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Biomedical subjects

E Trube-Becker

Publications and source records attributed to E Trube-Becker.

At least 19 recordsLinked to original sources
PubMed1991

[Autopsy report and cause of death statistics].

Neither death-certificate nor inquest-certificate clearly state whether the coroner made his entry after having established the facts himself or after having considered speculations or statements made by other persons. For this reason they are without any probative value for criminal cases as well as civil lawsuits but also for underwriters. Completely unintelligible is the fact that the entries concerning the kind of death and the cause of death on the inquest-certificate as it is being issued now, serve as the basis for the cause-of-death-statistics which are of great socio-political importance.

Autopsy↗
PubMed1979

[Suicide in schoolchildren (author's transl)].

Suicides by 66 children aged from 9 to 16 years (47 boys, 19 girls) and attempted suicides by 22 children (8 boys, 14 girls) are reported. Poisoning by mouth and hanging are the most common forms of suicide. The provocation for suicide may be trifling whereas the motivation, not always explicable even in children, is a multifactorial problem. 12 children wrote farewell letters, 5 announced their intention of suicide but were not taken seriously and 9 had already attempted suicide before succeeding. Most of the children (56 = 70%) lived with their parents at the time of the act, 14 (10%) had already shown behavior disorders before the act. Announcements of suicide should be taken seriously, even with children; they could perhaps be prevented by correct adult behavior.

Adolescent↗
PubMed1978

[Bacterial toxins as cause of sudden infant death (author's transl)].

At post-mortems held on cot-death infants, the cause of death can be established as a variety of pathological changes. Inflammationin the region of the respiratory tract, in particular in the lungs;infections of the gastrointestinal tract; otitis media; shift of electrolytes-recently also the so-called yellow fat ect., can in association with the data on the anamnesis in many cases, through the assumption of bacterio-enterotoxin poisoning, which takes a different course in infants, to that in older children or adults, be traced back to a common origin. Extensive inquiries before the post-mortem, are as much indispensable prerequisites forthe clarification of the cause of sudden death as are the actual post-mortem and the ensuing investigations which must be carried out in the same way.

Bacterial Infections↗
PubMed1977

Bite-marks on battered children.

Instances of human bites are generally rare, although it does sometimes occur that people use their teeth as a means of attack of defence. When looking into cases of the ill-treatment of children we often find bite-marks in addition to other signs of abusement. Eleven cases from the Institute of Forensic Medicine at Düsseldorf University are presented out of a total of 48 cases of ill-treatment of children followed by death in which human bite-marks as well as other haematomas on the victims could be proved. In all cases the cause of death was a subdural haematoma. All but three of the offenders were female, and all were young and subject to excess stress so that the act could eventually be regarded as the result of a disintegration of emotional status. The combination of bite-marks with haematomas and other signs of ill-treatment support with sufficient certainty the conclusion that a criminal action of a third person is involved.

Battered Child Syndrome↗
PubMed1975

[Drug use leading to death (author's transl)].

23 cases are demonstrated, in which the connection between drug use and sudden death is to be accepted. The victims are only males and juveniles. It is demonstrated by the cases reported, that upon the sudden death of a juvenile increased consideration must also be given to a possible connection between death and drug use. First and foremost the drug used is susceptible of leading to death by way of an intoxication due to too large a dosage or owing to oversensitiveness. Far advanced putrefaction, the combined effects of several drugs including alcohol, the difficulty in furnishing chemical proof of the presence of hashish and LSD in body-fluids and organs can make it nearly impossible to clarify the cause of death. Only what has been related in respect of the manner of living and drug use by members of the family, mates and friends makes the connection between death and drug use appear quite likely. The indirect connection between drug use and the juvenile's death is to be accepted if it comes to the accident under the influence of drugs - be it under the impression of invulnerability or omnipotence or in a state of hallucinations. Depressions under the influence of drugs are also susceptible of resulting in real suicidal actions. In case of inexplicable accidents or entirely unexpected suicide drug effects must, therefore, nowadays be thought of.

Adolescent↗
PubMedDate not supplied

[Passive euthanasia].

After having been acquainted with the historical development of euthanasia, the following steps for assitance in dying, called passive euthanasia are being discussed. a) Assistance during dying without speeding up death is the self-evident duty of a doctor. b) Assistance during death and speeding up the same as an unavoidable result of therapeutical treatment, more or less desired or more or less unavoidable. c) Assistance through letting the patient die by abandoning all therapeutical means, when these would only lead to a short extension of life time. No doctor is compelled to take measures to extend life if it is against the will of the patient. He is not even entitled to do so. A special problem is the abandoning of extended operative treatment, this borders on the so called active enthanasia. The dying patient always has the same right of treatment by a docter as well as nursing like all other suffering human beings. The decision to let a patient die should not result in leaving him by himself and to abandon all nursing as well. Such steps would include letting him lie in dirty linen, not sucking off the mucous secretion from the trachea, refusal to assist during mealtimes, non-assistance during cathetering, and the removal of the dying person to the bathroom, or any other remote orner of the hospital. No dying person should stay without help Loneliness especially is the greatest pain of a dying patient.

Ethics, Medical↗