The objective of the present study was to demonstrate the possibility of the diagnostics of prescription of death coming (PDC) based on the results of the studies with the application of the entomological and microbiological methods. The entomological materials included larvae of two dipteran species Stearibia nigriceps (Piophilidae) and Fannia vesparia (Fanniidae) collected from bone tissue fragments and the bony bed. The detailed investigation of the succession of necrophilic insects taking place in the course of decomposition of organic matter and the development of the preimaginal stages of the dipterans made it possible to determine the duration of the period during which the corpse remained in the ambient environment. The microbiological studies made it possible to determine the composition of necrobiome of the bone remains. It included, among other things, the association of soil bacterial forms belonging to the orders Actinomycetales, Pseudomonadales, and Aeromonadales in the combination with the fungi of the order Endomycetales. The enteral microorganisms that trigger putrefaction at the early stages of corpse decomposition were totally absent in the remains that hosted soil microorganisms destroying the hard tissues. The predominance of Actinobacteria in the samples of bone remains gave evidence of active disintegration of the skeletal tissues by the bacterial species inhabiting the local soil milieu. The study demonstrated that the results of the analysis of the microbial constituent of the washouts from the surfaces of the skull and the left upper arm bone of the human corpse were consistent with the conclusion about the prescription of death coming based on the entomological data. It is agued that the development of the methods for the diagnostics of prescription of death coming, including those to be used for the examination of the skeletonized corpses, based on the results of the entomological and microbiological investigations has good prospects as an area of research in the field of forensic medicine.
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http://dx.doi.org/10.17116/sudmed20186106152 | DOI Listing |
Sci Rep
January 2025
Division of Pulmonology, Faculty of Medicine, Medical University of Gdańsk, Smoluchowskiego 17, 80-214, Gdańsk, Poland.
Chronic obstructive pulmonary disease (COPD) exacerbations frequently cause patient consultations in both out- and inpatient settings. Recent data suggest that only 40-60% of exacerbations are of bacterial origin and mandate antibiotic treatment. However, a reliable tool to justify prescribing antibiotics for COPD exacerbation is still lacking.
View Article and Find Full Text PDFBMJ Glob Health
January 2025
CERPOP, Toulouse, France.
Introduction: We describe the 24-month incidence of Dolutegravir (DTG)-containing antiretroviral treatment (ART) initiation since its introduction in 2019 in West Africa.
Methods: We included all patients aged 0-24 years on ART from nine clinics in Côte d'Ivoire (n=4), Ghana, Nigeria, Mali, Benin, and Burkina Faso. Baseline varied by clinic and was defined as date of first DTG prescription; patients were followed up until database closure/death/loss to follow-up (LTFU, no visit ≥7 months), whichever came first.
Medicine (Baltimore)
November 2024
Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.
Background: Chronic kidney disease (CKD) patients face critical decisions in choosing kidney replacement therapy such as hemodialysis (HD) or peritoneal dialysis (PD), which significantly affect their quality of life and health outcomes. Recent studies highlight the importance of shared decision-making (SDM) in helping patients understand their treatment options and make informed choices. SDM not only improves patient satisfaction and autonomy but also emphasizes the need for comprehensive pre-dialysis education to support optimal treatment selection.
View Article and Find Full Text PDFAnn Surg Oncol
January 2025
Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
Background: Nearly 25% of opioid-related deaths are from prescribed opioids, and the exacerbation of the opioid epidemic by the coronavirus disease 2019 (COVID-19) pandemic underscores the urgent need to address superfluous prescribing. Therefore, we sought to align local opioid prescribing practices with national guidelines in postoperative non-metastatic breast cancer patients.
Methods: A single-institution analysis included non-metastatic breast surgery patients treated between April 2020 and July 2021.
Drug Alcohol Depend
January 2025
University of Miami Miller School of Medicine, Department of Public Health Sciences, United States.
Introduction: Prevalence estimates of opioid use disorder (OUD) at local levels are critical for public health planning and surveillance, yet largely unavailable across the US especially at the local county level.
Methods: We used a Bayesian evidence synthesis approach to estimate the prevalence of OUD for 57 counties across New York State for 2017-2019 and compare rates of OUD across counties as well as assess the extent of undiagnosed OUD. We developed a generative model to assess conditional probabilistic relations between different subgroups of the OUD population defined by diagnosis, treatment, and overdose fatality.
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