Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: REVIEW
Historical Development of Skull Thickness Measurements and Usability of These Measurements in Forensic Medicine: A Traditional Literature Review
Kafatası Kalınlığı Ölçümlerinin Tarihsel Gelişimi ve Bu Ölçümlerin Adli Tıpta Kullanılabilirliği: Geleneksel Bir Literatür Taraması
Mahmut AŞIRDİZERa, İrem SARI KARABAĞb
aDepartment of Forensic Medicine, Bahçeşehir University Faculty of Medicine, İstanbul, TURKEY
bClinic of Pediatric Radiology, Samsun Training and Research Hospital, Samsun, TURKEY
Turkiye Klinikleri J Foren Sci Leg Med. 2021;18(3):242-50
doi: 10.5336/forensic.2021-85819
Article Language: EN
Full Text
ABSTRACT
For approximately 2 centuries, the estimation of ancestry, sex, and age from skull measurements has been one of the issues of anthropology. Since the first studies of skull thickness in 1879, measurements were first made with calipers, and then with technological developments over time are also now made with X-rays, computed tomography examinations, ultrasound and magnetic resonance imaging. Skull thickness was used for several clinical purposes in medicine, such as determining the most suitable area for bone grafts, deciding on the appropriate area in the temporal bone for hearing aid application, monitoring changes in bone thickness in various diseases and treatments, etc. It has also been used for forensic identification, and to explain the mechanism of skull fractures in forensic medicine, although it was described in a limited number of articles. The aim of this study is to make a detailed literature review of the historical development of skull thickness measurement techniques, including the use of skull thickness measurements in forensic identification and skull fracture mechanism. It can be foreseen that skull thickness will be an indispensable part of forensic identification, especially in skeletons, together with the mapping method, an example of which has been carried out. Likewise, there is no doubt that measuring the thickness of the regions where the fracture lines pass in the skulls and the bone density of these regions by scintigraphy and combining them with the 3D Finite Element Model will lead to new ideas about the mechanism of fracture formation.

Keywords: Skull thickness; forensic identification; X-ray; computed tomography; ultrasonography
ÖZET
Yaklaşık 2 yüzyıldır kafatası ölçümlerinden; soy, cinsiyet ve yaş tahmini, antropolojinin konularından biri olmuştur. 1879 yılındaki kafatası kalınlığı üzerine gerçekleştirilen ilk çalışmalardan bu yana önce kumpas yardımı ile ölçümler yapılmış, daha sonraki zamanlarda teknolojinin gelişmesi ile birlikte X ışını, bilgisayarlı tomografi, ultrasonografi ve manyetik rezonans görüntüleme gibi radyolojik teknikler de kullanılmaya başlanmıştır. Kafatası kalınlığı; tıpta kemik greftleri alımı için en uygun alanın belirlenmesi, işitme cihazı uygulanması için temporal kemikteki en uygun alana karar verilmesi, çeşitli hastalık ve tedavilerde kemik kalınlığındaki değişikliklerin izlenmesi gibi çeşitli klinik amaçlar için kullanılmıştır. Ayrıca sınırlı sayıda makalede tanımlanmış da olsa adli tıpta adli kimlik tespiti ve kafatası kırıklarının mekanizmasını açıklamak için de kullanılmıştır. Bu çalışmanın amacı, kafatası kalınlığı ölçümlerinin adli kimliklendirme ve kafatası kırılma mekanizmasında kullanımı da dâhil olmak üzere kafatası kalınlığı ölçüm tekniklerinin tarihsel gelişimi hakkında ayrıntılı bir literatür taraması yapmaktır. Özellikle iskelet formunda bulunan cesetlerde, yakın bir gelecekte kafatası kalınlıklarının, bir örneği gerçekleştirilmiş olan haritalama metodu ile birlikte adli kimlik tespitinin vazgeçilmez bir parçası olacağı öngörülebilir. Aynı şekilde, kafataslarındaki lineer kırıkların geçtiği bölgelerin kalınlıklarının ve bu bölgelerin kemik yoğunluğunun sintigrafiyle ölçülmesi ve bunun 3D Finite Element Model ile birleştirilmesinin, kırığın oluşum mekanizması hakkında bugüne kadar tanımlananların ötesinde yeni fikirlere yol açacağından şüphe yoktur.

Anahtar Kelimeler: Kafatası kalınlığı; adli kimliklendirme; X ışını; bilgisayarlı tomografi; ultrasonografi
REFERENCES:
  1. Krause W. Handbuch der Menschlichen Anatomie. 3rd ed. Hannover: Hahn'sehe Buchhandlung; 1879. [Link] 
  2. Hwang K, Kim JH, Baik SH. Thickness map of parietal bone in Korean adults. J Craniofac Surg. 1997;8(3):208-12. [Crossref]  [PubMed] 
  3. Tellioğlu AT, Yilmaz S, Baydar S, Tekdemir I, Elhan AH. Computed tomographic evaluation before cranial bone harvesting to avoid unexpected hazards during aesthetic procedures. Aesthetic Plast Surg. 2001;25(3):198-201. [Crossref]  [PubMed] 
  4. Jung YS, Kim HJ, Choi SW, Kang JW, Cha IH. Regional thickness of parietal bone in Korean adults. Int J Oral Maxillofac Surg. 2003;32(6): 638-41. [Crossref]  [PubMed] 
  5. Pensler J, McCarthy JG. The calvarial donor si te: an anatomic study in cadavers. Plast Recon str Surg. 1985;75(5):648-51. [Crossref]  [PubMed] 
  6. Stölzel K, Bauknecht C, Wernecke K, Schrom T. Sonographische bestimmung der kalottendicke [Measurement of skull thickness by ultrasound]. Laryngorhinootologie. 2007;86(2): 107-11. [Crossref]  [PubMed] 
  7. Federspil PA, Tretbar SH, Böhlen FH, Rohde S, Glaser S, Plinkert PK. Measurement of skull bone thickness for bone-anchored hearing aids: an experimental study comparing both a novel ultrasound system (SonoPointer) and computed tomographic scanning to mechanical measurements. Otol Neurotol. 2010; 31(3):440-6. [Crossref]  [PubMed] 
  8. Noakovic D, Meller CJ, Makeham JM, Brazier DH, Forer M, Patel NP. Computed tomographic analysis of outer calvarial thickness for osseointegrated bone-anchored hearing system insertion. Otol Neurotol. 2011;32(3): 448-52. [Crossref]  [PubMed] 
  9. Arntsen T, Kjaer I, Sonnesen L. Skull thickness in patients with skeletal Class II and Class III malocclusions. Orthod Craniofac Res. 2008; 11(4):229-34. [Crossref]  [PubMed] 
  10. Jacobsen PE, Kjaer I, Sonnesen L. Skull thickness in patients with skeletal deep bite. Orthod Craniofac Res. 2008;11(2):119-23. [Crossref]  [PubMed] 
  11. Nelson RF, Hansen KR, Gantz BJ, Hansen MR. Calvarium thinning in patients with spontaneous cerebrospinal fluid leak. Otol Neurotol. 2015;36(3):481-5. [Crossref]  [PubMed] 
  12. Chauveau N, Franceries X, Doyon B, Rigaud B, Morucci JP, Celsis P. Effects of skull thickness, anisotropy, and inhomogeneity on forward EEG/ERP computations using a sphe rical three-dimensional resistor mesh model. Hum Brain Mapp. 2004;21(2):86-97. [Crossref]  [PubMed]  [PMC] 
  13. Hagemann D, Hewig J, Walter C, Naumann E. Skull thickness and magnitude of EEG alpha activity. Clin Neurophysiol. 2008;119(6): 1271-80. [Crossref]  [PubMed] 
  14. Reimann F, Talasli U, Gökmen E. Zur röntgenologischen bestimmung der dicke der schädeiknochen und ihrer verbreiterung bei patienten mit schwerer bluterkrankung und hyperplasie des roten knochenmarks [For radiographic determination of the thickness of the skull bones and their widening in patients with severe blood disease and hyperplasia of the red bone marrow]. Fortschr Röntgenstr. 1976; 125(6):540-5. [Crossref]  [PubMed] 
  15. Kattan KR. Calvarial thickening after Dilantin medication. Am J Roentgenol Radium Ther Nucl Med. 1970;110(1):102-5. [Crossref]  [PubMed] 
  16. Todd TW. Thickness of the male white cranium. The Anatomical Record. 1924;27(5): 245-56. [Crossref] 
  17. Roche AF. Increase in cranial thickness during growth. Hum Biol. 1953;25(2):81-92. [PubMed] 
  18. Hansman CF. Growth of interorbital distance and skull thickness as observed in roentgenographic measurements. Radiology. 1966; 86(1):87-96. [Crossref]  [PubMed] 
  19. Adeloye A, Kattan KR, Silverman FN. Thickness of the normal skull in the American Blacks and Whites. Am J Phys Anthropol. 1975;43(1):23-30. [Crossref]  [PubMed] 
  20. Moreira-Gonzalez A, Papay FE, Zins JE. Calvarial thickness and its relation to cranial bone harvest. Plast Reconstr Surg. 2006;117(6): 1964-71. [Crossref]  [PubMed] 
  21. Hatipoglu HG, Ozcan HN, Hatipoglu US, Yuksel E. Age, sex and body mass index in relation to calvarial diploe thickness and craniometric data on MRI. Forensic Sci Int. 2008;182(1-3):46-51. [Crossref]  [PubMed] 
  22. Smith K, Politte D, Reiker G, Nolan TS, Hildebolt C, Mattson C, et al. Automated measurement of pediatric cranial bone thickness and density from clinical computed tomography. Annu Int Conf IEEE Eng Med Biol Soc. 2012;2012:4462-5. [Crossref]  [PubMed]  [PMC] 
  23. Baral P, Koirala S, Gupta MK. Calvarial thickness of Nepalese skulls-Computerised Tomographic (CT) study. Anat Physiol. 2014;4(2): 1000140. [Link] 
  24. Lillie EM, Urban JE, Lynch SK, Weaver AA, Stitzel JD. Evaluation of skull cortical thickness changes with age and sex from computed tomography scans. J Bone Miner Res. 2016;31(2):299-307. [Crossref]  [PubMed] 
  25. Thulung S, Ranabhat K, Bishokarma S, Gongal DN. Morphometric measurement of cranial vault thickness: a tertiary hospital based study. JNMA J Nepal Med Assoc. 2019;57(215):29-32. [Crossref]  [PubMed] 
  26. Domenech-Fernandez P, Yamane J, Domenech J, Barrios C, Soldado-Carrera F, Knorr J, et al. Analysis of skull bone thickness during growth: an anatomical guide for safe pin placement in halo fixation. Eur Spine J. 2021;30(2):410-5. [Crossref]  [PubMed] 
  27. Ross MD, Lee KA, Castle WM. Skull thickness of Black and White races. S Afr Med J. 1976;50(16):635-8. [PubMed] 
  28. Brown T, Pinkerton SK, Lambert W. Thickness of the cranial vault in Australian Aboriginals. Archaeology & Physical Anthropology in Oceania. 1979;14(1):54-71. [Link] 
  29. Durbar US. Racial variations in different skulls. J Pharm Sci & Res. 2014;6(11):370-2. [Link] 
  30. Ross AH, Jantz RL, McCormick WF. Cranial thickness in American females and males. J Forensic Sci. 1998;43(2):267-72. [Crossref]  [PubMed] 
  31. Smith DR, Limbird KG, Hoffman JM. Identification of human skeletal remains by comparison of bony details of the cranium using computerized tomographic (CT) scans. J Forensic Sci. 2002;47(5):937-9. [Crossref]  [PubMed] 
  32. Li H, Ruan J, Xie Z, Wang H, Liu W. Investigation of the critical geometric characteristics of living human skulls utilising medical image analysis techniques. Int J Vehicle Safety. 2007;4(2):345-67. [Crossref] 
  33. Sidler M, Jackowski C, Dirnhofer R, Vock P, Thali M. Use of multislice computed tomography in disaster victim identification--advantages and limitations. Forensic Sci Int. 2007; 169(2-3):118-28. [Crossref]  [PubMed] 
  34. Mahinda HAM, Murthy OP. Variability in thickness of human skull bones and sternum- an autopsy experience. Journal of Forensic Medicine & Toxicology. 2009;26(2):26-31. [Link] 
  35. Farzana F, Shah BA, Shahdad S, Zia ul Haq P, Sarmast A, Ali Z. Computed tomographic scanning measurement of skull bone thickness: a single center study. Int J Res Med Sci. 2018;6(3):913-6. [Crossref] 
  36. Dougherty G, Newman D. Measurement of thickness and density of thin structures by computed tomography: a simulation study. Med Phys. 1999;26(7):1341-8. [Crossref]  [PubMed] 
  37. Ruan J, Prasad P. The effects of skull thickness variations on human head dynamic impact responses. Stapp Car Crash J. 2001;45: 395-414. [Crossref]  [PubMed] 
  38. Delye H, Verschueren P, Depreitere B, Verpoest I, Berckmans D, Vander Sloten J, et al. Biomechanics of frontal skull fracture. J Neurotrauma. 2007;24(10):1576-86. [Crossref]  [PubMed] 
  39. Got C, Guillon F, Patel A, Mack P, Brun-Cassan F, Fayon A, et al. Morphological and biomechanical study of 146 human skulls used in experimental impacts, in relation with the observed injuries. SAE Transactions. 1983; 92(4):528-46. [Crossref] 
  40. Hodgson VR, Brinn J, Thomas LM, Greenberg SW. Fracture behavior of the skull frontal bone against cylindrical surfaces. SAE Technical Paper. 1970:700909. [Crossref] 
  41. Deck C, Nicolle S, Willinger R. Human head FE modelling: improvement of skull geometry and brain constitutive laws. IRCOBI Conference-Graz (Austria); 2004. p.7992. [Link] 
  42. Raul JS, Baumgartner D, Willinger R, Ludes B. Finite element modelling of human head injuries caused by a fall. Int J Legal Med. 2006;120(4):212-8. [Crossref]  [PubMed] 
  43. Law SK. Thickness and resistivity variations over the upper surface of the human skull. Brain Topogr. 1993;6(2):99-109. [Crossref]  [PubMed] 
  44. Raul JS, Deck C, Willinger R, Ludes B. Finite-element models of the human head and their applications in forensic practice. Int J Legal Med. 2008;122(5):359-66. [Crossref]  [PubMed] 
  45. Raymond D, Van Ee C, Crawford G, Bir C. Tolerance of the skull to blunt ballistic temporo-parietal impact. J Biomech. 2009;42(15): 2479-85. [Crossref]  [PubMed] 
  46. Hamel A, Llari M, Piercecchi-Marti MD, Adalian P, Leonetti G, Thollon L. Effects of fall conditions and biological variability on the mechanism of skull fractures caused by falls. Int J Legal Med. 2013;127(1):111-8. [Crossref]  [PubMed] 
  47. Delye H, Clijmans T, Mommaerts MY, Sloten JV, Goffin J. Creating a normative database of age-specific 3D geometrical data, bone density, and bone thickness of the developing skull: a pilot study. J Neurosurg Pediatr. 2015;16(6):687-702. [Crossref]  [PubMed] 
  48. Foville M. Traité Complet De L'anatomie, De La Physiologie Et De La Pathologie Du Système Nerveux Cérébro-Spinal. 1st ed. Paris: Fortin, Masson Et Cie; 1844. [Link] 
  49. Baer CEV, Lucae JGC. Zur Morphologie der Rassen-Schädel. Einleitende Bemerkungen Und Beiträge. 1. Auflage. Frankfurt: Druck Und Verlag von Heinrich Ludwig Brönner; 1861. [Link] 
  50. Broca MP. Sur Le Volume Et La Forme Du Cerveau. Suivant Les Individus Et Suivant Les Races. 1st ed. Paris: Typographie Hennuyer, Rue Du Boulevard; 1861. [Link] 
  51. Henle J. Handbuch der Systematischen Anatomie des Menschen. 3rd ed. Braunschweig: Druck Und Verlag von Friedrich Vieweg Und Sohn; 1871. [Link] 
  52. Todd TW. Cranial capacity and linear dimensions, in white and negro. Am J Phys Anthropol. 1923;6(2):97-194. [Crossref] 
  53. Todd TW. The effect of maceration and drying upon the linear dimensions of the green skull. J Anat. 1923;57(Pt 4):336-56. [PubMed]  [PMC] 
  54. Anderson RJ. Observations on the thickness of the human skull. The Dublin Journal of Medical Science. 1882;74:270-80. [Crossref] 
  55. Twiesselmann F. Méthode pour l'évaluation de l'épaisseur des parois crâniennes. Bulletin Du Musée Royal d'Histoire Naturelle de Belgique. 1941; 17(48):1-33. [Link] 
  56. Ivanhoe F. Direct correlation of human skull vault thickness with geomagnetic intensity in some Northern Hemisphere Populations. Journal of Human Evolution. 1979;8:433-44. [Crossref] 
  57. Sullivan WG, Smith AA. The split calvarial graft donor site in the elderly: a study in cadavers. Plast Reconstr Surg. 1989;84(1):29-31. [Crossref]  [PubMed] 
  58. Ishida H, Dodo Y. Cranial thickness of modern and neolithic populations in Japan. Hum Biol. 1990;62(3):389-401. [PubMed] 
  59. Broadbent BH. A new x-ray technique and its application to orthodontia. The Angle Orthodontist. 1931;1(2):45-66. [Link] 
  60. Letts M, Kaylor D, Gouw G. A biomechanical analysis of halo fixation in children. J Bone Joint Surg Br. 1988;70(2):277-9. [Crossref]  [PubMed] 
  61. Koenig WJ, Donovan JM, Pensler JM. Cranial bone grafting in children. Plast Reconstr Surg. 1995;95(1):1-4. [Crossref]  [PubMed] 
  62. Newman DL, Dougherty G, al Obaid A, al Hajrasy H. Limitations of clinical CT in assessing cortical thickness and density. Phys Med Biol. 1998;43(3):619-26. [Crossref]  [PubMed] 
  63. Prevrhal S, Engelke K, Kalender WA. Accuracy limits for the determination of cortical width and density: the influence of object size and CT imaging parameters. Phys Med Biol. 1999;44(3):751-64. [Crossref]  [PubMed] 
  64. Prevrhal S, Fox JC, Shepherd JA, Genant HK. Accuracy of CT-based thickness measurement of thin structures: modeling of limited spatial resolution in all three dimensions. Med Phys. 2003;30(1):1-8. [Crossref]  [PubMed] 
  65. Chompoopongkasem K, Chandraphak S, Chiewvit P, Aojanepong C. [Calvarial thickness and its correlation to three-dimensional CT (3D-CT) scan]. Reg 6-7 Med J. 2008;27(4): 1171-83. [Link] 
  66. Tretbar SH, Plinkert PK, Federspil PA. Accuracy of ultrasound measurements for skull bone thickness using coded signals. IEEE Trans Biomed Eng. 2009;56(3):733-40. [Crossref]  [PubMed] 
  67. Voie A, Dirnbacher M, Fisher D, Hölscher T. Parametric mapping and quantitative analysis of the human calvarium. Comput Med Imaging Graph. 2014;38(8):675-82. [Crossref]  [PubMed] 

.: Up To Date

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com