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Medicine, Science, and the Law

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https://www.readbyqxmd.com/read/28715977/iatrogenic-tracheoarterial-fistula-case-report-and-literature-review
#1
Durmić Tijana, Čurović Ivana, Bogdanović Milenko, Savić Slobodan
Tracheo-innominate fistula is a rare but recognised life-threatening complication most commonly associated with prolonged endotracheal intubation. We report the case of a 16-year-old boy who developed a tracheo-innominate fistula secondary to the prolonged intubation after a pool accident. After 16 days of hospitalisation, the patient died as a consequence of a massive haemorrhage into the tracheobronchial tree and asphyxia. This is a rare complication, and to our knowledge, no case of tracheo-innominate fistula or any other case series concerning this rare complication has been reported in Serbia recently...
July 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28438101/intravenous-administration-of-cannabis-and-lethal-anaphylaxis
#2
John D Gilbert, Marc Grabowski, Roger W Byard
Cannabis allergy appears to be increasing. A 33-year-old woman is reported who collapsed and died shortly after injecting herself with a cannabis solution prepared by pouring boiling water onto plant material. There were no significant findings at autopsy, except for a single recent venepuncture wound in the left cubital fossa. Toxicological examination of the blood revealed low levels of methylamphetamine and amphetamine with tetrahydrocannabinol (Δ(9)-THC) and 11-nor-9-carboxy-Δ(9)-THC, and no opiates. The syringe used by the decedent contained Δ(9)-THC...
April 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28438100/an-epidemiology-of-sexual-assault-among-elderly-women-in-the-mthatha-area-of-south-africa
#3
Banwari L Meel
Background South Africa has one of the highest rates of rape in the world, but this barely seems to surprise anyone. It is extremely disturbing, especially when children and elderly women are raped. Women and children are usually the weakest group in society physically, as well as the most exposed to abuse and neglect. It should be the responsibility of a civil society to protect these vulnerable groups from harm. Objective This study investigated the trend of rapes among elderly women in the Mthatha area of South Africa...
April 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28438099/a-single-centre-review-of-suspected-sudden-infant-death-cases
#4
Janos Bokor, Krisztina Danics, Eszter Bencze, Eva Keller, Zoltan Szollosi
This study aimed to establish the number of deaths in infants under 1 year of age that were being reported for medico-legal examination at a single large academic centre in Hungary, as well as the method of these investigations with special emphasis on histopathology, ancillary techniques and the adherence of our current practice to international recommendations. A single-centre, retrospective audit was conducted on all suspected sudden infant death cases. After the review there were eight infectious background sudden infant death syndrome (SIDS) cases, infectious respiratory tract disease in 14 cases, cardiac septal tumour in one case, and hepatic, possibly metabolic, disorder in one case...
April 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28438098/corrigendum
#5
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28438097/people-can-die-from-opiate-withdrawal
#6
Margaret Mary Stark, Jason Payne-James
No abstract text is available yet for this article.
April 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28438096/venous-air-embolism-an-under-recognised-entity-in-blunt-force-trauma-and-the-importance-of-radiology
#7
Marna du Plessis, Lorraine du Toit-Prinsloo
Air embolism (AE) is considered a rare event and can be either iatrogenic or traumatic. Various post-mortem methods to detect AE exist, of which radiology is preferred. The presence of air in the heart can be demonstrated using special dissection techniques where the heart is opened under water or by needle puncture from a water-filled syringe. Three cases of blunt-force head injury are presented herein, with AE being diagnosed by conventional radiography using a Lodox Statscan® full-body digital X-ray machine in all cases...
April 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28372524/the-demographic-characteristics-of-medicolegal-death-among-welfare-recipients-in-tokyo-metropolis-2008-2013
#8
Hideto Suzuki, Takanobu Tanifuji, Nobuyuki Abe, Tatsushige Fukunaga
Background The number of welfare recipients has steadily increased in Japan during recent years, although the number of homeless persons has decreased. Despite there being many reports regarding medicolegal death among homeless persons, medicolegal death among welfare recipients has not been fully investigated. Methods We identified 10,293 individuals who received welfare aid during their lifetime among the 81,867 cases that were examined by the Tokyo Medical Examiner's Office (2008-2013). We retrospectively compared the proportions of medicolegal death to total population, age, sex, family status, clinical history, and manners/causes of death among non-indigent persons (controls), homeless persons, and welfare recipients...
April 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28697681/a-particularly-complex-case-of-matricide-by-means-of-plastic-bag-suffocation-case-report
#9
Arnaldo Stanislao Migliorini, Michele Boracchi, Guendalina Gentile, Francesca Maciocco, Andrea Piccinini, Riccardo Zoja
A rare case of homicide with plastic bag suffocation is presented in which forensic genetic investigations were carried out on the inner surface of a plastic bag placed over the head of an elderly woman, bedridden after a stroke. The results obtained suggested that she had been murdered and hinted at the perpetrator of the crime. In fact, it emerged that biological traces left by the victim matched those of her principal caregiver, her psychotic daughter, who later confessed to the crime. The old woman also had a son affected by a serious illness, whose genetic profile was found on the same bag...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28669277/department-of-health-consultation-on-medical-examiners-and-death-certification-reforms-a-commentary-on-the-criteria-for-notification-to-be-laid-down-in-regulation
#10
Andrew Harris
The Department of Health has completed its consultation on the nature of the new medical examiner system and supporting regulations. This article considers whether the regulations for death notification to coroners are fit for purpose in the light of the medical literature on unnatural deaths and the experience of a coroner in a jurisdiction with a heavy workload from specialist hospital referrals. It concludes that they are to be welcomed, but that they should not rely on natural/unnatural death as a criterion for notification of deaths during the course of medical treatment, or refer to 'neglect'...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28669276/-natural-and-unnatural-medical-deaths-and-coronial-law-a-uk-and-international-review-of-the-medical-literature-on-natural-and-unnatural-death-and-how-it-applies-to-medical-death-certification-and-reporting-deaths-to-coroners-natural-unnatural-death-a-scientific
#11
Andrew Harris
In the United Kingdom, when people die, either a doctor writes an acceptable natural cause of death medical certificate, or a coroner (fiscal in Scotland) investigates the case, usually with an autopsy. An inquest may or may not follow. The concept of 'natural or unnatural cause' death is not internationally standardized. This article reviews scientific evidence as to what is a natural death or unnatural death and how that relates to the international classification of deaths. Whilst there is some consensus on the definition, its application in considering whether to report to the coroner is more difficult...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28610457/suicidal-self-stabbing-a-report-of-12-cases-from-crete-greece
#12
Elena F Kranioti, Anastasia E Kastanaki, Despoina Nathena, Antonis Papadomanolakis
Sharp-force trauma is a popular cause of homicide and suicide in many countries. Characterisation of the injuries between the two is crucial for a differential diagnosis. The current paper reviews 12 self-inflicted sharp-force trauma deaths from the island of Crete in Greece. Forensic reports between 1999 and 2015 were collated, and we studied the number and location of injuries, the demographic characteristics of the deceased, the sharp object and the medical history of the deceased. One third of the cases where the forensic reports were available (3/10) involved multiple injuries, and one case involved a combination of stabbing and hanging...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28587536/commotio-cordis-a-review
#13
Ritesh G Menezes, Huda Fatima, Syed Ather Hussain, Saba Ahmed, Pankaj Kumar Singh, Magdy A Kharoshah, Mohammed Madadin, Pradhum Ram, Sadip Pant, Sushil Allen Luis
Commotio cordis is an increasingly reported fatal mechano-electric syndrome and is the second most common cause of sudden cardiac death in young athletes. It is most commonly associated with a sports-related injury, wherein, there is a high-velocity impact between a projectile and the precordium. By virtue of this impact, malignant arrhythmias consequently develop leading to the individual's immediate demise, accompanied by a relatively normal post-mortem analysis. The importance of an autopsy remains paramount to exclude other causes of sudden death...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28587535/a-fatal-case-of-hypothermia-caused-by-dog-bites
#14
Yanning Li, Ruipeng Shen, Runtao Ding, Gehua Wen, Ao Du, Zhibin Dong, Xinghua Ren, Hui Yao, Baoli Zhu, Rubo Li, Yan Lu, Xu Wu
Death from hypothermia usually *We presented a fatal case of hypothermia after being bitten by dog in this article. occurs among people exposed to cold and humid environmental conditions when they are homeless, aged, suffering from natural or psychiatric diseases and drug or alcohol intoxication. A normal healthy person dying from hypothermia due to dog bites is unusual and rare. Here, we present a fatal case of hypothermia following dog bites causing blood loss and multiple wounds on the body. A 56-year-old man was found dead in a remote roadside puddle of a small village, early in the morning...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28513267/self-use-of-snake-venom-the-other-side-of-the-coin
#15
Subramanian Senthilkumaran, Nanjundan Karthikeyan, Narendra Nath Jena, Ponniah Thirumalaikolundusubramanian
No abstract text is available yet for this article.
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28490265/crush-asphyxia-and-ride-on-lawn-mowers
#16
Roger W Byard, Neil Ei Langlois
Search of files at Forensic Science SA, Australia, over the past 20 years (1997-2016) revealed three cases of death due to crush asphyxia associated with the use of ride-on lawn mowers. (1) A 61-year-old man was trapped under a ride-on mower that had rolled over. Autopsy examination revealed congestion and petechial haemorrhages of the face and chest, and markings on the chest associated with underlying rib fractures. (2) A 78-year-old man was trapped under a ride-on mower that had also rolled over. Autopsy examination revealed petechial haemorrhages of the face and chest and markings on the chest...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28480785/decomposition-patterns-of-buried-remains-at-different-intervals-in-the-central-highveld-region-of-south-africa
#17
A Marais-Werner, J Myburgh, A Meyer, W C Nienaber, M Steyn
Burial of remains is an important factor when one attempts to establish the post-mortem interval as it reduces, and in extreme cases, excludes oviposition by Diptera species. This in turn leads to modification of the decomposition process. The aim of this study was to record decomposition patterns of buried remains using a pig model. The pattern of decomposition was evaluated at different intervals and recorded according to existing guidelines. In order to contribute to our knowledge on decomposition in different settings, a quantifiable approach was followed...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28391742/the-use-of-human-samples-obtained-during-medicolegal-autopsies-in-research-an-introduction-to-current-conditions-and-initiatives-in-japan
#18
Takako Tsujimura-Ito, Yusuke Inoue, Kaori Muto, Ken-Ichi Yoshida
Background Leftover samples obtained during autopsies are extremely important basic materials for forensic research. However, there are no established practices for research-related use of obtained samples. Objective This study discusses good practice for the secondary use of samples collected during medicolegal autopsies. Methods A questionnaire was posted to all 76 departments of forensic medicine performing medicolegal autopsies in Japan, and 48 responses were received (response rate: 63.2%). As a secondary analysis, we surveyed information provided on department websites...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28376670/in-re-guardianship-of-hailu-the-nevada-supreme-court-casts-doubt-on-the-standard-for-brain-death-diagnosis
#19
Greg Yanke, Mohamed Y Rady, Joseph L Verheijde
In the recent court case of In Re Guardianship of Hailu, the Nevada Supreme Court cast doubt on the acceptability of the American Academy of Neurology's guidelines as a medical standard for determining brain death. The Uniform Determination of Death Act, which has been adopted in every state, requires that brain death diagnoses be made in accordance with accepted medical standards. The Court expressed concern that the guidelines fail to ensure that there is an irreversible cessation of all functions of a person's entire brain, which is a component of the Act's definition of death...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28372525/acute-forces-required-for-fatal-compression-asphyxia-a-biomechanical-model-and-historical-comparisons
#20
Mark W Kroll, G Keith Still, Tom S Neuman, Michael A Graham, Lanny V Griffin
Background Fatalities from acute compression have been reported with soft-drink vending machine tipping, motor vehicle accidents, and trench cave-ins. A major mechanism of such deaths is flail chest but the amount of force required is unclear. Between the range of a safe static chest compression force of 1000 N (102 kg with earth gravity) and a lethal dynamic force of 10-20 kN (falling 450 kg vending machines), there are limited quantitative human data on the force required to cause flail chest, which is a major correlate of acute fatal compression asphyxia...
January 1, 2017: Medicine, Science, and the Law
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