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Vol. 74 (3)

2024 Next

Publication date: 16.12.2024

Licence: CC-BY-NC-SA  licence icon

Editorial team

Secretary Rafał Skowronek

Deputy Editor-in-Chief Tomasz Jurek

Editor-in-Chief Tomasz Grzybowski

Issue content

ORIGINAL PAPERS

Magda Wojarska, Lidia Ziobro, Oliwia Boruta, Kateryna Shtohryn, Julia Suchcicka, Wiktoria Wojturska, Ewa Rzepecka-Woźniak, Tomasz Konopka

Archives of Forensic Medicine and Criminology, Vol. 74 (3), 2024, pp. 195-205

https://doi.org/10.4467/16891716AMSIK.24.015.20813

The aim of this study was to investigate in which rivers and water bodies the phenomenon of corpse damage caused by scuds occurs, whether it is related to the duration of the body’s immersion in water, and to define the common characteristics of such skin lesions. Furthermore, the frequency of its occurrence was assessed, taking into account air temperature and season.

Material and methods: The autopsy reports from the Department of Forensic Medicine at Jagiellonian University in Krakow for the years 2015-2024 were analysed. A total of 285 cases of drowning victims were selected. The occurrence and type of injuries were verified based on documentation and autopsy photographs. Histopathological examinations were performed at the Department of Forensic Medicine to confirm the presence of human proteins in the digestive system of crustaceans.

Results and conclusions: A common feature in all the cases was the punctate disruption of the epidermis. In 5 out of 285 cases, small crustaceans were found, along with epidermal lesions on exposed parts of the body. Similar damage, but without the presence of individuals of scuds, was present on 25 bodies. No typical damage caused by D. haemobaphes was found on corpses in an advanced state of decomposition. The phenomenon of scud scavenging on corpses was observed almost exclusively at positive air temperatures, with an increase during the spring-summer period. The characteristic punctate epidermal lesions on corpses retrieved from water are the result of scud scavenging, including D. haemobaphes. Such damage occurred only when the time between the victim’s death due to drowning and their retrieval from the water was short. The largest number of drowning victims with signs of scud scavenging was found in the Vistula River.

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Łukasz Marczyk, Marcin Skorupa, Kacper Gil, Bartłomiej Cytlau, Joanna Augustyn, Aleksandra Łach, Tomasz Konopka

Archives of Forensic Medicine and Criminology, Vol. 74 (3), 2024, pp. 206-220

https://doi.org/10.4467/16891716AMSIK.24.016.20814

The Aim of the work: To describe autopsy findings of suicide victims who used inorganic compounds over the past five years and to attempt to explain the resurgence of these substances as a method of suicidal poisoning.

Material and Methods: The study is based on a retrospective analysis of autopsy reports from the Department of Forensic Medicine in Cracow, covering the years 2018-2023. Cases of death resulting from suicide by ingestion of inorganic compounds were collected based on toxicological analyses.

Results: Between 2018 and 2023, 23 cases were identified (19 men and 4 women at an average age of 30 years). In 15 victims, poisoning with methemoglobin-forming substances was confirmed; in 7 of these cases, toxicological tests determined the substance to be sodium nitrite. In 13 individuals from this group, livor mortis was cyanotic or grayish in color. In 7 cases, brown blood discoloration was noted. Six more victims chose potassium cyanide as the method of suicide; all displayed congestion of internal organs as well as pulmonary edema. Intensely or moderately reddened stomach mucosa was found in 3 victims. Two individuals committed suicide by ingesting sodium azide.

Conclusions: In recent years, there has been a noticeable increase in suicides involving inorganic compounds. Key factors contributing to this upward trend include easy availability of these poisons and the widespread access to information online regarding their effective use. The relatively young age of the victims can be attributed to their proficiency in using this medium

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Szymon Rzepczyk, Paweł Świderski, Damian Rusek, Jakub Czerwik, Ryszard Żaba, Czesław Żaba

Archives of Forensic Medicine and Criminology, Vol. 74 (3), 2024, pp. 221-227

https://doi.org/10.4467/16891716AMSIK.24.017.20815

The assessment of physical violence against children is an important issue in forensic medicine, particularly in the case of infants and toddlers, who, due to their stage of development, are unable to communicate the violence inflicted upon them. This case describes a two-week-old girl of Roma origin, who was transferred from a temporary to a foster family. While changing the child, the foster parents noticed bruises in the sacral area. Based on the initial assessment of these changes at the hospital, the authorities were notified and an investigation was initiated. The first court expert assessing the changes indicated that the image resembled resorbing haemorrhages resulting from trauma. Another team of experts, consisting of specialists in forensic medicine, dermatology and pathology, was appointed. Based on the analysis of medical records and a physical examination using a dermatoscope, pale-blue spots characteristic of the Mongolian spot were found in the lumbar and buttock areas. Mongolian spots are congenital developmental abnormalities classified as melanocytic naevi. In most cases, the changes appear immediately after birth or shortly thereafter. Clinically, a lesion appears as single or multiple spots on the lower back, sacrum, or buttocks. These lesions can range in colour from dark grey to blue-green and take on various shapes, such as round, oval, or irregular. Lesions on the skin of children can morphologically resemble bruises, so their evaluation requires special attention. In case of doubt as to the nature of the lesion, additional examination should be performed. Furthermore, the analysis of medical records and the evaluation by a dermatologist can be helpful.

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Paweł Machała, Anna Smędra, Jarosław Berent, Katarzyna Wochna

Archives of Forensic Medicine and Criminology, Vol. 74 (3), 2024, pp. 228-243

https://doi.org/10.4467/16891716AMSIK.24.018.20816
In assessing the correctness of dentist’s proceedings, the expert opinion plays a crucial role and forms the basis for the decision-making process of the procedural authority. Experts, using their knowledge and experience, while also relying on medical standards and recognized international indicators of orthodontic treatment effectiveness, evaluate the medical proceedings. The aim of the study was to analyse the opinions concerning orthodontic treatment in the material of the Chair and Department of Forensic Medicine of the
Medical University of Lodz. During the examined period from 2016 to 2023, 14 such opinions were issued. These opinions were analysed in terms of case characteristics and primarily examined whether there is a correlation between the orthodontic specialization of the
dentist conducting the treatment and the expert’s assessment of their proceedings. Our analysis indicates that the qualifications of the dentist, understood as holding a specialization, affect the objective quality of orthodontic treatment. In cases where an opinion indicated incorrect proceedings, the error was most often made at the stage of orthodontic diagnosis, leading to the implementation of incorrect treatment. Therefore, dentists without a specialization – although no regulation prohibits them from providing orthodontic treatment – should realistically assess their capabilities before undertaking such treatment. This is particularly important because if they do undertake such treatment, their actions will be judged in the same way as those of specialists..
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Anna Więcek-Durańska

Archives of Forensic Medicine and Criminology, Vol. 74 (3), 2024, pp. 244-264

https://doi.org/10.4467/16891716AMSIK.24.019.20817
The main aim of the study was an attempt to develop and present characteristics of rapes that occurred in the family, with consideration of the modus operandi of the perpetrators according to the degree of kinship, their motivational background, the circumstances under which the acts were committed, and the psychosocial profile of the perpetrator and the victim. Moreover, an attempt was made to isolate the risk factors for intra-familial rapes, with the possibility of using them in preventive measures. The study was conducted based on empirical material from court cases in which the perpetrators of rapes were related to the victims. The research material consisted of files of criminal cases completed with a final judgment in 2015-2020. At the request of the researcher, criminal cases meeting the accepted criteria, where the male or female perpetrator of rape was a person related to the victim or a partner, were made available from the criminal departments of the courts. In the study presented here, a total of 46 intra-familial rape cases were analysed, of which 38 involve incestuous rape and 8 involve partner rape. Regardless of the type of abuse and kinship, the perpetrators were characterized by a fairly low psychosocial status (low level of education, low occupational status), addiction or alcohol abuse, personality disorders, problems with higher emotionality. Most of the acts against minors were of a substitutionary nature, the perpetrators did not show sexual preference disorders in the form of paedophilia. Alcohol abuse and personality disorders are risk factors irrespective of the cases. Impulse and emotional control deficits, deficits in understanding emotions and feelings, low self-esteem and lack of established normal male role models. A risk factor is the perpetrators’ limited intellect and associated impaired social functioning: reduced critical thinking, lack of internalised social norms, elevated levels of sexual drive and limitations in the areas of impulse control and deferring gratification.
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Karolina Nowak, Marcin Zawadzki, Paweł Szpot

Archives of Forensic Medicine and Criminology, Vol. 74 (3), 2024, pp. 265-279

https://doi.org/10.4467/16891716AMSIK.24.020.20818

Purpose: Forensically, the widespread use of antibiotics necessitates methods for their detection in biological materials to ascertain their role in adverse reactions or fatalities. Given the need to conduct toxicological studies on materials stored for extended periods under various temperature conditions, research on antibiotic stability in biological matrices over such durations is crucial for accurate toxicological assessments.

Methods: The stability of cefuroxime in blood and urine was determined for 278 days at three different temperatures: -15°C, +4°C, +23°C. The analyses were conducted using ultra-high-performance liquid chromatography coupled with triple-quadrupole tandem mass spectrometry. Results: The method met all validation requirements. This study also describes the results of the thermal stability of cefuroxime. Cefuroxime showed the greatest stability at -15°C and was highly unstable at room temperature (+23°C) in all types of studied biological matrices.

Conclusions: The study confirms instability of cefuroxime in blood and urine samples. Therefore, the analysis of this antibiotic in biological matrices for purposes such as forensic toxicology should be performed as soon as possible after sampling to avoid decline in concentration. In cases of prolonged material storage, the concentrations should be cautiously interpreted in the prepared expertise.

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