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Article
MEDICO-LEGAL STUDY OF FATAL FLAME BURN VICTIMS IN SULAIMANI PROVINCE

Author: Saad K Kareem سعد كاظم كريم
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2011 Volume: 9 Issue: 2 Pages: 143-146
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Fatal flame burn injuries remain one of the most common causes of fatalities referred to Al-Sulaimania Medico-Legal Institute in spite of many recent advances in care and management. They occupied number one of all cases which were managed medico-legally.Objective:To study, evaluate and determine the causes of death in victims of flame burn injuries.Method:The study was conducted on 221 cadavers of flame burn injuries referred to the medico-legal institute in Sulaimania province during the period between 8th of May 2008 and 7th of May 2009. Complete classical autopsy was performed on each case as well as proper laboratory investigation (CO and renal function tests).Results:Fatal flame burn injuries constituted (28%) of the total number of medico-legal mortalities during the period of the study. The highest percentage of flame burn deaths occurred during the 1st and 2nd day of burn which was related to the state of shock and primary toxemia in (46.08%) of the cases. Late deaths were due to septicemia, cumulative effects of the early cause and miscellaneous causes.Conclusion:Flame burn injuries were the most common police cases managed medico legally. The vast majority of victims died within the first ten days. Staphylococcus aureus was the most common organism isolated from wounds and blood of victims.Key words:Autopsy, flame burn, Al-Sulaimania.

Keywords

Autopsy --- flame burn --- Al-Sulaimania


Article
MEDICO-LEGAL STUDY OF FATAL INCISED WOUNDS IN BAGHDAD

Authors: Muataz AM Al-Qazzaz معتز عبد المجيد القزاز --- Zaid AA Al-Yousif زيد علي عباس
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2012 Volume: 10 Issue: 4 Pages: 328-333
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

BackgroundSharp force injuries and fatalities have been reported to be the most common crimes of violence in several countries, predominantly in those where access to firearms is restricted. Death due to sharp force violence is the most common cause of homicidal deaths in Sweden and in many other countries in Europe, Africa and Asia. However incised wounds are less common in homicide.ObjectiveMethodA medico-legal descriptive study conducted on 18 autopsies during 6 months period. Cases were studied according to their age, sex, scene of incident, number of injuries, presence of other types, suggestive manner of injury and anatomical regions affected. Blood sample was taken for alcohol detection then complete classical autopsy was done.ResultsIncised wound cases were about a third of total sharp wound cases. Males were 5 times more frequently involved than females with an age range 36.4±29.1. Indoor and outdoor scene of incidents was almost equal. Most of them were multiple with mixed types of sharp wounds. Suggestive homicidal manner of death was seen. The neck was the most common anatomical region affected. There was no role of alcohol in causation of such injuries.ConclusionIncised wounds are infrequently encountered in medico-legal autopsy practice. Males seem to be more prone to such injuries with multiple and mixed types in the majority of cases. Homicidal manner was suggested in all cases and neck was the preferable site for the perpetrator.


Article
SUDDEN DEATH DUE TO INTRACRANIAL COLLOID CYST "A CASE REPORT"

Authors: Muhammad A. Jabor محمد عبد المحسن جبر --- Mutaz A. Al-Qazzaz معتز عبد المجيد القزاز
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 4 Pages: 399-402
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Intracranial colloid cysts are non-neoplastic epithelium-lined cysts of the central nervous system that almost always arise from the anterior third ventricle roof (immediately posterior to the foramen of Monro). These epithelium-lined, mucin-containg cysts can be found in asymptomatic patients; however, depending on their location, size, and degree of cerebrospinal fluid obstruction, patients may present with a variety of neurological symptoms. These symptoms can range from headaches to sudden death on rare occasions when there is acute hydrocephalus. This study describes a colloid cyst located between the two lateral ventricles at the level of foramen of Monro obstructing the cerebrospinal fluid (CSF) flow leading subsequently to sudden death and discovered incidentally during autopsy. The study was done in the Medico-legal institute in Baghdad from 1st of November 2012 to 1st of May 2013.Key words:Sudden Death, Colloid Cyst, Autopsy, Intracranium.


Article
Post-Mortem Assessment of Glycemic Control in Sudden Diabetic Deaths Using Glycated Hemoglobin (HbA1c)

Author: Saad kadhum Kareem
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 4 Pages: 493-498
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Post-mortem diagnosis of uncontrolled diabetes and its complications remains a common problem due to lack of unequivocal biochemical or histological proof of hyper or hypoglycaemia.In this study we evaluated glycated hemoglobin (HbA1c) as a post-mortem tool to identify uncontrolled diabetes.OBJECTIVE:To assess the use of glycated hemoglobin as an indicator for glycemic control in sudden diabetic deaths.METHODS:A cross-sectional study was carried out in the period from January 2015 to December 2015 on 47 sudden diabetic deaths and 22 natural non diabetic deaths at the Medico-Legal directorate in Baghdad. Information was collected from relatives, medical and police reports. A blood samples were drawn from the right ventricle of the heart of each decedent included in this study during autopsy. Blood was collected into sealed plastic tubes containing EDTA as anticoagulant and stored at 4ᵒc temperature. These samples were analyzed within a period of 48 hours. One micro liter sample of thoroughly mixed whole blood was placed into the glass capillary tube provided in the HbA1c reagent kit and analyzed with variant-Hb- testing system. Data were recorded in the SPSS for window 11.0.RESULTS:The study showed that the mean age group of diabetic sudden death was 50.28+-10.01 while 44.36+-16.11 year was non diabetic sudden death.Male gender was the predominant in both groups (diabetic and non diabetic) 27.30%, 21.30% respectively.%HbA1c was significantly deferred in diabetic and non diabetic group, when it was positive 100% in diabetic group, while it’s negative in non diabetic group (the cut off point is 6.5).Type 2 diabetes was the predominant over type 1 with 59.60% and 40.40% respectively. The main system involved in sudden death in both study groups was the cardiovascular system accounting for 48.94% in diabetic group and 40.91% in control group, with the predominance of ischemic heart disease as the main cause of death in the system involved in both study groups accounting 40.43% for diabetic group and 22.73% for control group.CONCLUSION:HbA1c considered more reliable than post mortem glucose levels and provide guidance in the diagnosis of chronic diabetes mellitus in medico-legal autopsy cases.c


Article
Estimation of post- mortem interval by some biochemical changes of vitreous humor.

Author: *Assistant professor Saad Kadhum Kareem, F.I.B.M.S. (Forensic medicine)
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2015 Volume: 11 Issue: 2 Pages: 69-75
Publisher: Baghdad University جامعة بغداد

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Abstract

Background:No previous Iraqi study was done on the estimation of post mortem interval (PMI) from the medico-legal point of view; depending on the biochemical changes of vitreous humor.Objectives:To find out the relationship between some biochemical changes in vitreous humor and post mortem interval.To find out a new formula for estimation of PMI from some biochemical changes in vitreous humor.Method:The study was conducted on one hundred twenty two cases referred to the medico-legal institute in Sulaimani province during the period between 1st of February and 30th of July 2012.Complete classical autopsy was performed for each case and vitreous humor was collected at autopsy from the posterior chamber of the eye and the samples after collection were immediately transported for biochemical analysis.Only crystal clear vitreous humor was used for analysis.Results:With increasing postmortem interval; the vitreous humor potassium (K+) and calcium (Ca++) were increased. The changes of potassium and calcium were significantly correlated with the postmortem interval. The studied changes in chemical components of vitreous humor after death revealed that potassium had the best linear correlation with the postmortem interval within 40 hours after death and can be estimated by the following equation: (PMI=3.36[k+]-14.35)with standard deviation of±7.44hours.Conclusion:The study showed that vitreous potassium can precisely be used for estimating PMI and proposed a new formula for estimation of PMI which is PMI=3.36[K+]-14.35 that can be used for up to 40 hours with standard deviation of ±7.44hours.


Article
INCIDENTAL INTRACRANIAL TUMOR: A CASE REPORT
ورم الجوف القحفي التصادفي "تقرير حالة "

Author: Mutaz Abdul Majeed Al-Qazzaz معتز عبد المجيد عبد العزيز القزاز
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2009 Volume: 7 Issue: 2 Pages: 124-128
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

This is a case report of 30 years lady referred by the investigation authority to the medico-legal institute in Baghdad as a car accident victim for postmortem examination.A prior autopsy history with her relatives was negative. During autopsy a large intracranial tumor was discovered at the base of the brain.Histopathological examination revealed the diagnosis of meningioma.Keywords: Intracranial tumor, meningioma, autopsy, brain tumor.

أجريت دراسة هذه الحالة على جثة امرأة بلغت من العمر خمسين عاما , تمت احلتها من قبل الجهات الحقيقية إلى معهد الطب العدلي ببغداد كحالة وفاة بحادث طريق لغرض تشريحها كان التاريخ المرضي لحالتها الصحية قبل الوفاة سالبا اعتمادا على معلومات تم الحصول عليها من ذويها أظهر التشريح الطبي العدلي الاصولي وجود ورم في داخل الجوف القحفي عند قاعدة الدماغ وبعد إجراء الفحص ألمجهري النسيجي للورم تبين انه ورم سحائي.مفتاح الكلمات: ورم الجوف القحفي , ورم سحائي , تشريح الجثة , ورم الدماغ.

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