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Biomedical subjects

B Madea

Publications and source records attributed to B Madea.

At least 145 records · Page 8Linked to original sources
PubMedDate not supplied

[Evidence for use of electroshock devices].

The authors tested whether use of an electro shock weapon (stun gun) leaves marks on skin which can be found in an exterior examination. On pig skin such marks could not be produced postmortally. An experiment on one of the authors caused reddish skin marks which persisted for about 2 h. Inability to act as promised by the weapons' manufacturers did not occur in our experiments, exactly as previously described by other authors. Use of an air tester which shoots barbed electrodes ought to produce bleedings if the electrodes actually penetrate the skin.

Animals↗
PubMedDate not supplied

[Forensically relevant unexpected delivery after unrecognized or denied pregnancy].

The authors report on two cases of supposed unknown pregnancy, in which the newborns were found dead in the lavatory by the emergency physician. Besides the classical questions of newborn's autopsies concerning vitality, viability and cause of death, position was to be stated towards the probability of an unexpected birth. In the first case the mother's statement of not having been aware of her pregnancy was plausible considering the general circumstances such as corpulence, continued bleedings and intact family situation; autopsy proved a (rare) twin stillbirth as a result of fetal hypoxaemia caused by grave placental dysfunction and misinsertion of the umbilical cord. Contrary to this, in the second case, a live birth, a denial of pregnancy was more likely to be assumed due to misinterpretation of typical symptoms of pregnancy in combination with professional and private stress.

Autopsy↗
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[Medical and legal problems of multiple death certificates].

In cases of unnatural death and unclear manner of death the police has according to section 159 StPO to inform the prosecution. The prosecutor has to decide how the case shall be handled. Independent inquiries or even independent handling of the case by the police are not scheduled. For legal purposes it is not possible to induce another doctor to issue another death certificate with the manner of death certified as natural.

Cause of Death↗
PubMedDate not supplied

[Child neglect death of an infant by faulty nutrition].

A 3 month old child was treated in hospital for "toxikosis and prolonged gastroenteritis". The child required a special diet. The parents picked up the child in hospital and brought it home against the device of the doctors. 26 hours later the child had died of severe exsikkosis (loss of 17% of body weight within one day). Using immunological methods (Ouchterlony test) we were able to demonstrate the child was fed with contraindicated food although the doctors had pointed out that the child needs a special diet. The parents were sentenced at court in two instances for manslaughter.

Cause of Death↗
PubMedDate not supplied

[Duration of the fire and degree of charring of a burned cadaver].

A 37-year-old woman was found dead severely charred in the bedroom of her house. The autopsy revealed as cause of death a strangulation of the neck. On the basis of the decomposition of the body the experts were asked for a statement on the duration of burning. There seems to be only little medicolegal experience on the duration of burning to a defined state of decomposition. Based on observations during cremations published in the literature and experimental burnings a burning time of approximately 20 minutes (after temperatures of more than 700 degrees C had been reached) is supposed to be sufficient to produce the present state of the body.

Adult↗
PubMedDate not supplied

[Death in inverted head position].

A 56 year old man was found suspended in a sack in a head down position. Circumstances and autopsy findings are discussed. The leading pathophysiological mechanisms causing death are thought to be asphyxia due to compression of the chest and insufficient blood supply to the heart due to the head down position. The pathophysiological dysregulation of circulation in a head down position is discussed.

Accidents, Home↗
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[Diagnosis of carbon monoxide poisoning following embalming and exhumation].

Clots of blood, which were found in the cardiac ventricles at an autopsy of an embalmed corpse, were to analyse for carbon monoxide. It was not possible to determine reliably the CO-Hb-content of the blood clots with the known methods. Therefore a new procedure was developed. Carbon monoxide was released by a solution of nitric acid and determined gas chromatographically by a headspace method. In the same vessel the iron-content of the sample was measured after decomposition with atomic absorption spectrometry. This procedure is especially suitable for samples like putrid or heat-clotted blood.

Adult↗
PubMedDate not supplied

[The value of various lung changes in death by strangulation].

Subsequently to previous investigations the value of the parameters lung weight and alterations of pulmonary vessel contents is demonstrated in a group of 106 fatal strangulations including all important subtypes of compressing force against the neck. The mean combined lung weights were generally elevated in a distinct way in all fatalities due to strangulating force (average: 1201 g) exhibiting a great interindividual variability and a slight dependence upon age with lower values in older persons. Significant differences between the various types of strangulation could not be observed. A detailed analysis of the material revealed, that intravascular pulmonary cell accumulations--apart from individual cases with massive concomitant blunt force injuries--in the first place are a correlate for protracted agony courses (shock equivalents). Both pulmonary parameters investigated cannot prove the diagnosis "death due to strangulation".

Adolescent↗
PubMedDate not supplied

[Cause of death in a patient lifting device].

Under the aspect of unusual and primarily obscure finding situations of dead bodies the case of a 81-year-old female occupant of an old people's home is reported. The woman was found dead being suspended by the hook of a patient's lifting machine, which had perforated through the floor of the mouth into the oral cavity. In the course of judicial inquiry first a homicide or a suicide, respectively, were justly considered. The autopsy results and circumstances of the case, however, pointed to a natural death (acute coronary insufficiency) with a preterminal/agonal fall into the hook of the lifting machine. An orthostatic circulatory dysregulation due to the suspension has possibly functioned as an additional mechanism accelerating death.

Aged↗
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["Crows' feet wrinkles" in high voltage electric accident--a sign of survival?].

A "crowsfoot-like" pattern is considered as being a sign of vitality in fatalities due to the effects of smoke, fire or high voltage (active or reflex contraction of mimic muscles). Introducing the autopsy results of a high voltage accident (66,600 V) it is discussed, whether this phenomenon and the underlying contraction of the facial muscles could also be caused by electrical current in the agony or supravital period. It seems possible that this mechanism of direct muscle contraction anticipates a nerval indirect stimulation of muscle fibres by innervating motoneurones--active or on the basis of a polysynaptic extraneous reflex. If the electrophysiological course discussed should be right, a "crowsfoot-like" pattern in equivalent cases could be interpreted as a vital sign only with great reserve.

Accidents, Occupational↗
PubMedDate not supplied

[Starvation due to child neglect. Case report and aspects of expert testimony].

Case report on 2,5 years old monozygotic twins who died of starvation due to negligence. Different gradings of protein-energy-malnutrition are discussed, among them the Waterlow-classification of PEM. The advantage of the Waterlow-classification is that stunting and wasting can be distinguished. The Waterlow-classification is suitable also for the classification of fatal cases of starvation in childhood. Practical experiences with own cases and cases from the literature are presented.

Adipose Tissue↗