American Journal of Forensic Medicine and Pathology最新文献

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Amniotic Fluid Embolism: An Illustrated Report and Review of Literature. 羊水栓塞:图解报告和文献综述。
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-06-12 DOI: 10.1097/PAF.0000000000000956
Nicolas Kostelecky, Margarita Loxas, Rachel Multz, Margaret E Flanagan, Jared T Ahrendsen, Jeffery Goldstein
{"title":"Amniotic Fluid Embolism: An Illustrated Report and Review of Literature.","authors":"Nicolas Kostelecky, Margarita Loxas, Rachel Multz, Margaret E Flanagan, Jared T Ahrendsen, Jeffery Goldstein","doi":"10.1097/PAF.0000000000000956","DOIUrl":"10.1097/PAF.0000000000000956","url":null,"abstract":"","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"e107-e109"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fatal Vertebral Artery Dissection Following Self-Manipulation of the Cervical Spine. 自我操纵颈椎导致致命的椎动脉交叉。
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-03-18 DOI: 10.1097/PAF.0000000000000932
Jane E Persons, Stephanie Stauffer
{"title":"Fatal Vertebral Artery Dissection Following Self-Manipulation of the Cervical Spine.","authors":"Jane E Persons, Stephanie Stauffer","doi":"10.1097/PAF.0000000000000932","DOIUrl":"10.1097/PAF.0000000000000932","url":null,"abstract":"<p><strong>Abstract: </strong>Cervical spine manipulation is a known risk factor for vertebral artery dissection. In this report, we present a case of fatal vertebral artery dissection that occurred as the result of self-manipulation of the cervical spine. The decedent was a 40-year-old man with no significant past medical history. He was observed to \"crack his neck\" while at work. Soon after, he began experiencing neck pain, then developed strokelike symptoms and became unresponsive. He was transported to a local medical center, where imaging showed bilateral vertebral artery dissection. His neurological status continued to decline, and brain death was pronounced several days later. An autopsy examination showed evidence of cerebellar and brainstem infarcts, herniation, and diffuse hypoxic-ischemic injury. A posterior neck dissection was performed to expose the vertebral arteries, which showed grossly visible hemorrhage and dilation. There was no evidence of traumatic injury to the bone or soft tissue of the head or neck. Bilateral dissection tracts were readily appreciated on microscopic examination. Death was attributed to self-manipulation of the neck, which in turn led to bilateral vertebral artery dissection, cerebellar and brainstem infarcts, herniation, hypoxic-ischemic injury, and ultimately brain death.</p>","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"352-354"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A 3-Year Retrospective Review of Complex Suicides With a Review of the Literature. 对复杂自杀事件的三年回顾及文献综述。
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-06-12 DOI: 10.1097/PAF.0000000000000961
Alexandra Paredes Rivera, Awa Sarr Dramé, Laura D Knight
{"title":"A 3-Year Retrospective Review of Complex Suicides With a Review of the Literature.","authors":"Alexandra Paredes Rivera, Awa Sarr Dramé, Laura D Knight","doi":"10.1097/PAF.0000000000000961","DOIUrl":"10.1097/PAF.0000000000000961","url":null,"abstract":"<p><strong>Abstract: </strong>Complex suicide is defined as death by the intentional use of more than 1 method to end one's life. Complex suicides can fit into the planned or premeditated category, where 2 or more methods are used simultaneously or in close succession, or unplanned, the use of 2 or more methods, in which the first method attempted fails (often because it is too unpleasant or painful), and another method is employed subsequently that is successful.A retrospective review of 3 years of suicide fatalities examined by the Washoe County Regional Medical Examiner's Office in Reno, Nevada, was conducted. A total of 725 suicide cases dated from April 1, 2020, to April 1, 2023, were reviewed, including autopsy, toxicology, and scene investigation reports. Among the 725 suicide cases reviewed, 19 cases (2.62%) of complex suicide were identified. Of those cases, 17 employed 2 methods, and 2 cases employed 3 methods. No cases were identified with >3 methods.In the 19 complex suicides that were identified, gender, age, marital status, military service, sexual orientation, religion, race, occupation, incident location, suicide note, suicidal ideation history, past suicide attempt, psychiatric disorders, and motive for suicide were examined in addition to methods used.</p>","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"308-313"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Three Deaths Associated With Facial and Upper Airway Burns Related to Oxygen Use. 与使用氧气有关的面部和上呼吸道烧伤导致三人死亡。
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-06-12 DOI: 10.1097/PAF.0000000000000963
Cassidy A Hinton, Joseph A Prahlow, Brandy Shattuck, Anna Tart
{"title":"Three Deaths Associated With Facial and Upper Airway Burns Related to Oxygen Use.","authors":"Cassidy A Hinton, Joseph A Prahlow, Brandy Shattuck, Anna Tart","doi":"10.1097/PAF.0000000000000963","DOIUrl":"10.1097/PAF.0000000000000963","url":null,"abstract":"<p><strong>Abstract: </strong>Despite the implementation of numerous strategies to prevent unintentional burns, fire-related thermal injuries remain a significant source of morbidity and mortality. Unfortunately, fires that occur in the setting of medical oxygen do so despite many safeguards and warnings that accompany oxygen therapy. Oxygen-related accidental fires can occur both within the home and medical settings, and burns associated with these events tend to produce injuries of the face and upper airways. Thermal burns of the face and upper airway are of particular concern because of the vital respiratory function of these anatomic structures, and may initially appear minor, but due to the inhalational injury mechanism, can contribute to death. In this report, three deaths associated with accidental oxygen therapy-related facial/upper airway burns are reported, one occurring during surgery, and two occurring during home-oxygen use.</p>","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"344-346"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Has the Sudden Unexpected Infant Death and Sudden Death in the Young Case Registry Learned About Consenting Families for DNA Banking and/or Genomic Research? 婴儿意外猝死和幼儿猝死病例登记处在同意家庭进行 DNA 库和/或基因组研究方面学到了什么?
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-10-04 DOI: 10.1097/PAF.0000000000000988
Heather MacLeod, Erik Buczkowski, Meghan Faulkner, Krisha Felzke, Kristin M Burns
{"title":"What Has the Sudden Unexpected Infant Death and Sudden Death in the Young Case Registry Learned About Consenting Families for DNA Banking and/or Genomic Research?","authors":"Heather MacLeod, Erik Buczkowski, Meghan Faulkner, Krisha Felzke, Kristin M Burns","doi":"10.1097/PAF.0000000000000988","DOIUrl":"10.1097/PAF.0000000000000988","url":null,"abstract":"<p><strong>Abstract: </strong>Since 2015, the Sudden Unexpected Infant Death (SUID) and Sudden Death in the Young (SDY) Case Registry has characterized sudden and unexpected deaths among young people (0-20 years). Families may provide informed consent to save biospecimens for banking and/or genomic research. We reviewed all consent-eligible cases to describe the frequency, time from death to consent, type (paper, phone, or electronic), and staffing method (Medical Examiner Office-based bereavement counselor vs outsourced genetic counselor). Of 5438 cases from January 2015 to January 2022, 3498 (64%) were eligible for consent and 391 (11%) were successfully consented. Half (54%) were obtained within 60 days of the death, 39% within 48 hours. Most were paper based (73%); 23% were obtained by phone, and 4% electronically. Consent rates varied by site from 3% to 66%. Higher consent rates were achieved within a Medical Examiner Office by a social worker or death investigator. Only 3% of consents attempted by a contracted genetic counselor were successful. Identified barriers include lack of available contact information, inability to reach family using the collected information, and lack of response when contacted. Consent rates were highest shortly after death when families were contacted by the Medical Examiner Office as part of bereavement outreach.</p>","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"297-298"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experimental Tests on External and Terminal Ballistics of Different Types of Projectiles Fired From .38 SPL Caliber Cartridges and Study of Permanent Cavitation in Anatomical Modeling With 10% Ballistic Gelatin. .38SPL口径子弹发射的不同类型弹丸的外部和终端弹道实验测试,以及使用10%弹道明胶制作解剖模型的永久空化研究。
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI: 10.1097/PAF.0000000000000957
Lucas Meciano Pereira Dos Santos, João Paulo Mardegan Issa
{"title":"Experimental Tests on External and Terminal Ballistics of Different Types of Projectiles Fired From .38 SPL Caliber Cartridges and Study of Permanent Cavitation in Anatomical Modeling With 10% Ballistic Gelatin.","authors":"Lucas Meciano Pereira Dos Santos, João Paulo Mardegan Issa","doi":"10.1097/PAF.0000000000000957","DOIUrl":"10.1097/PAF.0000000000000957","url":null,"abstract":"<p><strong>Abstract: </strong>The present study investigated the main morphological differences between the permanent cavities formed by 4 different types of projectiles fired from .38 SPL caliber cartridges in blocks of 10% ballistic gelatin with standardized formulation (Federal Bureau of Investigation Protocol), all fired from the same distance and from the same firearm, associated with its performances in external and terminal ballistics. The velocity or the mass presented by a firearm projectile will not always be solely responsible for the final configuration of the permanent cavity, in which the projectile design, for example, is an equally important element. Each type of projectile tested in the present work generated a different kind of permanent cavity, but they also varied in velocity (m/s) and energy (J). The use of 10% ballistic gelatin in scientific research that seeks to investigate the external and terminal ballistics of projectiles can contribute to the practice of professionals working either in forensic pathology or applied ballistics scenarios, as they can experimentally simulate the events that can occur in the tissues of victims inflicted by gunshot wounds, which also allows important applications in the medical, commercial, civil, and military sectors that deal with products and technologies related to the human body.</p>","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"314-321"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is That Innocent to Touch the Adipose Tissue?: An Autopsy Case Series of Fat Embolism Syndrome. 脂肪栓塞综合征尸检病例系列:触摸脂肪组织无罪吗?
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-06-12 DOI: 10.1097/PAF.0000000000000959
Aytül Buğra, Taner Daş, Eylül Gün, Ferah Karayel
{"title":"Is That Innocent to Touch the Adipose Tissue?: An Autopsy Case Series of Fat Embolism Syndrome.","authors":"Aytül Buğra, Taner Daş, Eylül Gün, Ferah Karayel","doi":"10.1097/PAF.0000000000000959","DOIUrl":"10.1097/PAF.0000000000000959","url":null,"abstract":"<p><strong>Abstract: </strong>Although fat embolism in the pulmonary or systemic circulation is usually associated with long bone fractures, it can also occur less frequently during surgical operations, such as liposuction, fat grafting, and joint repair. This study aims to present cases of macro fat embolism resulting in sudden death during the perioperative period. Three cases with a history of sudden death during the perioperative period were included in this study. The surgical operation histories, autopsy findings, and histopathological findings of the cases were evaluated. Fat globules were detected in the medium-sized vessel lumens in the lungs of the cases who died suddenly during surgery. Grade 4 fat embolism was observed in the capillaries, which stained positively with Oil-Red-O in all three cases. Fat embolism syndrome is a rare but life-threatening condition that should be considered in patients with respiratory distress and impaired neurological status in the postoperative period.</p>","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"355-359"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perforation of the Heart During Elective Removal of an Inferior Vena Cava Filter. 在择期取出下腔静脉过滤器时发生心脏穿孔。
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.1097/PAF.0000000000000947
Sapna P Desai, Christine Z Yu, Frank Evangelista, James R Gill
{"title":"Perforation of the Heart During Elective Removal of an Inferior Vena Cava Filter.","authors":"Sapna P Desai, Christine Z Yu, Frank Evangelista, James R Gill","doi":"10.1097/PAF.0000000000000947","DOIUrl":"10.1097/PAF.0000000000000947","url":null,"abstract":"<p><strong>Abstract: </strong>A common treatment for venous thromboembolic disease in patients with contraindications to anticoagulation includes placement of an inferior vena cava (IVC) filter. Temporary filters are available to avoid the risk of long-term permanent placement. A woman in her 60s with a history of uterine serous carcinoma presented to the emergency department with cardiac arrest following elective attempted IVC filter removal. Three months prior, a temporary filter was placed because anticoagulation medication was stopped in preparation for a hysterectomy. During the IVC retrieval procedure, which was performed using an intravascular approach from the right jugular vein, the filter was tilted, requiring the use of a different retrieval sheath. During catheter reentry, the patient complained of discomfort in the chest and neck, after which she became hypotensive, lost consciousness, and died. Autopsy revealed 2 cardiac perforations, one in each ventricle. Approximately 600 mL of liquid and clotted blood was within the tense pericardial sac. An IVC filter was found in place, with no adjacent hemorrhage.To our knowledge, this is the first reported fatality due to cardiac perforation by an access sheath during intravascular removal of an IVC filter. This instance also documents the time course of the cardiac perforations to the resultant loss of consciousness.</p>","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"347-351"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Pediatric Case of Dilated Cardiomyopathy Due to NKX2-5 Mutation : Autopsy and Postmortem Molecular Diagnosis. 一例 NKX2-5 基因突变导致的小儿扩张型心肌病:尸检和死后分子诊断。
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-06-25 DOI: 10.1097/PAF.0000000000000967
María Eugenia Zuluaga, Brittany DePasquale, Ana Isabel Sanchez-Barbero, Natalie Adolphi, Daniel F Gallego
{"title":"A Pediatric Case of Dilated Cardiomyopathy Due to NKX2-5 Mutation : Autopsy and Postmortem Molecular Diagnosis.","authors":"María Eugenia Zuluaga, Brittany DePasquale, Ana Isabel Sanchez-Barbero, Natalie Adolphi, Daniel F Gallego","doi":"10.1097/PAF.0000000000000967","DOIUrl":"10.1097/PAF.0000000000000967","url":null,"abstract":"","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"e110-e112"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Catastrophic CPR-Related Injuries in Vascular Ehlers-Danlos Syndrome: A Case Report and Review. 血管性 Ehlers-Danlos 综合征中与心肺复苏相关的灾难性损伤:病例报告与回顾。
IF 1 4区 医学
American Journal of Forensic Medicine and Pathology Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI: 10.1097/PAF.0000000000000965
Jesse L Fitzgerald, Breanne N Vergonet, Wendy S Warren, Andrew J Rohrer
{"title":"Catastrophic CPR-Related Injuries in Vascular Ehlers-Danlos Syndrome: A Case Report and Review.","authors":"Jesse L Fitzgerald, Breanne N Vergonet, Wendy S Warren, Andrew J Rohrer","doi":"10.1097/PAF.0000000000000965","DOIUrl":"10.1097/PAF.0000000000000965","url":null,"abstract":"<p><strong>Abstract: </strong>This article presents a case of severe CPR-related injuries leading to diagnosis of vascular Ehlers-Danlos syndrome. The subject is a 36-year-old female with a past medical history of a 10-mm aneurysm of the right internal carotid artery discovered on imaging 3 years prior to death. Major autopsy findings included subarachnoid hemorrhage in the base of the brain, bilateral hemothoraces, hemopericardium, laceration of the interatrial septum, laceration of the left pulmonary artery, and changes secondary to chronic alveolar hemorrhage in the lungs. The autopsy findings and subsequent unremarkable toxicology studies led to the suspicion of an underlying and clinically undiagnosed connective tissue disorder. Broad genetic exome testing revealed a mutation consistent with vascular Ehlers-Danlos syndrome. An overview of this disease, its diagnosis, and differential are further described herein, along with recommendations for forensic pathologists.</p>","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"340-343"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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