Soudni Lekarstvi最新文献_第9页

[Injuries associated with cardiopulmonary resuscitation]. [与心肺复苏相关的损伤]。

Soudni Lekarstvi Pub Date : 2014-07-01

Lucie Ihnát Rudinská, Petr Hejna, Peter Ihnát, Margita Smatanová, Igor Dvořáček, Anatolij Truhlář

{"title":"[Injuries associated with cardiopulmonary resuscitation].","authors":"Lucie Ihnát Rudinská, Petr Hejna, Peter Ihnát, Margita Smatanová, Igor Dvořáček, Anatolij Truhlář","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Therapeutic procedures performed during cardiopulmonary resuscitation on patients in cardiac arrest or unconsciousness from any other cause can have serious adverse effects. Scale of injuries scale is very wide - from simple skin lacerations up to serious injuries which can even thwart possibility of successful resuscitation and cause death.Materials and methods: Comprehensive review of current literature aimed at injuries associated with cardiopulmonary resuscitation.Results: Authors of this paper offer up-to-date review of possible cardiopulmonary resuscitation associated injuries, which are discussed depending on the method of performed resuscitation - airway management, chest compressions without tools or with automated mechanical devices, and defibrillation. Airway management is frequently associated with subcutaneous hematomas of the neck and head, mucosal membrane lacerations, teeth fractures and airway aspiration. Autopsy findings after cardiac massage are: rib and sternal fractures (very frequent); pleura, lung and cardiac injuries (frequent); cervical spine injuries, pericardial tamponades due to cardiac or aorta rupture, liver, spleen or stomach lacerations (rare). Defibrillation can create skin burns, cardiac or renal injuries due to rhabdomyolysis.Conclusion: Forensic pathologists as well as clinical practitioners should be aware of the relevance of possible injuries associated with cardiopulmonary resuscitation. The injuries should be avoided if possible, or distinguished from injuries of other origin if they cannot be prevented.","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":"59 3","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32638594","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 application of X-ray imaging in forensic medicine]. x射线成像在法医学中的应用

Soudni Lekarstvi Pub Date : 2014-07-01

Stěpánka Kučerová, Miroslav Safr, Michaela Ublová, Petra Urbanová, Petr Hejna

{"title":"[The application of X-ray imaging in forensic medicine].","authors":"Stěpánka Kučerová, Miroslav Safr, Michaela Ublová, Petra Urbanová, Petr Hejna","doi":"","DOIUrl":"","url":null,"abstract":"X-ray is the most common, basic and essential imaging method used in forensic medicine. It serves to display and localize the foreign objects in the body and helps to detect various traumatic and pathological changes. X-ray imaging is valuable in anthropological assessment of an individual. X-ray allows non-invasive evaluation of important findings before the autopsy and thus selection of the optimal strategy for dissection. Basic indications for postmortem X-ray imaging in forensic medicine include gunshot and explosive fatalities (identification and localization of projectiles or other components of ammunition, visualization of secondary missiles), sharp force injuries (air embolism, identification of the weapon) and motor vehicle related deaths. The method is also helpful for complex injury evaluation in abused victims or in persons where abuse is suspected. Finally, X-ray imaging still remains the gold standard method for identification of unknown deceased. With time modern imaging methods, especially computed tomography and magnetic resonance imaging, are more and more applied in forensic medicine. Their application extends possibilities of the visualization the bony structures toward a more detailed imaging of soft tissues and internal organs. The application of modern imaging methods in postmortem body investigation is known as digital or virtual autopsy. At present digital postmortem imaging is considered as a bloodless alternative to the conventional autopsy.","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":"59 3","pages":"34-8"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32638595","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

A case of arrhythmogenic right ventricular cardiomyopathy (ARVC/D) in which tenascin C immunostaining made the assessment of myocardial remodeling possible. 心律失常性右室心肌病(ARVC/D) 1例，腱素C免疫染色可以评估心肌重构。

Soudni Lekarstvi Pub Date : 2014-07-01

Takeshi Kondo

引用次数: 0

A questionable bruise. 一个可疑的瘀伤。

Soudni Lekarstvi Pub Date : 2014-07-01

Hossein Sanaei-Zadeh, Kamran Aghakhani

引用次数: 0

[Ultrastruktural diagnosis of hypertrophic kardiomyopathy with β-aktin mutation in sudden death - case report]. 猝死型肥厚性心肌病伴β-akt蛋白突变的超微结构诊断[j]。

Soudni Lekarstvi Pub Date : 2014-04-01

David Vajtr, Libor Staněk, Marek Dogoši, Oldřich Benada, Přemysl Strejc, Pavel Dundr

{"title":"[Ultrastruktural diagnosis of hypertrophic kardiomyopathy with β-aktin mutation in sudden death - case report].","authors":"David Vajtr, Libor Staněk, Marek Dogoši, Oldřich Benada, Přemysl Strejc, Pavel Dundr","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Light microscopy and electron microscopy rank among methods to diagnose of cardiomyopathy in forensic medicine, and, recently, the methods of molecular biology.Methods: Investigation of 27 year old man who collapsed on his way to work. The Rescuers did not succeed resuscitation of vital function. Samples were H-E stained and processed for the electron microscopy. RNA was isolated from the tissue for the alpha, beta, gama actine primer investigation.Results: By H-E staining we proved irregular hypertrophic cardiomyocytes (disarray) with the links and loci patches of thin fibrosis. Ultrastructurally we diagnosed a disarray of Z-bands, accumulation of mitochondria, rectangular nuclei of cardiomyocytes. We have detected rare plasmocytes and leucocytes with specific granules in cytoplasma. In the electronogrames we can see myofibriles oriented longitudinally and transversally. A genetic examination demonstrated beta actin mutation.Conclusion: Cardiomyopathy can be a cause of sudden and unexpected death in young individuals and its diagnostics requires an interdisciplinary collaboration.Keywords: Sudden and unexpected death - hypertrophic cardiomyopathy - ultrastructure of cardiomyocyte - gene mutation.","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":"59 2","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32281826","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

Death due to perforation of solitary rectal ulcer: case report. 孤立性直肠溃疡穿孔致死亡1例。

Soudni Lekarstvi Pub Date : 2014-04-01

Recep Fedakar, Okan Akan, Bülent Eren, Nursel Türkmen, Selçuk Cetin

引用次数: 0

Relationship between the stature and the length of long bones measured from the X-rays; modified trotter and gleser formulae in iranian population: A preliminary report. 身高与x光测量的长骨长度之间的关系;在伊朗人群中改良的trotter和gleser配方:初步报告。

Soudni Lekarstvi Pub Date : 2014-04-01

Mohammadreza Farsinejad, Samira Rasaneh, Nasim Zamani, Farkhondeh Jamshidi

引用次数: 0

Outdoor post-mortem depredation by local fauna. 死后被当地动物在户外掠夺。

Soudni Lekarstvi Pub Date : 2014-01-01

Alessandro Feola, Sara Campilongo, Bruno Della Pietra

引用次数: 0

[Possibilities of molecular genetic determination of age of an individual from biological traces]. [从生物痕迹中确定个体年龄的分子遗传学的可能性]。

Soudni Lekarstvi Pub Date : 2014-01-01

Marie Korabečná

{"title":"[Possibilities of molecular genetic determination of age of an individual from biological traces].","authors":"Marie Korabečná","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: Application of molecular genetic methods during the examination of biological traces is irreplaceable for individual identification of their originators. However, this analysis does not provide any clues for further investigation without the possibility to compare the genetic profile of the examined trace with the profile of its potential originator. The age of a searched person represents an important entry for investigators. In this review, the recent methodical molecular genetic approaches are discussed with regards to their practical outputs leading to the estimation of biological age of an individual. The length of telomeric sequences and their attritions correlating with increasing age seemed to be very promising marker if they have been examined using Southern blot analysis. This method is not suitable for forensic casework due to the need of high amounts of DNA input. Recent methods based on quantitative polymerase chain reaction (qPCR) are applicable on samples with minimal DNA concentrations but they provide inconclusive results with regard to the age estimation based on the length of telomeres. Therefore novel methodical approaches were developed. Application of methods based on the examination of deletions in mitochondrial DNA, on the presence of transcripts of gamma hemoglobins or on the quantification of byproducts of somatic rearrangements of genes for T-cell receptors is restricted to special types of biological traces. The age dependent methylation of specific nucleotides in selected gene sequences seems to be the only promising universal marker.Keywords: age estimation - molecular genetics - telomere attrition - qPCR - array technology - promoter methylation.","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":"59 4","pages":"52-4"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32833550","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

Causes of death and heart pathology in pacemaker or implantable cardioverter-def ibrillator patients who died in hospital. 在医院死亡的起搏器或植入式心律转复除颤器患者的死因和心脏病理。

Soudni Lekarstvi Pub Date : 2014-01-01

Petr Dvořák, Miroslav Novák, Pavel Kamarýt, Bronislava Slaná, Jolana Lipoldová, Pavel Dvořák, Karel Veselý

引用次数: 0