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AIMS: The purpose of this study is to evaluate the accuracy and validity of the determination of cause of death (COD) and manner of death (MOD) at the completion of the forensic autopsy prosection. METHODS: We analysed 952 autopsy cases conducted from 2019 to 2020 and compared every patients COD, other significant contributing factors to death (OSC), and MOD after prosection to their COD, OSC and MOD after completion of the final autopsy report. RESULTS: We found that 83% of cases (790 patients) did not have an unexpected change and 17% of cases (162 patients) exhibited a true change in their final diagnosis; the relationship between age and changes in COD and MOD was significant. CONCLUSIONS: Our findings indicate that in the majority of forensic autopsy cases, medical professionals can reasonably complete death certification after the autopsy prosection. In addition to improving the accuracy of COD and MOD, advances in this field will enhance timely decedent affairs management, timely investigations of crimes and timely closure to families who have lost loved ones. We recommend implementing combined interventional education and consultation with expert pathologists, and a well-followed structured method of death classification as the best course of practice.

The diagnostic value of imaging Aβ plaques in Alzheimer's disease (AD) has accelerated the development of fluorine-18 labeled radiotracers with a longer half-life for easier translation to clinical use. We have developed [18F]flotaza, which shows high binding to Aβ plaques in postmortem human AD brain slices with low white matter binding. We report the binding of [18F]flotaza in postmortem AD hippocampus compared to cognitively normal (CN) brains and the evaluation of [18F]flotaza in transgenic 5xFAD mice expressing Aβ plaques. [18F]Flotaza binding was assessed in well-characterized human postmortem brain tissue sections consisting of HP CA1-subiculum (HP CA1-SUB) regions in AD (n = 28; 13 male and 15 female) and CN subjects (n = 32; 16 male and 16 female). Adjacent slices were immunostained with anti-Aβ and analyzed using QuPath. In vitro and in vivo [18F]flotaza PET/CT studies were carried out in 5xFAD mice. Post-mortem human brain slices from all AD subjects were positively IHC stained with anti-Aβ. High [18F]flotaza binding was measured in the HP CA1-SUB grey matter (GM) regions compared to white matter (WM) of AD subjects with GM/WM > 100 in some subjects. The majority of CN subjects had no decipherable binding. Male AD exhibited greater WM than AD females (AD WM♂/WM♀ > 5; p < 0.001) but no difference amongst CN WM. In vitro studies in 5xFAD mice brain slices exhibited high binding [18F]flotaza ratios (>50 versus cerebellum) in the cortex, HP, and thalamus. In vivo, PET [18F]flotaza exhibited binding to Aβ plaques in 5xFAD mice with SUVR~1.4. [18F]Flotaza is a new Aβ plaque PET imaging agent that exhibited high binding to Aβ plaques in postmortem human AD. Along with the promising results in 5xFAD mice, the translation of [18F]flotaza to human PET studies may be worthwhile.

Using a molecular modeling approach for Tau-binding sites, we modified our previously reported imaging agent, [125I]INFT, for the potential improvement of binding properties to Tau in an Alzheimer's disease (AD) brain. Two new derivatives, namely [125I]ISAS and [125I]NIPZ, were designed, where binding energies at site 1 of Tau were -7.4 and -6.0 kcal/mole, respectively, compared to [125I]INFT (-7.6 kcal/mole). The radiosynthesis of [125I]ISAS and [125I]NIPZ was carried out by using iodine-125 and purified chromatographically to achieve >90% purity. In vitro binding affinities (IC50) for Tau were as follows: INFT = 7.3 × 10-8 M; ISAS = 4.7 × 10-8 M; NIPZ > 10-6 M. The binding of [125I]ISAS to gray matter (GM) correlated with the presence of Tau in the AD brain, confirmed by anti-Tau immunohistochemistry. [125I]NIPZ did not bind to Tau, with similar levels of binding observed in GM and white matter (WM). Four radiotracers were compared and the rank order of binding to Tau was found to be [125I]IPPI > [125I]INFT > [125I]ISAS >>> [125I]NIPZ with GM/WM ratios of [125I]IPPI = 7.74 > [125I]INFT = 4.86 > [125I]ISAS = 3.62 >> [125I]NIPZ = 1.24. The predictive value of Chimera-AutoDock for structurally related compounds binding to the Tau binding sites (measured as binding energy) was good. A binding energy of less than -7 kcal/mole is necessary and less than -8 kcal/mole will be more suitable for developing imaging agents.

BackgroundThe neuronal and gliaI populations within the brain are tightly interwoven, making isolation and study of large populations of a single cell type from brain tissue a major technical challenge. Concurrently, cell-type specific extracellular vesicles (EVs) hold enormous diagnostic and therapeutic potential in neurodegenerative disorders including Alzheimer's disease (AD).New methodPostmortem AD cortical samples were thawed and gently dissociated. Following filtration, myelin and red blood cell removal, cell pellets were immunolabeled with fluorescent antibodies and analyzed by flow cytometry. The cell pellet supernatant was applied to a triple sucrose cushion for brain EV isolation.ResultsNeuronal, astrocyte and microglial cell populations were identified. Cell integrity was demonstrated using calcein AM, which is retained by cells with esterase activity and an intact membrane. For some experiments cell pellets were fixed, permeabilized, and immunolabeled for cell-specific markers. Characterization of brain small EV fractions showed the expected size, depletion of EV negative markers, and enrichment in positive and cell-type specific markers.Comparison with existing methods and conclusionsWe optimized and integrated established protocols, aiming to maximize information obtained from each human autopsy brain sample. The uniqueness of our method lies in its capability to isolate cells and EVs from a single cryopreserved brain sample. Our results not only demonstrate the feasibility of isolating specific brain cell subpopulations for RNA-seq but also validate these subpopulations at the protein level. The accelerated study of EVs from human samples is crucial for a better understanding of their contribution to neuron/glial crosstalk and disease progression.

IntroductionLewy body disease (LBD) is a common primary or co-pathology in neurodegenerative syndromes. An alpha-synuclein seed amplification assay (αSyn-SAA) is clinically available, but clinical performance, especially lower sensitivity in amygdala-predominant cases, is not well understood.MethodsAntemortem CSF from neuropathology-confirmed LBD cases was tested with αSyn-SAA (N = 56). Diagnostic performance and clinicopathological correlations were examined.ResultsSimilar to prior reports, sensitivity was 100% for diffuse and transitional LBD (9/9), and overall specificity was 96.3% (26/27). Sensitivity was lower in amygdala-predominant (6/14, 42.8%) and brainstem-predominant LBD (1/6, 16.7%), but early spread outside these regions (without meeting criteria for higher stage) was more common in αSyn-SAA-positive cases (6/7, 85.7%) than negative (2/13, 15.4%).DiscussionIn this behavioral neurology cohort, αSyn-SAA had excellent diagnostic performance for cortical LBD. In amygdala- and brainstem-predominant cases, sensitivity was lower, but positivity was associated with anatomical spread, suggesting αSyn-SAA detects early LBD progression in these cohorts.HighlightsA cerebrospinal fluid alpha-synuclein assay detects cortical LBD with high sensitivity/specificity. Positivity in prodromal stages of LBD was associated with early cortical spread. The assay provides precision diagnosis of LBD that could support clinical trials. The assay can also identify LBD co-pathology, which may impact treatment responses.

IntroductionWe investigated the association between sleep duration and neuropathologic changes 19 to 40 years later in oldest-old (age 90+) participants of The 90+ Study.MethodsParticipants self-reported sleep duration and underwent neuropathologic evaluation. We categorized sleep duration as  8 hours and dichotomized neuropathologic changes as present/absent. We estimated odds ratio (OR) and 95% confidence intervals (CI) using logistic regression.ResultsIn 264 participants, mean age at sleep self-report was 69 years, mean age at autopsy was 98 years, and mean interval between sleep self-report and autopsy was 29 years (range: 19-40). Those reporting > 8 hours of sleep had lower likelihood of limbic-predominant age-related TDP-43 encephalopathy neuropathologic change (LATE-NC) inclusions (OR = 0.18; CI = 0.04-0.82) and amyloid beta deposits (OR = 0.34; 95% CI = 0.12-0.94).DiscussionLong self-reported sleep is associated with lower odds of neurodegenerative neuropathologic changes 19 to 40 years later in the oldest-old, suggesting a potential role of sleep in accumulation of dementia-related neuropathologies.HighlightsAssociation of self-reported sleep with non-Alzheimer's disease neuropathologic changes has not been explored. Whether sleep duration is related to dementia neuropathologic changes decades later is unclear. Long self-reported sleep is associated with lower odds of Alzheimer's disease neuropathologic change 19 to 40 years later in the oldest-old. Long self-reported sleep is associated with lower odds of limbic-predominant age-related TDP-43 encephalopathy neuropathologic change 19 to 40 years later in the oldest-old.

INTRODUCTION: Anti-amyloid therapies are at the forefront of efforts to treat Alzheimers disease (AD). Identifying amyloid risk factors may aid screening and intervention strategies. While veterans face increased exposure to risk factors, whether they face a greater neuropathologic amyloid burden is not well understood. METHODS: Male decedents donating to two Alzheimers Disease Research Center (ADRC) brain banks from 1986 to 2018 with categorized neuritic plaque density and neurofibrillary tangles (n = 597) were included. Using generalized ordered logistic regression we modeled each outcomes association with military history adjusting for age and death year. RESULTS: Having served in the military (60% of sample) is associated with post mortem neuritic amyloid plaque (for each comparison of higher to lower C scores OR = 1.26; 95% confidence interval [CI] = 1.06-1.49) and tau pathology (B score OR = 1.10; 95% CI = 1.08-1.12). DISCUSSION: This is the first study, to our knowledge, finding increased levels of verified AD neuropathology in those with military service. Targeted veteran AD therapies is a pressing need.

Genetic variants and epigenetic features both contribute to the risk of Alzheimer's disease (AD). We studied the AD association of CpG-related single nucleotide polymorphisms (CGS), which act as a hub of both the genetic and epigenetic effects, in Caribbean Hispanics (CH) and generalized the findings to Non-Hispanic Whites (NHW). First, we conducted a genome-wide, sliding-window-based association with AD, in 7,155 CH and 1,283 NHW participants. Next, using data from the dorsolateral prefrontal cortex in 179 CH brains, we tested the cis- and trans-effects of AD-associated CGS on brain DNA methylation to mRNA expression. For the genes with significant cis- and trans-effects, we investigated their enriched pathways. We identified six genetic loci in CH with CGS dosage associated with AD at genome-wide significance levels: ADAM20 (Score = 55.19, P = 4.06 × 10-8), the intergenic region between VRTN and SYNDIG1L (Score = - 37.67, P = 2.25 × 10-9), SPG7 (16q24.3) (Score = 40.51, P = 2.23 × 10-8), PVRL2 (Score = 125.86, P = 1.64 × 10-9), TOMM40 (Score = - 18.58, P = 4.61 × 10-8), and APOE (Score = 75.12, P = 7.26 × 10-26). CGSes in PVRL2 and APOE were also significant in NHW. Except for ADAM20, CGSes in the other five loci were associated with CH brain methylation levels (mQTLs) and CGSes in SPG7, PVRL2, and APOE were also mQTLs in NHW. Except for SYNDIG1L (P = 0.08), brain methylation levels in the other five loci affected downstream mRNA expression in CH (P

Cerebrovascular and α-synuclein pathologies are frequently observed alongside Alzheimer disease (AD). The heterogeneity of AD necessitates comprehensive approaches to postmortem studies, including the representation of historically underrepresented ethnic groups. In this cohort study, we evaluated small vessel disease pathologies and α-synuclein deposits among Hispanic decedents (HD, n = 92) and non-Hispanic White decedents (NHWD, n = 184) from three Alzheimer's Disease Research Centers: Columbia University, University of California San Diego, and University of California Davis. The study included cases with a pathological diagnosis of Intermediate/High AD based on the National Institute on Aging- Alzheimer's Association (NIA-AA) and/or NIA-Reagan criteria. A 2:1 random comparison sample of NHWD was frequency-balanced and matched with HD by age and sex. An expert blinded to demographics and center origin evaluated arteriolosclerosis, cerebral amyloid angiopathy (CAA), and Lewy bodies/Lewy neurites (LBs/LNs) with a semi-quantitative approach using established criteria. There were many similarities and a few differences among groups. HD showed more severe Vonsattel grading of CAA in the cerebellum (p = 0.04), higher CAA density in the posterior hippocampus and cerebellum (ps = 0.01), and increased LBs/LNs density in the frontal (p = 0.01) and temporal cortices (p = 0.03), as determined by Wilcoxon's test. Ordinal logistic regression adjusting for age, sex, and center confirmed these findings except for LBs/LNs in the temporal cortex. Results indicate HD with AD exhibit greater CAA and α-synuclein burdens in select neuroanatomic regions when compared to age- and sex-matched NHWD with AD. These findings aid in the generalizability of concurrent arteriolosclerosis, CAA, and LBs/LNs topography and severity within the setting of pathologically confirmed AD, particularly in persons of Hispanic descent, showing many similarities and a few differences to those of NHW descent and providing insights into precision medicine approaches.

Vibrio parahaemolyticus is associated with severe food-borne illness in humans as well as substantial financial setbacks in the fishing sector. To investigate the prevalence, pathogenicity, virulence, as well as the resistance patterns of V. parahaemolyticus retrieved from Oreochromis niloticus, 180 O. niloticus (moribund fish; n = 120 and apparently healthy; n = 60) were indiscriminately collected from Lake Manzala, Egypt. Consequently, the clinical inspection, necropsy finding, and bacteriological analysis were performed. All the retrieved isolates tested positive for the groEL species-specific gene. Herein, the prevalence of V. parahaemolyticus in the collected fish was 8.9% (16/180), whereas the liver was the organ most prominently affected. PCR revealed that the most prevalent virulence-determinant genes associated with V. parahaemolyticus were the toxR and tlh genes (100% for each), then tdh (73.3%) and trh (26.7%) genes. Furthermore, 40% (18/45) of isolated V. parahaemolyticus were extensively drug-resistant (XDR) to seven antimicrobial classes and have blaTEM, blaOXA, sul1, aadA, ermB, and tetA genes. Additionally, 17.8% (8/45) of the obtained V. parahaemolyticus were multidrug-resistant (MDR) to three antimicrobial classes and owned blaTEM, ermB, and aadA genes. The pathogenicity assay accentuated the correlation between cumulative mortality and the virulent characteristics exhibited by the inoculated strain. Definitely, 77% mortality was recorded within eight days in fish injected with a virulent V. parahaemolyticus strain. Briefly, this research accentuated the occurrence of XDR V. parahaemolyticus in fish specifying a public health concern. The emerging MDR and XDR V. parahaemolyticus frequently harbored toxR, tlh, and tdh virulence genes, and blaTEM, blaOXA, sul1, aadA, ermB, and tetA or tetB antimicrobial resistance genes. [ABSTRACT FROM AUTHOR]

Congenital absence of the vas deferens (CAVD) is a syndrome with a heterogeneous presentation: bilateral (CBAVD) or unilateral (CUAVD), complete or partial and associated or not with other anomalies of the male urogenital system. A turning point came in 1968 when CBAVD was associated with cystic fibrosis and its CFTR gene mutations. Genetic studies then revealed that a minority of CBAVD but a majority of CUAVD are CFTR‐independent. In the literature, reference is classically made to two sources from the 18th and 19th century: Hunter and Reverdin. This scarcity prompted us to look for additional observations of CAVD. By a meticulous bibliographical search, we identified a corpus of 10 European observations (8 CUAVD and 2 CBAVD) some of them richly illustrated. They were collected between 1755 and 1876 throughout adult men autopsies. We also provided their primary and unambiguous sources. Analysis of the reported data revealed some interesting facts: both CBAVD cases were unlikely linked to cystic fibrosis and half of CUAVD cases were associated with an ipsilateral kidney absence, suggesting a CFTR‐independent pathophysiology. Moreover, the anatomical details of the anomalies raise interesting embryological questions we have tried to address in the light of current data. This work made it possible to identify new historical sources dealing with male genital tract pathologies. It sheds light on the origins of andrology and opens up interesting prospects for research and education in the field. [ABSTRACT FROM AUTHOR]

Venous aneurysms are rare, and their incidence is unknown. External iliac vein aneurysms are even more rare with only 50 case reports published from 1950 to 2018. We present a case of an individual who died suddenly from a pulmonary thromboembolic event due to an external iliac vein aneurysm formed by a remote penetrating injury. A 32‐year‐old male was in Immigration and Customs Enforcement (ICE) custody when he died suddenly. It was discovered during his autopsy that he had an occlusive pulmonary thromboembolism (PE) within the left main pulmonary artery and distal branches of the right pulmonary artery. On additional investigation and postmortem computed tomography, a large saccular aneurysm arising from the external iliac vein was discovered. This aneurysm contained clotted blood, and was determined to be the cause of his PE and subsequent death. Although rarely a source for a fatal PE, venous aneurysms should be considered as a possible source for thromboembolism; their presence may alter the manner of death, given their underlying etiology. This is especially true for young adults with a remote history of trauma near a major venous tributary, as traumatic arteriovenous fistula is a common cause of secondary venous aneurysm. For this case, the manner of death was classified as homicide. [ABSTRACT FROM AUTHOR]

Rubber latex processing acid poisoning is a frequently encountered phenomenon in Tripura. Formic acid is the preferred choice for coagulating rubber latex in rubber sheet manufacturing units. The objective of this study aimed to assess the epidemiological profile of poisoning deaths by rubber processing acid and to record their autopsy findings. This was a 2-year prospective cross-sectional study of deaths by rubber processing acid ingestion, which were brought for postmortem examination in two health care institutes of Tripura. Profiles of the cases were noted from hospital records, family members, Inquest and Challan papers from police and autopsy findings. All data were entered in SPSS software version 23.0, and Pearson's correlation was used to correlate the corrosion of stomach and survival time. Of 42 cases, 30.90% were between the ages of 41 and 50 years, and the majority were rubber tappers (69.01%). Familial disharmony (52.38%) was the most common cause of acid consumption. Close proximity (within 1 km) of the rubber tapping area to the consumption spots was observed (59.52%). Overall, 97.62% of victims had corrosion of the stomach and congestion of internal organs, and the majority (66.67%) died within 24 h of consumption. This study emphasises the mortality brought on by rubber latex processing formic acid in areas surrounding rubber plantation. The poisoning prevention and control can be strategised in pre-exposure and exposure levels among vulnerable population based upon Information, Education and Communication model. [ABSTRACT FROM AUTHOR]

Transient abnormal myelopoiesis (TAM) in neonates with Down syndrome (DS) exhibits hematological features that are indistinguishable from those of acute megakaryoblastic leukemia. However, TAM typically resolves spontaneously within several months postnatally. Some patients with TAM, however, develop severe clinical manifestations, which can lead to an unfavorable prognosis. TAM originates in utero through the acquisition of somatic GATA1 mutations, resulting in the loss of the full‐length GATA1 protein and excessive production of the N‐terminal truncated short isoform of the GATA1 protein (GATA1s). Herein, we report the pathological findings from an autopsy of a female stillbirth with TAM and DS, including an examination of her placental tissues. Immunohistochemical analysis revealed the expression of GATA1s, but not full‐length GATA1, in CD42b‐positive atypical immature megakaryocytes and blasts in the placental blood vessels. This confirms the diagnosis of TAM and suggests the utility of placental tissue for histological diagnosis. Additional unique findings from the autopsy specimens are discussed. [ABSTRACT FROM AUTHOR]

Background: Abdominal obesity and low muscle strength, known separately as risk factors for mortality, might have a synergistic effect when they co-occur. Dynapenic abdominal obesity (DAO) is a condition defined by the presence of both. However, DAO's independent and combined impact on mortality remains under investigation. Objective: The objective of the present study was to evaluate the association of dynapenia, abdominal obesity, and dynapenic abdominal obesity with all-cause mortality among community-dwelling older adults. Methods: This is a longitudinal study with a 5-year follow-up conducted involving 1,354 community-dwelling older adults (≥ 65 years) of the Birjand Longitudinal Aging Study (BLAS). Abdominal obesity and dynapenia were respectively defined based on waist circumference (> 102 cm for men and > 88 cm for women) and grip strength (< 26 kg for men and < 16 kg for women). The sample was divided into four groups: non-dynapenic/non-abdominal obesity (ND/NAO), dynapenic/non-abdominal obesity (D/NAO), non-dynapenic/abdominal obesity (ND/AO), and dynapenic/abdominal obesity (D/AO). The outcome was all-cause mortality registered through four methods: 1- telephone interview with the family of the participants during September 2018 and February 2024, 2- hospital information systems, 3- death registry of the deputy of the Health of Birjand University of Medical Sciences 4- in a subject who died at home or out of hospital death registry was verified by a verbal autopsy performed by a clinician. Univariate and multiple Logistic regression models were used to estimate the risk of all-cause mortality as a function of dynapenia and abdominal obesity in competing events controlled by age, sex, multi-morbidity, and frailty. Results: The mean age of the study participants was 69.77 ± 7.55 years, and about 703 (51.71%) were female. There was a statistical difference between the alive and the deceased groups in terms of sex, age, multimorbidity, and frailty. Mortality was statistically higher among dynapenic participants (P < 0.001). Unadjusted logistic regression analysis explored the relationship between D/NAO and mortality (OR = 2.18; CI 95% 1.25–3.78). In the adjusted models, no significant relationships were observed. Age and frailty had significant associations with mortality. Conclusion: While our study found an association between dynapenia without abdominal obesity and increased mortality risk, factors like age and frailty might play a stronger role. These require further investigation to understand the independent effect of dynapenia on mortality fully. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to assess whether there is a discrepancy between clinical and autopsy-based diagnoses in adult intensive care unit (ICU) patients. Methods: We conducted a systematic review of cohort studies reporting on conventional autopsy-confirmed missed diagnoses. The discrepancy rate was per study calculated by dividing the number of patients with a missed diagnosis by the number of autopsies. Missed diagnoses were classified according to the Goldman classification as 'major' and 'minor' with major missed diagnoses further differentiated into Class I missed diagnoses (i.e., diagnoses that may have altered therapy or survival) and Class II missed diagnoses (i.e., diagnoses that would not have altered therapy or survival). Class I missed diagnoses constitute the primary outcome of interest. Pooled estimates for discrepancy rates (95% confidence intervals) were calculated using a mixed-effects logistic regression model with 'study' as random effect. Meta-regression was used to assess relationships between major discrepancy rates and autopsy rates, start year of study, and ICU type. Results: Forty-two studies were identified totaling 6305 analyzed autopsies and 1759 patients with missed diagnoses. The pooled discrepancy rates for Class I and major missed diagnoses were 6.5% (5–8.5) and 19.3% (15.3–24), respectively. Meta-regression analysis revealed that autopsy rate was inversely associated with discrepancy rate. Class I discrepancy rates did not change over time. Burn and trauma ICUs had lower discrepancy rates as compared to medical ICUs, possibly because of higher autopsy rates. Conclusions: Missed diagnoses remain common in ICUs. A higher autopsy rate does not reveal more major diagnostic errors. These data support a clinically driven autopsy policy rather than a systematic autopsy policy. [ABSTRACT FROM AUTHOR]

The article in the Journal of Neurology discusses a case of argyrophilic grain disease (AGD) initially diagnosed as Parkinson's disease. AGD is a tauopathy that can lead to cognitive decline, with specific neuropathological features such as argyrophilic grains and astrocytic changes. The case study describes an 89-year-old woman with parkinsonian symptoms who later developed dementia, leading to a diagnosis of PD with dementia. Postmortem examination confirmed AGD as the underlying pathology, highlighting the importance of considering AGD in cases of parkinsonism without dementia in older individuals. [Extracted from the article]

We report the prenatal diagnosis of Poretti-Boltshauser Syndrome (PBS) in a 36-year-old primigravida woman. At 22 weeks and 6 days of gestation, fetal ultrasound revealed a normally shaped but hyperechogenic cerebellum with all supratentorial structures appearing normal. Differential diagnosis included cavernous hemangioma, capillary telangiectasia, and cerebellar hemorrhage. Subsequent fetal cerebral MRI showed diffuse bilateral cerebellar modifications, reduced cranio-caudal diameter of the vermis, and pathological elongation and thickening of the superior cerebellar peduncles indicative of the molar tooth sign. Amniocentesis and whole exome sequencing identified two heterozygous truncating variants in the LAMA1 gene: c.3099G > A (p.Trp1033Ter) and c.3699T > A (p.Tyr1233Ter), confirming PBS.) Following the diagnosis, the pregnancy was terminated at 23 weeks and 5 days. Post-mortem examination supported the MRI findings consistent with PBS. This case highlights the importance of integrating ultrasound, MRI, and genetic analysis for accurate prenatal diagnosis and emphasizes the molecular diversity associated with PBS, including the presence of molar tooth sign mimics and a novel c.3699T > A variant. [ABSTRACT FROM AUTHOR]

The objective of this study was to describe the intraocular pressure (IOP) findings in a population of Chinese edible frogs (Hoplobatrachus rugulosus) sold in wet markets across Hong Kong and to characterize the influence of sex and anesthesia. One hundred animals were evaluated, and 96 were included in this study. All frogs included appeared ophthalmologically normal upon gross examination. Intraocular pressure was evaluated with rebound tonometry (TonoVet Plus® setting "d") on conscious frogs and under anesthesia. General anesthesia was induced with MS-222 (tricaine methanesulfonate) 2 g/L by immersion. After IOP measurements, the frogs were euthanized with intravenous pentobarbital (200 mg/ml) and sex was confirmed on postmortem examination. Mean (± SD) IOP values were significantly decreased under MS-222 anesthesia in males (14.7 ± 2.8 mmHg; P < 0.0001) and females (14.7 ± 2.4 mmHg; P < 0.0001) compared to conscious readings (16.3 ± 2.1 mmHg and 16.3 ± 2.1 mmHg, respectively). There was no significant difference in IOP found between males and females before or after anesthesia. There was no significant difference between the right and left eye in males and females before or after anesthesia. The results of this study establish a normal range of IOP for this species and are comparable to previous published reports of IOP in anurans. [ABSTRACT FROM AUTHOR]

Phallic malformations directly affect crocodilian copulatory function and thus could influence reproductive success in individual animals. This case series characterizes malformations observed and the implied reproductive consequences. A range of phallic malformations observed in saltwater crocodile (Crocodylus porosus), Nile crocodile (Crocodylus niloticus), broad-snouted caiman (Caiman latirostris), and Cuban crocodile (Crocodylus rhombifer) were assessed during veterinary examinations or postmortem studies; the observations were characterized into the following categories: amputation, phallic glans malformations, sulcus spermaticus obstruction, and prolapse. Through detailed descriptions of these anomalies, potential reproductive health effects based on current knowledge across crocodilian species is discussed. When considering captive management of breeding stock, it is vital to examine individual effectiveness at achieving proper intromission and insemination. Therefore, full reproductive examination in males should be part of routine examination to best care for individuals with such anomalies. [ABSTRACT FROM AUTHOR]

Heart weight is a routine measurement during a post-mortem examination. An increased heart weight is associated with preexisting heart disease and sudden cardiac death. In cases where the heart is partially fragmented, it may be hard to obtain an accurate heart weight by weighing it. If a compromised/fragmented heart size can be approximated, assessing the heart dimensions may provide a heart weight estimation. This study examined 46 fresh Caucasian adult hearts and found a high and significant correlation between heart dimensions and heart weight. Using linear regression modelling, heart weight can be estimated using only the transverse dimension (or width) of the heart with a relatively high accuracy. The established equation in estimating heart weight was heart weight (g) = −298 + 5.92 * heart width (mm), R2 = 0.71. [ABSTRACT FROM AUTHOR]

The workload of forensic pathologists involves performing autopsies for a coroner. In this study of Australia, it was hypothesized that autopsy numbers would increase over time owing to increasing numbers of deaths, but this potential trend could be influenced by changes in Coroners Acts. The five largest coronial jurisdictions of Australia were studied between 2006 to 2017. Regression analysis was used to compare autopsy numbers (from the National Coronial Information System) to the number of deaths (from the Australian Bureau of Statistics). The number of deaths increased over time in all jurisdictions. Two jurisdictions had changes to their Coroners Acts that appeared related to decreasing numbers of autopsies. Two jurisdictions had no changes to their Coroners Acts: one showed a greater increase in autopsy numbers than the increase in deaths, but the other's trend was significantly different to the increasing number of deaths. The fifth jurisdiction had a change in Coroners Act with a following, non-sustained decrease in autopsy numbers. The findings support the hypothesis that forensic pathology workload can be influenced by changes in Coroners Acts, but the finding also suggests that other factors may influence the number of autopsies that are performed by forensic pathologists. [ABSTRACT FROM AUTHOR]

Methanol is toxic, with its harmful effects stemming from formic acid. Methanol poisoning, a significant public health issue, usually follows oral consumption. Such poisoning incidents are frequent in Iran and globally. Ethanol or fomepizole serves as the conventional treatment for methanol toxicity. Mixed intoxication involving both ethanol and methanol is relatively rare but can have severe consequences. This study detailed a 29-year-old man who died after consuming an alcoholic beverage and the incorrect hospital administration of ethanol. Postmortem toxicological tests showed high ethanol and methanol levels in femoral blood and vitreous humor. The cause of death was attributed to acute ethanol intoxication. The clinical presentation, toxicological findings, and postmortem examination are discussed. This highlights the need to improve surveillance and treatment for methanol poisoning episodes, particularly in Iran. [ABSTRACT FROM AUTHOR]

This article documents six unusual neuropathological scenarios, and discusses the practical problems in making neuro-infectious disease diagnoses in biopsy and morbid anatomy material. The infections depicted are malaria, HIV, leprosy, tuberculosis, mycosis, and larval nematodes. [ABSTRACT FROM AUTHOR]

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bulletin of Legal Medicine / Adli Tıp Bülteni is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article assesses the role of the female cadaver in the design of 16 Great Windmill Street in London, the house/museum/anatomy theater complex built in 1767 by Robert Mylne, student of Piranesi, and William Hunter, man-midwife, physician to the queen of England, and first professor of anatomy at the Royal Academy. The focus on the female cadaver exposes the rigid gendering of emergent spaces of modern Western science. More important, this investigation suggests that the subaltern subject of a building might act less as a passive object and more as an active agent in the generation of the building's program. Considering the cadaver as a participant in the planning of structures that exhibited her might prompt a broader, more critical consideration of the design role of animate objects in other building types, including abattoirs and prisons, and of the societies that produce them. [ABSTRACT FROM AUTHOR]

Organophosphorus, an insecticide used in agricultural and industrial settings, is the most common cause of poisoning in India. Organophosphorus is a nerve poison that causes irreversible inhibition of acetylcholinesterase, which leads to the accumulation of acetylcholine, resulting in excessive cholinergic stimulation of several organ systems. Several complications have been reported, but pancreatitis is quite rare and mainly due to ductal hypertension and injury to parenchyma, consequent to cholinergic hyperactivity in the pancreas. We present a case series of four cases where organophosphorus poisoning was suspected. Autopsy revealed that, in all four cases, the stomach walls were congested, pancreas showed gross haemorrhage over the surface and on cut sections, with other visceral organs showing generalised congestion. Later, after visceral and histopathological examination, all cases were confirmed as organophosphorus (dichlorvos) poisoning with haemorrhagic pancreatitis. Acute pancreatitis in organophosphorus poisoning usually has a subclinical course and gets masked by the systemic effects. Haemorrhagic pancreatitis sequela of acute pancreatitis is a rare and fatal complication of organophosphorus poisoning. [ABSTRACT FROM AUTHOR]

Cholangiocarcinoma is a malignant tumour of bile duct epithelial cells, an uncommon primary hepatic neoplasm in cattle. A 9‐year‐old Simmental cow presented with watery diarrhoea, crusty skin lesions, loss of appetite and hepatomegaly. Suspecting severe liver disease, the cow was euthanased due to poor prognosis. During gross postmortem examination, large numbers of multifocal to coalescing nodules often with soft necrotic centres ranging from miliary to 7 cm in size were present in the liver, lung, mesentery, peritoneum and lymph nodes. These features were suggestive of bovine tuberculosis. However, direct tissue smears stained by Ziehl Neelsen stain were negative for the presence of acid‐fast bacteria, and subsequent histopathological and immunohistochemical investigations confirmed the presence of metastasizing cholangiocarcinoma. This case reminds clinicians and pathologists to keep an open mind during the diagnostic process and serves to highlight the value of histopathology in diagnosing seemingly characteristic gross lesions. [ABSTRACT FROM AUTHOR]

A 3‐year‐old, female, spayed, mixed breed dog developed progressive dyspnoea after exposure to waterproofing shoe spray. The dog developed severe hypoxaemia and hypercapnia, and was subsequently diagnosed with veterinary acute respiratory distress syndrome secondary to chemical pneumonitis. Mechanical ventilation was initiated due to respiratory compromise. Severe hypercapnia persisted despite aggressive treatment. Unfortunately, the patient experienced cardiopulmonary arrest non‐responsive to cardiopulmonary resuscitation. A postmortem examination was performed, revealing pulmonary haemorrhage, hyaline membrane formation and necrosis. These findings are supportive of a diagnosis of chemical pneumonitis secondary to inhalation of waterproofing shoe spray, resulting in acute respiratory distress syndrome. [ABSTRACT FROM AUTHOR]

A 12‐day‐old, male Holstein Friesian calf was presented to the hospital due to progressive ataxia and tremors since birth. A diffuse central nervous system disorder primarily affecting white matter was suspected based on clinical neurological examination. Blood tests were unremarkable, except for positive serology for Schmallenberg virus. Magnetic resonance imaging of the brain demonstrated severe, diffuse abnormalities primarily affecting the white matter regions of the encephalon and cranial cervical spinal cord, consistent with leukoencephalomyelopathy. Euthanasia was performed at 8 weeks of age after no clinical improvement. A postmortem examination was performed. Histopathological examination of the central nervous system revealed changes compatible with hypomyelinating leukodystrophy, with no signs of infectious agents observed. The disorder was considered most likely to be hereditary, as Schmallenberg virus infections during pregnancy in cattle have not been reported to result in such clinical, magnetic resonance imaging or histopathological findings, and no viral genomic material was identified with polymerase chain reaction. [ABSTRACT FROM AUTHOR]

COVID-19, caused by SARS-CoV-2, manifests with differing severity across distinct patient subgroups, with outcomes influenced by underlying comorbidities such as cancer, which may cause functional and compositional alterations of the immune system during tumor progression. We aimed to investigate the association of SARS-CoV-2 infection and its complications with cancer in a large autopsy series and the role of COVID-19 in the fatal sequence leading to death. A total of 2641 adult autopsies were investigated, 539 of these were positive for SARS-CoV-2. Among the total number of patients analyzed, 829 had active cancer. Overall, the cohort included 100 patients who simultaneously had cancer and SARS-CoV-2 infection. The course of COVID-19 was less severe in cancer patients, including a significantly lower incidence of viral and bacterial pneumonia, occurring more frequently as a contributory disease or coexisting morbidity, or as SARS-CoV-2 positivity without viral disease. SARS-CoV-2 positivity was more frequent among non-metastatic than metastatic cancer cases, and in specific tumor types including hematologic malignancies. COVID-19 was more frequently found to be directly involved in the fatal sequence in patients undergoing active anticancer therapy, but less frequently in perioperative status, suggesting that the underlying malignancy and consequent surgery are more important factors leading to death perioperatively than viral disease. The course of COVID-19 in cancer patients was milder and balanced during the pandemic. This may be due to relative immunosuppressed status, and the fact that even early/mild viral infections can easily upset their condition, leading to death from their underlying cancer or its complications. [ABSTRACT FROM AUTHOR]

Background: Dirofilariosis is a parasitic mosquito-borne disease caused by members of the genus Dirofilaria, which includes Dirofilaria immitis and Dirofilaria repens. Surveillance studies in Europe have revealed that D. immitis can also be detected in a range of wild carnivores, raising questions over the impact of infections on wild carnivore animal health but also whether these populations may act as a reservoir for infection of other species, including domestic dogs and humans. Methods: In the current study, we conducted surveillance for the presence of D. immitis in several wild carnivore species, including golden jackals (Canis aureus; n = 77), red foxes (Vulpes vulpes; n = 326), and European badgers (Meles meles;n = 28), collected during an annual rabies surveillance and control program from across continental and coastal regions of Croatia. Results: Macroscopic examination of the right chambers of the heart during a post-mortem examination resulted in the detection of filarial parasites in 6.5% (5/77) golden jackal carcasses. Morphological identification, confirmed by molecular screening, classified all parasites as D. immitis. No D. immitis were detected in the red foxes or European badgers examined. All infected golden jackals were adults aged from 2 to 7 years with a parasite load ranging from 2 to 7 nematodes per carcass. One animal was infected with a sexually mature pair, while a second harbored pre-mature parasites; the remaining positive jackals were infected with female parasites only. Notably, histological examination of cardiac and lung tissue revealed proliferative endarteritis in the jackal with the highest parasite burden. Conclusions: Further studies are required to establish whether golden jackals, as well as other wild carnivore hosts, may serve as competent definitive hosts of D. immitis and act as reservoirs for infection of other species including domestic dogs and humans. Histological changes in the cardiac tissue of at least one positive jackal were suggestive of infection with pathological consequences for the host. [ABSTRACT FROM AUTHOR]

Background: Early in the coronavirus disease 2019 (COVID-19) pandemic, Sunda pangolins (Manis javanica) involved in the illegal wildlife trade in mainland China were identified as hosts of severe acute respiratory syndrome-related coronaviruses (SARSr-CoVs). Although it is unconfirmed whether pangolins or other traded wildlife served as intermediate hosts for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the trafficking of pangolins presents a clear risk for transmission of viruses with zoonotic and epizootic potential regardless. We have investigated the origins of pangolin carcasses seized in Hong Kong and have evaluated their potential exposure to SARSr-CoVs, other coronaviruses, and paramyxoviruses, aiming to address a gap in our knowledge with regard to the role of wildlife trade in the maintenance and emergence of pathogens with zoonotic and epizootic potential. Results: Using a combination of virological and wildlife forensics tools, we investigated 89 Sunda pangolin carcasses seized by Hong Kong authorities during anti-smuggling operations in the territory conducted in 2013 (n = 1) and 2018 (n = 88). Swabs, organ tissues, blood, and other body fluids were collected during post-mortem examination. Two enzyme-linked immunosorbent assays (ELISAs), which employ a double-antigen sandwich format, were used to detect antibodies reactive against SARSr-CoVs. One individual was found to be seropositive with support from both methods, while five individuals exhibited a putatively seropositive result from one ELISA method. Polymerase chain reaction (PCR) screening for coronavirus and paramyxovirus ribonucleic acid (RNA) did not yield any positives. Based on genomic data, the seropositive individual was determined to have likely originated from Java, while the putatively seropositive individuals were determined to have originated from populations in Borneo, Java, and Singapore/Sumatra. Conclusions: While the role of pangolins in the evolution and ecology of SARS-CoV-2 is uncertain, our results suggest susceptibility and potential exposure of pangolins to SARSr-CoVs, occurring naturally or associated with the illegal trafficking of these animals. Complex dynamics between natural populations, traded individuals, and pathogen susceptibility complicate conclusions about the role of pangolins, as well as other host species, in the ecology of SARSr-CoVs and potentially zoonotic viruses with risk of future emergence. [ABSTRACT FROM AUTHOR]

Tau PET has attracted increasing interest as an imaging biomarker for 4-repeat (4R)-tauopathy progressive supranuclear palsy (PSP). However, the translation of in vitro 4R-tau binding to in vivo tau PET signals is still unclear. Therefore, we performed a translational study using a broad spectrum of advanced methodologies to investigate the sources of [18F]PI-2620 tau PET signals in individuals with 4R-tauopathies, including a pilot PET autopsy study in patients. First, we conducted a longitudinal [18F]PI-2620 PET/MRI study in a 4-repeat-tau mouse model (PS19) and detected elevated [18F]PI-2620 PET signals in the presence of high levels of neuronal tau. An innovative approach involving cell sorting after radiotracer injection in vivo revealed higher tracer uptake in single neurons than in the astrocytes of PS19 mice. Regional [18F]PI-2620 tau PET signals during the lifetime correlated with the abundance of fibrillary tau and with autoradiography signal intensity in PSP patients and disease controls who underwent autopsy 2–63 months after tau PET. In autoradiography, tau-positive neurons and oligodendrocytes with a high AT8 density, but not tau-positive astrocytes, were the drivers of [18F]PI-2620 autoradiography signals in individuals with PSP. The high tau abundance in oligodendrocytes at the boundary of gray and white matter facilitated the identification of an optimized frontal lobe target region to detect the tau burden in patients with PSP. In summary, neuronal and oligodendroglial tau constitutes the dominant source of tau PET radiotracer binding in 4-repeat-tauopathies, translating to an in vivo signal. [ABSTRACT FROM AUTHOR]

Plasma glial fibrillary acidic protein (GFAP) is an emerging biomarker of Alzheimer's disease (AD), with higher blood GFAP levels linked to faster cognitive decline, particularly among individuals with high brain amyloid burden. However, few studies have examined brain GFAP expression to clarify if peripheral associations reflect brain changes. This study aimed to correlate region-specific GFAP mRNA expression (n = 917) and protein abundance (n=386) with diverse neuropathological measures at autopsy in the Religious Orders Study and Rush Memory and Aging Project (ROS/MAP) and to characterize the interaction between brain GFAP and brain amyloid burden on downstream outcomes. We assessed GFAP gene expression in the dorsolateral prefrontal cortex, caudate nucleus, and posterior cingulate cortex with respect to core AD pathology (amyloid-β and tau), cerebrovascular (microinfarcts, macroinfarcts, and cerebral amyloid angiopathy [CAA]), proteinopathic (TDP-43, Lewy bodies), and cognitive outcomes. These associations were further examined at the protein level using tandem-mass tag proteomic measurements from the dorsolateral prefrontal cortex. We also assessed GFAP interactions with AD neuropathology on downstream outcomes. Cortical GFAP gene and protein expression were significantly upregulated in participants with a neuropathologically confirmed AD diagnosis at autopsy (all PFDR < 3.5e−4), but not in individuals positive for tau pathology and negative for amyloid pathology (all PFDR > 0.05). Higher cortical GFAP levels were associated with increased amyloid pathology, CAA pathology, and faster cognitive decline (all PFDR < 3.3e−3). GFAP's associations with phosphorylated tau burden and cognition were influenced by amyloid burden, being most pronounced among amyloid-positive individuals, confirming previous in vivo biomarker observations. No associations were observed between GFAP gene expression and outcomes in the caudate nucleus. Our results support previous biomarker findings and suggest that higher brain GFAP levels are associated with higher brain amyloid burden and faster cognitive decline among amyloid-positive individuals. [ABSTRACT FROM AUTHOR]

Feline paraneoplastic alopecia is associated with intraabdominal neoplasms. A 13‐year‐old female cat was presented with a history of a cutaneous mass on the head, followed by ventrally distributed alopecia with shiny skin. Necropsy revealed an apocrine adenocarcinoma and telogenisation/miniaturisation of the hair follicles, respectively. These findings are consistent with paraneoplastic alopecia. [ABSTRACT FROM AUTHOR]

While developing battery cells, the achievement of fast-charging capability is heavily dependent on avoiding metallic plating on the anode surface (i.e., lithium plating in lithium-ion cells). However, this objective hinges on the effectiveness of plating detection. Currently, measurement techniques are either inadequate in providing spatial, temporal, or causal information, incur high costs when employing, e.g., neutron imaging, or are lengthy due to destructive post-mortem examinations that additionally lack operando data. In this work, we demonstrate an ultrasound imaging method for operando visualization of the interior of a multi-layer pouch battery cell. Here we show that this method can non-invasively visualize the formation and stripping of lithium plating during cycling. Extensive reference electrode studies and ex-situ analysis verify the effectiveness of our method for plating detection. Ultimately, this work enables researchers and industry to significantly accelerate the development of new cell technologies and their optimized utilization. The authors have demonstrated a method for real-time imaging of the interior of a battery using ultrasound imaging. This approach reveals effects that hinder fast charging, enabling researchers to develop new batteries and optimize their utilization. [ABSTRACT FROM AUTHOR]

Background: Hydatid disease is a zoonotic disease caused by the intermediate stage of dog tapeworm Echinococcus granulosus. Objectives: The study investigated the prevalence of hydatid cysts and the risk factors in cattle slaughtered at the Bishoftu municipal abattoir. It also analyzed the economic loss and community's awareness of this matter. Animals: 480 cattle brought for slaughtering were included in the study. Methods: A cross‐sectional study was conducted from December 2022 to April 2023 in Bishoftu municipal abattoir involving antemortem examination of cattle and postmortem hydatid cyst investigation, assessment of associated economic loss, and community awareness survey. Animals were selected systematically and cysts were investigated using standard meat inspection procedures. Results: 10.4% of the slaughtered cattle were found positive for hydatid cysts, with no statistically significant association with the considered risk factors. From 85 collected cysts, the lungs accounted for 55.3%, the liver for 29.4%, and the remaining 15.3% were from the spleen, kidney, and heart. About 47.1% of the cysts were fertile and 52.9% were infertile, of which, 37.5% were nonviable. In a survey of 100 individuals, 33.0% were unaware of hydatid disease, and 61.0% were unaware that the disease is zoonotic. Annual economic loss due to the case was estimated at 5,444,564.4 ($97,224.4). Conclusion: This study identified hydatid disease as a significant issue in cattle in Bishoftu, indicating the need for preventative and control measurements. Strategies such as deworming, controlling street dogs, establishing standardized abattoirs, and raising public awareness should be applied to alleviate the problem in Bishoftu and nationwide. [ABSTRACT FROM AUTHOR]

Background: Umbilical outpouchings (UO) are common in Danish weaners. In slaughter pigs UOs consist of various pathological diagnoses; however, no studies have assessed the pathology in weaners from randomly selected herds, nor the agreement between clinical examination findings and post-mortem results. The primary objective was to estimate the prevalence of UO-related clinical findings in weaners before euthanasia and the pathologic macroscopic findings after euthanasia. A secondary objective was to assess the agreement between the size of the UO, the presence of ulcers, and the diagnosis before and after euthanasia. Pigs were selected for euthanasia and included in the study because the individual farmer believed the pigs were already unfit for transport, would not make it to slaughter, or would become unsellable. Results: In total 214 weaners euthanized due to UOs were examined both clinically and post-mortem. Clinically 65.4% of the UOs were large (≥ 11 cm) and 52.3% were unreducible. In the autopsy 78.5% of the UOs were large, and 54.2% had ulcers on their UO. The most prevalent pathological diagnoses were hernia (36.4%), hernia combined with cysts/abscesses (30.8%), cysts (11.7%), and abscesses (11.2%). Adhesions were found in 32.7%, haemorrhage in 22.7%, incarcerated intestines in 8.9%, and connective tissue related to the UO in 51.9% of the pigs post-mortem. The agreement between the size of the UO in the clinical examination and post-mortem was good, as was the sensitivity and specificity for detecting ulcers in the clinical examination compared to post-mortem. Conclusion: Hernias were the most common pathological diagnosis in weaners euthanized due to UOs, and many pigs had complications related to their UO such as ulcers, adhesions, haemorrhage, or incarcerated intestines—all conditions that could impact the pig's welfare. The presence of connective tissue in the UO in more than half of the pigs indicated that many of the UOs had been present for an extended period. Clinical identification of the umbilical ring is difficult, but the clinical examination is useful for determining the size of the UO and the presence or absence of an ulcer, both critical factors when assessing a pig's welfare and fitness for transport. Clinical examination, however, has limited value in determining the aetiology of UOs. [ABSTRACT FROM AUTHOR]

Background: Porcine circovirus 3 (PCV3) is a recently discovered swine pathogen associated with reproductive disease. To date, clinical problems linked to PCV3 have been described in intensive rearing pig farms. The present case describes an Iberian semi-outdoors sow farm affected by PCV3 reproductive disease. Case presentation: The affected farm was composed of 420 self-replaced Iberian sows, working in 3-week batches (60 sows per batch). The farm was free from porcine reproductive and respiratory syndrome virus (PRRSV) and had been previously affected by porcine circovirus 2 (PCV2) reproductive disease, which was successfully managed through sow vaccination. In spring 2022, reproductive disease was noticed with a high increase in the number of mummified foetuses and stillborn piglets from gilts as the most remarkable finding; multiparous sows were not affected. A first analysis with pooled stillborn tissues ruled out most swine reproductive pathogens and revealed detection of PCV3. To further elucidate PCV3 implication in the reproductive disease, a complete post-mortem examination of stillborn and mummified foetuses from two affected litters was conducted. Pooled tissue samples yielded high PCV3 loads by quantitative PCR. Grossly, one (out of 5) stillborn had an enlarged, flaccid heart. Histopathological evaluation revealed PCV3 lesions consisting of lymphohistiocytic and systemic periarteritis (3/5). The grossly affected heart had lymphohistiocytic myocarditis with fibrosis and lymphohistiocytic endocarditis. By in situ hybridization, high amounts of PCV3 genome were observed within histological lesions. Moreover, immunohistochemistry against PRRSV and PCV2 resulted negative in the same tissues. Conclusions: This is the first report of PCV3 reproductive disease in a semi-extensive production Iberian pig farm, affecting exclusively gilts. Moreover, this is the first description of grossly apparent myocarditis associated to PCV3 infection. Therefore, PCV3 should be considered within the differential diagnostic list of swine reproductive problems in non-intensive pig rearing production. [ABSTRACT FROM AUTHOR]

We report a patient who presented clinically with progressive supranuclear palsy (PSP) but was pathologically diagnosed as having primary lateral sclerosis (PLS) with magnetic resonance imaging (MRI) with a quantitative susceptibility mapping (QSM) protocol. A 70‐year‐old man was clinically diagnosed with PSP due to early falls and unresponsiveness to levodopa therapy. Postmortem pathological examination revealed mild loss of Betz cells, gliosis, and transactive response DNA binding protein of 43 kDa (TDP‐43)‐positive inclusions in the motor cortex, leading to the pathological diagnosis of PLS. To explore methods for differentiating PLS from PSP, ante‐mortem QSM images were visually and quantitatively assessed for abnormal increases in magnetic susceptibility in the motor cortex. Prussian blue and Luxol fast blue combined with periodic acid‐Schiff staining were also performed to understand the source of the susceptibility increases. QSM showed clear hyperintense signals in the motor cortex. Magnetic susceptibility in the motor cortex was higher in the PLS patient (Z = 4.7, p < 0.001) compared to normal controls and pathologically diagnosed PSP patients. Pathological examination of the region showed intracortical myelin loss, as well as iron deposition. Underlying pathological processes for the increased magnetic susceptibility include not only iron deposition but also intracortical myelin. Our case suggests that QSM is a potential tool to differentiate PLS from PSP, providing insights for accurate diagnosis and enhancing clinical decision‐making. [ABSTRACT FROM AUTHOR]

Simple Summary: In recent decades, environmental changes consequent to human activities have become more important factors in the conservation of wild species. Despite the Ligurian sea being part of the Pelagos Sanctuary, which has been a Specially Protected Areas of Mediterranean Importance (SPAMI) and a Marine Protected Area (MPA) since 1999, several anthropogenic threats affecting the health of cetacean populations living in this area are known to be present. In particular, interaction with fishing activities, contamination with chemical compounds such as organochlorine compounds (OCs), interaction with marine debris (especially, plastic debris), and the emergence of infectious agents, many of which are of terrestrial origin as a result of contamination of the marine environment by agricultural, animal, and human waste, are just some of the threats. In this regard, cetaceans stranded along the Ligurian coast between 2020 and 2022 were evaluated by means of a comprehensive post mortem examination and thorough specific diagnostic investigations to assess the level of anthropic pressure in this area by the Italian National Reference Center for Diagnosis of stranded Marine Mammals (C. Re. Di. Ma). Data collected by C. Re. Di. Ma over a 3-year period (2020–2022) were considered to assess anthropic pressure on cetaceans living in the Ligurian sea. Out of a total of 37 stranded cetaceans, a complete post mortem examination was performed on 23 cases. Of these, 14 were further selected considering at least one of these conditions: (i) confirmed, probable, or suspected interaction with fishing activities through the application of a standardized diagnostic framework (7/14; 50%), (ii) toxicological stress through the evaluation of OCs hazardous levels (14/14; 100%), and (iii) terrestrial pathogen-associated disease (systemic infection and/or associated lesions) (7/14; 50%). For 9 animals out of a total of 14 selected, the cause of death was classified as natural (6/14; 42,8%), anthropic (3/14; 21,4%), or not determined (5/14; 35,7%) based on gross and histological pathology and ancillary testing. These findings extend our knowledge of the anthropic pressure to which cetaceans stranded along the Ligurian coastline are subjected from a multidisciplinary point of view. [ABSTRACT FROM AUTHOR]

Death from falls accounts for a significant number of injuries and fatalities globally, often linked to suicides, workplace accidents, or substance abuse, and rarely to homicidal causes. Injuries from falls vary based on height, impact point, and surface struck, with severe trauma often seen, including visceral ruptures, organ lacerations, and complex fractures. Even minimal external injuries can mask severe internal damage, such as multiple organ ruptures, organ tears, and large vessel lacerations. Blunt cardiac injuries, which occur in 5% to 50% of falls, are significant, especially in falls over 6 m. In 70% of the cases, cardiac rupture is observed at the level of the posterior wall of the heart and occurs due to a contusive action on the heart during the diastolic filling phase. We report a case of a 29-year-old man (weight 95 kg) who died from an 11-meter fall. He had a history of cardiac surgery for the transposition of the great vessels, and an autopsy revealed extensive cardiac rupture, likely worsened by fibrotic adhesions anchoring the heart to the pericardium. Toxicological investigations on peripheral blood showed BAC > 2.58 g/L. Heart scars, macro- and microscopically as a deposit of fibrous tissue, due to previous surgery, may have contributed to the extent of the lesion, suggesting the need for further study on post-operative tissue changes and their effects on trauma from falls. [ABSTRACT FROM AUTHOR]

Mutations in ITM2B cause familial British, Danish, Chinese, and Korean dementias. In familial British dementia (FBD), a mutation in the stop codon of the ITM2B gene (also known as BRI2) causes a C-terminal cleavage fragment of the ITM2B/BRI2 protein to be extended by 11 amino acids. This fragment, termed amyloid-Bri (ABri), is highly insoluble and forms extracellular plaques in the brain. ABri plaques are accompanied by tau pathology, neuronal cell death and progressive dementia, with striking parallels to the aetiology and pathogenesis of Alzheimer's disease. The molecular mechanisms underpinning FBD are ill-defined. Using patient-derived induced pluripotent stem cells, we show that expression of ITM2B/BRI2 is 34-fold higher in microglia than neurons and 15-fold higher in microglia compared with astrocytes. This cell-specific enrichment is supported by expression data from both mouse and human brain tissue. ITM2B/BRI2 protein levels are higher in iPSC-microglia compared with neurons and astrocytes. The ABri peptide was detected in patient iPSC-derived microglial lysates and conditioned media but was undetectable in patient-derived neurons and control microglia. The pathological examination of post-mortem tissue supports the presence of ABri in microglia that are in proximity to pre-amyloid deposits. Finally, gene co-expression analysis supports a role for ITM2B/BRI2 in disease-associated microglial responses. These data demonstrate that microglia are major contributors to the production of amyloid forming peptides in FBD, potentially acting as instigators of neurodegeneration. Additionally, these data also suggest ITM2B/BRI2 may be part of a microglial response to disease, motivating further investigations of its role in microglial activation. These data have implications for our understanding of the role of microglia and the innate immune response in the pathogenesis of FBD and other neurodegenerative dementias including Alzheimer's disease. [ABSTRACT FROM AUTHOR]

The article discusses the importance of independence in expert witnesses, using two case studies to illustrate how compromised independence can lead to serious miscarriages of justice. It emphasizes the need for experts to provide unbiased opinions based on facts and scientific principles, without being influenced by the party retaining them. The article also highlights the role of lawyers in ensuring that expert reports meet legal requirements without compromising the expert's independence. Ultimately, the article underscores the critical role of independence in upholding the credibility of both individual experts and the field of science as a whole. [Extracted from the article]

While perovskite (PVK)‐based solar cells exhibit excellent efficiencies and require a relatively simple synthesis process, stability issues during operation severely limit their commercial development. Therefore, degradation studies have drawn much attention, but the plethoric literature highlights the complexity of the topic. Thus far, in most studies, pre‐ and postmortem analyses are performed and the system's performances before and after aging are compared, severely limiting the understanding of degradation pathways. By contrast, in situ characterization allows the degradation to be tracked in real time and the pathways to be fully explored. To this end, a coupled current–voltage (IV)–photoluminescence (PL) characterization bench is set up inside a climate chamber, allowing for the periodic acquisition of PL spectra and IV curves during accelerated aging. In this study, the International Summit on Organic Photovoltaic Stability protocol damp–heat test (65 °C, 85% relative humidity) is applied to several PVK solar cells with various transport layer combinations. By following the evolution kinetics of PL spectra and IV curves, insights into the nature of the degradation mechanisms are obtained. Notably, it becomes possible to distinguish performance losses due to degradation of the PVK absorber from those where extracting layers are the cause. [ABSTRACT FROM AUTHOR]

Traumatic brain injury (TBI) represents a major public health problem, being a leading cause of disability and mortality among young people in developed countries. Head trauma occurs across all age groups, each experiencing consistently high rates of mortality and disability. This review aims to present an overview of TBI epidemiology and its socioeconomic impact, alongside data valuable for prevention, clinical management, and research efforts. Methods: A narrative review of TBI was performed with a particular focus on forensic pathology and public health. In fact, this review highlighted the economic and epidemiological aspects of TBI, as well as autopsy, histology, immunohistochemistry, and miRNA. Results: These data, together with immunohistochemical markers, are crucial for histopathological diagnosis and to determine the timing of injury onset, a fundamental aspect in forensic pathology practice. There is compelling evidence that brain injury biomarkers may enhance predictive models for clinical and prognostic outcomes. By clarifying the cause of death and providing details on survival time after trauma, forensic tools offer valuable information to improve the clinical management of TBI and guide preventive interventions. Conclusions: TBI is one of the most common causes of death today, with high costs for health care spending. Knowing the different mechanisms of TBI, reduces health care costs and helps improve prognosis. [ABSTRACT FROM AUTHOR]

Background: Chronic obstructive pulmonary disease (COPD) is a significant respiratory disorder in humans characterized by persistent airway constriction or obstruction due to chronic bronchitis and pulmonary emphysema. Various methods of inducing COPD in mouse models are frequently used in COPD research; however, these cannot completely reproduce histopathologic lesions. This study aimed to establish a new COPD mouse model that reproduces histopathological lesions closely resembling clinical COPD within a shorter induction time. Methods: The new strategy involved the co-administration of porcine pancreatic elastase (PPE) and lipopolysaccharide (LPS), with PPE intended to induce pulmonary emphysema and LPS intended to induce chronic bronchitis. Male C57BL/6J mice were administered PPE (8 U/kg) on days 0 and 3 and LPS (400 µg/kg) on days 6, 9, 12, and 15. Each administration was performed using a noninvasive intubation-mediated intratracheal instillation method with a laryngoscope. Results: Postmortem examination on day 22 revealed that pulmonary emphysema and chronic bronchitis were simultaneously induced in 90.91% of the lung lobes. Molecular studies revealed higher messenger ribonucleic acid (mRNA) expression levels of interleukin-6(IL-6) and matrix metalloproteinase-12(MMP-12) associated with the pathogenesis of COPD. Conclusion: A new method was developed to establish a COPD mouse model that displays a more severe representation of the histopathological findings of clinical COPD than previous COPD models. It also reduces the time required for model induction. This newly developed COPD mouse model is expected to be a valuable tool for the pathogenesis and therapeutic research on human COPD. [ABSTRACT FROM AUTHOR]

Reports on neoplastic processes in snakes are sparse regardless of their location, origin or behavior. Here, we describe the occurrence of multifocal cutaneous neoplastic processes consistent with hemangioma and hemangioendothelioma, with a differential diagnosis of angiomatosis, in a colony of native Brazilian rainbow boas (Epicrates cenchria) which also included animals affected by boid inclusion body disease (BIBD). Thirteen snakes were affected; seven of these had been introduced from other Brazilian sites years earlier, the others had been bred in house but were not offspring of knowingly affected animals. The breeding regime allowed contact between all female and male animals over the years. The cutaneous lesions were first observed over eight years ago, with additional cases detected during the three following years, but no new cases in the last five years. Two affected animals were subjected to a post mortem examination and were found to suffer from peliosis hepatis as one of the additional pathological changes. BIBD was confirmed in five of the eight examined animals, by histology, immunohistology for reptarenavirus nucleoprotein, and multiplex RT-PCR targeting the reptarenavirus S segment. Reptarenavirus infection was also detected in cells in the cutaneous neoplastic processes. PCRs for Bartonella henselae and B. quintana as well as bacterial DNA in general, performed on a pool of six skin lesions, yielded negative results, ruling out ongoing bacterial infection, like bacillary angiomatosis in humans, of the lesions. The results hint towards an association of reptarenavirus infection and BIBD with neoplastic processes which is worth further investigations. [ABSTRACT FROM AUTHOR]