Epidemiology of drowning in Isfahan province, center of Iran.

BACKGROUND: Drowning is a preventable cause of morbidity and mortality. We studied drowning deaths in Isfahan province, focusing on the activity victims were involved in and the setting of the incident. METHODS: Retrospective analysis was done on all drowning deaths referred to Legal Medicine Organization of Isfahan province over a period of 5 years from 1 January 2002 to 31 December 2006. RESULTS: During these 5 years, 355 persons suffered fatal drowning in Isfahan province. The annual incidence rate was 1.6 per 100000 population (2.6 & 0.4 for males and females, respectively). Mean age was 21.99 ± 14.86 and M/F ratio was 6.5:1. Most victims were 15-24 and 5-14 years of age (172 and 62 decedents, 3.0 and 1.8 per 100000 popula-tion/year, respectively). Most incidents occurred in natural settings, of which rivers, canals, lakes and ponds were the most common sites, respectively. The most frequently connected activity was swimming and wading, followed by accidental fall into water. The manner of death was found as following: 85.1% accidental, 1.7% suicidal, 0.3% homicidal and 12.9% undetermined. CONCLUSIONS: Although the drowning related mortality in Isfahan province is comparable to developed countries, effective prevention of drowning with better programming and policies might reduce its rate.

Brain weight of Iranian population; the first report.

OBJECTIVE: Knowledge of the normal range of brain weight is a useful parameter in diagnosis of many pathological conditions. There are racial differences as well as other variables in any population affecting the brain weight. We conducted this study to determine the brain weight in healthy adult Iranian population among both sexes in order to formulate a standard reference range taking into account the variables of age, sex, weight, BMI and height. MATERIALS & METHODS: Prospective analysis of data from 1308 forensic autopsies of Iranian adults from 23 June 2008 to 22 June 2009 was performed. All subjects were Iranian adults dying of short survival injury time (<15 min) from unnatural deaths who showed no pathological changes. RESULTS: Brain weight, body weight, body height and BMI were evaluated in 1143 subjects, including 856 males and 287 females, ranging 16-88 years old. Brain weight in males and females was 1322.45 ± 117.05 and 1219.03 ± 127.85 gm respectively (P = 0.001). A negative significant correlation between age and brain weight was seen in both sexes (P = 0.001). Moreover, there was a positive significant correlation between body height and Brain weight in males and females (P = 0.001). CONCLUSIONS: The study indicated higher values in males than females. The observed correlation of brain weight with age, weight and body height was more prominent in females. The results revealed that body height and age in males and body height, weight and age in females may play a predictive role in estimation of brain weight.

Study of the normal internal organ weights in Tehran's population.

OBJECTIVE: Examine the normal adult internal organ weight and its relationship with body height, body weight, body mass index and age. MATERIALS AND METHODS: Prospective analysis of data from 1222 autopsies in Legal Medicine Organization of Iran from 1st January, 2007 to 1st September, 2008. All the subjects were adult residents of Tehran died from external causes and showed no pathological changes. RESULTS: The weight of the brain, heart, lungs, liver, spleen, pancreas, kidneys, thyroid gland, the pituitary gland, the suprarenal glands, testes, prostate, ovaries and the uterus were collected from 914 males and 308 females between 15 and 88 years. The weight of all the organs was correlated statistically with at least one external parameter with the exception of the pancreas in men, the uterus, the spleen and the thyroid in women. Organ weights decreased with age except for the heart and the prostate, and increased in relation to body height and/or BMI. Except for the brain, the organ weight showed a better statistical correlation with the BMI than the body height. CONCLUSION: These results can be used as standard organ weights to determine abnormal evidences in Forensic and Pathologic corpses. However such results have to be regularly updated by pathologists in order to keep organ weight as a good criterion used in postmortem diagnosis.