Objective: To evaluate the anatomical positions of vermiform appendix and its association with acute appendicitis on Multidetector computed tomography (MDCT). Study design and setting: A cross sectional study based on hospital database was carried out in Department of Anatomy in collaboration with Department of Radiology, Liaquat National Hospital. Methodology: A total of three hundred and six 306 adult urban patients CT axial images were evaluated retrospectively over period of 6 months from March 2021 to August 2021 who had abdominal MDCT scan for acute abdomen after getting approval from ethical committee to find out anatomical variations of position of vermiform appendix in a tertiary care hospital among adult urban Karachi population and its association with appendicitis. Data was analyzed using SPSS version 25. All categorical variables were summarized as frequencies and percentages. Result: In present study 159(52%) were males and 147(48%) were females with mean age of 32.97 years. The subcecal anatomical position of vermiform appendix on MDCT was most common n=85(27.8%), followed by postileal n=78(25.5%), pelvic n=61(19.9%), postcecal n= 36(11.8%), preileal n=29(9.5%), ectopic n=17(5.6%). The association between appendicitis with anatomical position of vermiform appendix and age was analyzed by chi- square and was statistically significant (p =0.05). There was no significant association between position of vermiform appendix on MDCT and gender. Conclusion: The subcecal position of vermiform appendix is most common on MDCT and the postileal position was more frequent in the inflamed group of vermiform appendix

Aim: To assess the pattern of firearm injuries and different effecting factors based on gender in Hyderabad, Sindh, Pakistan. Study Design: Retrospective and descriptive Place and duration of study: Depart. Forensic Medicine & Toxicology, BMC LUMHS Jamshoro 01-01-2017 to 31-12-2019. Methodology: Three hundred and nineteen autopsies based on purposive sampling method were revealed the death due to firearm injuries. The demographic information, pattern of death due to firearm and which part of body involved based on variables. Results: There were 267 males and 52 were females and 95 firearm autopsies were between 31 to 40 years. It was revealed that in 38 autopsies, head was involved, 78 autopsies chest was involved, 76 autopsies abdomen was involved while 267 were from homicidal. Moreover, the cause of death due to firearm in maximum patients was hemorrhage followed by septicemia in 106 autopsies. According to gender wise, 38 autopsies involved head part 30 were male and 8 were female, 78 autopsies involved chest part 65 were male and 13 were female, 76 autopsies involved abdomen part 66 were male and 10 were female. Conclusion: The high impact on the health care setups of country, which needs the immediate attention. The firearm injuries have an impact on young and older adult population. Key words: Firearm injury, Gender, Age

Background: The Trauma and road accident is considered as major cause mortality in the young adults’ populations around the world. The understanding the importance of forensic investigation of un-natural deaths, accidental injuries and suicidal cases is required by medical staff and patients’ family members. Objective: To asses of mortality pattern based on autopsy in victims of road traffic accident Study Design: Retrospective study Place and Duration of the Study: Medicolegal Section of Liaquat University Hospital Hyderabad, Pakistan from 1st January 2018 to 31st December 2019. Methodology: Six hundred and twenty nine autopsies were included. Deaths due to road traffic accident were included. Results: There were 472 males and 157 females between 31 to 50 years. Two hundred and forty nine patients were admitted in ICU. Two hundred and fourteen patients had affected head region followed by face 104 injuries. While 74 had affected neck, 67 affected thorax, 63 affected abdominal region, 52 affected spine and 55 had affected lower extremities.173 were died due to damage of central nervous system. The damages were due to car accident was 62, motorbike 73, rickshaw 22 and other reasons 14. One hundred and forty patients were died due to fracture of skull. Conclusion: The mortalities rates are under reported in majority of accidental cases due to lacking of autopsies procedures. Keywords: Autopsy, Assessment, Mortality pattern, Road traffic accident

Background: The clinical autopsy is a common term used to help in the identification of person’s clinical conditions and causes of deaths, however, the autopsy plays a vital role in the justice and jurisprudence. Objective: To determine the knowledge, beliefs and understanding of medical students regarding the autopsy Study Design: Descriptive, cross-sectional study Place and Duration of Study: Peoples University of Medical & Health Sciences for Women (PUMHSW) Nawabshah (SBA) Sindh Pakistan from 1st March 2021 to 31st August 2021. Methodology: Four hundred and twenty eight female students of 3rd year and 4th year were enrolled. The students were recruited based on random sampling method. Results: There were 221 students between 23 to 24 years followed by 207 students between 20 to 22 years. One hundred and sixty five were attended 3 autopsies. Autopsy is necessary for all unnatural death and the responses were 327 yes and 101 were no. Education of autopsy is mandatory for the career and the responses were 146 yes and 282 were no understanding, videos are helpful for autopsies and the responses were 178 yes and 250 were no. Conclusion: The autopsies and experiences regarding the autopsies was integral part of medical curriculum. The studies of autopsies are helpful to understand the human anatomy and reasons of deaths. The students’ perceptions supported the medical autopsies as important part of curriculum and teaching particular anatomy of human subjects. Key words: Knowledge, Attitude, Perceptions, Autopsy

Objective: To assess the medicolegal causes of asphyxial deaths in tertiary care hospital of Hyderabad, Sindh, Pakistan. Study Design: Descriptive, observational and retrospective Place and Duration of Study: Medicolegal Section of Liaquat University Hospital Hyderabad from 1st January 2015 to 31st December 2019. Methodology: Two hundred and nineteen patients were retrieved and died due to other reasons were excluded from the study while no any patient’s age and gender restrictions. Results: There were 157 males and 62 females. Sixty six patients of asphyxial belonged to age 39-48 years. Among 74 patients of suffocation, 51 patients were males and 23 were females. There are 5 reported reasons of asphyxial deaths. Out of 45 hanging patients, 5 patients belonged to 18-28 years, 8 patients belonged to 29-38 years, 9 patients belonged to 39-48 years, 6 patients belong to 49-58 years and 15 patients belonged to ≥59 59 years. Conclusion: Male is the most vulnerable victim of the violent asphyxial deaths. The major contribution in the suicidal deaths is dominant by the hanging and strangulations. The manner of deaths indicates the frustrations and carelessness of the majority of the population. The social awareness and hopefulness contributed by the awareness sessions and education on Individual levels is encouraged for such cases. Keywords: Asphyxial, Post-mortem, Medicolegal causes