Faculty of Medicine
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Item type:Publication, Suicidal injuries from height falls(Macedonian Association of Anatomists, 2022-12-29); ; ; ; According to the manner of death, falls from height can be accidental, homicidal and predominantly suicidal. The type of injuries in suicidal falls from height depend to a large extent on the height of the fall, the part of the body that landed and suffered the first impact, the age and the body weight of the victim, clothes worn and body composition. Although with prospect, the research is an average study of the Institute for Forensic Medicine in Skopje, conducted on 80 victims of fatal falls from different heights, through forensic-medical autopsy. The data for all examined cases have been taken from the forensic-medical autopsy reports. The study analyses the cases which appear to be suicides, according to the manner of death. The injuries inflicted from the falls are analysed according to the height in three groups: small height up to 7 meters, middle height from 7 to 10 meters and big heights above 20 meters. Study results have shown that 25% of the analysed cases are suicides. The analysis of the number and severity of the injuries in relation to the height of the fall prove that the fractures of the hipbone and legs were most frequent injuries found in the victims who have fallen from 7 to 20 meters. In the victims of height falls up to 7 meters, most frequent injuries were the fractures of the ribs and the spine. In falls from height above 20 meters, all organs were equally damaged. In suicides from falls from height, most frequent injuries of the skeleton were fractures of the ribs and spine, while the liver was the most affected organ among the internal organs. However, the type of injuries determined with the autopsy is not a sufficient indicator for successful assessment of the manner of death in fatal falls from height. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE TREND OF CORROSIVE POISONINGS IN NORTH MACEDONIA – IS THERE A CHANGE IN THE PATTERN OF CORROSIVE POISONINGS?(2023-05); ; ; Corrosive poisonings (CP) has remained highly presented in developing countries as opposite to the developed ones where they are declining. Objective was comparing the epidemiological characteristics of CP in the last two years to the predicted values (PV) calculated according previous 10 year-period trend analysis. There were 1668 acute CP from 2010 to 2021. CP decreased during the last 12 years period (y=-6.5+181.4, R2=0.56), increased by 1.5% during 2020 due to COVID-19 curfews, and decreased by 25.5% in 2021, compared to PV. Females increased during 2020 by 7.7% and then continued to decrease during 2021 by 27.5%, while males declined during 2020 and 2021 by 16.6% and 32.4% respectively, compared to PV, becoming almost equally represented in 2021. During 2020 and 2021 CP increased in adolescents (by 12.8% and 80.0%) and older than 75 years (by 2.5% and 6.2%), but not in adults who rose during 2020 by 3.7% and declined in 2021 by 17.9% compared to PV. The suicidal CP presented in proportion slightly rose (y=0.01x+0.56, R2= 0.07) during 12 years period, decreased in 2020 by 4.6% and increased by 9.9% in 2021 compared to PV. The CP declined during the last 12 years in North Macedonia with an increase in suicidal CP and more significant reduction in females compared to males. The age group patterns changed by increasing poisonings in adolescent and older the 75 years during the last two years, becoming target vulnerable groups that require increased medico-social attention. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Unusual Cause of Death in a Patient with COVID-19(Bulgarian Academy of Sciences, "Prof. Marin Drinov" Publishing House, 2021); ; ; Jasar DzengisThis is a case presentation of a patient with confirmed coronavirus disease (COVID-19) who ended his life with suicide by hanging. We are presenting the history of the disease, a clinical feature, the onset of the psychiatric symptoms and finally the pathological feature. Aims are: to perceive, in which phase of the disease occurred the psychiatric symptoms and eventually their connection with some morphological feature of the brain; to evaluate the changes of the primary disease to internal organs and finally, the ethical aspect i.e. how are these patients protected by the health care system. Results: patient committed suicide on the 12th day of the disease and around the 21st day after the infection, looking by its serum antibodies. On lungs dominated the picture of acute restrictive pulmonary disease and ARDS (acute respiratory distress syndrome) with strong inflammatory answer. A psychiatric disorder occurred with the epilog of double suicide attempt, of which the second one was successful.