International Journal of Medical Toxicology and Forensic Medicine

Suicide is a serious public health problem. The World Health Organization (WHO) has recognizing the growing problem of suicide worldwide, urged member nations to address the phenomenon. As suicides continue to be a major burden , study of suicide is conducted over a period of 2-years that is from 1^st January 2003 to 31^st December 2004.

The psychological autopsy conducted, which have been reported in mortuary, here show clear evidence that most of poisonings were by Poisoning & Hanging. And most of victims were suffering from Physical and Psychiatric illness. Majority were illiterates and agriculturists. The special emphasis was made on time of committing suicide, which shows that 68.90% were day time only.

Introduction: The present study aims to compare bile and urine samples of a corpse for detection of morphine.

Methods: In this cross-sectional study, forensic examination of the bodies placed 59 of the 366 referred corpses at the high suspicion of opioid overdose. Urine and bile samples of the bodies were analyzed for morphine using thin layer chromatography.

Results: All samples were taken from male bodies. There were no urine samples in four corpses (7%) and two urine samples (3%) produced negative results. In the remaining 53 cases, 14(24%) turned out 1+, 29(49%) turned out 2+, 8(14%) bodies turned out 3+ and 2(3%) corpses produced 4+. On the other hand, all bile samples produced positive results, in which 3(5%) turned out 1+, 20(34%) turned out 2+, 22(37%) bodies turned out 3+ and 14(24%) corpses produced 4+. The Spearman coefficient for positive urine or bile samples was 0.377(P = 0.005).

Conclusion: The results of the present study show that the concentration of detected morphine in bile is greater than that of urine. Therefore, a bile sample can contribute to the detection of opioid in the corpses, especially when urine samples are not available or are negative.

Keywords: Opioid, Morphine, Urine, Bile, Corpse

Investigative dissection of a dead body primarily to find out cause of death is known as postmortem examination or Necropsy. Medicolegal autopsy or Forensic autopsy is performed following instructions of legal authority in sudden, suspicious, obscure, unnatural or criminal deaths. Autopsies are of two types i.e. Medico legal autopsy and Pathological or Hospital autopsy. Traditional procedures of autopsy need extensive dissection, which lead to mutilation of the dead body. As such, it has been unpopular amongst various religions and communities. To overcome this, many other variants of autopsies have developed over the years. Though many consider the autopsy to be an antiquated procedure, many changes have already occurred in the procedure. This paper attempts to explain various types of autopsies, the changing trends and analyses the advantages and disadvantages associated with them.

Background: Foreign body aspiration (FBA) of tracheobronchial trees is accidental evidence in children. It occurs the most common in less than 3-year age old. Diagnosis of inhaled FB is a dilemma in the pediatric, particularly in delayed or missed conditions. The aim of the study assessed the clinical features and rigid bronchoscopic finding of aspirated FB in tracheobronchial trees of children.

Martial and Methods:Medical records of aspirated FB among children gathered based on the International cod system from 1987 to 2007 years. All patients who removed FB were entered into the study.

Results: a total 133 cases enrolled in the study with mean age 3.51±2.55 (51 boys and 82girls). 85% of aspirated FB frequency detected under five years, with 78%peak incidence in four years oflife. Delayed duration of FB aspiration to the onset of removing was 90.62± 68.13 SD days. One hundred and six (79.7%) was detected vegetable’s FB on the tracheobronchial tract. History of aspirated FB did not find in 60% of cases. The most common clinical presentation was chronic cough and respiratory tract infections. Chest x-ray had positive signs in 79.7 %( 106) of the subjects.

Conclusion: chronic cough or recurrent lower respiratory tract infection should be particularly suggested missed FB in the airways of children under the age four years. Detection of organic FB was difficult within airways. In addition, chest x-ray and well-inform history can be benefited in the early diagnosis. Giving information about aerated FB to the parents may be decreased length of delayed time to the onset of diagnosis. Moreover, the parents should not be worried from evaluation of children's airways by bronchoscopy.

This report presents a case of vertebral artery dissection (VAD), which was misdiagnosed as cerebrovascular accident (CVA) in initial examinations.In this case, a 33-year old woman, who was involved in a car accident, was referred to Khoy Legal Medicine Centre by traffic court two months after the accident.The patient was examined by the author, who was on an assignment at the centre.At this time, the patient had hemiparesthesia on the left side and was complaining of an increased appetite.CT angiography did not show right vertebral artery in vertebral foramen.The patient was diagnosed with right vertebral artery dissection accompanied by trauma based on the CT angiography results and the patient’s background of neck trauma resulting from the accident.