Abstract:
:To characterize discrepancies between the causes of death as determined by the clinician and autopsy findings in patients admitted with stroke, we retrospectively reviewed all autopsies on patients died with a diagnosis of stroke. Fifty-eight patients with a diagnosis of stroke died after admission to our tertiary medical center in the past ten years were autopsied. Strokes included ischemic strokes, hemorrhagic strokes and subarachnoid hemorrhages. Thirty-five had complete autopsy and twenty-three patients had autopsy limited to brain only examination. We reviewed the autopsy findings and correlated them to the clinical diagnoses that were extracted from the clinical records. We looked particularly for major discrepancies that could have altered treatment strategies. Discrepancies between clinical diagnoses and autopsy findings were classified into major and minor using the Goldman et al. criteria. Only in three instances there were major discrepancies and therapy may have altered medical management in one of these.
journal_name
J Forensic Leg Medjournal_title
Journal of forensic and legal medicineauthors
Hinduja A,Gupta H,Dye Ddoi
10.1016/j.jflm.2013.09.020subject
Has Abstractpub_date
2013-11-01 00:00:00pages
1014-7issue
8eissn
1752-928Xissn
1878-7487pii
S1752-928X(13)00259-Xjournal_volume
20pub_type
杂志文章abstract:AIM:Infantile cerebral palsy (CP) severely affects the survival and quality of life of infants. CP is typically caused by multiple factors, leading to causal uncertainty of the role of medical errors in CP and resulting in frequent medical disputes. No relevant research exists on risk management and malpractice liabili...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2018.11.010
更新日期:2019-02-01 00:00:00
abstract::During the investigation of sexual assault, penile swabs from an alleged perpetrator are processed as part of the routine procedure. The results of the forensic DNA analysis may subsequently be presented in court. Documentation on the expectancy of finding female cells on post-coital penile swabs is scarce. Reviews fr...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2012.02.029
更新日期:2012-10-01 00:00:00
abstract:INTRODUCTION:Statistics on death are the basis of a country's health, safety, and welfare policies. Emergency physicians issue a postmortem examination certificate (PEC) for death outside the hospital as well as a death certificate (DC) for death in the hospital. This study investigated the actual conditions and criter...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2020.101960
更新日期:2020-05-01 00:00:00
abstract::Chlormequat chloride is a plant growth regulator. Chlormequat poisoning clinically resembles anticholinesterase insecticide poisoning. The cholinergic symptoms result from direct action on nicotinic and muscarinic receptors and not from inhibition of the cholinesterase activity. This case series confirms the extreme g...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2015.08.001
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to evaluate whether the foramen magnum (FM) dimensions could be used for sex determination using the Cone Beam Computed Tomography (CBCT). METHODS:Two hundred and sixty six CBCT full Field Of View (FOV) scans (111 males and 115 female subjects) of the skull were retrospectively sel...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2016.08.005
更新日期:2016-11-01 00:00:00
abstract::Ballistic trauma caused by bullets can be fatal or cause serious injury. Despite the abundance in literature in management of bullet injuries, there is paucity in describing how the operating surgeon should handle the bullet intra operatively. Bullets are important pieces of evidence and evidence preservation becomes ...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2017.03.003
更新日期:2017-05-01 00:00:00
abstract::A comparative study was made investigating whether emergency room physicians, emergency room nurses, forensic physicians, and interns are competent in describing, recognising and determining the possible cause of injuries. The injury assessment scores varied from good--adequate--fail and remained blank in various part...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jcfm.2006.06.029
更新日期:2008-01-01 00:00:00
abstract::A 19 year old male was admitted to a tertiary care centre in Sri Lanka, with a history of snake bite while sleeping at night. A killed specimen of a snake was brought with the patient. It had been identified as a non-venomous snake by the doctor and handed over to relatives, with a comment to that effect. Patient had ...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2013.09.009
更新日期:2013-11-01 00:00:00
abstract::An elderly man was stabbed with a needle and syringe onto his abdomen while asleep. He progressively developed respiratory failure and coma and died an hour later. Autopsy findings and laboratory analysis confirmed the death as being due to poisoning by cyanide. This case highlights the need to consider cyanide as a p...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2011.02.010
更新日期:2011-05-01 00:00:00
abstract:UNLABELLED:Falanga torture involves repetitive blunt trauma to the soles of the feet and typically leaves few detectable changes. Reduced elasticity in the heel pads has been reported as characteristic sequelae and palpatory testing of heel pad elasticity is therefore part of medicolegal assessment of alleged torture v...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2008.03.003
更新日期:2008-10-01 00:00:00
abstract::A case is presented of a fatal environmental accidental injuries of lightning. A pedestrian was struck by lightning. The macroscopic and microscopic lightning injuries are reviewed. ...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2008.07.009
更新日期:2009-04-01 00:00:00
abstract::Whether levels of fetal hemoglobin (HbF), a possible marker of antecedent hypoxemia, are increased in sudden infant death syndrome (SIDS) compared to controls is unresolved. Our aims are to: (1) Compare percent fetal hemoglobin (%HbF) levels in SIDS and control cases, and (2) compare our findings with those reported i...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2006.11.005
更新日期:2007-11-01 00:00:00
abstract::Traumatic (crush) asphyxia is a rare condition caused by severe compression of the chest and trunk leading to often extreme so-called asphyxial signs, including cyanosis in head and neck regions, multiple petechiae, and subconjunctival haemorrhage as well as neurological manifestations. AIMS:To investigate the neurop...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2017.08.009
更新日期:2017-11-01 00:00:00
abstract::Newspapers devote regular space to inquests in the public interest. Accuracy in determining the causes of death is important for public health. Expert opinion features prominently in press reports and is an important channel of public education. How expert are the experts and how complex are apparently simple cases? T...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2015.02.016
更新日期:2015-05-01 00:00:00
abstract::Air weapons whether rifles or pistols are, potentially, lethal weapons. The UK legislation is complex and yet little known to the public. Hunting with air weapons and the laws controlling those animals that are permitted to be shot with air weapons is even more labyrinthine due to the legal power limitations on the po...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2009.11.003
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION:Cutaneous bruises are often hard to detect particularly on individuals with a darker complexion. Researchers and federal agencies have recommended the use of alternate light to aide in the assessment of subtle injury. However, studies are limited in their evaluation of wavelength performance during the fir...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2019.101893
更新日期:2020-01-01 00:00:00
abstract::Handprint in the scene of the crime is one of the most valuable clues in identification of the assailant. There are numerous studies on estimation of stature from direct measures of hand dimensions, but using a handprint instead, there is little research on it. So this study tried to focus on handprint as a tool used ...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2015.05.007
更新日期:2015-08-01 00:00:00
abstract::The presence of insects on human cadavers has potential judicial value in medicolegal cases. This research emphasized the important role of insects in postmortem decomposition. It was conducted to investigate the composition and abundance of insects from human corpses during autopsies in legal medicine. It was impleme...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2017.12.016
更新日期:2018-02-01 00:00:00
abstract::The purpose of this study was to identify the extent and types of drugs found in alleged drug facilitated sexual assaults (DFSA) in 37 states and 1 territory of the United States. In total, 1000 cases were reviewed. Between the cases that gender was provided (613), most of the victims (91.68%) were woman, mean age of ...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2018.11.006
更新日期:2019-02-01 00:00:00
abstract::Therapeutic artefacts are a challenge for forensic pathologists for correct interpretation at autopsy. A 23-year-old female was found unconscious at home and immediately admitted to an emergency of a tertiary care hospital where resuscitative measures were taken. However, she died after 4 h of hospitalization. The inj...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2020.102050
更新日期:2020-10-01 00:00:00
abstract::Sudden cardiac deaths constitute a major health problem. Most cases are attributed to cardiomyopathies, coronary artery diseases and functional dysregulations. Sudden death in an adult due to a primitive cardiac tumor is a rare occurrence. In the following, we present a case of an adult male who died from an undiagnos...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2010.08.009
更新日期:2010-11-01 00:00:00
abstract::Female circumcision is a frank picture of female child abuse that is practised widely in many countries especially in Africa. This procedure is considered a fundamental violation of human rights. The procedure is expected to be declining in Egypt in response to the recent medicolegal litigation in 2007. The aim of thi...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2011.12.013
更新日期:2012-05-01 00:00:00
abstract::A complaint by a customer to a food company claimed that the consumption of a chocolate candy fractured his anterior teeth, due to its hard consistency. Fragments of the fractured teeth and the chocolate candy that supposedly caused it were collected, examined and photographed. Fragments presented caries, large restor...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2012.09.010
更新日期:2013-05-01 00:00:00
abstract::A death certificate is an official document in which the medical practitioner primarily records the cause of death sequence, the time interval between the onset of the cause of death and death, and personal details of the deceased. Errors in death certificate documentation are not uncommon. We aim to review the common...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章,评审
doi:10.1016/j.jflm.2019.101864
更新日期:2019-11-01 00:00:00
abstract::Automatism is a rarely used defence, but it is particularly used for driving offences because many are strict liability offences. Medical evidence is almost always crucial to argue the defence, and it is important to understand the bars that limit the use of automatism so that the important medical issues can be ident...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2013.06.014
更新日期:2013-10-01 00:00:00
abstract::All available studies addressing the clinical and legal aspects of child pornography have systematically concerned male abusers. The social lens through which women are viewed tends to play down their responsibility in the sexual abuse of children. Unlike men, women rarely abuse children outside the close or family ci...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2014.01.002
更新日期:2014-03-01 00:00:00
abstract::The identification of commingled mutilated remains is a challenge to forensic experts and hence, a need of studies on estimation of stature from various body parts in different population groups. Such studies can help in narrowing down the pool of possible victim matches in cases of identification from dismembered rem...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2011.12.036
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION:Brainstem haemorrhage is common in cases of head injury when it is associated with space-occupying lesion and increases in the intracranial pressure (duret haemorrhage), in cases of diffuse axonal injury (in dorso-lateral quadrant) and diffuses vascular injury (in the periventricular tissue). However focal...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jflm.2011.12.015
更新日期:2012-04-01 00:00:00
abstract::This Faculty of Forensic and Legal Medicine guidance on the law of expert evidence is set out in the form of a series of frequently asked questions. ...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章,评审
doi:10.1016/j.jflm.2020.102106
更新日期:2021-01-01 00:00:00
abstract::This study analysed the daily incidence of sexual assault in Greater Manchester with respect to the local weather conditions throughout the year 2002. Cases seen at the St. Mary's Sexual Assault Referral Centre (including police and self-referred clients) for which the date of the assault was known were included in th...
journal_title:Journal of forensic and legal medicine
pub_type: 杂志文章
doi:10.1016/j.jcfm.2005.12.001
更新日期:2007-01-01 00:00:00