ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

A review of both deliberate and accidental anorectal trauma is presented. The mechanisms and types of injuries as well as the complications are discussed. Injuries resulting from sexual assaults are discussed in detail.

ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Suicide among nonwhites was studied using the case files of the office of the Medical Examiner of Metropolitan Dade County in Miami, Florida. A total of 116 cases, during the years 1982–1986, were analyzed as to the age, sex, cultural background, cause of death, blood alcohol content at autopsy, and reason for the suicide of the victim. By analyzing the ethnic/cultural backgrounds of the victims, it was noted that the overall rate of suicide among nonwhites in Dade County was 5 per 100,000 population per year. However, the rate varies within the overall group such that black-Hispanics, American Indians, and Haitians have suicide rates of 13.9, 11, and 3.1 per 100,000 population per year, respectively. Some of these rates are higher than the U.S. national nonwhite suicide rate of 7 per 100,000 population. Interestingly, while suicide rates are variable, the reasons listed for the suicide and the high frequency of young adult victims are similar to those for whites. A discussion ensues concerning this similarity and what future work in the field remains to be done.

ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Eleven suicides in which the victim took his or her life while looking into a mirror are presented. The psychoanalytic implications of this extreme form of narcissism are discussed. Investigators should have a high index of suspicion of suicide in cases where a dead body is positioned in front of or near a mirror.

ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

The phenomenon of accidental death due to falls at work was studied: 15 cases that occurred during the years 1983–1987, in which a worker died from a job-related fall, are presented in some detail. A discussion follows in which risk factors for these incidents are presented along with suggestions about how to investigate such cases.

ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

We report seven fatalities resulting from the ingestion of illicit drugs packaged in condoms, rubber balloons, or plastic bags which were observed in the last 4 years at the Office of the Chief Medical Examiner, State of Maryland. All the victims, with the exception of one, were men ranging in age from 19 to 37 years. There was no racial predominance. No drug paraphernalia was found at any scene. In two cases, seizure-like activity was documented. One victim had recently returned from Nigeria; therefore, Lassa fever was initially suspected. Two of the victims were “body packer” contrabanders who had just arrived from Africa. They used body cavities to hide large amounts of heroin to avoid U.S. Customs. The other five cases were “mini-packers,” small-time illicit drug dealers who had swallowed a single bag of cocaine to avoid police detection. The possible mechanism of leaking or rupture of the latex container is discussed.

ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Cases involving two bodies that had drifted for at least 500 km on the high seas are described.

ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Hypothermia is defined as a subnormal body temperature. In this article, hypothermia refers to the loss of core temperature from exposure. When death results from hypothermia, a series of gastric mucosal erosions known as “Wischnewski ulcers” (1) frequently occur. In examining case material of the Onondaga County Medical Examiner's Office, a characteristic pattern of these ulcerations was seen that was indicative of severe physiologic stress and/or hypothermia. While not pathogonomonic of hypothermia, the incidence of the erosions in a specific pattern has been closely associated with deaths in which hypothermia played a significant role. In hypothermia, the erosions, usually shallow and ∼0.1–0.5 cm in diameter, are set in lines with roughly equidistant spacing, thereby forming a pattern of rectangles with the corners marked by the ulcerations.

ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

This paper presents an extensive review of the literature relating to the industrial confined space. It defines the various types of confined spaces, classifies their associated noxious atmospheres, and identifies the potential hazards of each. A newly recognized confined space, the environment of the surgical amphitheater in which the surgical patient undergoes general anesthesia, has been added. Pathological alterations bearing upon these hazards and the forensic principles of confined space injuries are examined in depth. In addition, recent methods are described for prevention and control of the perils of the confined space.

ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

The inspection of the contents of the stomach must be part of every postmortem examination because it may provide qualitative information concerning the nature of the last meal and the presence of abnormal constituents. Using it as a guide to the time of death, however, is theoretically unsound and presents many practical difficulties, although it may have limited applicability in some exceptional instances. Generally, using stomach contents as a guide to time of death involves an unacceptable degree of imprecision and is thus liable to mislead the investigator and the court.

ISSN:0195-7910    

出版商:OVID    

年代:1989

数据来源: OVID