Revista Espanola de Medicina Legal最新文献

{"title":"Embolismo gaseoso iatrogénico","authors":"Mercè Subirana-Domènech, Diego Anglada-Gotor, Helena Martínez-Alcázar","doi":"10.1016/j.reml.2023.02.001","DOIUrl":"https://doi.org/10.1016/j.reml.2023.02.001","url":null,"abstract":"","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55111370","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":"Neurocirugía y judicialización: estudio observacional de la responsabilidad por daños provocados en la práctica neuroquirúrgica pública en España","authors":"M. Hernández-Herrero, Joaquin Cayón de las Cuevas","doi":"10.1016/j.reml.2022.12.001","DOIUrl":"https://doi.org/10.1016/j.reml.2022.12.001","url":null,"abstract":"","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55111354","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":"Data de inmersión en cuerpos recuperados del agua en el norte de la Patagonia Argentina","authors":"Gustavo A. Breglia ,&nbsp;Marcelo H. Uzal ,&nbsp;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":"<div><h3>Introduction</h3><p>The estimation of the immersion time of bodies recovered from the water, through the evaluation of the cadaveric changes, allows inferring the time that they have remained in the water regardless of the cause of death. In the present study, the Daily Accumulation of Degrees (ADG) method is analyzed for the calculation of the immersion interval in bodies recovered from the water in 36 bodies with a known interval of permanence in the water.</p></div><div><h3>Material and methods</h3><p>A total of 161 bodies were recovered from the water between 2007 and 2022, in 41 cases there was data to be analyzed by the ADG method and 36 were suitable for analysis of the method when confronted with the known intervals of immersion of the bodies.</p></div><div><h3>Results</h3><p>The comparison of calculation by Daily Accumulation of Degrees versus Known Immersion Interval, of the sample of 36 cases, showed that the difference in days obtained is statistically significant (p= 0.48 &gt; 0.005). In 16 cases (44.4%) there was an underestimation by the Daily Accumulation of Degrees method with respect to the time spent in the known water that differed by an average of 40%, and in 18 cases (50%) an overestimation of 41%. Based on the observation of the cadaveric changes, the month of the year and the water temperature, a table was made to estimate the Postmortal Interval of Immersion for watercourses in Northern Patagonia.</p></div><div><h3>Conclusion</h3><p>The method of Daily Accumulation of Degrees in bodies recovered from the water to estimate the immersion interval may give a false perception of accuracy due to the complexity of integrating all the changing factors that affect human decomposition in aquatic environments.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"49 1","pages":"Pages 20-27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49830901","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":"Correlation between Femoral Neck Version, Sagittal Femoral Bowing Angle and Sagittal Offset of the Femoral Head from the Distal Femur Axis in an Osteological Collection.","authors":"Dedi Ho, Raymond W Liu, Philip K McClure","doi":"10.5005/jp-journals-10080-1577","DOIUrl":"10.5005/jp-journals-10080-1577","url":null,"abstract":"<p><strong>Aim: </strong>Radiographic analysis of lower limb alignment is crucial for the planning and evaluation of deformity correction. Assessment in the sagittal plane is often overlooked compared with the coronal plane for a variety of reasons. We aimed to investigate the relationship between the femoral head in the sagittal plane and femoral neck version in the axial plane, and how sagittal femoral bowing angle (sFBA) may contribute.</p><p><strong>Materials and methods: </strong>Twenty-five each of high (1-2 standard deviations above mean), normal (2.5° below to 2.5° above the mean), and low (1-2 standard deviations below the mean) version femurs were randomly selected from an osteological collection database, photographed and measured for sFBA and sagittal offset of femoral head from the distal femur axis. Lines were drawn within the proximal and distal quartiles of the shaft to create sFBA. The offset of the distal quartile line and the femoral head was also measured. High intra- and inter-observer correlations were established. The relationship between parameters was assessed using the Pearson coefficient (<i>r</i>).</p><p><strong>Results: </strong>Sagittal offset of the femoral head from the distal femur axis was found to be highly correlated with sFBA (<i>r</i> = 0.78), and only mildly with femoral neck version (<i>r</i> = 0.52). Sagittal femoral bowing angle and femoral neck version share no relationship (<i>r</i> = 0.05).</p><p><strong>Conclusions: </strong>Neither the sFBA nor sagittal femoral head offset is strongly associated with femoral neck version.</p><p><strong>Clinical significance: </strong>Our data reinforce the need for long leg lateral films to include the femoral head in sagittal deformity analysis, as imaging limited to the knee will not account for the effect of bowing on femoral head position.</p><p><strong>How to cite this article: </strong>Ho D, Liu RW, Mcclure PK. Correlation between Femoral Neck Version, Sagittal Femoral Bowing Angle and Sagittal Offset of the Femoral Head from the Distal Femur Axis in an Osteological Collection. Strategies Trauma Limb Reconstr 2023;18(1):12-15.</p>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"39 1","pages":"12-15"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10682551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76998857","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}

{"title":"Sumisión química: Situación actual","authors":"Oscar Quintela Jorge","doi":"10.1016/j.reml.2023.02.002","DOIUrl":"10.1016/j.reml.2023.02.002","url":null,"abstract":"","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"49 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49560140","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":"Presencia de sustancias psicoactivas en las víctimas de violencia sexual en la provincia de Alicante (España) durante los años 2016-2020","authors":"Esperanza Navarro Escayola ,&nbsp;Clara Vega Vega ,&nbsp;Rafael Bañon González ,&nbsp;Nuria Sanvicens Díez","doi":"10.1016/j.reml.2022.06.001","DOIUrl":"https://doi.org/10.1016/j.reml.2022.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The use of psychoactive drugs to facilitate sexual assault has acquired great relevance in recent years. The objective of this work is to help make this type of situation visible, establishing diagnostic criteria and thus being able to determine the real incidence of this type of crime.</p></div><div><h3>Materials and methods</h3><p>In order to determine the frequency and characteristics of victims of sexual assault with suspected chemical submission (SSQ), a retrospective descriptive study of sexual assaults facilitated by psychoactive substances has been carried out at the Institute of Legal Medicine and Forensic Sciences of Alicante in the years 2016-2020.</p></div><div><h3>Results</h3><p>Among 702 cases studied, 95 (13.5%) met the criteria for inclusion in the probable DFSA (drug-facilitated sexual assault) group.</p><p>The profile of the victim was a woman (95.4%) around 24 years old. In most cases, the sexual violence was committed by a single male aggressor, recently met or known by the victim, and generally these events happen on weekends. The victim had voluntarily consumed alcohol, drugs or psychotropic drugs immediately before the events in most cases (88,5%). This vulnerable state of the victim was used by the aggressor to sexually assault her (opportunistic DFSA). The toxicological analyses performed on blood and/or urine were positive in 85.3%. In almost half of them (46.3%), there was more than one substance found in the toxicological analyses. The most frequent substance found were: alcohol (54.7%), cannabinoids (37,9%), benzodiazepines (22.1%), cocaine (15.8%) and ecstasy or MDMA (8.4%).</p><p>In half of the cases (50.5%), unexpected positive toxicological findings were obtained for psychoactive substances that the victim did not admit to having consumed voluntarily.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"49 1","pages":"Pages 3-10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49830903","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":"Revisión sobre la metodología para el diseño de la estrategia de calidad en los servicios de patología forense","authors":"Luciana Miguel Alhambra ,&nbsp;Julio Zarco Rodríguez ,&nbsp;Eduardo Andreu Tena","doi":"10.1016/j.reml.2022.03.003","DOIUrl":"https://doi.org/10.1016/j.reml.2022.03.003","url":null,"abstract":"<div><p>The culmination of the process of creating the Institutes of Legal Medicine (IML) with the commissioning of the IML of Madrid in 2020 homogenizes the competences of forensic medicine throughout the country. Recent legislative reforms in specialized medical training, expand their responsibilities to cover, in addition to the expert function, a stronger role in teaching and research. The design and implementation of quality systems must become a priority for IMLs in order to guarantee their effectiveness and efficiency by providing accurate, reliable and timely results. This article provides a detailed review of the procedure to be followed to design a quality strategy in Forensic Pathology Services.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"49 1","pages":"Pages 28-36"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49830902","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":"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}

{"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}

{"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}