scholarly journals The Significance of Subendocardial Hemorrhages Detected in Forensic Autopsies

2015 ◽  
Vol 84 (5) ◽  
Author(s):  
Nursel Türkmen İnanır ◽  
Selçuk Çetin ◽  
Filiz Eren ◽  
Bülent Eren

Introduction:In our study, our aim was to reveal the relationship between subendocardial hemorrhage (SEH)  which can be seen macroscopically immediately beneath the endocardium, and emerge secondary to many conditions from direct cardiac,  head, and abdominal traumas to hyperemia, and its location with cause of death, its diagnostic value (if any), and whether it can be evaluated as a vital finding.Material and Method :285 autopsy cases diagnosed as SEH which were brought to the Group Presidency of Morgue Specialization Department of the State Institute of Forensic Medicine of Bursa  were included in the studyResults: Study population consisted of 229 (80.4 %) male, and 56 (19.6 %) female patients. Thity-one cases of death were related to natural causes, while the most frequently detected pathological causes of death were isolated abdominal traumas (32.9 %), followed by isolated head traumas (31.9 %).  While traffic accidents ranked first (35.1%) among the events leading to death. Among evaluated cases, SEH was mostly located on septum.Discussion: To fully understand the yet inadequately elucidated pathogenic mechanisms  of SEH , it should be accurately defined by histopathological analysis. Even though various causes of death seen  in association with these lesions suggest more than one underlying pathogenic mechanism, because of their nonspecific characteristics, their possible roles as indicators of vitality (if any) should be reinforced  by further studies.

2021 ◽  
Vol 15 (5) ◽  
pp. 1495-1497
Author(s):  
S. S. A. Naqvi ◽  
Gulshad . ◽  
K. Sheikh ◽  
I. Wagan ◽  
A. Maher ◽  
...  

Objective: The aim of this study is to determine the histopathological examination of medicolegal autopsy cases and its correlation with causes of death. Study Design: Retrospective/observational Place and Duration: This study was conducted at department of Pathology, Khairpur Medical College Khairpur Mir's for duration of eight months from 15thMay, 2020 to 15thJanuary, 2021. Methods: Hundred cases of both genders were presented in this study. Cases were aged between 15-75 years. Cases detailed demographics age, sex and body mass index were calculated after taking informed written consent from authorities. Autopsy laboratory was used to take medicolegal autopsies of enrolled cases. 10% formalin solution was used for histopathological examination of all the specimens. In the course of the post-mortem investigation we examined the histopathology results for five major organs, such as the brain, heart, lung, liver and kidneys and compared them with gross anatomical results. Complete data was analyzed by SPSS 24.0 version. Results: 62 (62%) cases were males and 38 (38%) patients were females. Mean age of the participants were 30.52±13.17 years with mean BMI 24.52±16.21kg/m2. Most of the participants 40 (40%) were aged between 25-35 years of age followed by 27 (27%) were aged between 36-45 years. Most of the participants 70 (70%) were from urban area and the rest were 30 (30%) from rural area. Instant death was the most common cause found in 35 (35%) cases, followed by traffic accidents 24 (24%) cases. Most frequent effected organs were lung 29%, heart 26%, liver 21% and brain 18%. In lungs pneumonia was the most common effected pathology among 20 (68.97%) and in heart atherosclerosis was the most common effected pathology among 21 (80.77%). Conclusion: In medicolegal autopsy cases, histopathological analysis may be regarded as a useful method. The most common organ in these cases were the heart, liver and lungs. In certain cases, the histopathological exam of these bodies has been useful in identifying the cause of death. Often pathological results included pneumonia, atherosclerosis and congestion. Keywords: Histopathology, Medicolegal, Cause of death, Autopsy


2020 ◽  
Vol 11 (1) ◽  
pp. 635-638
Author(s):  
Thamir M. Kadhim

Global mortality from the burn is decreasing while in Iraq is still rising. This study was designed to determine the paucity of data regarding the cause of death in the burn, which may be a participating factor and should eliminate it. A post-mortal field study was conducted in the Department of Forensic Medicine in the province of Babylon, Iraq, for a year period, from the 1st of January 2017 to the 1st of January 2018. The total deaths were 1310, and the whole number of deaths by burn accidents in Babylon, Iraq, was 81(6.18% of all causes of death in a year). 65 were females (80.24%), 16 were males (19.75%). Deaths with no history of admission more than 3day in burn units, age over 45years, cardiovascular diseases patients, heavy smokers, inhalational injuries victims, all were excluded, so 68 burn victims were subjected to a full, typical autopsy at the Department of Forensic Medicine in the province of Babylon for one year period, with all necessary laboratory tests, in order to diagnose the direct cause of their death. For assessing small size area burn, we used small paper the size of the victim whole hand (represent 1% of TBSA), for a larger area, the Lund and Browder chart was used. Deaths were divided into 2 groups according to the period of admission at the burn unit. The first group (3-7 days of admission) with 60 victims, and the second (more than 7 days) with 8 victims. 17 victims with in the first group, had no prominent autopsy findings, but severe pulmonary edema, edema of other organs, no pathogenic organisms were isolated, the laboratory tests were accepted. Their medical records in the burn unit showed overestimation in the assessment of burn area size above the actual percentage by (20-35%). The major causes of death in the first group were septicemia 42.46%, pneumonia 32.35% and primary pulmonary edema 25%, caused mainly by overloading the circulation with fluids. Precise assessment of burn area size, ensuring proper fluid replacement and lowering the mortality rate.


2000 ◽  
Vol 15 (3) ◽  
pp. 119-122
Author(s):  
Bertrand Herer

The aim of the study was to determine the longevity of jazz musicians (JM) and their mortality patterns. The obituaries of subjects involved in jazz music were reviewed in a specialized periodical from 1990 to 1999. Age at death, sex, activity (JM or non-musicians [NM]), and estimation of life expectancy (LE) at birth were recorded. Causes of death were compared with a distribution based on the general U.S. population, and proportionate mortality ratios (PMRs) were calculated. The study population consisted of 346 decedents. The age at death was lower in JM than in NM (70.4 ± 12.4 vs 74.7 ± 10.4 years, p = 0.01), and 83.2% of JM exceeded their LE vs 93.3% of NM (p = 0.046). Information on the causes of death was available for 212 decedents. Malignant neoplasms were the leading cause of death in JM. The PMRs were elevated for malignant neoplasms and suicide. The longevity of JM is lower than that of nonmusical decedents involved in jazz music; however, death before predicted LE is uncommon. Based on this review, malignant neoplasms are the main cause of death in that socioprofessional category.


2020 ◽  
Vol 23 (3) ◽  
pp. 338-347
Author(s):  
Mohammad Jamalian ◽  
◽  
Mohsen Eslamdost ◽  
Ali Rezaee ◽  
Shabanali Alizadeh ◽  
...  

Background and Aim: The deaths caused by traffic accidents are one of the three leading causes of death in Iran. Considering that all deaths from traffic accidents in the forensic organization are undergoing autopsy and also in the treatment centers under oral autopsies, the cause of death is determined, we determined that the cause of reported death from oral autopsy and medical autopsy Compare the law. Methods & Materials: In this descriptive study, patients who were admitted to the forensic medical center during the year 1395 admitted to the Vali-e-Asr Hospital in Arak, were referred. The causes of death in Vali-asr Hospital were evaluated and compared with the outcome of the forensic oral hearing.  Ethical Considerations: This study ethcally approved by the ethics committee of the Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1395.226). Results: In this study, 109 patients (1.33%) died from a total of 8153 patients with traffic accidents referred to Valiasr hospital in Arak. Of these, 68.8% were male and 31.2% were women. The Mean±SD age of the patients died was 44.03±22.43 years. Also, 59.6% of the dead died during the first 24 hours of the accident. The most common cause of death, according to the results of oral autopsy, was “multiple injuries,” accounting for 49.5% of the patients in 45 patients. Conclusion: Abundance of deaths among patients with road traffic accidents and they referred to Valiasr hospital, which was 1.33%. According to the existing standards and considering that the mortality rate in this center is less than 1.5%. It seems that the level of service delivery in this center is favorable.


2003 ◽  
Vol 43 (3) ◽  
pp. 207-214 ◽  
Author(s):  
Philippe Lunetta ◽  
Gordon S Smith ◽  
Antti Penttila ◽  
Antti Sajantila

Drowning is one of the leading causes of death when the manner of death remains undetermined. In the present study, we examined the epidemiological and medico-legal profile of 276 undetermined deaths (M:F = 3.4:1; mean age 41.9 ± 16.0 SD) among 1,707 consecutive bodies found in water and autopsied at the Department of Forensic Medicine, University of Helsinki, from 1976 to 2000. We also describe the differences between the police investigator's initial opinion and the forensic pathologist's death certification, and the different approaches among forensic pathologists when determining the cause of death. There was considerable variation among individual pathologists in the percentage of deaths considered undetermined but these differences were not significantly related to their level of training. Medico-legal training should focus on a standardised diagnostic approach to borderline cases, in which essential factors in determining the manner of death are often ambiguous.


1997 ◽  
Vol 37 (3) ◽  
pp. 242-247 ◽  
Author(s):  
Fadel K. Bennani ◽  
Charles E. Connolly

Sudden unexpected death in young adults of 18–35 years accounts for an important subset of deaths in our autopsy population. The case notes and autopsy reports on 44 subjects were analysed during the period 1985–94 at the Department of Histopathology, University College Hospital, Galway to establish the underlying cause of death. Subjects who were involved in road traffic accidents, cases of drowning, and patients with known congenital heart disease, chronic renal failure and malignancy were excluded. We found that a large proportion of sudden deaths in young adults were secondary to epilepsy and chemical/drug poisoning, accounting for 34 per cent and 31.8 per cent respectively. Sudden adult death syndrome (SADS) accounted for 9 per cent of the study population. Detailed case history, meticulous post-mortem examination and complete toxicological screening are recommended to arrive at the underlying cause of death.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Patrick Kafui Akakpo ◽  
Emmanuel Gustav Imbeah ◽  
Francis Agyarko-Wiredu ◽  
Kennedy Awlavi ◽  
Kwame Baah-Amoh ◽  
...  

Objective. Mortality data from hospitals in Ghana suggest a changing mortality trend with noncommunicable diseases (cardiovascular disorders) replacing communicable diseases as the leading cause of death. Our objective was to find out the causes of deaths in the communities of the Central Region of Ghana and raise awareness of these causes of deaths while highlighting the differences that exist between data obtained from the community and that obtained from the hospital. Method. Mortality data from Coroner’s autopsies mostly provide data about the causes of deaths in the community (out of hospital). A retrospective descriptive study of Coroner’s autopsy data at the Cape Coast Teaching Hospital was carried out over a six-year period. The various causes of death were categorized according to broad headings (accidents/injuries/poisoning, cardiovascular, infections, metabolic, neoplasms, and others). Results. A total of 1187 autopsies were reviewed of which 990 (83.4%) were Coroner’s cases. Of these Coroner’s cases, 719 (72.6%) were male and 271 (27.4%) were female. 521 (52.6%) of victims were young adults (18–44 years), and majority of deaths were unnatural (due to accidents, injuries, and poisoning) (64.1%), followed by the general category of others (15.3%). Cardiovascular deaths (6.6%) were fourth after infections (9.8%). In the leading category, most deaths were due to road traffic accidents (50.4%) as occupants of vehicles and motorcycles (28.7%) and as pedestrians (21.7%). Deaths due to road traffic accidents were followed by deaths due to drowning (14.96%). Conclusion. Although noncommunicable diseases are still the leading causes of death outside the hospital, most of the deaths are due to road traffic accidents and drowning. This is at variance with hospital data that suggest that the leading noncommunicable diseases are cardiovascular disorders and cancer. Again, like data derived from hospitals, infections remain a major cause of death in the Central Region of Ghana. Studies combining the causes of death derived from Coroner’s autopsies and communities and from medical certificates of cause of death will present a better picture of the leading causes of death in the Central Region and reveal the true nature of noncommunicable diseases that currently form our largest disease burden.


Author(s):  
Mohammed Madadin ◽  
Rozanna Al-Abdulrahman ◽  
Shatha Alahmed ◽  
Rana Alabdulqader ◽  
Lama Alshehri ◽  
...  

Introduction: Desert death is defined as any death that occurs in the desert and could be attributed to a list of causes including environmental, animal related, undetermined, and other causes. Death in the desert seems to be obscure and little discussed in the field of forensic medicine, despite its importance, and there is only limited literature available on this broad topic. This narrative review aims to identify the most common causes of desert death and its medicolegal implications. Desert death causes: Environmental causes of death could be a result of temperature and lightening-related causes. Moreover, a variety of animals found in deserts are considered to be threatening and fatal, in addition to other and undetermined causes. Medicolegal implications of desert death: Likely to arise from the difficulties faced in finding the cause of death are the identification of the victim and the postmortem injuries that occur. Conclusion: Desert death is a broad topic with great medicolegal significance. More information and case reports need to be added in the literature. Guidelines for people about the danger of going to deserts in specific weather conditions should be implemented. Safety regulations must be taken into account at all times.


ICCD ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 373-375
Author(s):  
Acep Hidayat ◽  
Muhammad Isradi ◽  
Soh Aly

The accident rate in Indonesia tends to be quite high when compared to other countries in Asean. Traffic accidents are one of the causes of death in the world (8th rank), and the main cause of death of young people aged 15 to 29 years. Accidents can be prevented by various technical countermeasures, this needs to be done so that unnecessary accident costs can be reduced. Against this background, it is necessary to conduct socialization early on about good and correct traffic procedures especially for young children at the elementary school level, so it is expected that our children already have the provision of information and techniques about traffic in our country.


1999 ◽  
Vol 38 (4) ◽  
pp. 297-312 ◽  
Author(s):  
Bert Hayslip ◽  
Dina Ragow-O'Brien ◽  
Charles A. Guarnaccia

Four hundred and thirty-eight adults aged eighteen to eighty-eight ( M age = 35) who had lost a close friend or family member within the last two years completed questionnaires to ascertain the relationship of cause of death to attitudes toward the funeral and bereavement adjustment. While deaths that were expected were associated with more adaptive bereavement adjustment, cause of death was independent of participation in prefuneral, funeral, and postfuneral rituals, as well as attitudes toward the funeral. Expected deaths of persons to whom bereaved persons felt emotionally close were linked to more adaptive bereavement adjustment, greater positive meaning attributed to the funeral, and somewhat greater postfuneral participation. Such effects were minimized when data for deceased persons to whom the bereaved felt less close were examined. When specific causes of death were examined, those losing a loved one to either murder/suicide or accident fared worse regarding bereavement adjustment, and had less funeral participation. Regarding bereavement adjustment, this was especially the case when the deaths of close family were considered, except that such persons had greater funeral participation. Neither length of time since bereavement nor age interacted with cause of death to affect funeral attitudes or bereavement adjustment. While these data partially support the hypothesis that the impact of funerals is relative to the nature of loss, they also suggest that cause of death interacts with closeness to the deceased in affecting bereavement adjustment.


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