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Enhancing trauma evaluation: Comparative analysis of post-mortem computed tomography and autopsy findings in abdominal stab wounds. 加强创伤评估：腹部刀伤死后计算机断层扫描与尸检结果的对比分析。
Medico-Legal Journal Pub Date : 2024-07-29 DOI: 10.1177/00258172241245556
Darshan Galoria, Srushti Shukla, Shridhar Dave, Preeti Tiwari, Prateek Rastogi, Pradeep Rana, Dhara Goswami, Arijit Datta
{"title":"Enhancing trauma evaluation: Comparative analysis of post-mortem computed tomography and autopsy findings in abdominal stab wounds.","authors":"Darshan Galoria, Srushti Shukla, Shridhar Dave, Preeti Tiwari, Prateek Rastogi, Pradeep Rana, Dhara Goswami, Arijit Datta","doi":"10.1177/00258172241245556","DOIUrl":"https://doi.org/10.1177/00258172241245556","url":null,"abstract":"<p><p>In cases of traumatic deaths, accurate assessment of injuries is essential for both legal and medical purposes. This case report compares the findings of post-mortem computed tomography with conventional autopsy methods in assessing abdominal stab wounds. A 34-year-old woman with multiple stab wounds in the abdomen underwent post-mortem examination, including computed tomography imaging. Computed tomography revealed specific breaches in the skin's continuity and internal injuries, including perforation of the stomach. A conventional autopsy confirmed the presence of multiple stab wounds and associated injuries to internal structures. However, additional injuries to major blood vessels, such as the abdominal aorta and inferior vena cava, were only detected during manual exploration of the peritoneal cavity. This case highlights the complementary roles of post-mortem computed tomography and conventional autopsy in evaluating traumatic injuries. While computed tomography imaging offers non-invasive visualisation of injuries, manual examination remains essential for identifying certain injuries, particularly those affecting major blood vessels. The integration of computed tomography imaging with traditional autopsy methods enhances the accuracy and reliability of forensic assessments in cases of traumatic deaths, particularly in complex cases involving multiple injuries. Understanding the strengths and limitations of these techniques is crucial for improving forensic investigations and ultimately enhancing medico-legal outcomes.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241245556"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793706","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}
引用次数: 0
Histopathological and medico-legal aspects in a case of death related to an undiagnosed cerebral large B-cell lymphoma. 一例与未确诊的脑大 B 细胞淋巴瘤有关的死亡病例的组织病理学和医学法律问题。
Medico-Legal Journal Pub Date : 2024-07-29 DOI: 10.1177/00258172241245856
Rosario Barranco, Anna Roncallo, Sara Candosin, Rita Bianchi, Giulio F Orcioni, Francesco Ventura
{"title":"Histopathological and medico-legal aspects in a case of death related to an undiagnosed cerebral large B-cell lymphoma.","authors":"Rosario Barranco, Anna Roncallo, Sara Candosin, Rita Bianchi, Giulio F Orcioni, Francesco Ventura","doi":"10.1177/00258172241245856","DOIUrl":"https://doi.org/10.1177/00258172241245856","url":null,"abstract":"<p><p>We report an unusual and undetected case of primary central nervous system lymphoma presenting as multiple lesions in the periventricular occipital lobe in an immunocompetent host, which had manifested as a stroke. The neoplastic diagnosis was made only after death following a thorough autopsy and histopathological examinations which enabled the diagnosis of a rare cancer (primary cerebral lymphoma) which remained undetected and undiagnosed during life.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241245856"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793707","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}
引用次数: 0
Sudden death in a newborn from cerebral venous sinus thrombosis resulting from meningitis. 新生儿因脑膜炎导致脑静脉窦血栓形成而猝死。
Medico-Legal Journal Pub Date : 2024-07-29 DOI: 10.1177/00258172241250193
Francesco Ventura, Martina Drommi, Rosario Barranco, Valerio G Vellone
{"title":"Sudden death in a newborn from cerebral venous sinus thrombosis resulting from meningitis.","authors":"Francesco Ventura, Martina Drommi, Rosario Barranco, Valerio G Vellone","doi":"10.1177/00258172241250193","DOIUrl":"https://doi.org/10.1177/00258172241250193","url":null,"abstract":"<p><p>Septic cerebral venous sinus thrombosis is a rare but often fatal complication caused by bacterial meningitis and paranasal sinusitis.We report a particular case of the sudden and unexpected death of a six-day-old infant from unrecognised acute meningitis that caused a thrombotic occlusion of the venous sinuses (with the particular involvement of the torcular Herophili at the confluence of sinuses) resulting in subdural haemorrhage.This case report alerts paediatricians and neonatologists to the importance of promptly considering a possible diagnosis of meningitis without delay to avoid the fatal complications described here. As in all cases of sudden infant death our case study underlines the need for a thorough autopsy, accompanied by histological analysis, in order to identify the causes of the underlying pathological mechanisms causing death and to ensure an adequate differential diagnosis.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241250193"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793708","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}
引用次数: 0
Suicide contagion and psychosocial risks among Nepali youth through a near-hanging case study. 通过近乎上吊的案例研究尼泊尔青年的自杀传染和社会心理风险。
Medico-Legal Journal Pub Date : 2024-06-13 DOI: 10.1177/00258172241243169
Alok Atreya, Tanya Mahato, Samata Nepal, Sharad Paudel, Bhaskkar Sharma, Bishnu Acharya, Dikshya Bashyal
{"title":"Suicide contagion and psychosocial risks among Nepali youth through a near-hanging case study.","authors":"Alok Atreya, Tanya Mahato, Samata Nepal, Sharad Paudel, Bhaskkar Sharma, Bishnu Acharya, Dikshya Bashyal","doi":"10.1177/00258172241243169","DOIUrl":"https://doi.org/10.1177/00258172241243169","url":null,"abstract":"<p><p>The phenomenon of suicide contagion: some individuals, especially vulnerable young people, exhibit increased susceptibility to suicidal ideation when exposed to the suicide of other people. Significant research suggests that exposure to media portrayals, suicide groups and peer suicides may lead to suicide contagion. Prevalent psychosocial and cultural factors in Nepal such as interpersonal conflict, domestic violence, gender inequity and social exclusion probably contribute to suicidal behaviour. This case study investigates a high school student in a rural mountainous community in Nepal, who attempted suicide by hanging following his girlfriend's suicide, and demonstrates how peer suicide exposure prompts imitative behaviour in a vulnerable young person and confirms suicide grief as an underrepresented risk factor. Prompt, supportive interventions for high-risk grievers and societal prevention strategies tailored to adolescents are essential to curb imitative deaths.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241243169"},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318516","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}
引用次数: 0
Traumatic injuries by conducted electrical weapons: Case report of self-injury to the hand during stun gun training. 传导电武器造成的创伤性伤害:在电击枪训练期间手部自伤的案例报告。
Medico-Legal Journal Pub Date : 2024-06-01 Epub Date: 2023-12-02 DOI: 10.1177/00258172231191075
Pierluigi Passalacqua, Margherita Pallocci, Lucilla De Luca, Claudia Zanovello, Mario Bragaglia, Michele Treglia
{"title":"Traumatic injuries by conducted electrical weapons: Case report of self-injury to the hand during stun gun training.","authors":"Pierluigi Passalacqua, Margherita Pallocci, Lucilla De Luca, Claudia Zanovello, Mario Bragaglia, Michele Treglia","doi":"10.1177/00258172231191075","DOIUrl":"10.1177/00258172231191075","url":null,"abstract":"<p><p>The use of non-lethal weapons has spread worldwide, being introduced as an alternative to firearms in many countries such as the United States or the United Kingdom. Among non-lethal weapons, conducted electrical weapons have been adopted worldwide, to control unruly suspected criminals or to neutralise violent situations. The stun gun belongs to this category and is the most widely available, with more than 140,000 units in use by police officers in the field in the US, and an additional 100,000 electrical stun guns owned by civilians worldwide. In Italy, the use of conducted electrical weapons by law enforcement has only recently been introduced, with private use and commercialisation still prohibited, mainly due to controversies related to the potential dangers of such devices.Before the official adoption, several experiments had to be carried out, with mechanisms that reproduced the ballistics of the stun gun. Here we present the case of a man who suffered a self-injury trauma to his hand during a ballistics exercise with a crossbow loaded with stun gun probes.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"105-108"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478770","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}
引用次数: 0
Ethical considerations in dermatology - musings from the city to surf. 皮肤科的伦理考量--从城市到冲浪的思考。
Medico-Legal Journal Pub Date : 2024-06-01 Epub Date: 2024-05-17 DOI: 10.1177/00258172241237649
Annika Smith, Cameron Stewart
{"title":"Ethical considerations in dermatology - musings from the city to surf.","authors":"Annika Smith, Cameron Stewart","doi":"10.1177/00258172241237649","DOIUrl":"10.1177/00258172241237649","url":null,"abstract":"","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"112"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959588","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}
引用次数: 0
Awareness of medical cannabis regulations among UK police officers - a cross-sectional study. 英国警官对医用大麻法规的认识 - 一项横断面研究。
Medico-Legal Journal Pub Date : 2024-06-01 Epub Date: 2024-05-17 DOI: 10.1177/00258172241237650
Simon Erridge, Claire Wang, Lucy Troup, Mikael H Sodergren
{"title":"Awareness of medical cannabis regulations among UK police officers - a cross-sectional study.","authors":"Simon Erridge, Claire Wang, Lucy Troup, Mikael H Sodergren","doi":"10.1177/00258172241237650","DOIUrl":"10.1177/00258172241237650","url":null,"abstract":"<p><p>Cannabis-based products for medicinal use were rescheduled in the UK in November 2018. The primary outcomes of this cross-sectional survey were to assess awareness of legislation governing these products among UK police officers and whether they had received appropriate training. 200 police officers completed the survey, and 57 (28.5%) respondents did not know these products were legal on prescription in the UK. 177 (88.5%) police officers believed they would benefit from more training on them and how to identify legal medical cannabis patients. Education on the legalities of cannabis-based products for medicinal use and why they are prescribed is necessary to improve knowledge among police officers.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"99-102"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The legal and medical consequences of child marriage. 童婚的法律和医学后果。
Medico-Legal Journal Pub Date : 2024-06-01 Epub Date: 2024-03-28 DOI: 10.1177/00258172231191070
Affifa Farrukh, Hamza Buttar, John F Mayberry
{"title":"The legal and medical consequences of child marriage.","authors":"Affifa Farrukh, Hamza Buttar, John F Mayberry","doi":"10.1177/00258172231191070","DOIUrl":"10.1177/00258172231191070","url":null,"abstract":"<p><p>The Marriage and Civil Partnership (Minimum Age) Act 2022 came into force in England on 27 February 2023 and made both registered and unregistered marriages involving people under 18 illegal in England and Wales. This means that such marriages which take place outside England and Wales will not be recognised and those who organised them, including parents, will have committed a criminal offence.This review considers issues related to families where such marriages have happened, including their impact on the health of the victim and any resulting children. It touches on religious and societal issues and the need for targeted and appropriate education.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"82-85"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307172","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}
引用次数: 0
Medico-legal implications of dementia following concussion in rugby football. 橄榄球运动中脑震荡后痴呆症的医疗法律影响。
Medico-Legal Journal Pub Date : 2024-06-01 Epub Date: 2024-02-10 DOI: 10.1177/00258172231184550
Nicholas Todd
{"title":"Medico-legal implications of dementia following concussion in rugby football.","authors":"Nicholas Todd","doi":"10.1177/00258172231184550","DOIUrl":"10.1177/00258172231184550","url":null,"abstract":"<p><p>There is litigation in respect of dementia in ex-rugby football players. The allegation is that these ex-players have suffered a traumatic encephalopathy syndrome causing dementia and other neurological problems. The syndrome is alleged to have been caused by repeated concussion during play. It is alleged that governing bodies of rugby should have been aware, and players should have been warned, of this risk. The dilemma, for both claimants and defendants, is that there is no agreed definition of the syndrome nor are there any diagnostic tests that confirm or refute this diagnosis. This paper reviews the literature of traumatic encephalopathy syndrome and when governing bodies were aware of the possibility of rugby concussion causing dementia. The legal principles are discussed and a framework for determining the probability of an ex-rugby player having the syndrome is proposed.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139716467","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}
引用次数: 0
Historical evolution of the passenger ship's doctor. 客船医生的历史演变。
Medico-Legal Journal Pub Date : 2024-06-01 Epub Date: 2024-03-05 DOI: 10.1177/00258172231223046
Mauro Salducci, David Shaholli
{"title":"Historical evolution of the passenger ship's doctor.","authors":"Mauro Salducci, David Shaholli","doi":"10.1177/00258172231223046","DOIUrl":"10.1177/00258172231223046","url":null,"abstract":"<p><p>The authors examine the evolution of the role of resident doctors on cruise ships dating back to the Roman and Byzantine empires, then in the Middle ages. In the past surgery was rarely performed by doctors, but by barber-surgeons, who, with their razor skills, did everything from haircuts to amputations. More recently, as in the last century, the first royal decrees were issued, pillar by pillar, forming the regulatory basis governing health care on board Italian or foreign ships travelling to and from national ports.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"96-98"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029189","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}
引用次数: 0
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