only 5.5% had a work permit.     

Coincidence of Nicolau Syndrome and Rhabdomyolysis: Report of a Forensic Autopsy Case and Review of the Literature

Nicolau syndrome (NS) is a dermatological adverse reaction of intramuscular injections and is caused by several mechanisms. The etiopathogenesis remains unclear, and several hypotheses have suggested a vascular origin. Rhabdomyolysis (RM) is the destruction of striated muscle, with the subsequent release of muscle cell contents into circulation. NS and RM diagnoses may overlap. Herein, we present the autopsy findings of a 40‐year‐old female with NS complicated with RM. On clinical follow‐up, creatine kinase (CK) was 7146 IU/L, and urea and creatinine levels were elevated on the third day after intramuscular diclofenac injection. Possible ischemic process triggered the RM and subsequent acute renal failure. The opportunity for an early diagnosis was missed because the patient delayed seeking medical aid. The prognosis worsened, and the patient died due to secondary sepsis. Early diagnosis of NS before the occurrence of complications is the most important issue in patient education and can be life‐saving.     

Firing distance estimates with pellet dispersion from shotgun with various chokes: an experimental, comparative study

There are several studies suggesting models for firing distance estimation due to pellet dispersion, but few of them consider the degree of choke of a shotgun. The purpose of this research is to suggest some models for estimation of the firing distance for choked and cylinder bore shotguns. Twelve gauge with full chokes, and 12 and 16 gauge with cylinder bore shotguns were fired with #2 and #5 shots from 75, 100, 300, 500, and 1000 cm distances. Statistically significant pellet dispersion values were found for each shotgun by using #2 and #5 shots for different firing distances. All the data obtained were analyzed with linear regression and four models were constituted. Investigators should use special formulae for each shotgun, degree of choke, and pellet type while determining the firing distance. Therefore, more experimental and comparative studies should be designed for each type.     

Diversification Under Climate Variability as Part of a CSA Strategy in Rural Zambia

Climate change is posing an increasingly severe challenge to agricultural livelihoods due to increased frequency and intensity of extreme weather events. Livelihood diversification can play an important role in decreasing food insecurity and vulnerability under these challenges. This paper contributes to the literature on livelihood diversification and vulnerability under climate change to assess the role of diversification as part of a Climate-Smart Agriculture strategy by analysing the determinants of diversification, income and poverty in Zambia using panel data. We specifically focus on the roles of climate shocks and institutions in shaping these linkages to highlight policy insights to improve resilience.