Nihon hoigaku zasshi = The Japanese journal of legal medicine最新文献

{"title":"[Histological study of early postmortem changes in various organs: comparison of the paraffin embedding method and the epoxy resin embedding method].","authors":"Y Tomita,&nbsp;M Nihira,&nbsp;Y Ohno,&nbsp;S Sato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For the purpose of morphological assessment of the early postmortem interval, Wistar rats were killed by cervical dislocation and left at 23 degrees C for 1, 3, 5, 10, 15 and 24 hours. After a given postmortem interval, tissue samples taken from kidney, pancreas, liver, heart and skeletal muscle were embedded in paraffin or epoxy resin and examined by light microscopy. Specimens obtained from the paraffin block did not show a good correlation between histological changes and postmortem interval, because the postmortem changes continued during the fixation period. On the other hand, the time course of histological changes in specimens obtained from the epoxy block, particularly the development of clumping of nuclear chromatin and cytoplasmic vacuolation in each organ, reflected the postmortem interval because of the rapid fixation by glutaraldehyde. These histological changes were characteristic of each organ up to 24 hours after death. In addition, the semithin epoxy resin section made high-resolution light microscopy possible. Therefore, the epoxy resin embedding method is superior to the paraffin embedding method for the purpose of estimation of the time of death. The morphological changes characterising time after death are as follows: at 1 hour after death, cytoplasmic vacuolization and slight clumping of nuclear chromatin in pancreatic acinar cells; at 3 hours after death, slight clumping of nuclear chromatin in distal tubules, cytoplasmic vacuolization in skeletal muscle, and edema in cardiac muscle; at 5 hours after death, clumping of nuclear chromatin in proximal tubules as well as distal tubules, and cytoplasmic vacuolization in hepatocytes; at 10 hours after death, edema in proximal tubules, condensation of nuclear chromatin (apoptosis) and edema in distal tubules, and atrophy of acinar cells in the pancreas; at 15 hours after death, cytolysis of distal tubules; at 24 hours after death, cytolysis of hepatocytes and clumping of chromatin in skeletal muscle. Thus we can conclude that the time course of histological changes is useful for the estimation of postmortem interval.</p>","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"53 2","pages":"207-17"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21397221","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":"[Polymorphism of hypervariable region in D-loop of mitochondrial DNA].","authors":"Y Takada,&nbsp;M Mukaida","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>DNA sequences of PCR products from mitochondrial DNA (mtDNA) of 80 healthy Japanese volunteers (40 pairs, mother and child) were determined by the direct sequencing method for polymorphism. Thirty (15 pairs) of 80 samples analyzed showed a T-to-C transition at position 16189 (T16189C) of the C-stretch region in the hyper-variable region of mtDNA. For seven pairs randomly selected from the 15 T16189C pairs (C-stretch) and a single pair without the transition (non C-stretch), PCR products from the D-loop region were cloned and then sequenced. The repeat number of C in the C-stretch region was found to show heteroplasmy by sequencing multiples clones from each mtDNA. Statistical analyses of the distribution patterns of the repeat number revealed no significant differences between the mother and child in each lineage but significant differences between the lineages. The seven lineages could be then classified into four groups. The result of our data confirmed the existence of heteroplasmic polymorphism in the C-stretch region and the inheritance of the heteroplasmy from mother to child. Therefore, the analysis of heteroplasmy is applicable to individual identification.</p>","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"53 2","pages":"199-206"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21397855","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":"Regulating How We Die: The Ethical, Medical, and Legal Issues Surrounding Physician-Assisted Suicide, edited by Linda L. Emanuel.","authors":"K. Cerminara","doi":"10.1080/01947649909511090","DOIUrl":"https://doi.org/10.1080/01947649909511090","url":null,"abstract":"Regulating how we die: The ethical, medical, and legal issues surrounding physician‐assisted suicide. Linda L. Emanuel, ed. (Harvard University Press, Cambridge, Massachusetts, 1998), 304 pages, $39.95.","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"1 1","pages":"281-9"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75770246","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":"[The 83rd Congress of the Japanese Society of Legal Medicine. Hiroshima, Japan. April 14-16, 1999. Abstracts].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"53 1","pages":"1-189"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21097258","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":"[A case of identification of two persons from heavily burned teeth by age estimation].","authors":"T Tsuchimochi,&nbsp;H Koyama,&nbsp;H Inoue,&nbsp;Y Maeno,&nbsp;M Iwasa,&nbsp;K Saito,&nbsp;R Matoba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A man murdered his two daughters, one five years and two months old and one seven months old. He placed them into a 750 degrees C aluminum liquefying furnace. Teeth and many fragments of the severely burned bones were recovered. However, at first, the bone fragments did not offer proof that two children were put into the furnace. The age estimation of the teeth burned in liquefied aluminum was carried out based on the maturity of the teeth and the degree of absorption of deciduous teeth roots. As a result from the admixture of permanent teeth and deciduous teeth, we presumed them to be derived from more than one person.</p>","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"52 6","pages":"360-6"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21201434","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":"[An autopsy case of sudden death caused by untreated sepsis after complete remission of acute promyelocytic leukemia].","authors":"M Hitosugi,&nbsp;K Fukui,&nbsp;A Takatsu,&nbsp;T Harada,&nbsp;M Homori,&nbsp;K Kawano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient was 63 year-old man. He had been diagnosed as acute promyelocytic leukemia (APL) and treated until 4 month before his death with complete remission. The patient suddenly died 9 days after he complained of occipital headache. Autopsy and histopathologic findings were as follows: the left pleura was thick and calcificated with abscess, compatible with the findings of old tuberculosis complicated with bacterial infection. Furthermore, polynuclear leukocytes and gram-positive micro-organisms were accumulated in the lungs, and pyogenic meningitis, pyonephritis, splenitis were also found. Bacteologically, Streptococcus pneumoniae was detected from cadaver's blood and cerebrospinal fluid. Therefore, we concluded that the patient was died of septic shock caused by systemic infection of Streptococcus pneumoniae. The mortality of septic shock is high and in some patients, causative organisms may not be isolated. In the present case, although the original inflammation was left pleuritis due to Streptococcus pneumoniae, correct clinical diagnosis was not made before death as the patient had lacked any complaints except for occipital headache. This case revealed that the cause of sudden death was sepsis induced by Streptococcus pneumoniae instead of a relapse of APL. This case also illustrated the importance of reviewing the previous history of a patient and doing postmortem bacteologic examination in a case of suspected sepsis.</p>","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"52 6","pages":"355-9"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21201433","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":"[Immunohistochemical studies on neuronal changes in brain stem nucleus of forensic autopsied cases. II. Sudden infant death syndrome].","authors":"S Kubo,&nbsp;Y Orihara,&nbsp;T Gotohda,&nbsp;I Tokunaga,&nbsp;R Tsuda,&nbsp;K Ikematsu,&nbsp;O Kitamura,&nbsp;A Yamamoto,&nbsp;I Nakasono","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Several nuclei in brain stem are well known to play an important role in supporting human life. However, the connection between neural changes of brain stem and the cause of death is not yet fully understood. Previously, in sudden infant death syndrome (SIDS) it has been suggested that impaired cardioventilatory control might contribute to cause of death. So, to investigate the brain stem damage in SIDS, neural changes of the arcuate nucleus (ARC), the hypoglossal nucleus (HN) and the inferior olivary nucleus (IO) was examined using immunohistochemical technique. Brain was fixed with phosphate-buffer formalin, and the brain stem was horizontally dissected at the level of apex, then embedded in paraffin. The sections were stained with the antibodies against microtubule-associated protein 2 (MAP2), muscalinic acetylcholine receptor (mAChR), c-fos gene product (c-Fos) and 72 kD heat-shock protein (HSP70). Morphological changes of neurons in three nuclei were not evident. Moreover, because MAP2 degeneration and expression of HSP70 and c-Fos were not observed, neuronal damage in those nuclei was not suspected. However, although there was no abnormality of mAChR immunostaining in HN and IO, the rate of mAChR-immunopositive neurons in ARC was less than that in control. These observations indicate that immunohistochemical study on the neuronal changes in ARC can provide useful information for diagnosing SIDS.</p>","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"52 6","pages":"350-4"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21201432","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":"[Immunohistochemical studies on neuronal changes in brain stem nucleus of forensic autopsied cases. I. Various cases of asphyxia and respiratory disorder].","authors":"S Kubo,&nbsp;Y Orihara,&nbsp;T Gotohda,&nbsp;I Tokunaga,&nbsp;R Tsuda,&nbsp;K Ikematsu,&nbsp;O Kitamura,&nbsp;A Yamamoto,&nbsp;I Nakasono","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Several nuclei in brain stem are well known to play an important role in supporting human life. However, the connection between neural changes of brain stem and the cause of death is not yet fully understood. To investigate the correlation of brain stem damage with various cause of respiratory disorders, neural changes of the arcuate nucleus (ARC), the hypoglossal nucleus (HN) and the inferior olivary nucleus (IO) were examined using immunohistochemical technique. Based on the cause of death, the forensic autopsy cases were divided into 5 groups as follows. Group I: hanging, ligature strangulation and manual strangulation, Group II: smothering and choking, Group III: drowning, Group IV: respiratory failure, control group: heat stroke and sun stroke. Brain was fixed with phosphate-buffer formalin, and the brain stem was horizontally dissected at the level of apex, then embedded in paraffin. The sections were stained with the antibodies against microtubule-associated protein 2 (MAP2), muscalinic acetylcholine receptor (mAChR), c-fos gene product (c-Fos) and 72 kD heat-shock protein (HSP70). Three nuclei showed no obvious morphological changes in all examined groups. However, in case of asphyxia (Group I to III), neurons in HN were positively stained with both HSP70 and c-Fos antibodies. This may indicate that the occlusion of upper airway results in the neuronal damage of HN without their morphological changes. Positive staining of HSP70 and c-Fos in IO was more frequently observed in Group III than other 4 groups. Since IO is involved in maintaining body balance which is often disturbed by drowning, it seems possible that neuronal damage in IO observed in drowning may be related to the disturbance of body balance. These observations indicate that immunohistochemical study on the damage to neurons in brain stem nuclei can provide useful information for determining the cause of death.</p>","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"52 6","pages":"345-9"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21201519","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":"[Metabolic activation of azaheterocyclics induced dopaminergic toxicity: possible candidate neurotoxins underlying idiopathic Parkinson's disease].","authors":"K Matsubara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1983, 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), a contaminant of \"synthetic heroin\", has been reported to induce parkinsonian symptoms in humans, who were responsive to L-DOPA therapy, as a result of the degeneration of nigrostriatal neurons. The \"MPTP story\" hypothesizes that Parkinson's disease may be initiated or percipitated by environmental and/or endogenous toxins by a mechanism similar to that of MPTP in genetically-predisposed individuals. Several classes of heterocyclic molecules structurally related to MPTP have been advanced as possible neurotoxicant precursors underlying the nigrostriatal degeneration in Parkinson's disease. Indoleamine-related beta-carbolines (beta Cs), a class of heterocyclics which are basically plant alkaloids, are proposed as the most promising natural MPTP-like toxicants or protoxicants. In this article, beta Cs and N-methylated beta C cations are reviewed with regards to their formation, bioactivation, toxicity and presence in the human central nervous system. The enzymes in mammalian brain particulate fractions methylate beta Cs, sequentially forming 2-mono-[N]-methylated (2-Me beta C+s) and neurotoxic 2,9-di-[N, N']-methylated (2,9-Me2 beta C+s) beta-carbolinium cations. These beta C+s are structural analogs of 1-methyl-4-phenylpyridinium ion (MPP+), an active metabolite of MPTP, with a nitrogen bridge. The beta C+s not only inhibit DA reuptake and tyrosine hydroxylase, but also function as NADH-linked respiratory inhibitors in isolated mitochondria. The quarternization of beta C strikingly increased the affinity for dopamine transporter with 2-10 times greater Km and 10 times smaller Vmax values than MPP+. Furthermore, we have found higher concentrations of beta C+s localized in the nigra than in the cortex, and observed the S-adenosyl-L-methionine-dependent methylation of 2[beta]- and 9[indole]-nitrogens of beta Cs in non-parkinsonian human brains. Moreover, the cerebrospinal fluid levels of these beta C+s are higher in parkinsonian than non-parkinsonian patients. Simple beta-carboline induced parkinsonian-like symptoms in mice via N-methylation. These results indicated that beta C is a selective dopaminergic toxin precursor, that is sequentially methylated to form 2,9-Me2 beta C+ that could be an underlying factor in idiopathic Parkinson's disease.</p>","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"52 5","pages":"301-5"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20950431","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":"Sudden natural death in driving: case studies in the western area of Kanagawa.","authors":"M Osawa,&nbsp;T Nagasawa,&nbsp;N Yukawa,&nbsp;Y Nakajima,&nbsp;Y Seto,&nbsp;T Ohki,&nbsp;T Saito,&nbsp;S Takeichi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To assess their incidence and implications, we made a retrospective study of sudden unexpected natural deaths during driving that occurred in the five year-period between 1992 and 1997. During that period, 188 postmortem examinations were performed on driver victims of traffic accidents. Of these, 15 (8%) were found to have died of natural causes such as heart disease or cerebral hemorrhage. Marked findings in this study were that no persons over 70 years of age and more occupational drivers suffered natural death. Although no passengers or pedestrians were injured, as many as eight vehicles collided with another object or vehicle. Sudden natural death, particularly from cerebral hemorrhage, of drivers might be hazardous to other road users.</p>","PeriodicalId":19215,"journal":{"name":"Nihon hoigaku zasshi = The Japanese journal of legal medicine","volume":"52 5","pages":"315-8"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20950434","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}