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Cocaine and sudden "natural" death 总被引:4,自引:0,他引:4
The cardiovascular effects of cocaine may culminate in clinical episodes of angina pectoris, myocardial infarction, arrhythmias, and intracranial hemorrhage. To clarify whether or not cocaine causes fatalities by these mechanisms, we studied 24 cases of sudden, apparently natural deaths as a result of coronary arteriosclerosis (15 cases), hypertensive cardiovascular disease (4 cases), and intracranial hemorrhage (5 cases) associated with cocaine use. In 11 cases, cocaine was found in the blood (average concentration: 0.57 mg/L, range: 0.05 to 1.45 mg/L), whereas in the remainder, cocaine or its major metabolite was found in the urine or other tissues. In the majority of decedents, autopsy disclosed the existence of severe natural disease which could have been exacerbated by the administration of stimulant drugs, including cocaine. These data, and a review of the current medical literature, indicate that cocaine may precipitate the sudden death of an individual with undiagnosed cardiovascular disease. A contributory role of cocaine should be considered in any apparently natural death occurring in a population where cocaine abuse is prevalent. 相似文献
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Deoxyribonucleic acid (DNA) isolated from male and female fresh blood samples was processed exactly as for routine DNA fingerprint analysis; that is, the DNA was digested with particular restriction endonucleases and fractionated by agarose gel electrophoresis. Ultraviolet (UV) visualization of ethidium-bromide (EtBr)-stained gels revealed a sex-specific banding pattern, which depended only on the restriction enzyme used. By means of this test, which is based on direct detection of particular sex-specific restriction fragments in human DNA digests, the authors succeeded in determining the sex of DNA obtained from biological specimens recovered as criminal evidence in rape cases. The data obtained demonstrate that direct sexing of DNA on DNA fingerprint gel appears to be useful as an intermediate control step in DNA fingerprinting analysis used for the purpose of assailant identification. 相似文献
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Following a short-term burst of migration activity after the dissolution of the USSR, the current situation is marked by the unusually low population territorial mobility, defined by both the political and, increasingly, the socioeconomic factors. While this trend indicates some degree of minority accommodation, it also demonstrates the depth of economic crisis and increasing socioeconomic differentiation. Visible also is the disproportionate influence exercised by Russia on the formation of migration flows in the region. Remaining the major recipient of migrants, Russia increasingly plays a role of supplier of labor migrants to the West, and acts as a “bridge” for those attempting to reach Western Europe. Meanwhile, Russia still lacks an effective legislative base, institutional mechanisms, and political will for dealing with the new migration flows. 相似文献
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