This document provides information on the autopsy findings and toxicological aspects of various poisons including sulphuric acid, nitric acid, hydrochloric acid, carbolic acid, caustic alkalis, organophosphorus poisons, endrin, opium, barbiturates, chloral hydrate, food poisoning, botulism, cyanides, and carbon monoxide. For each poison, it details the typical fatal dose and period as well as characteristic findings observed during autopsy such as corrosion and discoloration of tissues, congestion of internal organs, and presence of poison residues. The document also notes that many of these poisons are commonly used for suicide while homicide is relatively rare.
Sulphuric acid as a corrosive poison. the characteristics, fatal dose, fatal time, sign and symptoms, post-mortem appearance and medicolegal importance are discussed
FORENSIC MEDICINE BOOKS OF
REDDY
GOUTAM BISWAS
MAGENDRAN
OTHERS
TOPICS :-
COLD INJURY
HEAT INJURY
BURN INJURY
SCALDS
ELECTROCUTION
LIGHTENING INJURY
THIS IS ONE OF MY BEST AND FAVORITE PRESENTATIONS. IT WILL SURELY HELP YOU A LOT DURING YOUR EXAMS (PROF/OTHERS). IF YOU FIND IT HELPFUL THEN LIKE IT. MY EMAIL ID IS GIVEN ON THE 2ND PAGE OF THIS PRESENTATION, IF YOU WANT PRESENTATIONS ON OTHER TOPICS (ANY MEDICAL SUBJECTS) THEN MAIL ME. I WILL WORK ON IT LOT AND WILL BE TRYING TO SHARE WITH YOU GUYS...
THANK YOU
Sulphuric acid as a corrosive poison. the characteristics, fatal dose, fatal time, sign and symptoms, post-mortem appearance and medicolegal importance are discussed
FORENSIC MEDICINE BOOKS OF
REDDY
GOUTAM BISWAS
MAGENDRAN
OTHERS
TOPICS :-
COLD INJURY
HEAT INJURY
BURN INJURY
SCALDS
ELECTROCUTION
LIGHTENING INJURY
THIS IS ONE OF MY BEST AND FAVORITE PRESENTATIONS. IT WILL SURELY HELP YOU A LOT DURING YOUR EXAMS (PROF/OTHERS). IF YOU FIND IT HELPFUL THEN LIKE IT. MY EMAIL ID IS GIVEN ON THE 2ND PAGE OF THIS PRESENTATION, IF YOU WANT PRESENTATIONS ON OTHER TOPICS (ANY MEDICAL SUBJECTS) THEN MAIL ME. I WILL WORK ON IT LOT AND WILL BE TRYING TO SHARE WITH YOU GUYS...
THANK YOU
Starvation is defined medically in two parts that is: The act or process of starving and the condition of being starved, while ‘Neglect’ is defined as – to fail to give due care, attention, or time to someone an adult/ a child especially.
A POWER POINT PRESENTATION BY DR. SANGEETA CHOWDHRY AND DR. SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE AND TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)
Inorganic (non metallic) irritant Poisons by Sunil Kumar Dahasunil kumar daha
Please find the power point on Inorganic (non metallic) irritants poisons. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Thanatology
Types of transplants
Cause, Mechanism of Death
Manner of death
Anoxia
Signs of Death
Immediate Changes (Somatic Death)
Early Changes (Molecular Death)
Algor Mortis ......
Reference
Drowning is an inhalation of liquid in respiratory tract leading to suffocation and death. it can be wet or dry drowning depending upon the water entering in trachea. some times water touching the larynx leading to spasm and complete closure leading to dry drowning.
Toxicology of Strychnine poisoning with properties, active principles, uses, metabolites, actions, signs, symptoms, tetanus vs strychnine poisoning, treatment, postmortem findings and medico-legal importance
Forensic science PowerPoint presentation on Injury and it's medico-legal importance.
The slide is made for medical students. Mainly for BAMS students. It covers maximum points.
The slide is full of example with pictures which make it easy to understand the concept. It contains post-mortem findings as well as medico-legal importance of the each type of injury.
Starvation is defined medically in two parts that is: The act or process of starving and the condition of being starved, while ‘Neglect’ is defined as – to fail to give due care, attention, or time to someone an adult/ a child especially.
A POWER POINT PRESENTATION BY DR. SANGEETA CHOWDHRY AND DR. SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE AND TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)
Inorganic (non metallic) irritant Poisons by Sunil Kumar Dahasunil kumar daha
Please find the power point on Inorganic (non metallic) irritants poisons. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Thanatology
Types of transplants
Cause, Mechanism of Death
Manner of death
Anoxia
Signs of Death
Immediate Changes (Somatic Death)
Early Changes (Molecular Death)
Algor Mortis ......
Reference
Drowning is an inhalation of liquid in respiratory tract leading to suffocation and death. it can be wet or dry drowning depending upon the water entering in trachea. some times water touching the larynx leading to spasm and complete closure leading to dry drowning.
Toxicology of Strychnine poisoning with properties, active principles, uses, metabolites, actions, signs, symptoms, tetanus vs strychnine poisoning, treatment, postmortem findings and medico-legal importance
Forensic science PowerPoint presentation on Injury and it's medico-legal importance.
The slide is made for medical students. Mainly for BAMS students. It covers maximum points.
The slide is full of example with pictures which make it easy to understand the concept. It contains post-mortem findings as well as medico-legal importance of the each type of injury.
Oral cancer is the world’s 6th most common malignancy and has one of the lowest survival rates, often due to late diagnosis. The most important determinant factor in cancer survival is diagnostic delay and it directly affects the survival rate.
Most oral cancers are preceded by precancerous lesions and early cancers that can be identified by visual inspection of the oral cavity. Conventional oral examination is useful in the discovery of some oral lesions, but it does not identify all potentially premalignant lesions, as some are not readily apparent to visual inspection alone.
Adjunctive techniques have emerged that may facilitate early detection of oral premalignant and malignant lesions. Thorough clinical examinations being one of the best modalities in suspecting the pathology, the biggest disadvantage in the diagnosis lies in detecting the site of biopsy and also whether biopsy is required or not in early lesions.
Nowadays various diagnostic aids have been established in detecting such lesions but easy chair-side techniques can be used if possible. And one such technique is by using vital staining with dyes which is used for early recognition of lesion and also can improve the patient survival rate.
Morphology and structure of H. pylori
Diagnosis of H. pylori infection
Transmission of H. pylori
Symptoms of H. pylori infection
Treatment and prevention
Pathogenesis of H. pylori
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
NVBDCP.pptx Nation vector borne disease control program
Autopsy of poisonous cases
1. DR. UDAI BHAN YADAV
SENIOR MEDICAL OFFICER MEDICAL JURIST
GENERAL HOSPITAL, ALWAR-301001
2. SULPHURIC ACID:
• Fatal Dose: 10 to 15 cc; Fatal period: 18 2to 24 hours.
• Autopsy:
1. The clothes may show burns and stains.
2. Corrosion of mucous membranes of lips, mouth, throat and of the skin over the
chin, angles of the mouth and hands is seen.
3. The necrotic areas are at first grayish white but soon become brown or black and
leathery.
4. Internal changes are limited to the upper digestive tract and the respiratory
system.
5. The upper digestive tract is inflamed and swollen by oedema and severe
interstitial haemorrhage. The greater part of stomach may be converted into a
soft boggy, black mass which readily disintegrates when touched. The mucosal
ridges are more damaged than the furrows. In the damaged areas the mucosa is
brown or black. Perforation may occur with escape of stomach contents into the
peritoneal cavity. The small intestine may show signs of irritation.
6. Corrosion or severe inflammation of the larynx and the trachea may be present.
• M L Aspects: (1) Most cases are suicidal. (2) It is not used for homicide. (3)
Accidental cases are rare.
Dr. UDAI BHAN YADAV
3. NITRIC ACID:
Dr. UDAI BHAN YADAV
3
Autopsy:
(1) Findings are similar to those of Sulphuric acid but, the tissues are
stained yellow.
(2) Perforation of the stomach is not common. In death from inhalation
of fumes, the larynx, trachea and bronchi are congested and lungs are
oedematous.
4. HYDROCHLORIC ACID:
Dr. UDAI BHAN YADAV
4
Autopsy:
(1) Findings are similar to Sulpuric acid, but, corrosion is less severe.
(2) Perforation of stomach is rare.
(3) Acute inflammation and oedema of respiration tract and lungs are
common.
5. VITRIOLAGE:
Dr. UDAI BHAN YADAV
5
Throwing of strong corrosive on another person is
known as vitriolage.
It causes penetrating burns. Repair is slow and scar
tissue causes contracture.
6. CARBOLIC ACID:
Dr. UDAI BHAN YADAV
6
• Fatal dose: 10 to 15g. Fatal period: 3 to 4 hours.
1. Corrosion of the skin has a grayish or brown colour.
2. The tongue is white and swollen, and there is smell of phenol about the mouth.
3. The mucous membrane of the lips, mouth and throat is corrugated, sodden,
whitened or ash-grey and partially detached with numerous small submucous
haemorrhages.
4. The mucosa of the oesophagus is tough, white or grey, corrugated and arranged in
longitudinal folds. The stomach is hardened and has a leathery feel. The mucosal
folds are swollen and covered by opaque-grey or brown mucous membrane. There
may be partial separation of necrotic mucosa.
5. The upper part of small intestine may show similar but mild changes.
6. The liver and spleen usually show a whitish m hardened patch where the stomach
has been in contact with them.
7. The brain is congested and may be oedematous.
• M. L. aspects: (1) It is used for suicide. (2) Homicide and accident are rare.
7. CAUSTIC ALKALES
Dr. UDAI BHAN YADAV
7
• Fatal Dose: 5 to 30g. Fatal period: About 1 day.
• Autopsy:
1. Alkalies produce soft, oedematous, translucent, soap-like,
swollen eschar, red brown in colour.
2. The sloughs are mucilaginous.
3. Charring is not seen.
4. Lips, mouth and throat show corrosion.
5. Oesophagus and stomach show inflammatory oedema with
corrosion and sliminess of the tissues. Mucosa may be
brownish. Perforation of the stomach is rare.
8. ORGANOPHOSPHORUS POISONS
Dr. UDAI BHAN YADAV
8
• They are absorbed by inhalation, intact skin, mucous membrane, and the
gastrointestinal tract.
• Fatal dose: Parathion 80 to 175 mg; malathion and diazinon 1g. orally.
• Fatal period: 3 to 6 hours.
• Autopsy:
1. Signs of asphyxia are found.
2. Blood stained froth is seen at the mouth and nose.
3. The mucosa of the stomach is congested with sub-mucous petechiael
haemorrhages. The stomach contents may smell of kerosene.
4. The lungs are congested, oedematous and show sub pleural petechiae.
5. The internal organs are congested and brain oedematous.
• M. L. Aspects: (1) Suicide: Common. (2) Homicide. And Accidental deaths may
occur.
9. ENDRIN
Dr. UDAI BHAN YADAV
9
• Fatal dose: 5 to 6 G. Fatal period: 1 to 2 hours.
• Autopsy:
1. Signs of asphyxia are found.
2. Blood stained froth may be seen at the mouth and nose.
3. The mucosa of respiratory passages is congested and is covered with a
blood stained frothy mucus.
4. The stomach contents may smell of kerosene.
5. The lungs are voluminous, congested and oedematous.
6. The internal organs are congested.
• M. L. Aspects: (1) Suicide is very common. (2) Homicide is rare, but it is
sometimes given
• mixed with food, sweets or alcohol.
10. OPIUM
Dr. UDAI BHAN YADAV
10
• Fatal dose: Opium 2 G.; morphine 0.2G.
• Fatal period: 6 to 12 hours.
• Autopsy:
1. Signs of asphyxia are prominent.
2. Froth is seen at the mouth and nose.
3. Smell of opium is noted on opening the chest.
4. Stomach may contain small lumps of opium.
5. Lungs are congested and oedematous.
6. Internal organs are congested.
• M. L. Aspects: It is an ideal suicidal poison. Homicide is rare.
11. BARBITURATES
Dr. UDAI BHAN YADAV
11
• Fatal dose: Short acting 1 to 2 G; medium acting 2 to 3G; long acting 3 to
4G.
• Fatal period: One to several days.
• Autopsy:
1. Signs of asphyxia are seen.
2. White particles of barbiturates may be seen in the stomach with
mucosal congestion.
3. Lungs are congested and oedeematous.
4. The brain is oedematous with softening of globus pallidus and multiple
punctate haemorrhages into the white matter.
5. Internal organs are congested.
• M. L. Aspects: (1) It is ideal suicidal poison. (2) Homicide is rare
12. CHLORAL HYDRATE
Dr. UDAI BHAN YADAV
12
Fatal dose:3 to 5g.
Fatal period: 8 to 12 days.
Autopsy:
(1) Gastric mucosa is softened, reddened and eroded and
smells of chloral hydras.
(2) Brain and lungs are congested.
13. FOOD POISONING
Dr. UDAI BHAN YADAV
13
1. In the infectious type the organisms belong mainly to the Salmonella group.
Other organisms like Streptococci, Proteus, Coli group and Shigella are also
involved.
2. The toxic type is due to the ingestion of preformed toxins in prepared food,
such as, canned or preserved food. Exotoxins e.g. enterotoxins of staphylococci
and Botulinum toxin, produce intoxication.
• It may occur as isolated cases or small outbreaks.
• Autopsy: (1) The mucosa of the stomach and intestines is swollen and is often
intensely congested, and there may be minute ulcers. (2) Liver shows fatty
change.
• Diagnosis: (1) History. (2) Clinical features. (3) Isolation of the organism from the
suspected food and from vomit, faeces, blood, etc., from sick persons. (4) Animal
experiment.
14. BOTULISM
Dr. UDAI BHAN YADAV
14
• Autopsy:
(1) Kidneys, liver and meninges are congested.
(2) Histological examination of the organs may show thrombosis.
• Diagnosis:
(1) History.
(2) Clinical features.
(3) Demonstration of the toxin in the suspected food.
(4) Isolation of the bacillus from the food.
(5) Isolation of the toxin in the blood and tissues.
(6) Isolation of the bacillus from the patient’s faeces or vomit.
15. CYANIDES
Dr. UDAI BHAN YADAV
15
• Fatal dose: Pure acid 50 to 60mg; Sodium or Potassium cyanide 200 to 300mg.
• Fatal period: Pure acid, 2 to 10 minutes. Potassium or sodium cyanide ½ an hour.
• Autopsy:
1. The eyes may be bright, glistening and prominent with dilated pupils.
2. The jaws are firmly closed and there is froth at the mouth.
3. The colour of the post-mortem staining is bright red.
4. Blood stained froth may be found in the trachea and bronchi.
5. There is congestion of viscera and oedma of the lungs.
6. All the vessels of the body including the veins contain arterial blood.
7. The mucosa of the stomach and intestines is often red and congested.
8. Cyanide salts produce slight corrosion of mouth.
• M. L. Aspects: (1) They are used for suicide, (2) Homicide is rare.
16. CARBONMONOXIDE
Dr. UDAI BHAN YADAV
16
1. A cherry red colour of skin, mucous membranes, areas of post-mortem staining,
blood, tissues and internal organs is the prominent feature.
2. The blood is fluid. Hyperaemia is general and serous effusions are common.
3. Fine froth may be seen at the mouth and nose.
4. Anoxic skin blebbing are common.
5. Lungs are congested and edematous.
6. Necrobiosis of the heart muscle and pleural and pericardial haemorrhages are
common.
7. Bilateral symmetrical necrosis of the Globus pallidius and punctate haemorrhages
in the white matter of brain with widespread oedema are common.
• M. L. Aspects: (1) Deaths are usually accidental. (2) Suicide and homicide is rare.