Journal of forensic and legal medicine
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Despite the recognition by many researchers that cerebral palsy (CP) is rarely related to obstetric malpractice, there are many instances where obstetricians face litigation when a child is diagnosed with cerebral palsy following a difficult delivery. The aim of this paper is to review relevant research papers to aid practitioners involved in obstetric malpractice litigation. It is also prudent to question the feasibility of costs for long-term care for children with disabilities being met through the legal process.
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We report a case of fatal salt poisoning in a 55-year-old woman who suffered from depression and drank a large quantity of shoyu (Japanese soy sauce). She presented with the highest ever documented serum sodium level of 187 mmol/L. ⋯ She died as a result of massive pulmonary edema, despite intensive medical treatment. Viewing the results of clinical and postmortem investigations together, her death could clearly be attributed to drinking a large quantity of soy sauce.
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Review Historical Article
Origin and development of forensic medicine in Egypt.
Egyptians are one of the first civilisations to practice the removal and examination of internal organs of humans. Their practices ranged from embalming to faith healing to surgery and autopsy. Modern radiological studies, together with various forensic techniques, allowed scientists unique glimpses of the state of health in Egypt 4000 years ago and discovered one of the earliest applications of autopsy, the main element of forensic medicine practice today. ⋯ Crime scene investigations are performed mainly through the criminal laboratory related to the Ministry of Interior. Forensic Medicine is studied thoroughly in the faculty of medicine (undergraduates), as well as by forensic medical examiners at postgraduate level (diploma, master's and doctorate). This review recommends more scientific cooperation with universities in the field of forensic medicine and related sciences to solve various crimes with meticulous detail.
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Case Reports
Self inflicted death following inhalation and ingestion of Builders Polyurethane expandable foam.
Builders Polyurethane (PU) expandable foam is a product used to fill voids and provide insulation in the building industry. It is easily available from DIY and hardware stores. Other uses include pest control. ⋯ A literature review revealed one definite case of attempted suicide, one possible attempt by ingestion of Builders PU expandable foam and one accidental non fatal injection of such foam into the lower urinary tract. There is one report of accidental non fatal inhalation of foam. To our knowledge this is the first case of fatal inhalation and ingestion of Builders Polyurethane expandable foam.
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Test shots at cloth and at human skin from autopsy material were performed with 7.62 mm Tokarev (TT), 9 mm Makarov (PM) and 9 × 19 mm Glock 19 pistols, using common ammunition. The largest central material defects, with fibre deformation in cotton, the largest burn holes in polyester, and also many fibre defects caused by the perforation of powder, were produced in shots from the TT at all distances. Tears in the cloth were longest in the case of the TT at 1 cm and were present at 3 cm, whereas the shots from the PM and the Glock 19 did not leave tears. ⋯ The soot and most of the gunpowder particles were present on the tissue sections, which originated from the central area around the skin defect and were detected in the epidermis and in both layers of the dermis. Some tears and recesses in the epidermis were also seen. The further the distance from the centre of skin defect to the periphery, the depth of the penetration of the powder into the skin decreased.