Forensic Science, Medicine and Pathology最新文献_第5页

Post-cardiopulmonary resuscitation trauma: retrospective analysis of skeletal and visceral injuries in autopsy findings. 心肺复苏后创伤：尸检结果中骨骼和内脏损伤的回顾性分析。

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2025-06-02 DOI: 10.1007/s12024-025-01028-1

Cemyigit Deveci, Batuhan Turgut, Mehmet Atilgan

{"title":"Post-cardiopulmonary resuscitation trauma: retrospective analysis of skeletal and visceral injuries in autopsy findings.","authors":"Cemyigit Deveci, Batuhan Turgut, Mehmet Atilgan","doi":"10.1007/s12024-025-01028-1","DOIUrl":"10.1007/s12024-025-01028-1","url":null,"abstract":"This study evaluates skeletal and visceral injuries associated with CPR, providing insights for clinicians and forensic experts. A retrospective analysis of 520 autopsy cases, selected from 2,508 conducted between 2021 and 2022 in Türkiye, was performed. Inclusion criteria focused on cases receiving CPR post-cardiac arrest, excluding pre-existing thoracic or abdominal trauma. Data were analyzed for demographic variables, injury types, and correlations with age, gender, and body mass index (BMI). Rib fractures were identified in 56.7% of cases, with a median of 9 fractures. Sternum fractures occurred in 42.9%, more frequently in females (55.4% vs. 38.7%; OR = 2.36, 95% CI = 1.50-3.74) and older individuals. Rib fractures were associated with age and BMI, whereas sternum fractures correlated with age and female gender. Lung (13.5%) and cardiac (5.4%) contusions were the most common. Younger individuals (0-17 years) showed fewer skeletal injuries but higher rates of isolated visceral trauma. Skeletal injuries were prevalent in individuals > 50 years, whereas visceral injuries were more common in younger cases. CPR-related injuries exhibit significant variation across demographics. Awareness of these patterns is vital for improving resuscitation protocols and post-CPR evaluations, potentially minimizing trauma.","PeriodicalId":12449,"journal":{"name":"Forensic Science, Medicine and Pathology","volume":" ","pages":"1222-1229"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare complication of a thoracic wound: the pneumopericardium? 胸外伤的罕见并发症：心包气肿？

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2025-01-27 DOI: 10.1007/s12024-025-00952-6

C Poulain, T Prigent, B Guibourg, G Le Flahec, E Martin, D Ben Salem

{"title":"A rare complication of a thoracic wound: the pneumopericardium?","authors":"C Poulain, T Prigent, B Guibourg, G Le Flahec, E Martin, D Ben Salem","doi":"10.1007/s12024-025-00952-6","DOIUrl":"10.1007/s12024-025-00952-6","url":null,"abstract":"Pneumopericardium (PPC) is defined by the presence of gas in the pericardial cavity, often leading to cardiac tamponade and a high mortality rate. This report describes a case involving a 33-year-old man found deceased a few meters from a knife, his clothes intact, with no resuscitation attempt made. A knotted scarf was tightly fastened around his neck, without ligature mark. Post-mortem CT revealed 271 ml of gas in the pericardial cavity, with \"flattened heart\". The forensic examination revealed two thoracic stab wounds, one penetrated the pericardium without penetrating the heart chamber, while the second remained superficial. In the absence of resuscitation or exsanguination, and in the presence of some non-specific signs observed in the context of asphyxia, the hypothesis of death by compressive PPC was supported. This first French case report of PPC highlights the rarity of this entity in forensic settings, and comparison with other cases described in the literature which did not present the same characteristics points out the diagnostic difficulties it presents and the importance of post-mortem CT in diagnosis.","PeriodicalId":12449,"journal":{"name":"Forensic Science, Medicine and Pathology","volume":" ","pages":"1551-1555"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Yellow meconium. 黄色的胎粪。

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2024-12-21 DOI: 10.1007/s12024-024-00932-2

Johanna Preuß-Wössner, Jan-Peter Sperhake, Burkhard Madea

引用次数: 0

Usefulness of postmortem computed tomography when neonatal death occurred after fetoscopic endotracheal occlusion- case report. 胎儿镜下气管内闭塞术后新生儿死亡时尸检计算机断层扫描的应用-病例报告。

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2025-06-23 DOI: 10.1007/s12024-025-01036-1

Rafał Skowronek, Jacek Zamłyński, Aleksandra Borowska-Solonynko

引用次数: 0

Diatoms pass through the gastrointestinal barrier and lead to false-positive: an animal experiment. 硅藻通过胃肠道屏障并导致假阳性：一项动物实验。

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2024-08-26 DOI: 10.1007/s12024-024-00882-9

Burkhard Madea, Elke Doberentz

引用次数: 0

The under-recognition and significance of frailty syndrome - a geriatric and forensic conundrum. 对虚弱综合征认识不足及其意义--老年医学和法医学的难题。

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2024-10-05 DOI: 10.1007/s12024-024-00900-w

Roger W Byard

引用次数: 0

External causes of death in younger than 18 years old in Portugal in the last 10 years - a retrospective analysis. 过去 10 年葡萄牙 18 岁以下儿童死亡的外部原因--回顾性分析。

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2025-03-27 DOI: 10.1007/s12024-025-00997-7

Carlota Jardim Gomes, Marta Heitor, Joana Albuquerque, Ana Rita Inácio

{"title":"External causes of death in younger than 18 years old in Portugal in the last 10 years - a retrospective analysis.","authors":"Carlota Jardim Gomes, Marta Heitor, Joana Albuquerque, Ana Rita Inácio","doi":"10.1007/s12024-025-00997-7","DOIUrl":"10.1007/s12024-025-00997-7","url":null,"abstract":"Pediatric mortality from external causes has been a worldwide concern in the last decades. In particular, the prevalence of accidental deaths is a key concern, especially traffic accidents. This is retrospective study based on autopsy reports of violent deaths in individuals younger than 18 years from 2014 to 2023 in Portugal, aimed at providing valuable insight in order to help formulate preventive strategies. There were 554 pediatric deaths due to exogenous causes, with a predominance of males (68,95%). Adolescents were the most prevalent age group. The leading cause of death was land transport injury (38,27%). Asphyxia-related deaths were predominant in younger age groups. Accidental deaths accounted for 76,71% of all cases. Preventable injury-related causes continue to be a major contributor to child mortality. The inconsistent mortality rates from various mechanisms emphasize the necessity for targeted and effective preventive measures. Above all, land transport accidents seem to be an issue in need of prompt intervention.","PeriodicalId":12449,"journal":{"name":"Forensic Science, Medicine and Pathology","volume":" ","pages":"1183-1190"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A singular case of complex suicide by hanging with hesitation marks by axe. 这是一起复杂的自杀案件，用斧头带着犹豫的痕迹上吊自杀。

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2025-02-20 DOI: 10.1007/s12024-025-00964-2

Annachiara Vinci, Laura Laura Ambrosi, Marcello Benevento, Davide Ferorelli, Biagio Solarino

引用次数: 0

Learning to read and interpret tattoos. 学习阅读和解读纹身。

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2025-01-16 DOI: 10.1007/s12024-025-00940-w

Roger W Byard

引用次数: 0

Cocaine and aortic dissection: the need for collaboration to overcome the underreporting bias. 可卡因和主动脉夹层：需要合作来克服少报的偏见。

IF 1.4 4区医学

Forensic Science, Medicine and Pathology Pub Date : 2025-09-01 Epub Date: 2025-01-23 DOI: 10.1007/s12024-025-00951-7

Pascale Basilicata, Antonio Lombardi, Mariagrazia Marisei, Emanuele Capasso, Angela Simonelli, Maria Pieri

{"title":"Cocaine and aortic dissection: the need for collaboration to overcome the underreporting bias.","authors":"Pascale Basilicata, Antonio Lombardi, Mariagrazia Marisei, Emanuele Capasso, Angela Simonelli, Maria Pieri","doi":"10.1007/s12024-025-00951-7","DOIUrl":"10.1007/s12024-025-00951-7","url":null,"abstract":"The dissection of the aorta is a serious and potentially fatal consequence of cocaine use. Nonetheless, the underlying mechanisms and characteristics of this phenomenon remain to be deeply studied. The autopsy case of a 46-year-old white male found irresponsive and unconscious in his house and had a history of abusing cocaine is presented. Autopsy findings showed aortic arch and thoracic aorta of regular calibre, with evidence of a mid-adventitial dissecting aneurysm of the ascending intrapericardial portion of the aorta. Forensic toxicological analyses evidenced a positivity to cocaine and its main metabolite, benzoylecgonine, in all fluids (peripheral blood, bile and urine), liver and brain homogenates. Data also evidenced a positivity to alcohol, confirming a past history of intake. The presented case confirms the connection between cocaine addiction and the risk of aortic dissection, emphasizing the need for increased knowledge about the risks connected to this drug. It is emphasized the need of prompt examination and effective treatment of patients exhibiting cardiac symptoms linked to cocaine use, as well as the need of an accurate anamnesis to evidence use/abuse of other cardiotoxic substances.","PeriodicalId":12449,"journal":{"name":"Forensic Science, Medicine and Pathology","volume":" ","pages":"1281-1286"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0