Showing 4 results for Autopsy
Bahador M,
Volume 64, Issue 9 (9-2006)
Abstract
At the middle of the 20th century, autopsy has a fundamental role in medical education in Iran, guided by the influential Oslerian philosophy “as is your pathology so is your medical practice”. Students not only attended autopsies, but also had learnt to conduct them. In contrast, today the use of autopsy in medical education is falling down to death. Although this falling is worldwide, but the situation in Iran is much worse. Rarely Iranian medical schools deal with educational autopsy and some of them are quite unfamiliar with autopsy. There are several reasons for this declining including sophisticated medical education with autopsy, community attitudes ,clinicians’ and pathologist’ reluctance, hospital concern about legal action, religious attitudes, consent from the family and funding priorities.
Even with new diagnostic modalities, autopsy remains an important tool for quality and safety assurance. A systematic review of reports on autopsies from USA, European and Australian hospitals, revealed 9 to 40% (on average 23.5%) of clinically missed diagnoses and managements involving the principal or underlying cause of death.
The key roles of hospital autopsies are Improving safety and quality in diagnosis and treatment, Providing benefits to families, Advancing understand-ing of disease, Allowing good programming for emerging disease and frequently seen disease, and Educating medical and allied health professionals.
We have concluded that, reversing the decline of autopsies will require cooperative action at several levels of the healthcare system, particularly including clinicians and pathologists and also governmental and financial bodies and legal authorities.
Peyvandi H, Talebpoor M, Begam Orang Z, Ahmadi Amoli H, Motalebi N, Hallaj Mofrad H.r, Molavi B, Asheri H,
Volume 64, Issue 9 (9-2006)
Abstract
Background: Performing traditional autopsy mostly seems to be unpleasant in dead persons' relatives' opinion. This study aimed to determine the accuracy of laparoscopic examination of intra abdominal organs in comparison to the traditional autopsy in trauma victims.
Methods: From December 2004 to September 2005, 50 fresh cadavers of blunt trauma victims were studied in less than 24 hours from death time. Intraperitoneal and retroperitoneal organs were first evaluated by laparoscope and then the traditional autopsy was performed as gold standard. The organs were assessed regarding impairment and its grade in both ways. Diagnostic accuracy of laparoscope was determined for each case with 95% confidence interval using Fisher's exact test.
Results: The values of overall and distinct accuracy of laparoscopic examination for intraperitoneal and retroperitoneal organs were significantly comparable with traditional autopsy. The accuracy of laparoscopic evaluation of intraperitoneal and retroperitoneal organs were 90% (95% CI of 81.7% to 94.8%) and 92% (95% CI of 84.7% to 96%) respectively in comparison to open autopsy. The overall accuracy of laparoscopic examination was 84% (95% CI of 74.3% to 90.5%).
Conclusion: The sensitivity and specificity of laparoscopic examination for intraperitoneal but not retroperitoneal organs were acceptable in comparison to open autopsy. Laparoscopic examination seems to be an eligible substitute for the traditional autopsy in assessment of intraperitonel organs.
Akhlaghi M, Dorooshy G, Naghsh A, Karbakhsh Davari M,
Volume 67, Issue 3 (6-2009)
Abstract
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Background: One of the major
problems in the medicine is personal identification in cases of skeletal
remains. The first step is determination of sex. One of the elements that
recently paied more attention to it is the patella. Since the measurements are
population specific, so we measured the patellas of Iranians to determine their
patellas dimensions for sex prediction.
Methods: In this
study three metrical characteristics of patella were measured from 67 corps
between 20-64 years refered to the autopasy hall of forensic medicine center in
Tehran (L.M.O). For statistical analysis of datas, the statistical product and
service solution (SPSS version 16) program was used and unvariate and multivariate discriminant
function analysis were performed to indicate the efficiency of each variable
for sex determination.
Results: The mean of
patella height in male was 4.46 cm and in female was 3.87, the mean
of patella width in male was 4.60 and in female was 4.03cm and the
mean of patella thickness in male was 2.25 and in female was 2.07cm. Among
these measurements maximal width with average accurancy of 94% and then
maximal height with 91% and finally maximal thickness with 71.6-73.1%
respectively were better variables for sex determination. Also in multivariate
discriminant analysis, combination of all three measurements with average
accuracy of 94% was the best function for sex determination.
Conclusion: The
results of this study revealed that we can determine sex with high confidence
in situations such as explosions, air crashes and etc, just by using the
patella measurement.
Khadije Saravani , Mohammad Hossien Kamaloddini , Mahboobe Asgari ,
Volume 77, Issue 7 (10-2019)
Abstract
Background: Determination of mortality causes precisely, is very important in developing countries. Mortality rate is a helpful index for evaluating the quality of health in every society. However, recording of life events as well as mortality rates are difficult and conducted only in a few developing countries which account for a large percentage of the world’s mortality. Thus, it was attempted to conduct a study on mortality cases of under 18 year’s old corpses referred to the dissection laboratory of forensic medicine in Tehran from 2014 to 2015.
Methods: In this cross-sectional descriptive study, all cases of accidental deaths less than 18 years old which were referred to forensic medicine in Tehran have examined. All mortality data between April 2014 and April 2015 was completed by a questionnaire. This data were classified by age, sex, cause of referral, type of death, underlying disease, and cause of death based on autopsy results and positive findings of autopsy, pathology, and toxicology.
Results: In 2014 and 2015, 495 and 508 cases of under 18 years old were sent to the dissection laboratory of forensic medicine in Tehran, consequently. The mortality rate of 520 males and 483 females was recorded and it has risen from 2014 to 2015. The most common mortality causes are accidents, suspicious death, suicide, and car accidents.
Conclusion: The results showed that the mortality rate in males was higher than females, which is in line with the global findings. This may be due to cultural issues or the vulnerability of males. Study on causes of deaths, which recorded over two years showed that deaths in Tehran province are due to accidents, falls, strangulation, life-threatening poisoning and electrocution, birth disorders and suicides, which requires more studies on these subjects.
