Fat embolism syndrome associated with atraumatic compartment syndrome of the bilateral upper extremities: An unreported etiology

Fat embolism syndrome (FES) is a potentially life-threatening condition that develops when fat embolism leads to clinical symptoms and multisystem dysfunction. The classic triad of respiratory distress, neurologic symptoms, and petechial rash are non-specific, and the lack of specific laboratory tests makes the diagnosis of FES difficult. Although FES is most common after long bone fractures, multiple conditions some of which are atraumatic have been associated with the development of FES. We report a case of FES that occurred in the setting of a non-traumatic compartment syndrome of the upper extremities. The pathologic and clinical findings, pathophysiology, diagnostic challenges, and pathologic methods to properly diagnose FES are discussed with a review of the relevant literature. This case highlights the importance of the autopsy in making a diagnosis of FES in cases where death could otherwise be incorrectly attributed to multi-organ system failure, shock, or sepsis.     

A case of fatal overdose involving both hydromorphone and kratom

Kratom is a plant originating in Southeast Asia that has been used for its dose-dependent stimulant and opioid effects. The main active compound in kratom is mitragynine, an alkaloid with affinity for the mu-opioid receptor. Toxicity and fatalities related to kratom use have increased substantially in recent years. In this case report, we describe a 44-year-old man who was found deceased in bed. The only significant finding at autopsy was abdominal distension with >4 L of ascites. Toxicology testing was performed on femoral blood which showed 79 ng/mL of hydromorphone, 560 ng/mL of mitragynine, and 240 ng/mL of olanzapine. In addition, creatinine and urea in vitreous humor were significantly elevated, consistent with renal impairment. Death was attributed to hydromorphone toxicity with mitragynine being a contributing factor.     

伊斯兰原教旨主义与恐怖主义不应混淆

自“9·11”事件后,国际媒体经常把伊斯兰教、伊斯兰教原教旨主义、恐怖主义混为一谈,并造成了西方社会对伊斯兰世界的普遍误解。嗣后,这种文化歧见不断滋长,某些在中西欧存在已久的伊斯兰教社团也受到严重波及。结果,不仅是破坏了欧洲多元文化政策的推动,甚至把一些在欧洲土生     

腐败犯罪资产追回机制研究

资产追回机制是《联合国反腐败公约》创设的重要法律机制之一,其主要内容包括资产的直接追回、资产的间接追回、资产的返还和处分、资产转移的预防和监测以及特别合作等方面。为有效利用该公约确立的资产追回机制追回腐败犯罪所得资产,我国应当尽快从法律上建立承认和执行外国生效刑事裁判、适当的资产返还费用补偿、公职人员财产申报以及刑事缺席审判等制度。     

关于加强诉讼监督的初步思考

诉讼监督是检察机关依法行使法律监督权的主要体现,加强诉讼监督对于实现司法公正、保障诉讼人权以及回应司法实践都具有现实意义。未来应当考虑从国家立法的层面进一步加强和规范检察机关的诉讼监督工作,适时将现行诉讼监督创新机制转化为有关法律规定。理顺控诉职能和监督职能的关系、完善诉讼监督的手段体系和健全诉讼监督的决定程序是加强诉讼监督的可能进路。