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Tambuzzi S, Gentile G, Primavera R, Muccino E, Zoja R. Pilot Application of SEM/EDX Analysis on Suspected Cigarette Burns in a Forensic Autopsy Case of Child Abuse. Am J Forensic Med Pathol 2024; 45:135-143. [PMID: 38411204 DOI: 10.1097/paf.0000000000000922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2024]
Abstract
ABSTRACT Cigarette burn lesions present forensic scenarios that are often difficult to investigate, both from a morphological diagnostic point of view and with regard to the mode of infliction, especially if the victim is unable to speak or has died. Although there may be the suspicion for a lesion to be produced by a lit cigarette, to date one can only rely on the morphological aspects that characterize it, and there is a lack of tools to reach the most evidence-based diagnosis possible. This limitation arose when managing a forensic autopsy case of possible child abuse that resulted in the death of the child, characterized by the presence of 3 suspicious cigarette burn lesions. We therefore decided to perform scanning electron microscopy/energy-dispersive x-ray (SEM/EDX) spectrometry analysis on these lesions and on the cigarette butt found at the crime scene. At the same time, SEM/EDX was applied to the analysis of an unlit cigarette in its entirety (obtained from the same source package as the cigarette butt), a positive control skin sample with an iatrogenic cigarette burn injury, and a negative control skin sample. Among the various compounds highlighted on compositional analysis, only sulfuric anhydride (SO 3 ) and phosphoric anhydride (P 2 O 5 ) showed a highly significant distribution pattern by being found in the autopsy samples, the cigarette butt, the tobacco of the unlit cigarette, and the positive skin control. Considering this, cigarette burns appear to follow Locard's principle as well, and similarly to other lesions, SEM/EDX allowed the diagnosis of cigarette burn lesions, already suspected morphologically, to be corroborated. Therefore, SEM/EDX is confirmed as a helpful tool in forensic pathology investigations.
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Affiliation(s)
- Stefano Tambuzzi
- From the Laboratory of Forensic Histopathology and Forensic Microbiology, Section of Forensic Medicine, Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
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Galante N, Gentile G, Tambuzzi S, Zoja R. Suicide pacts in the Milan district (Italy): A retrospective autopsy-based study with literature review. J Forensic Leg Med 2022; 86:102319. [DOI: 10.1016/j.jflm.2022.102319] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 01/14/2022] [Accepted: 01/18/2022] [Indexed: 12/18/2022]
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Kildushov EM, Kuznetsov KO, Khrustaleva YA. [Current view on stab/cut injuries]. Sud Med Ekspert 2022; 65:58-63. [PMID: 36196842 DOI: 10.17116/sudmed20226505158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Currently, mechanical trauma is the most significant cause of violent death. The injuries caused by sharp objects rank high in the structure of mechanical trauma. The study objective is to review domestic and foreign literature on the study of stab/cut injuries, identify the main issues and consider new promising diagnostic methods. The stab/cut wound morphology is widely described in the available literature, but little attention has been paid to their study of late postmortem changes. This issue requires consideration since putrefactive corpses (hidden by placing the corpse in water, burying it in the ground, etc.) are often the object of forensic medical examination. New methods for assessing stab/cut injuries are also considered: computed tomography, multilayer computed tomography, scanning electron microscopy, and energy dispersive x-ray spectroscopy. Each of the diagnostic methods has its undeniable advantages and prospects for widespread use in expert practice, but they cannot completely replace the main methods and are intended only to supplement them.
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Affiliation(s)
- E M Kildushov
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - K O Kuznetsov
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - Yu A Khrustaleva
- Military Medical Academy named after S.M. Kirov, St. Petersburg, Russia
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Karakasi MV, Nastoulis E, Zisopoulos K, Markopoulou M, Alexandri M, Bakirtzis C, Douzenis A, Zaggelidou E, Pavlidis P. Investigating the phenomenon of overkill in Greece: A forensic psychiatric autopsy study between 2005 and 2020. J Forensic Leg Med 2021; 81:102184. [PMID: 34020236 DOI: 10.1016/j.jflm.2021.102184] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 04/14/2021] [Accepted: 05/07/2021] [Indexed: 10/21/2022]
Abstract
The purpose of this study was to investigate overkill in the Greek population from a criminological and victimological point of view and explore possible correlations of the phenomenon with socio-cultural or psychiatric factors. Overall, 158 autopsies of overkill victims were identified throughout the 15-year records of the national forensic laboratories throughout the northern Greek mainland. The pattern that has emerged from the statistical results of the present study on the victims of overkill within the Greek borders was generally in line with global statistics on homicide victims, but also presented differences. The phenomenon correlated more with homicides in the context of mental disorders (within schizophrenia spectrum), other crimes (such as burglary) as well as domestic violence. Overall, males outnumbered females both as victims (approximately threefold) and as perpetrators in overkill homicide cases, but regarding domestic violence, the sad majority of overkill victims stood for females murdered with excessive violence by male relatives. Close female relatives (especially mothers and grandmothers) were also victimized by psychiatrically ill offenders. Female perpetrators tended to attack male individuals with whom they shared a relationship (intimate partners). An important finding was the fact that less than half the offenders' population with major mental disorders were diagnosed at the time of the offense. Overkill victims were found, on average, to be older than average homicide victims, being probably associated with the entailed difference in the physical strength ratio between the victim and the perpetrator.
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Affiliation(s)
- Maria-Valeria Karakasi
- Third University Department of Psychiatry, AHEPA University General Hospital, Department of Mental Health, Aristotle University, Faculty of Medicine, GR 54124, Thessaloniki, Greece; Laboratory of Forensic Sciences, Democritus University of Thrace, School of Medicine, GR 68100, Alexandroupolis, Greece
| | - Evangelos Nastoulis
- Laboratory of Forensic Sciences, Democritus University of Thrace, School of Medicine, GR 68100, Alexandroupolis, Greece
| | - Konstantinos Zisopoulos
- Forensic Medical Service of Thessaloniki, Eleftherio Kordelio, GR 54628, Thessaloniki, Greece
| | - Maria Markopoulou
- Department of Forensic Psychiatry, Psychiatric Hospital of Thessaloniki, GR 56429, Stavroupolis, Thessaloniki, Greece
| | - Maria Alexandri
- Department of Forensic Medicine and Toxicology, National and Kapodistrian University of Athens, GR 11527, Goudi, Athens, Greece
| | - Christos Bakirtzis
- Second University Department of Neurology, AHEPA University General Hospital, Department of Neurosciences, Aristotle University, Faculty of Medicine, GR 54124, Thessaloniki, Greece
| | - Athanassios Douzenis
- Second Psychiatry Department, Attikon University Hospital, National and Kapodistrian University of Athens, GR 12462, Chaidari, Greece
| | - Eleni Zaggelidou
- Forensic Medical Service of Thessaloniki, Eleftherio Kordelio, GR 54628, Thessaloniki, Greece
| | - Pavlos Pavlidis
- Laboratory of Forensic Sciences, Democritus University of Thrace, School of Medicine, GR 68100, Alexandroupolis, Greece.
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Look before washing and cleaning: A caveat to pathologists and anthropologists. J Forensic Leg Med 2021; 79:102137. [PMID: 33647534 DOI: 10.1016/j.jflm.2021.102137] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 01/31/2021] [Accepted: 02/14/2021] [Indexed: 12/16/2022]
Abstract
Partially or totally skeletonized bodies are undoubtedly the most challenging scenario to deal with for forensic pathologists and anthropologists. Indeed, in such cases, being able to figure out the cause and manner of death is often tricky. Human remains require to be washed and cleaned before a thorough assessment of any signs of trauma. However, bones and any fragment of more or less putrefied soft tissues may be home to crucial traces for investigative purposes. They are often located in the context of apparently meaningless dirt and, sometimes they are even invisible to the naked eye. Therefore, their careless cleaning inevitably leads to an unintentional loss of such traces with a negative impact on subsequent investigations. For these reasons before proceeding with cleaning, exhaustive examination and sampling must be carried out. In particular fragments of soft tissues, even if putrefied, are absolutely not to be considered as a hindrance for forensic purposes, since they could still provide valuable information after histological examination. Finally, forward-thinking professionals should think about the possible presence of exogenous micro-traces of forensic concern and collect specimens to be analyzed through in-depth analyses, such as Scanning Electron Microscopy with Energy Dispersive X-ray Spectrometry (SEM/EDX). The present series of cases demonstrates that crucial forensic information can be obtained through the analysis of apparently meaningless residues and even of micro-traces not visible to the naked eye and mixed with trivial dirt.
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