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[Carbon monoxide poisoning by a heating system]. [供暖系统引起的一氧化碳中毒]。
Pub Date : 2016-03-01
Eric Dietz, Axel Gehl, Peter Friedrich, Stefan Kappus, Franz Petter, Klaus Maurer, Klaus Püschel

A case of accidental carbon monoxide poisoning in several occupants of two neighboring residential buildings in Hamburg-Harburg (Germany) caused by a defective gas central heating system is described. Because of leaks in one of the residential buildings and the directly adjacent wall of the neighboring house, the gas could spread and accumulated in both residential buildings, which resulted in a highly dangerous situation. Exposure to the toxic gas caused mild to severe intoxication in 15 persons. Three victims died still at the site of the accident. Measures to protect the occupants were taken only with a great delay. As symptoms were unspecific, it was not realized that the various alarms given by persons involved in the accident were related to the same cause. In order to take appropriate measures in time it is indispensible to recognize, assess and check potential risks, which can be done by using carbon monoxide warning devices and performing immediate COHb measurements with special pulse oximeters on site. Moreover, the COHb content in the blood should be routinely determined in all patients admitted to an emergency department with unspecific symptoms.

在汉堡-哈堡(德国)的两个相邻的住宅楼的几个居住者意外一氧化碳中毒的情况下,由一个有缺陷的燃气集中供暖系统引起的。由于其中一栋居民楼和相邻房屋的墙体发生泄漏,气体可能在两幢居民楼内扩散和积聚,造成高度危险的情况。接触有毒气体造成15人轻度至重度中毒。三名受害者仍在事故现场死亡。保护住户的措施是在很长时间后才采取的。由于症状不具体,因此没有认识到事故参与者发出的各种警报与同一原因有关。为了及时采取适当的措施,识别、评估和检查潜在的风险是必不可少的,这可以通过使用一氧化碳报警装置和现场使用专用脉搏血氧仪立即测量COHb来完成。此外,在急诊室收治的所有症状不明确的患者中,应常规测定血液中COHb的含量。
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引用次数: 0
[Surprisingly old skeleton found at Bornheim-Uedorf (Rhein-Sieg-Kreis)--Research results in forensic medicine, anthropology and archaeology]. [在波恩海姆-韦多夫(莱茵-西格-克雷斯)发现的令人惊讶的古老骨架——法医学、人类学和考古学的研究成果]。
Pub Date : 2016-03-01
Stephanie Zesch, Elke Doberentz, Michael Schmauder, Wilfried Rosendahl, Burkhard Madea

On April 15th 2014, human skeletal remains were found during digging activities for constructing a new building at Bornheim-Uedorf (Rhein-Sieg-Kreis) near the river Rhine (about 20 meters) in a pit measuring 10 by 10 meters and having a depth of about 150 cm. The skeletal remains were preserved quite well considering the fact that they were located so near to the Rhine, although several skeletal parts were missing. The preserved skeletal remains comprised some skull fragments (including two ear bones of the right side), right scapula, both humeri, left ulna, left radius, left metacarpal bone 2, right metacarpal bones 1, 3 and 4, rib fragments, three thoracic vertebrae, all lumbar vertebrae, one sacral vertebra, pelvis fragments, left femur, proximal part of the left tibial diaphysis, right tibia and diaphysis of both fibulae. The anthropological analysis revealed that the skeletal remains belonged to a 20-to-30-year-old presumably male individual with a body height of about 163 to 173 cm (depending on the formula used for body height estimation). Evidence of intense physical activity and traumatological findings could not be detected on the preserved bones. Periosteal reactions on the bone surface caused by nonspecific bacterial infection were found on the right humerus close to the elbow and on both tibiae, especially the left one. Besides the skeletal remains, metal fragments were recovered--among them an arrowhead, which was typologically classified as an early medieval finding (6th to 7th century). Radiocarbon dating of a bone sample revealed an age of 1561 ± 19 a BP corresponding to a calibrated age of 436 to 540 AD (1 sigma). So, the archaeological classification of the recovered skeleton into the early medieval period was verified. Amongst the human remains, there was also a metatarsal bone of cattle with cut marks. The animal bone as well as the metal fragments indicated that the find was part of an early medieval burial with typical grave goods.

2014年4月15日,在莱茵河附近的Bornheim-Uedorf (Rhein-Sieg-Kreis)(约20米)的一个10 × 10米深约150厘米的坑中,在挖掘活动中发现了人类骨骼遗骸。考虑到他们的位置离莱茵河如此之近,这些骨骼残骸保存得相当完好,尽管有几个骨骼部分丢失了。保存下来的骨骼残骸包括一些头骨碎片(包括右侧的两根耳骨),右侧肩胛骨,肱骨,左侧尺骨,左侧桡骨,左侧掌骨2,右侧掌骨1,3和4,肋骨碎片,三个胸椎,所有腰椎,一个骶骨,骨盆碎片,左侧股骨,左侧胫骨骨干近端部分,右侧胫骨和两侧腓骨骨干。人类学分析显示,骨骼遗骸属于20至30岁的男性,身高约为163至173厘米(取决于所用的身高估算公式)。在保存下来的骨头上没有发现剧烈运动和创伤的证据。非特异性细菌感染引起的骨表面骨膜反应见于靠近肘部的右侧肱骨和双胫骨,尤其是左侧胫骨。除了骨骼残骸外,还发现了一些金属碎片,其中包括一个箭头,从类型学上讲,它被归类为中世纪早期(6至7世纪)的发现。放射性碳定年法显示骨骼样本的年龄为1561±19 BP,对应的校准年龄为公元436至540年(1西格玛)。因此,这具被发现的骨骼在中世纪早期的考古分类得到了证实。在人类遗骸中,还发现了一块有切割痕迹的牛跖骨。动物骨骼和金属碎片表明,这一发现是中世纪早期墓葬的一部分,带有典型的墓葬物品。
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引用次数: 0
[Homicides committed by women in the area served by the Munich Institute of Legal Medicine]. [在慕尼黑法律医学研究所服务的区域内,女性犯下的杀人案]。
Pub Date : 2016-03-01
Jutta Schöpfer, Aline Kortas, Claudia Bormann, Sylvia Schick, Elisabeth Mützel

According to crime statistics only a small percentage of intentional killings are committed by women. Female emancipation has not changed this finding. In spite of numerous studies in the field of psychiatry and social criminology there are few systematic investigations analyzing homicides committed by women under medico-legal aspects. The presented data include 127 homicides committed by female offenders, which were assessed at the Munich Institute of Legal Medicine between 1990 and 2010. The results of the evaluation are presented with regard to the type of offence, the motive, the means and method used to commit the offence and the sentence imposed.

根据犯罪统计数据,只有很小比例的故意杀人是由妇女犯下的。妇女解放并没有改变这一发现。尽管在精神病学和社会犯罪学领域进行了大量研究,但很少有系统的调查从医学-法律方面分析妇女所犯的杀人案。提交的数据包括由慕尼黑法律医学研究所(Munich Institute of Legal Medicine)在1990年至2010年间评估的127起由女性罪犯犯下的杀人案。评估的结果是关于犯罪的类型、动机、犯罪的手段和方法以及所判处的刑罚。
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引用次数: 0
Analysis of the crime scene model using three objects from the collection of the Hans Gross Museum of Criminology of the University of Graz. 利用格拉茨大学汉斯·格罗斯犯罪学博物馆收藏的三件物品分析犯罪现场模型。
Pub Date : 2016-01-01
Lydia Elek

As part of the collection in the Hans Gross Museum of Criminology in Graz there are still three crime scene reliefs; two of which were made by Hans Gross himself. The practical purpose of these criminal landscape models is something one could speculate about, but such models may have been useful in two fields: in the criminal lab and in the courtroom. To see the reliefs in a scientific experimental context as well as under the aspects of artwork and topography is as essential as emphasizing their genuine military character.

格拉茨汉斯·格罗斯犯罪学博物馆收藏了三幅犯罪现场浮雕;其中两个是汉斯·格罗斯自己做的。这些犯罪景观模型的实际目的是可以推测的,但这些模型可能在两个领域有用:在犯罪实验室和在法庭上。在科学实验的背景下,从艺术和地形的角度来看待这些浮雕,与强调它们真正的军事特征一样重要。
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引用次数: 0
,,Aorta angust'' - a possible cause of sudden death?. "主动脉栓塞" -可能导致猝死的原因?
Pub Date : 2016-01-01
Sarah Stockhausen, Friederike Mohle, Kirsten Wollner, Burkhard Madea, Gerhard Kernbach-Wighton

Over one year, 7 autopsy cases with narrow diameters of the descending aorta were seen in the Institute of Forensic Medicine at the University of Bonn. The autopsy results were supplemented by chemical-toxicological, alcohol and histological examinations. In all cases middle-aged men (24-38 years) died suddenly and predominantly in a domestic environment. To some extent the inner aortic diameters ranged significantly below the expected values in relation to body surfaces or were lower than the 5th percentile related to men aged 45 years. In four cases, potentially lethal concentrations of alcohol or intoxications, e.g. with heroin, were noted. In one case, the blood sugar level was significantly elevated. In the other two cases, all further investigations were unremarkable.

在一年多的时间里,在波恩大学法医研究所发现了7例降主动脉直径狭窄的尸检病例。尸体解剖结果由化学毒理学、酒精和组织学检查补充。在所有病例中,中年男子(24-38岁)突然死亡,主要发生在家庭环境中。在某种程度上,内主动脉直径明显低于与体表相关的期望值,或者低于与45岁男性相关的第5个百分位数。在四个案例中,注意到可能致命的酒精浓度或中毒,例如海洛因。在一个案例中,血糖水平显著升高。在另外两起案件中,所有进一步的调查都不引人注目。
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引用次数: 0
A literature study on the definition and history of the term "kidney shrinkage". “肾萎缩”一词的定义和历史的文献研究。
Pub Date : 2016-01-01
Christoph G Birngruber, Rebecca Eschmann, Mattias Kettner, Frank Ramsthaler, Marcel A Verhoff

The term "kidney shrinkage", which is used in both pathological anatomy and clinical contexts, is not uniformly defined. In medicolegal practice, it is particularly important whether or not a cause of death can be inferred from this diagnosis. If this were the case, a shrunken kidney determined in a forensic autopsy would obtain the same significance as a competing cause of death. International medical journals and German-language textbooks were searched for definitions of the various terms used to denote this condition, and the definitions were reassessed. The term "kidney shrinkage" was found to have historical roots and has further evolved since the 19th century. Although the first use of the term could not be determined with certainty, Bright (1789-1858) appears to be one of the first to use it in describing kidney disease. Definitions given in modern textbooks are based on kidney function, size, or macromorphology. However, these definitions lack uniformity and are often unsubstantiated. Because of its evocative power, the use of the historically coined term "kidney shrinkage" appears justified, at least as part of the medicolegal practitioner's jargon, to describe kidneys that have an uneven surface, decreased renal parenchyma, and a weight of less than 80 g, even if the term does not allow deductions about the degree of renal insufficiency and, thus, the significance of kidney shrinkage as the cause of death. The evaluation of such aspects requires histological analysis or referral to the results of clinical chemistry analyses that may have been performed while the individual was still alive.

术语“肾萎缩”,这是用于病理解剖和临床背景,是不统一的定义。在医学法律实践中,能否从这一诊断推断出死亡原因尤为重要。如果是这样的话,在法医解剖中确定的肾脏萎缩将与其他死因具有同样的意义。在国际医学期刊和德语教科书中搜索了用于表示这种情况的各种术语的定义,并对这些定义进行了重新评估。人们发现“肾萎缩”一词有其历史根源,并自19世纪以来进一步发展。虽然这个词的第一个用法不能确定,但布莱特(1789-1858)似乎是第一个用它来描述肾脏疾病的人之一。现代教科书中给出的定义是基于肾脏功能、大小或宏观形态。然而,这些定义缺乏一致性,而且往往是未经证实的。由于其唤起的力量,使用历史上创造的术语“肾萎缩”似乎是合理的,至少作为医学从业者术语的一部分,描述具有不均匀的表面,肾实质减少,重量小于80克的肾脏,即使这个术语不允许推断肾功能不全的程度,因此,肾脏萎缩作为死亡原因的重要性。这些方面的评估需要组织分析或参考临床化学分析的结果,这些结果可能是在个体还活着的时候进行的。
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引用次数: 0
On manual laterality (handedness) in humans and its forensic significance - a literature review. 关于人类的手侧性(手性)及其法医意义-文献综述。
Pub Date : 2016-01-01
Gunther Geserick, Klaus Krocker, Thdreas Schmeling

Manual laterality (handedness) in humans has some significance for forensic practice where it is primarily employed in the form of handedness preference, based on a simplified three-stage classification (right-handed, left-handed and ambidextrous). In cases of homicide or suicide, the pattern of injuries, particularly cutting or stab injuries and gunshot wounds, may provide clues as to the perpetrator's handedness. In injuries inflicted by another person, the pattern of findings can in isolated cases allow to draw conclusions as to the handedness of the perpetrator. In self-inflicted injuries and suicide, the dominant hand is usually used either alone or as the lead hand. If it is found that fatal injuries were inflicted by the non-dominant hand, this gives rise to doubt that the manner of death is suicide. Evidence of handedness is of little value in distinguishing between suicide and homicide. Due to new developments in dentistry, imaging procedures and especially genetics, the utility of handedness in the identification of unknown persons or cadavers has significantly diminished. In living subjects, useful evidence of handedness can be obtained by observing the performance of specific gestures or activities. The subject should be asked to perform tasks involving one and two hands in a specific sequence. Standardised measurements of the morphology of the shoulders and upper extremities are able to make a statistical distinction between right and left. Since the accuracy of this process is, however, only,around 75 %, morphological determination of handedness should not be used in living subjects, but should be restricted to the identification of unknown cadavers or other post-mortem examinations.

人类的手侧性(手性)在法医实践中具有一定的意义,它主要以手性偏好的形式使用,基于简化的三阶段分类(右撇子、左撇子和双撇子)。在杀人案或自杀案中,伤口的模式,特别是割伤或刺伤和枪伤,可能为肇事者的惯用手提供线索。在另一个人造成的伤害中,在个别案件中,调查结果的模式可以使我们得出肇事者惯用手的结论。在自我伤害和自杀中,优势手通常被单独使用或作为主导手。如果发现致命伤是由非惯用手造成的,那么就会怀疑死亡方式是自杀。用手的证据在区分自杀和他杀方面没有多大价值。由于牙科,成像程序,特别是遗传学的新发展,在识别未知的人或尸体的手性的效用已经大大减少。在活生生的实验对象中,通过观察特定手势或活动的表现,可以获得惯用手的有用证据。应该要求受试者按照特定的顺序用一只手和两只手来完成任务。肩部和上肢形态的标准化测量能够在统计上区分左右。然而,由于这一过程的准确性只有75%左右,因此对手性的形态学测定不应用于活体,而应仅限于对未知尸体的鉴定或其他尸检。
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引用次数: 0
[Fatal child abuse, bodily injury followed by death or accidental fall?]. [致命的儿童虐待,身体受伤后死亡或意外摔倒?]。
Pub Date : 2015-07-01
Burkhard Madea, Sibylle Banaschak

Cases in which forensic experts cannot draw their conclusions on the basis of primary findings collected by themselves are not uncommon in medico-legal practice. Often only photographs or statements on the course of events are available to investigate the plausibility of reports on how an accident happened. In cases of child abuse it is often claimed that the injuries occurred due to an accident and explanations are adapted to the diagnostic findings or results of the police investigations. This is demonstrated by the death of a 3-year-and-3-month-old child whose body was never found. According to the father, who had disposed of the body and made false statements as to the whereabouts of the child, the toddler had slipped in the bathtub and hit her head against the fittings and the floor of the tub. Some time later he claimed to have found the child dead in the bedroom. Contrary to his version, the prosecution assumed that the child had been killed intentionally The essential points for checking the plausibility of the father's story are presented. As a result, an accidental fall in the bathtub causing a lethal craniocerebral trauma could be ruled out. Accordingly, the accused was sentenced to 6 years and 6 months' imprisonment for bodily harm followed by death according to Sections 227, 223 StGB (German Criminal Code).

法医专家不能根据自己收集的初步调查结果得出结论的情况在医疗法律实践中并不罕见。通常只有关于事件过程的照片或陈述可以用来调查关于事故如何发生的报告的合理性。在虐待儿童的案件中,往往声称伤害是由于事故造成的,并根据警方调查的诊断结果或结果作出解释。一个3岁零3个月大的婴儿的死亡证明了这一点,他的尸体从未被发现。据处理尸体并谎报孩子下落的父亲说,孩子在浴缸里滑倒,头撞到浴缸的配件和地板上。过了一段时间,他声称发现孩子死在卧室里。与他的说法相反,控方认为孩子是被故意杀害的。下面是检验父亲的说法是否可信的要点。因此,可以排除意外摔倒在浴缸中导致致命颅脑损伤的可能性。因此,根据《德国刑法》第227和223条,被告因身体伤害和死亡被判处6年零6个月监禁。
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引用次数: 0
[Sauna deaths in Hesse, Germany, between 1994 and 2014]. [1994年至2014年德国黑森州桑拿死亡事件]。
Pub Date : 2015-07-01
Stefanie Plenzig, Christoph G Birngruber, Mattias Kettner, Hannelore Held, Marcel A Verhoff

Due to the high ambient temperature, sauna deaths show a few confounding particularities, such as an accelerated onset of the postmortem changes, that can make correct assessment of the manner of death difficult and severely constrain the accuracy of post- mortem interval estimates. This retrospective study, performed at the medicolegal institutes in Hesse, Germany, reviewed all autopsy reports from the years 1994-2014 for sauna-related deaths. 9 relevant cases were found involving one woman and eight men aged between 52 and 80 years (mean and median value: 67 years). Of the individuals who had died of a natural cause, four were found to have had coronary heart disease, which, in the setting of heart hypertrophy and exposure to high temperatures, ultimately led to cardiac failure. In three other cases, a non-natural cause of death had been diagnosed; however, all were attributable to accidents. In two of these, blood alcohol concentrations (BAC) of over two per mil were found. In our opinion, the manner of death should be classified as undetermined in sauna-related fatalities. Such cases require a court-ordered autopsy to reliably identify the actual cause of death.

由于环境温度高,桑拿死亡表现出一些令人困惑的特点,例如死后变化的加速发生,这可能使正确评估死亡方式变得困难,并严重限制了死亡间隔估计的准确性。这项回顾性研究在德国黑森州的医学法律研究所进行,回顾了1994-2014年所有与桑拿相关死亡的尸检报告。9例相关病例涉及1女8男,年龄52 ~ 80岁(平均和中位数:67岁)。在自然死亡的人中,有4人被发现患有冠心病,在心脏肥大和高温环境下,最终导致心力衰竭。在另外三起案件中,诊断出非自然死亡原因;然而,所有这些都是由事故造成的。在其中两例中,血液酒精浓度(BAC)超过每毫升2。我们认为,在与桑拿有关的死亡中,死亡方式应归为未确定。这类案件需要法院下令进行尸检,以可靠地确定实际死因。
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引用次数: 0
[Suicide in childhood or accidental hanging? A case report]. 童年自杀还是意外上吊?[病例报告]。
Pub Date : 2015-07-01
Kirsten Wöllner, Gerhard Kernbach-Wighton, Burkhard Madea

Suicides of children, adolescents and young adults are a rare manner of death. Hanging is the dominant suicide method in all age groups. Risk factors for suicide at a young age are mental diseases, use of illicit drugs, antisocial behaviour and problems within the family. A 10-year-old boy was found to have hanged himself with a scarf at the handrail of a staircase. He had had school problems and was often sent home earlier as he tended to disturb classes. In the week prior to his death the headmaster of his school had told him that he should better attend another type of school. The deceased's elder brother had recorded a video with his mobile phone some years before showing his sister in a simulated hanging situation. Apart from the macroscopic and microscopic findings of the reported case, the frequency and special characteristics of suicides in childhood and adolescence are discussed.

儿童、青少年和青年的自杀是一种罕见的死亡方式。在所有年龄组中,上吊是主要的自杀方式。青少年自杀的危险因素是精神疾病、使用非法药物、反社会行为和家庭内部问题。一名10岁男孩被发现在楼梯扶手处用围巾上吊自杀。他在学校有问题,经常因为扰乱课堂而被提前送回家。在他死前的一个星期,他学校的校长告诉他,他最好去另一种类型的学校。死者的哥哥在几年前用手机录下了一段视频,展示了他妹妹在模拟上吊的情况。除了报告案例的宏观和微观发现外,还讨论了儿童和青少年自杀的频率和特点。
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引用次数: 0
期刊
Archiv fur Kriminologie
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