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Biomedical subjects

M Kleiber

Publications and source records attributed to M Kleiber.

At least 37 records · Page 2Linked to original sources

[Criminal dismemberment of the corpse].

In the period from 1959 to 1984 the Institute of Legal Medicine in Hamburg had to investigate 27 cases of criminal dismemberment. With regard to all legal autopsies the average frequency was about 1:500. A distinct increase of the number of cases is noticeable within the last years; i.e., 1984 there were 6 victims. Our study enclosed the autopsy findings, the police investigations, and the available court records. 11 cases were classified as defensive and 16 cases as offensive dismemberment of bodies (among these: 2 cases of dismemberment after stealing the corpse and 2 cases of killing the victims by decapitation). One perpetrator had 3 victims, twice there was a perpetrator with 2 victims. The victims were of all ages, but mainly between 40 and 50 years old. 22 of them were female and 5 male. 16 perpetrators could be identified, 14 of them were male and 2 female; all of them were older than 30 years, mostly between the age of 40 and 50. The psychiatric experts classified 11 of the perpetrators as "normal," 3 as abnormal, and 2 as psychotic. More details concerning victims, perpetrators, used instruments for killing and dismembering, elimination and identification of the dismembered bodies and judicial aspects are given in this paper.

Adult↗

["Withholding succour" and the "obligation to give medical assistance" with special reference to the time of death (author's transl)].

"Withholding succour" is, according to German law, an offence. Although this law applies to all citizens there is evidence that it is being increasingly applied to medical activities which are thus liable to become a tort. The reasons for this view and the different interpretations of this law are discussed. Based on a case history the "obligation to give medical assistance" is reviewed. Special attention should be paid to the fact that the interval between cardiac arrest and brain death (a matter of minutes) may become relevant in the indictment of a doctor for a criminal offence even in cases of sudden unexpected death.

Adult↗

[Acute death from scalding: vital reactions (author's transl)].

After a boiler explosion on a ship 12 men with cutaneous scalding of 90-100% of body surface were found dead. 15 other fatalities occured after different intervals. This investigation deals with the histomorphologic changes in those 12 cases of instantaneous death. The most important findings consisted of: 1. Thermal injuries of the skin with multiple subcutaneous and corial bubbles, intravascular heat coagulation, and edema in the transitional zone to the undamaged submucosa. 2. Coagulation necrosis of the tracheal and bronchial wall extending to alveolar ducts in central parts of the lung. Marked congestion and edema in the deeper layers of the mucosa. Hemorrhagic alveolar and interstitial edema of the lung. Striking congestion of the pleura parietalis saving up the recessus diaphragmaticus. 3. Acute nephron-nephrosis and periglomerular microangiopathy. Interstitial edema of the myocardium, degeneration of myofibrils. Acute vacuolar degeneration and swelling of hepatocytes. Phagocytosis of detritus by the RHS. 4. Swelling of endothelium and edema of the vascular walls. Intravascular fragments of erythrocytes, platelet aggregation and fibrin thrombi. The fatal cours in these cases is considered to be due to a fulminant shock syndrome.

Blast Injuries↗