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https://www.readbyqxmd.com/read/29150180/family-centre-bereavement-practices-in-danish-intensive-care-units-a-cross-sectional-national-survey
#1
Ingrid Egerod, Gudrun Kaldan, Maureen Coombs, Marion Mitchell
BACKGROUND: Mortality in Danish intensive care units (ICUs) continues at 27%, resulting in a large number of bereaved family members being cared for in the ICU. OBJECTIVES: To investigate the provision of bereavement care and follow-up services for bereaved families in Danish ICUs. METHODOLOGY: Self-administered computerized cross-sectional nation-wide survey of Danish ICUs. RESULTS: Nurses at 46 of 48 (96%) ICUs in Denmark responded...
November 14, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29040329/sexual-homicides-in-south-africa-a-national-cross-sectional-epidemiological-study-of-adult-women-and-children
#2
Naeemah Abrahams, Shanaaz Mathews, Carl Lombard, Lorna J Martin, Rachel Jewkes
METHODS: We conducted a retrospective national mortuary based study to identify all adult female homicides (18 years and older) and all child homicides (boys and girls < 18 years) in 2009 in a randomly selected, proportionate sample of mortuaries. Victim, perpetrator and crime data were collected in three processes: from the mortuary register, the autopsy report and from police with the identification of sexual homicides validated across the data collection processes. FINDINGS: Among the 2670 (95% CI: 2311-2979) adult women killed in 2009, 494 (95% CI: 406-574) were identified as sexual homicides which was 19...
2017: PloS One
https://www.readbyqxmd.com/read/28953890/living-different-lives-early-social-differentiation-identified-through-linking-mortuary-and-isotopic-variability-in-late-neolithic-early-chalcolithic-north-central-spain
#3
Teresa Fernández-Crespo, Rick J Schulting
Variation in burial location and treatment is often observed in the prehistoric archaeological record, but its interpretation is usually highly ambiguous. Biomolecular approaches provide the means of addressing this variability in a way not previously possible, linking the lives of individuals to their funerary treatment. Here, we undertake stable carbon and nitrogen isotope analyses on a substantial sample of 166 individuals from a series of broadly contemporary Late Neolithic/ Early Chalcolithic (3500 to 2900 cal BC) mortuary monuments (El Sotillo, Alto de la Huesera, Chabola de la Hechicera and Longar) and caves (Las Yurdinas II, Los Husos I and Peña Larga) within a very spatially restricted area of north-central Spain, with sites separated by no more than 10 km on average...
2017: PloS One
https://www.readbyqxmd.com/read/28825945/postmortem-organ-weights-at-a-south-african-mortuary
#4
Laura Peddle, Gavin Martin Kirk
BACKGROUND: Weighing organs at autopsy provides objective evidence of pathology. Reference ranges must be locally applicable, accurate, and regularly defined. AIMS: The aims of this study were the generation of postmortem organ weight reference ranges for use in South African mortuaries, analysis of factors influencing organ weights, and comparison to international populations. METHODS: This was a retrospective study of autopsy reports from the Salt River medicolegal mortuary in Cape Town, South Africa, between 2013 and 2016...
December 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28809618/corneal-donations-in-south-africa-a-15-year-review
#5
Nicholas J York, Christopher Tinley
BACKGROUND: Corneal pathology is one of the leading causes of preventable blindness in South Africa (SA). A corneal transplant can restore or significantly improve vision in most cases. However, in SA there is a gross shortage of corneal tissue available to ophthalmologists. Little has been published describing the magnitude of the problem. OBJECTIVES: To describe trends in the number of corneal donors per year in SA, the number of corneal transplants performed each year, the origin of donors, the allocation of corneas to the public or private sector, and the demographics of donors...
July 28, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28792978/an-upper-palaeolithic-engraved-human-bone-associated-with-ritualistic-cannibalism
#6
Silvia M Bello, Rosalind Wallduck, Simon A Parfitt, Chris B Stringer
Cut-marked and broken human bones are a recurrent feature of Magdalenian (~17-12,000 years BP, uncalibrated dates) European sites. Human remains at Gough's Cave (UK) have been modified as part of a Magdalenian mortuary ritual that combined the intensive processing of entire corpses to extract edible tissues and the modification of skulls to produce skull-cups. A human radius from Gough's Cave shows evidence of cut marks, percussion damage and human tooth marks, indicative of cannibalism, as well as a set of unusual zig-zagging incisions on the lateral side of the diaphysis...
2017: PloS One
https://www.readbyqxmd.com/read/28767714/hiv-associated-mortality-in-the-era-of-antiretroviral-therapy-scale-up-nairobi-kenya-2015
#7
Peter W Young, Andrea A Kim, Joyce Wamicwe, Lilly Nyagah, Catherine Kiama, John Stover, Johansen Oduor, Emily A Rogena, Edwin Walong, Emily Zielinski-Gutierrez, Andrew Imbwaga, Martin Sirengo, Timothy A Kellogg, Kevin M De Cock
BACKGROUND: Declines in HIV prevalence and increases in antiretroviral treatment coverage have been documented in Kenya, but population-level mortality associated with HIV has not been directly measured. In urban areas where a majority of deaths pass through mortuaries, mortuary-based studies have the potential to contribute to our understanding of excess mortality among HIV-infected persons. We used results from a cross-sectional mortuary-based HIV surveillance study to estimate the association between HIV and mortality for Nairobi, the capital city of Kenya...
2017: PloS One
https://www.readbyqxmd.com/read/28755562/stabilisation-of-dental-structures-of-severely-incinerated-victims-at-disaster-scenes-to-facilitate-human-identification
#8
John Berketa, Denice Higgins
Fatalities due to fire events such as bushfires, domestic and industrial fires and vehicle accident related incineration, leave victims with limited prospects of being accurately identified. Due to their morphology and anatomical position teeth are uniquely protected in incineration cases and via comparison to dental records often provide the only scientifically valid means of identification. However, extreme heat and direct exposure to flame can render the teeth extremely fragile and vulnerable to damage and loss especially during collection and transportation to the mortuary...
October 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28698062/the-clandestine-multiple-graves-in-malaysia-the-first-mass-identification-operation-of-human-skeletal-remains
#9
Mohd Suhani Mohd Noor, Lay See Khoo, Wan Zafirah Zamaliana Alias, Ahmad Hafizam Hasmi, Mohamad Azaini Ibrahim, Mohd Shah Mahmood
The first ever mass identification operation of skeletal remains conducted for the clandestine graves in Malaysia consisted of 165 individuals unearthed from 28 human trafficking transit camps located in Wang Kelian, along the Thai-Malaysia border. A DVI response was triggered in which expert teams comprising of pathologists, anthropologists, odontologists, radiologists and DNA experts were gathered at the identified operation centre. The Department of Forensic Medicine, Hospital Sultanah Bahiyah, Alor Star, Kedah, located approximately 75km away from Wang Kelian, was temporarily converted into a victim identification centre (VIC) as it is the nearest available forensic facility to the mass grave site...
September 2017: Forensic Science International
https://www.readbyqxmd.com/read/28691950/posttraumatic-stress-and-burnout-symptoms-in-forensic-doctors-and-staff-in-a-mortuary
#10
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...
September 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28659072/improving-interdepartmental-communication-following-a-patient-death
#11
Nina Whittle
When patients die in emergency departments (EDs), it is important to record information that can be shared with staff in other departments, such as the mortuary and bereavement office. This can be a time-consuming exercise but, if information is omitted, it can increase families' distress by delaying documents such as death certificates. This article describes how a new, tick-box-style death-in-department checklist was introduced in a London hospital adult ED to increase and improve communication and information sharing between the ED, the mortuary and the bereavement office...
June 29, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28656956/-the-coroner-s-autopsies-in-the-great-britain-the-problems-related-to-the-quality-of-the-studies-standardization-auditing-financial-support-and-the-approaches-to-their-solution
#12
I Yu Makarov, V A Fetisov, B A Filimonov, A A Gusarov
The objective of the present study was to analyze the experience of the coroners and pathologists in the Great Britain based on the results of the coroner's autopsies and recommendations of the experts involved in the activities carried out in the framework of the National Confidential Enquiry into Patient Outcome and Death program (NCEPOD). The recommendations are designed to reform the country's medical examiner system, improve the equipment of the mortuary facilities, and optimize funding for the autopsy studies...
2017: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/28648968/comparison-of-unbiased-stereological-estimation-of-total-number-of-cresyl-violet-stained-neurons-and-parvalbumin-positive-neurons-in-the-adult-human-spiral-ganglion
#13
C Kaur, I Pal, S Saini, T G Jacob, T C Nag, A Thakar, D N Bhardwaj, T S Roy
Estimation of total number of neurons in the Spiral Ganglion (SG) at various ages and their functional status is important as these neurons are constantly exposed to noise and other environmental factors that may lead to neuronal loss with aging due to excitotoxic damage. Parvalbumin (PV) is a calcium-binding protein (CBP), found in highly metabolically active neurons. It helps in buffering cytosolic calcium, which is essential for neurotransmitter release. The neurons in the adult human SG express PV more strongly than other CBPs like calbindin and calretinin...
June 22, 2017: Journal of Chemical Neuroanatomy
https://www.readbyqxmd.com/read/28571496/occupational-variation-in-end-of-life-care-intensity
#14
Joseph A Hyder, R Sterling Haring, Daniel Sturgeon, Priscilla K Gazarian, Wei Jiang, Zara Cooper, Stuart R Lipsitz, Holly G Prigerson, Joel S Weissman
BACKGROUND: End-of-life (EOL) care intensity is known to vary by secular and geographic patterns. US physicians receive less aggressive EOL care than the general population, presumably the result of preferences shaped by work-place experience with EOL care. OBJECTIVE: We investigated occupation as a source of variation in EOL care intensity. METHODS: Across 4 states, we identified 660 599, nonhealth maintenance organization Medicare beneficiaries aged ≥66 years who died between 2004 and 2011...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28542797/application-of-geographic-information-systems-to-investigating-associations-between-social-status-and-burial-location-in-medieval-trino-vercellese-piedmont-italy
#15
Marissa C Stewart, Giuseppe Vercellotti
OBJECTIVES: Socioeconomic status differences in skeletal populations are often inferred from skeletal indicators of stress and burial location. However, to date, the association between osteometric parameters and spatial location in relation to socioeconomic status in medieval Italy has not been explicitly tested. MATERIALS AND METHODS: This study examined the spatial distribution of osteometric data in the medieval (8th-13th c.) cemetery of San Michele di Trino (Trino Vercellese, VC, Italy) to determine whether skeletal correlates of socioeconomic status correspond with privileged burial locations...
September 2017: American Journal of Physical Anthropology
https://www.readbyqxmd.com/read/28539653/a-second-mortuary-hiatus-on-lake-baikal-in-siberia-and-the-arrival-of-small-scale-pastoralism
#16
Robert J Losey, Andrea L Waters-Rist, Tatiana Nomokonova, Artur A Kharinskii
The spread of pastoralism in Asia is poorly understood, including how such processes affected northern forager populations. Lake Baikal's western shore has a rich Holocene archaeological record that tracks these processes. The Early Bronze Age here is evidenced by numerous forager burials. The Early Iron Age (EIA) is thought to mark the arrival of pastoralists, but archaeological remains from this period have received little analysis. New radiocarbon dates for EIA human remains from 23 cemeteries indicate that no burials were created along this shore for ~900 years...
May 24, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28501359/the-ebola-epidemic-in-liberia-and-managing-the-dead-a-future-role-for-humanitarian-forensic-action
#17
Stephen Cordner, Heinrich Bouwer, Morris Tidball-Binz
With some of their economies, communities and health systems weakened by decades of war and poor governance, it was no accident that an epidemic of Ebola virus disease broke out in west Africa. Being spread in part by contact with body fluids of those who had died from the disease, funerary rites and the way dead bodies were managed were important modes of transmission. The Liberian Red Cross, supported by the International Federation of Red Cross and Red Crescent Societies and the International Committee of the Red Cross, undertook the challenging task of managing the dead bodies in Monrovia during the epidemic...
October 2017: Forensic Science International
https://www.readbyqxmd.com/read/28497872/deviant-burials-and-social-identity-in-a-postmedieval-polish-cemetery-an-analysis-of-stable-oxygen-and-carbon-isotopes-from-the-vampires-of-drawsko
#18
Lesley A Gregoricka, Amy B Scott, Tracy K Betsinger, Marek Polcyn
OBJECTIVES: Deviant burials can reveal important information about both social and individual identity, particularly when the mortuary record is supplemented by an examination of skeletal remains. At the postmedieval (17th to 18th c. AD) cemetery of Drawsko (Site 1), Poland, six individuals (of n = 285) received deviant, anti-vampiristic mortuary treatment. A previous study using radiogenic strontium isotope ratios ( x¯= 0.7112 ± 0.0006, 1σ, n = 60) found that these "vampires" were in fact locals, not migrants to the region targeted for deviant burial due to their status as immigrant outsiders...
August 2017: American Journal of Physical Anthropology
https://www.readbyqxmd.com/read/28453817/epidemiology-of-sudden-cardiac-death-in-cameroon-the-first-population-based-cohort-survey-in-sub-saharan-africa
#19
Aimé Bonny, Kemi Tibazarwa, Samuel Mbouh, Jonas Wa, Réné Fonga, Cecile Saka, Marcus Ngantcha
Background: Incidence estimates of sudden cardiac death (SCD) in sub-Saharan Africa (SSA) are unknown. Method: Over 12 months, the household administrative office and health community committee within neighbourhoods in two health areas of Douala, Cameroon, registered all deaths among 86 188 inhabitants aged >18 years. As part of an extended multi-source surveillance system, the Emergency Medical Service (EMS), local medical examiners and district hospital mortuaries were also surveyed...
August 1, 2017: International Journal of Epidemiology
https://www.readbyqxmd.com/read/28414985/sharp-and-blunt-force-trauma-concealment-by-thermal-alteration-in-homicides-an-in-vitro-experiment-for-methodology-and-protocol-development-in-forensic-anthropological-analysis-of-burnt-bones
#20
Ioana Macoveciuc, Nicholas Márquez-Grant, Ian Horsfall, Peter Zioupos
Burning of human remains is one method used by perpetrators to conceal fatal trauma and expert opinions regarding the degree of skeletal evidence concealment are often disparate. This experiment aimed to reduce this incongruence in forensic anthropological interpretation of burned human remains and implicitly contribute to the development of research methodologies sufficiently robust to withstand forensic scrutiny in the courtroom. We have tested the influence of thermal alteration on pre-existing sharp and blunt trauma on twenty juvenile sheep radii in the laboratory using an automated impact testing system and an electric furnace...
March 29, 2017: Forensic Science International
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