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Biomedical subjects

L Adelson

Publications and source records attributed to L Adelson.

At least 19 recordsLinked to original sources
PubMed1991

Pedicide revisited. The slaughter continues.

Pedicide, a reliable indicator of interpersonal violence and severe child abuse, has risen in Cuyahoga County (Metropolitan Cleveland), Ohio, U.S.A., over the past quarter of a century, paralleling or exceeding the increase in adult homicide. However, neonaticides have decreased, a phenomenon mirroring a marked fall in fatal maternal criminal abortions. As previously noted, modalities of lethal violence in pedicide are significantly determined by victim age. An increasing proportion of pedicide victims, like their adult counterparts, have been killed by firearms. Pedicide victims are much apt to be killed by close relatives than are adult homicide victims. Similarly, perpetrators of pedicide are much more likely to commit suicide than are their adult-slaying counterparts. Fatally "battered" children, the victims of multiple, metasynchronous traumata, represent a significant fraction (22%) of the overall pedicide population and constitute a segment of the victims with a potential for being saved by intervention. Overall, pedicide remains a challenge to our profession and a threat to society as a whole.

Adolescent↗
PubMed1991

The moving, projected, annual total. A kinetic prognostic entity.

A simple, inexpensive method of prognostically calculating and graphically recording annual case loads of the various deaths investigated by today's medicolegal offices is presented. Graphic depiction of the numerical data provides a convenient way to compare current prognostications with the records of preceding years.

Death↗
PubMed1989

A comparison of post-mortem ethanol levels obtained from blood and subdural specimens.

Post-mortem subdural ethanol levels have been proposed as a useful test in certain forensic cases involving head trauma, particularly when the time interval from injury to death may have caused a lowering of the blood ethanol concentration to insignificant or undetectable levels. This study of 75 autopsied persons from whom both blood and subdural ethanol levels were obtained, shows the usefulness of the subdural ethanol level, especially where there is a prolonged or unknown post-traumatic time interval. Use of such a test is recommended in these situations.

Autopsy↗
PubMed1989

Forensic pathology then and now. Retrospect and reflections.

The past half-century has witnessed significant progress and multiple, meaningful changes in the day-to-day practice of forensic pathology as it has in all other branches of laboratory and clinical medicine. Associated with the welcome advancing "scientific" aspects of our work have been gratifying changes in the professional status of our much misunderstood area of medical activity, the latter most vividly and convincingly represented by American Board of Pathology certification in Forensic Pathology and the appearance of such growing, vital, national professional organizations as the American Academy of Forensic Sciences and our National Association of Medical Examiners and the creation of such highly respected periodicals as the Journal of Forensic Sciences and our American Journal of Forensic Medicine and Pathology. Objective assessment of the foregoing accomplishments leads to the inescapable conclusion that forensic pathology has emerged from its previous role as the "invisible profession" and become a respected and productive branch of laboratory medicine.

Forensic Medicine↗
PubMed1987

Homicidal poisoning. A dying modality of lethal violence?

Review of the experience of the Cuyahoga County (Cleveland, Ohio and its suburbs) Coroner's Office with homicidal poisonings over the past 3 1/2 decades reveals that this modality of felony homicides constitutes but a tiny fraction of the total case load and small percentages of overall homicides and drug- and chemical-caused deaths of all types. These findings are representative of selected medicolegal establishments across the country, as well as in the United States as a whole. Precise definition of the several types of felonious homicidal poisonings is suggested in the interest of clarity and accuracy of statistical data.

Adolescent↗
PubMed1986

Multivascular atheromatous coronary microembolism.

We report an unusual case of coronary-multivascular, small coronary artery embolism by atheromatous elements originating in a plaque in the main right coronary artery of a 52-year-old man who died of acute thrombotic occlusion of the severely stenotic left anterior descending vessel. The embolized arteries showed the characteristic multiphasic inflammatory changes of different ages previously described in arteries occluded by this material. The myocardium supplied by the involved channels showed ischemic damage of varying ages. Both these observations indicate that the multiple emboli had been discharged at different times, rather than as a single shower. Finally, we make a plea for the use of the correct term "erosion" rather than "ulcer" for the lesion that is the source of the invasive obstructions.

Arteriosclerosis↗
PubMed1986

Trauma as a life-lengthening agency--a biologic paradox.

Traumatic antero-posterior chest compression in two persons promptly (immediately?) following spontaneous rupture of acute, free wall myocardial infarcts created pericardio-pleural fistulae with resultant relief of pericardial tamponade, thus permitting cardiac contractions to occur after they naturally and ordinarily would have ceased.

Accidents, Traffic↗
PubMed1986

Bullet or bite--a contribution to the morphogenesis of gunshot dermal injury.

Histopathologic studies of dermal dog bites revealed changes identical with those observed in distant gunshot skin entrance wounds and in a presternal skin stab wound made by a screwdriver. The similarity of the epithelial and collagen changes produced by these three totally different traumatizing, perforating agencies indicate that it is the bullet's penetrating and crushing power, and not its caloric content, that is responsible for the characteristic dermal collagen changes noted in these common injuries.

Animals↗
PubMed1985

"Swinging in the park". An investigation of an autoerotic death.

Death during autoerotic episodes is of special concern to law enforcement officials, the coroner or medical examiner, the family of the decedent, and to society as a whole. As in the probing of any violent demise, accurate preservation of all evidentiary material, complete photographic documentation, reconstruction of the scene, and interviews with family and acquaintances ("psychological autopsy") are mandatory for proper completion of the case. A recent, atypical instance of sexual asphyxia arising from a bizarre incident exemplifies the foregoing dicta and provides a vivid example of "psychopathia sexualis."

Accidents↗
PubMed1984

Bullet embolism with radiologic documentation. A case report.

A case of bullet embolism is reported wherein a handgun missile, fired during a "shoot-out," perforated (among other structures) the anterior and posterior walls of the thoracic aorta, rebounded into the aortic lumen, and was transported to the left femoral artery where it came to rest. Roentgenographic study was instrumental in promptly locating the errant bullet whose recovery established the identity of the responsible firearm. The implications of bullet embolism of the arterial, venous, and paradoxical types for the forensic pathologist and the clinician are discussed briefly.

Embolism↗
PubMed1981

Wounding characteristics of "shotshell" ammunition: a report of three cases.

Wounds caused by "shotshells" in three homicides are presented. Characteristics of shotshell ammunition based on test firings of .38 Special shotshells are detailed. Differences between shotshell wounds and shotgun wounds may include pattern spread, number of pellet defects, and defects caused by the shotshell wadding and plastic capsule.

Adult↗
PubMed1979

Violent death in a metropolitan county: II. Changing patterns in suicides (1959-1974).

Suicide rates in Cuyahoga County (metropolitan Cleveland) rose from 10.2 in 1958 to 12.5 per 100,000 populations in 1974 (23 per cent increase) with the greatest rise among nonwhite males (from 5.9 to 13.1, or 122 per cent). Increased rates were observed in both the city (19 per cent increase) and suburbs (35 per cent increase). Rates increased among young non-white and white adults of both sexes aged 15--34 years, but decreased slightly among adults aged 65 years and older. These findings are consistent with national trends. Alcohol was present in the blood of one-fourth of the individuals who were "dead on arrival," and at intoxicating levels in 20 per cent. There were increasing percentages of victims with positive blood alcohol and with intoxicating levels during the study period. White male victims in the city had significantly higher frequencies of such findings than their counterparts in the suburbs. The rates of suicide committed by firearms rose among all race-sex groups, with the greatest increase among city nonwhite males (2.1 to 7.7, or 267 per cent). Suicide by chemical agents (roughly one-half being barbiturates) increased in all groups except city nonwhite males, with the greatest increase among white males and suburban white females. Firearms among males and poisoning among females displaced asphyxia as the leading modes of suicide.

Adolescent↗
PubMed1977

Violent death in a metropolitan county. Changing patterns in homicide (1958-74).

Analysis of homicide patterns in Cuyahoga County, Ohio (metropolitan Cleveland), for 1958-1974 discloses the following major trends: a dramatic rise in overall homicide rates in the city (320 per cent) and suburbs (200 per cent); an increase in justifiable homicide; a doubling of the percentage of homicides incident to other felonies; a markedly increased incidence of homicide among younger persons; a conspicuous rise in firearm killings (now 81 per cent of all homicides); and a continued preponderance of intraracial homicide, with the highest rates among nonwhite males in the city. The trends in Cuyahoga County are consistent with those in other United States metropolitan counties. Homicide is responsible for a major part of the decreased life expectancy among young, urban, non-white men. The factor most consistently associated with these trends is the increased use of handguns.

Adolescent↗