Planned complex suicide: report of three cases

Three cases of planned complex suicide in a 3-year period are reported. A 40-year-old man was found dead, in his garage, hanging by his neck, with a gunshot in the head from a pen gun. A 50-year-old man was found dead in the sea with a gunshot to his head. A third man was found in a field hanging by a tree and burned. The investigation of the scenes and the methods used pointed toward a suicidal etiology. The main difference between planned complex suicide and those cases defined in medicolegal literature as combined suicides lies in the complex mechanism used by the victim as a protection against the failure of one of the mechanisms.     

职务犯罪的经济分析及其防范

职务犯罪行为人利用职权谋取私利具有经济学理性特征,因此,其行为必然遵从经济学的基本法则。用经济分析的方法研究其产生机理,探讨预防措施具有现实意义。基于犯罪经济成本收益理论,通过对职务犯罪的研究,得出如下结论：应增大犯罪成本,控制犯罪收益,从而最终预防和减少职务犯罪。     

An unusual death by propranolol ingestion

A case of acute intoxication with propranolol is reported. A 60-year-old man was found dead in his car with no evidence of trauma or signs of asphyxia. Near the car, a pharmaceutical box of Inderal, a pharmaceutical formulation containing propranolol, was found. The man was not under therapy with this medication, but circumstantial data suggested the use of this medicine by his sister. High blood levels of propranolol confirmed the suspected drug use and induced us to discuss the probable lethal mechanism of this substance. The analysis of this compound was performed by liquid-liquid extraction followed by gas chromatography/mass spectrometry determination.     

论《三国演义》中的文势——兼及毛宗岗的“文势”观

毛宗岗评点《三国演义》时 ,提及“文势”一词 ,但缺乏严密的论证和总结 ,其主要弊端在于回避作者的主观命意评文势。本文通过对《三国演义》的具体论证 ,认为作者的主观命意决定作品内在结构的具体形态 ,当这一形态与读者审美心理机制之间产生契合 ,文势才得以最终生成     

Cerebrospinal fluid analysis in fatal thallium poisoning: evidence for delayed distribution into the central nervous system

The neurologic manifestations of thallium poisoning include a severely painful ascending peripheral neuropathy, autonomic dysfunction, cranial nerve abnormalities, and a toxic encephalopathy. Although thallium has a short half-life, these neurologic manifestations commonly progress, even as the blood concentration of thallium decreases. This suggests either that thallium persists in neuronal tissues or that it initiates an injury cascade that takes time to fully manifest. As the latter mechanism is consistent with many toxin exposures, the concept of a central nervous system reservoir for thallium is often discounted. A recent case provided a unique opportunity to evaluate this possibility. A 48-year-old man was acutely and chronically thallium poisoned by his common-law wife. During his initial exposures, only gastrointestinal symptoms manifested. Following an acute ingestion, hospitalization was required. Over 3 days, his symptoms rapidly progressed from a severely painful neuropathy to slurred speech, ptosis, confusion, coma, respiratory insufficiency, and death. Because of considerations of alternative diagnoses, 2 lumbar punctures were performed, one on admission and another on the day of his death. Serum thallium concentrations obtained from stored blood samples were paired with spinal fluid concentrations from the same days. On day 1, serum and spinal fluid concentrations were 8700 mu/L and 1200 mu/L, respectively. On day 3, although the serum concentration had fallen to 7200 mu/L, the spinal fluid concentration had increased to 2100 mu/L. This case provides evidence to support the hypothesis that thallium distributes into the central nervous system more slowly than the blood compartment, and this may in part account for the progression of neurologic findings in the setting of decreasing serum concentrations.     

PLEA BARGAINING Bargain Justice?

An historical overview of the plea bargaining process through the past few centuries is presented. The advantages and disadvantages of the use of the legal mechanism are given. A research project conducted in Pima County, Arizona, covering 500 convicted persons who had been involved in plea bargaining is described, and the findings indicate that the majority of individuals included in the study willingly accepted the concept and felt that the practice should not be discontinued. A recommendation for modification of the misuse of the process is that cases should be reviewed for plea bargaining by an independent agency apart from the court and prosecutor. This would insure that the individual was aware that he was abrogating his rights of appeal, thereby eliminating any further investigation of his case.     

作为话语仪式的忏悔——何其芳延安时期的诗歌话语分析

在延安时期的诗歌话语实践中,何其芳主要运用了一种双重性的忏悔话语策略,以此来认同并超越当时正日趋成型的革命文艺话语秩序。其中隐含了主流权力话语重塑或改造诗人主体的运作机制,即通过排除程序和提纯程序来制约主体的话语空间和话语方式。何其芳的话语困境植根于他的心理困境,也折射了当时面临创作转换的革命作家的普遍文化困境。     

依法治国与以德治国相结合的运行机制建构

依法治国与以德治国作为治国方略都是动态的过程。怎样寻求两者的有机结合,重视系统内各要素之间的良性互动,是人们应当更加关注的。本文从“机制”的词源意义出发,认为:依法治国与以德治国相结合的运行机制应当包括法治与德治的内在运行机制、二者相结合的作用互补与协调机制以及人力资源协调机制等内容。     

论我国独立董事产生机制的重构

独立董事的产生机制是确保独立董事人格独立性与行权独立性的关键性环节 ,构造我国独立董事产生机制的核心是合法、合理、科学地抑制大股东的作用与影响。我国公司法应采用表决权回避制 ,完善独立董事卸任方面有关的法律规定     

Exceptional suicide of a physician (author's transl)]

A 57 years old psychiatrist committed suicide through insufflation of powder from a chemical fire extinguisher his respiratory and gastrointestinal tract. Death was due not to mechanically induced asphyxia but to asystolia. The latter disturbance is explained as a vagal reaction to trauma because of the characteristic position of the corpse at the scene and because the victim did not exhibit any signs of gas or foreign body embolism. A further point of interest in the context of trauma mechanism, is the absence of significant disruptions in spite of the high pressure (10-12 atu) developed by the extinguisher. No conclusive interpretation can be given about the psychological mechanisms behind this suicidal act. On the other side the modality of the procedure used by the victim became manifest already a few months before the critical act.     

Floppy aortic valve presenting as sudden death

A previously healthy 34-year-old Dutch immigrant to Australia died unexpectedly in his sleep. At autopsy the only significant finding was a floppy aortic valve (FAV). Histologic, histochemical and electron microscopic studies corroborated the macroscopic diagnosis. Previously described associations of the FAV include the floppy mitral valve, Marfan's syndrome, aortic root dilatation and aortic cystic medial necrosis. None of these features were found in the present case which is the first recorded example of isolated FAV presenting as sudden death. The mechanism of death is obscure, and while it is presumed to be dysrhythmic, a detailed histological examination of the cardiac conducting system revealed no anatomic abnormality.     

Bloodstain pattern analysis in a case of suicide with a compound bow and arrow

The incidence of human fatalities due to arrow injuries in the medical literature is rare. We report an incident involving a 46-year-old man who was found in his secured apartment with a fatal arrow wound of his chest and abdomen. The initial scene investigation suggested that the victim impaled himself with an arrow attached to a razor-sharp, 4-bladed broad-head hunting tip before collapsing on the floor. However, analysis of the bloodstain patterns suggested that the victim used the compound bow to propel the arrow.When investigating deaths due to bows and arrows, thorough scene investigation along with bloodstain pattern analysis is essential in determining the mechanism of injury and manner of death.     

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.     

Victim's scalp on the killer's head. An unusual case of criminal postmortem mutilation

A case of unusual postmortem mutilation of a victim's body is presented. After killing his father, the son decapitated his body and dissected the scalp free, forming a mask of the father's head and neck. The young man wore the scalp-mask over his own head to imitate the father. The motive of the murder was revenge, and the postmortem mutilation was the realization of the perpetrator's fantasies, symbolically representing a penalty for the reprehensible past life of his father.     

The palatal ruga pattern in possible paternity determination

The use of a genetic marker in paternity determination has been successful with the ABO blood group system but unsuccessful in dermatoglyphics and palatal rugae because the genetic mechanism is polygenic. The palatal rugae of 17 families (34 parents and 49 children) were classified and recorded, and the data used to construct a statistical analysis system (SAS) cluster map. A positive result would have meant a father clustering with all his children at Level 83, where, in fact, the best result achieved was at Level 5. The best cluster occurred at Level 82 between the ten-year-old boy of Family 7 and the eleven-year-old girl of Family 3. It is thus clear that the palatal rugae cannot be used in a practical procedure to determine paternity.     

Choking death on a live fish (Dicologoglossa cuneata)

A choking death of a healthy fisherman, who put a type of live sole between his jaws to free up his hands so that he could collect more fish to put into his basket, is described. The fish squirmed into the larynx and upper trachea and the attempts to rescue the man by his colleagues who used pliers did not succeed, and the man died. Other published cases are reviewed, and risk factors and rescue possibilities discussed.     

Extensive Petechiae in Attempted Self-Strangulation

Abstract:  A 29-year-old Korean man reported to have been robbed, bound, and gagged by a stranger in his apartment. Clinical findings included extensive petechiae to his face and tramline patterned abrasions and ligature furrows to his neck and face as well as his wrists. Initially, no other leads in the investigation existed and a robbery was assumed to have taken place. The man eventually confessed to fabricating the story and to having self-induced the ligature marks by subluxating his jaw at the temporomandibular joint and hooking the rope closest to the back of his neck on the corner of table. The man demonstrated this unsuspected ability to law enforcement officers. As a motive for his unconventional behavior, he confessed to engaging in autoaggressive behavior as punishment for "losing face" after his ex-girlfriend terminated her pregnancy. This case demonstrates that petechiae due to neck compression also may occur in the living and are due to vascular compression and not lethal hypoxia.     

Familicide, depression and catathymic process

A case of familicide by a 36-year-old male is reported. After years of stable marriage, exemplary military service, and steady employment, the subject developed his first episode of depression triggered, in part, by his inability to solve a problem associated with completion of a home improvement project. As the depression intensified, and dormant conflicts regarding his competency and self-esteem were rekindled, he experienced pronounced feelings of failure. After an extended period of agonizing about his problem, the idea suddenly emerged that his only recourse was to kill his family and himself, in order to spare everyone the humiliation of his perceived inadequacy. Such a fixed idea, along with a mounting pressure to act, is characteristic of the (chronic) catathymic process, in which a subject, without apparent motive, resorts to extreme violence directed at someone close to him. A detailed discussion of this case within the framework of catathymic process adds to our knowledge of family mass murder and refines the profile of potentially familicidal men.     

Vehicle-assisted suicide resulting in complete decapitation

A rare case of vehicle-assisted suicide in a 43-year-old man is presented. The man had tied a rope between a fence and his neck and, while seated on the driver's seat, accelerated the vehicle, which resulted in complete decapitation. Earlier that day, the man had tried to bleed himself to death by bottling his own blood in his flat, thus defining the case as secondary complex suicide.     

An extreme case of undoing and posing in a case of murder-suicide. A forensic pathological approach to crime scene investigation

A 7-year-old boy was killed by his father by manual strangulation during a murder-suicide. After the killing of the son, the father showed typical "undoing" behaviour: He changed the boy's clothes and laid him down on the bed. Then he placed candles around his head, put pictures of the parents' wedding around him and a crucifix and a picture of the family into his hands. He broke off a rose in a vase next to the bed, lit the candles and took photographs of his dead son. Later he called his wife, threatened to kill the son and finally called the police to confess the murder and to announce his forthcoming suicide.