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Animal attack, concocted for monetary benefits: A case report. 动物袭击，为金钱利益而编造：案例报告
Medico-Legal Journal Pub Date : 2024-06-01 Epub Date: 2024-05-17 DOI: 10.1177/00258172241238079
Bhoj K Sahu, Harvinder S Chhabra, Bedanta Sarma
{"title":"Animal attack, concocted for monetary benefits: A case report.","authors":"Bhoj K Sahu, Harvinder S Chhabra, Bedanta Sarma","doi":"10.1177/00258172241238079","DOIUrl":"10.1177/00258172241238079","url":null,"abstract":"<p><p>Injuries from animal attacks usually occur when animals feel provoked, surprised or threatened. They may range from minor bruises and contusions to deep extensive injuries caused by biting, kicking or trampling, etc. The scenario differs from animal to animal and between species; by comparing the pattern of injuries it may be possible to work out the animal involved. We present a case where a story of an animal attack was conceived for monetary benefits. Determining the circumstances surrounding death may not be possible in all post-mortem cases but a medical examiner should strive to elicit as much information as possible from the dead body.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"109-111"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959560","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
Samaritan doctors - should interventions be limited to dealing with emergency situations? 撒玛利亚医生--干预是否应仅限于处理紧急情况？
Medico-Legal Journal Pub Date : 2024-05-17 DOI: 10.1177/00258172241236581
Eleanor Jane Turner, Diana Brahams
{"title":"Samaritan doctors - should interventions be limited to dealing with emergency situations?","authors":"Eleanor Jane Turner, Diana Brahams","doi":"10.1177/00258172241236581","DOIUrl":"https://doi.org/10.1177/00258172241236581","url":null,"abstract":"","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241236581"},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959660","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
Comparative evaluation of two different dental age estimation methods using tooth pulp: A CBCT study. 利用牙髓对两种不同牙龄估计方法进行比较评估：CBCT 研究。
Medico-Legal Journal Pub Date : 2024-05-13 DOI: 10.1177/00258172241235466
Harmi Patel, Shilpa J Parikh, Jigna S Shah
{"title":"Comparative evaluation of two different dental age estimation methods using tooth pulp: A CBCT study.","authors":"Harmi Patel, Shilpa J Parikh, Jigna S Shah","doi":"10.1177/00258172241235466","DOIUrl":"https://doi.org/10.1177/00258172241235466","url":null,"abstract":"<p><strong>Aim: </strong>To estimate the age of an individual based on 3D radiographic evaluation of pulp width of maxillary central incisor.</p><p><strong>Materials and methods: </strong>This study included 185 CBCT images of individuals within age range of 14-64 years. Images were evaluated for maxillary central incisors and pulp width measurements were taken from cementoenamel junction and middle third of root. Obtained data was subjected to correlation and regression analysis from which the age of an individual was predicted. Results of the present study were compared with another study by the same authors.</p><p><strong>Results: </strong>A negative linear relationship was obtained between age and pulp width. The standard error of estimate (SEE) in sagittal section was 11.36 years and that in coronal section was 11.23 years. The coefficient of determination for sagittal section was 0.107 and for coronal section was 0.127. An obtained regression formula was highly significant. Division of samples into various age groups reduced SEE drastically.</p><p><strong>Conclusion: </strong>It can be concluded that pulp width of maxillary central incisor is a reliable indicator of age estimation.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241235466"},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913079","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
Duplex kidney: An incidental autopsy finding of clinical and medico-legal significance. 双肾脏：具有临床和医学法律意义的尸检偶然发现。
Medico-Legal Journal Pub Date : 2024-05-03 DOI: 10.1177/00258172241233403
Daideepya C Bhargava, Anupriya S Nair, Vikas P Meshram, Meenakshi Rao, Tanuj Kanchan
{"title":"Duplex kidney: An incidental autopsy finding of clinical and medico-legal significance.","authors":"Daideepya C Bhargava, Anupriya S Nair, Vikas P Meshram, Meenakshi Rao, Tanuj Kanchan","doi":"10.1177/00258172241233403","DOIUrl":"https://doi.org/10.1177/00258172241233403","url":null,"abstract":"<p><p>Duplex kidney, a rare congenital anomaly characterised by dual urinary drainage from the kidney, is typically discovered incidentally, often during radiological imaging or autopsy procedures. We report a case of a 21-year-old male who died from injuries sustained in a road traffic accident. The autopsy examination showed an incidental finding of duplex kidney on the left side. We discuss the clinical and potential medico-legal significance of duplex kidney which also has implications in renal transplantation. Notably, the presence of duplex kidney can potentially serve as an identifier in forensic investigations, given its rare incidence.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241233403"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865623","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
The eye in forensic practice: In the dead. 法医实践中的眼睛：在死者身上。
Medico-Legal Journal Pub Date : 2024-05-01 DOI: 10.1177/00258172241230210
Alok Atreya, Navneet Ateriya, Ritesh G Menezes
{"title":"The eye in forensic practice: In the dead.","authors":"Alok Atreya, Navneet Ateriya, Ritesh G Menezes","doi":"10.1177/00258172241230210","DOIUrl":"https://doi.org/10.1177/00258172241230210","url":null,"abstract":"<p><p>Post-mortem examination of the eye provides valuable forensic information yet is often overlooked. This brief review focuses on determining the cause/manner of death and post-mortem interval. External eye findings like corneal haziness and tache noire, combined with post-mortem changes in the iris, lens, retina and vitreous humour, can help estimate time since death. Ocular biometrics (iris/retinal scans) may facilitate identification. Age-related ocular changes can provide insights. The eye offers clues into personality (corneal tattooing, trichotillomania) and cause of death (petechiae in strangulation, retinal haemorrhages in abusive head trauma). Ocular trauma and underlying eye disease may be evident. Toxicology of vitreous humour can detect drugs/poisons. As a window into systemic disease and age-related changes, the eye aids pathology interpretations and, accordingly, post-mortem examinations have value. Ocular findings should not be overlooked in forensic examinations as they provide distinct information in determining cause/manner of death and post-mortem interval.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241230210"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866059","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
Undiagnosed rheumatic carditis causing sudden death in a young adult: A case report and review. 未确诊的风湿性心脏病导致一名年轻成人猝死：病例报告与回顾
Medico-Legal Journal Pub Date : 2024-05-01 DOI: 10.1177/00258172241230207
Bajrang K Singh, Jitendra S Tomar, Ravi Jain, Surya Prakash, Suyasha Narayan
{"title":"Undiagnosed rheumatic carditis causing sudden death in a young adult: A case report and review.","authors":"Bajrang K Singh, Jitendra S Tomar, Ravi Jain, Surya Prakash, Suyasha Narayan","doi":"10.1177/00258172241230207","DOIUrl":"https://doi.org/10.1177/00258172241230207","url":null,"abstract":"<p><p>Acute rheumatic fever-related acquired heart disease in children and young adults is a worldwide issue, but it poses a serious public health threat in developing nations like India. We present a case report of a young adult who collapsed suddenly during a routine walk and was declared dead in an emergency ward on arrival. There was no significant past medical history. On autopsy, massive cardiomegaly and a \"butter and bread\" appearance of the pericardium, along with findings suggestive of mitral stenosis and aortic regurgitation, raised suspicion about rheumatic heart disease. Rheumatic carditis was confirmed by a microscopic examination that showed Aschoff bodies in the left ventricle, mitral valve and interventricular septum, in addition to uncommon Anitschkow cells in the left ventricle. A sudden death due to undiagnosed rheumatic carditis causing such massive cardiomegaly is rare. This case highlights the need to keep rheumatic carditis as a cause of sudden death.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241230207"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869678","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
Co-occurrence of patent foramen ovale and Chiari network in a diabetic patient. 一名糖尿病患者同时患有卵圆孔未闭和 Chiari 网络。
Medico-Legal Journal Pub Date : 2024-05-01 DOI: 10.1177/00258172241230205
Hind Abouzahir, Ahmed Belhouss, Hicham Benyaich
{"title":"Co-occurrence of patent foramen ovale and Chiari network in a diabetic patient.","authors":"Hind Abouzahir, Ahmed Belhouss, Hicham Benyaich","doi":"10.1177/00258172241230205","DOIUrl":"https://doi.org/10.1177/00258172241230205","url":null,"abstract":"<p><strong>Introduction: </strong>The coexistence of congenital cardiovascular anomalies provides valuable insights into the intricate nature of human cardiac anatomy and its potential interactions with underlying health conditions. This case report presents an autopsy analysis of a diabetic patient manifesting both a patent foramen ovale and a Chiari network.</p><p><strong>Case presentation: </strong>A 26-year-old male with a history of type 2 diabetes mellitus was admitted with post cardiac arrest. He died despite resuscitative efforts. Autopsy revealed notable findings including a patent foramen ovale and a Chiari network. Post-mortem biochemical markers indicated elevated HbA1c level and hyperglycaemia. The absence of cryptogenic strokes or paradoxical embolism prompted exploration into potential relationships between these anomalies and metabolic disturbances, and prompts a discussion about whether the observed anatomical variations could potentially serve as risk factors contributing to the patient's death due to complications of diabetes.</p><p><strong>Conclusion: </strong>The co-occurrence of a patent foramen ovale and a Chiari network within a diabetic patient, accompanied by elevated HbA1c level and hyperglycaemia, offers a unique perspective on the convergence of congenital cardiovascular variation and metabolic health. The juxtaposition of these anomalies with biochemical markers underscores the intricate interplay between cardiac morphology and metabolic conditions.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172241230205"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867280","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
“First do no harm” – Primodos, sodium valproate and surgical mesh "首先不要伤害"--普里莫多、丙戊酸钠和手术网片
Medico-Legal Journal Pub Date : 2024-03-05 DOI: 10.1177/00258172231185488
B. Cumberlege, Sonia Macleod
{"title":"“First do no harm” – Primodos, sodium valproate and surgical mesh","authors":"B. Cumberlege, Sonia Macleod","doi":"10.1177/00258172231185488","DOIUrl":"https://doi.org/10.1177/00258172231185488","url":null,"abstract":"","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":"4 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265025","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
Sexual abuse in late postmenopausal women: Complete posterior colporrhexis with intestinal evisceration 绝经后期妇女遭受性虐待：完全性后结肠瘘伴肠道撕裂
Medico-Legal Journal Pub Date : 2024-03-05 DOI: 10.1177/00258172231200789
Dubravko Habek
{"title":"Sexual abuse in late postmenopausal women: Complete posterior colporrhexis with intestinal evisceration","authors":"Dubravko Habek","doi":"10.1177/00258172231200789","DOIUrl":"https://doi.org/10.1177/00258172231200789","url":null,"abstract":"Genital injuries from sexual intercourse in late postmenopause (senium) are rare in clinical practice and may result from sexual abuse. I present a medically and judicially completed case as a contribution to forensic gynaecological literature where an 82-year-old women suffered extensive and life-threatening injury (complete posterior colporrhexis with intestinal evisceration) when she was raped (20 years ago) by a young perpetrator.","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":"117 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079155","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
Variations in services and intervention pathways for traumatic stress in Welsh prisons: A national survey. 威尔士监狱创伤应激反应服务和干预途径的差异：全国调查。
Medico-Legal Journal Pub Date : 2024-03-01 Epub Date: 2024-02-09 DOI: 10.1177/00258172231214432
Natasha Kalebic, Clare Crole-Rees, Jack Tomlin, Claudia Berrington, Isidora Popovic, Andrew Forrester
{"title":"Variations in services and intervention pathways for traumatic stress in Welsh prisons: A national survey.","authors":"Natasha Kalebic, Clare Crole-Rees, Jack Tomlin, Claudia Berrington, Isidora Popovic, Andrew Forrester","doi":"10.1177/00258172231214432","DOIUrl":"10.1177/00258172231214432","url":null,"abstract":"<p><p>Both Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder are prevalent in prison settings. Both often go undetected and untreated, while prisoners who already suffered previous trauma may be re-traumatised upon imprisonment. The current study aimed to conduct a national survey of all Welsh prisons to gather information about existing services and treatments for traumatic stress. The survey identified variation within Welsh prisons with regard to NICE-recommended evidence-based therapies. It is therefore recommended that there needs to be development of a pathway of Post-Traumatic Stress Disorder and Complex Post-Traumatic Stress Disorder in the prison system which should be achieved through a consensus process of both frontline staff and experts in the field.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"50-53"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10916347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708077","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
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