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Forensic Pathology

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https://www.readbyqxmd.com/read/28913415/forensic-pathology-education-in-pathology-residency-a-survey-of-current-practices-a-novel-curriculum-and-recommendations-for-the-future
#1
Amanda Spencer, Wayne K Ross, Ronald E Domen
Forensic pathology is a fundamental part of anatomic pathology training during pathology residency. However, the lack of information on forensic teaching suggests the highly variable nature of forensic education. A survey of pathology residency program directors was performed to determine key aspects of their respective forensic rotations and curriculum. A total of 38.3% of programs from across the country responded, and the survey results show 5.6% don't require a forensic pathology rotation. In those that do, most forensic pathology rotations are 4 weeks long, are done at a medical examiner's office, and require set prerequisites...
January 2017: Acad Pathol
https://www.readbyqxmd.com/read/28889247/guidelines-for-autopsy-investigation-of-sudden-cardiac-death-2017-update-from-the-association-for-european-cardiovascular-pathology
#2
Cristina Basso, Beatriz Aguilera, Jytte Banner, Stephan Cohle, Giulia d'Amati, Rosa Henriques de Gouveia, Cira di Gioia, Aurelie Fabre, Patrick J Gallagher, Ornella Leone, Joaquin Lucena, Lubov Mitrofanova, Pilar Molina, Sarah Parsons, Stefania Rizzo, Mary N Sheppard, Maria Paz Suárez Mier, S Kim Suvarna, Gaetano Thiene, Allard van der Wal, Aryan Vink, Katarzyna Michaud
Although sudden cardiac death (SCD) is one of the most important modes of death in Western countries, pathologists and public health physicians have not given this problem the attention it deserves. New methods of preventing potentially fatal arrhythmias have been developed and the accurate diagnosis of the causes of SCD is now of particular importance. Pathologists are responsible for determining the precise cause and mechanism of sudden death but there is still considerable variation in the way in which they approach this increasingly complex task...
September 9, 2017: Virchows Archiv: An International Journal of Pathology
https://www.readbyqxmd.com/read/28886207/the-biological-effects-of-kambo-is-there-a-relationship-between-its-administration-and-sudden-death
#3
Isabella Aquila, Santo Gratteri, Matteo A Sacco, Vittorio Fineschi, Simona Magi, Pasqualina Castaldo, Graziella Viscomi, Salvatore Amoroso, Pietrantonio Ricci
Kambo is a substance obtained from the skin secretions of a frog, Phyllomedusa bicolor, popular in the Amazon region, which is administered via the transdermal route. We report a case of 42-year-old man found dead in his house. Near the corpse, a plastic box labeled as "Kambo sticks" was found. The man was a chronic consumer of Kambo and no previous pathology or genetic disease emerged in clinical history from the declaration of his general practitioner. Autopsy investigations and toxicological analysis were performed...
September 8, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28866283/traumatic-brain-injury-comparison-between-autopsy-and-ante-mortem-ct
#4
Stephanie Panzer, Lidia Covaliov, Peter Augat, Oliver Peschel
PURPOSE: The aim of this study was to compare pathological findings after traumatic brain injury between autopsy and ante-mortem computed tomography (CT). A second aim was to identify changes in these findings between the primary posttraumatic CT and the last follow-up CT before death. METHODS: Through the collaboration between clinical radiology and forensic medicine, 45 patients with traumatic brain injury were investigated. These patients had undergone ante-mortem CT as well as autopsy...
August 26, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28836139/post-mortem-ct-imaging-of-the-lungs-pathological-versus-non-pathological-findings
#5
REVIEW
Laura Filograna, Michael J Thali
Nowadays, the modern computed tomography techniques are more and more applied in forensic investigations. The detection of abnormalities in post-mortem computed tomography (PMCT) imaging of the lungs is very common. As in clinical imaging, also in post-mortem imaging the right interpretation of alterations has an extreme importance for the assessment of correct conclusions. This is even crucial when the radiologist who approaches the PMCT images is not routinely involved in forensic cases. The aim of this article is to provide radiologists who approach PMCT imaging cases with some indications for a proper and correct interpretation of pulmonary findings, to avoid misleading forensic conclusions...
August 23, 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/28831721/pekka-saukko-bernard-knight-knight-s-forensic-pathology-4th-ed-new-york-crc-press-taylor-and-francis-group-2016
#6
Roger W Byard
No abstract text is available yet for this article.
August 23, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/28828513/-postmortem-imaging-procedures-experiences-and-perspectives
#7
REVIEW
S von Stillfried, P Isfort, R Knüchel-Clarke
Autopsies are of key importance for the understanding of the anatomy, pathophysiology and pathomorphology. In forensic medicine, the virtual autopsy is a standard instrument in autopsy practice. The advantage of postmortem imaging is the generation of a three-dimensional pre-autopsy snapshot of the body from head to toe with excellent visualization of skeletal pathologies and air inclusions. When angiography is performed, pathologies of the cardiovascular system can additionally be evaluated. The shortcomings of postmortem imaging are the low soft tissue contrast with CT imaging, the lack of haptic, olfactory and color impressions...
August 21, 2017: Der Pathologe
https://www.readbyqxmd.com/read/28810073/implications-of-pseudologia-fantastica-in-criminal-forensic-evaluations-a-review-and-case-report
#8
Richard L Frierson, Kaustubh G Joshi
Pseudologia fantastica, a psychological phenomenon that has been described in the literature for at least a century, is an understudied and poorly understood entity. Sometimes referred to as pathological lying, pseudologia fantastica involves disproportionate fabrication that may be present for many years or a lifetime. In a forensic context, it can significantly complicate the evaluation of capacity to stand trial and, in certain jurisdictions, criminal responsibility. We review the current literature regarding pseudologia fantastica and present a case to highlight the clinical and forensic challenges it may create...
August 15, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28805487/state-of-the-art-nanopathological-diagnostics
#9
Luca Roncati, Giuseppe Barbolini
The nanopathological diagnostics (ND) is an ultra-specialized branch of pathological anatomy aimed to identify the nanoparticles of metallic, semimetallic, or nonmetallic elements in the inorganic particulate matter present inside pathological tissues, even on the nanometer scale. ND exploits an environmental scanning electron microscope, connected to an X-ray microprobe mounted on an energy-dispersive spectrometer. The searching of nanoparticles can be performed on paraffin-embedded material, omitting emissions of black overlay and plating procedures...
August 14, 2017: Ultrastructural Pathology
https://www.readbyqxmd.com/read/28795313/-autopsies-at-the-boundary-between-pathology-and-forensic-medicine-suggestions-for-interdisciplinary-cooperation
#10
REVIEW
T Riepert
There are many differences between forensic medicine and pathology but also many similarities, as they share a common basis. In this article the characteristics of the forensic autopsy and it's legal foundations are presented. Furthermore, possibilities are discussed for a cooperation between forensic medicine and pathology to increase the rate of autopsies. This could contribute to the legal certainty, to the quality assurance and to the training of physicians.
August 9, 2017: Der Pathologe
https://www.readbyqxmd.com/read/28776465/dna-testing-in-homicide-investigations
#11
Joseph A Prahlow, Thomas Cameron, Alexander Arendt, Kenneth Cornelis, Anthony Bontrager, Michael S Suth, Lisa Black, Rebbecca Tobey, Sharon Pollock, Shawn Stur, Kenneth Cotter, Joel Gabrielse
Objectives With the widespread use of DNA testing, police, death investigators, and attorneys need to be aware of the capabilities of this technology. This review provides an overview of scenarios where DNA evidence has played a major role in homicide investigations in order to highlight important educational issues for police, death investigators, forensic pathologists, and attorneys. Methods This was a nonrandom, observational, retrospective study. Data were obtained from the collective files of the authors from casework during a 15-year period, from 2000 through 2014...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28776218/molecular-pathology-of-cerebral-tnf-%C3%AE-il-1%C3%AE-inos-and-nrf2-in-forensic-autopsy-cases-with-special-regard-to-deaths-due-to-environmental-hazards-and-intoxication
#12
Si-Hao Du, Xiao-Hui Tan, Rui Zhao, Dong Zhao, Ye Xue, Hui-Jun Wang, Xiao-Li Xie, Qi Wang
Deaths involved with environmental hazards and intoxication might present with minimal or nonspecific morphological features, which are insufficient to establish a diagnosis. The present study investigated the postmortem brain mRNA and immunohistochemical expressions of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), inducible nitric oxide synthase (iNOS) and nuclear factor erythroid-2-related factor-2 (Nrf2) in forensic cases. Relative mRNA quantification using Taqman real-time PCR assay demonstrated higher expression of IL-1β, TNF-α and iNOS, and lower expression of Nrf2 in methamphetamine intoxication and hyperthermia cases, higher expression of iNOS in phenobarbital intoxication cases, and higher expression of Nrf2 in phenobarbital intoxication and hypothermia cases...
August 3, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/28765973/differential-expression-of-b-type-natriuretic-peptide-between-left-and-right-ventricles-with-particular-regard-to-sudden-cardiac-death
#13
Zhi-Peng Cao, Jia-Jia Xue, Yuan Zhang, Mei-Hui Tian, Ying Xiao, Yu-Qing Jia, Bao-Li Zhu
The aim of the present study was to investigate the differential expression of B‑type natriuretic peptide (BNP) between the left and right ventricle (RV) in sudden cardiac death (SCD). A total of 26 forensic autopsy cases of sudden death (survival time <30 min, postmortem interval <48 h or frozen within 6 h following death) in the present institute were examined. The cases consisted of acute ischemic heart disease (AIHD, n=15) with/without apparent myocardial necrosis as a sign of infarction (acute myocardial infarction, n=6; ischemic heart disease, IHD, n=9), and arrhythmogenic right ventricular cardiomyopathy (ARVC/D, n=5), in addition to traffic accidents and high falls without any pre existing heart disease as control (C, total n=6)...
October 2017: Molecular Medicine Reports
https://www.readbyqxmd.com/read/28763709/similar-mechanisms-of-traumatic-rectal-injuries-in-patients-who-had-anal-sex-with-animals-to-those-who-were-butt-fisted-by-human-sexual-partner
#14
Damian Jacob Sendler
Sexual pleasure comes in various forms of physical play, for many it involves stimulation of the vagina, while the anus for others; some enjoy both. A recent report by Cappelletti et al.(1) shows a meta-analysis of cases describing anal trauma due to sexual fisting in human partners. This clinical article reports four cases of males diagnosed with zoophilia, and who received anal sex from animals, resulting in injuries. Surgical and psychiatric evaluations are summarized. Unusual etiology of sexual activity with animals caused peri-anal trauma in men who engaged in anal sex with dogs and farm animals...
July 25, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28759776/fatal-poisoning-by-butane-sniffing-a-forensic-analysis-and-immunohistochemical-detection-of-myocardial-hypoxic-damage
#15
Francesco Ventura, Rosario Barranco, Maria Celeste Landolfa, Massimo Gallo, Andrea Gianelli Castiglione, Giulio Fraternali Orcioni, Francesco De Stefano
Although less widespread than twenty years ago, inhalant abuse remains an on-going problem, whose incidence among U.S. teenagers and young adults ranges from 10 to 15%. Death due to the inhalation of vapor from halogenated hydrocarbons is a well-known phenomenon, yet few cases of fatal butane-gas poisoning have been described. Many cases of volatile substance abuse in prison populations have been reported: drug-addicted inmates often resort to this alternative practice when unable to get their habitual drugs of abuse...
July 25, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28752200/retrospective-analysis-of-769-cases-of-sudden-cardiac-death-from-2006-to-2015-a-forensic-experience-in-china
#16
Zijiao Ding, Mingzhen Yang, Yunyun Wang, Shifan Wu, Xingang Qiu, Qian Liu
Sudden cardiac death (SCD) is a major health challenge. The records of 769 autopsy cases of SCD examined at Tongji Medicolegal Expertise Center from January 2006 to December 2015 were retrospectively reviewed. The mean age of the cases was 46 years, excluding 27 victims in whom the exact age could not be confirmed. The highest incidence of SCD occurred among the 40- to 60-year-old group (45.0%). Male preponderance was observed in SCD cases (male: female ratio: 5.0:1), and this preponderance was even higher (8...
July 27, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/28751028/toxic-metals-biomonitoring-based-on-prey-predator-interactions-and-environmental-forensics-techniques-a-study-at-the-romanian-ukraine-cross-border-of-the-black-sea
#17
Stefan-Adrian Strungaru, Mircea Nicoara, Carmen Teodosiu, Dragos Micu, Gabriel Plavan
Marine cross-border areas are ideal for monitoring pollutants so as to increase ecosystems protection. This study was conducted at the Romanian-Ukraine border of the Black Sea to reveal evidence of contamination with toxic metals based on biomonitoring of: cadmium, lead, total chromium, nickel and copper at different water depths and prey-predator interactions, combined with environmental forensics techniques of biological sampling and separation in witnesses size groups. The species used were Mytilus galloprovincialis L...
July 25, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/28745146/disorganized-attachment-in-infancy-a-review-of-the-phenomenon-and-its-implications-for-clinicians-and-policy-makers
#18
Pehr Granqvist, L Alan Sroufe, Mary Dozier, Erik Hesse, Miriam Steele, Marinus van Ijzendoorn, Judith Solomon, Carlo Schuengel, Pasco Fearon, Marian Bakermans-Kranenburg, Howard Steele, Jude Cassidy, Elizabeth Carlson, Sheri Madigan, Deborah Jacobvitz, Sarah Foster, Kazuko Behrens, Anne Rifkin-Graboi, Naomi Gribneau, Gottfried Spangler, Mary J Ward, Mary True, Susan Spieker, Sophie Reijman, Samantha Reisz, Anne Tharner, Frances Nkara, Ruth Goldwyn, June Sroufe, David Pederson, Deanne Pederson, Robert Weigand, Daniel Siegel, Nino Dazzi, Kristin Bernard, Peter Fonagy, Everett Waters, Sheree Toth, Dante Cicchetti, Charles H Zeanah, Karlen Lyons-Ruth, Mary Main, Robbie Duschinsky
Disorganized/Disoriented (D) attachment has seen widespread interest from policy makers, practitioners, and clinicians in recent years. However, some of this interest seems to have been based on some false assumptions that (1) attachment measures can be used as definitive assessments of the individual in forensic/child protection settings and that disorganized attachment (2) reliably indicates child maltreatment, (3) is a strong predictor of pathology, and (4) represents a fixed or static "trait" of the child, impervious to development or help...
December 2017: Attachment & Human Development
https://www.readbyqxmd.com/read/28718912/survival-of-atherosclerotic-calcifications-in-skeletonized-material-forensic-and-pathological-implications
#19
Lucie Biehler-Gomez, Annalisa Cappella, Elisa Castoldi, Laurent Martrille, Cristina Cattaneo
Atherosclerosis is a chronic inflammatory disease creating calcifying plaques in the arterial walls. Because its paleopathological diagnosis remains little studied on skeletal remains, its impact on forensic and archeological data is completely underestimated. Here, 24 skeletal remains from the Milano Cemetery Skeletal Collection have been studied to evaluate the chance of atherosclerotic calcification survival, retrieval, and identification. Through direct comparison with a known autopsy collection and literature, the identification and categorization of several types of calcifications were performed...
July 18, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28704795/endocan-concentrations-in-postmortem-serum-vitreous-humor-and-urine-in-victims-of-lethal-hypothermia
#20
Emilienne Descloux, Marc Augsburger, Grzegorz Teresiński, Petr Hejna, Eric Grouzmann, Maria Pia Scarpelli, Tania Hervet, Cristian Palmiere
Endocan is a soluble molecule secreted from vascular endothelial cells of various organs. Its exact function in humans remains to be elucidated, though it has been postulated that increased tissue expression or serum levels of this molecule may be an indicator of endothelial activation and neovascularization. In the realm of forensic pathology, studies pertaining to endothelial activation following exposure to cold exclusively focused on thrombomodulin, a transmembrane protein specific to endothelial cells...
July 4, 2017: Journal of Forensic and Legal Medicine
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