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G N Rutty

Publications and source records attributed to G N Rutty.

At least 37 records · Page 2Linked to original sources
PubMed2001

Forensic web watch.

The chosen subject for this month's review is toxicology and covers sites touching upon prescription and illicit drugs, analytical techniques and poisonous plants. It highlights a common problem to the user of the Internet. As more and more people log on and put their web site on for public access, searching for a single, comprehensive, all-encompassing single site becomes almost impossible. Many sites are repetitive or purely personal adverts. Unless you are recommended a site or you are prepared to wade your way through all the junk, one will never find the 'El Dorado' you are seeking.

Journal Article↗
PubMed2001

Forensic web watch.

A search for forensic odontology sites on the Internet revealed thousands of 'hits', of which many constituted dentists offering a private service on their homepages. Several organisations and associations were identified following extensive sifting through these addresses and, despite its growing acceptance in the forensic community, the resources available were superficial and of only moderate educational content. Although many of the sites provided non-specialist information and points of contact for local experts only one was commended for its design and depth. The need for improvement in this field is therefore recommended.

Journal Article↗
PubMed2001

Unique case of fatal carbon monoxide poisoning in the absence of a combustible fossil fuel.

A 37-year-old man died as a result of exposure to carbon monoxide within an apartment. An investigation of the apartment showed no gas appliances or gas supply to the apartment and no evidence of any combustion event to any part of the apartment or roof space. Inhalation of dichloromethane was excluded. Heating to the apartment was found to be via an electrical storage heater, the examination of which revealed that the cast-iron core and insulating material showed evidence of heat damage with significant areas devoid of carbon. This electric storage heater is hypothesized to be the source of carbon for the fatal production of carbon monoxide within the apartment.

Adult↗
PubMed2001

Are coroners' necropsies necessary? A prospective study examining whether a "view and grant" system of death certification could be introduced into England and Wales.

AIMS: To determine whether the cause of death could be accurately predicted without the need for a necropsy, and thus to consider whether a "view and grant" system of issuing a cause of death could be introduced into England and Wales. METHOD: A one year prospective necropsy study was performed incorporating 568 deaths. Before necropsy, in each case the cause of death was predicted from the available history without examination of the body, and this cause was then compared with the cause of death found at necropsy. RESULTS: The ability of the pathologist involved in the study to predict a cause of death before necropsy, either while in the mortuary or as a paper exercise, was shown to vary between 61% and 74% of cases. After the necropsy, the number of correct predicted causes of death ranged from 39% to 46%. Ischaemic heart disease was found to be the most common and most accurately predicted cause of death. Some natural diseases were frequently misdiagnosed, whereas certain types of unnatural disease were always identified correctly. CONCLUSIONS: This study highlights the advantages and disadvantages of a view and grant system. Although it identifies a potential use of such a system, in some cases such as natural cardiac disease, because of the potentially high diagnostic error rate, the continuation of the present system of postmortem examination as part of the coroner's enquiry is recommended.

Autopsy↗
PubMed2000

Human DNA contamination of mortuaries: does it matter?

With the continuing development of extremely sensitive, automated systems for the detection of human DNA from a number of cellular sources, the problem of sample contamination from scenes of crime, cadavers, and the mortuary environment has become a potentially serious issue, with implications for all involved in forensic investigations. A recent survey of 20 mortuaries identified quantifiable human DNA on mortuary work surfaces and instruments which, when amplified, produced in some cases three or more profiles from single site samples. Possible sources of DNA contamination in the mortuary are discussed, along with implications related to its presence and its avoidance during the sampling process. These observations may not be confined to forensic practice.

DNA↗
PubMed2000

DNA contamination of mortuary instruments and work surfaces: a significant problem in forensic practice?

A study of 20 mortuaries was undertaken to assess whether contamination of instruments, tables and cutting areas due to residual material containing human DNA after routine cleaning is an actual or only a theoretical problem. Of the 20 mortuaries studied, 50% were found to have material containing quantifiable human DNA on the instruments and surfaces sampled. This DNA was amplified and found, in some cases, to have been derived from at least three people. Of those that did not yield measurable amounts of DNA, a number of samples were selected at random, amplified and were found to produce partial profiles indicating the presence of low levels of human DNA. The possible sources of human DNA from mortuaries are discussed as well as means to reduce or irradicate the problem of instrument contamination. Finally the implications of these findings for forensic investigations are discussed.

Autopsy↗
PubMed2000

Deaths associated with MBDB misuse.

The use of phenethylamines in the dance scene is now well established. Apart from amphetamine, the commonest phenethylamine encountered in clinical and forensic settings is 3,4-methylenedioxymethamphetamine (MDMA) commonly known as ecstasy. Other phenethylamines, which have similar effects are encountered, such as 3,4-methylenedioxyethylamphetamine (MDEA) and their use has resulted in death. We report two deaths associated with another less commonly encountered member of the group, N-methyl-1-(3,4-methylenedioxyphenyl)-2-butanamine (MBDB), also known as Methyl-J and Eden.

3,4-Methylenedioxyamphetamine↗
PubMed2000

Forensic web watch 3.

Since the publication of the first 'Forensic Web Watch' article a new search engine has become available, free of charge at the time of writing, to surfers of the Internet (Net). Fast Search claims to seek out sites of interest for the user from 'all the Web, all the time trade mark ' as opposed to parts of the Net as is more common with other search machines. It is easy to use, extremely fast but as it searches so much more of the Net, the end result is considerably larger. This, in turn, may lead to a longer time to seek out useful information as opposed to the obscure. Having said this, it is recommended to add to your search engine bookmarks. A search for sites on issues related to 'Police Surgeons' will yield limited information, as each country will have a different person filling this role, all referred to by different terms. The one common feature, however, to all such groups as well as forensic pathologists and scientists, is that they will work with, or in some cases for, the police services of their respective country. Thus, in this article we will look at sites related to the police which may have useful information related to their work, specific cases of interest and research and development which may effect our practice.

Journal Article↗
PubMed2000

beta -amyloid precursor protein positive axonal bulbs may form in non-head-injured patients.

Since the early 1980s axonal bulbs staining positively for beta-amyloid precursor protein (betaAPP) have been used as a marker of diffuse axonal injury (DAI), bulb formation been attributed to shearing forces generated during rotational acceleration/deceleration head injury. This study draws attention to the observation that they may form in the absence of a head injury and, thus, axonal injury cannot be assumed to result from mechanical injury alone. Out of 20 cases with no history of head injury studied, which only showed evidence of neuronal hypoxic change, 11 (55%) showed variable positive staining for betaAPP in a similar anatomical distribution to that previously described for DAI. The role of hypoxia in the formation of axonal bulbs, as well as the possible role of betaAPP as an acute phase protein, are discussed. These observations further clarify the pattern and relationship between neuronal and axonal staining observed following a brain insult and emphasize the possible role of betaAPP as a neuroprotective protein.

Journal Article↗
PubMed2000

Forensic web watch 4.

Finding dedicated sites on the World Wide Web (WWW) touching upon issues related to the autopsy which could be of use to forensic practitioners is, as with other areas of forensic medicine and science, a time-consuming task. Unfortunately, one has to wade through lists related to 'Alien autopsy' sites and even 'Furby autopsy' sites that are generated by the most commonly used web search engines, which have been featured in earlier web reviews. Numerous sites containing large archives of autopsy photographs are available on the web. However, many of these sites represent the darker side of the WWW as they are often presented purely for titillation. Unfortunately, one can equate these sites to the modern-day version of the Victorian 'freak show'--Typically, these sites ask for your Visa card number to view their contents, and several have links to pornography sites; one even links to a Satanist site. Luckily a few of these sites do now require age confirmation codes. As many of these sites show autopsy photographs from real cases one has to ask how these were obtained and who is placing them on the WWW. This review does not list any of these sites for obvious reasons, but it does draw the reader's attention to sites touching upon issues related to autopsies which forensic practitioners may wish to visit or use.

Journal Article↗
PubMed2000

Necrotizing fasciitis: reports of three fatal cases simulating and resulting from assaults.

Necrotizing fasciitis is a progressive, potentially fatal, rapid, necrotizing infection of the subcutaneous tissues and fascia often caused by a mixture of organisms or by infection with group A Streptococcus pyogenes with or without Staphylococcus aureus. Three cases are presented that have been encountered in forensic pathologic practice. Two cases presented after assaults, and the third simulated an assault and burglary. The history, scene, and pathologic findings are presented with a brief review of the literature.

Aged↗
PubMed1999

Forensic web watch.

Now that one has logged onto the world wide web (WWW) and utilized one or more of the home pages listed previously (or used another equally good home page) to seek out basic information available to forensic practitioners, the question now arises of how to go about making the most of the information available. One feature consistent to most home pages is links to the home pages of Associations and Societies, one or more of which most practitioners will be members of. With access to the WWW not only have you access to your own association/society, but you can also keep up to date with all the others to which you have not paid subscriptions. Although an internet search using a WWW search engine or the 'top 6' home pages may assist in identifying a large number of association and society sites, one of the most useful places to start is the home page of the Indian Academy of Forensic Medicine (IAFM). This, to date, lists a total of 139 such sites. To access all the home pages listed may take in excess of 6 h so the following review looks at the range of sites available and recommends some places the author considers many people may wish to know and visit. Again, this is inevitably a personal choice and it is recognized that those sites not listed may, in fact, be the preferred choice for other users of the forensic WWW.

Journal Article↗
PubMed1999

Forensic web watch.

Since the development of the Internet (Net) by the Americans in the 1970s as a potential means of communication following a future world war, it has evolved over the decades into the graphical format of the world-wide web (WWW, Web) that we know today. Anyone accessing the Net, be it from home or work, has access to information and resources on almost anything but with this comes the time-consuming and potentially expensive task of identifying those sites of use in one's professional work from those of purely interest or fun. These reviews will try and direct those working within forensic practice in all professions towards sites considered by the author to be practical resources. They are, by their very nature, a personal opinion and the author recognizes that the review of a site by one person may differ considerably from that of another user or the site designer. The articles will assume a basic knowledge of how to access and use the WWW using either Netscape or Microsoft Explorer. They will address groups of sites related to common areas of practice listing key web addresses to allow those interested to access sites reviewed. Because of the time between writing and publishing some sites may no longer be valid

Journal Article↗
PubMed1999

Under-reporting of suicide in South Yorkshire (West): a retrospective study of suicide and open verdicts returned by HM Coroner, 1992-1997.

A retrospective study was performed using information obtained from HM Coroner for South Yorkshire (West) over the period 1992-1997. All inquests which received a suicide or open verdict were reviewed to investigate the regional suicide statistics and the actual number of cases. Particular attention was paid to the age, sex, mental health and mode of death. There were 295 deaths believed to be suicidal in nature. Of these only 79% had suicide verdicts given and these comprise the official statistics. Of the open verdicts, many were suggestive of suicide but the circumstances were insufficient for the Coroner to be satisfied beyond reasonable doubt of the victims intention to kill themselves. Males and females had the same proportion of verdicts (80 and 76% respectively). Hanging was the commonest mode of suicide, (sex ratio 4.06 male: 1 female) and received a high percentage of suicide verdicts (81.5%). Self-poisoning was second but received suicide verdicts in only 66.3% of cases, whilst carbon-monoxide poisoning had a 98.1% rate of suicide verdict. Of the 295 cases, 202 decedents (88.5%) had a history of mental illness. Depression accounted for 153 cases (75.7%). Twelve decedents had psychotic illness (4%), one-half dying by jumping from a height. Official national data may under-report the annual suicide rate by over 20%. Deaths from poisoning by solid or liquid and jumping from a height appear particularly difficult to establish as suicide in coronial practice, with one-third of cases declared an open verdict.

Journal Article↗
PubMed1999

Surfing the web or drowning in data: a subjective analysis of site and information availability on forensic-related subjects on the internet.

A subjective analysis of information available on the Internet to those working in forensic medicine medicine was performed. Internet web sites addressing forensic pathology, forensic science, anthropology, entomology, law enforcement, societies and journals were assessed. Ease of access, presentation, structure, specialization, links and popularity were reviewed. Each individual site assessed was graded out of 100 and ranked, by subject, to provide the reader with a generalized guide to what the authors considered was useful and/or interesting forensic sites on the internet. The need for a regulatory body for forensic Internet resources is discussed.

Journal Article↗
PubMed1999

Late-form hemorrhagic disease of the newborn: a fatal case report with illustration of investigations that may assist in avoiding the mistaken diagnosis of child abuse.

Hemorrhagic disease of the newborn (HDN) is usually a self-limiting hemorrhagic disorder of childhood that occurs as a result of vitamin K deficiency. It may be defined as early or late form depending on the time of onset related to birth. HDN is recognized as one of several bleeding disorders that can mimic the findings of nonaccidental head injury and may lead to a mistaken diagnosis of child abuse. We present a single fatal case of late-onset HDN with illustration of hematologic assays that can be performed to assist the pathologist in making the correct diagnosis of HDN.

Biomarkers↗