The health personnel working in the autopsy rooms and laboratories are considered among the professional groups carrying a high risk of contamination with infection. In this study, we have investigated the prevalence of Demodex, which provides a convenient environment for bacteria and acts as a vector for certain microorganisms, in the health personnel working in autopsy rooms. The study, which was cross-sectional, was conducted on 58 health personnel working in autopsy rooms. A questionnaire was administered to the individuals. Specimens were obtained from 4 different regions of the face using the standard skin-surface biopsy technique. The data obtained were then evaluated statistically. This study group consisted of 76% males and 24% females. The prevalence of Demodex was 26%. Demodex was found to occur more frequently in women. The most frequent occurrence of Demodex was seen among people with darker complexion and in cheek localizations. We believe that Demodex, which has a role in the pathogenesis of dermatologic diseases, provides a convenient environment for bacteria, and acts as a vector for some pathogenic microorganisms, poses a risk as far as individuals working in the autopsy room are concerned.
It is obviously known that the autopsy staff are under higher risk of infectious diseases than the other staff in the hospital. Inappropriate infrastructure and ventilation system installed in autopsy room could also increase such risk efficiently. The aim of this study is to determine the presence of pathogenic bacteria and fungi in the autopsy room air, investigate the factors affecting the presence and the number of colonies of these microorganisms, and determine the extent of occupational risk in such scope. The samples for the study were obtained from the autopsy room of Morgue Department of Turkish Council of Forensic Medicine. Samples were taken from the indoor air during, before and after autopsy by means of settle plates and air sampler in summer and spring seasons. Blood Agar and Sabouraud Dextrose Agar were used for isolation of bacteria and fungi, respectively. Fourteen bacterial and 26 fungal species were cultured from the autopsy room air. Most frequently isolated bacteria were coagulase negative staphylococcus, Micrococcus spp., Bacillus spp., and diphtheroid bacillus for the gram positive, and Acinetobacter spp., Proteus mirabilis, and Eschericia coli for the gram negative groups. Most frequently isolated fungi were Penicillium spp., Alternaria spp., and Aspergillus flavus. When data obtained in the spring and summer was evaluated, it was found that the number of bacteria and fungi colonies grown in samples that were taken by using both methods, was significantly higher at the time of the autopsy than those taken pre and post-autopsy sessions. It was also determined that the autopsy room air had been contaminated with bacteria in 4 of 38 study days and with fungi in 18 of 38 study days. This study could make a contribution not only in the training of autopsy personnel but also in detection of preventive measure to be taken against infections as well as to establish a common database for similar national and/or international research studies.
There may be difficulties in determining causes of sudden, unexpected deaths in medico-legal practice. It is known that sudden, unexpected deaths may result from diabetes mellitus and its complications. However, there is an ongoing debate on whether many parameters recommended to diagnose post-mortem diabetes mellitus are reliable. The aim of this study was to determine whether glycosylated haemoglobin (HbA 1 c) and glyscosylated albumin (fructosamine) measures could be used to diagnose post-mortem diabetes mellitus in forensic autopsies and to contribute to limited data on the issue reported in the literature. Method: We obtained blood and vitreous humor specimens from 146 decedents aged over 18 years and exposed to forensic autopsies. Results: The mean age of the cases was 46 ± 16.39 years (min 19yrs, max 85yrs) and 87.7% of the cases were male. HbA 1 c and fructosamine levels were higher than the standard values in 51 and 9 cases respectively. Of six cases with a history of diabetes mellitus, one had high fructosamine levels and five had high HbA 1 c levels. Fructosamine and HbA 1 c levels were high in three and 20 deaths from natural causes respectively and 12 of these deaths were caused by cardiovascular disorders. There was no significant relation between causes of deaths and HbA 1 c and fructosamine levels. Conclusion: The results of this study will contribute to the limited data on diabetes mellitus in sudden, unexpected deaths. It can be suggested that measurements of HbA 1 c and fructosamine levels should be included in routine autopsy protocols.
Çocukluk ça¤› yaralanmalar›n›n hem nedenleri hem sonuçla-r› bak›m›ndan eriflkin yafl grubuna göre farkl›l›k gösterdi¤i ve büyük bölümünün önlenebilir oldu¤u belirtilmektedir. Bu ça-l›flma, anabilim dal›m›z taraf›ndan adli t›bbi de¤erlendirmesi yap›larak adli raporu düzenlenen çocuk hastalar›n yaralanmalar›-n›n incelenerek veri taban› oluflturulmas› amac›yla planland›.Anabilim dal›m›z taraf›ndan 1998-2005 y›llar› aras›nda de¤er-lendirilen olgulardan 0-18 yafl grubundaki tüm olgular incelendi. Toplam 155 olgunun %36's› k›z, %64'ü erkek ve yafl ortalamalar› 10.88±5.10'du. Hastalar›n en s›k trafik kazas› nedeniyle yaraland›¤› ve bu kazalar›n en çok araç d›fl› trafik kazalar› biçiminde oldu¤u gözlendi. Hastalar›n %51'inde çoklu bölge yaralanmas› vard›. Hastalar›n %61'inin hastanede yatarak tedavi gördü¤ü, %42'sinin ise cerrahi operasyon geçirdi¤i gözlendi. On iki yafl üzerindeki çocuklarda kas›tl› eylemlerle olan yaralanmalar›n, di¤er yaralanmalardan daha fazla görüldü¤ü ve bu fark›n istatistiksel olarak anlaml› oldu¤u gözlendi (χ 2 =6.321, p= 0.012).Bu çal›flma çocukluk ça¤›ndaki trafik kazalar›na ba¤l› yaralanmalar›n önlenmesi için okul ve aile e¤itimlerinin gelifltirilmesi gerekti¤ini bir kez daha ortaya koymufltur. Ayr›ca ülke-mizde fliddete ba¤l› çocukluk ça¤› yaralanmalar›n›n önlenmesi için daha fazla çal›flmaya gereksinim oldu¤u inanc›nday›z.Anahtar kelimeler: Çocukluk ça¤› yaralanmalar›, adli t›bbi de¤erlendirme, trafik kazas›, fliddet. SUMMARYIt is widely known that childhood injuries differ with regard to the causes and results from adulthood injuries and most of them are preventable. This study aims to constitute a database of injuries among children who were assessed medico-legally in our department.We investigated 155 cases (36% girls, 64% boys) aged 0-18 (mean age 10.88) who were admitted to our department between 1998 and 2005. Our most significant finding was that most of the cases were injured by traffic accident, especially pedestrians. There were multiple traumas in 51% of the cases. 61% of the cases stayed in the hospital and 42% of cases had surgical treatment. We also observed that intentional injuries were more common than other injuries among children over 12 years old and this finding was statistically significant (χ 2 =6.321, p= 0.012).Our study showed that, improving the education in schools and family is a necessity to prevent injuries because of traffic accidents in childhood. In addition, we are in the opinion that more studies are needed for preventing childhood injuries due to violence in our country.
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