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American Journal of Forensic Medicine and Pathology

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https://www.readbyqxmd.com/read/28719379/critical-evaluation-of-metallization-in-electric-injury
#1
Sigitas Laima, Jana Bytautaite, Sigitas Chmieliauskas, Dmitrij Fomin, Algimantas Jasulaitis, Arturas Jukna, Sandra Mazeikiene, Jurgita Stasiuniene
The article presents 3 forensic medicine cases in the field of electric injury. In addition to traditional findings in electric injury (electric mark and histological findings), the forensic medicine experts in Lithuania also perform an atomic absorption spectrometry analysis. This method confirms the effects of electric current to the body through the electric conductor. Typical macroscopic finding in the skin is electric mark. Histologically, the damaged skin possesses characteristic features of thermal burns...
July 18, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28704207/the-adult-male-rape-victim-forensic-description-of-a-series-of-57-cases
#2
Michelangelo Bruno Casali, Elisa Palazzo, Alberto Blandino, Alessio Battistini, Francesca Motta, Alessandra Kustermann, Cristina Cattaneo
A retrospective analysis on 57 adult male victims of sexual violence has been performed. Age, nationality and anamnesis of the victims, location of the assault, type of violence, number and identity of the assailants, presence of physical injuries, lapse of time between the assault and the request of medical assistance, and toxicological and semen detection tests were analyzed. Victims were mostly in the 31- to 40-year age group. Ten victims referred themselves as either active homosexuals or bisexuals. Forced oral and/or anal penetration was registered in 86...
July 13, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28692479/association-of-waist-hip-ratio-to-sudden-cardiac-death-and-severe-coronary-atherosclerosis-in-medicolegal-autopsies
#3
Linda Kocovski, Joshua Dogyeong Lee, Sameer Parpia, John Fernandes, Vidhya Nair
Various modifiable and nonmodifiable risk factors, such as abdominal obesity, are known to affect the development of atherosclerotic cardiovascular disease and subsequent sudden cardiac death (SCD). The waist-hip ratio is a surrogate marker of visceral obesity that has been shown in various studies to be a better predictor of cardiovascular risk than the body mass index (BMI), a measurement of generalized obesity. Waist-hip ratio was measured prospectively on medicolegal autopsies performed for 1 year, in addition to standard measurements of BMI and heart weight, and histologic determination of severe coronary atherosclerosis (SCA, coronary artery diameter stenosis >75%)...
July 7, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28692478/diagnosis-of-vitality-in-skin-wounds-in-the-ligature-marks-resulting-from-suicide-hanging
#4
Isabel Legaz Pérez, Maria Falcón, M Gimenez, F Martínez Diaz, M D Pérez-Cárceles, E Osuna, D Nuno-Vieira, A Luna
Ascertaining the vital origin of skin wounds is one of the most challenging problems in forensic pathology. The forensic literature describes biomarkers and methods for differentiating vital and postmortem wounds, although no clear conclusions have been reached. The aim of this study was to characterize human vital wounds by analyzing the concentrations of metallic ions and the expression of P-selectin and cathepsin D in skin wounds in the ligature marks in a cohort of suicidal hangings for which vitality was previously demonstrated...
July 7, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28682804/autopsy-cases-of-motorcyclists-dying-of-trauma-or-disease
#5
Arisa Takeda, Masahito Hitosugi, Satoshi Furukawa
We aimed to provide a better estimation of health-related motorcycle fatalities by comparing the backgrounds, mechanisms of injuries, and injury severity of victims who died of collision versus those who died of disease. We retrospectively analyzed autopsy records of 29 motorcyclists (mean age, 61.0 ± 21.0 years), none of whom had been driving under the influence of alcohol. Altogether, 22 (75.9%) had died of trauma, and 7 had died of disease. The disease-death victims were significantly older and had a significantly higher prevalence of a medical history compared with those with trauma-related death (100% vs 45...
July 6, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28682803/the-skeleton-of-the-azzio-s-crypt-northern-italy-a-forensic-case-in-an-archaeological-context
#6
Marta Licata, Chiara Rossetti
No abstract text is available yet for this article.
July 6, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28682802/nineteen-victims-of-homicide-and-attempted-homicide-in-sweden-their-injuries-cause-of-death-and-offender-relationship
#7
Ardavan Khoshnood, Marie Väfors Fritz, Ulf Ekelund
Victims of homicide and attempted homicide are not uncommon in Sweden. We therefore aimed to study these victims to understand their injuries, their cause of death, and their relationship to the offender. All cases during five years in a district court in Sweden, where an offender had been convicted for homicide or attempted homicide, were identified and the court documents reviewed. Nineteen victims were identified; 14 males and five females, with an average age of 39.1 years. Although knife/sharp weapon was the most common weapon used, the use of firearm caused more deaths...
July 6, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28691951/fatal-self-poisoning-with-massive-propranolol-ingestion-in-a-young-male-physician
#8
Supawon Srettabunjong
Suicidal intoxication from massive propranolol ingestion is rare. Surprisingly, no reported cases have involved physicians. The author herein reports a case of self-poisoning death due to ingestion of propranolol by a young male physician. A 31-year-old man with major depressive disorder was found dead in his dormitory room. Fifteen empty packages, each having contained ten 40-mg propranolol tablets, were found without any tablets leftover in his room. A suicide note was also found in his room. He was thus alleged to have ingested 6 g of propranolol for self-poisoning...
July 4, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28691950/posttraumatic-stress-and-burnout-symptoms-in-forensic-doctors-and-staff-in-a-mortuary
#9
İlhami Kömür, Rifat O Ozdemirel, İsmail Ozver, Bünyamin Başpinar, Muhammet Demir, Fatih Gönen, Eyüp Kandemir, Murat Emul
We aimed to investigate burnout and posttraumatic stress symptoms in mortuary staff members who work for the Council of Forensic Medicine where more than 4500 autopsies are annually performed.The data were collected from 142 mortuary staff members from the Council of Forensic Medicine, Turkey. The participants were divided into the following 4 groups: forensic medicine specialists (n = 40, 28.2%), forensic medicine residents (n = 54, 38.0%), autopsy technicians (n = 24, 16.9%), and other staff members (n = 24, 16...
July 4, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28691949/decline-in-postmortem-serum-tryptase-levels-in-anaphylactic-deaths
#10
Cristian Palmiere
No abstract text is available yet for this article.
July 4, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28665832/fourth-degree-perineal-laceration-in-nonconsenual-fisting-a-case-report-brief-review-of-the-literature-and-medicolegal-issues
#11
Simone Cappelletti, Paola Antonella Fiore, Edoardo Bottoni, Mariarosaria Aromatario
We present the case of an 18-year-old girl who was sexually assaulted with transanal forearm penetration resulting in a fourth-degree perineal laceration. Fisting is an uncommon sexual practice consisting in the penetration of the vagina, anus, or both of them with fingers, hand (fist) or forearm.Perineal lacerations are a relatively common finding in both consensual and nonconsensual fisting victims. Even though cases of fisting with first-, second-, and third-degree lacerations have been reported in literature, only one previous case of fourth-degree perineal laceration has been described in a woman, who died after anal fisting...
June 30, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28665831/an-unusual-medicolegal-case-of-32-year-old-mother-and-her-29-week-fetus-with-hemolysis-elevated-liver-enzymes-and-low-platelet-count-syndrome-case-report-and-short-literature-review
#12
Michał Szeremeta, Petra Drobuliakova, Jerzy Przepieść, Janusz Załuski, Adam Sackiewicz, Anna Niemcunowicz-Janica
Forensic medicine experts are well aware of blunt abdominal trauma, which often lead to death because of serious internal organ injury with severe blood loss. Sometimes careful examination of such cases may reveal some other underlying conditions, such as an existing disease that had contributed to the death or life-threatening complications. Our article presents a rare case of spontaneous hepatic rupture and intraperitoneal hemorrhage in a 32-year-old primigravida and her 29-week fetus, which was a result of hemolysis, elevated liver enzymes, and low platelet count syndrome...
June 30, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28665830/undiagnosed-pheochromocytoma-simulating-malignant-hyperthermia
#13
Nisha S Ramani, Robert Stoppacher, Ajaykumar C Morani, Charles Catanese
INTRODUCTION: Pheochromocytomas are rare catecholamine-producing neuroendocrine tumors. They are surgically curable but can be lethal if remain undiagnosed. We report a patient earlier diagnosed with malignant hyperthermia but later found to have pheochromocytoma on autopsy. CASE REPORT: After a preprocedural pain block for elective right shoulder arthroscopy, a 53-year-old hypertensive white man developed chest pain. In the operating room, he had increased blood pressure...
June 30, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28657909/life-threatening-and-suspicious-lesions-caused-by-mechanical-cardiopulmonary-resuscitation
#14
Louise Milling, Peter Mygind Leth, Birgitte Schmidt Astrup
Chest compression devices for mechanical cardiopulmonary resuscitation (CPR) have become more common. Here, we report the case of a young woman who attempted resuscitated with LUCAS™2 after she was found unconscious at home. At autopsy, we found extensive intramuscular hemorrhages in posterior neck, between the scapulae, and in the lumbar region. Investigation of internal organs showed injuries to the lung, spleen, and kidney. The extension of the injuries gave rise to suspicion of homicide by smothering, which police investigation subsequently did not support...
June 27, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28657908/idiopathic-megacolon-report-of-2-deaths-with-review-of-the-literature
#15
Leigh Hlavaty, LokMan Sung
Abnormal dilation of the colon and rectum can develop from a range of disease processes. When encountered at autopsy, its contribution to death requires assessment and a thorough investigation of its origins. Elimination of known causes elicits a diagnosis of idiopathic megacolon. This entity is uncommonly encountered and presents with similar gross anatomic findings as Hirschsprung disease. Although death is infrequent, it most commonly results from disruption of the bowel wall and subsequent peritonitis. The authors report 2 rare deaths from idiopathic megacolon with retained integrity of the bowel wall...
June 27, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28657907/a-forensic-epidemiological-study-of-homicide-in-isfahan-province-and-review-of-the-literature
#16
Jalal Karimi, Steven A Koehler, Roya Karimi, Ali Soleymanpour, Kazem Mohammad, Kourosh Holakouie-Naieni
The epidemic of deaths by homicide affects every society around the world and represents a major public health crisis. Detailed information on the characteristics of homicides victims from Islamic countries is limited. This article presents forensic epidemiological data on homicides in Isfahan, Iran, during 2013-2015. Isfahan has a population of more than 5 million and 69,387 deaths with 246 homicides between 2013 and 2015. Most victims were male (73%), between the ages of 15 to 29 years (39.5%), married (54%), and employed (54%)...
June 27, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28590265/expression-of-kgf-1-and-kgf-2-in-skin-wounds-and-its-application-in-forensic-pathology
#17
Lin Sheng Yu, Xing Biao Li, Yan Yan Fan, Guang Hua Ye, Jun-Li Li, Tong-Tong Fu, Yi Liao, Feng Li
The expression of keratinocyte growth factor-1 (KGF-1) and keratinocyte growth factor-2 (KGF-2) in skin wounds in mice was studied using multiple methods. The dynamic expression of KGF-1 and KGF-2 for antemortem and postmortem injuries as well as the examination of antemortem injuries after death under different temperature and over varying time periods was studied. It demonstrates that skin KGF-1 resulting from an antemortem injury starts to rise at 6 hours, reaches its peak at 1 day, and starts to drop at 5 days...
June 5, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28582273/which-knife-was-used-using-a-porcine-model-to-assess-stab-wound-size
#18
Allison Zohn, Judy Melinek
Forensic pathologists who autopsy stab wound victims may be called upon to determine whether a specific weapon recovered as evidence caused the decedent's wounds. Some forensic training programs instruct pathologists to excise wounds and place them in formalin. There is little published information about the reliability of these assessments. To address these deficiencies, a porcine model was used to establish the limits of in situ knife wound measurements of wounds caused by 3 knives of different widths stabbed at 90 degrees to the skin surface...
June 2, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28574865/the-regional-autopsy-center-the-university-of-alabama-at-birmingham-experience
#19
Daniel Stephen Atherton, Stephanie Reilly
Rates of autopsied deaths have decreased significantly for the last several decades. It may not be practical for some institutions to maintain the facilities and staffing required to perform autopsies. In recent years, the University of Alabama at Birmingham (UAB) has established contracts to perform autopsies for several regional institutions including the Alabama Department of Forensic Sciences (ADFS), the United States Veterans Affairs, the local prison system, local community hospitals, and with families for private autopsy services...
June 2, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28525397/an-unusual-case-of-sudden-death-is-there-a-relationship-between-thyroid-disorders-and-fatal-pulmonary-thromboembolism-a-case-report-and-review-of-literature
#20
Isabella Aquila, Silvia Boca, Fiorella Caputo, Matteo A Sacco, Santo Gratteri, Vittorio Fineschi, Pietrantonio Ricci
In adults, the most common cause of sudden death is coronary heart disease or defects in the cardiac conduction system; however, there are many cases of sudden death occurring from other causes such as fatal pulmonary thromboembolism. Several risk factors are recognized, including hospitalization, surgery, obesity, pregnancy, the use of oral contraceptives, traumatic fractures, and genetic conditions, which cause hypercoagulable states such as factor V Leiden mutations. Although many risk factors have been identified, the mortality rate is still high...
May 19, 2017: American Journal of Forensic Medicine and Pathology
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