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291.
The Importance of Microscopic Examination of the Lungs in Decedents with Sustained Central Intravascular Catheters: A Nine‐Case Series 下载免费PDF全文
Heidi H. Hamilton M.D. Nicholas I. Batalis M.D. Susan E. Presnell M.D. Cynthia A. Schandl M.D. Ph.D. Lee Marie Tormos M.D. 《Journal of forensic sciences》2015,60(2):346-350
Indwelling intravascular catheters provide convenient access to healthcare personnel and also recreational intravenous drug users who inject suspensions of oral medications. A nine‐case series of autopsies of clinically stable decedents with indwelling catheters and sudden death is herein presented. Pulmonary histologic findings were consistent with intravenous administration of oral medications in all cases. In eight, the mechanism of death was directly attributed to occlusive vascular embolization of foreign material, with or without contribution of acute drug toxicity. In one, the mechanism of death was solely attributed to acute drug toxicity. Acute, massive embolization of foreign material may explain sudden death by vascular obstruction, whereas chronic repeated injections lead to obliteration of the pulmonary vasculature, increased pulmonary vascular resistance, and cardiac failure. Therefore, a complete autopsy with histologic examination of the lungs and toxicology testing is recommended in patients with indwelling catheters to determine the cause and mechanism of death. 相似文献
292.
293.
Murder, Nonnegligent Manslaughter, and Spatial Autocorrelation in Mid-South Counties 总被引:1,自引:0,他引:1
In this paper we explore to what extent county murder and nonnegligentmanslaughter rates in the midsouth are spatially autocorrelated, usinga variety of spatial autocorrelation tests. The data are 3-year averages ofUCR murder and nonnegligent manslaughter rates from the 383 midsouthcounties. Moran's I statistics show a statistically significant amountof spatial autocorrelation in the murder and nonnegligent manslaughter ratesamong the 383 midsouth counties. G statistics, however, fail to detect aglobal pattern in this region. We also compute Gi statistics and localMoran's I statistics with these data and detect some patterns oflocalized spatial autocorrelation. We estimated and compared an MLE spatiallag model and an OLS model with constructs informed by socialdisorganization theory. The regression analysis failed to detect anysignificant spatial effects for the midsouth counties. 相似文献