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Psychotherapeut.90440300.eng.abstr
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Psychotherapeut.90440300.eng.abstr
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"Adequate psychotherapeutic treatment of transsexual patients during the \" real- life-test \" is crucial for the outcome after sex reassignement surgery . Necessary modifications are discussed along the concept of \" transsexual defense \" and the interrelation of identity and disordered gender identity . Usually therapeuts of transsexual patients , who decide over somatic sex reassignement , have to engage also in psychotherapy in a broad sense . Within the setting of the \" administrative-psychotherapeutic split \" the psychotherapist leaves the decision over admission to sex reassignement to a therapist specialised in gender identity disorders . In this setting patients have more time to develop insight and have better chances to explore other options and find individual solutions with regard to irreversible sex reassignement surgery ."
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] |
Psychotherapeut.90440307.eng.abstr
|
Psychotherapeut.90440307.eng.abstr
|
[
{
"id": "Psychotherapeut.90440307.eng.abstr-passage-0",
"type": "abstract",
"text": [
"From 276 treatment records of patients who were undergoing high-frequent outpatient individual psychoanalytic therapy , we selected 30 female with and without a history of severe sexual abuse - and in an equal manner 15 male patients . They were analysed with respect to quality and intensity of sexual fantasies , violence fantasies and transference phenomena . A qualitative method of investigation aiming at quantifiability as well was applied . Patients with a history of sexual abuse had increased violence phantasies independent of the patients and the therapists gender . Nearly all reports of fear of being sexually abused came from sexually abused female patients having a male therapist . The other transference phenomena seemed to be unrelated to a history of sexual abuse . The findings , although based on this highly selected sample of patients , seem to make further investigation worthwhile and could considerably contribute to modify the techniques of treatment of patients with histories of sexual abuse within and beyond the scope of the classical setting ."
],
"offsets": [
[
0,
1076
]
]
}
] |
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Psychotherapeut.90440313.eng.abstr
|
Psychotherapeut.90440313.eng.abstr
|
[
{
"id": "Psychotherapeut.90440313.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a questionnaire study 470 consecutively admitted women were interviewed , who were admitted to a clinic for addict women . As a control group 181 women were interviewed who were admitted to a general hospital an showed no substance abuse . Women with substance abuse were more often sexually abused in childhood ( 24,5% ) than women with no substance problem ( 10,2% ) . With addict women the perpetrator more often belonged to the close social surroundings or the family itself . In this group there were more serious cases of abuse . The parents showed less supportive behaviour . So these patients experienced a harmful connection of risk factors and missing protective factors , which altogether led to the substance abuse . It is therefore necessary to implement a special treatment program for these women ."
],
"offsets": [
[
0,
816
]
]
}
] |
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Psychotherapeut.90440340.eng.abstr
|
Psychotherapeut.90440340.eng.abstr
|
[
{
"id": "Psychotherapeut.90440340.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Process-Experiential ( PE ) therapy is a neo-humanistic treatment that strives to maintain a creative tension between a client-centered emphasis on a genuine , estecming , empathic relationship and the active , task-focused process-directive style of Gestalt therapie . This form of treatment is scientifically validated ( Grawe 1997 ) . Its theory of function and dysfunction has been updated via contributions from contemporary psychological theory . It incorporates a set of key therapeutic tasks , each of which is characterized by specific client marker and resolution state , series of steps clients pass through on their way to resolution , and therapist interventions used to facilitate client progress through those steps . This second part of the review provides an overview of specific therapeutic tasks . At last suggestions for practical implementation are discussed , and available outcome data is summarized ."
],
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[
0,
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]
}
] |
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Psychotherapeut.90440350.eng.abstr
|
Psychotherapeut.90440350.eng.abstr
|
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{
"id": "Psychotherapeut.90440350.eng.abstr-passage-0",
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"text": [
"General Psychotherapy isn ' t a new type of therapy , but it could be a paradigmatic model for all empirically-oriented psychotherapists . The contents of this model are defined . Arguments and reasons are put forward as to why the practice of psychotherapy should be guided by empirically based procedure rules instead of by therapy methods . The procedure rules should be joined together by a theoretical conception of psychological functioning , from which their relative significance and prescription conditions can be derived . A consistency-theory based model of psychological functioning is sketched , from which conclusions can be drawn about the emergence and maintenance of psychological disorders on the one hand and the prescription conditions of different therapeutic procedures on the other . The advantages of this model in view of a general psychotherapy are discussed ."
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[] |
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Psychotherapeut.90440367.eng.abstr
|
Psychotherapeut.90440367.eng.abstr
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"id": "Psychotherapeut.90440367.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The term psychodynamic psychotherapy is used to describe different forms of therapies the characteristic feature of which is their relation to psychoanalytic theory . An attempt will be made to determine the characteristic features of a unified general form of psychodynamic therapy - to the extent permitted by the widely differing theoretical and clinical bases of existing psychotherapies . The basic standpoints of conflict-orientated vs supportive psychodynamic therapy are parts of ' general psychotherapy ' . In spite of the need for a general bio-psycho-social psychotherapeutic framework , the possibility of a ' general psychotherapy ' will be critically examined ."
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[] |
[] |
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Rechtsmedizin.00100045.eng.abstr
|
Rechtsmedizin.00100045.eng.abstr
|
[
{
"id": "Rechtsmedizin.00100045.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The dramatically progressing changes in age distribution confront our discipline with new issues . The main forensic problems result from geriatric nursing ( 1.7 million ) , in particular neglect and violence are involved . Nursing maltreatment is at the fore front . Competition intensifies due to the permanently increasing numbers of ambulant nursing services ( 1998 : 11 730 ) , especially since quality controls only take place on special occasions ( e.g. filing of complaint ) . Thus , nursing maltreatment frequently remains undiscovered or is only detected after a postmortem examination . Annually , approximately 16 000 ( ! ) people over the age of 60 become victims of criminal violence in the Federal Republic of Germany . Knowledge from other fields of forensic traumatology ( e.g. traffic medicine ) gains special importance in connection with the injuries sustained . The danger of a limitation of therapy increases in injured elderly people and in diseases mainly due to financial reasons . The reasons for propagating active euthanasia , partially arising from the social sector , are discussed . Here , long-term therapy with e.g. psychoactive drugs also lead to further problems . Legal medicine as an \" early warning system \" and co-ordinator of all prevention possibilities plays a central role in the recognition of new dangers for old people ."
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[] |
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Rechtsmedizin.00100051.eng.abstr
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Rechtsmedizin.00100051.eng.abstr
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"Over the last decade mtDNA analysis has gained high importance for forensic identification casework , archeological research as well as for evolutionary and population genetic studies . The structure of the mitochondrial DNA is described with particular consideration of the non-coding hypervariable regions . Furthermore the importance of sequence polymorphisms for evolution biological investigations is discussed . The forensic value of the size and the stucture of sequence databases is underlined . Experimental studies dealing with mtDNA analysis of extracts from teeth , hair shafts and contaminated evidential material are presented . Finally three forensic criminal cases solved by mtDNA analysis are reported ."
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[] |
[] |
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Rechtsmedizin.00100061.eng.abstr
|
Rechtsmedizin.00100061.eng.abstr
|
[
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"text": [
"The composition of amalgam used as dental filling material has undergone many changes since it was first introducted by Adolf Witzel 100 years ago in Germany . Using the X-ray microanalysis EDAX allows a qualitative and quantitative determination of the metals in the alloy . The quantitative evaluation of the components makes it possible to classify the alloy into specific amalgam types . Changing definitions ( such as specification No. 1 by the FDI ) and quality regulations ( such as the use of gamma-2-free amalgams ) of new types of dental amalgams were made at various time periods and can therefore be used as an approximate time indicator . Such analyses are possible even with small volumes of material . Metallographic investigations support this analytical process and make the identification of the amalgam product possible . However , a more substantial amount of material is necessary for a metallographic investigation . These methods were tested on human remains and it can be concluded that they contribute to a delimination of the postmortem period ."
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[] |
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Rechtsmedizin.00100065.eng.abstr
|
Rechtsmedizin.00100065.eng.abstr
|
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"text": [
"All drug-related deaths registered in the institute of Forensic Medicine , University of Aachen , Germany , during the time period of February 1994-February 1998 were examined and approximately 20% ( 19/102 ) were considered to be associated with methadone . Although the number of patients involved in methadone maintenance programms had increased by tenfold , the number of methadone-associated deaths remained relatively constant . Polydrug toxicity was the leading cause of death . Of the licit methadone substituted patients died two thirds during the first 3 days of treatment . According to the police investigations , all had received an induction dose that exceeded the recommended amount and some were intolerant to opiates . All fatalities showed irregularities concerning the methadone distribution practice and this highlights the need for adequate supervision of methadone treatment ."
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Rechtsmedizin.00100071.eng.abstr
|
Rechtsmedizin.00100071.eng.abstr
|
[
{
"id": "Rechtsmedizin.00100071.eng.abstr-passage-0",
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"text": [
"By the update of §24 a of the German road traffic act driving under the influence of drugs of abuse can now be fined even in absence of an actual driving impairment . The only requisite is the detection of certain drugs/metabolites in a blood sample . Therefore for pretesting there is a need for fast and reliable immunological screening methods in blood/serum . The new Mahsan microtiterplate enzyme immunoassay ( MTP-EIA ) is claimed to be sensitive and independent of the matrix . For an evaluation we carried out a comparison of the cannabinoid and opiate assays from Mahsan ( MTP-EIA ) and the routinely used Abbott fluorescence polarization immunoassay ( FPIA ) with a batch of routine serum samples . For the MTP-EIAs we used the cut-off recommendations of the supplier ( cannabinoids 2 ng/mL , opiates 10 ng/mL ) . For the Abbott FPIAs the serum samples had to be pretreated ( deproteinization with acetone ) and appropriate cut-offs were defined by our investigations ( cannabinoids 20 ng/mL , opiates 30 ng/mL ) . Out of 136 samples screened for cannabinoids 42% were positive with GC-MS and 18% from 123 samples were positive for opiates . The Abbott cannabinoid FPIA gave false negative results in 23% of GC-MS positive cases and 9% false negatives for opiates while Mahsan MTP-EIA gave no false negatives . Each of the two cannabinoid assays gave false positive results in 13% of the cases and for the MTP opiate assay 2% of the positives could not be confirmed with GC-MS . As a result of our study the cut-off values for the MTP-EIAs have proved to be suitable for a distinction between potential positives and true negatives ."
],
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Rechtsmedizin.00100159.eng.abstr
|
Rechtsmedizin.00100159.eng.abstr
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"Pyomyositis is an acute bacterial infection with abscess formation in the skeletal muscles mostly due to Staphylococcus aureus . The disease is found more often in males . Since the patients symptoms and the clinical and laboratory findings are relatively unspecific , the clinical diagnosis of pyomyositis can present difficulties . Furthermore , cases of pyomyositis are rare in non-tropical countries and some physicians may not be familiar with it . If not diagnosed and treated properly , pyomyositis can lead to sepsis and death . Although the pathogenesis of the disease has not yet been clarified , some predisposing factors of forensic interest are well known : ( trivial ) trauma or vigorous exercise of the affected skeletal muscles , small potentially \" septic \" foci in other tissues or internal organs and a preexisting immunodeficiency , e . g . in diabetes mellitus , intravenous drug abusers or individuals suffering from HIV . Three cases of \" non-tropical \" pyomyositis with fatal outcome are presented and the literature on the subject is reviewed with special reference to epidemiological and etiological factors , taking forensic aspects , histomorphologic findings and the problems of post-mortem diagnosis of pyomyositis into consideration ."
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Rechtsmedizin.00100166.eng.abstr
|
Rechtsmedizin.00100166.eng.abstr
|
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"id": "Rechtsmedizin.00100166.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Asthma is a widespread disease with an increasing prevalence . In spite of improved therapeutic strategies some cases can still take a fatal course . A total of 21 cases of acute death in asthmatics were analysed ( 12 females and 9 males , aged between 2 and 75 years old ) , whereby 18 cases happened at home ( mostly at night ) , 1 in a hospital , 1 in a nursing-home and 1 in a prison . A history of asthmatic attacks , chronic asthmatic lesions and signs of acute airway obstruction and right cardiac failure were characteristic for all cases . Forensic investigations included questions of external violence , intoxication or incorrect medical treatment ."
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0,
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}
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[] |
[] |
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Rechtsmedizin.00100170.eng.abstr
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Rechtsmedizin.00100170.eng.abstr
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"In Germany , there is a special situation that racemic dl-methadone and the ( biologically effective ) l-form ( levomethadone ) are both used as a substitute for heroin . The therapeutic effect of methadone is stereo-specific and the metabolism is also enantioselective . Therefore an approach to the dose-effect relationship of methadone requires an enantioselective analytical separation . For this a HPLC method was optimised especially for post-mortem blood samples . After liquid/liquid extraction with 1-chlorobutane , the extract was separated on a column combination of 4 cm CN and 10 cm chiral AGP phases with the solvent AcN/ 0.01 M PO4 buffer pH 5.0/ dimethyloctlyamine ( 15/85/0 . 5 ) . The methadone enantiomers elute baseline separated at approx . 15 min ( l-form ) and 18 min ( d-form ) . The two EDDP-enantiomers and drugs which are frequently consumed supplementary to methadone such as heroin , cocaine , benzodiazepines , tricyclic antidepressants , antiepileptics etc. , do not interfere with detection . With this method the methadone l/d-ratio was determined in 93 serum samples from living addicts and 106 post-mortem blood samples from drug deaths . From the l/d-ratio and the concentration of total methadone as determined by other methods ( GC-MS or RP-HPLC ) the l-methadone concentration was calculated . In approximately 50% of the post-mortem samples the l-methadone concentration was higher than 0.3 mg/l , whereas this level was exceeded in only one of the living persons . If dl-methadone was taken , the individual l/d-ratio in blood samples from living as well as deceased persons differed greatly ranging from approx . 25/75 to 75/25 , with a mean of 50/50 . In samples from 1999 , l-methadone was found exclusively in approx . 20% of the cases . In some cases it was obvious that both l- and dl-methadone had been used . Fatal cases with high l-methadone concentrations ( > 1 mg/l ) gave rise to concern , because the l/d-ratio greatly exceeded 50/50in all cases . This could be considered as an indication of an individually extremely slow metabolism of l-methadone in these cases , resulting in an accumulation of l-methadone . These examples from the forensic casework demonstrate the necessity of an enantioselective quantification of l-methadone as used for therapeutic drug monitoring and in forensic cases ."
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Rechtsmedizin.00100182.eng.abstr
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Rechtsmedizin.00100187.eng.abstr
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Rechtsmedizin.00100187.eng.abstr
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[
{
"id": "Rechtsmedizin.00100187.eng.abstr-passage-0",
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"text": [
"A 31-year-old woman was found dead with a peripheral venous access in the back of her left hand . The post-mortem examination revealed extensive blisters which contained a serosanguinous fluid and extremely demarcated cutaneouns veins were observed completely covering the upper left limb . Signs of autolysis were absent corresponding to the short lapse of time since death ( a maximum of 24 h ) . Toxicological analysis revealed the presence of the barbiturate thiopental in blood and a high thiopental concentration of 1025 µg/ml was detected in the blister fluid which exceeded the venous blood concentration ( 5.35 µg/ml) by almost 200-fold . It was concluded that part of the thiopental infusion had been incorporated after circulatory arrest and therefore remained deposited in the left arm . The results indicate that barbiturate-induced vascular damage and blister formation in the present case had occurred in the supravital or early post-mortem period as a purely local phenomenon . Extreme care should be taken when evaluating blisters as a vital reaction . The analysis of various body fluids available in a case should be used for characterization of local and systemic distributions of the barbiturate involved ."
],
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Rechtsmedizin.70070139.eng.abstr
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"Generalised and intrathoracic petechiae ( IP ) and those restricted to the head occur in a large number of diseases and traumas . IP however are detected in cases of sudden infant death considerably more frequently than for other causes of infant death . They are not associated with gender in cases of sudden infant death , they are not dependent upon hypostatis , are not caused by attempts at resuscitation , have a typical frequency of occurrence and density , and they are a useful diagnostic criterion . The fact that they are missing in some cases of SIDS supports the hypothesis of a non-uniform pathogenesis . According to data from animal studies , they seem to develop as a result of increased breathing intensity with protracted hypoxia and an intact blood circulation . Promoting factors are infections , an increased concentration of catecholamines and a negative intrathoracic pressure . Only few investigations have investigated the frequency of occurrence of subconjunctival petechiae ( SP ) in infants . Results show that SP are atypical for SIDS , and they should always give cause for a more detailed examination , particularly when they appear in a high density . In contrast to cases of strangulation , where apart from a few exceptions SP can be detected , they are not found in the majority of cases of smothering by soft materials ."
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Rechtsmedizin.70070147.eng.abstr
|
Rechtsmedizin.70070147.eng.abstr
|
[
{
"id": "Rechtsmedizin.70070147.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Tortoise shell guinea pigs ( n = 6 ) were administered ofloxacin ( 1 mg/mL ) in their drinking water for 3 weeks . Black , reddish-brown and white hair was collected separately from each animal before and after treatment . The hair samples were analyzed by HPLC . All hair fibers showed positive results for the drug substance administered . Even low drug intake resulted in distinct differences of the drug content in hair fibers of different color , whereas in cases of high drug intake an increasing influence of hair pigmentation on the analytical results was observed . The highest drug content was always found in black hair samples , non-pigmented hair showed the lowest drug concentrations and the drug content in reddish-brown fibers was less than in black hair samples from the same animal . From the results it was concluded , that eumelanins rather than pheomelanins are the decisive factor for ofloxacin-melanin binding in hair and the amount of drug intake is thought to determine the relevance of hair pigmentation on the analytical results ."
],
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1057
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]
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Rechtsmedizin.70070152.eng.abstr
|
Rechtsmedizin.70070152.eng.abstr
|
[
{
"id": "Rechtsmedizin.70070152.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The polyvinylalcohol ( PVAL ) method for sampling gunshot residues from the hands was used in 30 investigations involving 22 suicides , 3 accidents and 5 homicides . In these cases 16 pistols , 7 revolvers , 2 shotguns and 2 rifles had been used . The small calibres ( . 22 lr to 7.65 mm ) represented 75% of the arms . In two cases lead-free primers had deposited zink-containing residues . PVAL gloves were examined by microradiography and chemographical analysis . The PVAL method was successful in 29 cases and assisted in the majority of cases to reconstruct the position of the arm during shooting . Additionally , 16 other pairs of hands were treated with adhesive films . In 6 cases of suicide the films showed lead-containing traces and gave evidence of shooting . It was also possible to reconstruct an accident with lead-free ammunition . In 3 out of the 9 cases of criminal shooting the adhesive films did not contain gunshot residues . The amount of traces on the films did not reach the yield of traces fixed by PVAL . PVAL gloves showed better and more stable staining results . The adhesive films did not work if there was too much blood on the hands . The staining results of these bloody films were not satisfactory ."
],
"offsets": [
[
0,
1235
]
]
}
] |
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"arms"
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] |
[] |
[] |
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"id": "Rechtsmedizin.70070152.eng.abstr-s14-r3-t2.1-t4.1",
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}
] |
Rechtsmedizin.70070157.eng.abstr
|
Rechtsmedizin.70070157.eng.abstr
|
[
{
"id": "Rechtsmedizin.70070157.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Five efficient STR systems were investigated by automated laser fluorescence analysis on an A.L.F. Express . The system HumACTBP2 and the combinations of the systems HumVWA/FGA and HumTH01/D12S391 in duplex reactions were analysed . DNA samples could be analysed with a high sensitivity ( 100 pg ) and the results were reproducible . No allele drop-out was observed . Using specific allelic ladders , the inter and intra gel deviation was less than 0.5 bp . The allele frequencies , the mean exclusion chance values and the discrimination power for all five systems are shown . The combination of the five systems resulted in a power of discrimination of 99.9999989% ."
],
"offsets": [
[
0,
668
]
]
}
] |
[
{
"id": "Rechtsmedizin.70070157.eng.abstr-s1-t1",
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],
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}
]
},
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"id": "Rechtsmedizin.70070157.eng.abstr-s1-t2",
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"fluorescence"
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64,
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},
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"id": "Rechtsmedizin.70070157.eng.abstr-s6-t3",
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"values"
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"id": "Rechtsmedizin.70070157.eng.abstr-s6-t4",
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],
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},
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"id": "Rechtsmedizin.70070157.eng.abstr-s7-t1",
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"id": "Rechtsmedizin.70070157.eng.abstr-s7-t2",
"type": "umlsterm",
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637,
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{
"db_name": "UMLS",
"db_id": "C0012632"
}
]
}
] |
[] |
[] |
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] |
Rechtsmedizin.70070162.eng.abstr
|
Rechtsmedizin.70070162.eng.abstr
|
[
{
"id": "Rechtsmedizin.70070162.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a case of suspected whiplash shaken infant syndrome with intracerebral bleeding in a 3-week-old infant , the defense was given that the bleeding had occurred during birth and/or that any sign of recent hemorrhage in the cerebrospinal fluid was caused artificially by the spinal puncture itself . Centrifugation of the bloody fluid with subsequent cytological investigation revealed well-preserved erythrocytes , a few lymphocytes , and a slightly elevated number of neutrophilic granulocytes . Of particular note was the immunocytochemical demonstration of small clusters of immature macrophages . Neither erythrophagocytosis nor hemosiderin could be detected . These findings rule out both a bleeding age of 3 weeks and artificial hemorrhage caused by the spinal puncture . The onset of bleeding could be limited to a time span of 12-18 ( up to 48 ) h prior to fluid removal ."
],
"offsets": [
[
0,
880
]
]
}
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23,
31
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},
{
"id": "Rechtsmedizin.70070162.eng.abstr-s1-t2",
"type": "umlsterm",
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"infant"
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39,
45
]
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{
"id": "Rechtsmedizin.70070162.eng.abstr-s1-t3",
"type": "umlsterm",
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"db_id": "C0039082"
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"id": "Rechtsmedizin.70070162.eng.abstr-s1-t4",
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"infant"
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"id": "Rechtsmedizin.70070162.eng.abstr-s1-t8",
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]
},
{
"id": "Rechtsmedizin.70070162.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"spinal puncture"
],
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274,
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]
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},
{
"id": "Rechtsmedizin.70070162.eng.abstr-s2-t1",
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},
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"id": "Rechtsmedizin.70070162.eng.abstr-s2-t2",
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"erythrocytes"
],
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"lymphocytes"
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},
{
"id": "Rechtsmedizin.70070162.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
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"type": "umlsterm",
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] |
[] |
[] |
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Rechtsmedizin.70070165.eng.abstr
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Rechtsmedizin.70070165.eng.abstr
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Rechtsmedizin.70070171.eng.abstr
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Rechtsmedizin.70070171.eng.abstr
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"id": "Rechtsmedizin.70070171.eng.abstr-passage-0",
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"text": [
"Intoxication is the monotone reaction of the CNS to consumed psychoactive substances . Intoxication-like conditions may also occur without taking drugs . We then use the term \" ecstasy \" . Intoxication can follow typical or atypical course . The main symptoms are disturbances of consciousness and orientation and additionally changes of mood , affect , drive and initiative , train of thought and self-control . The diagnosis of intoxication differs from the diagnosis of psychosis because the latter continues its own course , occurs in the absence of psychoactive substances in the organism and always lasts longer than an intoxication ."
],
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640
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}
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[] |
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Rechtsmedizin.70070180.eng.abstr
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Rechtsmedizin.70070180.eng.abstr
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Rechtsmedizin.70070189.eng.abstr
|
Rechtsmedizin.70070189.eng.abstr
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Rechtsmedizin.70070193.eng.abstr
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Rechtsmedizin.70070193.eng.abstr
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Rechtsmedizin.70070197.eng.abstr
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Rechtsmedizin.70070197.eng.abstr
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Rechtsmedizin.70080002.eng.abstr
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Rechtsmedizin.70080002.eng.abstr
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Rechtsmedizin.70080007.eng.abstr
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Rechtsmedizin.70080007.eng.abstr
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Rechtsmedizin.70080017.eng.abstr
|
Rechtsmedizin.70080017.eng.abstr
|
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"text": [
"Teeth are most important for the identification of unknown cadavers . The police publish difficult cases of unidentified bodies in dental print media . Using their records such as x-rays or documented dental work dentists can often recognize an unknown person and thus contribute to the identification . To evaluate the efficency of this procedure 177 cases published between 1975 and 1995 were examined . The result is unsatisfying . Only 3% of the examined cases could be identified due to a reaction to publishing in the dental print media . To improve the presentation of identification cases in the dental print media 500 dentists were asked to take part in a survey . According to these results a new concept of presentation sould be developed to improve the efficency of this odontoforensic method . New technological possibilities such as digital x-raying or online data transfer could open new ways for forensic identification ."
],
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[] |
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Rechtsmedizin.70080022.eng.abstr
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"The numerical topographical dental findings of 29,862 adult patients from several German dental practices were evaluated . Taking into account the age-dependent loos of teeth the various decades were investigated separately for increased incidences of identical findings . The total number of teeth comprising the dental findings in the form of tooth number classes was a first-line criterion aiding classification . In accordance with an underlying binominal distribution , a raised incidence of identical dental findings was found both in patients edentulous jaws or few residual teeth and in patients with largly complete dentition . The raised incidence was confined to a few standard findings in each of these high or low tooth number classes . However , more than 50% of all cases were either in the intermediate tooth number classes , in which raised incidences of > = 0.2% generally do not occur , or showed correspondingly rare constellations of findings in the high or low tooth number classes . In more than half of all cases , there was therefore a numerical topographical dental status which can be used in identification with a matching probability of > = 99.8% . Dental findings which occur less frequently can be arranged clearly according to tooth number classes ."
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Rechtsmedizin.70080028.eng.abstr
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"A 67-year-old man showing symptoms of septic shock died 24 h after admission to hospital , four days after receiving intramuscular injection of an antirheumatic to the right gluteal region for treatment of acute lumbago . The reason for septicemia was clinically unknown . Autopsy showed non-specific changes caused by shock . A circumscribed abscess was found in the right gluteal region where the intramuscular injection took place : histological examination showed small clusters of bacteria ( Staphylococcus aureus by bacteriological diagnosis ) . The intramuscular injection was confirmed as the origin of the Staphylococcus aureus sepsis ."
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Rechtsmedizin.80080047.eng.abstr
|
Rechtsmedizin.80080047.eng.abstr
|
[
{
"id": "Rechtsmedizin.80080047.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hair samples and perspiration collected from long term drug addicts ( n = 18 ) under constant methadone treatment were investigated . Hair segments representing the individual hair growth of 4 weeks were analyzed for methadone , opiates and cocaine by GC/MS . The results obtained from the transdermal collection devices confirmed the presence of drug substances in variable amounts on the skin surface , methadone being the main analyte . The perspiration test period lasted for 4 days . For six persons illicit drugs similar to those in the corresponding hair samples were found . Overall , a poor relationship ( r = 0,602 ) was found between the methadone dose under steady state conditions and the methadone level in hair . The results are discussed in the light of pharmacokinetic aspects , drug uptake by perspiration and forensic interpretation ."
],
"offsets": [
[
0,
853
]
]
}
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[] |
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Rechtsmedizin.80080051.eng.abstr
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Rechtsmedizin.80080051.eng.abstr
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"The amount of analyses positive for amphetamine or amphetamine derivatives carried out in Koeln showed an increase in the years 1991-1996 . Among the users there were more male than female individuals and the age was about 25 years . In addition to an increase in the total amount of these drugs , the additional consumption of other drugs also increases ( > 90% ) of predominantly cannabinoids and cannabinoids combined with alcohol or cocaine were detected in the samples . Since 1994 the total amount of samples positive for methylenedioxyamphetamines has shown a clear increase . A comparison of the drugs additionally used by consumers of amphetamine or methylenedioxyamphetamines showed - in addition of the abuse of opioides or medicaments such as benzodiazepines - no significant differences ."
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"The ca. 1000 drug-related fatalities that were examined in Hamburg from 1990-1996 by the Institute of Legal Medicine were analysed with respect to consumption of substitute drugs such as methadone . The incidence of methadone-related fatalities has increased in the last two years . The highest incidence was found in 1995 when methadone was detected in the blood of about 20% of all drug-related fatalities . Lethal monointoxications or combined intoxications with a dominant role of methadone were experienced rarely ( about 1% of all drug-related fatalities ) . Of the persons who were enroled since 1990 in a methadone maintenance programme 2% have been registered as drug- related fatalities . The mortality of street addicts without comparable medical help was about 10% in the same period . There is further need for improved methods of registration , documentation and forensic/sociological analysis of all drug-related fatalities for reliable conclusions concerning mortality rates of drug users who are enroled in methadone maintenance programmes ."
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Rechtsmedizin.80080061.eng.abstr
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Rechtsmedizin.80080064.eng.abstr
|
Rechtsmedizin.80080064.eng.abstr
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[
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"id": "Rechtsmedizin.80080064.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a double-blind study with 31 volunteers , disturbances of cognitive performance following the uptake of 15 mg oral midazolam were examined by a standardised and validated test ( SKT ) . The degrees of impaired cognitive efficiency were comparable to those of moderate or serious organic psychosyndrome . Furthermore , a complete anterograde amnesia without any tendency to clarify was obvious in all cases . Disturbances of motor coordination were particularly evident from a rotatory nystagmus which showed a prolonged coarse tremor in 25 volunteers . All subjective and objective effects were limited to a time period of 3-6 h after midazolam administration ."
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"id": "Rechtsmedizin.80080064.eng.abstr-s4-t2",
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[] |
[] |
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Rechtsmedizin.80080069.eng.abstr
|
Rechtsmedizin.80080069.eng.abstr
|
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"id": "Rechtsmedizin.80080069.eng.abstr-passage-0",
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"The results of a systematical histological investigation of the conducting system from 100 autopsy cases are presented . Regularly a \" tubular myopathy \" ( vacuolar degeneration of the sarcoplasm ) could be shown if an agonal cardiac or non-cardiac hypoxaemia occurred . The presence of a \" tubular myopathiy \" with exclusion of a non-cardiac cause of death allows the diagnosis of a sudden heart failure due to an arrhythmia . The correctness of this diagnosis will be even more probable if the coronary arteries are altered e.g. by arteriosclerosis . A simple technique for preparation and histological examination is presented ."
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0,
631
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]
}
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Rechtsmedizin.80080073.eng.abstr
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"We report a case of a 30-year-old patient who - after unsuccessfull resuscitation - died during gynecological laparoscopy . Prefinal symptoms corresponded to acute gas embolism , particularly as ultrasonic examination revealed an intravascular gas pulsation . At autopsy , 2 days postmortem , a punction of the left common iliac vein was discovered but gas bubbles in the right heart could not be confirmed . Preconditions for fatal carbon dioxide embolism are stressed . To prove the presence of carbon dioxide gas postmortem , autopsy has to be performed as soon as possible and the corpse has to be stored without cooling ."
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Rechtsmedizin.80080077.eng.abstr
|
Rechtsmedizin.80080077.eng.abstr
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{
"id": "Rechtsmedizin.80080077.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Blank guns are frequently modified to fire projectiles . For this reason also blank cartridges are altered by adding self-made projectiles . Depending on the modification self-made guns are comparable with \" real \" guns concerning the technical effects and wound ballistic data . We report about fatalities due to manipulated blank guns and blank cartridges . The autopsy findings as well as the weapons are described . A short overview of the German weapons law concerning altered weapons is given ."
],
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0,
500
]
]
}
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[] |
[] |
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Rechtsmedizin.80080083.eng.abstr
|
Rechtsmedizin.80080083.eng.abstr
|
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"id": "Rechtsmedizin.80080083.eng.abstr-passage-0",
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"text": [
"The article emphasizes the criminalistic importance of beetles attracted by carrion and presents some groups ( families , genera , species ) of beetles frequently found on carrion in Middle Europe . The families Silphidae , Staphylinidae , Cleridae , and Dermestidae and some of their species are presented in more detail . As different species of necrophilic beetles prefer different stages of decay and are only attracted by carrion which has reached the preferred condition , the discovery of beetles on a dead body and their determination may provide additional information about time since death/since exposition . Moreover , some beetles do not occur ubiquitously but only in certain biotopes such as woodlands , open country , river banks and lowlands , etc. , and may thus provide criminalistic information in cases if a body has been moved . Some collection and preservation methods are also briefly described ."
],
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] |
[] |
[] |
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Rechtsmedizin.80080098.eng.abstr
|
Rechtsmedizin.80080098.eng.abstr
|
[
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"id": "Rechtsmedizin.80080098.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A case of delayed death after a low-voltage accident is presented . At first , an obvious source of electricity was not found . However , electric marks were found on the fingers . The identification of the conductor was performed by analysis of the metallisation of the electric marks . The location of the probable conductors in a boiler under the hand basin and the discovery in a standing position prior to collapse in a bathtub indicates that the capability to act was preserved for a short time period . In such rare cases death seems to be a result of cardiac arrhythmia resulting in ventricular fibrillation ."
],
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617
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Rechtsmedizin.80080102.eng.abstr
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Rechtsmedizin.80080102.eng.abstr
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[] |
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Rechtsmedizin.80080105.eng.abstr
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Rechtsmedizin.80080105.eng.abstr
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"In a fatality after oral intake of a large amount of an insecticide spray consisting of propoxur , tetramethrine and the solvents isopropanol and benzyl alcohol , a coagulation nectrotic fixation of the oesophagus and stomach were the main morphological findings . The concentrations determined by HPLC and GC/MS in femoral blood , liver , kidney , vitreous humor and liquor were in the comatose lethal range for propoxur ( 0.3-18 µg/g), whereas tetrametrin ( up to 0.1 µg/g) was almost completely decomposed . The propoxur decomposition product o-isopropoxyphenol ( 2.8-56 µg/g), benzyl alcohol ( 18-58 µg/g) and its oxydation product benzoic acid ( 85-140 µg/g), isopropanol ( 0.45-1.1 mg/g ) and acetone ( 0.01-0.03 mg/g ) were also found . On the other hand , the concentrations in heart blood and lung tissue were up to 30 times higher . As a reason for these immense concentration differences an agonale aspiration of the highly concentrated liquid stomach content after vomiting immediately before death is discussed . The extent of the metabolization of propoxur to o-isopropoxyphenol and of benzyl alcohol to benzoic acid , which is assumed to proceed mainly postmortem , was quite different in the materials investigated and was almost complete in the liver . The intoxication by the acetylcholine esterase inhibitor propoxur in combination with the neurotoxic effect of tetramethrine was determined as the cause of death ."
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Rechtsmedizin.80080109.eng.abstr
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Rechtsmedizin.80080109.eng.abstr
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[] |
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Rechtsmedizin.80080112.eng.abstr
|
Rechtsmedizin.80080112.eng.abstr
|
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"id": "Rechtsmedizin.80080112.eng.abstr-passage-0",
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"text": [
"An unusual shaped piece of skin was found in the oral cavity of a woman who had been stabbed to death . Physical examination of the victim's numerous male acquaintances revealed one to have an injury of the same shape on the ventral surface of the left ring finger . Molecular biological investigations showed that this suspect and the piece of skin exhibited corresponding DNA patterns ( frequency 1 : 700 000 ) . This case underlines the importance of physical examination as a preliminary to further detailed investigation ."
],
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0,
527
]
]
}
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[] |
[] |
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Rechtsmedizin.80080115.eng.abstr
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Rechtsmedizin.80080123.eng.abstr
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Rechtsmedizin.80080130.eng.abstr
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Rechtsmedizin.80080130.eng.abstr
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[
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"text": [
"In sexing of skulls the mastoid process is considered to be an important sex trait because of its greater dimension in males . Quantitative studies of the volume of the process are limited to air cell system investigations . The objektive of the present study was to quantify mastoid processes and test the value for sex determination . The three-dimensional study of the mastoid processes was carried out on 72 human skulls of which 38 were females and 34 males . The surface of the processes , limited to the part which projects from the skull base , was scanned with an optical measurement system . The resulting data were used to reconstruct virtual processes on a personal computer . Volume , suface area and height of the 3-D images were measured . There was no significant difference between the left and right mastoid processes . All of the parameters showed significant differences between the sex groups ( volume : male 833.31 mm3, female 647.88 mm3, P = 0.04118 ; surface area : male 339.51 mm2, female 286.80 mm2, P = 0.0383 ; height : male 8.93 mm , female 8.06 mm , P = 0.0039 ) . But the female values for volume and surface area were scattered completely within the male range and the female and male values for the height were widely overlapping . In discriminant function analysis the accuracy was only 65.28% . The results verify the sexual dimorphism of the dimensions of the mastoid processes but because of the widely overlapping range of male and female values the results are not of use for determination by measurement ."
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Rechtsmedizin.80080141.eng.abstr
|
Rechtsmedizin.80080141.eng.abstr
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"Cutaneous blisters on a corpse are not only of forensic interest regarding their etiology and genesis but also the time of origin , particularly the problem of vital , agonal , supravital or postmortem occurrence of cutaneous blisters could be of forensic value . The aim of this work was to summarize the causative spectrum of cutaneous blisters , including poisonous plants and animals , drugs and toxic substances . The time of origin of cutaneous blisters were evaluated in selected forensically relevant cases ."
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[] |
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Rechtsmedizin.80080153.eng.abstr
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Rechtsmedizin.80080153.eng.abstr
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Rechtsmedizin.80080163.eng.abstr
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Rechtsmedizin.80080163.eng.abstr
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Rechtsmedizin.80080168.eng.abstr
|
Rechtsmedizin.80080168.eng.abstr
|
[
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"id": "Rechtsmedizin.80080168.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Nasal swabs were taken in 16-drug-related deaths ( cotton wool buds ) and 6 bodies exhibited fresh puncture marks indicative of intravenous drug application . In all these cases , only traces of opiates or cocaine or its metabolite at the most could be shown in the nasal swabs . In 10 cases no puncture marks were present . These nasal swabs contained relevant drug quantities as far as opiates and/or cocaine were involved . There was no evidence of diacetylmorphine ( heroin ) in any nasal swab , although monoacetylmorphine could be detected at a level mostly in the range of 30%-100% of the morphine concentrations . In the swabs with positive cocaine results there was evidence of markedly more cocaine than benzoylecgonine . The results of our investigation prove that examination of a nasal swab collected from deaths by drug intoxication can give good indications on the way the drug has been applied ."
],
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Rechtsmedizin.80080173.eng.abstr
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Rechtsmedizin.80080173.eng.abstr
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[
{
"id": "Rechtsmedizin.80080173.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The extension of § 24 a of the road traffic regulations is expected to lead to more frequent investigations of blood for cannabinoids , opiates , cocaine ( or metabolites ) and amphetamines . Nearly 200 blood ( serum ) samples were analysed by the inhomogenous MTP-immunoassay for cannabinoids , opiates and amphetamines and 140 for cocaine consumption . In about half the specimens a gas chromatographic-mass spectrometric analysis followed . In generally immunassay results above 10 ng/ml for opiates , cannabinoids , or amphetamines and above 25 ng/ml for benzoylecgonine resulted in additional GC-MS analyses . Moreover cases with corresponding statements in the anamnesis were analysed gas-chromatographically otherwise only random tests were performed . Cannabinoids were detected in 47.4% of the samples , opiates in 31.1% , cocaine in 25.7% and amphetamines in 13.2% . The MTP-immunoassay has proved to be a good screening method to differentiate between probably positive and negative cases . In view of the threshold values above an offence is considered to have been proven , the results of our investigations result in Cut off values of 30 ng/ml with opiates and cannabinoids , 50 ng/ml with benzoylecgonine and 10 ng/ml with amphetamines . The tested assays have proven to be practicable and neglibable susceptible to interference . However it is recommendable to make a 3-point calibration before each series of samples ."
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Rechtsmedizin.80080178.eng.abstr
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Rechtsmedizin.80080178.eng.abstr
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"All 459 surgeons and orthopedists in private practice in Berlin ( approx . 3.5 Million inhabitants ) were contacted in March 1997 and asked to cooperate . An 18-point questionnaire was sent out to record the physician's experience with atraumatic and posttraumatic neck complaints , which was returned by only 112 ( 25% ) . According to their assessment these physicians treated ca. 47 000 atraumatic patients with cervical complaints and ca. 7800 with a history of a preceeding trauma over a 12-month-period ( 1996 ) . All responders had treated patients with posttraumatic complaints ; about 60% stated having treated between 20 and 60 patients per year , 25% a smaller and 15% a greater number of patients . The average treatment time was stated to be 2-5 weeks by 60% of the physicians , 10% listed a peak of 6-7 weeks and another 10% in excess of this peak . Half of the physicians stated having also treated patients with a cervical trauma not caused by another person ( a total of 500 cases ) . Symptoms/findings were considered as specific for a traumatic origin by ca. 50% of the physicians and as nonspecific by the other half . It is noteworthy that the physician's point of view was influenced by personal accident experience ( accident as a car passenger ) : 54% of the 26 physicians with posttraumatic cervical complaints considered these symptoms to be traumaspecific compared to only 35% of 40 physicians with accidents but without cervical symptoms . The statement that financial gains are frequently a motivating factor for patients that influenced the symptoms and course was confirmed by 22% of the physicians without accident experience compared to 62% of the physicians with accidents without cervical involvement . Of the physicians 32% were already familiar with personal cervical complaints in middle age unrelated to trauma and another 18% considered them sometimes a disease parameter . The \" subject physician \" in the context of \" whiplash injury \" is not yet sufficiently investigated but seems to be an interesting topic of further research ."
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Rechtsmedizin.80080182.eng.abstr
|
Rechtsmedizin.80080182.eng.abstr
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"Platelets from corpse blood samples ( n = 77 ) taken during the first 9 h post mortem ( repeated collections in 1 or 2 h intervals ) were stimulated in vitro with collagen , arachidonic acid , ADP , epinephrine or by agitation . Activatable platelets released endogenically stored serotonin upon adequate stimulation . The plasma serotonine concentration was measured by means of an immunoassay and is a direct measure of functional platelet status . Results : The platelets in corpse blood can initially ( up to 3 h post mortem ) be activated differentially depending on the type and concentration of the agonists . By the 6th hour post mortem , platelets lose their capacity to react adequately with a release reaction . Later , the secretive capacity of the platelets disappears completely ."
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Rechtsmedizin.80080186.eng.abstr
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Rechtsmedizin.80080186.eng.abstr
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"The Keto-Diabur-Test 5000 ( Boehringer Mannheim ) is an assay for glucose and ketones in urine samples . Positive test results for ketones were obtained during the autopsy of three corpses who probably died following hypothermia , whereas the glucose levels in the urine samples were normal . In all of the three urine samples extremely high acetone concentrations of 140 , 1004 and 2703 mg/L were detected by headspace gas chromatography . A positive test for ketones using the Keto-Diabur-Test 5000 despite of normal glucose levels in urine can support the diagnosis of death due to hyperthermia ."
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Rechtsmedizin.80080201.eng.abstr
|
Rechtsmedizin.80080201.eng.abstr
|
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"id": "Rechtsmedizin.80080201.eng.abstr-passage-0",
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"The disaster management in Germany is embodied in the constitution . According to the German constitution the ministries of the interior of the federal states coordinate the disaster management by delegating it to the city and county administrations . These elaborate and update a special disaster management calendar , which allows a prompt flow of information to and from the administration and the person in charge of operations and guarantees a smooth collaboration on which the success of the operation depends ."
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[] |
[] |
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Rechtsmedizin.80080207.eng.abstr
|
Rechtsmedizin.80080207.eng.abstr
|
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"id": "Rechtsmedizin.80080207.eng.abstr-passage-0",
"type": "abstract",
"text": [
"An essential parameter for the incorporation of drugs and narcotics into head hair is the content of hair pigment ( melanins ) . Toxicological studies of hair should therefore take the colour of the hair into consideration . As the available vocabulary for verbal characterisation is small and the description depends on the subjective opinion of the viewer , it was the purpose of this study to investigate if colorimetric measurements allow objectivation of hair colour . The natural hair colour of 17 subjects was described subjectively in words and by comparing it with a hair colour chart ( Wella , Darmstadt , Germany ) . Subsequently the colours of the hair and the samples of the hair colour chart used for comparison were measured by colorimetric analysis and the CIEL*a*b* values were determined . The descriptive categorisation of the hair colours ( e.g. blonde , brown , black ) could often not be recognised in the colorimetric results . Sometimes considerable differences were also found between the colour values of the natural hair samples and the specimens used for comparison . When the colour measurements were repeated at intervals of several days the results were found to be reproducible ."
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1211
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Rechtsmedizin.80080216.eng.abstr
|
Rechtsmedizin.80080216.eng.abstr
|
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"We report a rare case of an accident during which a pedestrian was hit by a car and was thrown through the windscreen into the front seat . Apart from the high speed ( 100 km/h or more ) the traumatic amputation of both lower legs and the resulting reduced angular momentum mainly contributed to the final position of the pedestrian in the vehicle . In addition , the low height of the person standing in front of the vehicle is deemed to have been a supporting factor for the course of the accident ."
],
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[
0,
501
]
]
}
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191,
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] |
[] |
[] |
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Rechtsmedizin.80080219.eng.abstr
|
Rechtsmedizin.80080219.eng.abstr
|
[
{
"id": "Rechtsmedizin.80080219.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The AB0 blood types , first discovered by Karl Landsteiner in 1901 , can be genotyped with the PCR method of Lee and Chang [ 6 ] . Using two primer pairs , allele-specific sequences can be amplified and , after digestion with restriction endonucleases , visualized by silver staining on a polyacrylamide gel . In a southwest German population the allele frequencies were : Allele A = 0.2704 , allele B = 0.0741 and allele 0 = 0.6556. With the method of Lee and Chang [ 6 ] only the nucleotide positions 261 and 703 are considered so that out of 280 individuals 10 ( 3.57% ) showed differences between the AB0 genotype and phenotype , because it was not possible to differentiate between A and 02 alleles ."
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705
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Rechtsmedizin.80080226.eng.abstr
|
Rechtsmedizin.80080226.eng.abstr
|
[
{
"id": "Rechtsmedizin.80080226.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 34-year-old woman who was separated from her husband , was killed by him by strangulation and several stab wounds in the chest . The post-mortem examination was carried out approximately 5 h after death . At the place of discovery one swab of her right and one of her left neck side were taken . Additionally , a swab was taken out from the front side of the collar of her polo-neck pullover . It was obvious that the skin of the neck below the larynx showed a fabric pattern leading to the assumption that the collar was temporarily pressed between the hands of the suspect and the neck of the victim . DNA typing ( short tandem repeat-PCR ) of these swabs led to the detection of mixed patterns for the swabs of the neck and the collar which matched the patterns of the victim and the suspect ."
],
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0,
798
]
]
}
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"id": "Rechtsmedizin.80080226.eng.abstr-s6-t1",
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"id": "Rechtsmedizin.80080226.eng.abstr-s6-t2",
"type": "umlsterm",
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] |
[] |
[] |
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] |
Rechtsmedizin.80080229.eng.abstr
|
Rechtsmedizin.80080229.eng.abstr
|
[
{
"id": "Rechtsmedizin.80080229.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Abstract In hepatitis C virus ( HCV ) carriers the inflammatory infiltration of the portal tracts in liver is assumed to correlate with serum HCV-RNA levels and might therefore be a marker for the severity of HCV-related liver disease and infectiosity . In 10 cases of drug-related deaths , positive only for HCV-antibodies , histopathology on liver was assessed using a defined index that scores exclusively liver cell damage . The proposed scoring system is easy to perform on formalin-fixed , paraffin-embedded and routinely stained liver slides and reflects a sensitive expression of the actual degree of damage in liver parechyma . However no correlation was found between portal infiltration and liver cell damage ."
],
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721
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}
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Rechtsmedizin.80090009.eng.abstr
|
Rechtsmedizin.80090009.eng.abstr
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{
"id": "Rechtsmedizin.80090009.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In order to investigate the question how long ( in cm ) is the muzzle flash from shots fired with starter's pistols loaded with blank cartridges , 26 different starter's pistols of all calibres available were tested . The shots were performed in a dark room in front of a camera with an open shutter . The photographic flash was triggered acoustically by a self-constructed trigger and 10 shots were fired with each gun . The evaluation of the length of the muzzle flash was done by means of a ruler . The experiments showed that the length of the muzzle flash is dependent on the length of the barrel and the construction of the inside of the barrel ( starter's pistols have small obstacles inside the barrels , so that no live ammunition can be fired with them ) . The more propellant the cartridges contained and the shorter the barrels , the more intensive and long was the muzzle flash . The length of the muzzle flash varied from 5-28 cm . The experimental method is described in detail . The possibilities of thermal injuries to the body surface as well as the damage to textiles will be discussed . The different reactions of thermostabile natural fibres ( e.g. wool ) and thermoplastic synthetic fibres ( e.g. polyester ) are pointed out ."
],
"offsets": [
[
0,
1248
]
]
}
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"id": "Rechtsmedizin.80090009.eng.abstr-s9-t1",
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"id": "Rechtsmedizin.80090009.eng.abstr-s9-t2",
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"id": "Rechtsmedizin.80090009.eng.abstr-s10-t1",
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[] |
[] |
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Rechtsmedizin.80090014.eng.abstr
|
Rechtsmedizin.80090014.eng.abstr
|
[
{
"id": "Rechtsmedizin.80090014.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Comparative analysis of subdural hematomas ( SDH ) with or without injuries of the cerebral matter . A total of 166 fatal head injuries caused by blunt force ( BHI ) between 1987-1997 were examined by the author , beginning with a careful removal of the brain during autopsy with special attention to the superficial blood vessels . In most cases the examination of the brain was carried out after formalin fixation . The cases were classified according to the major injury patterns of : ..."
],
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0,
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"id": "Rechtsmedizin.80090014.eng.abstr-s1-t3",
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"id": "Rechtsmedizin.80090014.eng.abstr-s1-t5",
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"id": "Rechtsmedizin.80090014.eng.abstr-s2-t1",
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"id": "Rechtsmedizin.80090014.eng.abstr-s2-t2",
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"id": "Rechtsmedizin.80090014.eng.abstr-s2-t3",
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"id": "Rechtsmedizin.80090014.eng.abstr-s4-t1",
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[] |
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Rechtsmedizin.80090021.eng.abstr
|
Rechtsmedizin.80090021.eng.abstr
|
[
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"id": "Rechtsmedizin.80090021.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a population sample of 355 unrelated caucasian individuals living in the Salzburg Region of Austria allele and genotype frequencies of the AmpFLP system YNZ22 were determined by PCR and subsequent comparison of the fragments with an allelic ladder consisting of 13 sequenced alleles . No deviations from Hardy-Weinberg equilibrium were found ( P = 0.68 ) . A total of 13 different alleles were found and the heterozygosity was 82.8% . Determination of the power of discrimination gave a value of 95.5% and the mean paternity exclusion chance was 68.6% . In 350 meioses no mutations were found ."
],
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[
0,
597
]
]
}
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"id": "Rechtsmedizin.80090021.eng.abstr-s3-t1",
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384,
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"Determination"
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438,
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"id": "Rechtsmedizin.80090021.eng.abstr-s5-t2",
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] |
[] |
[] |
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] |
Rechtsmedizin.80090029.eng.abstr
|
Rechtsmedizin.80090029.eng.abstr
|
[
{
"id": "Rechtsmedizin.80090029.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Voluntary and/or accidental shots are mostly fired at low-angles . At short or large distances the bullets have a destructive impact , but not falling bullets which have been fired vertically or near to vertical . In these cases the destructive energy is dependent on the form , mass and the \" parachute velocity \" of the projectiles . When a fired bullet has reached the maximum height its velocity increases from zero to the constant parachute velocity which is especially influenced by the form of the bullet and whether the projectile falls nose or base first . Injuries by falling bullets are very seldom in peacetime , but two cases with equivalent injuries are reported ."
],
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[
0,
678
]
]
}
] |
[
{
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"distances"
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},
{
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],
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294,
303
]
],
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545,
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] |
[] |
[] |
[] |
Rechtsmedizin.80090032.eng.abstr
|
Rechtsmedizin.80090032.eng.abstr
|
[
{
"id": "Rechtsmedizin.80090032.eng.abstr-passage-0",
"type": "abstract",
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"Two cases where DNA typing has been carried out for stain analysis are described . In both cases Y chromosomal STR systems have been used in combination with autosomal STR systems . In the first case the DNA from the fingernails of a female victim with skin particles of the male murderer was typed . The male DNA in this mixture of male and female DNA could be typed . The excess of female DNA in the samples did not distrub the PCR reaction of Y-chromosomal systems . In the second case several body parts could be identified to belong to a single male person . The typing of the suspect's DNA did not give any information because of a family relationship . Different kinds of stains have been analysed with DYS 389 I/II , DYS 390 , DYS 391 , DYS 392 DYS 393 and DYS19. Two multiplex PCR reactions were carried out to save time and stain material . Although the Y-chromosomal systems are not as polymorphic as autosomal STR systems the analysis of combined haplotypes can give additional information in forensic casework ."
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[] |
[] |
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Rechtsmedizin.90090041.eng.abstr
|
Rechtsmedizin.90090041.eng.abstr
|
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"In this complete documentation of the early published and unpublished reports of the medico-legal use of arthropods ( forensic entomology ) we give an overview over the initial work of the German and French forensic scientists Mégnin , Reinhard and Hofmann who were the founders of the discipline ( since 1881 ) and the work performed shortly after which was influenced by them . We show that the initial difficulty in determining postmortem intervals of corpses led past scientists to look closely at the effects of the insect fauna on buried corpses . Furthermore we report an observation of Leclercq which confirms an ancient forensic entomology case reported by Sung T ' zu in the thirteenth century ."
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"The head-space method has commonly been employed as a reliable method for the analysis of ethanol and other volatile drugs and poisons . The pulse heating method is characterized by the following advantages : 1 ) Analysis can be performed with small samples ( 1 µl), 2 ) pretreatment is not required , 3 ) requires little time , 4 ) gives exact measurements . Volatile substances can be isolated and identified within 15 min and thermal decomposition has not been observed . Toxicological screening of volatile substances was performed on 452 samples from 280 emergeny patients using the pulse heating method . The pulse heating method could clearly be shown to be useful for the analysis of volatile substances and could be used as an emergency toxicological screening system and for the quantitative analysis of clinical samples obtained from medical emergencies and forensic autopsies ."
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Rechtsmedizin.90090052.eng.abstr
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Rechtsmedizin.90090052.eng.abstr
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"An accurate assessment of the duration of the ability to act following fatal poisoning can be of major importance in reconstructing circumstances leading to death , especially in determining whether the poisoning was accidental , self-inflicted , or the result of a criminal act . Clinical publications have scarcely dealt with this problem . We therefore examined 20 legal autopsies performed at the Institutes of Forensic Medicine of the Universities of Wuerzburg and Leipzig as well as the respective records of the police and prosecuting attorney's offices in an effort to clarify this question . As a rule the victims retained the ability to act for 10-15 min . However , the material we examined and the literature also contain cases in which the ability to act lasted considerably longer . The present study is intended to provide expert witnesses with guidelines for clarification of cases of fatal intoxication ."
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Rechtsmedizin.90090062.eng.abstr
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Rechtsmedizin.90090062.eng.abstr
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"The case of a fatal catheter-induced cardiac tamponade in a 81-year-old woman is reported . Death occurred after a delay of 18 h following placement of a central venous catheter for parenteral feeding . According to the clinical and histological findings , placement of the catheter caused a primary perforation . Confirmation of proper placement of the catheter tip was not performed . Despite clinical indications on the forthcoming complication , sufficient emergency treatment was not carried out ."
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[] |
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Rechtsmedizin.90090065.eng.abstr
|
Rechtsmedizin.90090065.eng.abstr
|
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"id": "Rechtsmedizin.90090065.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 66-year-old woman died of internal bleeding and pulmonary fat embolism following repeated massive blows from a wickerwork carpetbeater and an electric cable . The initial autopsy diagnosis was natural death . A second autospy on the exhumed body and an intensive criminal investigation revealed a long history of maltreatment by two sisters with whom the victim lived . The maltreatment occurred during exorcisms with the purported purpose of ridding the victim of her possession by Satan . The perpetrators and the victim belonged to the same pseudoreligous sect . The elder of the two sisters had been previously convicted of a fatal exorcism maltreatment of a 17-year-old girl ."
],
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0,
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]
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],
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"type": "umlsterm",
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]
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}
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},
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"id": "Rechtsmedizin.90090065.eng.abstr-s6-t1",
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]
],
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{
"db_name": "UMLS",
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] |
[] |
[] |
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"id": "Rechtsmedizin.90090065.eng.abstr-s3-r1-t1.2-t1.1",
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"arg2_id": "Rechtsmedizin.90090065.eng.abstr-s6-t1",
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}
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Rechtsmedizin.90090070.eng.abstr
|
Rechtsmedizin.90090070.eng.abstr
|
[
{
"id": "Rechtsmedizin.90090070.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on a 20-month-old girl who was known to suffer from mucolipidosis II ( I-Cell-Disease , Leroy Syndrome ) since birth . The clinical features , biochemical analysis and histopathological findings are briefly discussed . The girl died suddenly while she was being fed by her mother . Death was caused by acute respiratory insufficiency associated with the underlying disease . From the histomorphology of the lungs there was no evidence to hold the mother responsible for the child's death ."
],
"offsets": [
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0,
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]
}
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"id": "Rechtsmedizin.90090070.eng.abstr-s1-t4",
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],
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"id": "Rechtsmedizin.90090070.eng.abstr-s3-t1",
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"id": "Rechtsmedizin.90090070.eng.abstr-s4-t1",
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[] |
[] |
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"Death may occur while a fleeing or resisting suspect is taken into custody by the police . We report about this type of acute death in two males . In both cases , a cocaine intoxication was taken as the cause of death despite an initial suspicion of a direct association between the death and police measures ( e.g. neck compression or \" headlock \" , chest compression ) . From the Institute's autopsy material we selected another 12 cases with monointoxication by cocaine as the cause of death of as a secondary finding for comparison . Of the 12 cases 5 were gunshot injuries and 4 were classified as suicide . The analysis suggested an increased willingness to apply force against themselves or others under the influence of cocaine . In both cases , cardiac arrest occurred suddenly and unexpectedly for all those involved and who were unaware of any acute life-threatening situation because of the extreme attempts of the suspects to flee or resist arrest . Attention should be given to these types of cases during the training of police officers ."
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Rechtsmedizin.90090086.eng.abstr
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Rechtsmedizin.90090086.eng.abstr
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"A population study of HUMF13B locus in a population sample of 426 unrelated individuals was carried out to investigate the allele distribution in north Poland . HUMF13B alleles were identified using a precisely optimised PCR method . Amplification products were separated on horizontal non-denaturing polyacrylamide gels followed by silver staining . The most frequent alleles were 10 ( 42,6% ) , 9 ( 23,9% ) and 8 ( 21,4% ) and one rare variant ( allele 12 ) was observed with a frequency of 0,23% . Relatively high indices of discrimination power ( 0.866 ) , polymorphic information content ( 0.661 ) and heterozygosity ( 0.704 ) confirm the usefulness of HUMF13B locus for forensic identification purposes ."
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Rechtsmedizin.90090090.eng.abstr
|
Rechtsmedizin.90090090.eng.abstr
|
[
{
"id": "Rechtsmedizin.90090090.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A total of seven cases of accidental ingestion of methadone or dihydrocodeine by four children and three adults are reported of which four were fatal . In each case , someone in the environment was taking methadone or dihydrocodeine as a substitute drug for heroin addiction who obviously did not realize the dangers of methadone for non-addicts . Possible preventive measures are the usage of child-proof containers with adequate labels for take-home medications . Furthermore substituted addicts have to be thoroughly indoctrinated concerning the toxicity and hazards of methadone ."
],
"offsets": [
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0,
584
]
]
}
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"id": "Rechtsmedizin.90090090.eng.abstr-s2-t7",
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[] |
[] |
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Rechtsmedizin.90090094.eng.abstr
|
Rechtsmedizin.90090094.eng.abstr
|
[
{
"id": "Rechtsmedizin.90090094.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We reviewed 114 fatalities investigated at the Institute of Legal Medicine of Zurich from 1989 to 1997 where methadone was detected . Of these 44 persons were enrolled in a methadone program at the time of death . Polydrug toxicity was the leading cause of death ( n = 73 ) and the most frequently abused drugs were benzodiazepines , alcohol and opioids . In 25 cases the autopsy revealed another cause of death ( e.g. infection , freezing to death ) and 12 cases could be related to a \" methadone only \" intoxication ( relative overdose ) . In four cases death was the result of mechanical violence ( traffic accident , strangulation , fall , shooting ) . No person died during a strictly regulated methadone program ."
],
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0,
719
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Rechtsmedizin.90090099.eng.abstr
|
Rechtsmedizin.90090099.eng.abstr
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"Automobile-pedestrian accidents with the victim being dragged over long distances are very infrequent . However , in the majority of cases the victims were lying on the road and often heavily intoxicated . After the vehicle drove over the victims they became trapped between the roadway and underside of the vehicle mostly by the clothes becoming caught up ."
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[] |
[] |
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Rechtsmedizin.90090107.eng.abstr
|
Rechtsmedizin.90090107.eng.abstr
|
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"id": "Rechtsmedizin.90090107.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In 1995 the Ethics Commission of the Medical University of Luebeck was asked to rule on whether a preimplantation diagnostic procedure ( PID ) could be performed on a husband and wife who were both carriers of the cystic fibrosis mutation F508. The couple had previously given birth to a child with cystic fibrosis and had twice terminated a pregnancy following prenatal screening . Ethically , the performance of a PID was certainly warranted for this couple . The risk of violating §§8 Section 1 and/or 2 Section 1 ( \" totipotent cells shall not be removed for diagnostic purposes \" ) of the Law for the Protection of Embryos ( ESchG ) was judged to be nonexistent in written statements from two expert witnesses ( Prof. K.V. Hinrichsen and Prof. H.M. Beier , both embryologists ) . In the view of the Ethics Commission , only §1 Section 2 ( \" an ovum shall be fertilized only for the purpose of inducing pregnancy \" ) of the ESchG currently prohibits PIDs . In light of the social and biological arguments in favor of PIDs , however , the Ethics Commission questioned whether this section of the ESchG is still morally justifiable ."
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Rechtsmedizin.90090112.eng.abstr
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Rechtsmedizin.90090112.eng.abstr
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"id": "Rechtsmedizin.90090112.eng.abstr-passage-0",
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"On 21.11.1811 the poet Heinrich von Kleist and his companion Henriette Vogel were found dead in a small hollow by the Wannsee . The autopsy revealed that Kleist was shot in the mouth and Vogel died from a close-contact shot to the chest . The tragedy , which was reflected in letters and documents ended in a suicide pact . The conclusions of the pathologists were influenced by current medical opinions which were based on interpretations of the ancient humoral doctrine of Hypocrates . Subjective and objective opinions were mixed together . Some forensic and historical aspects of this suicide pact are highlighted ."
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[] |
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Rechtsmedizin.90090115.eng.abstr
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Rechtsmedizin.90090115.eng.abstr
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"Autopsy techniques in the orofacial area are the same as in general forensic pathology . In cases of mass disasters the optimal situation for this type of examination is after removal of the jaws . The methods of maceration used so far seem to be imperfect ( toxic , offensive smell , difficult disposal ) . The use of an enzyme for maceration accelerates the catalytic process enormously and the method is cheap , easy to handle , non-toxic and disposal is simple ."
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Rechtsmedizin.90090123.eng.abstr
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Rechtsmedizin.90090123.eng.abstr
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"id": "Rechtsmedizin.90090123.eng.abstr-passage-0",
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"In the guidelines for determination of the blood alcohol level for forensic purposes , a correction factor of 1.2 has been established for the conversion of serum alcohol into blood alcohol based on the relationship of the water content between serum and whole blood . The reliability of the determination of the blood alcohol level is dependent on the possible minimum and maximum values of this correction factor . In a comprehensive multicenter study consisting of 833 samples , which can be considered representative of persons involved in offences under the drinking and driving act , an average quotient of 1.16 was found with minimum and maximum values of 1.08 and 1.21 respectively . In 96% of the cases the quotient was between 1.13 and 1.19 and the deviation of the quotient from the average value was less than 3% . From these results it can be assumed that the determination of blood alcohol is obviously more reliable than previously presumed ."
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Rechtsmedizin.90090131.eng.abstr
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"The limits of quantitation for cannabinoids in serum using automated solid-phase extraction ( SPE ) and gas chromatography-mass spectrometry ( GC/MS ) have been determined . Extraction was performed automatically using C18-cartridges, extracts were methylated and analysed with selected-ion monitoring ( SIM ) . The limits of quantitation ( LOQ ) in serum were determined according to Euronorm EN 45001 and German Industrial Norm DIN 32645 and were 0.1 and 0.7 ng/ml for tetrahydrocannabinol , 0.5 and 0.7 ng/ml for 11-hydroxy-tetrahydrocannabinol and 0.25 and 1.6 ng/ml for tetrahydrocannabinolcarboxylic acid , respectively . The use of these LOQ's in forensic cases and the necessity of drug identification prior to quantitation are discussed in detail . Due to the newest amendment of the German traffic law ( §24a \" Strassenverkehrsgesetz \" ) the quest for nationwide standardisation of the forensic analysis of illicit drugs in serum or blood arises . By automation of several manual sample preparation steps we could get closer to this aim . Taking into account a margin of safety , a qualitative cut-off at 1 ng/ml THC and a limit of quantitation of 2 ng/ml THC in serum should be achievable in all forensic toxicology laboratories ."
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"Abstract The authors tested the possibilities for forensic personal identification based on the comparison of ante-mortem and post-mortem radiographs . From the Dept . of Radiology University Medical School of Pécs , Hungary 946 randomly selected radiographs of 9 different skeletal regions from 458 patients were examined . The aim of this study was to find the specific parts of the skeleton , which are anatomically variable or which frequently exhibit change due to pathological development , trauma or alterations from surgery . The results of the examinations showed that the skull has the most anatomically variable features . The long bones and the pelvic girdles showed a high number of alterations due to trauma , which suggests the importance and usefulness of these radiographs . However , the radiologically visible degenerations on the vertebral column could also be useful in the personal identification process and the authors recommend using detailed examination and careful analysis of these alterations ."
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Rechtsmedizin.90090145.eng.abstr
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Rechtsmedizin.90090145.eng.abstr
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Rechtsmedizin.90090148.eng.abstr
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Rechtsmedizin.90090148.eng.abstr
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"id": "Rechtsmedizin.90090148.eng.abstr-passage-0",
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"Thromboses of the cerebral veins which occur at a frequency of 3.75 to 9.3% in autopsy material are caused by local or systemic inflammatory processes , hematological disorders , neoplasms or traumatic brain damage . We report on a 14-year-old girl who suffered from colitis ulcerosa during the last 4 years of life . Immediately after a brawl with a schoolboy she complained of headache and vertigo , but no physical abnormality was detected by the physician . She was admitted to the hospital after becoming comatose during the following night . On neurological examination she was comatous with a decerebrate state , the pupils were small and non-reactive to light , divergent ocular bulbi and bilateral extensor plantar responses . A cerebral computer tomogramm showed a cerebral edema and a hemorrhage in the left basal ganglia and both cerebral ventricles which subsequently increased to the right cerebral ganglia , the corpus callosum and the right cerebral hemisphere . Despite antiedematous therapy the girl died on the second day after the brawl . A neuropathology examination revealed thrombosis of the superior sagittal sinus extending to the internal cerebral veins and a bilateral hemorrhagic infarction of the thalamus and the basal ganglia with intraventricular hemorrhage . As the thrombus in the sagittal sinus showed signs of organisation , a postraumatic origin alone is improbable and a hemorrheological disorder due to colitis ulcerosa seemed to be the main cause ."
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Rechtsmedizin.90090163.eng.abstr
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Rechtsmedizin.90090170.eng.abstr
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Rechtsmedizin.90090170.eng.abstr
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"The HIV-1 status of 10627 drug abuse-related fatalities ( 8754 males , 1873 females ) was evaluated in an international multicenter study over the last 13 years . Of these 1054 ( 9.9% ) were HIV-1 positive ( males : 8,7% , females : 15.8% ) . In Germany the HIV-1-prevalence of drug abuse-related fatalities has shown a decrease during the 1980s and has stabilized at a level of about 10% since 1991. The HIV-prevalence in northern and middle Europe has stabilized at less than 10% but in southern Europe the prevalence rates over the recent years are about 50% ."
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Rechtsmedizin.90090174.eng.abstr
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Rechtsmedizin.90090174.eng.abstr
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"id": "Rechtsmedizin.90090174.eng.abstr-passage-0",
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"In recent years an increasing number of drug fatalities with blood concentrations of lidocaine up to 33 µg/ ml or of the tetracaine metabolite 4-n-butylaminobenzoic acid up to 8.6 µg/ml was observed in Berlin . These high concentrations originated from the use of the local anaesthetics as adulterants in cocaine , heroin or cocaine-heroin mixtures . The comparison of the lidocaine concentrations with that of 38 fatalities with a different cause of death , in which the drug was used as an antiarrhythmic during resuscitation attempts ( 0.1-24 µg/ml) and with literature data on local anaesthesia accidents leads to the conclusion that in a substantial number of drug cases an intoxication by the local anaesthetics alone or in combination with other drugs is sufficient to death . In seven cases the concentration of 4-n-butylaminobenzoic acid was above 4 µg/ml ( corresponding to > 5.5 µg/ml tetracaine ) . These values confirm the stronger toxicity of tetracaine in comparison to lidocaine known from the literature . As a reason for the particularly high danger of the use of local anaesthetics as adulterants in illicit drug mixtures , it must be assumed that after application of normal amounts by intravenous bolus injection , very high blood concentrations appear immediately in the heart and CNS , which cause death by central paralysis and blockade of the cardiac conduction system ."
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Rechtsmedizin.90090184.eng.abstr
|
Rechtsmedizin.90090184.eng.abstr
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"id": "Rechtsmedizin.90090184.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The chemical synthesis of alkyl glucuronides , which appear as metabolites in urine after the consumption of beverages containing congeners of ethanol , is described . Glucuronides of the following alcohols were synthesized : methanol , d5-ethanol, propanol , isopropanol , butanol , isobutanol , R- ( - ) -2-butanol, S- ( + ) -2-butanol, isopentanol and S- ( - ) -2-methylbutanol. The retention indices of acetyl , pentafluorpropyl ( PFP ) and trimethylsilyl ( TMS ) derivatives are given and discussed in relation to the chemical structures . Mass spectra of homologous derivatives were shown to be very similar but some fragments were specific for the chain length of the alkyl moiety and can be used for identification and a quantitative estimation of glucuronides in urine samples ."
],
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0,
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[] |
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Rechtsmedizin.90090190.eng.abstr
|
Rechtsmedizin.90090190.eng.abstr
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[] |
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] |
Rechtsmedizin.90090193.eng.abstr
|
Rechtsmedizin.90090193.eng.abstr
|
[
{
"id": "Rechtsmedizin.90090193.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A case of prenatal paternity diagnosis where the woman had been raped is presented . PCR-VNTR polymorphisms were investigated on material which was obtained by biopsy during the 10th week of pregnancy . After DNA extraction nine PCR-VNTR polymorphisms were examined and the husband of the pregnant woman could not be excluded as the biological father of the child with a high degree of certainty . The ethical aspects associated with this problem will be discussed ."
],
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[
0,
466
]
]
}
] |
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"text": [
"paternity"
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19,
28
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"woman"
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"polymorphisms"
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"id": "Rechtsmedizin.90090193.eng.abstr-s2-t2",
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"id": "Rechtsmedizin.90090193.eng.abstr-s3-t1",
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"id": "Rechtsmedizin.90090193.eng.abstr-s3-t3",
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"husband"
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"id": "Rechtsmedizin.90090193.eng.abstr-s3-t4",
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"woman"
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},
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"id": "Rechtsmedizin.90090193.eng.abstr-s3-t5",
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"id": "Rechtsmedizin.90090193.eng.abstr-s3-t7",
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{
"db_name": "UMLS",
"db_id": "C0033011"
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]
}
] |
[] |
[] |
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{
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},
{
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},
{
"id": "Rechtsmedizin.90090193.eng.abstr-s3-r4-t2.1-t1.1",
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Rechtsmedizin.90090205.eng.abstr
|
Rechtsmedizin.90090205.eng.abstr
|
[
{
"id": "Rechtsmedizin.90090205.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The prevalence of hepatitis B , hepatitis C and HIV infections among drug abuse-related fatalities in Hamburg ( 1985-1997 ) was investigated with respect to epidemiological , forensic and morphological aspects . The purpose of this study was ( 1 ) to determine the prevalence of hepatitis B ( HBV ) , hepatitis C ( HCV ) and HIV infections among drug abuse-related fatalities ( drug deaths ) in Hamburg from 1985 to 1997 , ( 2 ) to assess the rate of multiple infections and ( 3 ) to analyze the liver histomorphology in 100 autopsied drug deaths . Furthermore , we discuss the epidemiological and forensic aspects . In this period 1469 drug deaths were registered with a prevalence for HBV of 35% ( 1997 : 39% ) , for HCV 51% ( 1997 : 58% ) , and for HIV 7% ( 1997 : 15% ) . Co-infections were common ( 28% ) and 19% of all cases were infected with HBV and HCV . The liver histology showed that hepatitis was frequently diagnosed ( 74% ) and was associated with HBV and/or HCV infections ( 77% of all hepatitis cases ) . Only 9% showed a normal liverhistology . Forensic autopsies and monitoring of HBV , HCV and HIV infections in drug deaths represent an important tool to gain information about the individual case and the situation among i.v. drug abusers ."
],
"offsets": [
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0,
1261
]
]
}
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"id": "Rechtsmedizin.90090205.eng.abstr-s2-t5",
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"id": "Rechtsmedizin.90090205.eng.abstr-s2-t10",
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},
{
"id": "Rechtsmedizin.90090205.eng.abstr-s2-t12",
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"liver"
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{
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},
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"id": "Rechtsmedizin.90090205.eng.abstr-s2-t14",
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Rechtsmedizin.90090210.eng.abstr
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Rechtsmedizin.90090210.eng.abstr
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"In order to describe the wounding capacity in standardized manner , gelatine was used to simulate biological targets in terminal ballistics . The aim was the investigation of blank cartridges with wound ballistic methods . Blank cartridges ( caliber 9 mm x 17 ) produced by RWS , SM , Wadie and Umarex were fired with starter's revolvers of . 380 caliber into 10% gelatine blocks . Shots were fired at 4 °C at distances ranging from close contact and from 1 up to 50 cm distance . The blocks of gelatine and their cross-sections were photographed using slide film which was digitized and analyzed by computer . Contact shots produced penetration from 21 to 63 mm in depth and the maximum diameter of the wound cavity measured from 7 to 42 mm . Up to a distance of 4 cm black powder blank cartridges produced tearing of more than 1 cm depth . Shots from a distance of 10 cm propelled many particles up to 13 mm deep into the gelatine . At a shooting range of 50 cm 13% of the particles penetrated deeper than 3 mm and some penetrated up to 7 mm . The experimental findings give evidence of the well known risk of fatal injury from contact shots . Up to a shooting range of 5 cm injuries of the eye bulb are to be expected and at a 50 cm distance severe lesions of the cornea ."
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[] |
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Rechtsmedizin.90090218.eng.abstr
|
Rechtsmedizin.90090218.eng.abstr
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"Colour measurements were performed on powdery substances of whitish to slightly yellow colouring ( cocaine samples of different composition ) in order to give an unequivocal optical description of the samples and relate them to control samples . The measurements were carried out with a spectrophotometer ( Carl-Zeiss-Jena GmbH , MCS 400 ) using a halogen bulb as light source ( standard illuminant D65). Colorimetric classification was made on the basis of the CIE-L*a*b*-values. The examination showed that specimens of similar or different chemical composition which could not be distinguished macroscopically revealed characteristic differences in the CIE-L*a*b*-measures. The method gives a first clue for orientation within a few minutes when comparing substances in specimens of different origin ."
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Rechtsmedizin.90090222.eng.abstr
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Rechtsmedizin.90090222.eng.abstr
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"Dissections of peripheral arteries affect predominantly male , hypertonic patients from the age of 60 , characteristically those with a cystic medianecrosis as a basic disease . In contrast , dissecting aneurysms of intracranial arteries are extremely rare . Here , younger patients with or without trauma in their past history are in the vast majority . We present a case of traumatic dissection of the middle cerebral artery in a 7-year-old girl and discuss the pathogenesis , symptoms and morphological findings with respect to cases described in the literature ."
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Rechtsmedizin.90090227.eng.abstr
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"An elderly woman was found dead in her farm house lying in a pool of blood and was partially unclothed . Blood was also discovered in several rooms on the first floor . The investigation at the scene led to the conclusion of a sexual murder . The autopsy however revealed the source of the hemorrhage to be a renal artery aneurysm which had ruptured in the adjacent renal pelvis . The woman has obviously been surprised by the sudden bleeding which produced the impressive pattern of blood stains on the floor and finally a fatal hemorrhage . A similar case of a ruptured renal artery aneurysm and bleeding to death via the urinary tract has not yet been described ."
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] |
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