Intracranial stab injuries: case report and case study

Non-missile penetrating brain injuries are rare events in western countries. We report a case with lethal stab injury of the brain and identification of the weapon used in the assault by digital superimposition on CT scans taken at admission of the victim to a hospital. Furthermore, all cases with knife stab wounds of the skull between 1971 and 2000 were analyzed and compared with literature reports. Results of this study show that there is no region preference despite of differences in bone thickness, that stab wounds of the brain are almost invariably associated with multiple stab wounds to the trunk and that the wound tract may correspond to the dimensions of the blade allowing the identification of the weapon by digital image analysis.     

The Podmore case

On January 10, 1929, in Southampton, England, two men examining the interior of a long-padlocked garage that had been previously used as a storeroom by a local agent of the Wolf's Head Oil Company found the decomposing body of its missing agent, Vivian Messiter. The assistance of Scotland Yard was obtained. Sir Bernard Spilsbury's autopsy revealed that Messiter had died from several severe blunt force craniocerebral injuries, the murder weapon apparently being a blood-encrusted hammer found nearby. Suspicion immediately centered on William Podmore, alias William Thomas, who had been employed by Messiter for 3 days in late October 1928, immediately prior to Messiter's being declared missing. Podmore, who was wanted for fraud and robbery elsewhere in England, was questioned and told a self-serving story. Meanwhile, it had been suspected that he had reported to Messiter sales of oil to fictitious customers, collecting commissions on same, and this was eventually reinforced by the finding of traces of writing in a receipt book. Two fellow prisoners of Podmore stated that he had confessed in their presence. Almost 14 months after the murder, Podmore was charged with it. He was later convicted, and was hanged after some public outcry against the verdict.     

郭剑英受贿案事关“定价腐败”

在落马高官密集受审的2016年6月,郭剑英一案也有了下文. 作为国家发改委窝案落马成员之一,郭剑英于2016年5月被北京市人民检察院第一分院提起公诉,与之相关的药品定价腐败问题于6月下旬被媒体披露. 在2014年9月落马时,郭剑英的职位是副巡视员.虽然这个级别相当于副局级的官职并不算高,但是,由于他手中曾握有特殊权力并因此以权谋私而落网.郭剑英的受关注度一点儿也不逊于那些落马的省部级高官.     

Caffeine fatalities--four case reports

Four cases of fatal intoxications with caffeine are described. Caffeine is widely available in beverages and in different OTC-products, in many of them in combinations with other drugs like ephedrine. Caffeine is not as harmless as one might believe. An overdose of caffeine alone, intentional or not, might be deadly. It seems to be warranted to include caffeine in the drug-screening of forensic autopsy cases. It is not motivated from a medical point of view to sell pure caffeine over the counter.     

A case of polyagglutination

A case of erythrocytic polyagglutination in a healthy blood donor is reported. After a review of current literature, the results of clinical and serologic tests which led to the diagnosis of Tn-red cells polyagglutination are presented. This is only the sixth case of Tn-activation in a healthy blood donor. The clinical and forensic significance of this rare phenomenon is discussed.     

The case of abortion

Abortion as an issue is tried in a courtroom situation. The followi ng questions are dealt with: 1) At what point in the gestation process is the fetus recognized to be a human being and accorded the protection of a human being? and 2) Does a woman have a right to abort her pregnancy? Witnesses present evidence and viewpoints from the following disciplines: law, religion, biology, history, legal history, and medicine. The advocate for abortion focuses on a woman's right to privacy and to control over her own body. The opponent of abortion emph asizes the sacredness of life.     

The organized subdural blood clot in forensic case work - a case report

The medico-legal assessment of a subdural haematoma (recent or organized) usually requires some information regarding its cause. Quite often, especially in the absence of a known history of trauma, minor head injuries, which are no longer verifiable, are simply assumed to be the most likely causes. Considering the fact that a subdural haematoma could also be non-traumatic, e.g. in haemorrhagic disorders, cardiac conditions with persistent passive hyperaemia, true inflammatory and degenerative processes of the dura, etc., the medico-legal implication of a possible head injury would require the exclusion of such non-traumatic conditions capable of causing subdural bleeding. In this respect, the case of a 92-year-old man, who suffered from cerebral sclerosis with occasional episodes of confusion and agitation, is briefly discussed. He was reported to have fallen from his bed, was hospitalized and died 2 days later. A head injury was suspected. At autopsy, no skull fractures and no obvious bruises were discovered. Fresh bilateral temporal subdural haematomas were found. These appeared consistent with a suspected head injury sustained as a result of a fall. Fairly large partly organized adherent subdural clots in the parieto-occipital region completely remote from and unconnected with the fresh bitemporal haematomas were also found. Based on the gross pathology and the histology, an attempt is made to assess the possible cause of the organized clots. Some of the findings indicated a possible non-traumatic origin, a consideration which is likely to affect the forensic implications.     

The case of Ohio v. Robinson. An 1870 bite mark case

In 1870, Ansil L. Robinson was charged with the murder of his mistress, Mary Lunsford, in Mansfield, Ohio, U.S.A. Evidence against Robinson included an attempt to match his teeth to bite marks on the victim's arm. Robinson was acquitted after a 3-week trial despite the evidence linking his teeth to the wounds. This trial represents an early and perhaps the first attempt to admit bite-mark evidence in a court of law in the United States. The acquittal resulted in the obscurity that prevented this case from coming to the awareness of the forensic dental and legal communities sooner.     

A case of Ludwig angina: a case report and review of the literature

Ludwig angina is a rapidly progressing submaxillary, submandibular, and sublingual necrotizing cellulitis of the floor of the mouth that can have lethal consequences due to airway obstruction. Various aerobic and anaerobic microorganisms, and less often fungi, have been implicated to cause Ludwig angina, including oral flora such as streptococci and staphylococci. Early recognition and the use of parenteral antibiotics can prevent mortality and morbidity. We report a case of a 25-year-old white man who was admitted to the hospital by his dentist after being diagnosed with Ludwig angina secondary to periodontal abscesses involving teeth #17 and #32. Although antibiotics were administered, while in the hospital, the decedent had difficulty swallowing and was drooling. He suddenly began to have seizure-like activity thought to be anoxic myoclonus. The decedent was aggressively resuscitated and taken to the operating room for neck exploration and a tracheostomy. Neck exploration revealed severe necrotizing acute inflammation of the deep soft tissues and musculature of the neck. He remained on life support for 7 days until he was declared brain dead. Ludwig angina is a progressive cellulitis that often results in death by asphyxia. Ludwig angina can be complicated by subsequent deep neck infection. The underlying etiologies and common scenarios are examined, and significant autopsy findings and dissecting procedures are discussed. The pathophysiology of Ludwig angina is studied with a review of the current literature.     

Sentencer orientation and case details

Qualitative measures of magistrates' sentencing orientations were incorporated with archival case data into a multivariate statistical model to examine the contribution of orientation-case variable interactions to penalties imposed on 678 drink-drivers by 8 magistrates in two Australian courts. Sentencing orientations included severity, emphasis on deterrence, use of tariffs, and attention to accident potential. The 44 case variables included blood alcohol concentration, prior offenses, and type of legal representation. Penalties included fine and license loss. Five orientation-case variable interactions contributed 20% of the explained variance in penalties after controls for case variables. Court effects were strong regardless of individualized orientations. The authors conclude that sentencing disparties reflect both personal schemas and court context. Reforms involving information systems should attend to the effects of sentencing orientations on individuals' use of case information.