Autopsy ; legislation & jurisprudence ; standards ; Cause of Death ; Dissent and Disputes ; Forensic Pathology ; Humans ; Malpractice ; legislation & jurisprudence ; Medical Errors ; legislation & jurisprudence

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.
Analysis of Variance ; Autopsy/standards* ; Cause of Death ; Coroners and Medical Examiners/education* ; Forensic Pathology ; Humans ; Liability, Legal ; Malpractice ; Medical Errors ; Quality Control

We discovered that the surface area and the length of body wounds or scar can not be calculated each other in the existing standards. It may be unfair to some assessments of body surface impairment. It is necessary to raise a means to solve this problem and provide the reference for the colleague.
Adult ; Cicatrix/pathology* ; Expert Testimony/standards* ; Female ; Forensic Pathology/methods* ; Humans ; Male ; Middle Aged ; Skin/pathology* ; Trauma Severity Indices ; Wound Healing ; Wounds and Injuries/pathology*

OBJECTIVE: In order to improve accuracy of forensic expert conclusion and provide scientific and reasonable accordance for revising identifying criteria for the injury degree, correlation between clinical classification and injury certification of acute closed head trauma were explored. METHODS: A total of 30 cases about acute closed head trauma were selected. Comparison and analysis were made about their differences and the correlation between the clinical classification and the injury degree certification. RESULTS: Mild craniocerebral injury is equal to mild or moderate injury, moderate craniocerebral injury is equivalent to mild or severe injury, severe craniocerebral injury is mostly equivalent to severe injury. CONCLUSION There are some correlation between the clinical classification and the injury certification in acute closed head trauma. It is necessary to refer to the criteria of clinical classification when revising identifying criteria for the injury degree so as to enhance scientific rigor and rationality.
Adult ; Brain Concussion/pathology* ; Expert Testimony/standards* ; Female ; Forensic Pathology/standards* ; Head Injuries, Closed/pathology* ; Humans ; Injury Severity Score ; Male ; Middle Aged ; Retrospective Studies ; Subarachnoid Hemorrhage/pathology* ; Young Adult

Recently, the special characteristics of work with SARS require particular attention to the facilities, equipment, policies and procedures involved. In fact, an autopsy also subject prosectors and others to a wide variety of hazards, including bloodborne, aerosolized pathogens and others (for example SARS). Forensic pathologists and other persons in close proximity to an autopsy need personal protective equipment, fourthemore, laboratory procedure and facility design principles of biosafety should be established for the protection of all personnal involved in the work.
Autopsy ; Forensic Pathology ; Humans ; Infection Control/methods* ; Inhalation Exposure/prevention & control* ; Masks/standards* ; Occupational Exposure/prevention & control* ; Protective Clothing/standards* ; Protective Devices/standards* ; Risk Factors ; Severe Acute Respiratory Syndrome/transmission*

OBJECTIVE: To analyze and summarize the rule of manual strangulation, as well as to look for the key points of injury identification, in order to provide information for formulating and revising the identification regulations. METHODS: Twenty-one cases of manual strangulation from 1963 to 2004 in Xiangfan were reviewed and analyzed according to the characters, symptoms and appraisements. RESULTS: The majority of assaulters in manual strangulation was young adult male and often could find the counteracted wounds on them. The throttling mark reaction usually could be found in victims and the cardinal symptoms were contusion in throat and asphyxiation in ocular region. CONCLUSION The degree of injuries is mainly moderate and slight. There is some inadaptability in the current regulations.
Adolescent ; Adult ; Aged ; Asphyxia/pathology* ; Deglutition Disorders/pathology* ; Expert Testimony/standards* ; Female ; Forensic Pathology ; Humans ; Larynx/pathology* ; Male ; Middle Aged ; Neck/pathology* ; Neck Injuries/pathology* ; Pharynx/pathology* ; Retrospective Studies ; Trauma Severity Indices ; Young Adult

OBJECTIVE: To explore the characteristics of abdominal penetrating injuries with exploratory laparotomy, as well as to summarize the key points of injury degree, and to supply reasonable reference for the practice and criterion modification in forensic clinical medicine identification. METHODS Fifty-seven cases which were all abdominal penetrating injuries with exploratory laparotomy from July 1990 to February 2011 were retrospectively analyzed including the instrument causing trauma, amount of the hemoperitoneum, the organs of the injury, conclusion of the forensic indentification, and so on. RESULTS There was some correlation between the organ injury patterns, volume of hemoperitoneum and identification conclusion for the abdominal penetrating injury cases with exploratory laparotomy. CONCLUSION The intra-abdominal injury has important effect for the injury degree of the abdominal penetrating injury cases with exploratory laparotomy and should be considered in the practice and criterion modification of these kinds of cases.
Abdominal Injuries/surgery* ; Adolescent ; Adult ; Expert Testimony/standards* ; Female ; Forensic Medicine/standards* ; Hemoperitoneum/pathology* ; Humans ; Injury Severity Score ; Laparotomy/methods* ; Male ; Middle Aged ; Retrospective Studies ; Wounds, Penetrating/surgery* ; Wounds, Stab/surgery* ; Young Adult