Knight's Forensic Pathology, 3Ed

Knight, Bernard

doi:10.1201/b13642

Cited by 619 publications

(432 citation statements)

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“…if the postmortem interval is within a few days and decomposition is not observed [1,2]. If the postmortem interval exceeds this period, the above mentioned findings are no longer observed.…”

Section: Introductionmentioning

confidence: 84%

Application of electrolyte analysis of pleural effusion to diagnosis of drowning

et al. 2012

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We measured concentrations of sodium (Na), chloride (Cl), calcium (Ca), and magnesium (Mg) in pleural effusion from forensic autopsy cases to examine whether they were useful for a diagnosis of drowning. We analyzed a total of 51 cases (15 seawater drowning, 10 freshwater drowning, and 26 non-drowning), and determined the following reference values. If the concentration of Na or Cl is under 65 mEq/l, a diagnosis of freshwater drowning can be made. If the concentration of Na is higher than 175 mEq/l, or that of Cl is higher than 155 mEq/l, or that of Ca is higher than 16 mg/dl, or that of Mg is higher than 15 mg/dl, a diagnosis of seawater drowning can be made. We recommend that pleural effusion from the left and the right thoracic cavities should be collected and analyzed separately because large differences may be observed between each side in the case of drowning. If one side corresponds to the reference value for seawater or freshwater drowning and the other side does not, a diagnosis of drowning can still be made according to the obtained value.

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Section: Introductionmentioning

confidence: 84%

Application of electrolyte analysis of pleural effusion to diagnosis of drowning

et al. 2012

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“…Elektrik etkisine baÛlÝ šlŸmler sÝklÝkla kardiyak asistoli, ventrikŸler fibrilasyon, solunum kaslarÝnÝn tetanik kontraksiyonuna baÛlÝ solunum durmasÝ veya merkezi sinir sistemindeki solunum merkezi hasarÝna baÛlÝ gelißebileceÛi bildirilmektedir (1,3,17). OlgularÝn fiziksel incelemelerinde šzellikle yŸksek voltaja maruz kalan vakalarda aÛÝr yanÝklar, buna karßÝn dŸßŸk voltaja maruz kalanlarda hafif yanÝklar ile birlikte targetoid cilt lezyonlarÝ, keratin nodŸlleri izlenebilir (1,18). Olgumuzda Leygraf (9) ve MarcÕÝn (10) sunduklarÝ olgulardakilere benzer elektrik akÝmÝ ile olußmuß her iki ayak bileÛi ve sol el bileÛinde 0,3 cm.…”

Section: Tartiþmaunclassified

Elektrik Akımı ile İntihar Olgu Sunumu

Fedakar¹,

Türkmen²,

Eren³

et al. 2004

Bull Leg Med

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Elektrik akımına bağlı ölümler ile ilgili her geçen gün çok sayıda yeni verinin elde edilmesinin yanında, özellikle farklı düzenekler kurarak elektrik akımı ile intihar eden olguların üzerinde önemle durulmaktadır. Olgumuz kendi ev ortamında özel düzenek kurarak elektrik akımı ile intihar eden psikiyatrik hastalık öyküsü alman ve daha önce de başarısız intihar girişiminde bulunmuş 58 yaşında bir erkektir. Olay yerinde ayak bilekleri ve sol el bileğine sıyrılmış bakır elektrik kablosunun bağlanmış olduğu ve intihar mektupları bulunduğu görülmüştür. Dış muayenesinde elektrik yanığına ait lezyonlar, iç muayenede nonspesifik değişiklikler, mikroskobik incelemede deride cpidcrmisıc ayrışma, keratinosit nükleuslarda uzama ve bir tarafa yönlenme, dermişte nekroz ve hiperemi gibi elektrik akımının meydana getirdiği değişiklikler izlendi. Vücudunda herhangi bir toksik madde tespit edilmedi. Ölümün vücuttan elektrik akımı geçmesi sonucu meydana geldiği rapor edildi. Olgumuz elektrik akımına bağlı intiharların medikolegal özellikleri açısından değerlendirerek tartışılmıştır.Anahtar Kelimeler: Elektrik, intihar, ölüm, olay yeri, otopsi.

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“…worse than no opinion at all, as in the latter case, the legal authorities will at least be aware of the deficiency in their evidence, rather than be misled by the often dogmatic inaccuracies of an inexperienced doctor. 10 Therefore, any medical officer, who is put on this duty, should be fully trained before handling this job. …”

Section: Introduction and Scope Of Forensic Medicinementioning

confidence: 99%

Status of medico legal service in Nepal: Problems along with suggestions

Subedi

Deo

2015

J Coll Med Sci-Nepal

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Forensic medicine deals with the application of medicine for the purpose of law. It is now commonly used to describe all aspects of forensic caseworks; including forensic pathology, that branch of forensic medicine which investigates death, and clinical forensic medicine, which involves interaction between the law, judiciary and the police involving (generally) living persons.The medico legal investigation system in our country still lags far behind the developed countries. The doctors doing the medico legal and post-mortem work at the district level hospitals are often untrained in this sensitive job. It is a job of great responsibility and to leave it to inexperienced doctors is actually doing injustice to the society. Forensic experts handle a very small part of total medico-legal work as most of them work in private medical colleges which are not permitted to handle the work. Mortuaries are housed in outdated facilities. Exposure to the medical students on medico legal cases including autopsy is done only on a sporadic basis taking them to nearby government hospitals and even if they visit the hospitals, inadequate infrastructure prevents better learning. Private medical colleges are conducting postgraduate course in forensic medicine without handling medico legal cases.There should be a post of forensic medicine specialist, at least at the zonal hospitals and the district hospitals handling more medico legal cases. The private medical colleges, especially those enrolling postgraduate students in the field, must seek permission to conduct medico legal works and the government also should not be reluctant in permitting so as it's not producing adequate experts in itself as per the need of the country.

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Knight's Forensic Pathology, 3Ed

Cited by 619 publications

References 0 publications

Application of electrolyte analysis of pleural effusion to diagnosis of drowning

Application of electrolyte analysis of pleural effusion to diagnosis of drowning

Elektrik Akımı ile İntihar Olgu Sunumu

Status of medico legal service in Nepal: Problems along with suggestions

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