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  1 / 12372 MEDLINE  
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[PMID]:29447291
[Au] Autor:Tanuseputro P; Beach S; Chalifoux M; Wodchis WP; Hsu AT; Seow H; Manuel DG
[Ad] Endereço:Bruyère Research Institute, Ottawa, Ontario, Canada.
[Ti] Título:Associations between physician home visits for the dying and place of death: A population-based retrospective cohort study.
[So] Source:PLoS One;13(2):e0191322, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: While most individuals wish to die at home, the reality is that most will die in hospital. AIM: To determine whether receiving a physician home visit near the end-of-life is associated with lower odds of death in a hospital. DESIGN: Observational retrospective cohort study, examining location of death and health care in the last year of life. SETTING/PARTICIPANTS: Population-level study of Ontarians, a Canadian province with over 13 million residents. All decedents from April 1, 2010 to March 31, 2013 (n = 264,754). RESULTS: More than half of 264,754 decedents died in hospital: 45.7% died in an acute care hospital and 7.7% in complex continuing care. After adjustment for multiple factors-including patient illness, home care services, and days of being at home-receiving at least one physician home visit from a non-palliative care physician was associated with a 47% decreased odds (odds-ratio, 0.53; 95%CI: 0.51-0.55) of dying in a hospital. When a palliative care physician specialist was involved, the overall odds declined by 59% (odds ratio, 0.41; 95%CI: 0.39-0.43). The same model, adjusting for physician home visits, showed that receiving palliative home care was associated with a similar reduction (odds ratio, 0.49; 95%CI: 0.47-0.51). CONCLUSION: Location of death is strongly associated with end-of-life health care in the home. Less than one-third of the population, however, received end-of-life home care or a physician visit in their last year of life, revealing large room for improvement.
[Mh] Termos MeSH primário: Hospitais/utilização
Visita Domiciliar/utilização
Assistência Terminal/métodos
[Mh] Termos MeSH secundário: Canadá
Estudos de Coortes
Morte
Feminino
Serviços de Assistência Domiciliar/tendências
Serviços de Assistência Domiciliar/utilização
Cuidados Paliativos na Terminalidade da Vida/tendências
Hospitalização/tendências
Hospitais/tendências
Seres Humanos
Masculino
Razão de Chances
Cuidados Paliativos
Médicos
Qualidade de Vida
Estudos Retrospectivos
Assistência Terminal/tendências
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180216
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191322


  2 / 12372 MEDLINE  
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[PMID]:29231007
[Au] Autor:Du YL; Zhang WL
[Ad] Endereço:Nine-three Reclamation Public Security Bureau, Nenjiang 161441, China.
[Ti] Título:[Automobile Traffic Accident Death Case Analysis of Characteristics of Driver Injury].
[So] Source:Fa Yi Xue Za Zhi;33(1):36-37, 2017 Feb.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To distinguish the injury characteristic changes on the drivers between the injuries of drivers and passengers in traffic accidents, and to provide scientific evidence for confirming the identity of driver in traffic accidents. METHODS: Data of 126 automobile traffic accident death cases in the reclamation areas of Heilongjiang province from 2006-2014 were retrospectively studied. The injury characteristics on the drivers of automobile traffic accident death cases were analyzed and the forensic identification problem in the injuries of drivers and passengers were discussed. RESULTS: Injuries were frequently observed on driver's neck, chest and abdomen. The characteristic injuries caused by auto parts were also found, which appeared at the places of passenger's head, face and limbs contacted with automobile. Such characteristic injuries were not found at other places. CONCLUSIONS: The location and type of injury are associated with the identity of the deceased.
[Mh] Termos MeSH primário: Acidentes de Trânsito/mortalidade
Condução de Veículo/estatística & dados numéricos
[Mh] Termos MeSH secundário: Acidentes de Trânsito/estatística & dados numéricos
Automóveis
China/epidemiologia
Morte
Extremidades/lesões
Feminino
Cabeça
Seres Humanos
Estudos Retrospectivos
Tórax
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2017.01.009


  3 / 12372 MEDLINE  
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[PMID]:29205969
[Au] Autor:Zhang W
[Ad] Endereço:Department of Forensic Medicine, National Police University of China, Shenyang 110035, China.
[Ti] Título:[Forensic Analysis of the Characteristics of Pelvic Fracture in 65 Road Traffic Accident Death Cases].
[So] Source:Fa Yi Xue Za Zhi;32(6):428-430, 2016 Dec.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To analyze the characteristics and mechanisms of pelvic fractures in the cases of road traffic accident deaths. METHODS: Total 65 cases of road traffic accident deaths with pelvic fracture were collected, and the sites, characteristics and injury mechanisms of pelvic fracture were statistically analyzed. RESULTS: Among the 65 cases of pelvic fracture, 38 cases of dislocation of sacroiliac joint were found, and most combined with pubis symphysis separation or fracture of pubis. In the fractures of pubis, ischium and acetabulum, linear fractures were most common, while comminuted fractures were most common in sacrum and coccyx fractures. There were 54 cases combined with pelvic soft tissue injury, and 8 cases with pelvic organ injury and 44 cases with abdominal organ injury. In the types of pelvic ring injury, 32 cases were separation, 49.32%, followed by compression, 26.15% and only one case was verticality, 1.54%. CONCLUSIONS: Detailed and comprehensive examination of the body and determination of the pelvic fracture type contribute to analyze the mechanisms of injury.
[Mh] Termos MeSH primário: Acidentes de Trânsito
Fraturas Ósseas/diagnóstico
Ossos Pélvicos/lesões
[Mh] Termos MeSH secundário: Acetábulo/lesões
Morte
Patologia Legal
Fraturas Cominutivas/diagnóstico
Seres Humanos
Ísquio/lesões
Lesões dos Tecidos Moles/diagnóstico
Fraturas da Coluna Vertebral/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2016.06.008


  4 / 12372 MEDLINE  
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[PMID]:29188668
[Au] Autor:Xie X; Dong XD
[Ad] Endereço:Criminal Science Office, Suixi Public Security Bureau, Huaibei 235100, China.
[Ti] Título:[Analysis of Forensic Characteristics about 23 Family Homicide Cases].
[So] Source:Fa Yi Xue Za Zhi;32(4):264-265, 2016 Aug.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To provide references for forensic analysis of family homicides cases by analyzing the situations of scene, injuries and individual which were related to the family homicide cases in a county. METHODS: The data of 23 family homicide cases from 2004 to 2013 were collected. The basic situation of individual involved, the relationship between dead and suspect, the cause of death, the motive, the location, time and tools of the crime and the behavior of the suspect after crime etc. were analyzed. RESULTS: The characteristics of the 23 family homicides cases showed that couple relationship was the most common relationship; passion killing was the most common motive; local materials were mostly used as the tools for committing crimes; most crimes were committed in residences; most time of crime was night. CONCLUSIONS: The analysis of family homicide cases should be based on the scene investigation, the examination of the body and combined with the investigation of the situation.
[Mh] Termos MeSH primário: Homicídio
Motivação
[Mh] Termos MeSH secundário: Morte
Família
Ciências Forenses
Seres Humanos
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2016.04.007


  5 / 12372 MEDLINE  
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[PMID]:28457506
[Au] Autor:Muggenthaler H; Hubig M; Schenkl S; Niederegger S; Mall G
[Ad] Endereço:Institute of Forensic Medicine, Jena University Hospital - Friedrich Schiller University Jena, Germany. Electronic address: holger.muggenthaler@med.uni-jena.de.
[Ti] Título:Calibration and parameter variation using a finite element model for death time estimation: The influence of the substrate.
[So] Source:Leg Med (Tokyo);25:23-28, 2017 Mar.
[Is] ISSN:1873-4162
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:The most established method for temperature based death time estimation is based on an empirical double exponential model. New physically based approaches using numerical simulation techniques are subject of current research. A major advantage of such models is the possibility to incorporate non-standard boundary conditions. The aim of this study was to investigate the influence of the substrate on the cooling rate of a body in the early postmortem phase. A finite element model was used for parameter variation in terms of different substrate materials. Simulation results showed a considerable influence of substrate material on the postmortem cooling rate of a body. From a thermodynamical point of view, comparability between measurements on a steel trolley and real cooling scenarios with common substrates like normal floors, asphalt or soil remains questionable. It could be shown that not only the type of substrate but also its composition can have a considerable influence on the postmortem body cooling rate.
[Mh] Termos MeSH primário: Autopsia/métodos
Calibragem
Morte
Análise de Elementos Finitos
[Mh] Termos MeSH secundário: Temperatura Corporal/fisiologia
Seres Humanos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  6 / 12372 MEDLINE  
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[PMID]:29231010
[Au] Autor:Tong F; Liang Y; Shi Q; Zhang L; L WH; Zhou YW
[Ad] Endereço:Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
[Ti] Título:[Advance of Forensic Research in Insulin Poisoning].
[So] Source:Fa Yi Xue Za Zhi;33(1):48-51, 2017 Feb.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Insulin as a common clinical hypoglycemic agent can effectively control serves to lower the concentration of blood glucose. However, insulin overdose can lead to death. In the whole fatal cases of insulin overdose, medical accident is the most common, followed by suicide. Though insulin homicide is extremely rare, it deserves great attention. Though there are some researches about insulin poisoning on forensic toxicology and pathology, it is still a difficult task in forensic practice. In this paper, the mechanism of death, pathological changes, detection methods and diagnose criteria of insulin overdose will be discussed in the view of forensic toxicology and pathology. We hope that this paper could enhance relative knowledges of insulin poisoning for medical examiners.
[Mh] Termos MeSH primário: Overdose de Drogas
Toxicologia Forense
Hipoglicemiantes/envenenamento
Insulinas/envenenamento
Envenenamento/patologia
[Mh] Termos MeSH secundário: Acidentes
Morte
Homicídio
Seres Humanos
Hipoglicemiantes/uso terapêutico
Insulinas/uso terapêutico
Suicídio
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Hypoglycemic Agents); 0 (Insulins)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2017.01.012


  7 / 12372 MEDLINE  
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[PMID]:29231008
[Au] Autor:Zeng Y; Ma JL; Chen L
[Ad] Endereço:Department of Forensic Medicine, Shanghai Medical College, Fudan University, Shanghai 200032, China.
[Ti] Título:[Significance of Hypoxia-related microRNA for Estimating the Cause of Mechanical Asphyxia Death].
[So] Source:Fa Yi Xue Za Zhi;33(1):38-41, 2017 Feb.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Under hypoxia condition, microRNA (miRNA) can interact with transcription factors for regulating the cell metabolism, angiogenesis, erythropoiesis, cellular proliferation, differentiation and apoptosis. The biological processes above may play an important role in mechanical asphyxia death. This article reviews the regulating function of miRNA under hypoxia condition and the influence of hypoxia to biosynthesis of miRNA, which may provide some new ideas to the research of miRNA on determining the cause of mechanical asphyxia death in the field of forensic medicine.
[Mh] Termos MeSH primário: Acidentes
Obstrução das Vias Respiratórias/fisiopatologia
Asfixia/patologia
Hipóxia/genética
MicroRNAs/genética
[Mh] Termos MeSH secundário: Apoptose
Asfixia/mortalidade
Causas de Morte
Morte
Medicina Legal
Seres Humanos
Hipóxia/metabolismo
Hipóxia/fisiopatologia
MicroRNAs/metabolismo
Oxigênio
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (MicroRNAs); S88TT14065 (Oxygen)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2017.01.010


  8 / 12372 MEDLINE  
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[PMID]:28985539
[Au] Autor:Naidoo V; Taggart MA; Duncan N; Wolter K; Chipangura J; Green RE; Galligan TH
[Ad] Endereço:Department of Paraclinical Sciences, Faculty of Veterinary Science, University of Pretoria, South Africa; Biomedical Research Centre, Faculty of Veterinary Science, University of Pretoria, South Africa. Electronic address: vinny.naidoo@up.ac.za.
[Ti] Título:The use of toxicokinetics and exposure studies to show that carprofen in cattle tissue could lead to secondary toxicity and death in wild vultures.
[So] Source:Chemosphere;190:80-89, 2018 Jan.
[Is] ISSN:1879-1298
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Veterinary medicines can be extremely damaging to the environment, as seen with the catastrophic declines in Gyps vulture in South Asia due to their secondary exposure to diclofenac in their primary food source. Not surprisingly, concern has been raised over other similar drugs. In this study, we evaluate the toxicity of carprofen to the Gyps vulture clade through plasma pharmacokinetics evaluations in Bos taurus cattle (their food source) and Gyps africanus (a validated model species); tissue residues in cattle; and the effect of carprofen as a secondary toxicant as both tissue-bound residue or pure drug at levels expected in cattle tissues. Carprofen residues were highest in cattle kidney (7.72 ± 2.38 mg/kg) and injection site muscle (289.05 ± 98.96 mg/kg of dimension of 5 × 5 × 5 cm). Vultures exposed to carprofen as residues in the kidney tissue or pure drug equivalents showed no toxic signs. When exposed to average injection site concentrations (64 mg/kg) one of two birds died with evidence of severe renal and liver damage. Toxicokinetic analysis revealed a prolonged drug half-life of 37.75 h in the dead bird as opposed to 13.99 ± 5.61 h from healthy birds dosed intravenously at 5 mg/kg. While carprofen may generally be harmless to Gyps vultures, its high levels at the injection site in treated cattle can result in lethal exposure in foraging vultures, due to relative small area of tissue it is found therein. We thus suggest that carprofen not be used in domesticated ungulates in areas where carcasses are accessible or provided to vultures at supplementary feeding sites.
[Mh] Termos MeSH primário: Carbazóis/toxicidade
Falconiformes
Drogas Veterinárias/toxicidade
[Mh] Termos MeSH secundário: Animais
Anti-Inflamatórios não Esteroides/farmacocinética
Anti-Inflamatórios não Esteroides/toxicidade
Ásia
Carbazóis/farmacocinética
Bovinos
Morte
Diclofenaco/farmacocinética
Diclofenaco/toxicidade
Meia-Vida
Rim/efeitos dos fármacos
Rim/patologia
Fígado/efeitos dos fármacos
Fígado/patologia
Toxicocinética
Drogas Veterinárias/farmacocinética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents, Non-Steroidal); 0 (Carbazoles); 0 (Veterinary Drugs); 144O8QL0L1 (Diclofenac); FFL0D546HO (carprofen)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE


  9 / 12372 MEDLINE  
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[PMID]:29205976
[Au] Autor:Chen L; Lu YX
[Ad] Endereço:Wuhai Public Security Bureau, Wuhai 016000, China.
[Ti] Título:[Research Progress of the Death Caused by Insulin Intoxication].
[So] Source:Fa Yi Xue Za Zhi;32(6):452-454, 2016 Dec.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:In recent years, with the sustained increase of the incidence of diabetes in humans and the wider use of exogenous insulin, the cases of inappropriate use and overdose of insulin is growing, even the cases of suicide and homicide using insulin. Through searching the literature at home and abroad about the mechanism, clinical and case report of poisoning and death caused by insulin intoxication, this paper reviews the mechanism, clinical manifestations, pathological changes, and forensic examination.
[Mh] Termos MeSH primário: Overdose de Drogas/diagnóstico
Insulina/envenenamento
[Mh] Termos MeSH secundário: Morte
Homicídio
Seres Humanos
Suicídio
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Insulin)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2016.06.015


  10 / 12372 MEDLINE  
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[PMID]:29188672
[Au] Autor:Fan F; Tu M; Luo YZ; Zhang K; Chen XG; Deng ZH
[Ad] Endereço:West China School of Preclinical and Forensic Medicine, Sichuan University, Chengdu 610041, China.
[Ti] Título:[Progress on the Rule of Clavicle Epiphyseal Closure Using Multi-Imaging Technology].
[So] Source:Fa Yi Xue Za Zhi;32(4):277-281, 2016 Aug.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:People aged 18 years could be punished lightly or diminished criminal responsibility, even be spared the death sentence, which has important meaning in Chinese judicatory adjudication. The epiphysis of long bones from human limbs and the secondary sexual characteristics almost have developed completely before 18 years old. Clavicle epiphysis is one of the articular metaphysis which has a late epiphyseal closure. The recent studies in exploring the rule of clavicle epiphyseal by multi-imaging technology shows that the development of clavicle epiphysis has some value in age estimation of 18 years old. CT, especially thin-section CT, is widely used at present. However, thin-section CT scanning has great net radiation, which is not ethically acceptable if it is not for diagnosis and treatment. MRI is nonradioactive tomographic imaging and easy to evaluate, which is one of the future research directions in forensic age estimation using the medial clavicle. This paper summarizes the progress on the rule of clavicle epiphyseal closure, and analyzes and summarizes the feasibility of rule of clavicle epiphyseal closure applies on age estimation.
[Mh] Termos MeSH primário: Clavícula/fisiologia
Epífises/fisiologia
Osteogênese
[Mh] Termos MeSH secundário: Adolescente
Determinação da Idade pelo Esqueleto
Grupo com Ancestrais do Continente Asiático
Morte
Antropologia Forense
Seres Humanos
Imagem por Ressonância Magnética
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2016.04.011



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