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This is an exploratory study into the need for additional lines of forensic evidence in humanitarian cases using applied research. One hundred and twenty four, still unidentified terrorism inmates, were killed after surrendering to the Peruvian Army once it took control of the San Pedro-Lurigancho prison in Lima, Peru in 1986. Two questions are put forward: first, to what extent mechanism of injury (gunshot, blunt, sharp force) and bodily distribution of those injuries allow us to classify individuals into discrete sub-groups of people? The second question is to what respect can such a classification become an additional line of evidence assisting in generating hypotheses of identity regarding those individuals? The analysis of the 109 recovered bodies and their associated evidence show a sub group of four individuals differentiated from the rest based on the combination of injuries (gunshot and blunt force trauma), opposing trajectories and weapons. While the results do not constitute per se proof of identity, they suggest that such a small group of people could have been singled out from the crowd and treated differently. Such information constitutes an additional line of evidence to formulate hypotheses of identity for certain individuals that could have been ring leaders/cadres of the Shining Path, a Maoist movement that started the Internal Armed Conflict (1980-2000) in Peru.

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Sports injuries at the knee are very common, not only in contact sports such as football but also in sports with jumping and pivoting. In addition, overuse injuries can affect the tendons, ligaments, and bone with degeneration, friction, and stress response. Radiologists and sports medicine professionals should be familiar with the range of injury occurring at the knee and patterns of injury that can be used to predict other more subtle pathology. These topics and others will be discussed.

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Injuries produced by animals are capable of leaving severe patterns and in some cases may result in the death of the attacked individual. Law enforcement authorities may come to erroneous conclusions about the source of the bites based on their awareness of animals present and similarities of the injuries to the untrained eye, with dreadful consequences. Expertise of a carnivore biologist and an odontologist that indentifies the particularities of bite marks may be useful for identifying the attacking species. We present the investigation of a fatal dog pack attack involving a 43-year-old man in Bell Ville (Argentina) where the evidence provided by a forensic dentist and a biologist was categorical for establishing the animal species involved. Because of the unusual characteristics of the wounds and the initial hypothesis made by local authorities of a cougar attack, habits and specific patterns of both dog pack and cougar predation on humans are discussed.

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The authors report a case of bilateral C4-C5 facet fracture dislocation associated with a severe sprain underlying C5-C6, which had occurred during an traffic accident. The diagnosis of severe sprain was raised on the 55 th day. The injury mechanism is studied. Contiguous multilevel injuries of the lower cervical spine should be suspected in case of high-energy trauma. MRI can provide an exhaust if diagnosis of possible multilevel injuries. After fixation of the obvious lesion, intraoperative dynamic fluoroscopy must be performed to demonstrate any instability in another area.

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Conservative management of solid abdominal organ injuries has been increasing and challenging trauma surgeons. This case report describes a successful non-operative management of a grade V renal lesion associated to a grade III hepatic lesion. Such lesions have not been described in conjunction in the revised literature.

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Las fracturas de la escápula son poco frecuentes una incidencia en torno al 0,4 Y el 1 % de las fracturas que afectan al miembro superior. La fractura de acromion comprende el 7% de las fracturas que afectan a la escápula. Suelen aparecer en pacientes politraumatizados con lesiones más graves que pueden enmascararlas y post-poner de este modo su diagnóstico y tratamiento. Presentamos un caso clínico de una paciente de 56 años de edad con antecedente de politraumatismo. Que presentaba unas pseudo-artrosis francas del proceso acromial de su hombro derecho con clínica dolorosa y limitación de movimiento.Se trató de manera quirúrgica mediante el aporte de injerto óseo intercalar y fijación mediante placa de osteo-síntesis obteniendo buenos resultados clínico radiológicos a día de hoy. La clínica dolorosa ha desaparecido por completo a día de hoy.(AU)

The fractures of the scapula are not very frequent, an incidence around the 0,4 and 1 % of the fractures that affect the upper limb

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Las fracturas de la escápula son poco frecuentes una incidencia en torno al 0,4 Y el 1 % de las fracturas que afectan al miembro superior. La fractura de acromion comprende el 7% de las fracturas que afectan a la escápula'. Suelen aparecer en pacientes politraumatizados con lesiones más graves que pueden enmascararlas y post-poner de este modo su diagnóstico y tratamiento. Presentamos un caso clínico de una paciente de 56 años de edad con antecedente de politraumatismo. Que presentaba unas pseudo-artrosis francas del proceso acromial de su hombro derecho con clínica dolorosa y limitación de movimiento.Se trató de manera quirúrgica mediante el aporte de injerto óseo intercalar y fijación mediante placa de osteo-síntesis obteniendo buenos resultados clínico radiológicos a día de hoy. La clínica dolorosa ha desaparecido por completo a día de hoy.

The fractures of the scapula are not very frequent, an incidence around the 0,4 and 1 % of the fractures that affect the upper limb

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Se presenta el desarrollo de un modelo experimental para reproducir la enteritis necrosante (NEC) en animales. Para este propósito se utilizaron 158 conejos menores de cinco días; en 10 de éstos se estudiaron las características histológicas-normales; a 128 se les mantuvo en hipoxia, respirando una mezcla de aire con 6 a 12 por ciento de oxígeno, por 30 a 45 minutos, a una temperatura de menos de 34ºC, y aplicándoles, por vía intraperitoneal, 1 mL de solución de adrenalina al 1 x 1,000. Treinta y cinco fallecieron antes de 24 horas de que se hizo el procedimiento, con una extensión de la lesión equivalente a 40.25 por ciento de la longitud intestinal; los otros fueron sacrificados después de 24 horas y en ellos se les encontró una extensión de la lesión de otro grupo de 63, con las mismas características, a los que se les aplicó L-carnitina, 33 fallecieron antes de 24 horas con 37.4 por ciento de lesiones en su intestino y en 30 que fueron sacrificados se observó 34.6 por ciento de lesión por lo que no hubo deficiencia significativa entre los grupos investigados. Se concluye que la enteritis necrosante experimental, provocada por factores sistémicos y locales en especies animales menores, es satisfactoria, y la L-carnitina no modifica el fenómeno

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