Traumatic venous aneurysm of the popliteal vein with outcome: a case report and review of the literature.

A case of sudden death due to recurrent pulmonary thromboembolism is described. The fatality took place three and a half weeks following blunt trauma to the left popliteal region. The patient died unexpectedly. Autopsy revealed the source of the emboli as a sacciform venous aneurysm of the popliteal vein, an entity seldom described, but important to consider in cases of soft tissue popliteal masses or unexplained pulmonary embolism, especially in otherwise healthy individuals.     

38例精神分裂症患者凶杀行为研究

目的　探讨精神分裂症患者的凶杀犯罪行为各个方面的特点。　方法　对 38例具有凶杀行为的精神分裂症患者 ,在心理学、生理学、社会学等各方面进行实例分析。　结果　这些患者在犯罪动机、行为特点、犯罪工具、被害人等诸多方面与正常人的凶杀犯罪有明显的差异。　结论　应加强对精神分裂症患者的诊治 ,普及精神卫生的知识 ,从而预防、控制犯罪。     

Acute intoxication with guaifenesin, diphenhydramine, and chlorpheniramine.

Mixed drug reactions are frequently encountered in emergency department overdose cases and also in fatal intoxications. Assessment of the relative contribution of each drug in producing adverse effects is often compounded by lack of case history and the paucity of cases reported in the literature. This report describes a fatal intoxication with three common over-the-counter medications: guaifenesin, diphenhydramine, and chlorpheniramine. A 48-year-old woman was found dead in the attic bedroom of her residence. Specimens obtained at autopsy for toxicologic analysis included heart blood, urine, bile, gastric contents, vitreous humor, and cerebrospinal fluid. The over-the-counter drugs were identified and quantitated by acid/neutral or basic liquid-liquid extraction followed by gas chromatographic analysis with nitrogen phosphorus detection. Concentrations of guaifenesin, diphenhydramine, and chlorpheniramine detected in the heart blood were 27.4, 8.8, and 0.2 mg/L, respectively. The cause of death was determined to be acute intoxication by the combined effects of guaifenesin, diphenhydramine, and chlorpheniramine, and the manner of death was determined to be suicide. To our knowledge, the blood guaifenesin concentration in this case is the highest reported concentration to date associated with an acute intoxication.     

Classification of two steroids, prostanozol and methasterone, as Schedule III anabolic steroids under the Controlled Substance Act. Final rule

With the issuance of this Final Rule, the Administrator of the DEA classifies the following two steroids as "anabolic steroids' under the Controlled Substances Act (CSA): prostanozol (17[beta]-hydroxy-5[alpha]-androstano[3,2-c]pyrazole) and methasterone (2[alpha],17[alpha]-dimethyl-5[alpha]-androstan-17[beta]-ol-3-one). These steroids and their salts, esters, and ethers are Schedule III controlled substances subject to the regulatory control provisions of the CSA.     

Forensic evaluation of 10 STRs and two minisatellite loci in the Greek population.

Allele frequencies for 10 STRs and two minisatellite loci have been typed in a large sample of unrelated Greeks. The resulting database could be used for medico-legal cases.     

The flavour of history: Food,family and subjectivity in two Indo-European women's memoirs

This article examines two autobiographies written by women with family connections to the former Netherlands Indies (colonial Indonesia): Schenkhuizen, 1993, Schaapman, 2007. Particular attention is given to the customs surrounding the preparation, consumption and distribution of food within these women's families, practices that illuminate the formation and expression of identities across generations of Indo-European migrants, and between the colonial and post-colonial periods. Studies of colonial identity often essentially focus on how aspirations for group membership are expressed. Such emphasis can exaggerate the stasis and cohesion of colonial cultures at the expense of a more nuanced analysis of the varied, sometimes contradictory range of identities that exist within specific historical contexts. To approach identity and subjectivity as related but not necessarily congruent constructs provides significant insight into how ethnic identities that were formed in a family context altered in response to twentieth century decolonisation. The memoirs examined demonstrate that subjectivities formed with reference to foodways in Indo-European (Indo) families were gendered and raced. The colonial identities that were informed by these subjectivities found new and altered expression in the post-colonial era.     

Teenage suicide in King County, Washington. II. Comparison with adult suicides

The 25 teenage suicides that occurred in King County, Washington, during 1983 and 1984 were compared with the 158 adult suicides that occurred during 1984. The comparison included the following features: sex, race, declaration of intent, motive, method, isolation, alcohol or drug intoxication at the time of death, prior suicide threats and attempts, counseling history and diagnosis, and family history of suicide. For the teens, we also queried school or employment status, anxiety-producing experiences, symptoms of depression, marital history of the parents, and number and order of siblings.     

Population Size, Change, and Crime in U.S. Cities

The sometimes noted contradiction between cross-sectional and longitudinal relationships concerning city population size and crime rates is reexamined using more complex analytic procedures, controlling for extraneous variables, and allowing for non-monotonic relationships. Instead of a simple cross-sectional relationship between population size and crime rates, the more sophisticated analysis reveals either no association or a quadratic relationship. Similarly, instead of a simple lack of longitudinal relationship or a negative one, the more complicated analysis shows a non-monotonic pattern for three of six offenses. However, we contend that these divergent patterns for cross-sectional relative to longitudinal data are not necessarily indicative of an “anomaly.” Instead, they represent different aspects of a dynamic process in need of more extensive theorizing. Finally, the cross-sectional results showing that city size and crime rates are either not linked or when linked are in a non-monotonic pattern call into question one of the accepted relationships in criminology that have long guided thinking about crime.

Unexpected death in persons with symptomatic epilepsy due to glial brain tumors: a report of two cases and review of the literature.

Two cases of unexpected death in persons with epileptic seizures due to a brain tumor are presented which encompassed an astrocytoma WHO grade II and an anaplastic astrocytoma WHO grade III. A 35-year-old man was found somnolent and disoriented at home. A computed tomography (CT) scan revealed a tumor of the right frontal lobe suggestive for an oligodendroglioma. During an angiographic examination the patient experienced an epileptic seizure. Some weeks later, the man was found dead in front of his house with a fresh bite mark of the tongue. Neuropathological examination revealed an astrocytoma WHO grade II of the right frontal lobe. A 47-year-old man plunged into a swimming-pool and was found submerged some minutes later. After resuscitation he survived comatose for 8 days but finally died due to severe hypoxic brain damage. He had been operated on a brain tumor of the temporal lobe 1 year before the accident. Neuropathological examination revealed residual tumor tissue at the operation site corresponding to an anaplastic astrocytoma WHO grade III. Although rare, death in persons with epileptic seizures due to brain tumors is an important mechanism of death encountered by the forensic pathologist.     

Forensic medical assessment of acute blood loss in combination with craniocerebral trauma and alcohol intoxication

Forensic medical findings have been analysed retrospectively for 242 deceased of acute blood loss: 186 (76.8%) corpses were male and 56 (23.2%) corpses were female. It was found that in acute blood loss (ABL) duration of the terminal period (TP) depended on its combination with craniocerebral trauma (CCT) or alcohol intoxication (AI). A short TP (several minutes) was observed in ABL patients with CCT (39.6%), a long-term TP--in ABL associated with AI (20-60 min, 40.4% cases; several hours, 56.3%; over 24 hours, 54.5%). Slow TP occurred primarily in mild AI (TP for several hours 55.6%, over 24 hours--83.3% cases). In severe AI the number of cases with a short TP exceeded the number of cases with a long TP (over 24 hours) by 53.7%.