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111.
Butch Huston M.D. Victor Froloff M.D. Kelly Mills M.D. Michael McGee M.D. 《Journal of forensic sciences》2017,62(1):244-246
Primary malignant tumors of the trachea are uncommon. The authors report a case of a 72‐year‐old female who died from asphyxia due to an undiagnosed obstructing adenoid cystic carcinoma of the trachea. The decedent became unresponsive while eating cereal and was pronounced upon arrival at the local hospital. The autopsy revealed a near occlusive tumor mass just superior to the bifurcation of the distal trachea. There was no evidence of aspiration. The death was the result of asphyxia due to obstruction of the trachea by an adenoid cystic carcinoma. This case demonstrates that an obstructive tumor mass may remain undiagnosed until an obstructive episode results in a sudden death. 相似文献
112.
Victor S. Mannarino M.D. Débora C. S. Pereira M.D. Wagner S. Gurgel M.D. Carolina B. F. Costa M.D. Alexandre M. Valença M.D. Leonardo F. Fontenelle M.D. Mauro V. Mendlowicz M.D. 《Journal of forensic sciences》2017,62(4):953-961
Self‐embedding behavior (SEB) is the repeated insertion of sharp objects, such as needles or pins, into the soft tissues of abdomen, limbs, and other body parts. In this study, two cases of SEB were reported and the scientific worldwide literature reviewed. Thirty‐two cases of SEB were identified through systematic searches in the main bibliographic databases. Mean age was 35 years (SD = 8.97). Just over two‐thirds of the patients were female. Although the number of embedded objects could be as high as 200, major clinical and surgical complications were uncommon and mortality was null. Patients with SEB presented three major diagnoses: psychotic (25%), personality (21.9%), and factitious (28.1%) disorders. The practice of SEB largely went undetected as the patients themselves did not bring it to the attention of family members or physicians and usually denied they have engaged in SEB. A high level of suspicion is required to avoid a missed diagnosis. 相似文献
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This practical note outlines Concern's approach to pro-poor budget analysis using the case of the Kenya Free Primary Education (FPE) policy. Analysis conducted on the outcomes of the FPE policy for Nairobi's urban slum-based poor suggests that the policy is not being implemented evenly within the city. The reasons stem from poor allocation and planning approaches, to political interference and unwillingness of teachers to work in slum-based schools. These have the unintended effect of increasing inequities for the urban poor, the reverse of the policy intention. The note outlines the pitfalls and practicalities of conducting this type of analysis. 相似文献
114.
Butch Huston M.D. Victor Froloff M.D. Kelly Mills M.D. Michael McGee M.D. 《Journal of forensic sciences》2013,58(6):1651-1653
A 55‐year‐old man with a medical history of tobacco use suddenly collapsed while power washing an empty indoor pool in a hotel. The decedent was transported to the local hospital where he was pronounced. A postmortem examination revealed atherosclerotic heart disease and bilateral pulmonary edema and congestion. A postmortem blood carbon monoxide (CO) level was 27% saturation, and a CO performed on hospital admission blood was 49% saturation. CO poisoning is a common cause of toxicological morbidity and mortality in the United States. The circumstances most often occur in an enclosed environment and may be intentional or unintentional. CO poisoning has been reported in open, well‐ventilated spaces, but rarely results in death. A warning label was present on the engine clearly stating the dangers of CO emission. However, there was a false sense of security due to the large size of the pool room and the presence of industrial blowers that were being used for ventilation. 相似文献
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Why do Human Rights Organizations (HROs) target or “shame” countries for human rights abuses? The literature using country-level factors to explain why one country is likely to be targeted over another is growing but many questions still remain. Terrorist activity in a country should have a positive effect on the amount of shaming directed at a country. HROs are in the publicity business and have organizational interests to shame states already receiving attention. Findings show that there is a connection between certain types of transnational terrorist incidents occur in a country and the amount of HRO shaming of governments, even after accounting for the human rights practices within the state. 相似文献