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  • 1
    ISSN: 1437-1596
    Keywords: Key words SIDS ; Endocrine pancreas ; Morphology ; Immunohistochemistry ; Morphometry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Law
    Notes: Abstract The pancreatic islets from 112 infants (66 males and 46 females) who died of SIDS during the years 1990– 1992 have been studied. The control group consisted of endocrine pancreas tissue from 19 infants who died of a clear cause of death (pneumonia, drowning, sepsis, etc.). The mean age of the SIDS group was 5.1 months. We found histologically normally developed organs in all the SIDS cases. By evaluating the relative endocrine cell area of the pancreas by immunohistochemical investigations, A-cells were found to make up 10–30%, B-cells 30–60%, D-cells 10–30% and pancreatic polypeptide cells less than 10% in the SIDS group and in the controls with a small increase in glucagon and insulin cells among SIDS cases. The morphometric evaluation revealed that cell enlargement and cytoplasm shrinking occurred slightly more often in the SIDS group than in the control group. The diameter of the islets was normal and the maximal volume was not enlarged. The results did not show significant differences so that a relationship between alterations of the endocrine pancreas and sudden infant death syndrome could not be demonstrated.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1434-5196
    Keywords: Key words Cyanogen compounds ; Lethal oral ; intoxication ; Ability to act ; Schlüsselwörter Cyan-Verbindungen ; Tödliche orale Intoxikation ; Handlungsfähigkeit
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Law
    Description / Table of Contents: Zusammenfassung Die Einschätzung der Handlungsfähigkeit eines tödlich Vergifteten kann bei der Tatrekonstruktion sehr bedeutsam sein, insbesondere bei der Frage „Selbst- oder Fremdbeibringung des Giftes“. Klinische Publikationen gehen hierauf kaum ein. Deshalb wurden 27 Fälle tödlicher oraler Intoxikationen mit Cyan-Verbindungen der rechtsmedizinischen Institute Würzburg, Hamburg, München, Berlin (FU), Tübingen, Essen und Leipzig, bei denen eine Aussage zur Handlungsfähigkeit des später Verstorbenen möglich war, sowie die dazugehörigen polizeilichen und staatsanwaltschaftlichen Akten unter dieser Fragestellung ausgewertet. Ergebnis: in der Mehrzahl der Fälle betrug die Handlungsfähigkeit nur wenige Sekunden bis maximal 1 bis 2 Minuten. Im Untersuchungsgut und in der Literatur kamen allerdings auch Fälle vor, bei denen die Handlungsfähigkeit über ca. 5 bis 10 min erhalten war. Die Ergebnisse der Arbeit sollen dem Gutachter als Leitlinie bei der Klärung einschlägiger Fälle dienen.
    Notes: Abstract An accurate assessment of the duration of the ability to act of a victim of lethal poisoning can be of crucial importance in reconstructing the cause of the poisoning, especially in determining whether the poison was taken by the victim or given by another. Clinical studies have scarcely dealt with this problem. We therefore investigated 27 cases of lethal oral intoxication with cyanogen compounds on file at the university institutes of forensic medicine in Würzburg, Hamburg, Munich, Berlin (Free University), Tübingen, Essen and Leipzig with regard to the victim’s postintoxication ability to act. In addition we examined the records of the respective police and prosecuters offices as well as the relevant literature. In most cases the ability to act lasted only a few seconds to a maximum of 1–2 min. However, in some of the 27 cases the ability to act lasted for 5–10 min, a finding which agrees with reports in the literature. The present study is intended to provide forensic expert witnesses with guidelines for clarifying similar cases of lethal oral intoxication.
    Type of Medium: Electronic Resource
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