A French hospital sentenced for unreasonable obstinacy

On 2 June 2009, the Nimes administrative court condemned the Hospital of Orange (France) for unreasonable obstinacy after neonatal resuscitation. On 14 December 2002, an apparently stillborn child was resuscitated after approximately 30 minutes of foetal distress. Cardiac activity was recovered, but the child has since suffered from severe disabilities. The court did not find any fault committed by the hospital regarding maternal care. However, the hospital was sentenced to compensate for the injuries caused by unreasonable obstinacy. According to the court, the medical team should have taken into account the harmful neurological consequences of prolonged foetal distress. The court did not condemn the act of resuscitation itself, but its excessive length. This court ruling serves as a basis for reflection regarding the limits by which unreasonable obstinacy should be set.     

Self-inflicted burns: the value of collaboration between medicine and law

Self-inflicted burns are rare in France, but they lead to major, often life-threatening complications. The authors reviewed medical data for patients hospitalized in a burn center from January 2004 to December 2008. Thirty-eight cases of self-inflicted burns were compared with 220 accidental burns. Women were predominantly affected (57.9%, n = 22). A psychiatric history (71%, n = 27) was more frequent in this population. The mean age of the victims was 38 years. The leading method of suicide was flame (94%, n = 36) associated with gasoline used as an accelerant (77.7%, n = 28). Mean total burn surface area (41.5%) and mortality (36.9%) were higher in the self-inflicted burn population. By recognizing epidemiological characteristics and patients at risk, we can better classify lesions related to self-immolation. It is important for the forensic physician to consult survival details to correlate these data with the results of autopsy.     

Development and validation of the AmpFℓSTR® Identifiler® Direct PCR Amplification Kit: a multiplex assay for the direct amplification of single-source samples

Abstract: The AmpF?STR^® Identifiler^® Direct PCR Amplification Kit is a new short tandem repeat multiplex assay optimized to allow the direct amplification of single‐source blood and buccal samples on FTA^® card without the need for sample purification and quantification. This multiplex assay has been validated according to the FBI/National Standards and SWGDAM guidelines. Validation results revealed that slight variations in primer concentration, master mix component concentration, and thermal cycling parameters did not affect the performance of the chemistry. The assay’s sensitivity was demonstrated by amplifying known amounts of white blood cells spotted onto FTA^® cards, and the assay’s specificity was verified by establishing minimal cross‐reactivity with nonhuman DNA. No effect on the age of the sample stored on the FTA^® substrate was observed and full concordance was established in the population study. These findings of the validation study support the use of the Identifiler^® Direct Kit for forensic standards and database samples genotyping.     

Methodology for estimating endocranial capacity in a modern European population

Various methods have been published in the literature to estimate endocranial capacity. These are based on mathematical equations using measurements made directly on the skull or indirectly from X-rays, by filling the skull with various materials, by endocasts both physical and virtual (using 3D CT-scan reconstructions). Each method has its advantages, limits and drawbacks. A useful method is one that is simple, time-efficient, cheap, and reproducible. For this study we estimated endocranial capacity by filling the skull with calibrated glass beads. We used a thorough protocol of tamping to ensure results reproducibility. Intra- and inter-observer trials showed no significant differences. The method was applied to 130 recent French (West European) skulls (65 males and 65 females). Sexual dimorphism was studied using logistic regression functions, discriminant analysis, and neural network. The best results were obtained using the neural network, built with two hidden nodes in the hidden layer and one output node, and trained with a steepest descent algorithm. Our tests show that there is obvious sexual dimorphism (p < 10(-5)) of the weight of the skulls (623.44 ± 106.83 g in males; 548.07 ± 94.57 in females), the weight of the glass beads used to fill the skulls (2379.83 ± 228.92 g in males; 2095.95 ± 145.49 in females), and endocranial capacity (1676.47 cm(3) ± 161.26 in males; 1476.48 ± 102.49 in females), but overlapping between sexes is quite significant. The average ECC in male (1676.5 cm(3)) and in female (1476.5 cm(3)) subjects is higher than those previously published, which deserves some discussion.     

Technological intensity in manufacturing trade between ASEAN and the EU: challenges and opportunities

Asia Europe Journal - This article analyses trade flows EU-ASEAN, focusing on export performance and technological intensity, covering the years 2004–2016. The aim of this paper is to analyse...