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Evolución epidemiológica y causas de muerte súbita en lactantes: estudio poblacional desde 1991 a 2020 en Bizkaia 婴儿猝死的流行病学演变和原因:比斯卡亚1991 - 2020年人口研究
Revista Espanola de Medicina Legal Pub Date : 2023-01-01 DOI: 10.1016/j.reml.2022.06.002
Eneko Belmonte , Ana Monzó , Benito Morentin
{"title":"Evolución epidemiológica y causas de muerte súbita en lactantes: estudio poblacional desde 1991 a 2020 en Bizkaia","authors":"Eneko Belmonte ,&nbsp;Ana Monzó ,&nbsp;Benito Morentin","doi":"10.1016/j.reml.2022.06.002","DOIUrl":"10.1016/j.reml.2022.06.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Sudden unexpected deaths in infancy (SUDI) represents a serious public health problem. The objective of this work is to analyze its epidemiological and clinical-pathological characteristics.</p></div><div><h3>Method</h3><p>Retrospective population study of SUDI in Bizkaia between 1991–2020. Data from the Mortality Registry and Forensic Pathology Service were examined.</p></div><div><h3>Results</h3><p>1,109 deaths in children under one year were recorded. A forensic autopsy was performed in 107: 61 cases of sudden infant death syndrome (SIDS) and 23 SUDI of explained cause. In other 10 cases SIDS was coded as cause of death without forensic autopsy. The incidence of SIDS was 0.26/1000/year and decreased from 0.74 (1991–1995 five-year period) to 0.07 (2011–15 and 2016–20 periods). The percentage of SIDS in relation to total mortality decreased from 11.2 to 2.5%. In SIDS, category IB from San Diego (67%) and infants between 1 and 4 months (63%) predominated. An “unsafe sleep environment” was detected in 6 SIDS. 56.5% of the explained SUDI were infectious. Of the 84 autopsied SUDI cases, 70% had no pre-existing disease and 15% were premature and/or low birth weight infants. In 32% there were prodromal symptoms, mainly respiratory tract infection. Microscopic findings suggestive of respiratory infection were diagnosed in 10 SIDS.</p></div><div><h3>Conclusions</h3><p>The incidence of SIDS in Bizkaia is low and has decreased notably in the last 30 years. Prodromal symptoms and histopathological signs suggestive of infection are relatively common. Forensic studies provide relevant data, although prospective multidisciplinary and multicenter research would be desirable.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"49 1","pages":"Pages 11-19"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48560001","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
Muerte materna asociada a una malformación arteriovenosa uterina 与子宫动静脉畸形相关的产妇死亡
Revista Espanola de Medicina Legal Pub Date : 2023-01-01 DOI: 10.1016/j.reml.2022.05.001
Rebeca Jiménez Herrera , María Urbelina Fernández Vazquez , Ariadna Hernández y Ballinas , María De Lourdes Palmer Marquez , Efren Durand Aguilar
{"title":"Muerte materna asociada a una malformación arteriovenosa uterina","authors":"Rebeca Jiménez Herrera ,&nbsp;María Urbelina Fernández Vazquez ,&nbsp;Ariadna Hernández y Ballinas ,&nbsp;María De Lourdes Palmer Marquez ,&nbsp;Efren Durand Aguilar","doi":"10.1016/j.reml.2022.05.001","DOIUrl":"https://doi.org/10.1016/j.reml.2022.05.001","url":null,"abstract":"<div><p>Uterine arteriovenous malformation (UAMM) for some authors, considered an arteriovenous fistula, represents between 1% and 2% of genital and intraperitoneal hemorrhage as a result of spontaneous or provoked vascular rupture after a surgical intervention.</p><p>We present a case of maternal death that occurred during a walk on a slope, presenting metrorrhagia and fainting with a fatal outcome. The medico-legal autopsy showed a pregnancy uterus with myometrial hemorrhage and multiple blood clots, diagnosed pathologically as a uterine arteriovenous malformation.</p><p>Maternal death is a multifactorial public health problem in underdeveloped countries. Uterine arteriovenous malformation is a rare cause, however some authors consider it underdiagnosed; reported cases have increased in recent years and in developing countries it can be lethal.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"49 1","pages":"Pages 41-44"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49830904","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
Intoxicación suicida por nitrito sódico: una peligrosa modalidad en Internet. A propósito de un caso 自杀性亚硝酸钠中毒：互联网上的一种危险模式。关于一个案件
Revista Espanola de Medicina Legal Pub Date : 2023-01-01 DOI: 10.1016/j.reml.2022.10.002
Carlos García Caballero, Virginia González del Campo Rollán, María Antonia Martínez González
{"title":"Intoxicación suicida por nitrito sódico: una peligrosa modalidad en Internet. A propósito de un caso","authors":"Carlos García Caballero,&nbsp;Virginia González del Campo Rollán,&nbsp;María Antonia Martínez González","doi":"10.1016/j.reml.2022.10.002","DOIUrl":"https://doi.org/10.1016/j.reml.2022.10.002","url":null,"abstract":"<div><p>A case of suicide by nitrites ingestion is reported: a young woman was found death into a car with various objetcs around her, such as a white powder bag labelled as «<em>sodium nitrite»</em> and pills of lorazepam, acetaminophen and metoclopramide. The autopsy revealed signs compatible with methemoglobinemia and samples of blood, vitreous and gastric content were submitted to the Drugs Service of the National Institute of Toxicology and Forensic Sciences in Madrid, as well as the powder bag, the pills and other objects. The white powder was identified as sodium nitrite, and nitrites concentrations similar to other fatalities were detected in biological samples. The methemoglobin level was 80%. The existence of websites where suicide with nitrites and metoclopramide is described step-by-step, joined to the increasement of reports about these fatalities, alert us to a possible trend.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"49 1","pages":"Pages 37-40"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49830900","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
Data de inmersión en cuerpos recuperados del agua en el norte de la Patagonia Argentina 在阿根廷巴塔哥尼亚北部水域发现的尸体浸泡数据
Revista Espanola de Medicina Legal Pub Date : 2022-12-01 DOI: 10.1016/j.reml.2022.11.003
G. Breglia, Marcelo H. Uzal, Jorge A. Herbstein
{"title":"Data de inmersión en cuerpos recuperados del agua en el norte de la Patagonia Argentina","authors":"G. Breglia, Marcelo H. Uzal, Jorge A. Herbstein","doi":"10.1016/j.reml.2022.11.003","DOIUrl":"https://doi.org/10.1016/j.reml.2022.11.003","url":null,"abstract":"","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55111311","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
Intoxicación suicida por nitrito sódico: una peligrosa modalidad en Internet. A propósito de un caso 自杀式亚硝酸钠中毒:互联网上的一种危险方式。关于一个案例
Revista Espanola de Medicina Legal Pub Date : 2022-12-01 DOI: 10.1016/j.reml.2022.10.002
Carlos García Caballero, Virginia González del Campo Rollán, M. A. Martínez González
{"title":"Intoxicación suicida por nitrito sódico: una peligrosa modalidad en Internet. A propósito de un caso","authors":"Carlos García Caballero, Virginia González del Campo Rollán, M. A. Martínez González","doi":"10.1016/j.reml.2022.10.002","DOIUrl":"https://doi.org/10.1016/j.reml.2022.10.002","url":null,"abstract":"","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55110195","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
La odontología en la identificación de sucesos con víctimas múltiples 牙科在多受害者事件识别中的应用
Revista Espanola de Medicina Legal Pub Date : 2022-12-01 DOI: 10.1016/j.reml.2022.11.005
Aurora Valenzuela-Garach
{"title":"La odontología en la identificación de sucesos con víctimas múltiples","authors":"Aurora Valenzuela-Garach","doi":"10.1016/j.reml.2022.11.005","DOIUrl":"https://doi.org/10.1016/j.reml.2022.11.005","url":null,"abstract":"","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55111336","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
Estudio médico legal de la Ley Orgánica de Regulación de la Eutanasia en España en comparación con el resto de los países que regulan la eutanasia y/o el suicidio asistido 对西班牙管理安乐死的组织法与其他管理安乐死和/或协助自杀的国家的法律医学研究
Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.01.003
Mercedes Martínez-León, Jorge Feijoo Velaz, Daniel Queipo Burón, Camino Martínez-León
{"title":"Estudio médico legal de la Ley Orgánica de Regulación de la Eutanasia en España en comparación con el resto de los países que regulan la eutanasia y/o el suicidio asistido","authors":"Mercedes Martínez-León,&nbsp;Jorge Feijoo Velaz,&nbsp;Daniel Queipo Burón,&nbsp;Camino Martínez-León","doi":"10.1016/j.reml.2022.01.003","DOIUrl":"10.1016/j.reml.2022.01.003","url":null,"abstract":"<div><p>The regulation of euthanasia has been the subject of debate for years, from the fields of Medicine, Law and Bioethics, and therefore of Legal Medicine, in which these three disciplines converge. In the last thirty years we have experienced a process of decriminalization and regulation in different countries of the world. Currently euthanasia and/or assisted suicide are regulated in 7 countries: Holland, Belgium, Luxembourg, Canada, Colombia, New Zealand and Spain, as well as in 11 US states: Oregon, Washington, Montana, Vermont, California, Colorado, Hawaii, Maine, New Jersey, New Mexico and the Federal District of Columbia / Washington D.C, and in 2 states of Australia: State of Victoria and Western Australia. In this review work we carry out a study on the most important aspects of the new law of the regulation of euthanasia in Spain compared to the rest of the countries in which they also have the regularization of euthanasia and / or assisted suicide.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 4","pages":"Pages 166-174"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55109168","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
La necesidad del intercambio transfronterizo de datos genéticos con fines de investigación criminal en América Latina: retos para su implementación 拉丁美洲为刑事调查目的跨界交换遗传数据的必要性:实施的挑战
Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.03.001
Silvia Cristina Triverio , Manuel Crespillo Márquez
{"title":"La necesidad del intercambio transfronterizo de datos genéticos con fines de investigación criminal en América Latina: retos para su implementación","authors":"Silvia Cristina Triverio ,&nbsp;Manuel Crespillo Márquez","doi":"10.1016/j.reml.2022.03.001","DOIUrl":"10.1016/j.reml.2022.03.001","url":null,"abstract":"<div><p>DNA databases for criminal investigation purposes, constitute a tool of indisputable utility in the investigation of criminal acts.</p><p>In the countries of Latin America there is a progressive advance in the implementation of databases for forensic use. The existing legislation is limited, and it is also heterogeneous both with respect to the crimes included and the procedural situation of the individuals whose DNA is subject to registration. Most of them do not require the accreditation of the forensic laboratories under the ISO 17025 standard. Existing DNA databases currently lack a standard communication regime.</p><p>The establishment of a system of consultation and exchange of genetic data in support of national criminal systems and the prosecution of crimes at the international level, demands cooperation agreements, for which, those implemented in the European Union since 1992, perfected with the decision of Prüm, constitute a valuable reference.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 4","pages":"Pages 158-165"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47093437","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
Tesis doctorales en psicología forense en España 西班牙法医心理学博士论文
Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.05.002
Aina M. Gassó , Carles Martin-Fumadó , Esperanza L. Gómez-Durán
{"title":"Tesis doctorales en psicología forense en España","authors":"Aina M. Gassó ,&nbsp;Carles Martin-Fumadó ,&nbsp;Esperanza L. Gómez-Durán","doi":"10.1016/j.reml.2022.05.002","DOIUrl":"10.1016/j.reml.2022.05.002","url":null,"abstract":"","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 4","pages":"Pages 175-176"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55110069","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
Judicialización en cardiología y cirugía cardiovascular: estudio observacional transversal en materia de responsabilidad patrimonial en la sanidad pública española 心脏病学和心血管外科的司法化:西班牙公共卫生世袭责任问题的横断面观察研究
Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.03.002
Mónica Hernández-Herrero , Joaquin Cayón-De Las Cuevas
{"title":"Judicialización en cardiología y cirugía cardiovascular: estudio observacional transversal en materia de responsabilidad patrimonial en la sanidad pública española","authors":"Mónica Hernández-Herrero ,&nbsp;Joaquin Cayón-De Las Cuevas","doi":"10.1016/j.reml.2022.03.002","DOIUrl":"10.1016/j.reml.2022.03.002","url":null,"abstract":"<div><p>Introduction: The overestimation by physicians of the risk of a lawsuit has, among other consequences, the stepped-up of defensive medicine. To analyze the characteristics of medical liability rulings in Spain in public health care in the specialties of cardiology and cardiovascular surgery.</p><p>Materials and methods: Cross-sectional observational study analyzing the rulings handed down in the contentious-administrative jurisdiction by the High Courts of Justice in the period 2008-2020, in the specialties of cardiology and cardiovascular surgery. The variables were administrative, clinical, judicial, and compensatory.</p><p>Results: A total of 1015 rulings were analyzed; 47 (4.63%) involved to the specialties of cardiology and cardiovascular surgery. Both obtained similar frequency percentages, cardiology 22 (2.2%) and cardiovascular surgery 25 (2.5 %). A total of 74.1 % of the rulings were dismissed in the first instance and 75% in the second instance. The two grounds for finding against the defendent were loss of chance 6 (42.85%) and diagnostic and/or therapeutic malpractice 5 (35.71%). Damages were usually claimed: death 21 (44.68%) and sequelae 26 (55.32%). The median award was 30,000 euros.</p><p>Conclusions: The low frequency of claims in cardiology and cardiovascular surgery indicates that these are “low risk” specialties for litigation. The vast majority of the rulings are, moreover, dismissive of the patients' claims. The data help to structure the role of lawsuits and to increase professionals' knowledge of the medical-legal dimension of health care.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 4","pages":"Pages 136-143"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55109603","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: 2
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