ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

&NA;Although child abuse and neglect continue to appear in the medical literature frequently, little regarding scene investigation in such cases has been discussed. Many explanations have been offered for this deficit, the most common one is based on the time delay between infliction of the injury and discovery. At the Armed Forces Institute of Pathology, Childabuse cases submitted for consultation repeatedly show deficits in the scene investigation and its documentation. Since the discovery of child abuse is dependent on either physical evidence of repetitive punitive measures or an injury pattern not in agreement with the alleged circumstances, it behooves the assigned investigator to make every attempt to document the scene(s) as in any other criminal investigation.

ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

&NA;Accidental deaths in childhood were studied between 1978 and 1982 in Metropolitan Dade County, Cases were collected from both traffic and nontraffic accidental fatalities in which the victim was less than 12 years of age. Cases were then subdivided into traffic and nontraffic groups. Each group was then analyzed as to age, race, sex, cause of death, and scene circumstances. A total of 294 cases was studied.

ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

&NA;Since 1978, a total of 55 infanticides were investigated by our department (16.9% of the total number of medicolegal autopsies). This article describes the infanticides in the Hokkaido district of northern Japan. The characteristic finding for the cause of death was drowning in the toilet. This mode of killing seems to be chosen because of the style of toilet in the district, which includes a collecting tank for feces and urine under the commode.

ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

&NA;A case report of fatal spontaneous dissection of the distal left circumflex coronary artery in a 37‐year‐old postpartum female is presented. Samples of arterial wall from this patient and from six other postpartum females who died of unrelated causes were examined by light (LM), scanning electron (SEM), and transmission electron (TEM) microscopy. Morphological changes to explain the recognized predisposition of this cohort to coronary artery dissection were sought. The origin of the dissection was demonstrated by serial LM sections to be in midmedia with no intimal extension. The predominant plane of dissection was the junction of media and adventitia. Sarcolemmal blebbing and accumulation of amorphous intercellular material were demonstrated at the dissection site by SEM but were not seen elsewhere in the affected heart or in any of the six control hearts. These changes could not be distinguished by TEM from prolonged ischemic injury. There was no accumulation of eosinophilic leukocytes in the vessel wall or adventitia, and adventitial mast cells were not consistently more frequent than in the controls. No increase of stainable intramural mucopolysaccharides was seen in the fatal case. The results indicated no generalized arterial change in postpartum coronary arteries to account for the increased frequency of dissection. A focal degenerative process remains the most likely possibility.

ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

&NA;Approximately 15% of victims of instantly lethal central nervous system trauma have an empty or nearly empty heart at autopsy. This article defines and discusses the “empty heart” sign.

ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

&NA;“Therapeutic misadventure” and its alternative forms is a controversial, though necessary, manner of ruling deaths that result from unexpected complications of medical procedures. Such cases must be brought to the attention of the medicallegal office so that they are thoroughly investigated and documented, and so that appropriate and consistent rulings are made. While it is not generally agreed that a ruling of therapeutic misadventure implies medical negligence, a number of such cases do become the bases for litigation. During an 11‐year period in a metropolitan coroner's office that examines about 2,000 cases yearly, 44 cases were ruled therapeutic misadventure, an incidence of 0.46%. A recent increase in such cases is probably the result of improved case finding and investigation. The largest category was that of surgical complications, followed, in order, by complications of anesthesia and of therapeutic and diagnostic procedures, and by drug reaction. No case occurred in ambulatory surgery. There apparently has been a low incidence of attendant lawsuits. The study of cases of therapeutic misadventure is potentially of great value in identifying outcomes and trends, and for the prevention of such cases in the future.

ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

&NA;The relative frequencies of various dermatoglyphic features have been reviewed for chromosomal disorders. When combined with other clinical features of a particular disease, dermatoglyphics can serve to strengthen a diagnostic impression and may be useful in screening select individuals for additional diagnostic studies.

ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0195-7910    

出版商:OVID    

年代:1986

数据来源: OVID