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Objective To analyze the characteristic of trauma in 246 fatal falls. Methods We collect 246 cases of fatal falls from Pudong district of Shanghai from 2005 to 2014, and then analyze the characteristics of trauma by using different parameters. Results The height in suicides by fall is higher than accidents by fall (25.7m:13.98m). In all fatal falls, head has a higher possibility in suffering trauma than other body regions (75.2%), while neck has a lower possibility (6.5%). The possibility of head trauma in accidents by fall is higher than suicides by fall (89.4%:75.2%). Conclusion Comparing with suicides by fall, victims in accidents by fall have lack of protection from limbs. Besides, the low rate of ifnding neck trauma suggests legal physicians should be more careful in examining this area.
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This thesis found the female homicide cases present its own characteristics because of differences in psychological, physiology characteristics, character between males and females through the statistical analysis of age distribution, the relationship between criminal suspects and victims, the classification of crime scenes, injury tools and the mortal wound positions of 116 female homicide cases in Lianyungang between 1993 to 2014. Mostly, the relationship between criminal suspects and victims is family, especially couple or valentine; the crime scenes are frequently indoor, especially bedrooms. They always choose production and life tools when victims are in deep sleep or drunk time to make the victims asphyxia, posioning or drowning. The injuries focus on vitals and usually hit many times lead to mortal wound, agonal trauma and postmortem injury.
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Objective To explore the clinical characteristics and related factors of mental disorder caused by brain injury in the judicial identiifcation of mental illness. Methods Forensic case data of brain injury ware collected and analized. Brain injury sverity was classied into 3 groups, namely severe group(group A); moderate group (group B) and mild group(group C) according to neurosurgery GCS scores; clinical characteristics were analyzed, diagnosis were made against the Chinese Classiifcation of Mental Disorders (the 3rd ed.) (CCMD-3). Relationship between the clinical characteristics and brain damage severity was analyzed. Results Organic neurosis-like syndromes are the main manifestation of mental disorders caused by mild and moderate brain injuries. Organic intellectual deifciency is the main manifestation of mental disorders due to severe brain injury. The difference between the three groups was significant (P ≤ 0.01). Conclusion Different clinical features are related to different brain injury severities in the forensic evaluation of mental disability.
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El síndrome del menor agredido en cuya génesis participan múltiples factores biopsicosociales, afecta a niños de todas las edades alrededor del mundo, principalmente a niños pequeños y con ciertos factores de riesgo. Aunque los daños físicos que producen suelen ser transitorios, pueden ocurrir secuelas físicas y generalmente psicológicas persistentes, o la muerte. En Costa Rica existe amplia legislación que ampara la menor contra los maltratos, correspondiéndole al equipo del sistema de salud nacional salvaguardar su salud y en muchos casos su vida. En este contexto, le compete al médico ser un ejecutante habilidoso en la valoración clínica a través de la cual se aborde al paciente. Desde el interrogatorio no revictimizante, el personal de salud debe realizar un abordaje inmediato conducente a evitar mayor lesionología para con el niño del que se ha abusado física y sexualmente, y para lo cual debe comprender temas tales como: establecimiento de la compatibilidad del mecanismo y fisiopatología del trauma, diagnóstico diferencial y evaluación clínico forense, además de contar con elementos que identifiquen indicadores psicológicos en la dinámica traumatogénica del menor. Especial atención debe presentarse a la toma, conservación y manipulación de las muestras biológicas en casos de delitos sexuales, con el fin de evitar la pérdida de evidencia forense...
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Humans , Aggression , Battered Child Syndrome , Forensic Medicine , Legislation , Violence , Costa RicaABSTRACT
Objective To investigate the relationship between the type of gliding contusion and its mechanism with site of force.Methods The site undergoing contusion and ways of force are respectively determined by skull anatomy location and details of these cases.Then,the 132 specimens of brain,which have been fixed by formalin,are sliced in coronal section and sagittal section and stained with HE,observed under microscope.ResultsGliding brain contusion could appeared at the top and bottom region of brain respectively.Top-injury type,were observed in 65 cases(49.24%),base-injury type,were found in 38 cases(28.78%).There were 29 cases(21.96%) in which contusion could be found at both top and base of brain,we called mixed type.We found that the injury area depend on the ways of force-act:the top-injury type mostly caused by the force on cupular part of pars zygomatica in acceleration,the base-injury type mainly caused by the force on occipitalia in deceleration and the mixed type caused by the force on the boundry of the calvaria and occipital in deceleration.Conclusion The type of gliding contusion is relevant with mechanism and site of force.