Search Results (62)

The term asphyxia refers to a disruption in brain function due to rapid and persistent cerebral hypoxia or anoxia as a consequence of accidental or non-accidental injury. Considering the different mechanisms that may determine asphyxiation, such injuries can be referred to different categories: strangulation (death by hanging, ligature or manual strangulation), suffocation (smothering, choking, confined spaces and vitiated atmosphere), mechanical asphyxia (positional and traumatic asphyxia) and drowning (submersion or immersion in liquid). In both human and veterinary forensic practice, fatal asphyxia is considered among the most diagnostically challenging categories of sudden death, as it often produces only subtle and non-pathognomonic macroscopic signs, which can be easily covered by post-mortem alterations. Therefore, a wide range of information is often needed for the diagnosis of asphyxiation, including medical history, crime scene analysis, testimonies and physical evidence, along with the macroscopic and histological findings. The following review addresses the main lesions, ancillary tests and diagnostic issues associated with non-drowning asphyxia in veterinary forensic pathology. Full article

Human-sourced emissions of carbon dioxide (CO₂) into the Earth’s atmosphere have been implicated in contemporary global warming, based mainly on computer modeling. Growing empirical evidence reviewed here supports the alternative hypothesis that global climate change is governed primarily by a natural climate cycle, the Antarctic Oscillation. This powerful pressure-wind-temperature cycle is energized in the Southern Ocean and teleconnects worldwide to cause global multidecadal warm periods like the present, each followed historically by a multidecadal cold period, which now appears imminent. The Antarctic Oscillation is modulated on a thousand-year schedule to create longer climate cycles, including the Medieval Warm Period and Little Ice Age, which are coupled with the rise and fall, respectively, of human civilizations. Future projection of these ancient climate rhythms enables long-term empirical climate forecasting. Although human-sourced CO₂ emissions play little role in climate change, they pose an existential threat to global biodiversity. Past mass extinctions were caused by natural CO₂ surges that acidified the ocean, killed oxygen-producing plankton, and induced global suffocation. Current human-sourced CO₂ emissions are comparable in volume but hundreds of thousands of times faster. Diverse evidence suggests that the consequent ocean acidification is destroying contemporary marine phytoplankton, corals, and calcifying algae. The resulting global oxygen deprivation could smother higher life forms, including people, by 2100 unless net human-induced CO₂ emissions into the atmosphere are ended urgently. Full article

Introduction: Charred bodies represents a significant challenge for forensic pathologists due to the destructive effects of fire on human remains. Although most fire-related deaths are accidental, cases of suicide and homicide are not uncommon. Case Report: We report a peculiar case of a severely burned body discovered inside a torched vehicle. Under judicial investigation, a full autopsy was performed, including macroscopic and microscopic examination of key anatomical structures: the inspection of oral cavity revealed no soot deposits; a foreign object (a chestnut) was found anterior to the epiglottis, though not lodged within the glottis; no thermal injuries or soot were observed in the upper or lower airways. Histological analysis excluded thermal damage at the alveolar–capillary interface. Alveolar spaces appeared both hyperinflated and ectatic, likely due to septal rupture, suggestive of acute pulmonary emphysema and multiorgan congestion. Carboxyhemoglobin levels were below 5%, indicating a low level which did not support intravital inhalation of combustion gases. Based on the comprehensive medico-legal findings, the cause of death was attributed to an asphyxial mechanism. It was further demonstrated that the burning of the body occurred post-mortem. DNA extraction from two dental specimens enabled positive identification of the victim. Subsequent investigations confirmed the case to be a femicide. The perpetrator, following a domestic altercation over jealousy, suffocated his young wife and attempted to simulate accidental choking by placing a chestnut in her mouth. He then staged a vehicular fire to mimic a fatal accident. Conclusions: The case underlines that a multidisciplinary forensic approach is essential, and must integrate different methodologies and the analysis of both circumstantial evidence and scene investigation. Full article

Carbon dioxide (CO₂) is a non-toxic asphyxiant gas that, once released, can pose severe risks, including suffocation, poisoning, frostbite, and even death. As a critical component of carbon capture, utilization, and storage (CCUS) technology, CO₂ pipeline transportation requires reliable leakage detection and precise localization to safeguard the environment, ensure pipeline operational safety, and support emergency response strategies. This study proposes an inversion model that integrates wireless sensor networks (WSNs) with the Gaussian plume model for CO₂ pipeline leakage monitoring. The WSN is employed to collect real-time CO₂ concentration data and environmental parameters around the pipeline, while the Gaussian plume model is used to simulate and invert the dispersion process, enabling both leak source localization and emission rate estimation. Simulation results demonstrate that the proposed model achieves a source localization error of 12.5% and an emission rate error of 3.5%. Field experiments further confirm the model’s applicability, with predicted concentrations closely matching the measurements, yielding an error range of 3.5–14.7%. These findings indicate that the model satisfies engineering accuracy requirements and provides a technical foundation for emergency response following CO₂ pipeline leakage. Full article

To prevent toxic and harmful gas suffocation accidents in underground metal mine stopes, the Fluent numerical simulation method was employed to investigate the wind field distribution patterns and the diffusion laws of blasting fumes in stopes with and without middle–end roadways under varying effective ranges. The simulation accuracy was validated through laboratory experiments. The results demonstrate that over time, the CO concentration in the blasting area decreases, while in other regions of the stope, it initially increases before declining. The presence or absence of a middle roadway does not significantly alter the migration and diffusion behavior of blasting fumes in the stope. When the effective range is ER–1, the simulation error is only 8 s. As the effective range increases, the time required to reduce the CO concentration to 24 ppm on the respiratory plane, across the entire space, and at the monitoring point follows a linearly increasing trend. Meanwhile, the maximum wind speed at the working face exhibits a linearly decreasing trend, whereas the peak CO concentration shows a linearly increasing trend. Under the ER–1 effective range, the CO concentration can be reduced to a safe threshold more rapidly. The experimental and simulation results exhibit an error margin within 16.97%, confirming the accuracy of the numerical simulation. Full article

Background: Claustrophobia is defined as the fear of enclosed spaces, and it is a rather common specific phobia. Although the Claustrophobia Questionnaire (CLQ) is a valid questionnaire to measure claustrophobia, there have been no studies validating this tool in Greek. Thus, our aim was to translate and validate the CLQ in Greek. Methods: We applied the forward–backward translation method to translate the English CLQ into Greek. We conducted confirmatory factor analysis (CFA) to examine the two-factor model of the CLQ. We examined the convergent and divergent validity of the Greek CLQ by using the Fear Survey Schedule-III (FSS-III-CL), the NEO Five-Factor Inventory (NEO-FFI-NL-N), and the Spielberger’s State-Trait Anxiety Inventory (STAI). We examined the convergent validity of the Greek CLQ by calculating Pearson’s correlation coefficient between the CLQ scores and scores on FSS-III-CL, NEO-FFI-NL-N, STAI-S (state anxiety), and STAI-T (trait anxiety). We examined the divergent validity of the Greek CLQ using the Fisher r-to-z transformation. To further evaluate the discriminant validity of the CLQ, we calculated the average variance extracted (AVE) score and the Composite Reliability (CR) score. We calculated the intraclass correlation coefficient (ICC) and Cronbach’s alpha to assess the reliability of the Greek CLQ. Results: Our CFA confirmed the two-factor model of the CLQ since all the model fit indices were very good. Standardized regression weights between the 26 items of the CLQ and the two factors ranged from 0.559 to 0.854. The convergent validity of the Greek CLQ was very good since it correlated strongly with the FSS-III-CL and moderately with the NEO-FFI-NL-N and the STAI. Additionally, the Greek CLQ correlated more highly with the FSS-III-CL than with the NEO-FFI-NL-N and the STAI, indicating very good divergent validity. The AVE for the suffocation factor was 0.573, while for the restriction factor, it was 0.543, which are both higher than the acceptable value of 0.50. Moreover, the CR score for the suffocation factor was 0.949, while for the restriction factor, it was 0.954. The reliability of the Greek CLQ was excellent since the ICC in test–retest study was 0.986 and the Cronbach’s alpha was 0.956. Conclusions: The Greek version of the CLQ is a reliable and valid tool to measure levels of claustrophobia among individuals. Full article

Background and Objectives: Older adults are a vulnerable population to unintentional injuries due to age-related physiological decline and the presence of various chronic conditions. Unintentional injuries occurring in the home, such as falls, burns, poisoning, cuts, and suffocation, have been reported at higher rates in this age group compared to younger populations. This study examines the prevalence and types of unintentional in-home injuries in older adults and identifies the risk factors associated with falls and cuts/collisions. Materials and Methods: A cross-sectional study was conducted on 309 older adults (aged ≥ 65 years) recruited from eight senior welfare centers in South Korea. Results: The most frequent cause of injury was falls (28.7%), followed by cuts/collisions (27.0%), burns/fire (11.4%), and other injuries (8.1%). In the model adjusted for age and sex, risk factors for falls included a history of outdoor falls or indoor cuts/collisions, dizziness, and the use of two or more medications. Risk factors for cut/collision injuries included a history of indoor burns or falls, numbness in hands and feet, and visual impairment. Conclusions: To effectively prevent home injuries among older adults, it is crucial to focus not only on falls but also on frequent minor injuries caused by cuts and collisions. Full article

Poisoning and suffocation accidents occurred frequently in the pre-treatment pool workshops of biogas plants, so this paper provided a multi-dimensional risk analysis model: Bow-Tie-Qualitative Comparative Analysis (QCA)-Bayesian Neural Network-Consequence Simulation. First, the reasons for biogas poisoning and suffocation accidents were clarified through Bow-Tie. Then, the QCA method explored the accident cause combination paths in management. Next, the frequency distribution of biogas poisoning and suffocation accidents in the pre-treatment pool workshop was predicted to be 0.61–0.66 using the Bayesian neural network model, and the uncertainty of the forecast outcome was given. Finally, the ANSYS Fluent 16.0 simulation of biogas diffusion in three different ventilation types and a grid-independent solution of the simulation were conducted. The simulation results showed the distribution of methane, carbon dioxide and hydrogen sulfide gases and the hazards of the three gases to workers were analyzed. In addition, according to the results, this paper discussed the importance and necessity of ventilation in pre-treatment pool workshops and specified the hazard factors in biogas poisoning and suffocation accidents in the pre-treatment pool workshops. Some suggestions on gas alarms were also proposed. Full article

Suicide is a major public health concern, and Uruguay has one of the highest suicide mortality rates in the Americas. In 2022, the Ministry of Public Health implemented a real-time digital surveillance system for suicide attempts as part of the National Suicide Prevention Strategy. This study presents findings from its first year, analysing 4723 emergency department presentations nationwide. The age-standardised suicide attempt rate was 140.44 per 100,000 inhabitants, with women accounting for 71.6% of cases. Self-poisoning was the most common method, followed by hanging and suffocation for men and self-cutting for women. Nearly half of all attempts involved individuals aged 15–29, highlighting the need for youth-focused and gender-sensitive interventions. This study demonstrates the value of real-time surveillance systems in identifying at-risk groups, informing prevention efforts, and supporting timely interventions. While some challenges in system implementation remain, future efforts should focus on strengthening data integration, leveraging artificial intelligence for risk assessment, and improving follow-up care to reduce repeated attempts and overall suicide mortality. Full article

Background and Objectives: Suicide is a pressing public health issue globally, including in Brazil, where it ranks among the leading causes of mortality. This study aimed to analyze the spatial, temporal, and spatiotemporal distribution of suicide mortality in Brazil from 2000 to 2022. Materials and Methods: Using secondary data from the Mortality Information System of Brazil’s 5570 municipalities, an ecological study of time series was conducted. Segmented linear regression (Joinpoint 4.6 version) was used to calculate temporal trends, while Moran’s indices were employed to analyze spatial autocorrelations. Retrospective scanning was utilized to investigate spatiotemporal clusters, and choropleth maps were developed to visualize high-risk areas. Results: The analysis revealed the occurrence of 240,843 suicides in Brazil, with higher percentages in the southeast, south, and northeast regions. The south, central–west, and southeast regions exhibited the highest mortality rates, predominantly among white, single men, aged 20 to 59, with 1 to 11 years of schooling. Intentional self-harm by hanging, strangulation, and suffocation was the main cause. The general trend of mortality due to suicide in Brazil was increasing (AAPC: 2.9; CI 95%: 2.6 to 3.0), with emphasis on the age groups from 10 to 19 years (AAPC: 3.7; CI 95%: 2.9 to 4.5) and 20–39 years old (AAPC: 2.9; CI 95%: 2.3 to 3.5). The brutal and smoothed rates revealed areas of high mortality in the south, north, and central–west regions. Conclusions: The findings of this study highlight the need to direct resources and efforts to the south and midwest regions of Brazil, where suicide rates are the highest. Additionally, implementing targeted prevention programs for young men, who are the most affected, is essential to reduce suicide mortality in these areas. Full article

Mechanical asphyxia presents a challenging diagnostic issue in forensic medicine due to its often covert nature, and the signs visible during an autopsy are usually not specific. Despite some progress in understanding hypoxia’s effects, traditional methods’ inherent limitations might overlook new biomarkers in mechanical asphyxia. This study employed 4D-DIA proteomics to explore the protein expression profiles of cardiac samples under conditions of mechanical asphyxia. Proteomic analysis identified 271 and 371 differentially expressed proteins in the strangulation and suffocation groups, respectively, compared to the control group. Seventy-eight differentially expressed proteins were identified across different mechanical asphyxia groups compared to the control group. GO and KEGG analysis showed enrichment in pathways, including complement and coagulation cascades, cAMP and cGMP-PKG signaling pathways, inflammatory mediator regulation of TRP channels, and phagosomes. Through stringent selection based on protein interactions, ALKBH5, NAA10, and CLPB were identified as potential diagnostic biomarkers. ALKBH5 showed increased expression in asphyxia models, while NAA10 and CLPB were downregulated; these biomarker changes were validated in both animal models and human cardiac samples. This study highlights the potential of proteomics in discovering reliable biomarkers, which can enhance the specificity of mechanical asphyxia diagnosis in forensic practice, provide new insights into the pathophysiological mechanisms of mechanical asphyxia, and offer new perspectives for diagnosing mechanical asphyxia. Full article

The decline in birth rates has raised concerns about the safety of infants and young children (0–18 months), particularly those who suffer suffocation or even death during sleep from their own or external causes. How to ensure that infants and young children can safely pass through this dangerous period after birth is the focus of this project. This article focuses on sleeping infants and young children as the subject of research. Blood oxygen sensors and heart rate sensors attached to socks are used to monitor changes in blood oxygen and heart rate when infants and young children experience asphyxia. The changes are then transmitted via Bluetooth to a mobile app and an alarm sound is generated to act as a good warning. At the same time, the researchers received good feedback from testing the garments on two babies and toddlers, indicating they provide an effective warning. Full article

Retrial queues are used extensively to model many practical problems in service systems, call centers, data centers, and computer network systems. The average waiting time is the main observable characteristic of the retrial queues. Long queues may cause negative impacts such as waste of manpower and unnecessary crowding leading to suffocation, and can even cause trouble for customers and institutions. Applying control chart technology can help managers analyze customers’ waiting times to improve the effective performance of service and attention. This paper pioneers the developing and detailed study of a waiting time control chart for a retrial queue with general service times. Two waiting time control charts, the Shewhart control chart, and a control chart using the weighted variance method are constructed in this paper. We present three cases for the Shewhart control chart in which the service time obeys special distributions, such as exponential, Erlang, and hyper-exponential distributions. The case of an exponentially distributed service time is also presented for the control chart using the weighted variance method. Based on the numerical simulations conducted herein, managers can better monitor and analyze the customers’ waiting times for their service systems and take preventive measures. Full article

Complex suicides refer to using two or more suicide modes. In the literature, complex suicides are distinguished into planned and unplanned. Using multiple methods is related to ensuring a fatal result or because the first method appears too painful, time-consuming, or ineffective. The review aims to provide an overview of the critical features of complex suicides in the forensic context. The review was conducted by searching online databases (PubMed Central and Scopus) up to March 2023. We identified 52 articles that met the inclusion criteria, describing 261 cases. Suicides were classified as planned in 136 cases (52.1%); 105 cases (40.2%) were defined as unplanned, while in the remaining 20 cases (7.7%), the authors did not propose any classification. In 2/261 (0.8%) cases, four modes were indicated, three modes were observed in 34/261 cases (13%), and in 224/261 (85.8%) cases the suicides were carried out using a combination of two distinct methods. The method most frequently employed in the first instance in unplanned suicides were sharp-force injuries and stabbing, followed by mechanical asphyxia (hanging, self-strangulation, plastic bag suffocation) and a fall from height. Regarding planned suicide, the most frequent suicide methods were asphyxia, intoxication (drugs, substances of abuse, or alcohol), and poisoning via toxic substances. Complex suicides represent a relatively rare entity in forensic pathology; nevertheless, they can be challenging for the forensic pathologist in terms of differential diagnosis compared to homicides, due to the sometimes multifaceted presentation. Full article

Chemical warfare agents primarily comprise organophosphorus nerve agents, saliva alkaloids, cyanides, and mustard gas. Exposure to these agents can result in severe respiratory effects, including spasms, edema, and increased secretions leading to breathing difficulties and suffocation. Protecting public safety and national security from such threats has become an urgent priority. Porous metal–organic framework (MOF) materials have emerged as promising candidates for the degradation of chemical warfare agents due to their large surface area, tunable pore size distribution, and excellent catalytic performance. Furthermore, combining MOFs with polymers can enhance their elasticity and processability and improve their degradation performance. In this review, we summarize the literature of the past five years on MOF-based composite materials and their effectiveness in degrading chemical warfare agents. Moreover, we discuss key factors influencing their degradation efficiency, such as MOF structure, pore size, and functionalization strategies. Furthermore, we highlight recent developments in the design of MOF–polymer composites, which offer enhanced degradation performance and stability for practical applications in CWA degradation. These composite materials exhibit good performance in degrading chemical warfare agents, playing a crucial role in protecting public safety and maintaining national security. We can expect to see more breakthroughs in the application of metal–organic framework porous materials for degrading chemical warfare agents. It is hoped that these innovative materials will play a positive role in achieving social stability and security. Full article