Browsing by Author "Carpinteiro, D"
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- Enlarged parietal foramina: a rare forensic autopsy findingPublication . Durão, C; Carpinteiro, D; Pedrosa, F; Machado, MP; Cunha, EEnlarged parietal foramina (EPF) are a quite rare developmental defect of the parietal bone which has to be distinguished from the normal small parietal foramina. We report a forensic case of an individual found in an advanced state of putrefaction in his own house with an undetermined cause of death. No evidence of trauma was observed, and the toxicological exam was negative. The victim was a 40-year-old man with a history of epilepsy. The large biparietal foramina, a rare anatomical variation and unusual autopsy finding, were observed at autopsy. The recognition of anatomical variations is important to avoid false interpretations and conclusions and has a significant potential as an identity factor, thus contributing to positive identification.
- Homicide, Suicide or Accident? The Importance of Forensic Autopsy in a Case of “Cafe Coronary Syndrome”Publication . Durão, C; Carpinteiro, DDetermining the cause of death and its forensic etiology is crucial in forensic investigation. The autopsy should clarify and elucidate the Court in its decisions. Suicide may be ground for exclusion in insurance and in certain contracts doubles the amount paid in cases of homicide or accidents opposing natural death. This paper presents a case of death by asphyxiation as the result of an accident where an altered state of consciousness of a drunken victim made him choke with a whole steak. “Cafe Brazilian Journal of Forensic Sciences, Medical Law and Bioethics 4(3):332-336 (2015) 333 C. H. Durão & D. Capinteiro coronary” was term coined by Haugen in 1963 for sudden and unexpected death occurring during a meal due to accidental occlusion of the airway by food. It were excluded the possibilities of murder and suicide, which hitherto existed. The case provides good documentation and particular medical legal interest, confirming the importance of the autopsy and the opening of all wells, including observation of the neck organs.
- A large outbreak of Legionnaires’ Disease in an industrial town in PortugalPublication . George, F; Shivaji, T; Pinto, CS; Serra, LA; Valente, J; Albuquerque, MJ; Vicêncio, PC; San-Bento, A; Diegues, P; Nogueira, PJ; Marques, T; Rebelo, H; Costa, F; Rodrigues, R; Nunes, A; Borges, V; Gomes, JP; Sampaio, D; Barreiro, P; Duarte, S; Carpinteiro, D; Mendonça, J; Silva, C; Vieira, L; Simões, MJ; Gonçalves, P; Nunes, B; Dias, C; Machado, J; Almeida, F; Goncalves, EA; Carvalho, L; Viterbo, P; Jardim, D; Lacasta, N; Boavida, F; Perez, A; Santana, I; Matias, P; Banza, N; Rabacal, CBackground We describe the investigation and control of an outbreak of Legionnaires’ disease in Portugal in October, November and December 2014. Methods Confirmed cases were individuals with pneumonia, laboratory evidence of Legionella pneumophila serogroup 1 and exposure, by residence, occupational or leisure to the affected municipalities. 49 possible sources were reduced to four potential sources, all industries with wet cooling system, following risk assessment. We geo-referenced cases’ residences and the location of cooling towers defining four study areas 10 km buffer centered on each cooling tower system. We compared the number of cases with expected numbers, calculated from the outbreak's attack rates applied to 2011 census population. Using Stones’ Test, we tested observed to expected ratios for decline in risk, with distance up to 10 km four directions. Isolates of Legionella pneumophila were compared using molecular methods. Results We identified 403 cases, 377 of which were confirmed, 14 patients died. Patients became ill between 14 October and 2 December. A NE wind and thermal inversion were recorded during the estimated period of exposure. Disease risk was highest in people living south west from all of the industries identified and decreased with distance (p < 0.001). 71 clinical isolates demonstrated an identical SBT profile to an isolate from a cooling tower. Whole genome sequencing identified an unusual L. pneumophila subsp. fraseri serogroup 1 as the outbreak causative strain, and confirmed isolates’ relatedness. Conclusions Industrial wet cooling systems, bacteria with enhanced survival characteristics and a combination of climatic conditions contributed to the second largest outbreak of Legionnaires’ disease recorded internationally.
- Qual o melhor método de conservação para estudos biomecânicos? Protocolo entre a SPOT e o INMLPublication . Durão, C; Carpinteiro, D; Oliveira, J; Lucas, F