{"title":"The improvements in forensic toxicology and its role in the forensic process (I)","authors":"M. L. Soria","doi":"10.1016/j.remle.2022.03.003","DOIUrl":"https://doi.org/10.1016/j.remle.2022.03.003","url":null,"abstract":"","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90348900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Martos-Pérez, M. Martín-Escalante, M. Corrales-González, F. Rivas-Ruíz, A. Jiménez-Puente, M. Noureddine-López, J. Olalla-Sierra, J. García-Alegría
{"title":"Increased post-hospital mortality of polypathological patients during COVID-19 pandemic","authors":"F. Martos-Pérez, M. Martín-Escalante, M. Corrales-González, F. Rivas-Ruíz, A. Jiménez-Puente, M. Noureddine-López, J. Olalla-Sierra, J. García-Alegría","doi":"10.24875/sjmed.23000002","DOIUrl":"https://doi.org/10.24875/sjmed.23000002","url":null,"abstract":"Background : The impact of COVID-19 pandemic on post-hospital mortality of polypathological patients is unknown. Methods : We compared two cohorts of polypathological patients: patients discharged during the first quarter of the years 2017-2019 (pre-pan-demic cohort), and patients discharged in the first quarter of 2020 (pandemic cohort). Demographic characteristics, prognostic PROFUND score, use of hospital services after discharge, and vital status at 1, 3, 6, and 12 months were compared. The influence of the pandemic on 3, 6, and 12-month mortality was analyzed with a multivariant model, including gender, age, and prognostic PROFUND score. Results : The pre-pandemic (512 patients) and pandemic (132 patients) cohorts were similar in age (mean 78.8 vs. 79.1-year-old, respectively) and PROFUND prognostic index > 10 (31.9% vs. 37.4%, respectively). There were more men in the prepandemic cohort (59% vs. 49.6%, respectively, p = 0.06). The accumulated 6-month mortality was higher in the pandemic cohort (39.4% vs. 28.7%; p = 0.02), but not at 1, 3, and 12 months. A significant higher risk of accumulated mortality at 6 months in the pandemic cohort remained in multivariant analysis (Odds ratios: 1.63; IC95%: 1.07-2.48). Significant reduction in specialized healthcare utilization during the 12-month period after discharge was found in the pandemic cohort: 42% less emergency visits (p = 0.001), 30% less external office visits (p = 0.023), and 58% less hospitalizations (p = 0.001). Conclusions : Risk of 6-month accumulated mortality of polypathological patients discharged around the onset of the COVID-19 pandemic was 63% higher than historic controls. These differences disappeared 12 months after discharge.","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73523708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antagonistas de los receptores de la endotelina","authors":"A. Recio-Mayoral","doi":"10.24875/sjmed.m22000012","DOIUrl":"https://doi.org/10.24875/sjmed.m22000012","url":null,"abstract":"","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88369764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hipertensión pulmonar en conectivopatías","authors":"Clara I. Soto-Abánades","doi":"10.24875/sjmed.m22000014","DOIUrl":"https://doi.org/10.24875/sjmed.m22000014","url":null,"abstract":"","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"120 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82073068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pilar Casasnovas-Rodríguez, Juan A. Franco-Amorós, J. Blázquez-Encinar, Jorge López-Gómez, María Soriano-Ruíz, Tania Menéndez-Hevia, Unai Sánchez-Luque, María Fernández-Cerezo, Núria Pastora
{"title":"Observational study on telemonitoring of patients with heart failure","authors":"Pilar Casasnovas-Rodríguez, Juan A. Franco-Amorós, J. Blázquez-Encinar, Jorge López-Gómez, María Soriano-Ruíz, Tania Menéndez-Hevia, Unai Sánchez-Luque, María Fernández-Cerezo, Núria Pastora","doi":"10.24875/sjmed.22000016","DOIUrl":"https://doi.org/10.24875/sjmed.22000016","url":null,"abstract":"","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78861374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Forensic odontology in human identification in multiple victims' incidents","authors":"Aurora Valenzuela-Garach","doi":"10.1016/j.remle.2023.08.001","DOIUrl":"https://doi.org/10.1016/j.remle.2023.08.001","url":null,"abstract":"<div><p>The approval in 2009, of the <em>Protocolo Nacional de actuación Médico-Forense y de Policía Científica en sucesos con víctimas múltiples</em><span><span>, was the basic normative to formally regulate both the technical procedures that must be applied, and the different tasks to be carried out in a disaster victim incident in Spain. This article reviews the procedures and techniques used in forensic odontology for human identification in DVI incidents with multiple victims. Given that the recognition of the individualising characteristics of the teeth, and in general the odontological data, supposes a highly specialised process, it is essential the assistance of forensic dentists with experience in this field, who will have the training and the knowledge to carry out the </span>dental procedures such as documenting dental records, accurate interpretation of the results, and withdraw precise dental identification conclusions. Finally, recommendations for the preparation of forensic dental identification reports are included in this review.</span></p></div>","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"49 2","pages":"Pages 47-54"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49756550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rosa Maria Cabús , Lluïsa Barbera , Bernardo Salort , Irene Sanchéz , Nuria Soler , Eneko Barberia , Jordi Medallo , Anna Hospital , Juan Fancisco Ortigosa , Claudina Vidal , Ines Landin , Magdalena Albiol , Leonor Chavarria , Luis Vaquero , Ruth Álvarez , Carmen Muñoz , Rocio Nieto
{"title":"Forensic intervention in the bus accident with 13 fatalities in Freginals, Tarragona, Spain","authors":"Rosa Maria Cabús , Lluïsa Barbera , Bernardo Salort , Irene Sanchéz , Nuria Soler , Eneko Barberia , Jordi Medallo , Anna Hospital , Juan Fancisco Ortigosa , Claudina Vidal , Ines Landin , Magdalena Albiol , Leonor Chavarria , Luis Vaquero , Ruth Álvarez , Carmen Muñoz , Rocio Nieto","doi":"10.1016/j.remle.2023.08.002","DOIUrl":"https://doi.org/10.1016/j.remle.2023.08.002","url":null,"abstract":"<div><p>Corpses identification in events with multiple victims is a challenge and one of the main activities of Forensic Pathology. Legal, humanitarian and social repercussions are derived from the correct identification and also its management, generating a great impact.</p><p>The objective of this paper is to present the management and identification process of the 13 deaths that occurred in the bus accident on the AP7 motorway in March 2016 in Freginals (Tarragona, Spain). The rapid identification of fatalities, the different quality control mechanisms used, attention to family members, as well as the proper management of the catastrophe with the human and material resources available are analysed.</p><p>Despite the foreign nationality of all the victims, which determined the method of identification, all of them were quickly identified by dentistry, fingerprinting or DNA and were quickly returned to their families and countries of origin. Italy was the country where the largest number of victims came from. The participation of forensic doctors in ante mortem data recovery is highlighted.</p></div>","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"49 2","pages":"Pages 71-78"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49701485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manuel Crespillo Márquez , Pedro A. Barrio Caballero , María José Farfán Espuny
{"title":"Contributions and advances of forensic genetics in mass fatality incidents","authors":"Manuel Crespillo Márquez , Pedro A. Barrio Caballero , María José Farfán Espuny","doi":"10.1016/j.remle.2023.08.003","DOIUrl":"https://doi.org/10.1016/j.remle.2023.08.003","url":null,"abstract":"<div><p>Disaster victim identification is crucial for humanitarian and legal reasons. Forensic genetics plays an important role in these situations which often become a challenge for the different professionals involved due to their complexity. The establishment of guidelines and recommendations makes it easier to follow standardised protocols that make it possible to guarantee the reliability of the identification final result. Likewise, advances in forensic genetics contribute to speeding up the response, providing new analysis strategies and bioinformatic tools. This article aims to provide an overview of how forensic genetics and its advances can contribute in these situations, as well as some keys to understanding the work of forensic genetics laboratories in the identification of corpses in events with multiple victims.</p></div>","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"49 2","pages":"Pages 55-63"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49757766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}