Alkolün Konuşma ve Dil Fonksiyonları Üzerine Etkileri; Deneysel Bir Çalışma

Alkol keyif verici olarak yaygın olarak kullanılan, aynızamanda toksik ve bağımlılık yapıcı etkileri olan birmaddedir. Adli Tıp alanında özellikle etil alkol önemtaşımakta olup, alkolün bireyler üzerindeki etkilerihususunda bilirkişi olarak Adli Tıp Uzmanlarından vepratisyen hekimlerden görüş istenmektedir. Alkolünnörolojik fonksiyonlar üzerine etkilerini saptamak içinbirçok test mevcut olmakla birlikte pratikteuygulanabilir, geçerlilik ve güvenilirliği yüksek yenitestlerin geliştirilmesi gerekmektedir. 17 sağlıklıgönüllü kişi ile yapılan bu çalışmada alkol almadanönce ve 0,5 mg/kg alkol alımı sonrası kişilerinkonuşma paternlerindeki değişimlerin incelenmesiamaçlanmıştır. Çalışmada katılımcıların okumasürelerinde uzama, kelimelerin farklı telaffuz edilmesigibi bulgular saptanmıştır. Adli Tıp uygulamalarında,Hacettepe Artikülasyon Testi ve Gazi ÜniversitesiTürkçe Öğrenim Araştırma ve Uygulama Merkezitarafından hazırlanıp yayınlanmış A2 TemelDüzeyinde Yabancılar için Türkçe adlı kitapta yeralan 12 cümleden oluşan cümle testinin alkollübireylerdeki konuşma fonksiyonlarınındeğerlendirilerek nörolojik etkilenme düzeyinisaptamada adli muayene ile birlikte kullanıldığındadeğerli bir yöntem olduğu düşünülmektedir.

The Effects of Alcohol on Speech and Language Functions; An Experimental Study

Alcohol is a widely used substance as an exhilaratorand at the same time a toxic substance that hasaddictive effects. Particularly ethyl alcohol is ofprimary importance in the field of forensic medicineand the forensic specialists and the generalpractitioners are requested to provide expert opinionregarding the effects of alcohol use on individuals.While several tests to identify the effects of alcoholon neurological functions are available, the newtests having higher validity and reliability, which canbe put in into practice should be developed as well.It was aimed in this study conducted with theparticipation of 17 healthy volunteers to investigatethe changes in speech patterns of individuals afterconsuming 0,5mg/kg alcohol compared to thosebefore alcohol intake. The findings such asprolongation of reading time and differentpronunciation of the words were obtained.Hacettepe Articulation Test and the sentence testconsisting of 12 sentences from the book entitled"A2 Basic Level Turkish for Foreigners" prepared andpublished by Gazi University Turkish EducationResearch and Application Center are consideredvaluable methods for forensic medicine practices toidentify the level of neurological affection byevaluating speech functions of the individuals whoconsumed alcohol, when used along with forensic examination.

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Hendler RA, Ramchandani VA, Gilman J and et al.. Stimulant and Sedative Effects of Alcohol. Behav Neurosci. 2013; 13: 489-509.
Brust JMJ. Ethanol and Cognition: Indirect Effects, Neurotoxicity and Neuroprotection: A Review. Int. J. Environ. Res. Public Health. 2010; 7: 1540-1557.
Rowe SC, Wiggers J, Wolfenden L and et al. Evaluation of an Educational Policing Strategy to Reduce Alcohol- related Crime Associated With Licensed Premises. Can J Public Health. 2012; 103(7): 508-514.
Borges G, Ye Yu, Bond J and et al. The dimensionality of alcohol use disorders and alcohol consumption in a cross- national perspective. Addiction. 2010; 105(2): 240-254.
Aşçıoğlu F. Trafikte Güvenli Sürüş Açısından Alkol. Beta 2009; s: 24-30, 98-100.
Kapturczak NH, Roache JD, Liang Y and et al. Accounting for sex-related differences in the estimation of breath alcohol concentrations using transdermal alcohol monitoring. Psychopharmacology. 2014; (14): 1-9.
Gutmannova K, Bailey JA, Hill KG et al. Sensitive Periods for Adolescent Alcohol Use Initiation: Predicting the Lifetime Occurrence and Chronicity of Alcohol Problems in Adulthood. J Stud Alcohol Drugs. 2011; 72(2): 221-231.
Andreuccetti G, Carvalho HB, Cherpitel CJ and et al. Reducing the legal blood alcohol concentration limit for driving in developing countries: a time for change? Results and implications derived from a time-series analysis (2001-10) conducted in Brazil. Addiction. 2011; 106(12): 2124-2131.
Conner KR, Huguet N, Caetano R and et al. Acute Use of Alcohol and Methods of Suicide in a US National Sample. 2014; 104(1): 171-178.
Öztürk O, Uluşahin A. Ruh Sağlığı ve Bozuklukları. 2011; Cilt 2; s:694-695.
Youth with statistic 2012. Access address: http://www.tuik.gov.tr/PreHaberBultenleri. do?id:13509. Acces date: 12.12.2014.
Thakkar MM, Sharma R, Sahota P. Alcohol disrupts sleep homeostasis. Alcohol 2014. Access Data: http://www.alcoholjournal.org /inpress. Access date: 01.11.2014.
Sukkes M. Alcoholism and its Effects on the Central Nervous System. Current Neurovascular Research. 2013;10 (3): 256-262.
Zahr NM, Kaufman KL, Harper CG. Clinical and pathological features of alcohol-related brain damage. Nature Reviews Neurology. 2011; 7: 284- 294.
Byehon H, Lee Y, Lee SY. Association of alcohol drinking with verbal and visuospatial memory impairment in older adults: Clinical Research Center for Dementia of South Korea (CREDOS) study. International Psychogeriatrics. 2014; 10: 1-7.
Gjerde H, Norman PT, Christophersen AS and et al. Alcohol, psychoactive drugs and fatal road traffic accidents in Norway: A case-control study. Accident Analysis&Prevention. 2011; 43(3): 1197-1203.
Harris RZ, Benet LZ, Schwarts JB. Gender Effects in Pharmacokinetics and Pharmacodynamics. Drugs. 1995; 50(2): 222-239.
Klingholz F, Penning R, Liebhardt. Recognition of low Level alcohol intoxication from speech signal. J. Acoust. Soc. A. 1988: 929; 84.
Schiel F, Heinrech C. Laying the Foundation for In- car lcohol Detection by Speech. Access adress: http://epub.ub.uni-muenchen.de/13683/. Access date: 07.11.2014.
Szabó TE, Rossu R, Varga V and et al. The Effect of Alcohol on Speech Production. J Psycholinguist. 2014; 43: 737-748.
Pisoni, D.B, Christopher S.M.Effects of Alcohol on the Acoustic-Phonetic Properties of Speech: Perceptual and Acoustic Analyses. Alcohol Clin Exp. Res. 1989; 13, 577-587.

ISSN: 1300-0853
Yayın Aralığı: Yılda 6 Sayı
Başlangıç: 1992
Yayıncı: TÜRK TABİPLERİ BİRLİĞİ

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