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چهارشنبه, 29 مارس 2017
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CLINICAL

Responsibilities of the Organization:

  1. Providing expert opinion on forensic medicine affairs upon request of relevant judicial authorities.

2.      Response to inquiries of departments and organizations affiliated to judiciary and other governmental entities.

 

3.      Execution of forensic medicine training courses and programs and evaluation of scientific qualifications of the applicants to the organization.

 

4.      Scientific partnership and contribution to the educational and research programs required by universities in order to further objectives of the organization and the universities.

 

5.      Exchange of scientific information with domestic and foreign education and research centers.

 

The main divisions of the Forensic Medicine Organization in charge of responding to inquiries are as follows:

a)      Medical Examinations

b)      Autopsy

c)      Laboratories (Toxicology, Pathology, Serology, DNA)

d)      Medical Commission

 

Responsibilities of the Medical Examinations Division:

1.      Determining the types and the time of infliction of injuries in cases such as conflicts, car accidents, work accidents, firearms, etc.

2.      Determining the type and severity of physical impairments.

3.      Age determination.

4.      Physical and psychiatric examinations for confirmation of physical and intellectual maturity.

5.      Physical and psychiatric examinations for assessment of enduring punishment.

6.      Evaluating sick leave medical certificates.

7.      Pre-employment medical and mental health evaluation.

8.      Expert opinion on concordance between the alleged instrument and inflicted injury.

9.      Physical and psychiatric examinations for evaluation of disabilities.

10.  Physical and psychiatric examinations in child adoption.

11.  Physical and psychiatric examinations in order to authorize embryo donation candidates.

12.  Physical and laboratory examinations in relation to narcotics and alcohol consumption.

13.  Physical and psychiatric examinations in relation to organ donation.

14.  Physical and psychiatric examinations in Children and Spousal Abuse cases.

15.  Physical and psychiatric examinations for assessment of competency in financial and guardianship cases.

16.  Psychiatric examinations for assessment of criminal responsibility.

17.  Psychiatric examinations in sexual identity disorders cases and generation of sex reassignment permission;

18.  Physical and psychiatric examinations for gender determination.

19.  Physical examinations in the assessment of fertility and infertility.

20.  Assessment of trauma induced obstetrics and gynecological complications.

21.  Post-traumatic stress disorder evaluation.

22.  Physical and mental health assessments of individuals referred for adjustment of their type or location of service.

23.  Assessment of mental health status in Spouses.

24.  Physical and psychiatric examinations in punishment execution cases.

25.  Men Specific Examinations:

a.      Investigation of Sodomy

b.      Investigation of Anaphrodisia

26.  Women Specific Examinations:

a.      Examinations of virginity and sexual assaults

b.      Investigation of pregnancy   

c.       Investigation of Childbirth and Abortion cases

d.      Therapeutic abortion

 

Responsibilities of Autopsy division:

  1. Determination of the cause of death and issuing burial permit of the corps referred to the division.
  2. Determination of the time of death of the corps referred to the division.
  3. Identification of unidentified or human remains or skeletons in cooperation with Police force Identification division and Forensic Genetics Laboratory of the organization.
  4.  Attending in the crime scene and Sentences execution on request of judicial authorities.
  5. Corps embalming.
  6. Response to judiciary inquiries regarding:
    1. Determination of precedency of inflicted injuries
    2. Determination of precedency in the time of death in group deaths cases
    3. Expert opinion on concordance between the alleged instrument and inflicted injury
    4. Expert comparison of photos for identification
    5. Assistance in determination of the manner of death
    6. Assistance in determination of the accidents in mass disasters such as plane crashes, etc
    7. Determination of the significance of every contributing factors including the injuries, diseases and physical disabilities in death
  7. Providing expert opinion on Exhumations

 

Responsibilities of Medical Commission:

 

Medical commissions have been have been developed in the organization for expert investigation and providing comments on every referred inquiry from relevant judicial authorities which require investigation in the expert medical committee.

 

The inquires are classified as follows:

 

  1. Cases related to faults or negligence in medical practice
  2. Cases related to Psychiatric examinations
  3. Cases related to death investigations
  4. Cases related to clinical examinations
  5. Cases related to laboratory matters

 

  • Forensic Medicine Laboratories

Based on providing specialized services, the Forensic Laboratories are established into 5 levels. The Level of every laboratory is determined and upgradable through factors such as population and distance from closest similar center (Following table).

 

Table: The criteria for establishment and upgrade of provincial laboratories

 

No.

Laboratory Levels

Conditions for Establishment

Population

1

Level 1

The Province Capital City

> 3 million

2

Level 2

The Province Capital City

>500,000

<3 million

3

Level 3

The Province Capital City

<500,000

4

Level 4

City with more than 60 km distance from the closest equivalent or higher level laboratory

>300,000

City with more than 100 km distance from the closest equivalent or higher level laboratory

>200,000

<300,000

City with more than 150 km distance from the closest equivalent or higher level laboratory

>100,000

<200,000

5

Level 5

City

<100,000

 

The following specialized services are provided in those laboratories at the highest level:

 

-          Breath Alcohol Testing for detection of alcohol abuse

-          Alcohol analysis with Gas Chromatography (GC) and Headspace GC on biological and non-biological specimens

-          Drugs and volatile toxins analysis by Headspace GC/MS

-          Screening and confirmatory tests of substance abuse on biological and non-biological specimens

-          Drugs and toxins analysis by Ultraviolet–visible spectrophotometry (UV/VIS) on biological and non-biological specimens

-          Carboxyhemoglobin blood test for diagnosis of Carbon Monoxide poisoning

-           Qualitative analysis of drugs and toxins by Fourier Transform Infrared Spectrometry (FTIR) technique in non-biological specimens

-          Utilization of Electrophoresis technique for analysis of biological toxins

-          Drugs and toxins analysis by High Performance Liquid Chromatography (HPLC) in biological and non-biological specimens

-          Drugs and toxins analysis by Gas Chromatography/Mass Spectrometry (GC/MS) in biological and non-biological specimens

-          Analysis of Toxic Metal Poisons by Atomic Absorption Spectroscopy (AAS) and /or Polarography

-          Basic and advanced Serologic Tests including Pregnancy Blood and Urine Tests

-          Detection of Hemoglobinuria and Hematuria, Complete Urinalysis, VDRL, Blood grouping, Spermography, ABH typing in sperm and saliva, detection of Sperms, Hepatitis and AIDS diagnostic tests and hair morphology comparison

-           Specialized pathologic tests on tissue specimens

-          Specialized forensic genetics tests including paternity tests, kinship analysis, Tissue matching, Stain analysis, Blood grouping of stains by PCR technique, DNA sequencing, Mitochondrial DNA test, DNA typing in hair and bone specimens and Y-STR analysis.

Province capital cities with laboratories of highest level of specialized services:

-          Tehran, Isfahan, Mazandaran, Khorasan razavi, Fars, East Azerbaijan

-          Other provinces capital cities provide most of required forensic laboratory demands and if necessary acquire services from above mentioned capital cities.

-          In case of necessities City Laboratories may acquire services from their province capital laboratories.

 Based on their type of specialized activities laboratory units are classified as follows:

Forensic Toxicology Unit:

Comprising the following laboratories

Lab. 1. Gaseous and Volatile Poisons

Lab. 2. Diagnosis of substance abuse

Lab. 3. Extraction of Drugs and Organic Poisons

Lab. 4. Diagnosis of Pesticides

Lab. 5. Diagnosis of Miscellaneous Toxins

Lab. 6. Diagnosis of Drugs and Organic Poisons

Lab. 7. Diagnosis of Organic Poisons

Lab. 8. HPLC, GC/MS and other instruments

Forensic Pathology Unit:

Comprising

  1. Sectioning room
  2. Staining room
  3. Technical laboratory
  4. Pathologist Office

Forensic Genetics Unit:

Comprising

  1. DNA Extraction Laboratory
  2. Electrophoresis room
  3. Pre-PCR room
  4. PCR room
  5. DNA Sequencing Laboratory
  6. Interpretation room

Forensic Serology Unit:

Comprising

  1. General Serology Laboratory
  2. Advanced Serology Laboratory

 

Adress: Tehran, south side of City Park, Behesht Street, PostalCode: 1114795113
Phone: 55609071-4, Fax: 55608003, IVR: 55606061
SMS: 20001372, Email: info@lmo.ir‬