ABSTRACT
Although clinical atherosclerosis is fairly common, it is a surprisingly uncommon finding in anthropology. Several cases have been reported in the anthropological literature but most of them are referred to X-ray studies and to computerized tomographic imaging but, as far as we know, no macroscopic findings useful to anthropologists have been published before. We present a case of an adult male skeleton scattered on a wooded area with remains of partially mummified soft tissues between right tibia and fibula in which macroscopic findings showed a cylindrical structure that could be confused with a root or a branch. This cylindrical structure was diagnosed as an arterial segment and microscopic findings revealed calcified eccentric fibroatheromatosis. We hope this case will improve the knowledge of this macroscopic appearance and thus be useful to anthropologists.
ABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Homicide/classification , Torture/classification , Forensic Anthropology/methods , Autopsy/methodsABSTRACT
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Subject(s)
Humans , Male , Adult , Death, Sudden, Cardiac , Hypotension/epidemiology , Autopsy/methods , Autopsy , Cardiomyopathies/epidemiology , Heart/anatomy & histology , Myocytes, Cardiac/pathologyABSTRACT
Es poco habitual encontrar casos de intoxicación por sobredosis aguda de cloroquina de etiología suicida. Realizamos un análisis de 2 casos de muerte por cloroquina sujetos a autopsia médico-legal, ambos ocurridos en Barcelona entre enero de 2010 y julio de 2011. De la totalidad de análisis toxicológicos necrópsicos efectuados en Barcelona durante los 19 meses se atribuye un 0,16% a la mortalidad por cloroquina. El levantamiento de cadáver es la clave para poder iniciar la búsqueda toxicológica específica y obtener el diagnóstico. Nuestro estudio y la revisión bibliográfica confirman que en las intoxicaciones letales por cloroquina los hallazgos morfológicos, como en otras intoxicaciones, son inespecíficos(AU)
It is not very common to find cases of suicide due to acute poisoning by an overdose of chloroquine. An analysis was made of two cases of death caused by chloroquine subjected to a medical-legal autopsy, both of which took place in Barcelona during the years 2010 and 2011. The frequency of poisoning attributed to chloroquine in the city of Barcelona during the 19 months between January 2010 and July 2011 was established as 0.16% of the mortality by the Forensic Pathology Department (SPF) of the Catalonian Institute of Legal Medicine (IMLC). The examination of the scene of death is the key point to be able to initiate the specific toxicological search to obtain the diagnosis. Our study and the literature review confirmed that in lethal poisonings due to chloroquine, as in other poisonings, the morphological findings are non-specific(AU)
Subject(s)
Humans , Male , Female , Adult , Aged, 80 and over , Chloroquine/administration & dosage , Chloroquine/toxicity , Poisoning/complications , Poisoning/diagnosis , Antimalarials/toxicity , Autoimmune Diseases/epidemiology , Drug Overdose/complications , Drug Overdose/mortality , Suicide/legislation & jurisprudence , Autopsy/methods , Forensic Medicine/legislation & jurisprudence , Forensic Medicine/methodsABSTRACT
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Subject(s)
Humans , Male , Aged , Gallstones/complications , Embolism, Cholesterol/complications , Risk FactorsABSTRACT
Los principales problemas fueron la numeración en el levantamiento de cadáver-zona de registro, la coordinación médico forense-policial y en la zona del control de calidad. A pesar del buen resultado se evidenció la necesidad de formación especializada; realizar simulacros parecidos multidisciplinares y de adecuación de la normativa a las instalaciones propias. Ante un suceso con víctimas múltiples debemos adaptarnos a la legislación vigente (Real Decreto 32/2009: protocolo nacional de actuación médico-forense y de Policía Científica en sucesos con víctimas múltiples). El objetivo principal de nuestro estudio fue valorar la respuesta médico-forense mediante un simulacro con atentado bomba, con 11 individuos fallecidos siguiendo la mencionada legislación. En el levantamiento había 8 cuerpos y 22 restos. La duración programada fue de 5h. En este tiempo estaban muy avanzadas las identificaciones de 8 personas (5 mediante estudio necrodactilar, odontología y ADN y 3 mediante estudio necrodactilar y ADN)(AU)
When a disaster involving multiple victims occurs we must comply with the legal norms in force in Spain (Royal Decree 32/2009, enacting the National Protocol for the Intervention of Forensic Doctors and Scientific Police in Mass Disaster). The main aim of our study was to assess the response of Forensic Doctors through a practice simulating a bomb attack with 11 mortal victims. At the disaster scene there were 8 bodies and 22 corpse remains to be identified. The expected duration was 5 hours. In that time the identification of 8 persons was well under way (5 using fingerprint identification, odontology and DNA, and 3 using fingerprint identification and DNA). The numbering of the bodies at the specific area of the disaster scene, the coordination of Forensic Doctors and Scientific Police and the management of the quality control area were the main problems. Despite of the good results achieved, the need for specialised training of the professionals participating in this type of intervention, the need to conduct similar multidisciplinary exercises, and the adaptation of the protocol to the specific guidelines of the Catalan Institute of Legal Medicine was evident(AU)