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Biomedical subjects

Juha Rainio

Publications and source records attributed to Juha Rainio.

8 recordsLinked to original sources

Death from renal cyst: spontaneous or traumatic rupture?

We report an unusual death of an apparently healthy 56-year-old male due to massive hemorrhage caused by rupture of an artery in the wall of a solitary renal cyst, possibly after a relatively minor trauma. Fatalities due to spontaneous or posttraumatic rupture of renal cysts are extremely rare but can represent a potential danger for people with acquired cystic kidney disease. Our report describes results of the forensic investigation and discusses possible mechanisms of the rupture.

Cysts↗

The examination and reporting of war crimes-an example from Finnish history.

We present a historical example of forensic investigation of civilian victims of an armed conflict. During the Civil War in Finland in 1918, 77 external examinations with photographic documentation and 10 forensic autopsies were carried out. However, incorrect conclusions concerning post-mortem changes made by non-medical persons led into erroneous interpretations of the events. Post-mortem changes were considered to be signs of torture and post-mortem mutilation. This example demonstrates how political purposes may falsify results of a forensic investigation.

Deception↗

Fatal gunshot wounds between 1995 and 2001 in a highly populated region in Finland.

Gunshot injuries are a major problem worldwide from the human, medical, and economic perspectives. The number and characteristics of gunshot fatalities have been observed to vary significantly between countries. This study analyzes fatal gunshot wounds in the region of Uusimaa, Southern Finland, between 1995 and 2001. Gunshot wounds were typically found in suicides committed by men aged between 20 and 60 years. In most cases, a handgun was used. Mental disorders were present in the history of almost one quarter of the victims. Alcohol was identified in postmortem toxicology in half of the cases, but drugs of abuse were relatively uncommon. The autopsy rate in Finland is among the highest of the European Union countries, and a medicolegal investigation is performed in virtually all fatal gunshot incidents. This study is therefore representative of forensic investigations of gunshot fatalities in Finland overall.

Adult↗

Suicide by pencil.

We report an unusual suicide, committed with a common pencil. A 72-year-old male inflicted himself a penetrating thoracic wound while being hospitalized for a hip prosthesis operation. Although the patient was immediately operated, the cardiac injury appeared to be fatal. Cases of suicidal penetrating wounds of the anterior chest wall are rare and they are mostly inflicted by knives, glass fragments, or other sharp instruments. The potential danger of a pencil should be taken into consideration, especially in psychiatric hospitals and imprisonment facilities. We examined the legislation in Italy and Finland concerning the regulation of privacy in special care institutions.

Aged↗

The death of Adolf Hitler--forensic aspects.

The death of Adolf Hitler is one of the unsolved mysteries of the twentieth century. Numerous historians and journalists have attempted to piece together the details, but despite the interest in the forensic literature regarding the identification of the body, there has not been much scientific debate about the alleged cause of death--cyanide poisoning, gunshot injury, or both. The available literature concerning Hitler's cause of death is incomplete because the toxicological analysis has not been performed and because the skull bone fragment with a gunshot wound possibly from Hitler's corpse has not been properly examined. This has given basis for various theories, which are reviewed. We believe that mtDNA analysis of the skull fragments and of Hitler's jaw, now filed in Moscow, and samples from maternal relatives of Hitler are crucial linking the skull fragment with the gunshot wound to Hitler.

Autopsy↗

Cocaine found in a child's hair due to environmental exposure?

We report a case of a 6-year-old boy who had been living with his parents, both cocaine smokers, and who was urgently admitted to hospital for general distress. Upon examination, cocaine and cocaine metabolites were detected in hair and urine samples. These toxicological findings most likely indicate that the child had passively consumed the drug when living in a heavily contaminated environment.

Biomarkers↗

Amniotic fluid embolism as cause of death in a car accident--a case report.

Amniotic fluid embolism (AFE), a relatively rare complication in pregnancy, has a high mortality rate. We describe a case of a 38-week pregnant woman with such an embolism leading to almost immediate death after a blunt abdominal trauma inflicted in a motor vehicle accident and probably associated with improper positioning of a seat belt. It has been assumed that the pathophysiology of amniotic fluid embolism is related to an anaphylactoid reaction and that mast cell degranulation indicates this mechanism. Moreover, immunohistochemical antitryptase staining of pulmonary tissue samples in our case revealed mast cell degranulation.

Accidents, Traffic↗

Morphology of experimental assault rifle skin wounds.

Finnish forensic experts who had performed investigations of victims of alleged political violence in Kosovo, in the Federal Republic of Yugoslavia, under the mandate of the European Union, carried out experimental shooting in Finland to confirm observations made during the earlier forensic investigation. Experimental shooting can be of benefit for autopsy conclusions, because the wounding potential of military weapons differs from that of non-military weapons. Assault rifle gunshot wounds were inflicted upon anaesthetised swine from various distances and angles and with variable shielding of the skin. The morphology of the skin wounds was studied and post-mortem changes were documented while the wounds were being observed in cool and room temperature conditions for 13 days. Large variation was found in the size, form, and regularity, and in the presence and width of the abrasion zone of entrance and exit wounds, in addition to secondary wounds. The maximum diameter of entrance wounds varied between 4 and 40 mm and that of exit wounds between 10 and 110 mm. The width of the abrasion zone surrounding entrance wounds ranged from 2 to 11 mm. Extreme care and caution are needed when drawing conclusions with regard to cases of multiple gunshot injuries, and especially when post-mortem changes are considerable.

Animals↗