No abstract

In 4929 consecutive autopsies performed during a period of 4 years, 222 cases (4.5%) of cirrhosis were found, of which 149 (3%) were detected while the patients were alive (diagnosed cirrhosis) and 73 (1.5%) were not detected while the patients were living (undiagnosed cirrhosis). Fifty-three of the 73 undiagnosed patients appeared to be completely without signs of cirrhosis (silent cirrhosis). In the diagnosed group, 70% of patients died from hepatic causes, in contrast to 16% in the undiagnosed group. At autopsy, the following complications of cirrhosis were found more frequently in the diagnosed group than in the undiagnosed group: ascites (41% vs. 8%), oesophageal varices (44% vs. 10%), splenomegaly (52% vs. 29%). The prevalence of hepatocellular carcinoma did not differ significantly in the two groups (12% vs. 8%). It is concluded that cirrhosis without obvious signs occurs relatively frequently, and that no sensitive non-invasive screening methods are available at present.

Excavating human skeletons is the closest archaeologists can get to the people who lived in the past. Once excavated the bones are often analysed chemically in order to yield as much information as possible. Most archaeometric analyses performed on samples of human skeletal remains have been performed on a single sample from a tooth or a long bone. In this paper we investigate how a suite of elements (Mg, Al, Ca, Mn, Fe, Zn, As, Sr, Ba, Hg and Pb) are distributed in two medieval skeletons excavated at the laymen cemetery at the Franciscan Friary in Svendborg, Denmark. The analyses have been performed using CV-AAS for Hg and ICP-MS for the rest of the elements. We find that in general Hg concentrations are highest in the trabecular tissues and in the abdomen region. Our data also show that the elements Al, Fe and Mn concentrate in the trabecular tissue and on the surfaces of the bones. The two individuals can be clearly distinguished by Principal Component Analysis of all the measured trace elements. Our data support a previously published hypothesis that the elemental ratios Sr/Ca, Ba/Ca and Mg/Ca are indicative of provenance. Aluminium, Fe and Mn can be attributed to various forms of diagenesis, while Hg is not present in sufficiently large amounts in the surrounding soil to allow diagenesis to explain the high Hg values in the trabecular tissue. Instead we propose that Hg must originate from decomposed soft tissue.

Intimate partner homicides represent the most severe outcome of intimate partner violence, and constitute more than a quarter (26%) of all homicides in adults over 15 years of age in Southern Denmark. In our experience the victims of partner homicides are primarily women, often from socially disadvantaged families, and that these homicides usually are the result of an impulsive act, with the perpetrator often committing suicide after the act. The aim of this study was to investigate these hypotheses further, and to provide an up-to-date overview of intimate partner homicides in Southern Denmark.

The most precise postmortem AIS and ISS scorings of traffic fatalities was obtained by a combination of AU and CT. If it is not possible to perform an AU, then CT may be used as an acceptable alternative for AIS scoring. We have identified one important obstacle for postmortem ISS scoring, namely that aorta ruptures are not easily detected by post mortem CT.