PubMed · 11520557
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J Nauwelaers. 2001-08-18. A titbit.. https://doi.org/10.1016/s0140-6736(01)05700-2
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The study is devoted to one of the numerous factors (namely, body posture), which determine the strength of the neck compression in hanging. Mathematical modeling method and achievements of biomechanics were used. Human body was supposed to consist of 16 freely joined hard parts. The possibility of ligature tension calculation in any position in incomplete hanging is shown. Weight ranges for hanging of male persons in different body positions are presented: in standing posture the ligature is stretched by more than 65% of the body weight, in kneeling position by 64-74%, in sitting by 17-32%, in recumbent posture by less than 18% of the body weight. The importance of the accurate recording of a corpse posture at the place of accident is emphasized, as well as the necessity of the corpse mass evaluation. Significance of the work for medico-legal practice is illustrated by the study of the neck organocomplex trauma in 108 cases of suicidal hanging. Injuries were revealed stereomicroscopically after the complete preparation of the hyoid bone and laryngeal cartilages, preliminary fixed in the formalin solution. Trauma to the neck complex (fractures, infractions, fissures) was found in more than 64% of cases, differences in many of the groups compared are significant, P<0.05. Vulnerability index hyoid bone/thyroid cartilage was 1.75 in complete hanging of the body, 0.88 in standing position, 0.63 in kneeling, 0.33 in sitting, 0.25 in recumbent posture. Results of the study may be used for investigation of dying processes and morphology of hanging.
It had been experimentally shown that disfunction of the airways, major arteries and veins occurs in neck compression due to the violence of different strengths. These differences in the vulnerability of the neck anatomical structures determine the sequence and dynamics of the vital function disorders in strangulation, as well as its morphological features. The purpose of this study was to calculate the value of specific pressure P, which affects the neck along the ligature. Mathematical modeling method was used. Cylinder served the model of the human neck. It was found that P-value is directly proportional to the loop tension and inversely proportional to the radius of the curvature and neck-ligature contact area. Thus, in horizontal neck encirclement the strangulation groove forms a circumference, and P-value is invariable along the loop, as in typical cases of homicidal strangulation. In oblique position of the loop it makes an ellipse with changeable curve curvature, as in most hangings. As the formulas and graphs presented show, the increasing deflection of the loop towards the transverse plane results in increase in P-amplitude, mostly at the expense of its minimal indices (up to hundred per cent) rather than maximal ones (within 20% range). At the same time there are narrow zones along the loop, where the P-value remains almost invariable irrespective of loop deflection degree. The results of the study may be useful for investigation of thanatogenesis and pathomorphology of strangulation, including its experimental modeling.
BACKGROUND: Inflammatory cytokines play an important role in the development of experimental obliterative airway disease (OAD) after transplantation. To further determine the immunologic mechanisms associated with OAD development, we used a murine tracheal transplant model in which a single mismatched HLA-A2-transgenic molecule is indirectly recognized by the recipient CD4+ T cells and then determined whether neutralization of several inflammatory cytokines affected the development of OAD. METHODS: Tracheas from HLA-A2+ C57BL/6 mice were heterotopically transplanted into C57BL/6 mice. Recipients were treated with neutralizing antibodies against tumor necrosis factor (TNF), interferon-gamma (IFN-gamma), or interleukin-1 (IL-1). Allograft histology as well as anti-HLA-A2 antibody development and T cell proliferative responses were determined at days +5, +15, +28, and +60. RESULTS: Allografts in untreated and anti-IFN-gamma-treated recipients demonstrated full development of OAD by day +28. Allografts in anti-TNF-treated recipients showed no evidence of OAD, even at day +60. Allografts in anti-IL-1-treated recipients showed airway epithelium changes by day +28 but minimal evidence of OAD by day +60. Spleen cells from untreated and anti-IFN-gamma-treated recipients showed significantly higher proliferative responses to HLA-A2+ cells, compared with syngeneic recipients (negative controls). In contrast, anti-TNF and anti-IL-1-treated recipients showed significantly lower proliferative responses to HLA-A2+ cells, compared with untreated recipients. Development of anti-HLA-A2 antibodies was detected in all recipients by day +15, with the exception of those treated with anti-TNF. CONCLUSION: Among the inflammatory cytokines, TNF seems to play a crucial role in the immunopathology of OAD developed after transplantation.