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Objective: Postmortem CT (PMCT) can help conventional autopsy in determining the cause of death and finding injury to various organs. Since injuries among several vital organs in the thorax can cause death, this research aims to assess the performance of PMCT in detecting injuries of the thoracic cavity organs. Materials and Method: A total of 56 dead bodies by unnatural traumatic death who underwent PMCT before autopsy were collected. Thoracic traumatic findings from PMCT were compared with data obtained from conventional autopsy wherethe autopsy was the reference standard and calculated for sensitivity, specificity, PPV, NPV, and accuracy. Results:Findings in which PMCT showed high sensitivity included air (100%) and fluid (86.67%). Interms of bone fracture, sensitivity and accuracy were79.18% and 88.69%, respectively, especially for T-spine fractures (sensitivity 92.31%, accuracy 87.50%) and clavicle fractures (sensitivity 90%, accuracy 89.29%). For rib fractures, PMCTexhibited moderate to high sensitivity (68.18-91.67%) and high accuracy (78.57-98.21%). For soft tissueinjuries, PMCT had high specificity (99.21%), but low sensitivity (34.94%). Conclusion: PMCT is useful in detecting thoracic injuries in conjunction with the conventional autopsy by helping to diagnose bone fractures, abnormal air, and fluid with high sensitivity and specificity. [ABSTRACT FROM AUTHOR]

Purpose: This analysis considers the prevalence of internal organ injuries sustained from CPR in autopsied individuals who died from natural causes as well as correlations between internal organ injury and various potentially-related factors. Methods: This analysis is a descriptive retrospective study which makes use of filed autopsy reports of individuals who died of unnatural causes. Autopsies were carried out at the Forensic Pathology Laboratory between 2012 and 2016. Excluded individuals who died due to accident and sustained trauma or injury to chest and abdominal areas as well as individuals who were younger than 18. Results: This study comprised 154 individuals of which 122 males, and 32 females. Age distribution was between 18 and 82 years. This study found that injuries resulting from CPR administration were found in 83.11% of cases. The most frequent injury including ribs, sternum, and heart at 43.36%, 25.86%, and 10.33%, respectively. This study also found various types of abdominal and spine injury due to CPR. Statistical consideration of potentially correlated variables revealed that age was statistically significant (p=0.001) in relation to CPR, while sex and BMI were found to not exhibit statistically significant (p=0.203, p=0.351, respectively) in relation to CPR Conclusion: Nature of CPR techniques it is possible that injury may be sustained to internal organs. It was seen that age have potential correlations with injury. [ABSTRACT FROM AUTHOR]

Background: Suicide is one of the most important causes of death in the world. To study the behaviors and risk factors may be helpful to prevent suicide., Objective: To retrospectively study the factors that affected suicide in forensic postmortem cases at Ramathibodi Hospital, Bangkok, Thailand between 2001 and 2010., Material and Method: Two hundred ninety suicidal cases from 7,102 forensic postmortem autopsies in Ramathibodi Hospital between 2001 and 2010 were descriptively retrospective studied. Study topics included sex, age, nationality, year, methods of suicide, and HIV., Results: The suicide-rate in the present study varied between 2.53% and 6.91% (average 4.08%) of the forensic autopsy cases. The peak was found in 2003. Males had higher suicide rate than females [ratio of M:F of 4.3:1 (235 males and 55 females)]. The age varied from seven years to 91 years. Although the average age of suicide was 37.38 years, the peak was found in the young adult (age group of 21 to 30 years). Male, younger age, and foreigner were related to suicide with statistical significance. Hanging was the most frequent method of suicide followed by fall from height (62.1% and 17.2% respectively) and by firearm (in male) and toxic substance ingestion (in females). Of all the suicide, 5.1% were HIV seropositive, which is slightly more than non-HIV cases (4.0%) but this was not statistically significant., Conclusion: The suicidal cases among unusual death were related to varieties of factors. Male, younger age, and foreigner were significant related to suicide. Hanging and falling from height were the most frequent method of suicide.