Diagnóstico diferencial entre especies durante un levantamiento de dos cerebros. ¿Es fácil? ¿Es suficiente con un examen macroscópico? / Differential diagnosis of species during a recovery of two brains. Is it easy? Is a gross examination enough?

En un levantamiento nos podemos encontrar que debamos pronunciarnos sobre el origen humano o de otro tipo de animal de una víscera. Presentamos un caso inusual en el que se encontraron dos cerebros en el baño de una hamburguesería. Establecimos un diagnóstico diferencial, en atención a su peso, entre un cerebro de recién nacido o lactante menor de 6 meses y un cerebro de origen animal. La impresión inicial fue que se trataba de dos cerebros de animales, probablemente de vaca, y las pruebas complementarias analíticas confirmaron el diagnóstico. No es suficiente con una impresión de diagnóstico genérico de origen animal ante un cerebro en mal estado. Este diagnóstico tiene que ser certero y argumentado. Incluso patólogos y veterinarios de dilatada experiencia se muestran cautos a la hora de pronunciarse al respecto (AU)

At a recovery of viscera, we need to know the differences between human or another animal origin. We are presenting an unusual case where two brains were found into a burger bar toilet. Considering brain’s weight, a differential diagnosis between the brain of a newborn, a baby less than 6 months old, and an animal brain was made. The initial diagnosis was that both were animal brains, probably from a cow, and this hypothesis was later confirmed by laboratory analysis. Gross examination and the hasty conclusion that it is not human are insufficient when dealing with a brain in bad state. In this case the diagnosis must be highly accurate and thoroughly justified. Even experienced pathologists or veterinarians are cautious about these diagnosis (AU)

El papel del impulso sexual como elemento mediador de la autoestima en un agresor sexual con múltiples parafilias / The role of sexual drive as a regulating element in the self-esteem of a sexual aggressor with multiple paraphilia

Mediante la presentación de un caso clínico de un agresor sexual de mujeres adultas diagnosticado de trastorno de personalidad límite y múltiples parafilias, se realiza una reflexión acerca de las motivaciones psicológicas para la agresión sexual relacionadas con la función del impulso sexual de regulación de la autoestima en el ser humano a través de los estudios de prevalencia de alteraciones en los ejes I y II del modelo de diagnóstico multiaxial en muestras de agresores sexuales, las tipologías establecidas para agresores sexuales y los estudios sobre las condiciones psicológicas de agresores sexuales que preceden al ataque sexual. Se enfatiza la asociación entre el padecimiento de diferentes parafilias en agresores sexuales y dicha función del impulso sexual en el ser humano, así como en la escasez de estudios al respecto y el infradiagnóstico de estos trastornos en esta población (AU)

By examining the clinical case report of a sexual offender of adult females diagnosed with borderline personality disorder and multiple paraphilia, a study is presented on the psychological motivations behind sexual aggression associated with self-esteem regulation in human beings of the function of sexual desire using for this prevalence of axis I and II disorders of the multi-axial system in groups of sexual aggressors, established sex offenders typologies and studies on sex offenders state-of-mind preceding the sexual assault. The link between paraphilic disorders in sexual aggressors and the sexual drive function in human beings is emphasized, as well as the scarcity of studies on the subject and the under diagnosis of these disorders in this group (AU)

Proposed classes of morphological autopsy findings for decomposed and skeletal remains in mass death investigations.

Analysis of mass death events, often involving partial or skeletal human remains, requires investigators to condense information on a large number of victims into a single report. Prosecution of war crimes typically requires that victims be categorized according to the injuries sustained. Reports recognizing only the presence or absence of trauma are misleading or misrepresentative. This study introduces a 4 class system for skeletal remains based on morphologic autopsy findings. Each class corresponds to the lethal potential of the trauma or pathologic conditions evident at autopsy, and the certainty with which cause of death can be determined. Data were extracted from 766 autopsy cases involving decomposed or skeletal remains from the New Mexico Office of the Medical Investigator in which cause and manner of death were ruled. Statistically significant associations between morphology class and the cause and manner of death, positive identification, and natural and non-natural deaths were evident in this study. Intraobserver and interobserver tests revealed excellent replicability and reliability in the assignment of morphology classes to individual cases. In addition to its mass death applications, this classification system offers potential research contributions to physical anthropologists and bioarchaeologists studying human populations in antiquity.