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901.
An Unusual Case Showing Fatal Rupture of a Gastric Ulcer or Gastromalacia? The Importance/Role of Histology for Differential Diagnosis 下载免费PDF全文
Fabio De‐Giorgio M.D. Ph.D. Maria Lodise M.D. Vincenzo L. Pascali M.D. Ph.D. Antonio G. Spagnolo M.D. Ph.D. Ernesto d'Aloja M.D. Ph.D. Vincenzo Arena M.D. 《Journal of forensic sciences》2015,60(1):240-242
Gastromalacia is the acute autolytic erosion of the gastric wall. It generally occurs postmortem, and it appears as a slimy brownish black region of the wall which occurs principally in the gastric fundus. A 59‐year‐old woman died in the Emergency Department following a 2‐day period of mild abdominal pain, vomiting, and diarrhea. A forensic autopsy was performed which revealed a rupture of the gastric fundus that had caused leakage of gastric content into the abdominal cavity. There was no macroscopic evidence of peritonitis, and the stomach wall adjacent to the rupture site showed marked thinning. The gross appearance was typical of gastromalacia. In contrast, histological observations revealed the presence of an ulcer at the site of perforation and a severe acute inflammatory reaction indicating a robust reaction with an antemortem rupture. 相似文献
902.
Empowerment is under-researched in labour and trade unions, not least in sub-Saharan Africa. Based on workplace observations and interviews with union members and staff in agriculture, commerce, and industry, this article shares insights from two trade unions in Zambia. Findings show that the extent of empowerment differs between members and that empowerment is constrained by employer influence, privatisation, lack of government labour law enforcement, and union resources. Using an integrated approach, the article discusses differences in perceptions of empowerment, how external intentions clash with local structures, and offers suggestions which may help to improve union empowerment methods and programmes. 相似文献
903.
Hesitation Wounds and Sharp Force Injuries in Forensic Pathology and Psychiatry: Multidisciplinary Review of the Literature and Study of Two Cases 下载免费PDF全文
Maria‐Valeria Karakasi M.D. Evangelos Nastoulis M.D. Stylianos Kapetanakis M.D. Ph.D. Epameinondas Vasilikos M.D. Grigorios Kyropoulos M.D. Pavlos Pavlidis M.D. Ph.D. 《Journal of forensic sciences》2016,61(6):1515-1523
The aim of this paper was to showcase the significant diagnostic value of hesitation wounds in terms of forensic, psychiatric, and medicolegal interest. A number of studies were reviewed to update and summarize the relevant literature on the incidence, distribution, character, and function of hesitation wounds as well as the sociodemographic variables and psychopathology of the inducers. This study also investigates their importance as a forensic criterion in the distinction between suicide and homicide as well as a psychiatric diagnostic tool in suicide prevention. In addition, the paper reports two new cases. Results conclude that there is equal incidence, but different distribution of hesitation wounds between genders. Furthermore, the low dispersion of hesitation wounds contrasts with the high dispersion of defense wounds. The inducers' psychopathology lies principally in Axis I disorders. Finally, there is a comprehensive analysis of non‐suicidal self‐injury and the role of self‐wounding in suicide prevention. 相似文献
904.
Incidence of Low Body Mass Index in the Elderly in Forensic Cases—A Possible Marker for Frailty Syndrome? 下载免费PDF全文
Diagnosing frailty syndrome at autopsy may be difficult if no adequate clinical history is provided. As low body mass index (BMI) may be associated with frailty in the elderly, the following study was undertaken to determine the percentage of medicolegal cases with BMIs < 18.5 in decedents aged over 75 years. Review was undertaken over three time periods: January to December 1986, January to December 2006, and January to December 2012. In 1986, 16% (15 of 93) of individuals aged ≥75 years had BMIs < 18.5, in 2006, 15% (50 of 336), and in 2012, 13% (35 of 274). In no case was frailty syndrome mentioned. This study demonstrates that frailty syndrome appears to be an underappreciated diagnosis in forensic practice despite a significant percentage of elderly decedents (13–16% over a 27‐year period) having low BMIs. Prospective assessment of this group is required to determine the incidence and contribution to mortality of frailty syndrome in a forensic context. 相似文献
905.
Associations between Exposure to Alienating Behaviors,Anxiety, and Depression in an Italian Sample of Adults 下载免费PDF全文
Maria Cristina Verrocchio Psy.D. Amy J. L. Baker Ph.D. William Bernet M.D. 《Journal of forensic sciences》2016,61(3):692-698
The aim of this study was to examine associations between exposure to alienating behaviors (ABs) and anxiety and depression as mediated through psychological maltreatment and parental bonding in a sample of Italian adults in the community. Five hundred and nine adults were given a measure of exposure to ABs, the Baker Strategy Questionnaire; the Psychological Maltreatment Measure; the Parental Bonding Instrument; the State‐Trait Anxiety Inventory‐Y; and the Beck Depression Inventory‐II. Exposure to ABs was associated with psychological maltreatment, which was associated with parental bonding, which was associated with each of the three mental health outcomes: depression, state anxiety, and trait anxiety. The authors conclude that exposure to ABs in childhood represents a risk factor for subsequent poor mental health. 相似文献
906.
Histological Changes in the Thyroid Gland in Cases of Infant and Early Childhood Asphyxia—A Preliminary Study 下载免费PDF全文
A retrospective blinded study of thyroid gland histology was undertaken in 50 infants and young children aged from 1 to 24 months. Deaths were due to (i) suffocation (N = 7), hanging (4), wedging (3), and chest and/or neck compression (4), and (ii) SIDS (20), noncervical trauma (7), organic disease, (4) and drug toxicity (1). In the asphyxia group (N = 18), thyroid gland congestion ranged from 0 to 3+ with 39% of cases (7/18) having moderate/marked congestion. In three cases, focal aggregates of red blood cells (blood islands) were observed within the intrafollicular colloid. These deaths involved chest compression, chest and/or neck compression, and crush asphyxia in a vehicle accident, and all had facial petechiae. Only 22% of the 32 control cases (7/32) had moderate/marked congestion with no blood islands being identified (p < 0.05). Blood islands within the thyroid gland may be caused by congestion associated with crushing or compression and may provide supportive evidence for this diagnosis. 相似文献
907.
Carla Sofia Silva Maria Manuela Calheiros Helena Carvalho 《Journal of family violence》2016,31(2):147-159
The Security in the Interparental Subsystem Scale (SIS) is based on emotional security theory. This study examined the psychometric properties of an adaptation of the SIS to a sample of Portuguese adolescents (60.3 % girls; 10 to 18 years old; Mage?=?13 years; N?=?229), recruited in public schools. Discriminant and concurrent validity were assessed by analyzing SIS dimensions associations with adolescents’ exposure to interparental conflict (IC), and psychological adjustment, respectively. Exploratory and confirmatory factor analyses of the SIS supported a six-factor solution, with satisfactory internal consistency. Evidence for discriminant and concurrent validity was provided: most SIS dimensions significantly discriminated between adolescents exposed to higher vs. lower levels of IC; and a significant positive association between emotional reactivity and adolescents’ externalizing symptoms was found. These findings suggest that the SIS is a reliable tool for assessing adolescents’ emotional insecurity in the interparental relationship within the context of this sample. 相似文献
908.
Ítalo de Macedo Bernardino Kevan Guilherme Nóbrega Barbosa Lorena Marques da Nóbrega Gigliana Maria Sobral Cavalcante Renata de Castro Martins Sérgio d’Avila 《Journal of family violence》2016,31(5):617-624
The objective of this study was to characterize the profile of men who are victims of interpersonal physical violence (IPV) by an intimate partner. This study is a retrospective analysis of suspected cases of male victims of IPV by an intimate partner, aged 18 years or older, treated at a Forensic Medicine and Dentistry Center in Brazil. Sociodemographic variables of the victims, the types of violence and the patterns of injuries were evaluated. Over this period, 1520 suspected victims of IPV by an intimate partner were examined; 14.6 % (n = 222) of them were men. Based on Multiple Correspondence Analysis (MCA) two dimensions were formed: the first dimension (internal reliability = 0613) was primarily formed by the relationship between aggressor and victim, the marital status and the type of IPV, and the second dimension (reliability = 0509) by the day of week, the period of day and the marital status. 相似文献
909.
For a long time the question of to what extent party choice in the European Parliament (EP) elections is primarily dependent on voters’ orientations towards the European Union (EU) or just a mere reflection of orientations towards issues and actors in national politics has been debated. By combining insights from individual‐level models of party choice in second‐order elections with theories of sequential decision making this article investigates if, how and at what stages in the decision process attitudes to European integration matters for party choice. In line with previous work on first and second decision rule criteria in EP elections, this article develops and tests hypotheses about how voters’ orientations work at different stages of the voter decision process. The findings, based on Swedish data from a probability‐based three‐wave Internet campaign panel, indicate that many voters are in fact considering more than one party to vote for in the beginning of the election campaign. As expected, left‐right orientations function as a main decision rule with respect to which parties voters even consider voting for, while proximity on the European integration dimension mainly matters as a second decision rule in the final stage of the decision process. Using a sequential model with consideration and choice stages, the article reveals a much larger complimentary effect of EU proximity on party choice than has generally been found in previous research. This serves as a distinct contribution to the emerging research field of individual party choice in second‐order elections. 相似文献
910.
Generalized social trust has been argued to have positive effects for both individuals and society, but despite solid theoretical arguments in favour of different contextual effects, the empirical evidence remains scant. We here examine whether and how the effect of generalized trust on the propensity to become politically active is moderated by the level of generalized trust in society. We inspect two different causal mechanisms: The rainmaker effect, which entails that the effect of generalized trust is weaker at the individual level when there is a high level of generalized trust in society; and the sunmaker effect, which entails that the effect of generalized trust is strengthened by a high level of generalized trust in society. We examine the links for three forms of political participation: voting, institutionalized participation, and non-institutionalized participation. The data come from the fourth round of the European Social Survey from 2008 [European Social Survey. (2008). Data file edition 4.0. Norwegian Social Science Data Services, Norway—Data Archive and distributor of ESS data], and we include 47,489 respondents in 25 democratic countries. The results from a series of multilevel logistic regressions suggest that the effect of generalized trust varies depending on the level of generalized trust in the surrounding community but the causal mechanisms differ for different kinds of political participation. 相似文献