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https://www.readbyqxmd.com/read/28731649/opinions-of-members-of-the-national-civil-family-proceedings-and-criminal-courts-in-withholding-or-withdrawing-of-life-support-situations-in-pediatrics
#1
Jorge O Selandari, María S Ciruzzi, Adriel J Roitman, Fernanda Ledesma, Célica Menéndez, Hernán O García
INTRODUCTION: The possibility of sustaining life functions makes it difficult to distinguish between a dying patient and a patient with chances of survival, raising a dilemma for everyone around them. On the one side, continuing with life support techniques that would only extend an irreversible process and result in physical and psychological damage and harm their dignity. On the other side, withholding or withdrawing life support without an adequate reflection and diagnostic-therapeutic effort which may lead to the death of a potentially recoverable child...
August 1, 2017: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/28729199/violent-firearm-related-conflicts-among-high-risk-youth-an-event-level-and-daily-calendar-analysis
#2
Patrick M Carter, Maureen A Walton, Jason Goldstick, Quyen M Epstein-Ngo, Marc A Zimmerman, Melissa C Mercado, Amanda Garcia Williams, Rebecca M Cunningham
Firearm homicide is the leading cause of violence-related youth mortality. To inform prevention efforts, we analyzed event-level data to identify unique precursors to firearm conflicts. Youth (ages:14-24) seeking Emergency Department (ED) treatment for assault or for other reasons and reporting past 6-month drug use were enrolled in a 2-year longitudinal study. Time-line follow-back substance use/aggression modules were administered at baseline and each 6-month follow-up. Violent non-partner conflicts were combined across time-points...
July 17, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28727682/racial-and-ethnic-differences-in-homicides-of-adult-women-and-the-role-of-intimate-partner-violence-united-states-2003-2014
#3
Emiko Petrosky, Janet M Blair, Carter J Betz, Katherine A Fowler, Shane P D Jack, Bridget H Lyons
Homicide is one of the leading causes of death for women aged ≤44 years.* In 2015, homicide caused the death of 3,519 girls and women in the United States. Rates of female homicide vary by race/ethnicity (1), and nearly half of victims are killed by a current or former male intimate partner (2). To inform homicide and intimate partner violence (IPV) prevention efforts, CDC analyzed homicide data from the National Violent Death Reporting System (NVDRS) among 10,018 women aged ≥18 years in 18 states during 2003-2014...
July 21, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28727530/homicide-rates-of-transgender-individuals-in-the-united-states-2010-2014
#4
Alexis Dinno
OBJECTIVES: To estimate homicide rates of transgender US residents and relative risks (RRs) of homicide with respect to cisgender comparators intersected with age, gender, and race/ethnicity. METHODS: I estimated homicide rates for transgender residents and transfeminine, Black, Latin@, and young (aged 15-34 years) subpopulations during the period 2010 to 2014 using Transgender Day of Remembrance and National Coalition of Anti-Violence Programs transgender homicide data...
July 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28724668/mortality-rates-and-cause-of-death-among-former-prison-inmates-in-north-carolina
#5
Mark Jones, Gregory D Kearney, Xiaohui Xu, Tammy Norwood, Scott K Proescholdbell
BACKGROUND Inmates face challenges upon release from prison, including increased risk of death. We examine mortality among former inmates in North Carolina, including both violent and nonviolent deaths.METHODS A retrospective cohort study among former North Carolina inmates released between 2008 and 2010 were linked with North Carolina mortality data to determine cause of death. Inmates were followed through December 31, 2012. Mortality rates among former inmates were compared with deaths among North Carolina residents using standardized mortality ratios (SMRs)...
July 2017: North Carolina Medical Journal
https://www.readbyqxmd.com/read/28717905/analysis-of-injury-and-mortality-patterns-in-deceased-patients-with-road-traffic-injuries-an-autopsy-study
#6
Roman Pfeifer, Sylvia Schick, Christopher Holzmann, Matthias Graw, Michel Teuben, Hans-Christoph Pape
BACKGROUND: Despite improvements in prevention and rescue, mortality rates after severe blunt trauma continue to be a problem. The present study analyses mortality patterns in a representative blunt trauma population, specifically the influence of demographic, injury pattern, location and timing of death. METHODS: Patients that died between 1 January 2004 and 31 December 2005 were subjected to a standardised autopsy. INCLUSION CRITERIA: death from blunt trauma due to road traffic injuries (Injury Severity Score ≥ 16), patients from a defined geographical area and death on scene or in hospital...
July 17, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28707709/a-period-prevalence-study-of-being-a-parent-in-a-secure-psychiatric-hospital-and-a-description-of-the-parents-the-children-and-the-impact-of-admission-on-parent-child-contact
#7
Sarah Elizabeth Argent, Laura Riddleston, Jodie Warr, Hannah Tippetts, Zoe Meredith, Pamela Jane Taylor
BACKGROUND: Most secure psychiatric hospital patients are of childbearing age, but their parental status is minimally researched. AIM: The aim of the study is to describe the parent patients in one regional secure hospital and explore post-admission child-parent contact. METHODS: A 9-year records survey of a complete secure hospital admissions cohort was conducted. RESULTS: Nearly half of the cohort of 165 patients (46%) were parents...
July 14, 2017: Criminal Behaviour and Mental Health: CBMH
https://www.readbyqxmd.com/read/28697681/a-particularly-complex-case-of-matricide-by-means-of-plastic-bag-suffocation-case-report
#8
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/28697020/good-news-bad-news-an-analysis-of-11-294-gunshot-wounds-gsws-over-two-decades-in-a-single-center
#9
Nathan R Manley, Timothy C Fabian, John P Sharpe, Louis J Magnotti, Martin A Croce
INTRODUCTION: Gun violence is a substantial public health problem accounting for significant physical, psychological and financial costs. While aggregate data sources demonstrate decreasing rates of firearm violence, analyses from individual trauma centers have shown that mortality and injury severity from GSWs are increasing. To evaluate the evolving characteristics of gun violence in our region, we studied all GSWs admitted to our trauma center over a twenty-year period. METHODS: A retrospective analysis of all newly admitted patients with GSWs was performed from 1996 to 2016...
July 8, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28692859/an-experimental-study-addressing-the-use-of-geoforensic-analysis-for-the-exploitation-of-improvised-explosive-devices-ieds
#10
Beth Wilks, Ruth M Morgan, Neil L Rose
The use of geoforensic analysis in criminal investigations is continuing to develop, with the diversification of analytical techniques, many of which are semi-automated, facilitating prompt analysis of large sample sets at a relatively low cost. Whilst micro-scale geoforensic analysis has been shown to assist criminal investigations including homicide (Concheri et al., 2011 [1]), wildlife crime (Morgan et al., 2006 [2]), illicit drug distribution (Stanley, 1992 [3]), and burglary (Mildenhall, 2006 [4]), its application to the pressing international security threat posed by Improvised Explosive Devices (IEDs) is yet to be considered...
July 4, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28687792/maldi-tof-ms-as-a-novel-tool-for-the-estimation-of-postmortem-interval-in-liver-tissue-samples
#11
Chengzhi Li, Zhengdong Li, Ya Tuo, Dong Ma, Yan Shi, Qinghua Zhang, Xianyi Zhuo, Kaifei Deng, Yijiu Chen, Zhenyuan Wang, Ping Huang
Estimation of the postmortem interval (PMI) is a complicated task in forensic medicine, especially during homicide and unwitnessed death investigations. Many biological, chemical, and physical indicators can be used to determine the postmortem interval, but most are not accurate. Here, we present a novel matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) method that can be used for the estimation of PMI using molecular images and multivariate analyses. In this study, we demonstrate that both rat and human liver tissues of various PMIs (0, 2, 4, and 6days) can be discriminated using MALDI imaging and principal component analysis (PCA)...
July 7, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28687475/double-jeopardy-predictors-of-elevated-lethality-risk-among-intimate-partner-violence-victims-seen-in-emergency-departments
#12
Laura Brignone, Anu Manchikanti Gomez
Many intimate partner homicide victims visit emergency departments (EDs) prior to their deaths, yet their lethality risk is not well understood. eHealth interventions for intimate partner violence (IPV) improve provider information, tailor care to victim need and link victims to services. We analyzed ED patients' lethality risk using one such intervention, Domestic Violence Report and Referral (DVRR). DVRR records were assessed for 263 female patients aged 16 and older seen for IPV at an urban, high-traffic, Northern California ED in 2014-15...
July 4, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28686962/forensic-aspects-of-homicides-by-insulin-overdose
#13
Fang Tong, Rongqi Wu, Wen Huang, Yi Yang, Lin Zhang, Biao Zhang, Xin Chen, Xiaohui Tang, Yiwu Zhou
Analysis of homicidal insulin overdose is a challenging task in forensic practice because of the difficulties in toxicological analysis as well as the elusive pathologic changes. We performed a detailed histopathologic examination on four autopsy cases involving insulin homicide, using H&E, immunohistochemistry (IHC) and immunofluorescence assays. Severe reactive astrocyte proliferation was obvious in the white matter of the cerebrum, corpus callosum, cerebellum and brain stem, especially in subcortical regions...
June 20, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28686491/falling-through-the-cracks-the-decline-of-mental-health-care-and-firearm-violence
#14
John Meszaros
BACKGROUND: This paper argues that the decline in the availability of long-term, intensive mental health services, particularly through state mental health hospital systems, has had negative impacts on firearm-related deaths and possibly on the incidence of mass shooting events. AIMS: Establish the effect of reduced availability of long-term, intensive mental health treatment on firearm-related violence in the United States. METHOD: Ordinary least squares regressions on cross-sectional data of US states...
July 7, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28683406/crimes-against-the-elderly-in-italy-2007-2014
#15
Claudio Terranova, Greta Bevilacqua, Margherita Zen, Massimo Montisci
Crimes against the elderly have physical, psychological, and economic consequences. Approaches for mitigating them must be based on comprehensive knowledge of the phenomenon. This study analyses crimes against the elderly in Italy during the period 2007-2014 from an epidemiological viewpoint. Data on violent and non-violent crimes derived from the Italian Institute of Statistics were analysed in relation to trends, gender and age by linear regression, T-test, and calculation of the odds ratio with a 95% confidence interval...
June 27, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28682802/nineteen-victims-of-homicide-and-attempted-homicide-in-sweden-their-injuries-cause-of-death-and-offender-relationship
#16
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/28670127/suicide-and-lyme-and-associated-diseases
#17
Robert C Bransfield
PURPOSE: The aim of this paper is to investigate the association between suicide and Lyme and associated diseases (LAD). No journal article has previously performed a comprehensive assessment of this subject. INTRODUCTION: Multiple case reports and other references demonstrate a causal association between suicidal risk and LAD. Suicide risk is greater in outdoor workers and veterans, both with greater LAD exposure. Multiple studies demonstrate many infections and the associated proinflammatory cytokines, inflammatory-mediated metabolic changes, and quinolinic acid and glutamate changes alter neural circuits which increase suicidality...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28666774/birth-order-and-injury-related-infant-mortality-in-the-u-s
#18
Katherine A Ahrens, Lauren M Rossen, Marie E Thoma, Margaret Warner, Alan E Simon
INTRODUCTION: The purpose of this study was to evaluate the risk of death during the first year of life due to injury, such as unintentional injury and homicide, by birth order in the U.S. METHODS: Using national birth cohort-linked birth-infant death data (births, 2000-2010; deaths, 2000-2011), risks of infant mortality due to injury in second-, third-, fourth-, and fifth or later-born singleton infants were compared with first-born singleton infants. Risk ratios were estimated using log-binomial models adjusted for maternal age, marital status, race/ethnicity, and education...
June 27, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28662311/complex-suicide-by-self-stabbing-and-drowning-a-case-report-and-a-review-of-literature
#19
Pierre-Antoine Peyron, Thierry Casper, Olivier Mathieu, Yuri Musizzano, Eric Baccino
Sharp force injuries and drowning are methods exceptionally combined in complex suicides. We report a challenging case of complex suicide by self-stabbing and drowning that illustrates the difficulty in discriminating between homicide and suicide in such circumstances of death. The corpse of a young man was found submerged in a river, stabbed nine times with two wounds that had penetrated the thorax and had caused lung injuries and a hemopneumothorax. The postmortem and histological examinations were consistent with a death caused by drowning, but the manner of death still remained undetermined...
June 29, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28661309/background-checks-for-all-gun-buyers-and-gun-violence-restraining-orders-state-efforts-to-keep-guns-from-high-risk-persons
#20
Jon S Vernick, Ted Alcorn, Joshua Horwitz
There were more than 36,000 firearm-related deaths in the U.S. in 2015. Under federal law, a background check is required only for gun purchases from licensed dealers. Research suggests that some persons prohibited from owning a gun turn to private sellers, including those identified online, to attempt to obtain a firearm. State-level approaches to make it more difficult for high-risk persons to purchase or possess firearms include universal background check (UBC) and gun violence restraining order (GVRO) laws...
March 2017: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
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