TUBERCULOSIS AS A HAZARD IN THE POSTMORTEM EXAMINATION ROOM

This paper describes women with disabilities who are facing legal cases, most of which are related to cases of sexual violence. The handling of cases of women with disabilities experienced problems, namely: law enforcers did not have a maximum understanding of the disabled; 2) limited access; 3) limited evidence: 4) difficulty communicating; 5) the community does not want to be a witness; 6) length of legal process; 7) lack of knowledge about the law; 8) there is no assistance in the police department during inspections, the examination room is not easily accessible, and the lack of information for victims; 9) the prosecutor does not provide information if the file has been delegated and; 10) judges have difficulty communicating. Therefore, law enforcers must have the same perception of diffables, so that they get legal justice.

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Postmortem Demonstration of the Source of Pulmonary Thromboembolism: The Importance of the Autopsy

Case Reports in Vascular Medicine ◽

10.1155/2011/108215 ◽

2011 ◽

Vol 2011 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Gina Elhammady ◽

Andrew T. Schubeck ◽

Vicky El-Najjar ◽

Morton J. Robinson

Keyword(s):

Pulmonary Embolism ◽

Pulmonary Thromboembolism ◽

Postmortem Examination ◽

Pelvic Vein ◽

Vein Thrombosis ◽

Potential Source ◽

Venous Thromboses

Periprostatic or paravaginal venous thromboses are rarely considered clinically as sites of clot origin in patients with pulmonary thromboembolism. The majority of emboli have been demonstrated to originate in the veins of the legs. This report raises awareness of pelvic vein thrombosis as a potential source of pulmonary embolism that is rarely considered or detected clinically, and which usually requires postmortem examination for recognition. It also reviews the possible routes emboli may take to reach the lungs.

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Thymoma in an aged backyard Leghorn chicken, with reviews of a database and literature

Journal of Veterinary Diagnostic Investigation ◽

10.1177/1040638721990896 ◽

2021 ◽

Vol 33 (2) ◽

pp. 336-339

Author(s):

Julia Blakey ◽

Carmen Jerry ◽

Ana da Silva ◽

Simone Stoute

Keyword(s):

Soft Tissue Mass ◽

Animal Health ◽

Postmortem Examination ◽

Cervical Region ◽

Laboratory System ◽

Unexpected Death ◽

Tissue Mass ◽

Microscopic Features ◽

History Of ◽

Backyard Chickens

A 7-y-old backyard Leghorn chicken ( Gallus domesticus) was submitted to the California Animal Health and Food Safety Laboratory System (CAHFS)–Turlock branch for postmortem examination, with a history of unexpected death. At postmortem examination, a hemorrhagic soft tissue mass was observed in the cervical region. Microscopically, a densely cellular neoplasm of polygonal epithelial cells and small lymphocytes was observed. The microscopic features of the neoplasm in combination with positive immunohistochemistry for pancytokeratin and CD3 were used to classify the lesion as a thymoma. Thymoma was diagnosed in only 5 birds submitted to CAHFS from 1990 to 2019. Thymoma has been described only rarely in birds, and is an unusual diagnosis in backyard chickens.

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Behind the clock: elucidating factors contributing to longer clinic appointment duration and patient wait time

BMC Health Services Research ◽

10.1186/s12913-021-06079-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Daniel Jonathan Kagedan ◽

Stephen B. Edge ◽

Kazuaki Takabe

Keyword(s):

Wait Time ◽

High Volume ◽

Advanced Practice ◽

Single Institution ◽

Clinic Appointment ◽

Nurse Assessment ◽

Patient Wait Time ◽

Encounter Time ◽

Examination Room

Abstract Background Longer wait time in ambulatory clinics can disrupt schedules and decrease satisfaction. We investigated factors associated with patient wait time (WT, check-in to examination room placement), approximate clinician time (ACT, completion of nurse assessment to check-out), and total appointment length (TAL, check-in to check-out). Methods A single-institution retrospective study was conducted of breast surgery clinic patients, 2017–2019, using actual encounter times. A before/after analysis compared a five-day 8 hour/day (from a four-day 10 hour/day) advanced practice provider (APP) work-week. Non-parametric tests were used, and medians with interquartile ranges (IQRs) reported. Results 15,265 encounters were identified. Overall WT was 15.0 minutes (IQR:6.0–32.0), ACT 49.0 minutes (IQR:31.0–79.0) and TAL 84.0 minutes (IQR:57.0-124.0). Trainees were associated with 30.0 minutes longer ACT (p < 0.0001); this increased time was greatest for follow-up appointments, least for new patients. Patients arriving > 5 minutes late (versus on-time) experienced shorter WT (11.0 vs. 15.0 minutes, p < 0.0001) and ACT (43.0 vs. 53.0 minutes, p < 0.0001). Busier days (higher encounter volume:APP ratios) demonstrated increased encounter times. After transitioning to a five-day APP work-week, ACT decreased. Conclusions High-volume clinics and trainee involvement prolong ambulatory encounters. Increasing APP assistance, altering work schedules, and assigning follow-up appointments to non-trainees may decrease encounter time.

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Ant bite artefacts: A series of cases reported over a year

Medico-Legal Journal ◽

10.1177/00258172211018357 ◽

2021 ◽

pp. 002581722110183

Author(s):

Ashwini Kumar ◽

Harvinder Singh Chhabra ◽

Rajiv Joshi ◽

Ravdeep Singh

Keyword(s):

Postmortem Examination ◽

Manner Of Death ◽

Police Investigation

Artefacts are postmortem findings that often complicate an investigation into death. The police and relatives may be bewildered by them, and forensic pathologists need to be well versed with the intricacies that they can pose. We studied postmortem records over a year and report three cases of ant bite artefacts which led the relatives and the police to suspect the manner of death. A thorough postmortem examination endorsed the findings as ant bite artefacts and so correctly advised the police investigation.

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Examination of Abnormal Behavior Detection Based on Improved YOLOv3

Electronics ◽

10.3390/electronics10020197 ◽

2021 ◽

Vol 10 (2) ◽

pp. 197

Author(s):

Meng-ting Fang ◽

Zhong-ju Chen ◽

Krzysztof Przystupa ◽

Tao Li ◽

Michal Majka ◽

...

Keyword(s):

Detection Method ◽

Abnormal Behavior ◽

Detection Accuracy ◽

Average Precision ◽

Research Results ◽

Behavior Detection ◽

Abnormal Behavior Detection ◽

The Mean ◽

Examination Room ◽

Detection Speed

Examination is a way to select talents, and a perfect invigilation strategy can improve the fairness of the examination. To realize the automatic detection of abnormal behavior in the examination room, the method based on the improved YOLOv3 (The third version of the You Only Look Once algorithm) algorithm is proposed. The YOLOv3 algorithm is improved by using the K-Means algorithm, GIoUloss, focal loss, and Darknet32. In addition, the frame-alternate dual-thread method is used to optimize the detection process. The research results show that the improved YOLOv3 algorithm can improve both the detection accuracy and detection speed. The frame-alternate dual-thread method can greatly increase the detection speed. The mean Average Precision (mAP) of the improved YOLOv3 algorithm on the test set reached 88.53%, and the detection speed reached 42 Frames Per Second (FPS) in the frame-alternate dual-thread detection method. The research results provide a certain reference for automated invigilation.

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Thromboembolism after COVID-19 vaccine in patients with preexisting thrombocytopenia

Cell Death and Disease ◽

10.1038/s41419-021-04058-z ◽

2021 ◽

Vol 12 (8) ◽

Author(s):

Alessandro Mauriello ◽

Manuel Scimeca ◽

Ivano Amelio ◽

Renato Massoud ◽

Antonio Novelli ◽

...

Keyword(s):

Adverse Drug Reaction ◽

Drug Reaction ◽

Exome Sequencing ◽

Clinical Case ◽

Severe Disease ◽

Low Frequency ◽

Postmortem Examination ◽

Capillary Leak ◽

Platelet Factor ◽

Whole Exome

AbstractWhile vaccination is the single most effective intervention to drastically reduce severe disease and death following SARS-CoV-2 infection, as shown in UK and Israel, some serious concerns have been raised for an unusual adverse drug reaction (ADR), including vaccine-induced immune thrombotic thrombocytopenia (VITT) with concurrent low platelets as well as capillary leak syndrome. In fact, the overall safety of the vaccine is highlighted by the low frequency of ADR considering that in UK, by the early June, 40 million first doses and 29 million second doses have been injected; nonetheless, 390 thrombotic events, including 71 fatal events have been reported. Interestingly, the cases reported low platelet counts with the presence of anti-platelet factor-4 (PF4) antibodies, indicating an abnormal clotting reaction. Here, out of three referred cases, we report a post-vaccine clinical case of fatal thrombosis with postmortem examination and whole exome sequencing (WES) analysis, whose pathogenesis appeared associated to a preexisting condition of thrombocytopenia due to myelodysplasia.

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Chronic liver disease not a significant comorbid condition for COVID-19

Scientific Reports ◽

10.1038/s41598-021-91238-8 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Jiahao Lin ◽

Bingting Bao ◽

Nigar Anjuman Khurram ◽

Kasey Halsey ◽

Ji Whae Choi ◽

...

Keyword(s):

Liver Disease ◽

Liver Injury ◽

Chronic Liver Disease ◽

The United States ◽

Postmortem Examination ◽

Chronic Liver ◽

Critical Groups ◽

Comorbid Condition ◽

Central Vein ◽

Significant Difference

AbstractTo explore the role of chronic liver disease (CLD) in COVID-19. A total of 1439 consecutively hospitalized patients with COVID-19 from one large medical center in the United States from March 16, 2020 to April 23, 2020 were retrospectively identified. Clinical characteristics and outcomes were compared between patients with and without CLD. Postmortem examination of liver in 8 critically ill COVID-19 patients was performed. There was no significant difference in the incidence of CLD between critical and non-critical groups (4.1% vs 2.9%, p = 0.259), or COVID-19 related liver injury between patients with and without CLD (65.7% vs 49.7%, p = 0.065). Postmortem examination of liver demonstrated mild liver injury associated central vein outflow obstruction and minimal to moderate portal lymphocytic infiltrate without evidence of CLD. Patients with CLD were not associated with a higher risk of liver injury or critical/fatal outcomes. CLD was not a significant comorbid condition for COVID-19.

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