Iranian Legal Medicine Organization Iranian Journal of Forensic Medicine 1027-1457 2383-0034 12 2 2006 8 1 An Epidemiological study of trauma and its injuries on persons refer to Hamedan Legal Medicine Center since 1381 73 78 FA afzali691@yahoo.com Y N Background & Aim: Accident is one of the most important causes of death & disability in the world and it is necessary to pay deep attention to this problem from several aspects. Different tensions such as accidents, quarrels, and occupational injuries can be influential in economical and social issues, insecurity, unrest, lack of social welfare and disabilities. Since the majority of accidents take place in juvenility and the major part of Iranian current population are juvenile, tight control and consideration of various aspects of this task can be effective. Materials and Methods: In this study 9828 persons who referred to legal medicine center of Hamedan, were exposed to trauma. The injured who recommended from police or judicial authorities, toke medical examination and their injuries filled up and wrote in questionnaire. Then in case of physician had discretion about reevaluation and reexamination of patients they toke check up in specific interval times until the recovery or disability or death are created. Results: Totally, 76% of cases were male and 24% were female. The most ages of referral with 3218 persons had been 20-29 years old. The most causes of referral were quarrel which the main stimulant was unknown in most cases (43.5%). The most common devices were hard objects (91.2%). Trauma was most likely to occur at the evening between 12Am and 6Pm in (43.5%) cases. Approximately, 32.3% of patients who referred to legal Medical center came in summer especially in August (11.4%). The most common sigh was ecchymosis (46.5%). 99.4% of patients had been cured and only 0.6% of them were dead due to severity and morbidity. Conclusion: The results show that car accidents and quarrels have been increased in society that could potentially wasting effects of man power and useful time and lead to disability and morbidity. The most important way to prevent the development of these accidents and tensions are enculturation and appropriate strategies. Trauma, Quarrel, Car accident, Injuries http://sjfm.ir/article-1-123-en.html http://sjfm.ir/article-1-123-en.pdf

Iranian Legal Medicine Organization Iranian Journal of Forensic Medicine 1027-1457 2383-0034 12 2 2006 8 1 Injuries resulting from motorcycle- induced trauma during two years in Shahid Motahari Clinical Center of URMIA 79 83 FA a_shahla@umsu.ac.ir Y N Background & Aim: Recently motorcycle not only produce massively but also used as a popular transportation in middle class of society. 42% of all transport injuries in Tehran are related to motorcycle accidents. This study evaluate motorcycle accidents in Uremia. Materials & Methods: A retrospective study was conducted on all patients injured in motorcycle accidents who were admitted to the Shahid Motahari during two-years period since 1382. Results: The 695 patients admitted due to motorcycle-induced trauma in Shahid Motahari Medical center with 16.6% increased rate of admission in 1383 compared to 1382. 96% were men, the 391 patients were in 15-24 age groups. 94% were not wearing a helmet. Motorcyclists who don’t wearing a helmet had an increased risk of brain concussion and facial bones fracture. Lower extremity fracture is the most common motorcycle indused injuries in transportation crash. In this study showed the rate of brain concussion, lower extremity fracture, facial bone fracture were 645, 41% and 77% respectively.The most common cause of death was brain concussion. Conclusion: With plan to encourage use of helmet we can reduce brain concussion and by modified motorcycle design and leather dressing, lower extremity fracture is prevented in motorcycle induced trauma. Injury, Motorcycle, Accident http://sjfm.ir/article-1-124-en.html http://sjfm.ir/article-1-124-en.pdf

Iranian Legal Medicine Organization Iranian Journal of Forensic Medicine 1027-1457 2383-0034 12 2 2006 8 1 Study of types of external genital traumas in women admitted to Motazedi hospital Kermanshah in 1376-1382 84 86 FA fakheritaravats@yahoo.com Y N N N Background & Aim: The external genital traumas may lead to emotional and physical complications which can be prevented in case of knowing the types and common creating causes. This study was carried out to determine the frequency of external genital trauma in patients who were admitted to Motazedi hospital at Kermanshah University of Medical Sciences in 1376-1382. Materials & Methods: This descriptive study was carried out by available data. The data was collected by information form that contained some variables such as patient’s age, job, menarche situation, season, cause of trauma and related complications. The records of all of the patients who were admitted to Motazedy hospital in 1376-1382 were studied. The collected data was analyzed by descriptive statistics. Results: The study on 82 patients showed that 30.5% were students, 68.3% housewives, 64.4% lived in cities, the maximum frequency of genital trauma in summer and spring were30.5% and 24.4% respectively. The most common trauma was due to first coitus (47.6%) and the damage was most often located at the vulvovaginal (67.1%) as well as urethra (31.1%). Conclusion: This study showed the most common cause of genital trauma is due to first coitus, thus it is recommended to plan a well educational program to increase knowledge and prepare young person before getting married. External Genital Trauma, First Coitus, Kermanshah http://sjfm.ir/article-1-125-en.html http://sjfm.ir/article-1-125-en.pdf

Iranian Legal Medicine Organization Iranian Journal of Forensic Medicine 1027-1457 2383-0034 12 2 2006 8 1 Prevalence and distribution study of sella turcica tumors in 20 years and more old cadavers dissected in the legal medicine center of Tehran in 1383-1384 87 89 FA Y N N Background & Aim: The tumors of sella turcica are among the common causes of pituitary enlargement. In selected autopsy series up to 25% of pituitaries have a small incidental microadenoma. No comprehensive study concerning the prevalence of these tumors has been conducted in Iran previously. In this article the prevalence and distribution of sella turcica tumors in 20 years and more old cadavers dissected in the legal medicine center of Tehran in 1383-1384 have been studied. Materials & Methods: In this cross-sectional and descriptive observational study, 186 pituitary glands from cadavers dissected during the second half of 1383 and throughout 1384 were studied with a view to presence of tumor, type of tumor and size of adenomas and in relation to the age and sex of cadavers. Results: The overall prevalence of pituitary tumors was 10.2% ( 19 of 186 glands ) among which was 4.3% adenoma ( 8 cases ), 4.3% craniopharyngioma (8 cases) , and 1.6% meningioma (3 cases).Maximum prevalence of pituitary tumors (6 cases) was in 3rd decade and then in 8th decade afterwards (5 cases). The prevalence of pituitary tumor was 11.26% (8 Cases) of 71 cadavers in females and 9.56% (11 Cases) of 115 codavers in males. Among 8 observed tumors in females 5 were craniopharngioma , and 3 adenoma.Among 11 observed tumors in males 5 were adenoma , 3 meningioma, and 3 craniopharyngioma. Among 8 observed adenoma, 7 were microadenoma (diameter less than 10mm) and 1 was macroadenoma (diameter more than 10mm). Conclusion: In this study, no statistically significant relationship was observed between sex of the cadavers and the prevalence and type of tumors. The overall prevalence of adenoma and craniopharyngioma was equal .The relationship between tumor prevalence and age was statistically significant .Microadenoma was significantly more prevalent than macroadenoma. Sella Turcica, Hypophyseal Tumor, Adenoma, Meningioma, Craniopha ryngioma http://sjfm.ir/article-1-126-en.html http://sjfm.ir/article-1-126-en.pdf

Iranian Legal Medicine Organization Iranian Journal of Forensic Medicine 1027-1457 2383-0034 12 2 2006 8 1 95 102 FA younesloo2004@yahoo.com Y N http://sjfm.ir/article-1-127-en.html http://sjfm.ir/article-1-127-en.pdf

Iranian Legal Medicine Organization Iranian Journal of Forensic Medicine 1027-1457 2383-0034 12 2 2006 8 1 103 107 FA Y http://sjfm.ir/article-1-128-en.html http://sjfm.ir/article-1-128-en.pdf

Iranian Legal Medicine Organization Iranian Journal of Forensic Medicine 1027-1457 2383-0034 12 2 2006 8 1 108 112 FA mohammad_kazemian@yahoo.com Y N http://sjfm.ir/article-1-129-en.html http://sjfm.ir/article-1-129-en.pdf

Iranian Legal Medicine Organization Iranian Journal of Forensic Medicine 1027-1457 2383-0034 12 2 2006 8 1 113 114 FA Y http://sjfm.ir/article-1-130-en.html http://sjfm.ir/article-1-130-en.pdf