Divorce-Related Malicious Parent Syndrome

Divorce-Related Malicious Mother Syndrome was described originally by Turkat (1995). When this initial report was published, the disorder had been observed only in females. Recent case material has emerged which suggests that the abnormality may be gender neutral. To facilitate proper scientific investigation, the taxonomic label and diagnostic criteria have been changed accordingly. Divorce-Related Malicious Parent Syndrome is a significant clinical and legal problem, which remains in dire need of pertinent research and analysis.     

断奶猪多系统衰弱综合征血清抗体检测

从北京、河北、山东、天津、江西、吉林、河南7省(市)22个猪群采集各类猪血清样品559份,用猪圆环病毒Ⅱ型(PCVⅡ)克隆化特异性表达抗原包被反应板,采用ELISA检测断奶猪多系统衰弱综合征(PMWS)抗体.结果,20日龄未断奶仔猪阳性率为0(0/58)、1～2月龄断奶仔猪阳性率为16.5%(23/139),后备母猪阳性率为43.3%(61/141),经产母猪阳性率为85.6%(107/125),肥猪阳性率为51.0%(49/96),559头猪总阳性率为42.9%(240/559).检测临床有疑似PMWS症状的4～5月龄生长肥育猪6头,结果均为阳性;检测临床有疑似PMWS症状的1～2月龄仔猪9头,结果均为阴性.     

The Institution of a Standardized Investigation Protocol for Sudden Infant Death in the Eastern Metropole,Cape Town,South Africa,,

The rate for the sudden infant death syndrome (SIDS) in Cape Town, South Africa, is estimated to be among the highest in the world (3.41/1000 live births). In several of these areas, including those of extreme poverty, only sporadic, nonstandardized infant autopsy, and death scene investigation (DSI) occurred. In this report, we detail a feasibility project comprising 18 autopsied infants with sudden and unexpected death whose causes of death were adjudicated according to the 1991 NICHD definitions (SIDS, n = 7; known cause of death, n = 7; and unclassified, n = 4). We instituted a standardized autopsy and infant DSI through a collaborative effort of local forensic pathology officers and clinical providers. The high standard of forensic investigation met international standards, identified preventable disease, and allowed for incorporation of research. We conclude that an effective infant autopsy and DSI protocol can be established in areas with both high sudden unexpected infant death, and elsewhere. (SUID)/SIDS risk and infrastructure challenges.     

Mechanisms of Lethal Cerebrovascular Accidents in Turner Syndrome

A case of intracerebral hemorrhage in Turner syndrome is reported with an analysis of possible causes of cerebrovascular accidents in this condition. A 42‐year‐old woman with known Turner syndrome died soon after hospital admission having been found unconscious at her home address. At autopsy, she showed typical features of Turner syndrome with short stature, webbing of the neck, underdeveloped breasts, and an increased carrying angle of the arm. Death was due to a large left‐sided intracerebral hemorrhage extending from the left basal ganglia into the white matter of the frontal lobe and lateral ventricle. Cases of unexpected death in Turner syndrome may arise from occult cerebrovascular accidents which may be hemorrhagic or nonhemorrhagic. Associated features include hypertension, vascular malformations, accelerated atherogenesis, cystic medial necrosis, and moyamoya syndrome. The possibility of Turner syndrome should be considered in cases where there has been a lethal cerebrovascular event in a younger woman.     

网瘾青少年的心理健康问题研究与康复策略

在我国,因特网的使用日益火爆,它正以惊人的速度渗入到社会的各个领域并逐渐改变着我们的生活.时至今日,青少年上网群体中已出现了相当数量的成瘾者,他们的心理健康问题已开始受到社会的日益关注.本文即是通过研究网瘾青少年的心理健康问题以及对其表征进行分析,并在此基础上提出一些具有针对性的康复策略,以期帮助他们逐步摆脱网瘾的桎梏.     

论将"受虐妇女综合症"作为正当防卫的可采证据

“受虐妇女综合症”原本是社会心理学概念 ,用以证明在不具备传统意义正当防卫的条件下 ,受虐妇女反击行为的合理性 ;英美等国家将此理论作为正当防卫的可采证据 ;我国借鉴外国司法实践具有一定的现实意义。     

Severe Retinal Hemorrhages with Retinoschisis in Infants are Not Pathognomonic for Abusive Head Trauma

The combination of subdural hemorrhage (SDH), retinal hemorrhage (RH), and encephalopathy, or the presence of severe retinal hemorrhages alone in infants, is often attributed to and has been stated to be pathognomonic for abusive head trauma (AHT) or shaken baby syndrome. These beliefs have been challenged, because the same constellation of findings has been identified in accidental head injuries and natural diseases, and most if not all of the studies that support the concept of diagnostic specificity have serious flaws in their methodology. Presented here are two cases of severe retinal hemorrhages with retinoschisis associated with subdural hemorrhage in a natural disease and with severe cerebral edema in an accidental head injury. These cases challenge the dogma that severe retinal hemorrhages with retinoschisis are pathognomonic for AHT.     

Death Caused by Hepatodiaphragmatic Interposition of the Colon

Hepatodiaphragmatic interposition of the colon is a rare, usually asymptomatic, anomaly and is typically an incidental radiologic finding. There are few cases in the literature describing the symptomatic form of the condition, known as Chilaiditi syndrome. In some cases, it may be accompanied by various severe complications. If symptoms are present, usually conservative treatment is given. However, conservative treatment only addresses the symptoms but does not prevent their recurrence and possible complications. Our present report shows that this anomaly may not only cause symptoms, but may also progress and cause severe complications, in our case—megacolon leading to right heart failure and, ultimately, death. To date, however, there have been no literature reports of death caused by colonic interposition. Therefore, it is important to draw attention to the importance of this anomaly and its appropriate diagnosis and treatment to ensure the most favorable patient outcomes.     

Coexistence of Subdural Hematoma and a Rare Cardiopathy in an Infant: Etiological and French Medicolegal Discussion

During legal proceedings following the unexpected death of an infant, the magistrate calls on an expert to clarify the causes of death and to decide on the course to be taken. A report was made following the death of a 7‐month‐old baby girl after recovery from cardiac arrest when investigations of the cause revealed a subdural hematoma (SDH). We discuss the interconnection of these two entities and their role in the lethal process. In this infant, two distinct lesions with medicolegal implications were simultaneously present: on the one hand histiocytoid cardiopathy, and on the other hand SDH, which could result from ill‐treatment. The case of this infant reminds us that the role of the pediatrician is to report the suspicion, whereas the role of the medical expert is to inform the magistrate as to the reality of abuse and its implication in the lethal process.