Revista Espanola de Medicina Legal最新文献_第8页

Muerte materna asociada a una malformación arteriovenosa uterina 子宫动静脉畸形导致的产妇死亡

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2022.05.001

Rebeca Jiménez Herrera, María Urbelina Fernández Vázquez, Ariadna Hernández y Ballinas, María De Lourdes Palmer Marquez, Efren Durand Aguilar

引用次数: 0

Variabilidad interobservador del baremo de tráfico (Ley 35/2015) y utilidad de las pruebas biomecánicas en la valoración de las secuelas 交通比额表观察者间变异性(第35/2015号法律)和生物力学测试在评估后遗症方面的有用性

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2021.12.002

Cristina Herrera Ligero , María José Vivas Broseta , Carmen Ferrer Gómez , Helios de Rosario Martínez , Elvira Garrido-Lestache López-Belmonte , Ignacio Bermejo Bosch

{"title":"Variabilidad interobservador del baremo de tráfico (Ley 35/2015) y utilidad de las pruebas biomecánicas en la valoración de las secuelas","authors":"Cristina Herrera Ligero , María José Vivas Broseta , Carmen Ferrer Gómez , Helios de Rosario Martínez , Elvira Garrido-Lestache López-Belmonte , Ignacio Bermejo Bosch","doi":"10.1016/j.reml.2021.12.002","DOIUrl":"10.1016/j.reml.2021.12.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Law 35/2015 assesses damages in traffic accidents and tries to guarantee an equal response to identical situations. Biomechanical functional assessment (BFA) is a complementary medical test that provides objectivity in the evaluation of post-traumatic neck pain. This study analyzes the interobserver variability of the assessment system defined by Law 35/2015 and studies the effect of having BFA tests and the profile of the evaluator in determining sequelae.</p></div><div><h3>Materials and methods</h3><p>To do this, 49 professionals in the assessment of bodily injury evaluated 5 clinical cases of accident victims with post-traumatic neck pain; a month later, 35 of them assessed the same cases including a BFA report.</p></div><div><h3>Results</h3><p>The results show high variability in determining the days of personal injury (Kappa coefficients between 0.04 and 0.073) with or without BFA; high interobserver variability in the assessment of sequelae in cases without BFA (Kappa coefficients between 0.022 and 0.044), which slightly improves with BFA (Kappa coefficients between 0.128 and 0.26), even showing weak concordance. The BFA has an influence on the determination of sequelae (p < 0.01), but the profile of the evaluator does not. More than 79.4% of the evaluators found the BFA tests useful to reveal or to confirm symptoms, recovery, or simulation.</p></div><div><h3>Conclusions</h3><p>There is variability in the application of Law 35/2015 for the assessment of traffic accidents among professionals of bodily injury. The BFA is useful for evaluators and influences the determination of sequelae<strong>.</strong></p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 3","pages":"Pages 99-106"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0377473222000013/pdfft?md5=073b7510cd397ba04d7519606a525336&pid=1-s2.0-S0377473222000013-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47482491","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

El inicio de la residencia de la especialidad de medicina legal y forense en España 西班牙法律和法医专业住院医师的开始

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2022.07.002

Marta Grijalba-Mazo , Josep Arimany-Manso

引用次数: 0

Valoración de la prueba de ADN en las identificaciones a gran escala de personas desaparecidas dna测试在大规模失踪人员身份鉴定中的价值

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2021.08.003

Lourdes Prieto , Yarimar Ruiz , Elías Hernandis , Ángel Carracedo

{"title":"Valoración de la prueba de ADN en las identificaciones a gran escala de personas desaparecidas","authors":"Lourdes Prieto , Yarimar Ruiz , Elías Hernandis , Ángel Carracedo","doi":"10.1016/j.reml.2021.08.003","DOIUrl":"10.1016/j.reml.2021.08.003","url":null,"abstract":"<div><p>The evaluation of the DNA test in massive identification cases requires the use of Bayes' Theorem to estimate the probability of identification from <em>a priori</em> data together with probabilities obtained from the DNA test itself. To apply it, one needs to specify the prior probabilities of the hypotheses. An interdisciplinary team and an identification coordinator are key stakeholders in this process. The statistical approach can be complex, but there exists validated non-commercial software, such as Familias, which aid in estimating the likelihood ratios of the DNA test for the given hypotheses. Next, the posterior probabilities in massive identification events can be estimated using the one-to-one, PM-driven, AM-driven or Global approaches published recently by Kling et al. Which are discussed in this article. The Identification Coordinator has a key role in formulating the hypotheses of the case, in establishing the prior probabilities, the identification threshold and in consolidating the integrated identification report together with the multidisciplinary team through the reconciliation of the case.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 3","pages":"Pages 124-132"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48559590","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: 4

Estudio mediante técnicas moleculares del tanatomicrobioma intestinal en la estimación del intervalo post mortem temprano empleando un modelo de ratón 利用分子技术研究肠道死亡微生物组，以小鼠模型估计死后早期间隔

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2021.09.004

Ángel M. Aragonés, Eduardo Martínez-Manzanares, Silvana Teresa Tapia-Paniagua

{"title":"Estudio mediante técnicas moleculares del tanatomicrobioma intestinal en la estimación del intervalo post mortem temprano empleando un modelo de ratón","authors":"Ángel M. Aragonés, Eduardo Martínez-Manzanares, Silvana Teresa Tapia-Paniagua","doi":"10.1016/j.reml.2021.09.004","DOIUrl":"https://doi.org/10.1016/j.reml.2021.09.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Currently, the lack of reliable quantitative methods has led different research lines to find a model that predicts the postmortem interval (PMI). The thanatomicrobiome, present from the moment of death, has been shown to change in predictable ways, allowing a correlation with PMI.</p></div><div><h3>Materials and methods</h3><p>In this study, the shifts of the thanatomicrobiome in the region of the posterior small intestine and the ascending colon in Mus musculus during the first 24 hrs of decomposition have been analyzed experimentally. For this purpose, a molecular approach based on the analysis of the 16S ribosomal gene (16S rRNA) and a denaturing gradient gel electrophoresis (DGGE) was adopted, followed by analyses of the ecological diversity indices Alpha and beta diversity.</p></div><div><h3>Results</h3><p>The results based on the analysis of the ecological diversity indices reflected statistically significant changes before 12 hrs, and a decrease in diversity after 12 hrs postmortem, this being statistically significant in the two intestinal regions analyzed. Moreover, the comparative study of microbial communities indicated distinct and structured changes from the moment of death, with shifts in the degree of similarity from the composition detected in life (PMI 0 hrs).</p></div><div><h3>Discussion</h3><p>These results agree with other studies demonstrating a decrease in microbial diversity. However, under the conditions of the study, this decrease does not begin until 12 hrs after death.</p></div><div><h3>Conclusions</h3><p>In conclusion, by examining the dynamics of bacterial diversity our study has identified phases during decomposition that could help to improve microbial correlation models for PMI estimation.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 3","pages":"Pages 107-114"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137269041","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

Comparativa entre Screening Cognitive Impairment in Psychiatry (SCIP-S) y Minimental State Examination (MMSE) en psiquiatría forense. Estudio piloto 比较中心筛选精神病学认知障碍(SCIP-S)通过最低状态检查(MMSE)在psiquiatría法医。工厂化piloto

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2022.01.001

Priscila Caballero Casanoves , César Jesús Correas Soto , Óscar Pino López , Judith Prió Silvestre

{"title":"Comparativa entre Screening Cognitive Impairment in Psychiatry (SCIP-S) y Minimental State Examination (MMSE) en psiquiatría forense. Estudio piloto","authors":"Priscila Caballero Casanoves , César Jesús Correas Soto , Óscar Pino López , Judith Prió Silvestre","doi":"10.1016/j.reml.2022.01.001","DOIUrl":"10.1016/j.reml.2022.01.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The objective is to compare two brief cognitive screening tests, MMSE and SCIP-S, and determine their usefulness in assessing the cognitive status of subjects diagnosed with psychiatric pathology.</p></div><div><h3>Material and methods</h3><p>Pilot study of a series of 33 cases from the Institutes of Legal Medicine of Catalonia and Andorra, whose inclusion criterion was the existence of a psychiatric pathology categorized in ICD-10. In all cases, in addition, to the forensic medical interview, MMSE was administered followed by SCIP-S.</p></div><div><h3>Results</h3><p>In MMSE, 31 of the 33 interviewees obtained a total direct score ≥ 24 (normal cognitive performance). In SCIP-S, only 5 of the 33 participants were in a percentile ≥15 (normal cognitive performance). The difference between the results of both tests was statistically significant (p<0.05).</p></div><div><h3>Conclusions</h3><p>This study suggests a greater usefulness of SCIP-S compared to MMSE in detecting cognitive deficits in psychiatric patients. Therefore, the use of the former is recommended in forensic medical practice.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 3","pages":"Pages 92-98"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55109143","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: 1

Revisión sobre la metodología para el diseño de la estrategia de calidad en los servicios de patología forense 对法医病理学服务质量战略设计方法的回顾

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2022.03.003

Luciana Miguel Alhambra, J. Zarco Rodríguez, Eduardo Andreu Tena

引用次数: 0

Diagnóstico diferencial etiológico del hematoma subdural agudo en la edad pediátrica 小儿急性硬膜下血肿的病因鉴别诊断

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2021.12.001

Glòria Cabrera Borotau , Ignasi Galtés

引用次数: 0

Presencia de sustancias psicoactivas en las víctimas de violencia sexual en la provincia de Alicante (España) durante los años 2016-2020 2016-2020年阿利坎特省(西班牙)性暴力受害者中存在精神活性物质

Revista Espanola de Medicina Legal Pub Date : 2022-06-01 DOI: 10.1016/j.reml.2022.06.001

Esperanza Navarro Escayola, Clara Vega Vega, Rafael Bañón González, Nuria Sanvicens Díez

引用次数: 3

Intoxicación letal por opio por el consumo de ejemplares silvestres de Papaver somniferum 因食用野生罂粟标本而导致的致命鸦片中毒

Revista Espanola de Medicina Legal Pub Date : 2022-04-01 DOI: 10.1016/j.reml.2021.11.002

Carlos García Caballero , Jorge Guillot Estornell , Paloma López Ruano , María Antonia Martínez González

引用次数: 0