Objective: To study reasons that the quality of medico-legal autopsy in the medical tangle varies from different area.
Methods: Collecting the cases of medical tangle in two medico-legal agencies, then counting percent of classes on the ten key-points, analyzing the data of the cases by chi-square test and t-test.
Results: It is indicated that the applied methods and standards of the two agencies are different. There are more different in seven keypoint of medicolegal autopsy by chi-square test.
Conclusion: Six key-points are found to be more important to medico-legal appraiser, standardization of forensic autopsy, standardization of picking up specimen from the body, diagnosis standardization of the cause of death, consultation system and standardization of writing documents on medico-legal autopsy.
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Forensic Sci Int
January 2025
Department of Forensic Medicine, Section of Forensic Pathology, University of Copenhagen, Denmark.
Diagnosing drowning as a cause of death remains complex in forensic pathology, demanding integration of autopsy findings, contextual evidence, and case-specific variables. This study systematically reviews literature on lung weights in adult drowning cases, analyzing data from 20 studies to evaluate lung weight as an evidentiary factor in the diagnosis of drowning deaths. Additionally, this study seeks to examine the impact of covariates such as water salinity (freshwater vs.
View Article and Find Full Text PDFInt J Legal Med
January 2025
Department of Forensic Medicine, University of Helsinki, P.O. Box 21, Helsinki, FI-00014, Finland.
In forensic neuropathology, the β-amyloid precursor protein (β-APP) immunostain is used to diagnose axonal injury (AI). The two most common aetiologies are traumatic (TAI) and ischaemic (vascular; VAI). We aimed to identify background characteristics and neuropathology findings that are suggestive of TAI, VAI, or no AI in neuropathologically examined medico-legal autopsy cases.
View Article and Find Full Text PDFInt J Legal Med
January 2025
Swedish National Board of Forensic Medicine, Retzius v. 5, 171 65 Stockholm, Stockholm, 171 65, Sweden.
The diagnostic use of the diatom test for drowning has been under investigation for more than a century. Despite continuing research, its true usefulness remains controversial and under debate. Data regarding the extent to which diatoms can penetrate the lungs and other organs of drowning victims are conflicting; similar discrepancies exist as to the presence of diatoms in the organs of living individuals; and as to the occurrence of postmortem (PM) contamination.
View Article and Find Full Text PDFInt J Legal Med
January 2025
Forensic Medicine Unit, Finnish Institute for Health and Welfare, P.O. Box 30, Helsinki, FIN-00271, Finland.
In July 2023, an in-house forensic neuropathology consultation pilot was established at the Helsinki office of the Forensic Medicine Unit, Finnish Institute for Health and Welfare. This offered an alternative to the previous practice of full outsourcing to a hospital neuropathology department. This paper aims to introduce the first year experiences of the pilot.
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