Amniotic fluid embolism-apropos two consecutive cases

Amniotic fluid embolism (AFE) is a sporadic, unpredictable, and usual fatal obstetric complication. The paper deals with two cases of maternal deaths because of AFE verified by medicolegal autopsy. In both the cases, several known risk factors associated with AFE, such as increased maternal age (41 and 35 years), diabetes, augmented labor, and cesarean delivery, were identified. Clinical features were typical, including sudden onset of cardiovascular and respiratory symptoms. In the patient who survived longer, both clinical and autopsy signs of disseminated intravascular coagulopathy were present, while they were absent in the case where death occurred rapidly. This paper describes briefly the particular features to look for at autopsy and stresses the importance of histology examination and staining techniques.     

Fatal Hemorrhage from an Arteriovenous Fistula

In this study, we present two cases of sudden deaths of people with end‐stage kidney with arteriovenous fistulas for long‐term hemodialysis treatment. This procedure is associated with a number of known complications. While stenosis, thrombosis, and infection are well known, lethal hemorrhage from arteriovenous fistula is much less commonly encountered. Inspection of the bodies at the scene of the death by a medical examiner suggested that the deaths were due to exsanguination. Autopsies revealed visible defects on the front wall of the arteriovenous fistulas. Microscopic examination showed wall necrosis with infiltration of various inflammatory cells. Deaths were due to exsanguination from the ulcerated arteriovenous fistulas in patients with chronic renal failure. Further investigation revealed that complications in the area around the arteriovenous fistulas were known and were being treated until a sudden rupture of the vessels and hemorrhage from the arteriovenous fistulas resulted in the deaths.     

An Unplanned Complex Suicide by Multiple Blank Cartridge Gunshots and Cutting

Blank firing guns are readily accessible in most countries due to an absence of legal regulations. These weapons are capable of causing lethal injuries. We report a rare case of secondary (unplanned) complex suicide committed with a knife and blank cartridge pistol. A 59‐year‐old man was found dead with three superficial incisions in his neck and a gunshot wound to the chest. The external examination revealed an entrance wound in the left chest region consistent with contact shooting. The appearance of a muzzle imprint suggested two discharges. The autopsy showed a slightly hemorrhaged but otherwise intact pericardium, blood in the pericardial sac, and a channel‐like defect in the anterior wall of the left cardiac ventricle. The cause of death was attributed to cardiac tamponade. To the best of our knowledge, this is the first reported case of unplanned complex suicide involving an unmodified blank firing gun.     

On some peculiarities of stab wounds

The article deals with the differential diagnosis of stab injuries inflicted upon by cylindrical and conic objects with a round cross-section and with a point-shaped and cross-shaped stings as well as by sharp three-edged objects. An analysis of the obtained data leads to the conclusion on a possibility of carrying out the group identification of the mentioned stab objects according to morphological specific features of injuries.     

Image of China in Slovakia: ambivalence,adoration, and fake news

Asia Europe Journal - The paper looks into the image of China in Slovakia. Following the period of relative disinterest of the media in majority of topics connected with China, media are starting...     

Dealing with the communist past: Its role in the disintegration of the Czech Civic Forum and in the emergence of the Civic Democratic Party

The end of the communist regime in Czechoslovakia in 1989 has opened the thorny question of how to deal with the communist legacy. This paper focuses on important aspects of decommunization at the beginning of the 1990s and analyzes the role they played in the disintegration of the Civic Forum and in the emergence of the Civic Democratic Party. The paper shows that the decommunization agenda gradually became a significant divisive factor within the Civic Forum and served as one of the key issues through which the Civic Democratic Party defined itself. It also provided an opportunity for politicians skilled enough to grasp this issue to do so and to incorporate it into their wider political agendas.