Academic Forensic Pathology最新文献

Study of Fusion of Coronal Suture on Computed Tomography Skull and Its Association With Age in A in Western Maharashtra. 马哈拉施特拉邦西部A地区计算机断层颅骨冠状缝合线融合及其与年龄关系的研究。

Academic Forensic Pathology Pub Date : 2025-07-23 DOI: 10.1177/19253621251360456

Ashok Narayan, Ishita Manral, Rahul Manral, Thippesh Kumar Natekar, Chintamani, Chandeep Singh Makhani, Ravinder Sahdev

{"title":"Study of Fusion of Coronal Suture on Computed Tomography Skull and Its Association With Age in A in Western Maharashtra.","authors":"Ashok Narayan, Ishita Manral, Rahul Manral, Thippesh Kumar Natekar, Chintamani, Chandeep Singh Makhani, Ravinder Sahdev","doi":"10.1177/19253621251360456","DOIUrl":"https://doi.org/10.1177/19253621251360456","url":null,"abstract":"Introduction: Age is a crucial parameter in establishing identity, and the skull is often the only remaining structure found at disaster sites. With recent advancements, computed tomography has become a widely used diagnostic modality. Leveraging this, we utilized data with known age to correlate the stages of fusion observed on both external and cross-sectional views of skull images. Methodology: This is a study on the relationship between age and the closure patterns of coronal sutures, using both cross-sectional and external measurements. Coronal suture was divided into seven parts. Results: Employing Pearson's correlations and linear regression, it identifies statistically significant associations, with C1 and C6 showing the strongest correlations to external measurements, while C4 shows almost none. External measurements at C2, C3, and C5 correlate most strongly with age whereas cross-sectional measurements are less consistent, with C4 emerging as the most age-sensitive point. Discussion: The study's strengths include its robust quantitative analysis, detailed anatomical focus and potential applications in fields such as forensic science and anthropology. However, limitations such as missing data, lack of demographic context, and weak correlations in certain areas reduce its generalizability. Further research incorporating diverse datasets and more nuanced analyses is recommended to enhance the findings' reliability and applicability in establishing age-related identity. Conclusion: External measurements at C2, C3, and C5 show the strongest correlations with age, whereas cross-sectional measurements are less consistent, with C4 emerging as the most age-sensitive point.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":" ","pages":"19253621251360456"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733661","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

Evaluating the Methodological Rigor and Clinical Implications of Ground-Level Hip Fracture Studies in the Elderly. 评估老年人髋部地面骨折研究的方法学严谨性和临床意义。

Academic Forensic Pathology Pub Date : 2025-07-01 DOI: 10.1177/19253621251349797

Yinuo Qin, Dongxue Zhuang, Chengqiang Jin

引用次数: 0

Completing Death Certificates in Hospital Setting: What Can Go Wrong, Will Go Wrong. 在医院环境中填写死亡证明：可能出错的地方，将会出错。

Academic Forensic Pathology Pub Date : 2025-05-27 DOI: 10.1177/19253621251343662

Cécile M Woudenberg-van den Broek, Annemiek M Vuurens, Paul L P Brand, Walther N K A van Mook, Ralph K L So, Wilma L J M Duijst-Heesters

{"title":"Completing Death Certificates in Hospital Setting: What Can Go Wrong, Will Go Wrong.","authors":"Cécile M Woudenberg-van den Broek, Annemiek M Vuurens, Paul L P Brand, Walther N K A van Mook, Ralph K L So, Wilma L J M Duijst-Heesters","doi":"10.1177/19253621251343662","DOIUrl":"10.1177/19253621251343662","url":null,"abstract":"Introduction: Of the 170 000 death certificates filled out annually in the Netherlands, approximately a quarter is completed by a hospital physician. From a legal and statistical point of view, it is important that the legally required forms, that is the certificate of death (CD), the medical certificate of cause of death (MCCD), and the envelope of the MCCD used for medical secrecy reasons are filled out correctly (ie, according to law) and accurately (ie, cause of death in line with medical files).Materials and methods: For this study, 517 CDs and MCCDs were collected from three hospitals over a 5-month period. The CDs and MCCDs were analyzed to determine to what extent they met the formal (correctly, according to law) and material (accuracy of the cause of death as compared to medical file information) requirements.Results: In only 34 cases (6.7%) the hospital physicians fulfilled the formal requirements for completing both forms and the envelope of the MCCD. Sixteen cases were issued as natural deaths, although they were unnatural deaths. In 55 cases (11%) a phenomenon associated with death such as \"no circulation\" or \"no breathing\" was recorded as cause of death. Only 23 cases (4.5%) met the requirements of an accurate cause of death and correct completion of forms and envelope.Discussion: Hospital physicians rarely met the formal requirements when filling out the forms and corresponding envelope. Furthermore, the accuracy of the reported cause of death reveals potential for improvement.Conclusion: Correctness and accuracy in these forms are important not only from a legally administrative and criminal law point of view, but also for the robustness of public health epidemiology and the related funding of prevention of the established causes of death.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":" ","pages":"19253621251343662"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180380","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

The Enigma of Gossypiboma: An Entity to Explore. Gossypiboma之谜：一个有待探索的实体。

Academic Forensic Pathology Pub Date : 2025-05-21 DOI: 10.1177/19253621251344363

Quinn Basso, Alfredo E Walker

引用次数: 0

Disease, Accident, and Trauma: A Case Report on Sudden Death in Wiskott-Aldrich's Syndrome. 疾病、意外与创伤：一例Wiskott-Aldrich综合征猝死病例报告。

Academic Forensic Pathology Pub Date : 2025-04-24 DOI: 10.1177/19253621251333176

Ishita Manral, Gurpreet Kaur Sagoo, Anandhakrishnan T, Rahul Manral, K V Radhakrishna, C S Makhani, R N Khan

引用次数: 0

Online Open Book Examination as a Tool for Revision in Forensic Medicine. 在线开卷考试作为法医学复习工具。

Academic Forensic Pathology Pub Date : 2025-04-18 DOI: 10.1177/19253621251333196

Pragnesh Parmar, Divya Reddy, S Yadukul, Prashanth Mada

{"title":"Online Open Book Examination as a Tool for Revision in Forensic Medicine.","authors":"Pragnesh Parmar, Divya Reddy, S Yadukul, Prashanth Mada","doi":"10.1177/19253621251333196","DOIUrl":"https://doi.org/10.1177/19253621251333196","url":null,"abstract":"Background: Students find it difficult to retain knowledge given during lectures. Tests should be given frequently to increase retention of information. An open book examination is one where the students can give answers using their textbooks. The aim of this study was to evaluate the effectiveness of 'Exam Derived Learning' in the form of an 'Online Open Book Examination' as a revision tool in the subject of Forensic Medicine among second-year MBBS students at All India Institute of Medical Sciences, Hyderabad. Materials and methods: An online open book examination was conducted in the form of pretested and validated MCQs after the regular interactive lecture classes on the topic of drowning but before the revision exercise on the same. Feedback from the students was taken on an online open book examination via pretested and validated Likert-scale-type perceptions. The median score of the online open book test was calculated. The perceptions of students' toward online open book examination were assessed via the median score. Results: The median score of the online open book test was nine out of 10, 34.7% of the students secured full marks, and 97.4% of the students secured more than 50% of the score. Students gave favorable feedback for the online open book examination. Conclusion: Open-book tests must be practiced as one of the assessment modules in medical education to enhance retention of knowledge and encourage critical thinking.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":" ","pages":"19253621251333196"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019033","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

Fatal Hip Fractures From Accidental Falls From a Ground-Level Fall. 从地面坠落时意外坠落导致致命髋部骨折。

Academic Forensic Pathology Pub Date : 2025-04-13 DOI: 10.1177/19253621251333173

Christopher Taylor, Susan F Ely, James R Gill

{"title":"Fatal Hip Fractures From Accidental Falls From a Ground-Level Fall.","authors":"Christopher Taylor, Susan F Ely, James R Gill","doi":"10.1177/19253621251333173","DOIUrl":"https://doi.org/10.1177/19253621251333173","url":null,"abstract":"Accidental femur fractures in older adults are a public health concern with a considerably high rate of mortality and morbidity. We performed a retrospective review of all deaths reported to the Connecticut Office of Chief Medical Examiner (OCME) over a 5-year period that involved a femur fracture resulting from a ground-level fall. Data on cause of death, contributing conditions, age, ethnicity, sex, comorbidities, and interval between surgery and death were extracted. There were 470 deaths caused by a hip fracture due to a ground-level fall. The majority were woman (n = 312 or 66.1%) and White (n = 435 or 95.8%). The median age of the study population was 89 years (interquartile range [IQR] = 83-94). The locations of the falls were predominantly in homes (59.8%) or skilled nursing facilities (SNFs) (26.8%). Complications following surgery occurred with 259 (87.2%) of the 297 patients who underwent surgical repair. Contributing conditions to death occurred in 76.1% of patients (n = 359), with the most common being heart disease, dementia, chronic obstructive pulmonary, and diabetes mellitus (DM). The median survival interval after injury was 9 days (IQR = 4-21 days). The Area Deprivation Index (ADI) was not associated with sex, race, medical conditions determined to have contributed to death, whether the patient underwent surgery, or with any surgical complication. This study demonstrates the important role of medicolegal death investigation in producing accurate death certifications that can inform stakeholders about risk factors and comorbidities that may enhance the overall management of hip fractures in an ageing population.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":" ","pages":"19253621251333173"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042444","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

Fatal Beneath the Glove: A Case Report of Fatal Morel Lavallee Lesion. 手套下致死：致死性莫雷尔-拉瓦利病变1例报告。

Academic Forensic Pathology Pub Date : 2025-04-13 DOI: 10.1177/19253621251333186

Ishita Manral, Rahul Manral, T Anandhakrishnan, Sandeep Bansal, R N Khan, K Shivakumar, K V Radhakrishna, C S Makhani

{"title":"Fatal Beneath the Glove: A Case Report of Fatal Morel Lavallee Lesion.","authors":"Ishita Manral, Rahul Manral, T Anandhakrishnan, Sandeep Bansal, R N Khan, K Shivakumar, K V Radhakrishna, C S Makhani","doi":"10.1177/19253621251333186","DOIUrl":"https://doi.org/10.1177/19253621251333186","url":null,"abstract":"Road traffic accidents cause 22 deaths daily in India. Lacerations are tears or splits in skin, mucus membranes, muscles, or organs when stretched beyond their limit of elasticity. Open wounds are the second most common wounds in road traffic accidents. Attention is drawn to open wounds due to the surface discontinuity. We are reporting this case because, during the autopsy, it was crucial to examine beneath the seemingly normal skin to determine the cause of death. There was no breach in vascular integrity or bony fractures or tears to narrow down the differentials. Here we discuss a case in which a 26-year-old healthy male died from a closed degloving injury. The autopsy helped in diagnosing a Morel Lavallée lesion. The patient suffered a closed injury to his left lower limb and abdomen after being struck by a heavy motor vehicle. He underwent immediate fasciotomy and exploratory laparoscopy within 10 h of admission but unfortunately did not survive. We review the current literature and the autopsy findings, providing a comparative glimpse of the differentials that can aid in its diagnosis, even in clinical set-ups. Emergency caregivers need to consider this entity as a differential diagnosis even when the skin shows no disintegrity. This will save time in the golden hour and it could potentially save a life.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":" ","pages":"19253621251333186"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049921","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

Did George Floyd Die of Cardioinhibition From Pressure on His Neck? 乔治·弗洛伊德死于颈部压力导致的心脏抑制吗？

Academic Forensic Pathology Pub Date : 2025-03-29 DOI: 10.1177/19253621251327721

Victor W Weedn, Alon Steinberg, Peter Speth

{"title":"Did George Floyd Die of Cardioinhibition From Pressure on His Neck?","authors":"Victor W Weedn, Alon Steinberg, Peter Speth","doi":"10.1177/19253621251327721","DOIUrl":"10.1177/19253621251327721","url":null,"abstract":"Introduction: Did George Floyd die from Officer Chauvin's knee triggering reflex cardioinhibition an instantaneous neurogenic cardiac arrest (INCA)? Objectives: This study was conducted to assess the findings necessary to conclude what constitutes an INCA death and apply them to the George Floyd case. Methods: We performed an intensive iterative search of the literature for such deaths. Results: The carotid sinus responds to neck pressure causing a neurogenic reflex mediated through the vagal nerve that causes cardioinhibition. This reflex may result in syncope, which occurs predominantly in young females and older males. Seven deaths occurred from carotid sinus massage, causing ventricular fibrillation. Twenty-seven purported INCA deaths were reported based on a history of near-instantaneous collapse, absence of evidence of vital reaction at death, or hemorrhage in \"reflex zones.\" INCA deaths must be distinguished from those from emotional stress resulting in sympathetic action, rather than parasympathetic action. We found that the reported INCA deaths occur in young and old adults with and without underlying cardiac pathology. Conclusion: The death of George Floyd is unlikely to have been from a rare lethal neck reflex mechanism; other causes and mechanisms of death can explain his death. He did not die instantaneously of neck pressure but prolonged neck pressure. The initial cardiac rhythm was pulseless electrical rhythm, not a ventricular arrhythmia. Neither absence of vital reaction nor hemorrhage in a reflex zone was found at autopsy. We conclude that George Floyd did not die of INCA from pressure on his neck.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":" ","pages":"19253621251327721"},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765327","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

Deaths from Angioedema-Anaphylaxis and Covid-19. 血管性水肿-过敏反应和Covid-19的死亡。

Academic Forensic Pathology Pub Date : 2025-02-21 DOI: 10.1177/19253621251320212

Austin Gray, Richard Ou, Raffi Djabourian, J Daniel Augustine, Lakshmanan Sathyavagiswaran

引用次数: 0