The volume of postmortem bleeding in drowning victims having sustained blunt thoracic aortic injury resulting from vehicular accidents

Abstract: Recent studies have shown that 1500 mL of blood found in the intrapleural cavity due to blunt thoracic aortic injuries, should be considered as postmortem in the cases of immediate deaths. Considering that drowning lasts for 4 to 5 minutes, the question is about if that time period has an influence to the volume of antemortem exsanguinated blood if accompanied with aortic rupture. A retrospective study determined two groups out of which the first one consisted of vehicle occupants who fell in the river canyon and died from drowning accompanied by traumatic aortic rupture. The second group was comprised of vehicle occupants injured in conventional vehicle accidents where the occupants died from bleeding due to aortic rupture. The ROC curve is used to evaluate the cut-off value related to the volume of postmortem bleeding originating from aortic rupture and total exsanguinated blood. The study showed that the time elapsed during drowning did not significantly influence the volume of antemortem and postmortem blood. In cases of the blunt thoracic aortic injury with concomitant drowning as cause of death, volumes less than 1400 mL of intrapleural bleeding should be considered as mostly postmortem. Key Words: aortic rupture, bleeding, canyon death, drowning, postmortem bleeding. 1) Department of Forensic Early work

Acute Iliac and Femoral Arterial Thrombosis Secondary to Total Hip Arthroplasty

In the presented case report, we evaluated the mechanism of the external iliac, the common femoral and the superficial femoral arterial thrombosis secondary to total hip arthroplasty. A 75-year-old female sufferd from 5.5 cm shorter left lower limb and same sade coxarthritis. Next day after arthroplasty and eqalisation of the lower limbs, an acute ishemia of the treated leg was presented. Multyscan CT angiography revealed the presence of the external iliac, the common femoral and the superficial femoral arterial thrombosis. From the best of our knowledge, it seems to be the only case of this arterial segment thrombosis after total hip arthroplasty and equalistaion of the lower limbs reported

Axillary Arterial Thrombosis Secondary to Re-Fracture of the Humerus

In the presented case report, we evaluated mechanism of axillary artery thrombosis in cases of repeated fracture of the shoulder. A 73-year-old female fell down on an outstretched hand. Radiographs demonstrated a Neer’s 2-part displaced fracture of the proximal humerus and open fracture of the acromion. Forty years ago, in a car accident, fractures of the same proximal humerus and clavicle occurred and were surgically treated. Two hours after fixation with Kirschner wires, thrombosis of the axillary artery was quickly diagnosed and rapid treatment allowed revascularisation of the arm without any consequences

Ensuring positive feedback: Factors that influence customer satisfaction in the contemporary hospitality industry

h i g h l i g h t s We examine the extent to which certain hotel features affect customer satisfaction in the European hospitality industry. Data were collected from one of the leading online hotel reservation service's systems. After controlling for the hotel classification, we identify eight additional factors that affect customer satisfaction. Our findings provide assistance to hotel managers in determining the optimal allocation of scarce financial resources. This study provides insight into the hotel characteristics that have a significant association with customer satisfaction. Data related to a sample of 6768 hotels located in 47 capital cities in Europe are analysed by using a linear mixed model technique. The results confirm the findings of previous studies, which state that hotel star rating is the single most important factor that influences customer experience. Furthermore, the presence of air-conditioning devices in rooms, a bar located within the hotel area, access to WiFi Internet free of charge, membership in a branded hotel chain and price have significant positive associations with customer satisfaction (ceteris paribus). Variables that appear to be adversely associated with customer satisfaction are distance from the city centre, size of the hotel, and general hotel price level in the city where the hotel is located. a r t i c l e i n f

Comparison of Sperm Parameters in Patients with Infertility Induced by Genital Infection versus Varicocele

Background: Male infertility is a common and complex problem and, despite much research in this field, the major cause of infertility unfortunately remains unknown. Genital infection and varicocele are important causes of infertility. Aims: To compare the influence of genital infection and varicocele individually on male infertility based on semen analysis. Study Design: Cross-sectional study. Methods: The study included 120 infertile patients divided into two groups according to the presence of genital infection or varicocele. The first group included 60 examinees with proven genital infection, but without varicocele formation. The second included 60 patients with varicocele, regardless of the varicocele grade, but without genital infection. The fertile parameters were compared and an assessment was performed on the impact on quality of spermatogenesis due to infection and varicocele. Results: There is a statistically significant difference regarding abnormal forms of spermatozoids (45.94±9.79 vs. 25.27±6.54) and progressive motility (8.15±1.24 vs. 24.95±7.2), between two groups of patients. However, acidity of ejaculates, minimum sperm concentration, total spermatozoid motility and ejaculate volume showed no statistically significant difference. Conclusion: The study showed a stronger negative influence of genital infection on fertile parameters over varicocele. The significance of our study is the lack of contemporary researches comparing varicocele and genital infection influence on male infertility individually

Acute iliac and femoral arterial thrombosis secondary to total hip arthroplasty

© 2014 Nikola Fatic, Nenad Zornic, Nemanja Radojevic, Nikola Bulatovic. In the presented case report, we evaluated the mechanism of the external iliac, the common femoral and the superficial femoral arterial thrombosis secondary to total hip arthroplasty. A 75-year-old female sufferd from 5.5 cm shorter left lower limb and same sade coxarthritis. Next day after arthroplasty and eqalisation of the lower limbs, an acute ishemia of the treated leg was presented. Multyscan CT angiography revealed the presence of the external iliac, the common femoral and the superficial femoral arterial thrombosis. From the best of our knowledge, it seems to be the only case of this arterial segment thrombosis after total hip arthroplasty and equalistaion of the lower limbs reported

Blood groups and acute aortic dissection type III

Copyright © 2016 Termedia & Banach. Introduction: Acute aortic type III dissection is one of the most catastrophic events, with in-hospital mortality ranging between 10% and 12%. The majority of patients are treated medically, but complicated dissections, which represent 15% to 20% of cases, require surgical or thoracic endovascular aortic repair (TEVAR). For the best outcomes adequate blood transfusion support is required. Interest in the relationship between blood type and vascular disease has been established. The aim of our study is to evaluate distribution of blood groups among patients with acute aortic type III dissection and to identify any kind of relationship between blood type and patient's survival. Material and methods: From January 2005 to December 2014, 115 patients with acute aortic type III dissection were enrolled at the Clinic of Vascular and Endovascular Surgery in Belgrade, Serbia and retrospectively analyzed. Patients were separated into two groups. The examination group consisted of patients with a lethal outcome, and the control group consisted of patients who survived. Results: The analysis of the blood groups and RhD typing between groups did not reveal a statistically significant difference (p = 0.220). Conclusions: Our results indicated no difference between different blood groups and RhD typing with respect to in-hospital mortality of patients with acute aortic dissection type III