Journal of clinical forensic medicine最新文献_第3页

Cerebellar-pulmonary embolism, cause of death in the newborn 小脑肺栓塞导致新生儿死亡

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.06.021

R. Clement , C. Bresson , P. Marcorelles , O. Rodat , N. Lagarde

{"title":"Cerebellar-pulmonary embolism, cause of death in the newborn","authors":"R. Clement , C. Bresson , P. Marcorelles , O. Rodat , N. Lagarde","doi":"10.1016/j.jcfm.2006.06.021","DOIUrl":"10.1016/j.jcfm.2006.06.021","url":null,"abstract":"<div><p>A 28-year-old woman delivered twin girls. The first twin was delivered without any difficulty. The head of the second twin failed to descend with pushing. A special kind of obstetrical forceps, Thierry’s spatulas, were used to extract the second twin in the occipito-posterior vertex position. She was declared dead after recording Apgar scores of 0 and 0 and after 35 min of resuscitation. An autopsy was performed for medico-legal reasons. Macroscopic examination of the brain showed a small area of leptomeningeal haemorrhage in the left sylvian fossa and the base of the brain. Histopathological studies demonstrated cerebellar tissue emboli in meningeal and pulmonary arteries. Excessive pressure on the suboccipital region during delivery can cause traumatic separation of the occipital chondral junctions, which may lead to separation of the occipital squama from lateral parts of the occipital bones. The inferior part of the occipital squama is displaced forward and upward into the posterior fossa. This produces tearing of the duramater and occipital sinuses leading to leptomeningeal haemorrhage in the posterior cranial fossa, often associated with cerebellar lesions. Major stretching and tearing of the posterior aspect of tentorium cerebelli in contact with the sinuses and the cerebellar cortex may also occur, inducing slight movement of the occipital bones and subsequent emboli. This case study is that of a newborn death due to pulmonary cerebellar tissue embolism occurring during delivery with Thierry’s forceps, which are considered less traumatic to the foetal cranium. A review of the literature identified 17 other published cases. In difficult deliveries this pathology should sought carefully. Brain, lung and placenta tissue sections must be studied.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 361-365"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26297605","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: 7

Forensic and criminologic aspects of murder in North-West (Epirus) Greece 希腊西北部(伊庇鲁斯)谋杀的法医和犯罪学方面

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.06.015

Theodore Vougiouklakis MD, PhD (Associate Professor), Christina Tsiligianni BS (Fellow)

{"title":"Forensic and criminologic aspects of murder in North-West (Epirus) Greece","authors":"Theodore Vougiouklakis MD, PhD (Associate Professor), Christina Tsiligianni BS (Fellow)","doi":"10.1016/j.jcfm.2006.06.015","DOIUrl":"10.1016/j.jcfm.2006.06.015","url":null,"abstract":"<div><p>Little information is presenting in Greek literature regarding forensic and criminological aspects of homicide in North-West Greece. Autopsy reports and the prosecution authorities’ files were respectively analyzed with regard to individual characteristics of perpetrators and victims, circumstances, and mode of commitment in order to comprehensively characterize relevant forensic and criminologic aspects. In the 8-year period from January 1998 to May 2005, 26 homicide cases were autopsied in the Department of Forensic Medicine and Toxicology, University of Ioannina, Greece. Twenty-nine homicide victims (18 males, 11 females; mean age 47 years) and 26 offenders were involved – 20 single, 4 multiple-offenders and 2 were not known (24 males, 2 females; mean age 35 years). The most common method used for homicide was gunshot trauma (41.4%). Head injuries and multiple trauma were the most common cause of fatal injuries. Most homicides took place outside in a deserted area or close to agricultural side (<em>n</em>  =13) of all cases the offender and the victim were known to each other (acquaintances). Twenty-three cases were categorized as “single” homicides and 3 as “multiple” and the victims were classified; 20 as murder–physical injury with fatal outcome, 2 homicide–suicide, 1 infanticide, 4 matricide, and 2 as patricide.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 316-320"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26299337","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: 25

Macrophage activation syndrome: An autopsy case of sudden death 巨噬细胞活化综合征:一例猝死尸检

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.06.019

R. Clement (MD (Forensic)) , H. Jouan (MD (Anatamo-pathologist)) , F. Le Gall (MD (Anatamo-pathologist)) , O. Rodat (MD, PhD (Forensic))

{"title":"Macrophage activation syndrome: An autopsy case of sudden death","authors":"R. Clement (MD (Forensic)) , H. Jouan (MD (Anatamo-pathologist)) , F. Le Gall (MD (Anatamo-pathologist)) , O. Rodat (MD, PhD (Forensic))","doi":"10.1016/j.jcfm.2006.06.019","DOIUrl":"10.1016/j.jcfm.2006.06.019","url":null,"abstract":"<div><p>In a context of viral gastroenteritis, we report an unusual case of sudden death in an 8-year-old child. The only macroscopic abnormality observed in the autopsy was a diffuse mesenteric adenitis. Organ samples were taken for histopathological examination and a diffuse lymphocytic infiltration was observed. A sinusoidal histiocytic hyperplasia was found in the lymph nodes. Microscopic examination of the lungs and the lymph nodes revealed haemophagocytic lesions (lymphocytes within the cytoplasm of histiocytic macrophages). Immunohistochemical studies demonstrated that the histiocytes were CD68+ PS100− CD1A−. Following this microscopic examination macrophage activation or haemophagocytic syndrome was diagnosed. The syndrome is a distinct clinical entity characterised by fever, pancytopaenia, splenomegaly, and haemophagocytosis in the bone marrow, liver and lymph nodes. It is a clinical entity that is very difficult to diagnose due to the lack of specific clinical signs. It is generally a complication of an infectious process, an aggravation of an auto-immune disease or a complication of a neoplastic process. The physiopathology involves a disregulation of T lymphocytes and particularly T helper lymphocytes. To make this diagnosis the anatomopathological examination must be performed by an experienced practitioner. The presence of a lymphocyte infiltrate of macrophagic histiocytes in myeloid organs and especially positive CD68+ immune markers are the anatomopathological proofs of diagnosis. The autopsy examination must be carefully performed and include systematic sample harvesting for anatomopathological examination. The results of all these examinations taken together allow the diagnosis of haemophagocytic syndrome to be finally made.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 356-360"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26297651","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: 2

Review of initiatives adopted for effective documentation of torture in a developing country 审查为有效记录发展中国家的酷刑而采取的主动行动

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.06.001

Clifford Perera

{"title":"Review of initiatives adopted for effective documentation of torture in a developing country","authors":"Clifford Perera","doi":"10.1016/j.jcfm.2006.06.001","DOIUrl":"10.1016/j.jcfm.2006.06.001","url":null,"abstract":"<div><p>Effective documentation of torture is the key to successful interrogation and redress of torture victims. However the facilities available for such documentation to the forensic practitioners in less resourced countries are far from satisfactory. The emphasis on accurate and detailed documentation of examination findings of torture victims is currently necessary in Sri Lanka as the courts are relying heavily on medical reports for interrogation. In a situation where most of the torture victims are examined by unskilled medical officers who are not full time forensic practitioners, deficiencies of various degrees are commonly observed pertaining to depth of examination and documentation of examination findings. Therefore it was attempted in 2004, to introduce uniformity to existing documentation procedures by implementing Istanbul Protocol on island wide basis. However it was revealed that the adoption of the Istanbul Protocol could not be done as a whole in a short period due to variable degree of compliance from medical officers and further it need to be modified according to domestic requirements. The documentation of torture is a distinct multistage and multidisciplinary process. Therefore unless and untill a cohesive collaboration is established between all disciplines concerned, a positive development on documentation process cannot be anticipated.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 288-292"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26320852","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: 3

Analysis of 265 autopsies of sudden death in children 265例儿童猝死尸检分析

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.06.002

Shaoying Lin

引用次数: 5

Fatal poisoning in the region of Epirus, Greece, during the period 1998–2004 1998-2004年期间希腊伊庇鲁斯地区的致命中毒

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.06.009

Theodore Vougiouklakis MD, PhD (Associate Professor), Vassiliki A. Boumba, Antigony Mitselou

{"title":"Fatal poisoning in the region of Epirus, Greece, during the period 1998–2004","authors":"Theodore Vougiouklakis MD, PhD (Associate Professor), Vassiliki A. Boumba, Antigony Mitselou","doi":"10.1016/j.jcfm.2006.06.009","DOIUrl":"10.1016/j.jcfm.2006.06.009","url":null,"abstract":"<div><p>The aim of this study was to assess the characteristics of acute poisoning deaths in the deprived region of Epirus, north-west Greece, as they were recorded among the autopsies performed at the Department of Forensic Medicine and Toxicology, Medical School, University of Ioannina, Greece.</p><p>A retrospective study of the forensic records and the toxicological data of all autopsies performed over the period 1998–2004 revealed that 46 cases (2.9%) out of the 1582 total autopsies performed were attributed to acute fatal poisoning. The age range was from 16 to 94 years (mean±SD=46.20±22.13). Substances of abuse were implicated in 22 cases (47.8%), pesticides in 9 cases (19.6%), gases in eight cases (17.4%), corrosives in 4 cases (8.7%), and prescription drugs in 3 cases (6.5%). There were 35 males (76.1%) and 11 females (23.9%) and the age range was 16–94 years (mean±SD=39.26±19.00) and 16–93 years (mean±SD=63.36±23.46) for males and females, respectively. Fourteen out of the 46 fatal poisonings were suicide (30.4%), 30 (69.6%) were accident, and 2 were uncertain cases. Pesticides were the most common poisons used for suicide purposes (64.3% of suicides). Drugs of abuse were implicated in the majority of accidental poisoning deaths (73.3%) and were recorded mainly for males (95.5%). The selected cases were classified according to ICD-9 codes.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 321-325"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26294078","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: 33

Homicide in Tours (Indre-et-Loire, France): A four-year review 图尔谋杀案(法国卢瓦尔河畔):四年回顾

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.06.014

Pauline Saint-Martin, Marie Bouyssy, Stephane Bathellier, Saad Sarraj, Patrick O’Byrne

引用次数: 24

Sudden cardiac death associates with a large right atrium thrombus in a late survivor of heart transplantation 心脏移植后晚期幸存者的心源性猝死与大右心房血栓相关

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.06.022

H.L. Yin , H.K. Yip , C.Y. Wang , W.H. Chen

{"title":"Sudden cardiac death associates with a large right atrium thrombus in a late survivor of heart transplantation","authors":"H.L. Yin , H.K. Yip , C.Y. Wang , W.H. Chen","doi":"10.1016/j.jcfm.2006.06.022","DOIUrl":"10.1016/j.jcfm.2006.06.022","url":null,"abstract":"<div><p>A fatal circulatory collapse developed acutely in a patient six years after orthotopic heart transplantation. Autopsy revealed a large, fresh thrombus inside the right atrium which obstructed the orifice of the vena cava completely. The grafted coronary artery and pulmonary vessels were patent. There was no rejection or acute infarct in myocardium. Mildly immature organization was seen on the thrombus-adhered wall. Four chamber enlargement and a rapid decline of right ventricular hypokinesia were detected shortly before death although he did not show active cardiopulmonary symptom. Intracardiac thrombus formation is rather uncommon in late survivor. A synergic effect of atrial turbulence and ventricular hypokinesia in the right heart, superimposed by tissue organization, was proposed for thrombus formation. An empty cardiac output was favored for his mortality. These findings provide a strong evidence to suggest anticoagulation in case of complicated or highly risk of embolization such as turbulence or hypokinesia despite of an absence of active cardiopulmonary symptom.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 366-370"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26297604","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: 2

Spontaneous oesophageal perforation 自发性食管穿孔

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.06.018

R. Clément MD (Forensic), C. Bresson, O. Rodat MD, PhD (Forensic)

引用次数: 15

Alcimedes 阿基米德

Journal of clinical forensic medicine Pub Date : 2006-08-01 DOI: 10.1016/j.jcfm.2006.03.002

引用次数: 0