American Journal of Forensic Medicine and Pathology最新文献_第3页

TASER 7 and TASER 10 Probe Penetration Into Human Skull Simulants. TASER 7 和 TASER 10 探针穿透人体颅骨模拟物。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-09-03 DOI: 10.1097/PAF.0000000000000982

Natalia Khmara, Silvan Gort, Beat Kaelin, Michael J Thali, Stephan A Bolliger

{"title":"TASER 7 and TASER 10 Probe Penetration Into Human Skull Simulants.","authors":"Natalia Khmara, Silvan Gort, Beat Kaelin, Michael J Thali, Stephan A Bolliger","doi":"10.1097/PAF.0000000000000982","DOIUrl":"10.1097/PAF.0000000000000982","url":null,"abstract":"Abstract: The older generation TASER probes X26 and X2 have been shown to be capable of piercing the skull with their tips. With the introduction of the new TASER 7 and the far more powerful TASER 10, concerns have arisen as to whether these weapons might penetrate the skull more deeply and thus prove to be potentially lethal. For this reason, we tested the penetration capacity of these weapons on polyurethane-gelatine-buckskin head simulants at different firing distances. The striking speeds and striking angles were documented with a high-speed camera, and the piercing depths were recorded by computed tomography. None of the probes penetrated the skull, but their tips did; TASER 7 probe tips pierced up to 5.6 mm, whereas TASER 10 probe tips pierced up to 10.4 mm. The TASER 7 probes fared better with regard to penetration depth at shorter firing distances; on the other hand, the TASER 10 probes pierced more deeply at distances of 3 to 4 m, with their flight stability improving after the first 2 m. Our results imply that TASER 7 and TASER 10 probes are not to be expected to cause great harm or even death when striking the head.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"17-21"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121241","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

Suicidal Iron and Paracetamol Overdose: A Case Report. 自杀性铁和扑热息痛过量：一例报告。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-11-29 DOI: 10.1097/PAF.0000000000000997

Carmen Zenda Vandoorne

引用次数: 0

Lethal Self-Administration of Atracurium: A Rarely Reported Case with Review of Literature. 自行注射阿曲库铵致死：一例罕见病例及文献综述。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-10-04 DOI: 10.1097/PAF.0000000000000985

Darshan Galoria, Srushti Shukla, Arijit Datta, Abhishek Das, Dhara Goswami, Pradip Rana, Preeti Tiwari

{"title":"Lethal Self-Administration of Atracurium: A Rarely Reported Case with Review of Literature.","authors":"Darshan Galoria, Srushti Shukla, Arijit Datta, Abhishek Das, Dhara Goswami, Pradip Rana, Preeti Tiwari","doi":"10.1097/PAF.0000000000000985","DOIUrl":"10.1097/PAF.0000000000000985","url":null,"abstract":"Abstract: Atracurium besylate is a nondepolarizing skeletal muscle relaxant first introduced in 1980. It is used during endotracheal intubation. It causes muscle relaxation during surgery or mechanical ventilation. When people consider suicide, they employ drugs found in their surroundings but not usually injectable muscle relaxants, which are not widely available. Studies on their use in suicide are rarely reported worldwide. This was a case of a 34-year-old male nursing staff, working in the general surgery department's operation theater complex, who was found unconscious in bed in his room in the morning with an empty syringe by the bedside. He was declared dead when brought to the emergency department. Forensic autopsy was conducted, and during the external examination, a needle puncture wound was found over the left cubital fossa. No other external other injuries were observed throughout the body. The toxicological analysis report indicated the presence of laudanosine in the vitreous humor, blood, urine, and skin from the puncture site and underneath vein. Also, the toxicological analysis of the empty syringe found at the crime scene revealed the presence of atracurium, confirming that the victim had administered a lethal dose of atracurium.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"79-81"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367643","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

Association Between Cardiovascular Disease and Death by Anaphylaxis: A 20-Year Retrospective Study in Queensland, Australia. 心血管疾病与过敏性休克死亡之间的关系：澳大利亚昆士兰州一项为期 20 年的回顾性研究。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-07-16 DOI: 10.1097/PAF.0000000000000972

Jack Garland, Peter Smith, Rexson Tse, Beng Ong, Nathan Milne

{"title":"Association Between Cardiovascular Disease and Death by Anaphylaxis: A 20-Year Retrospective Study in Queensland, Australia.","authors":"Jack Garland, Peter Smith, Rexson Tse, Beng Ong, Nathan Milne","doi":"10.1097/PAF.0000000000000972","DOIUrl":"10.1097/PAF.0000000000000972","url":null,"abstract":"Abstract: Despite its severity, anaphylaxis carries a low mortality rate of less than 1%, making the cohort seen in the forensic pathology setting a small and unique subset of the majority of cases of anaphylaxis in the community. Clinically, cardiovascular disease has been recognized as a risk factor for fatal anaphylaxis; however, there is scant forensic pathology research investigating this risk factor, whereas autopsy textbooks emphasize physical respiratory changes seen in the broader clinical cohort. This 20-year retrospective study examined all fatal anaphylactic deaths in the state of Queensland, Australia, to document the underlying disease of the cases, tryptase levels, triggers, and postmortem findings. Our study found that cardiovascular disease was prevalent in 83.3% of cases of fatal anaphylaxis. Although asthma was prevalent in food-related fatal anaphylaxis (60%) in our cohort, it was poorly represented overall (28%), in contrast to clinical research. Additionally, only 43% of cases showed respiratory changes that were greater than mild. Our findings emphasize the difference between the clinical and postmortem anaphylaxis cohorts, and provide autopsy evidence of a potential role of cardiovascular disease in fatal anaphylaxis.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"40-43"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635960","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

Penetrating Crossbow Injury to the Head: A Case of Suicide. 头部穿透性弩伤：一个自杀案例。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-11-05 DOI: 10.1097/PAF.0000000000000986

Dorethea Maria Joubert

引用次数: 0

Drug Trends in the Teenage Postmortem Population From 2017 to 2021. 2017 至 2021 年青少年死后人群的毒品趋势。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-07-22 DOI: 10.1097/PAF.0000000000000977

Jennifer L Swatek, Brianna L Peterson

{"title":"Drug Trends in the Teenage Postmortem Population From 2017 to 2021.","authors":"Jennifer L Swatek, Brianna L Peterson","doi":"10.1097/PAF.0000000000000977","DOIUrl":"10.1097/PAF.0000000000000977","url":null,"abstract":"Abstract: The teenage population is highly vulnerable to drug exposure, use, and misuse due to the physical and emotional development that occurs at those ages. Social influences, like the isolation experienced during the COVID-19 pandemic and social media, can exacerbate this vulnerability. To better understand the potential impact of these influences on teenage drug use, postmortem results reported by a large reference laboratory from 2017 to 2021 corresponding to the teenage population were evaluated for various drugs of misuse. These data revealed a marked increase (385%) in reported fentanyl cases and a 13% increase in positivity rate. Methamphetamine- and cocaine-positive cases also increased 126% and 54%, with a net percent positivity of +0.6% and -0.5%, respectively. Conversely, heroin showed a consistent decline in reported cases (67%) and a net decrease of 1.0% in positivity rate. In addition to commonly misused drugs, trends for other substances that are prevalent in social media and therefore may disproportionally impact teens, MDMA/MDA, mitragynine, and diphenhydramine, were also assessed. A discussion of drug-related social media trends is presented to provide additional context for the data and trends reported herein, ultimately creating a framework through which social influences on teenage drug use can be better understood.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"28-33"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749764","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

Cardiac Myxoma With Postmortem Computed Tomography and Postmortem Examination Correlation. 心肌瘤与死后计算机断层扫描和尸检的相关性

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-05-23 DOI: 10.1097/PAF.0000000000000955

Yan Bo Dora Chan, Rexson Tse, Melissa Thompson

引用次数: 0

Conduction System Hamartoma: Autopsy Case Series. 传导系统 Hamartoma：尸检病例系列。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-09-03 DOI: 10.1097/PAF.0000000000000981

Beyza Keskin Ozturk, Eylul Gun

{"title":"Conduction System Hamartoma: Autopsy Case Series.","authors":"Beyza Keskin Ozturk, Eylul Gun","doi":"10.1097/PAF.0000000000000981","DOIUrl":"10.1097/PAF.0000000000000981","url":null,"abstract":"Abstract: Conduction system hamartoma is a benign hamartomatous lesion arising from Purkinje and Purkinje-like cells of the heart. We aimed to investigate the cases that we detected during postmortem histopathological examination. The histopathology reports of the cases autopsied between 2012 and 2022 were reviewed retrospectively. The cases were evaluated in terms of histopathological features, demographic data, autopsy findings, causes of death, microbiological results, and accompanying cardiac anomalies. There was a total of 4 cases. The female-to-male ratio was 3/1. The mean age of the cases was 5.8 months. The heart weight was found within the normal range when evaluated according to age and gender. Microscopy revealed sharply demarcated cell groups or layers with histiocyte-like cells with foamy cytoplasm. Congenital heart disease and lung infection were given as causes of death in all cases. The lesion, which was previously called histiocytoid cardiomyopathy and many different names, is known as \"conduction system hamartoma\" in the latest World Health Organization classification (5th edition). Being aware of this entity that causes fatal arrhythmias and sudden cardiac deaths is important for pathologists. Autopsy findings should be evaluated by taking extra samples from the heart if necessary, especially in suspected cases below 2 years of age.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"64-68"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121240","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

Bladder Wash as an Alternative Postmortem Toxicology Specimen: Forensic Pathologists' Perspectives.

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-02-27 DOI: 10.1097/PAF.0000000000001034

Luke N Rodda, Kylie E Candela, Amy P Hart, Ellen G Moffatt, Sue Pearring, Karen S Scott

{"title":"Bladder Wash as an Alternative Postmortem Toxicology Specimen: Forensic Pathologists' Perspectives.","authors":"Luke N Rodda, Kylie E Candela, Amy P Hart, Ellen G Moffatt, Sue Pearring, Karen S Scott","doi":"10.1097/PAF.0000000000001034","DOIUrl":"https://doi.org/10.1097/PAF.0000000000001034","url":null,"abstract":"Abstract: In postmortem forensic investigations, where the bladder is voided or dehydrated prior to autopsy, it is possible to wash the bladder with saline to collect the resulting \"bladder wash\" and any residual urine for toxicological analysis. Although this method is not yet commonplace or standard, a recent study has demonstrated that bladder wash is an effective alternative specimen in postmortem forensic toxicology. The current study aimed to assess forensic pathologists' opinions on the use of bladder wash samples both before and after reviewing bladder wash toxicological data. An online survey was distributed to forensic pathologists from NAME, and responses were analyzed to identify any shifts in perceptions after data presentation. The findings revealed that most forensic pathologists recognized the benefits of bladder wash collection and analysis as well as its usefulness in determining the cause and manner of death, with noticeable changes in perspective following exposure to supporting data. This study highlights the potential value of standardizing the easy and accessible collection of bladder wash for postmortem toxicological analysis, thereby providing forensic pathologists with invaluable information when other biological specimens are unavailable.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517556","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

Flecainide Intoxication: An Unusual Case of Suicide.

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-02-21 DOI: 10.1097/PAF.0000000000001026

Shumin Fan, Keith Norman Norton

引用次数: 0