Variable Mechanisms of Dog-Related Deaths
As the literature has tended to focus on injuries and deaths due to active dog attacks, the following review was undertaken to examine the range of circumstances and mechanisms that may be associated with all types of fatal encounters with dogs. A search was undertaken of the literature and the Forensic Science SA, Australia, autopsy database for cases where deaths had been caused by dog-related activity. Only 2 cases were found in the autopsy database over a 15-year period from 2005 to 2019. The first was a 55-year-old man who bled to death from a large degloving dog bite to his forehead exacerbating underlying cardiovasc...
Source: The American Journal of Forensic Medicine and Pathology - November 23, 2020 Category: Forensic Medicine Tags: Review Articles Source Type: research

A Brief Review of Scanning Electron Microscopy With Energy-Dispersive X-ray Use in Forensic Medicine
We present the procedure to perform a well–carried-out SEM/EDX analysis on corpses affected by different types of injuries, such as blunt force trauma, ligature strangulation, electrocution, sharp force trauma, gunshot wounds, and intoxication. After the areas of forensic interest have been macroscopically identified, the sampling can be performed in 2 different ways: apposition of the double-sided graphite tape on the damaged area or performing the excision of a biological sample. In both cases, a proper negative control sample is required. In all cases, SEM/EDX analysis can detect exogenous microtraces consistent with ...
Source: The American Journal of Forensic Medicine and Pathology - November 23, 2020 Category: Forensic Medicine Tags: Review Articles Source Type: research

Combining Postmortem Cerebrospinal Fluid Biochemistry With Lung-to-Body Ratio to Aid the Diagnosis of Salt Water Drowning
This study investigated postmortem CSF from lumbar puncture (CSF_L_Na_Cl) and ventricular aspiration (CSF_Vent_Na_Cl), as well as lung/body (LB) ratio in the diagnosis of salt water drowning and performed comparison and combination testing of methods to improve diagnostic accuracy of the drowning diagnosis. This study found that CSF_L_Na_Cl was the most accurate method (89%) in the given cohort, but that CSF_Vent_Na_Cl and LB combined was the second most accurate method (83%), exceeding CSF_Vent_Na_Cl (77%) and LB (81%) used alone. These findings are useful for stratifying and prioritizing postmortem samples in the investi...
Source: The American Journal of Forensic Medicine and Pathology - November 23, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Applicability of 2 Dental Age Estimation Methods to Taiwanese Population
The aim of this study is to assess the accuracy of Demirjian and Willems dental age estimation methods on a population of 8- to 15-year-old Taiwanese children. A total of 799 digital panoramic radiographs (404 boys, 395 girls) of children aged from 8.00 to 15.99 years are evaluated. All panoramic films are assessed by 2 examiners using Demirjian and Willems methods. We randomly select 48 panoramic films to evaluate the reproducibility of dental age measurements. The intraobserver and interobserver Cohen's kappa values are 0.733 and 0.762, respectively. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - November 23, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Retrospective Analysis of Sudden Cardiac Deaths in a 10-Year Autopsy Series in the City of Isparta in Turkey
This study showed CAD, cardiomegaly, and high body mass index concurrence as a very important SCD risk. Because SCD incidence increases in older than 40 years, determining risk groups through regular medical examinations and inspections, older than 30 years would provide implementation of preventive measures. Some cardiac diseases causing sudden death are undetectable despite detailed autopsy and histopathological examinations. Including postmortem cardiogenetic analysis among routine techniques in sudden deaths would lower sudden unexplained death diagnosis rates. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - November 23, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Ventricular Weight Increases Proportionally With Total Heart Weight in Postmortem Population
Heart weight is routinely measured at postmortem examination and is critical to determine whether the heart is enlarged (ie, cardiomegaly). Cardiomegaly has the potential to cause sudden death by being electrically unstable, resulting in fatal arrhythmias. The majority of fatal cardiac arrhythmias is ventricular in origin and is assumed that ventricular size is disproportionately larger in cardiomegaly. This prospective study compared ventricular weight (VW) and total heart weight (THW) in 40 consecutive cases. The results, unexpectedly, showed that VW increases proportionally and linearly with THW in normal and enlarged h...
Source: The American Journal of Forensic Medicine and Pathology - November 23, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Reliable Postmortem Molecular Diagnosis of Anaphylaxis: Co-localization of Mast Cell Degranulation and Immunoglobulin E in Allergic Throat Tissues
Anaphylaxis is a serious reaction that may cause death in half an hour without diagnostic characteristic in autopsies. Mast cell (MC) degranulation combined with immunoglobulin E (IgE) plays the key roles in anaphylaxis. Unavailability of serum and instability of measured serum in postmortem diagnoses sometimes limit the opinion of medical experts. Allergic tissues are more accessible than serum, and there is a little research on degranulated mast cells and IgE in different human tissues, whereas we hardly know whether the expression will keep stable over the increasing postmortem interval (PMI). In this research, we exami...
Source: The American Journal of Forensic Medicine and Pathology - November 23, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Reclaiming the Autopsy as the Practice of Medicine: A Pathway to Remediation of the Forensic Pathology Workforce Shortage?
The historically constricted forensic pathology workforce pipeline is facing an existential crisis. Pathology residents are exposed to forensic pathology through the American Council of Graduate Medical Education autopsy requirement. In 1950, autopsies were conducted in one half of the patients dying in American hospitals and 90% in teaching hospitals, but they have dwindled to fewer than 5%. Elimination of funding for autopsies is a major contributor to the lack of support for autopsies in departments of pathology. Funding may require reclaiming the autopsy as the practice of medicine. Funding of autopsies would rekindle ...
Source: The American Journal of Forensic Medicine and Pathology - November 23, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Reviewer Thank You
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - November 23, 2020 Category: Forensic Medicine Tags: Reviewer Thank You Source Type: research

Illustrated Forensic Pathology: Fatal Waterhouse-Friderichsen Syndrome
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: New Feature - Illustrated Forensic Pathology Source Type: research

Sudden Death Associated With Esophageal Food Bolus Impaction
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: New Feature - Illustrated Forensic Pathology Source Type: research

An Inflamed, Giant, True, Extramural Duodenal Diverticulum: A Rare Autopsy Finding
A 53-year-old man was found to have a giant 16 × 6-cm hemorrhagic and cystic mass centered on the pancreas and duodenum. Initially diagnosed as a pancreatic pseudocyst at the time of autopsy, the cystic mass was later determined by histologic examination to be a true diverticulum of the duodenum as microscopic examination of the wall revealed 2 layers of muscle, as well as a neutrophilic infiltrate. While the cause of death of the individual was certified as methamphetamine toxicity, cardiomegaly and probable dehydration associated with a giant duodenal diverticulum were listed as contributory conditions. While duodenal d...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: New Feature - Illustrated Forensic Pathology Source Type: research

Reliable Postmortem Computed Tomography Scan Diagnosis of COVID-19 Pneumonia
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Cadaveric Nasopharyngeal Swab in Coronavirus Disease 2019 Infections: Can it be Useful for Medico-Legal Purposes?
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Trainees and COVID-19: A Call to Arms
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research