{"title":"A study of blood and urine alcohol concentrations in cases of alleged drug-facilitated sexual assault in the United Kingdom over a 3-year period","authors":"Michael Scott-Ham, Fiona C. Burton","doi":"10.1016/j.jcfm.2005.10.006","DOIUrl":"10.1016/j.jcfm.2005.10.006","url":null,"abstract":"<div><p>This paper details the alcohol concentrations found in a selection of 1014 cases of claimed drug-facilitated sexual assault analysed at The Forensic Science Service, London Laboratory between January 2000 and December 2002. Where appropriate, either a whole blood sample and/or a urine sample was analysed for alcohol, common drugs of abuse and potentially stupefying drugs.</p><p>The samples were collected from a complainant within 12<!--> <!-->h of an alleged incident in 391 of the 1014 cases analysed. Of these, the majority (81%) contained alcohol. The presence of alcohol itself was not surprising as most of the alleged incidents were associated with social situations such as at a public house, bar, night-club or party, where it is expected that alcohol would have been consumed. However, 233 (60%) of the 391 cases had a high back-calculated figure, where high is defined as greater than 150 milligrams per 100 millilitres (150<!--> <!-->mg%). Some of these samples were also found to contain illicit drugs. This is the first paper to our knowledge which discusses in detail the significance of the alcohol concentrations found in cases of this type.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 3","pages":"Pages 107-111"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2005.10.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25753193","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 forensic pathology initiative from Home Office pathologist to home-office pathologist?","authors":"Guy N. Rutty","doi":"10.1016/j.jcfm.2005.11.003","DOIUrl":"10.1016/j.jcfm.2005.11.003","url":null,"abstract":"","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 3","pages":"Page 151"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2005.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25824718","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":"","authors":"Ian F. Wall","doi":"10.1016/j.jcfm.2005.11.004","DOIUrl":"https://doi.org/10.1016/j.jcfm.2005.11.004","url":null,"abstract":"","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 3","pages":"Page 153"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2005.11.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136848813","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}
Fiona Day , Sarah Clegg , Maeve McPhillips , Jacqueline Mok
{"title":"A retrospective case series of skeletal surveys in children with suspected non-accidental injury","authors":"Fiona Day , Sarah Clegg , Maeve McPhillips , Jacqueline Mok","doi":"10.1016/j.jcfm.2005.08.001","DOIUrl":"10.1016/j.jcfm.2005.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The skeletal survey is widely used as the principal radiological investigation in suspected physical abuse of infants and young children. However, the evidence on which current guidelines are based is limited, especially for siblings of index cases. We conducted a retrospective study to describe the characteristics of children who underwent skeletal surveys for suspected non-accidental injury (NAI) in the Edinburgh area; to evaluate the diagnostic efficacy of skeletal surveys; and to identify any predictive factors that might guide clinical practice.</p></div><div><h3>Methods</h3><p>All skeletal surveys performed at the Royal Hospital for Sick Children in Edinburgh for suspected non-accidental injury between 1/1/99 and 31/12/03 were reviewed.</p></div><div><h3>Results</h3><p>Seventy-seven children underwent skeletal surveys for suspected NAI. Data were available for 76 (70 index cases and 6 siblings). Of the index cases, 17 (24%) skeletal surveys were positive, with a mean of 2.5 fractures per child (range 0–9). The age of positive cases ranged from 2 weeks to 36 months with the majority (14, 82%) being under 12 months of age. Nine (53%) were boys. In index children with positive results, indications for skeletal survey were head injury (skull fracture in 2, 12%; intracranial injury in 4,24%); skeletal fracture (excluding skull fracture) in 6 (35%) and bruising in 4 (24%). χ<sup>2</sup> analysis revealed no significant differences in age, sex or primary reason for skeletal survey between those with a negative and positive skeletal survey.</p><p>Six skeletal surveys were performed on siblings of children with known or suspected NAI. The siblings’ ages ranged from 1 to 36 months although 3 (50%) were under 12 months of age. One (17%) of the siblings’ surveys (a twin) was positive.</p></div><div><h3>Conclusion</h3><p>The age of a child (<12 months) and type of presenting injury (overt fracture or head injury) are factors which can help the clinician to decide whether or not to obtain a skeletal survey. There remains a lack of evidence for the effectiveness of skeletal survey in the siblings of index children. Guidelines for the process of repeating uncertain skeletal surveys are needed.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 2","pages":"Pages 55-59"},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2005.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25844432","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":"Suicide by severing the arterio-venous subclavian dialysis catheter","authors":"P.A.S. Edirisinghe, A. Busuttil","doi":"10.1016/j.jcfm.2005.08.005","DOIUrl":"10.1016/j.jcfm.2005.08.005","url":null,"abstract":"<div><p>Haemodialysis access is an essential requirement for haemodialysis treatment in end-stage renal disease. The common forms are arteriovenous fistula (AVF) and arteriovenous grafts in ante-cubital fossa, forearm and upper thigh. Sometimes temporary or immediate access is created via a subclavian catheter or internal jugular catheter. This report is on a 79-year-old man who was suffering from chronic renal failure with a non-functional peripheral AVF; he was being dialysed through a permanent subclavian catheter and he became depressed due to continuing deterioration of his health. He used the easily accessible haemodialysis site as the method of suicide by cutting the tube that connected with the main vessel in his chest and bled to death. This highlights the requirement to assess carefully the patient’s mental state in those on chronic haemodialysis, even though very few similar fatal cases have been previously reported.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 2","pages":"Pages 86-88"},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2005.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25670037","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":"Medical suicide – Groin stabbing","authors":"P.A.S. Edirisinghe, A. Busuttil","doi":"10.1016/j.jcfm.2005.08.008","DOIUrl":"10.1016/j.jcfm.2005.08.008","url":null,"abstract":"<div><p>This case report concerns a 50-year-old male who died from exsanguination due to self-inflicted stabbing injuries to the groin and cutting injuries to the neck. He was a medical doctor suffering from depression following treatment for cancer. Postmortem examination revealed that stab injuries in the groin were directly over the femoral arteries where the femoral pulse is clinically palpated. The injury pattern of this suicidal stabbing is uncommon and the medical knowledge of this person may have well contributed to the choice of the site.</p></div>","PeriodicalId":87101,"journal":{"name":"Journal of clinical forensic medicine","volume":"13 2","pages":"Pages 92-95"},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcfm.2005.08.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25677818","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}