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Hirozumi Okuda MD Hidetada Fukushima MD PhD Tomoaki Nakatsukasa MD Koji Yamamoto MD Asuka Kaizaki-Mitsumoto PhD Satoshi Numazawa PhD Yoshito Kamijo MD PhD 《Journal of forensic sciences》2024,69(1):351-354
Nerium oleander is an ornamental evergreen shrub belonging to the family Apocynaceae. The Apocynaceae family includes the attractive evergreen shrub known as oleander. The cardiotoxic glycoside, oleandrin, is present in all portions of the common oleander plant. Oleander consumption can result in deadly situations accidentally or as a suicide attempt. After consuming kettle-boiled oleander leaf extract as part of a suicide attempt, an 80-year-old man was discovered comatose in his home and taken to our emergency room. The patient's heart rate was 30 beats per minute, and he had hypotension. Arterial blood gas analysis revealed remarkable metabolic acidosis and hyperkalemia (K: 7.7 mEq/L). An electrocardiogram showed a wide QRS wave, similar to a sine curve. The patient collapsed following cardiac arrest soon after hospital arrival. Veno-arterial extracorporeal membrane oxygenation was initiated; however, the patient eventually died. The serum level of oleandrin at hospital arrival, subsequently measured by LC–MS/MS, was found to be 33.4 ng/mL, far above the levels reported in previous fatal cases. 相似文献
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Death From Butane Inhalation Abuse in Teenagers: Two New Case Studies and Review of the Literature
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Véronique Alunni M.D. Ph.D. Yvan Gaillard Pharm.D. Ph.D. François Castier MD. Marie‐Dominique Piercecchi‐Marti M.D. Ph.D. Gérald Quatrehomme M.D. Ph.D. 《Journal of forensic sciences》2018,63(1):330-335
The ready availability of butane makes butane abuse frequent. Fatalities are rare. This study presents two cases of death by butane overdose. The postmortem analyses were carried out using headspace gas chromatography–mass spectrometry. It revealed femoral blood butane concentrations of 18 and 22 mg/L, respectively, as well as specific combinations of adjuvants in each victim. In one of the victims, brain and fatty tissue also contained butane, pointing to chronic consumption. The originality of this study is to show that the identification of specific combinations of adjuvants can be helpful for identifying the brand of deodorant used. Also, sampling the skin and mucosa can help identify the method of drug delivery. The histological examination documented both the direct toxic effect of the gas on the respiratory mucosa and signs of chronic abuse. Volatile substance intoxications should be systematically considered in case of sudden death in a teenager. 相似文献
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Noémie Bernardi MD Clémence Delteil MD Éric Kania MD Pascale Giravalli MD Lucile Tuchtan MD Jean-Pierre Guay PhD Marie-Dominique Piercecchi MD PhD Christophe Bartoli MD PhD Jokthan Guivarch MD 《Journal of forensic sciences》2024,69(2):574-583
Since 2017, complaints of sexual violence have increased in France. At the same time, the management of sexual offenders has been at the center of international public health policies. The prevalence of mental disorders among sexual offenders is an essential field of research. There are some published studies on the prevalence of psychiatric disorders in sexual offenders in detention, but there are few recent published studies among French individuals who were detained. Our objectives were to determine the prevalence of psychiatric disorders among persons detained for sexual offenses and the level of care received according to their diagnosis. For this purpose, we carried out a retrospective observational study from January 2017 to October 2021 of all adult sexual offenders, whether accused or convicted, who were seen in the psychiatric consultation unit of Les Baumettes prison, Marseille, France. The primary outcome measure was the psychiatric diagnosis entered in the medical records. One hundred forty-two patients were included in analysis. All patients were men, and the majority (n = 97, 68.3%) of these patients presented with at least one psychiatric disorder, principally a personality disorder (31.7%). 10.6% presented with a schizophrenic disorder, 4.9% a bipolar disorder, 3.5% a depressive disorder, 5.6% pedophilic paraphilia, and 25.4% an addictive disorder. Their management and comorbid addictions were analyzed in subgroups for each psychiatric disorder. Patients appeared to receive an appropriate level of care for their diagnosed disorder. It seems important to develop structured assessment of recidivism risk for better management of sexual offenders. 相似文献
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Marlene Beyer Eg MD Troels Græsholt-Knudsen MD PhD Kathrine Bang Madsen PhD Carsten Obel MD PhD Annie Vesterby Charles MD DMSc Ole Ingemann-Hansen MD PhD 《Journal of forensic sciences》2024,69(1):252-263
Evidence describing age-related differences among children with suspected physical and sexual child abuse is lacking. We describe findings in severe cases of suspected abuse. Cases with 756 children <15 years old were included during 2001–2013 at the Department of Forensic Medicine, Aarhus University, using forensic evaluation documents, medical records, and court proceedings. Eight percent of children <4 years old died from child abuse, 36% through violence resulting in death, and 64% by manslaughter, whereas 1% > 4 years old died, solely by manslaughter. External injuries were mainly located to head and torso in children <4 years old, changing to the upper and lower extremities in older children. Child sexual abuse was suspected in 52% of cases with living children <4 years old, 83% of children 4–7 years of age, 88% of children 8–11 years of age, and 93% of children >12 years old. Anogenital findings were mainly caused by other medical conditions in children <4 years old, hymenal clefts in the superior half of the hymenal rim were almost exclusively found in children between 8 and 11 years of age, whereas both superficial and complete hymenal clefts in the inferior half of the hymenal rim were found in children >12 years old. The present study describes age-related differences in victims of suspected child abuse. Fatal versus nonfatal child physical abuse and the significance of hymenal findings in child sexual abuse could be studied further. 相似文献
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H Shiono A Maya N Tabata M Fujiwara J Azumi M Morita 《The American journal of forensic medicine and pathology》1986,7(2):104-106
Since 1978, a total of 55 infanticides were investigated by our department (16.9% of the total number of medicolegal autopsies). This article describes the infanticides in the Hokkaido district of northern Japan. The characteristic finding for the cause of death was drowning in the toilet. This mode of killing seems to be chosen because of the style of toilet in the district, which includes a collecting tank for feces and urine under the commode. 相似文献
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Keiko Morita 《Asia-Pacific Review》1998,5(3):105-122
Australia is now pursuing the task of discovering and creating its own identity, says Keiko Morita, lecturer at the Institute for International Studies, University of Technology, Sydney. Following remarks made by Pauline Hanson during the 1996 federal election, the issue of Asian immigration has been the subject of significant public debate in Australia. Morita argues that the uproar provoked by Hanson's blatant exploitation of racist hostilities has made it pertinent to raise the question of how Australian feelings toward Asian immigrants have changed over the last thirty years. 相似文献