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Medicine, Science, and the Law

Fumiko Satoh, Motoki Osawa
We examined 169 deceased persons and 76 homicide-suicide cases reported in Japan's Kanagawa Prefecture from 1999 to 2011. The relationships between homicide-suicide perpetrators and homicide victims; the numbers of victims; their age, sex, causes and places of death; motivation; and the presence or absence of a suicide note were extracted and examined. The relationship between homicide-suicide perpetrators and homicide victims was examined based on findings from the following: 24 married couples (31%), 22 parents and children aged ≥18 years (29%), 19 parents and children aged ≤17 years (25%), seven families (9%), two couples (3%) and two miscellaneous relationships (3%)...
October 3, 2016: Medicine, Science, and the Law
P U Telisinghe, Senarath M Colombage, Pg Md Bahrin Pg Hj Aliuddin
Deaths resulting from carbon-monoxide poisoning have been reported in the medical literature under diverse circumstances. Here, we report four deaths due to carbon-monoxide poisoning as a result of a traditional practice involving the application of heat to the abdomen to facilitate uterine involution during the immediate post-partum period. Four people died due to carbon-monoxide poisoning in two separate incidents, including two women in the post-partum period. In both instances, the women slept beside a stove with burning charcoal, which was supposed to provide warmth to the lower abdomen...
September 14, 2016: Medicine, Science, and the Law
Roger W Byard, Maria Bellis, Neil Ei Langlois
Careful examination of the skin and soft tissues is a routine part of the forensic autopsy to identify and characterise traumatic lesions. Three cases are reported where benign vascular lesions presented as bruises. In case 1, a 44-year-old man with a history of epilepsy was found dead on the floor. Dissection of the neck revealed a haemorrhagic area 15 mm × 1.5 mm, deep to the left thyrohyoid muscle. In case 2, an 87-year-old man was found dead with a plastic bag over his head attached to an opened cylinder of nitrogen gas...
September 10, 2016: Medicine, Science, and the Law
Subhendu Mallik, Sudipta Ranjan Singh, Manoj Kumar Mohanty, Niranjan Padhy
Snake bite is an important public health issue in India and is almost always accidental in manner. Suicide by snake bite or injection of snake venom is extremely rare. Suicidal ideation and behavior is known to be influenced by various socio-economic and psychological factors. The method employed for suicide is also influenced by the occupation of the victim. We report a case where a snake charmer had attempted suicide by inflicting a bite by a monocled cobra.
July 14, 2016: Medicine, Science, and the Law
Hugh Grant-Peterkin, Hilary Pickles, Cornelius Katona
Asylum seekers and migrants can be detained in immigration removal centres (IRCs) or, post sentence, in prison while the Home Office makes decisions on their immigration status and/or arrangements for their removal or deportation. Currently, there is no process for identifying detainees who lack the mental capacity to participate in decision making relating to their immigration situation. Mental illness and distress are common among detainees. There are often cultural and language barriers; there is no consistent system of advocates, and many detainees are without legal representation...
July 14, 2016: Medicine, Science, and the Law
Rajanikanta Swain, Chittaranjan Behera, Sudhir Kumar Gupta
The study presents a retrospective analysis of 64 cases of death resulting from ingestion of corrosive substances. The cases represented approximately 0.4% of all autopsies conducted and 13.6% of all fatal poisonings studied during the 10-year period from January 2005 to December 2014 at the Department of Forensic Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi. The data was analyzed with regard to age, sex, nature and source of corrosive substance used, survival period, cause and manner of death...
July 8, 2016: Medicine, Science, and the Law
Jem Barton-Hanson, Renu Barton-Hanson
The aims of this article are to consider the effects of hindsight bias on findings of negligence in medico-legal litigation and of the potential of the original Bolam direction to eliminate bias from the decision-making process. The Bolam test may have been expanded beyond its appropriate scope in the past, but these excesses have now largely been undone. It will be shown that Bolam still has an important role to play in tort cases. By considering breach of duty cases in which the Bolitho 'gloss' has been applied, attention is drawn to the potential dangers of disregarding practices within the medical profession...
July 8, 2016: Medicine, Science, and the Law
Nilamadhab Kar
Suicide rates and associated risk factors are known to change over time. The periodic evaluation of suicides in a particular locality may identify specific issues that may help in prevention efforts. The profile of 146 consecutive cases with suicide, open and narrative verdicts between January 2004 and July 2011 in Wolverhampton was studied in order to explore associated factors. Specific information about methods, mental health issues and stressors was collected. There was considerable variation in suicides in different wards of the city, with higher occurrences in inner-city areas...
July 5, 2016: Medicine, Science, and the Law
P Voultsos, N Raikos, N Vasileiadis, Ch Spiliopoulou, B Tarlatzis
Ovarian tissue transplantation (OTT) is a promising experimental method which may soon become well-established. In cases of minor oncology, where patients' fertility is seriously threatened by treatment, it may be applied as a unique fertility preservation option. OTT has a dual nature ('organ' and 'gamete'). Many stakeholders are involved, including donor, recipient, child, health-care providers and society at large. There is considerable uncertainty about the long-term consequences of the application of OTT and OT cryopreservation (OTC)...
July 4, 2016: Medicine, Science, and the Law
Maurice Lipsedge
No abstract text is available yet for this article.
July 2016: Medicine, Science, and the Law
Mohammed Madadin, Dalia M Al-Saif, Amar Hassan Khamis, Attia Z Taha, Magdy A Kharoshah, Ahmed Alsayyah, Suha Alfehaid, Khalid Yaghmour, Ahmad Yahia Hakami, Manal S Bamousa, Ritesh G Menezes, Osama M Almadani
Medico-legal tasks are not exclusive to forensic medical experts -any physician may face medico-legal issues in his career. Hence, the practice of medicine requires education in legal issues. In Saudi Arabia, there are 30 universities with medical colleges, but we do not know how they teach undergraduate forensic medicine and medico-legal issues. The aim of this study was to discover undergraduate training courses in forensic medicine in Saudi universities. We conducted a cross-sectional study involving all colleges of medicine in Saudi Arabia...
July 2016: Medicine, Science, and the Law
Enrico Muccino, Giulio Federico Giovanetti, Graziano Domenico Luigi Crudele, Guendalina Gentile, Matteo Marchesi, Alessandra Rancati, Riccardo Zoja
This article presents a case of patricide. The murder was characterised by multiple blunt traumas and asphyxia. A mass of contused wounds was localised to the head and neck, and included the complete avulsion of the left eye (by an unknown tool), which was recovered near the cadaver. This case is of interest due to the possibility of identifying microscopic traces of the object that was used for the homicide by examining the skin margins around the ocular injury. The analysis was conducted using scanning electron microscopy combined with energy dispersive X-ray analysis (SEM/EDX)...
July 2016: Medicine, Science, and the Law
Jayanthi Yadav, D S Badkur
Impalement injuries result when a hard elongated object penetrates the body cavity or any body part and remains in place. A rare and unusual case of impalement by a bamboo stick in the thoracic cavity through the oropharynx is described. Injury resulted when a man tried to pole-vault with a bamboo stick, which slipped and entered his mouth. Impalement injury through the natural orifice of the oropharynx is discussed, along with the mechanism of the trauma and subsequent death.
July 2016: Medicine, Science, and the Law
Ashish Badiye, Neeti Kapoor
Lip prints can provide vital information that may be useful for the purposes of forensic investigations. The current study was undertaken with the aims of determining the distribution and predominant lip-print patterns in a Central Indian (Marathi) population and evaluating whether any sex differences exist. The study subjects were 400 healthy consenting volunteers - 200 males and 200 females - aged 18-25 years, from the Marathi community. A simpler and more convenient method of data collection - digital photography - was used...
July 2016: Medicine, Science, and the Law
Shabnam Bazmi, Mehrzad Kiani, Seyed Saeed Hashemi Nazari, Mona Kakavand, Razieh Mahmoodzade
INTRODUCTION: Respecting patients' rights is an essential component in health care. Passing a regulation is not a guarantee for the protection of patients' rights. This article aimed to assess patients' awareness of the contents of the Patient's Bill of Rights in Iran and to determine if they had received a service compatible with their rights charter. METHODS: This is a descriptive study in 202 hospitalised patients. A questionnaire was used, and associations between variables were examined using Pearson's correlation test...
July 2016: Medicine, Science, and the Law
Kemal Murat Canturk, Ramazan Emre, Cemal Gurkan, Ilhami Komur, Omer Muslumanoglu, Muhammed Dogan
Here, we report an incest paternity case involving three biological brothers as alleged fathers (AFs), their biological sister and her child that was investigated using the Investigator ESSplex Plus, AmpFLSTR Identifiler Plus/Investigator IDplex Plus and PowerPlex 16 kits. Initial duo paternity investigations using 15-loci autosomal short tandem repeat (STR) analyses failed to exclude any of the AFs. Despite the fact that one of the brothers, AF1, had a mismatch with the child at a single locus (D2S1338), the possibility of a single-step mutation could not be ruled out...
July 2016: Medicine, Science, and the Law
Nicole Burke, Mitchell Golas, Cyrus L Raafat, Aliyar Mousavi
The puzzle of a mysterious death in the Middle Ages has been hypothesized in terms of contemporary forensic legal and scientific methods. That al-Hasan ibn-'Ali died in 669 aged just 45 has been forensically analyzed based on written sources that dictate eyewitness accounts of historical events. The report of the contemporaneous poisoning of another individual who resided under the same household as al-Hasan's and experienced similar, yet non-lethal, symptoms has served as the beginning of the analysis. In light of ancient (medieval) documents and through using mineralogical, medical, and chemical facts, it has been hypothesized that mineral calomel (mercury(I) chloride, Hg2Cl2) from a certain region in the Byzantine Empire (present-day western Turkey) was the substance primarily responsible for the murder of al-Hasan...
July 2016: Medicine, Science, and the Law
Shashank Pooniya, C Behera, Asit Ranjan Mridha, Rajanikanta Swain
A two-year-old child was hit by a car outside his home and was immediately taken to hospital. There were no external injuries present over the body except two small abrasions on the occipital region of head. A computed tomography scan of the head was performed which revealed no cranio-cerebral injury. He was discharged from the hospital within few hours apparently well. The child was absolutely asymptomatic for a week, after which he suddenly died while playing at home. Autopsy revealed left ventricular free wall rupture and pericardial haematoma...
July 2016: Medicine, Science, and the Law
Darshan Devang Divakar, Seema Mavinapalla, Abdulaziz Abdullah Al Kheraif, Ravikumar Ramakrishnaiah, Muhammad Furqon Bin Abd Rahim, Aftab Ahmed Khan
Susuk, or charm needles, are small, metallic needles inserted under the skin, considered to enhance beauty, health and luck. This hidden secret of inserting susuk is a traditional superstitious ritual, widely practiced among women of Southeast Asia. Here, we present an interesting case of incidental radiographic finding of the concealed art of susuk, which was exposed on a panoramic radiograph taken on a routine basis as a part of diagnostic work up at our centre. An orthopantomogram revealed bilateral metallic foreign bodies in the maxillo-facial region...
July 2016: Medicine, Science, and the Law
Galina Zhinchin, Sofia Zarate-Escudero, Manjunath Somyaji, Ajit Shah
BACKGROUND: A few studies have demonstrated an inverse relationship between the general population and suicide rates and antidepressant prescribing rates. Correlations between general population suicide rates and prescribing rates of other psychotropic drugs have also been observed. There have not been any studies during the last decade. METHODS: The relationship between adult suicide rates and prescription rates of psychotropic drugs by the broad British National Formulary (BNF) categories, for individual psychotropic drug groups within the BNF categories (e...
July 2016: Medicine, Science, and the Law
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