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Sprawozdanie z 57th Annual Meeting of the International Association of Forensic Toxicologists w Birmingham w Wielkiej Brytanii. 第57届国际法医毒理学家协会年会在伯明翰召开。
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.95599
Rafał Skowronek, Sebastian Rojek
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引用次数: 0
[Widening of the pericerebral space in infants - consultative problems]. [婴儿脑周间隙扩大-咨询问题]。
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.89237
Damian Kozubek
The study was an attempt to characterize symptoms and factors suggesting a traumatic cause of pericerebral space widening in infants. This heterogeneous group of disorders, rarely observed in forensic pathological practice, poses consultative problems, as it may be difficult to distinguish between spontaneous disease-related changes and traumatic complications, and differentiate accidental from non-accidental trauma. The study is based on the records of two cases submitted for examination in order to determine the degree of health impairment. In both cases, a female infant was indicated as the injured person. A review of medical records, particularly medical imaging findings, provided evidence to conclude that the subdural hygromas diagnosed in both infants had a post-traumatic origin. On that basis, factors were selected for consideration in medicolegal assessment, including history of head injury, retinal haemorrhage, presence of other external and internal injuries suggesting battered or shaken baby syndromes, onset and rate of symptom aggravation, perinatal anamnesis, presence of arachnoid cysts, and diseases from the group of metabolic defects.
该研究试图描述婴儿脑周间隙扩大的创伤性原因的症状和因素。在法医病理实践中很少观察到这种异质性的疾病,这带来了咨询问题,因为很难区分自发疾病相关的变化和创伤并发症,也很难区分偶然和非偶然的创伤。这项研究是根据为确定健康损害程度而提交检查的两个案例的记录进行的。在这两起案件中,一名女婴被指为伤者。对医疗记录,特别是医学影像检查结果的审查提供了证据,得出结论认为,在这两个婴儿中诊断出的硬膜下积液是创伤后造成的。在此基础上,在医学法律评估中选择了考虑的因素,包括头部损伤史、视网膜出血、是否存在表明受殴打或摇晃婴儿综合症的其他外部和内部损伤、症状加重的发生率和比率、围产期记忆、蛛网膜囊肿的存在以及代谢缺陷组的疾病。
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引用次数: 1
Differentiation between suicidal and accidental falls from height using the method proposed by Teh et al. 用Teh等人提出的方法区分自杀和意外坠楼。
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.94227
Tomasz Cywka, Anna Milaszkiewicz, Grzegorz Teresiński

One of the main problems encountered in medico-legal assessment of injuries suffered as a result of falling from a height is the discrimination between the effects of accidental and suicidal falls. The aim of the study was to verify the prevalence of injuries involving different regions of the osteoarticular system in groups of victims of attempted suicide and fatal accidents according to the method proposed by Teh et al. The study material consisted of the findings of extended post-mortem examinations of 114 victims of falls from a height, which were conducted in the Department of Forensic Medicine in Lublin. The post-mortem results were compared with the data found in corresponding prosecutorial case files. The results of the study indicate a higher prevalence of osteoarticular injuries within the pelvis and lower limbs in the group of suicide victims, which correlates with the results reported by Teh et al. An analysis of injuries in different body regions in accordance with the reported method can be useful in determining the circumstances of falling from a height.

在对从高处坠落造成的伤害进行医学-法律评估时遇到的主要问题之一是区分意外坠落和自杀坠落的影响。本研究的目的是根据Teh等人提出的方法,验证自杀未遂和致命事故受害者群体中涉及骨关节系统不同区域的损伤发生率。研究材料包括在卢布林法医部对114名从高处坠落的受害者进行的长期尸检的结果。验尸结果与相应的检察案件档案中的数据进行了比较。研究结果表明,自杀受害者群体中骨盆和下肢骨关节损伤的发生率更高,这与Teh等人报道的结果相关联。根据所报告的方法对不同身体区域的损伤进行分析,可用于确定从高处坠落的情况。
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引用次数: 0
Unexpected deadly outcome of a body packer - a case of drowning and illegal drug trafficking with review 意外死亡的尸体包装-溺水和非法贩毒案件回顾
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.94229
Amal N Vadysinghe, Yapa Banda, Solokara Thilakarathne, Liyanage Liyanage

The human body is often used for illegal drug trafficking around the world. This may be done by concealing the drugs inside the body, so-called "body packing". This can lead to life-threatening conditions, mainly by leakage of the illegal substances in lethal amounts into the circulation system, which may cause fatal consequences due to acute drug overdose. Most of these cases present as sudden unexpected deaths. However, we present herein a case in which the death of an unidentified victim, which was notified as a case of seawater drowning in a non-suspicious manner, but later proved to be the death of a body packer as a result of drowning due to a morphine overdose. This case highlights the importance of investigating deaths even in unidentified bodies and the different presentations of fatal consequences of a body packer, which previously have not been described in literature.

人体经常被用于世界各地的非法毒品贩运。这可以通过将药物隐藏在体内,即所谓的“身体包装”来实现。这可能导致危及生命的情况,主要是由于致命数量的非法物质泄漏到循环系统中,这可能由于急性药物过量而导致致命后果。这些病例大多表现为突然意外死亡。然而,我们在此提出一个案件,其中一名身份不明的受害者的死亡,以一种不可疑的方式被通报为海水溺水案件,但后来证明是一名装箱人因吗啡过量而溺水死亡。这个案例强调了调查死亡的重要性,即使是在身份不明的尸体和尸体包装的致命后果的不同表现,这在以前的文献中没有描述。
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引用次数: 1
Classification criteria for the deceased referred for forensic post-mortem examinations with regard to epidemiological risk posed by SARS CoV-2/COVID-19 during the pandemic. 根据SARS - CoV-2/COVID-19在大流行期间造成的流行病学风险,转介进行法医尸检的死者分类标准。
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.95713
Tomasz Jurek, Grzegorz Teresiński
W związku z ogłoszoną przez Światową Organizację Zdrowia (WHO) pandemią COVID-19 oraz stanem epidemii na terenie Polski w celu ograniczenia szerzenia się zakażeń, ochrony personelu wykonującego sekcje zwłok, przedstawicieli prokuratury, sądów i policji uczestniczących w czynnościach procesowych, pracowników firm pogrzebowych, osób uprawnionych do pochówku, pracowników cmentarzy oraz przecięcia dróg transmisji wirusa na każdym etapie postępowania ze zwłokami zaleca się ścisłą weryfikację poziomu zagrożenia epidemiologicznego w stosunku do każdego zmarłego, wobec którego mogą zaistnieć wskazania do przeprowadzenia sądowo-lekarskiej sekcji zwłok. Przed każdą sądowo-lekarską sekcją zwłok kierownik jednostki, w której ma być ona wykonana, upoważniona przez niego osoba albo obducent powinien dokonać klasyfikacji stopnia ryzyka epidemiologicznego i aktualnych możliwości jednostki. Decyzja o wykonaniu sądowo-lekarskiej sekcji zwłok powinna uwzględniać: • warunki sanitarno-epidemiologiczne prosektorium (zgodnie z „Zaleceniami dotyczącymi wykonywaVersion 2.0 (30.03.2020)
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引用次数: 3
Technical criteria for assessing the causes of whiplash injuries. Analysis of simulation parameters of road incident and injury risk assessments. 评估颈部扭伤原因的技术标准。道路事故与伤害风险评估仿真参数分析。
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.95725
Mirosław Kędzierski

The aim of the study is to describe practical application of criteria for whiplash injury evaluation based on a biomechanical simulation of human movement. The analysis of forces applied to the passenger's body in an accident estimated using such a simulation can serve as additional verification of opinions formulated by forensic experts in cases involving whiplash injuries. The study discusses the method of biomechanical simulation using the PC-Crash software as well as a neck injury criterion (NIC) and export of simulation results to determine NIC values. The above-mentioned method is to estimate the probability of whiplash injuries in a given case based on technical parameters of the crash. Such methods are complementary to forensic examinations and should be routinely included in comprehensive forensic expert opinions and technical reconstructions of traffic incidents. This additional method of analyzing the likelihood of whiplash injuries may serve as a basis for formulating conclusions in opinions implying a higher likelihood.

本研究的目的是描述基于人体运动生物力学模拟的鞭打损伤评估标准的实际应用。在使用这种模拟估计的事故中,对乘客身体施加的力的分析可以作为法医专家在涉及鞭伤的案件中形成的意见的额外验证。本研究探讨了利用PC-Crash软件进行生物力学模拟的方法,并建立了颈部损伤标准(NIC),导出模拟结果确定NIC值。上述方法是根据碰撞的技术参数来估计给定情况下的鞭伤概率。这些方法是对法医检查的补充,应定期纳入交通事故的综合法医专家意见和技术重建。这种分析鞭伤可能性的附加方法可以作为在暗示较高可能性的意见中形成结论的基础。
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引用次数: 0
[Not all the people of the Department of Forensic Medicine in Lublin (1944/1945)]. [并非卢布林法医司的所有人员(1944/1945年)]。
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.89238
W. Chagowski
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引用次数: 0
[Medicolegal assessment in cases of zygomatico-maxillo-orbital fractures and isolated orbital floor fractures in criminal cases]. [刑事案件中颧-上颌骨-眶骨折及孤立性眶底骨折的法医学评估]。
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.89234
P. Arkuszewski, P. Arkuszewski, M. Zielińska, E. Meissner
AIM OF THE STUDY The aim of the study was to evaluate the prevalence of effects equivalent to moderate and severe impairment to health within the meaning of the Penal Code in patients with zygomatico-maxillo-orbital fractures and isolated orbital floor fractures. In addition, the study addressed the possibilities of applying the presented results in the preparation of medicolegal opinions in cases provided for in Articles 158 and 160 of the PC with respect to evaluating the plausibility of inflicting such bodily injuries and causing moderate and severe health impairment. MATERIAL AND METHODS The study covered a total of 124 patients operated on in the then Clinic of Cranio-Maxillofacial Surgery, Medical Academy of Lodz, in 1996-2001, because of fractures involving the inferior orbital wall including zygomatico-maxillo-orbital fractures (95 cases) and isolated orbital floor fractures (29 cases). The group was analyzed in a statistical and descriptive manner. RESULTS All the study patients (100%) with both types of fractures involving the inferior orbital wall exhibit symptoms and disorders which, pursuant to the PC, would constitute at least moderate, or possibly even severe, impairment to health. CONCLUSIONS Punches or kicks to the orbital region create a real danger of causing both types of orbital fracture under study, and resulting in at least moderate health impairment.
研究目的本研究的目的是评估在颧-上颌骨-眶骨折和孤立性眶底骨折患者中相当于刑法意义上的中度和重度健康损害的影响的流行程度。此外,该研究还探讨了在《刑事诉讼法》第158条和第160条规定的案件中,在评估造成这种身体伤害和造成中度和重度健康损害的合理性方面,将所提出的结果应用于编写医学意见的可能性。材料与方法本研究收集1996-2001年在罗兹医学院颅颌面外科门诊手术的124例涉及眶下壁的骨折,包括颧-上-眶骨折(95例)和孤立性眶底骨折(29例)。以统计和描述的方式对该组进行分析。结果所有两种类型的眶下壁骨折患者(100%)均表现出症状和紊乱,根据PC,这些症状和紊乱至少构成中度,甚至可能构成严重的健康损害。结论撞击或踢伤眶区会造成所研究的两种类型的眶骨折的真正危险,并导致至少中度的健康损害。
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引用次数: 0
Verification of usefulness of the method for determining the height of fatal falls proposed by Lau et al. 验证Lau等人提出的确定致命坠落高度方法的有效性。
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.94226
Anna Milaszkiewicz, Tomasz Cywka, Grzegorz Teresiński

The present report is a follow-up to our previous studies on the determination of the height of fatal falls, and it is focused on the verification of the method developed by Lau et al. The study group was extended to a total of 109 individuals, and the height of fall of each victim was calculated using the mathematical formula put forward by Lau et al. The heights of falls calculated with the formula referred to above were significantly different (in 72.5% of cases) from the actual heights, which points to limited reliability of the method under evaluation.

本报告是我们之前关于确定致命坠落高度的研究的后续,重点是验证Lau等人开发的方法。将研究小组扩大到109人,使用Lau等人提出的数学公式计算每个受害者的坠落高度。用上述公式计算的瀑布高度与实际高度有显著差异(72.5%),这表明所评估方法的可靠性有限。
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引用次数: 1
Recommendations of the Polish Society of Forensic Medicine and Criminology and National Consultant for forensic medicine with regard to performing forensic post-mortem examinations in case of confirmed COVID-19 disease and suspected SARS CoV-2 infections. 波兰法医和犯罪学学会和国家法医顾问关于在确诊COVID-19疾病和疑似SARS covid -2感染病例中进行法医尸检的建议。
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5114/amsik.2019.95714
Grzegorz Teresiński, Tomasz Jurek
{"title":"Recommendations of the Polish Society of Forensic Medicine and Criminology and National Consultant for forensic medicine with regard to performing forensic post-mortem examinations in case of confirmed COVID-19 disease and suspected SARS CoV-2 infections.","authors":"Grzegorz Teresiński,&nbsp;Tomasz Jurek","doi":"10.5114/amsik.2019.95714","DOIUrl":"https://doi.org/10.5114/amsik.2019.95714","url":null,"abstract":"","PeriodicalId":35709,"journal":{"name":"Archiwum Medycyny Sadowej i Kryminologii","volume":"69 4","pages":"147-157"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38071915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
期刊
Archiwum Medycyny Sadowej i Kryminologii
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