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Marloes E. M. Vester M.D. Ph.D. Kurt B. Nolte M.D. Ph.D. Gary M. Hatch M.D. Chandra Y. Gerrard M.P.H. B.S. Reinoud D. Stoel Ph.D. Rick R. van Rijn M.D. Ph.D. 《Journal of forensic sciences》2020,65(5):1568-1573
Postmortem computed tomography (PMCT) is integrated into the evaluation of decedents in several American medical examiner offices and medicolegal death investigative centers in many other countries. We retrospectively investigated the value of PMCT in a series of firearm homicide cases from a statewide centralized medical examiner’s office that occurred during 2016. Autopsies were performed or supervised by board-certified forensic pathologists who reviewed the PMCT scans prior to autopsy. PMCT scans were re-evaluated by a forensic radiologist blinded to the autopsy findings and scored by body region (head–neck, thoracoabdominal, and extremities). Injury discrepancies were scored using a modified Goldman classification and analyzed with McNemar’s test. We included 60 males and 20 females (median age 31 years, range 3–73). Based on PMCT, 56 (79.1%) cases had injuries relevant to the cause of death in a single body region (24 head–neck region, 32 thoracoabdominal region). Out of these 56 cases, 9 had a missed major diagnosis by PMCT outside that region, including 6 extremity injuries visible during standard external examination. Yet all had evident lethal firearm injury. We showed that PMCT identifies major firearm injuries in homicide victims and excludes injuries related to the cause of death in other regions when a single body region is injured. Although PMCT has a known limited sensitivity for soft tissue and vascular pathology, it can be combined with external examination to potentially reduce or focus dissections in some of these cases depending on the circumstances and medicolegal needs. 相似文献
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Sophia K. Chiu M.D. M.P.H. Jessica F. Li M.S.P.H. Kurt B. Nolte M.D. 《Journal of forensic sciences》2020,65(4):1324-1327
Recent increases in deaths in the United States from synthetic opioids such as fentanyl and fentanyl analogues (fentanyls) have raised concerns about possible occupational exposures to these potent agents. Medicolegal death investigators and autopsy suite staff might perform job tasks involving exposure to fentanyls. The potential for exposure to fentanyls among medicolegal death investigators and autopsy technicians at a state medical examiner's office was evaluated through review of caseload characteristics, injury and illness logs, and procedures and policies and discussions with management and employee representatives. The evaluation showed that this medical examiner's office had low potential for work-related exposure to fentanyls; its standard operating procedures and personal protective equipment requirements should reduce the potential for occupational exposure. Medicolegal death investigation agencies can develop and implement guidance to control exposures and provide workforce education and training to reduce the potential for work-related exposure to fentanyls. 相似文献
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Towards a Guide for Constructing and Disseminating Counternarratives to Reduce Support for Terrorism
Despite widespread recognition that the use of counternarratives is an important strategic component of countering violent extremism, to date, there are no comprehensive guidelines on how to develop and distribute counternarratives to effectively reduce support for terrorism. To redress this, we offer communication and psychology theory-based procedures for (1) analyzing terrorist narratives, (2) constructing counternarratives that challenge terrorist narratives, and (3) disseminating the counternarratives to overcome barriers to persuasion. Analysts and practitioners can use such guidelines in developing counternarratives to reduce support for violent extremism. 相似文献
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Andrew JointAuthor Vitae Edwin Baker Author Vitae 《Computer Law & Security Report》2011,27(4):407-415
This article builds on our previous introductory article to cloud computing ([2009] 25 CLSR 270-274) and seeks to explain how cloud computing has evolved. We then discuss how this evolution impacts on key contractual and legal considerations and how the treatment of these considerations might differ from their treatment in traditional IT supply agreements. 相似文献
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This article explores the experiences of a small number of older women who work in university departments of education. The article starts with a brief review of some of the research that documents the experiences of women who work in departments of education. The article then considers the ways in which the older woman's body has become a focus for action, suppression and, above all, a site for constant work. Women are exhorted by the mass media to be vigilant in order to combat the embodied signs of passing time and to work on the project of the (ageing) body. The article then explores some of the ways that older women in education departments may be positioned/position themselves in relation to these pressures and some of the ways in which they disrupt these discourses. 相似文献
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