Journal of clinical forensic medicine最新文献

{"title":"Review of 212 individuals attending a city centre genitourinary medicine clinic following acute sexual assault","authors":"C. Thompson","doi":"10.1016/j.jcfm.2006.02.011","DOIUrl":"10.1016/j.jcfm.2006.02.011","url":null,"abstract":"<div><p>A retrospective case note review of 212 individuals (190 women) attending a city-centre Genitourinary Medicine clinic between 1/4/2002 and 31/3/2004 following an acute sexual assault. Direct referral by the Forensic Medical Examiner to the dedicated weekly clinic for victims of sexual assault facilitated the attendance of 55/113 attending the dedicated clinic. The 99 individuals who did not disclose a recent assault as the reason for attendance were seen at routine clinics. One third of individuals attending the dedicated clinic were less than 16 years old, reflecting the facilitated referral pathway. Those attending the dedicated clinic were more likely to be offered the extended service outlined in the departmental protocol. Twenty four sexually transmitted infections were detected in 23 (11%) individuals but 23/24 could have been acquired during other recent consensual sexual activity. Overall, the assailant was known to the victim in 53% cases, there was an allegation of violence associated with the assault in 20%, suspicion of a drug facilitated (‘spiked drink’) assault in 24% and admission of alcohol intoxication in 11% cases. The 22/212 (10%) who were male were more likely to present to a routine clinic.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 186-188"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25929398","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":"Somnambulistic sexual behaviour (sexsomnia)","authors":"Irshaad Osman Ebrahim","doi":"10.1016/j.jcfm.2006.02.001","DOIUrl":"10.1016/j.jcfm.2006.02.001","url":null,"abstract":"<div><p>Somnambulism or sleepwalking is a viable defence on the basis of automatism. The behaviours that occur during sleepwalking can be highly complex and include sexual behaviour of all types. Somnambulistic sexual behaviour (also called sexsomnia, sleep sex) is considered a variant of sleepwalking disorder as the overwhelming majority of people with Sexsomnia have a history of parasomnia and a family history of sleepwalking. Sexual behaviour during a sleep automatism can vary from explicit sexual vocalisations, to violent masturbation, to complex sexual acts including anal, oral and vaginal penetration. A recent case in England is reported where the defendant was acquitted on 3 charges of rape on the basis of automatism due to somnambulistic sexual behaviour.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 219-224"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25929400","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":"Facilities for complainants of sexual assault throughout the United Kingdom","authors":"Mary Pillai ,&nbsp;Sheila Paul","doi":"10.1016/j.jcfm.2006.02.010","DOIUrl":"10.1016/j.jcfm.2006.02.010","url":null,"abstract":"<div><h3>Background</h3><p>A sexual assault referral centre (SARC) is a model of service established to address the forensic and therapeutic needs arising following sexual assault. As yet, only a minority of urban areas in England are served by one, the rest of the United Kingdom (UK) being served by police victim examination suites.</p></div><div><h3>Objective</h3><p>To examine variations in service offered to complainants of sexual assault within the United Kingdom in 2005.</p></div><div><h3>Methods</h3><p>A purpose designed questionnaire sent to all areas of the United Kingdom. Data were received and analysed from 12 of 13 SARCs and 54 of 58 non SARC services.</p></div><div><h3>Results</h3><p>Very wide disparities in service, most marked between SARC and non SARC services. SARCs see a proportion of complainants from non-police sources. The non SARC services do not usually offer a forensic examination without police involvement, and a significant minority have so few doctors that they cannot provide a 24<!--> <!-->h rota for examinations. Inadequate numbers of forensic physicians are available for child examinations, and a robust service for ‘acute child sexual assault’ is virtually absent. Photodocumentation with appropriate safe storage is available in all SARCs, while 45% of non SARCs have no facility for photodocumentation. DNA contamination issues were perceived to be significant in many of non SARC services. Most non SARC services for adults do not provide baseline screening for sexually transmitted infection (STI) or offer prophylaxis against STIs. Follow up is by referral to local clinics which complainants may have to arrange themselves. Funded counselling is rare in the non SARCs with the exception of Yorkshire.</p></div><div><h3>Conclusion</h3><p>In the non SARC services, lack of co-operative working with local health services, lack of equipment, and lack of ‘in house’ medical follow up arrangements is the norm. Many areas rely on the good will of a small number of doctors to provide a service without a rota.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 164-171"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25929402","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":"Medico-legal approach to sexual assault victims: The Belgian situation","authors":"K. De Munnynck ,&nbsp;L. De Houwer ,&nbsp;K. Bronselaer ,&nbsp;M. Hanssens ,&nbsp;W. Van de Voorde","doi":"10.1016/j.jcfm.2006.02.013","DOIUrl":"10.1016/j.jcfm.2006.02.013","url":null,"abstract":"<div><p>Clinical forensic medicine is a relatively new discipline in Belgium although (sexual) violence has been around for centuries. A brief overview of the Belgian legal system and the way it interacts with forensic medicine is presented, with special emphasis on the investigation of complainants of sexual violence.</p><p>The epidemiology of sexual violence in Belgium is discussed together with the procedures that were developed by the government to standardise the medical examination of sexual assault victims.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 211-214"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25929401","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":"Interpreting evidence in court – the dangers and pitfalls","authors":"Dr. Guy A. Norfolk (Guest Editor),&nbsp;Dr. Cath White (Guest Editor)","doi":"10.1016/j.jcfm.2006.02.008","DOIUrl":"10.1016/j.jcfm.2006.02.008","url":null,"abstract":"","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 160-161"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25944150","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":"Aims & Scope/Editorial Board","authors":"","doi":"10.1016/S1353-1131(06)00100-3","DOIUrl":"https://doi.org/10.1016/S1353-1131(06)00100-3","url":null,"abstract":"","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Page i"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1353-1131(06)00100-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138211478","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}

{"title":"Socio-cultural aspect of sexual practices and sexual offences – An Indian scenario","authors":"Binaya Kumar Bastia","doi":"10.1016/j.jcfm.2006.02.002","DOIUrl":"10.1016/j.jcfm.2006.02.002","url":null,"abstract":"<div><p>Ignorance of the law of the land is no defence. Furthermore, it is a legal dictum that one should not be held criminally liable unless possessing a guilty mind. But during trials of some sexual offences in India it is often observed that the accused did not know that he had committed an offence because the crime in question was a part of his socio-cultural milieu.</p><p>India is a vast country with great socio-cultural diversity and many different ethnic groups, each with its own distinct cultures. However, the entire Indian culture is religion based and finds its root from the ancient Holy Scriptures. The sexual culture of Indian society stems from the Kama Sutra of Vatsyayana, an epic on sex. This text is considered holy and is accepted culturally, even though many practices contained therein are offences under modern law. Child marriages and arranged marriages are an integral part of Indian society and in some tribes, even prostitution is socially sanctioned. However, all of these are also against the law.</p><p>Many of the conflicts observed between the sexual practices that are accepted in Indian culture but not by the law can be explained on the basis that the Indian legal system is borrowed from that of the British.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 208-210"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25929396","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":"Sexual assault practice: Myths and mistakes","authors":"David L. Wells","doi":"10.1016/j.jcfm.2006.02.012","DOIUrl":"10.1016/j.jcfm.2006.02.012","url":null,"abstract":"<div><p>Stories about sexual activity abound and are often the source of considerable interest and speculation. These anecdotal accounts are rarely subjected to any serious scrutiny and yet may develop folklore proportions. It is concerning that many forensic practitioners are prepared to perpetuate similar myths behind a veneer of scientific practice. Practices such as impotence or virginity testing and the interpretation of penile measurements are lucrative endeavors that remain alive and well. Similarly, court evidence on topics such as the circumstances by which genital injuries were sustained, the relationship between pubertal staging and age or the interpretation of anal findings are often less than objective. These practices are unprofessional. Further, they have the potential to cause significant harm to many individuals and to undermine the standing of the criminal justice system.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 4","pages":"Pages 189-193"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.02.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25930664","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":"Haemolytic staining of the intima of the aortic root – A useful pathological marker of freshwater drowning?","authors":"Roger W. Byard ,&nbsp;Glenda Cains ,&nbsp;Michael Tsokos","doi":"10.1016/j.jcfm.2006.01.008","DOIUrl":"10.1016/j.jcfm.2006.01.008","url":null,"abstract":"<div><p>The significance of haemolytic staining of the aorta is unclear. While it has been associated with freshwater drowning, data are lacking. To study this phenomenon further a prospective study looking at the colour of the intima of the pulmonary trunk and aortic root was undertaken in 47 randomly selected coronial control cases and in 13 consecutive fresh drowning deaths. There were 16 putrefied control cases each of which showed haemolytic staining of both great vessels. Of the other 44 non-putrefied cases (31 controls, 9 saltwater drownings, and 4 freshwater drownings), only one (a freshwater drowning) showed marked staining of the aortic root with no staining of the intima of the pulmonary trunk. Conclusion: This study has demonstrated that haemolytic staining of the aorta at autopsy, in the absence of significant staining of the pulmonary trunk and putrefaction, may be a pathological feature that is supportive of freshwater drowning. It is not, however, present in all cases. Given the relatively small numbers in this study further work is required to clarify this issue.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 3","pages":"Pages 125-128"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2006.01.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25899601","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":"Invasive aspergillosis in association with criminal arsenic poisoning","authors":"Muriel Parent ,&nbsp;Philippe Hantson ,&nbsp;Vincent Haufroid ,&nbsp;Jean-François Heilier ,&nbsp;Paul Mahieu ,&nbsp;Frédéric Bonbled","doi":"10.1016/j.jcfm.2005.10.001","DOIUrl":"10.1016/j.jcfm.2005.10.001","url":null,"abstract":"<div><p>A 26-year-old man suffered acute arsenic poisoning after a poisoning attempt. He developed multiple organ failure including encephalopathy, bleeding disorders, pancreatitis, renal and hepatocellular impairment. Generalized erythroderma also developed within one week after admission. The developed acute respiratory distress syndrome and <em>Aspergillus fumigatus</em> was isolated from the endotracheal aspirate. Despite intensive care support, antidote administration and various epuration techniques, the patient died on day 26 from subarachnoid bleeding. An autopsy was obtained and the concentration of arsenic was determined in different tissues. Multiple abscesses due to <em>Aspergillus fumigatus</em> were seen in the lungs, myocardium and kidneys. This uncommon complication in a previously immunocompetent patient could be related to impaired immunity directly caused by arsenic poisoning.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 3","pages":"Pages 139-143"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2005.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25753195","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}