Forensic medical evaluation in cases of foreign bodies left in the abdominal cavity

The authors consider the problems of medicolegal assessment of injuries which developed in cases of foreign bodies getting into the organs of the abdominal cavity during the operations.     

Software "Control" in the evaluation of ability to perform a sexual intercourse without perforating hymen

A soft was designed (whose input parameters are data on the victims and suspected) on the basis of determining the erection penis length by its initial sizes to evaluate the penetration probability. CONTROL can be used to personify the issue related with a probable coitus by avoiding any lesion to the virginal membrane. The question can be answered with scientific reasoning only after the genitals of the suspected are examined.     

Determination of disulfoton and its metabolites in the body fluids of a Di-Syston intoxication case

Disulfoton and its metabolites, two sulfoxides and two sulfones, in the body fluids of a patient who had ingested Di-Syston were analyzed by FPD-GC and GC/MS. After the chemicals in the extract (Fraction 1) obtained by Extrelut column extraction were analyzed, disulfoton and sulfoxides in Fraction 1 were oxidized into sulfones. The sulfones in the extract (Fraction 2) obtained by Extrelut column extraction were analyzed and the estimated concentrations of metabolite were calculated. The concentrations of disulfoton and the sum of the metabolites in the blood collected on admission were 0.093 nmol/g (25.4 ng/g) and 4.92 nmol/g (corresponding to 1.35 micrograms/g of disulfoton), respectively. These concentrations appear to indicate a severe level of disulfoton intoxication.     

Postmortem changes in resistivity of the anterior abdominal wall during the early postmortem period in rats

An accurate and reproducible technique was employed for the determination of the resistivity of excised portions of the anterior abdominal wall of rats. Resistivity decreased linearly (r = −0.93; P < 0.001) from 1438 ± 131 Ω · cm, immediately following death, to 360 ± 144 Ω · cm at a postmortem interval of 36 h. These changes are believed to reflect the morphological and/or chemical changes which occur at the cellular level during the early postmortem period.     

A rare suicidal case of a ten-year-old child stabbing himself in the throat

A rare case is reported of a ten-year-old boy who committed suicide by stabbing himself in the throat with a pointed knife. Possibility of an accidental injury was excluded by the autopsy findings; suspicion of a homicide by his father was cleared through the deposition of his sister. The reason of suicide was attributed directly to his father's severe scolding and indirectly to his mother's death two years before.     

一起美容医疗机构越级开展美容项目投诉事件的分析与思考

随着人们永葆青春和美貌欲望的增强和医疗美容技术的发展,医疗美容行业日益火爆,同时医疗美容监督管理发现的违法医疗美容行为也越来越多。通过对一起医疗美容机构越级开展美容手术投诉处理事件,对越级开展美容项目是否为超范围执业提出见解,同时对规范医疗美容活动提出建议和思考。     

A fatal case of cocaine poisoning in a body packer

A 27-year-old man was carrying in his digestive tract 99 packages each containing about 10 g of a 86% cocaine powder. The courier died by acute cocaine intoxication due to inflation and rupture of four packages during a flight from Bogotá to Rome. At the autopsy, the external examination was unremarkable. The internal examination showed edema and generalized congestion of the organs. Toxicological analyses were performed by gas chromatography-mass spectrometry after solid phase extraction using Bond Elut Certify columns and derivatization with BSTFA/TMCS. High levels of cocaine and benzoylecgonine were found in blood (4.0 microg/mL and 17.0 microg/mL), urine (152.0 microg/mL and 512.0 microg/mL), bile (99.8 microg/mL and 54.0 microg/mL), vitreous humor (7.1 microg/mL and 5.8 microg/mL), brain (7.5 microg/mL and 3.5 microg/mL), and hair (55.5 ng/mg and 27.7 ng/mg). The presence of the cocaine and its metabolite in the hair suggested that the man was a cocaine user.     

A rare mutation in the amelogenin gene and its potential investigative ramifications

Over the past few years, the Australian forensic science community has adopted a common methodology and technology in the application of DNA profiling for investigative and forensic purposes. The ultimate objective of this initiative is the establishment of a national DNA database similar to that used in the UK. An integral part of this methodology is the use of "Profiler Plus," a nonaplex of STRs combined with amelogenin, a locus utilized for sex determination. This paper reports the results from a case where a mutation in the annealing region of the amelogenin primers appears to have resulted in the failure to amplify the amelogenin Y-homolog from a phenotypically normal male. The result was confirmed using two different primer sets that amplify different regions of the amelogenin gene. This situation suggests that the genetic determination of sex based on the amelogenin sequences from specimens of unknown origin, such as crime scene samples, should not be considered infallible.     

n-Butanol in blood as the indicator of how long a dead body lay in water

n-Butanol appears in large quantities in the blood of a drowned person and a correlation exists between its quantity (concentration) and the time the body lay in water. This correlation depends on the temperature of the water but not on whether it is fresh or salt water. The time of death can be fixed within the span of 0-26 days after the event, as we have found out in our research (no longer period has been examined).     

Unusual association of three rare alleles and a mismatch in a case of paternity testing

This study reports a paternity case analyzed by the AmpFlSTR Identifiler Kit (AB) in which father and daughter shared three rare alleles for D19S433, D18S51 and TH01 microsatellites. The case also showed an apparent exclusion, due to a mutation at the D3S 1358 microsatellite. Sequencing analysis was performed to assess the size of the rare alleles and to establish their structure, which revealed some molecular variations in regions flanking the motif repeats.     

Characteristics of the injuries to diaphyses of the long tubular bones in case of skew bending

The present experimental study was designed to elucidate specific morphological features emerging from the destruction of diaphyses of long tubular bones undergoing a combined strain/stress impact. It is concluded that the species-specific signs of the injuries to the long tubular bones can be used for the purpose of their differential diagnosis from other types of injuries.     

A method for exposing the intraosseous portion of the carotid arteries and its application to forensic case work

A method that allows extraction of the intraosseous portion of the carotid arteries is presented, along with four cases to illustrate its application to forensic case work. The method described permits a cosmetically acceptable reconstruction.     

A cocaine body packer with normal abdominal plain radiograms. Value of drug detection in urine and contrast study of the bowel

Drug packets are usually detected by ordinary abdominal radiographs, which is of major importance in the apprehension and prosecution of drug body packers, but false negatives may occur. We report the case of a cocaine body packer who had used the prograde route and in whom the initial abdominal plain films were normal. The diagnosis of cocaine body packing was assessed by seldom-described complementary methods of detection, including drug detection in the urine and contrast study of the bowel.     

Fatal birth trauma due to an undiagnosed abdominal teratoma: case report and review of the literature

The fetus is subjected to mechanical forces during labor and delivery, which may result in traumatic injuries. Such injuries include intracranial hemorrhage, spinal cord lesions, cephalhematoma, cranial or peripheral nerve palsies, intraabdominal organ rupture, or bony fractures. Risk for perinatal trauma and mortality is increased in primigravidas, multiple gestations, abnormal presentations, maternal-fetal disproportion, oligohydramnios, forceps or vacuum extractions, and internal version maneuvers. Very-low-birth-weight neonates (<1500 g) are at high risk due to ease of deformity of the cranium. Infants with certain congenital anomalies or pathologic processes that distort normal anatomy are also at increased risk, especially when a prenatal diagnosis is lacking. The authors present a case of a term gestation neonate who sustained a cervical spine dislocation fracture of C5-7, with subtotal transection of the spinal cord and resultant paralysis. The fetus was in vertex presentation, and a manual vaginal delivery was attempted. When the infant lodged in the birth canal following a difficult delivery of the head and arms, its enlarged abdomen was palpated, and the delivery was converted to an emergent cesarean section. The infant lived for 3 days and then expired due to neurologic complications of trauma sustained during the attempted vaginal delivery. Autopsy revealed a previously undiagnosed intraabdominal immature teratoma. The pathology of teratomas, the most common neonatal tumor and occasionally implicated in cases of birth trauma, will be addressed, followed by a review of the literature concerning birth trauma.     

The accumulation and transmission of wealth over a long period: example of a rural family from Loire-Atlantique in the 19th and early 20th centuries

This research seeks to trace the transfer of wealth down the male line of a rural French family through the 19th and 20th centuries, and to decipher the logic of accumulating and transferring wealth. The subject will be approached from an angle different from that of Segalen [Ethnol. Fr. 8 (1978) 271], who followed which farmers had cultivated the same farm through two centuries. The itinerary of wealth passing through the six generations examined here was traced using the range of legal documents that mark a person's life: purchases, sales, exchanges, marriage contracts, gifts, and inheritances. Wealth behavioral patterns that are assumed to follow an economic logic are described using neoclassical economic models.     

"Vaginal" bleeding in prepubertal age: a rare scaring riddle, a case of the urethral prolapse and review of the literature

The entities responsible for isolated vaginal bleeding are a broad spectrum of diseases. Vaginal bleeding in a prepubertal child is always treated as an alarming symptom both by parents and professionals. Most often, one of the first hypotheses is that a sexual abuse may be occurred and the clinical work up is oriented to explore it and eventually confirm or substantiante another diagnosis. Among the possible differential diagnosis urethral prolapse has to be considered. We report the case of a 6 years-old Caucasian girl referred to our Service for a mild vaginal bleeding and with the suspicion of sexual abuse, excluded after the confirmation of the presence of urethral prolapse. The clinical picture and workup are described and compared with a review of the international literature on the issue.