{"title":"Sudden death in a patient with idiopathic scoliosis","authors":"Fumiko Satoh (MD, PhD) , Masaki Q. Fujita (MD, PhD) , Yoshihisa Seto , Akio Tsuboi , Sanae Takeichi (MD, PhD)","doi":"10.1016/j.jcfm.2006.06.007","DOIUrl":"10.1016/j.jcfm.2006.06.007","url":null,"abstract":"<div><p>We report an autopsy case of sudden death in a 36-year-old craftsman with idiopathic scoliosis. The doctor identified his scoliosis at the age of thirteen, and he was under medical care for three years until he stopped consulting the doctor. He collapsed while walking at the station and was sent to an emergency room in cardiopulmonary arrest state, where he was declared dead in spite of more than an hour of CPR. Numbers of petechiae were seen on the bilateral palpebral conjunctivae and the lips were cyanotic. There were no particular injuries except for small abrasions observed on the face. The back showed right rib hump owing to midthoracic scoliosis (with 73° of Cobb’s angle) and right hemithorax was deformed showing an appearance of pectus excavatum in the front. The volume of the right thoracic cavity was significantly decreased. In the right lung, there was extensive stromal fibrosis, leaving almost no normal alveolar structures, and medial hypertrophy of pulmonary arteriolar walls. Hypertrophy of the right heart ventricle due to these pulmonary changes and the congestion of other organs suggested that the cause of death in this case was cor pulmonale due to pulmonary hypertension. This was a rare case of fatal outcome of advanced idiopathic scoliosis without medical care in spite of early detection through mass screening.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 335-338"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26294079","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}
T. Varga MD, PhD (Professor), K. Mágori MD, Zs. Hideg (Toxicologist), G. Somogyi PhD (Toxicologist)
{"title":"Drugged driving in Hungary 2000–2004","authors":"T. Varga MD, PhD (Professor), K. Mágori MD, Zs. Hideg (Toxicologist), G. Somogyi PhD (Toxicologist)","doi":"10.1016/j.jcfm.2006.06.013","DOIUrl":"10.1016/j.jcfm.2006.06.013","url":null,"abstract":"<div><p>The authors analyzed the biological samples available in criminal cases that were started because of illicit and prescribed drug-impaired driving between 2000 and 2004. The result of the on-the-spot clinical test is not informative and cannot be evaluated as it is mainly affected by the simultaneous presence of alcohol. Licit or illicit drugs in the urine could be detected in 378 people out of 623 people (60.7%), whereas in 59 cases (9.5%) there was some substance present in the blood. The occurrence multiple drugs was high (36.8%). The joint use of alcohol and drugs has increased in the past few years.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 308-310"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26299374","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}
{"title":"Wrongful convictions, lessons learned: The Canadian experience","authors":"Jeffrey R. Manishen (Barrister and Solicitor)","doi":"10.1016/j.jcfm.2006.06.006","DOIUrl":"10.1016/j.jcfm.2006.06.006","url":null,"abstract":"<div><p>Following the wrongful conviction of a man for the sexual assault and murder of a child, the Province of Ontario commissioned a public inquiry to prevent future miscarriages of justice. The implementation of several recommendations regarding forensic laboratory procedure and the presentation of expert evidence has proven to be beneficial to the Canadian criminal justice system.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 296-299"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26299372","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}
Jorge Costa Santos MD, PhD, Anabela Neves MD, Marlene Rodrigues PhD, Paula Ferrão MD
{"title":"Victims of sexual offences: Medicolegal examinations in emergency settings","authors":"Jorge Costa Santos MD, PhD, Anabela Neves MD, Marlene Rodrigues PhD, Paula Ferrão MD","doi":"10.1016/j.jcfm.2006.06.003","DOIUrl":"10.1016/j.jcfm.2006.06.003","url":null,"abstract":"<div><p>The aim of the study was to present some data concerning the examinations of victims of sexual offences in emergency settings conducted by medicolegal examiners of the Lisbon Department of the National Institute of Legal Medicine (NILM) over a two-year period (2002–2003).</p><p>The study was based on 352 alleged victims of sexual offences referred by investigating police authorities and physicians working at hospital emergency rooms. Examination records were reviewed and data collected according to the extended medicolegal protocol adopted by NILM, which includes sociodemographic variables, and medical and laboratory findings.</p><p>The results show that examinations in emergency settings represented about 43% of the total examinations of victims of sexual offences, 44% of them being performed at hospital emergency rooms. Victims’ ages ranged from a minimum of 93 days to a maximum of 86 years. The mean age was 17.5 years. Females represented about 92% with a large over-representation of those aged from 0 to 19 years (61% of the total). Victims were mainly girls of school age (36%) or under 6 years old (25%). Offenders were male, referred to mainly, as acquaintances/neighbours (32%), friends (24%) or cohabiting family members (20%), a large majority belonging to the victim’s social or family circle (85%). Of the examinations requested as “urgent cases” only 61% were reported as having occurred within 72<!--> <!-->h prior to the examination. Traumatic lesions on the whole body were found in only 28% of the cases, while findings on the genitalia and/or the anus were present in 31%. Medical and laboratory findings were in accordance with some sort of sexual offence in 34% of the cases.</p><p>Our findings show the great heterogeneity of the victims, with a high proportion of children as well as the interplay between examination requests in emergency settings and the need to define more accurate criteria and proceedings for legal authorities and physicians who are usually the first line of intervention before specialists in legal medicine.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 300-303"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26277024","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}
J.M. Suárez-Peñaranda MD, PhD, J.I. Muñoz MD, PhD, M.S. Rodríguez-Calvo MD, PhD, J.A. Ortíz-Rey MD, L. Concheiro MD, PhD
{"title":"The Pathology of the heart conduction system in congenital heart block","authors":"J.M. Suárez-Peñaranda MD, PhD, J.I. Muñoz MD, PhD, M.S. Rodríguez-Calvo MD, PhD, J.A. Ortíz-Rey MD, L. Concheiro MD, PhD","doi":"10.1016/j.jcfm.2006.06.010","DOIUrl":"10.1016/j.jcfm.2006.06.010","url":null,"abstract":"<div><p>The incidence of congenital complete heart block is estimated in 1 of 2500 – 20,000 births. Many cases are isolated (found in an otherwise normal heart) and the pathology of the heart conduction system is variable.</p><p>We report a 51-year-old man with the diagnosis of complete heart block, with a permanent pacemaker. No family history of rhythm disturbances was available. The patient presented and endocarditis after replacement of the pacemaker battery. The prognosis was poor and the patient died three months later. Autopsy examination showed signs of shock, of septic origin. The heart was hypertrophic (450<!--> <!-->g) and the left ventricle thickened. Histopathological examination of the heart conduction system showed that the sinus and atrioventricular nodes were normal, but the His bundle was interrupted and replaced by fibrous tissue. No inflammatory signs were present.</p><p>Loss of conducting fibres and their replacement by fibrous tissue is the most common pathological process in complete heart block. In this case His bundle was mostly affected, different to Lev’s disease where the process is more distal (branching atrioventricular bundle) and to Lenegre’s disease, which shows a diffuse damage in the conducting system.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 341-343"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26299377","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}
{"title":"The development and practice of forensic podiatry","authors":"Wesley Vernon (Professor)","doi":"10.1016/j.jcfm.2006.06.012","DOIUrl":"10.1016/j.jcfm.2006.06.012","url":null,"abstract":"<div><p>Forensic podiatry a small, but potentially useful specialty using clinical podiatric knowledge for the purpose of person identification. The practice of forensic podiatry began in the early 1970s in Canada and the UK, although supportive research commenced later in the 1990s. Techniques of forensic podiatry include identification from podiatry records, the human footprint, footwear, and the analysis of gait forms captured on Closed Circuit Television Cameras. The most valuable techniques relate to the comparison of the foot impressions inside shoes. Tools to describe, measure and compare foot impressions with footwear wear marks have been developed through research with potential for further development. The role of forensic podiatrists is of particular value when dealing with variable factors relating to the functioning and the shod foot. Case studies demonstrate the approach of podiatrists, in footwear identification, when comparing exemplar with questioned foot impressions. Forensic podiatry practice should be approached cautiously and it is essential for podiatrists undertaking this type of work to understand the context within which the process of person identification takes place.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 6","pages":"Pages 284-287"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.06.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26297647","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}
{"title":"Haemorrhagic complication of acute necrotizing pancreatitis presenting with sudden death","authors":"Marco Di Paolo, Ilaria Marradi","doi":"10.1016/j.jcfm.2005.11.008","DOIUrl":"10.1016/j.jcfm.2005.11.008","url":null,"abstract":"<div><p>Certain complications of acute pancreatitis may lead to death, and of these, haemorrhage caused by rupture of a peri-pancreatic vessel is among the most dangerous. The case reported here was remarkable because the onset of acute necrotizing pancreatitis was completely asymptomatic and the severe haemorrhage of the portal vein that caused the patient’s death was only discovered at autopsy. The onset of abdominal pain was immediately followed by death.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 5","pages":"Pages 271-273"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2005.11.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25943809","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}
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