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Forensic pathological criteria of sudden infant death syndrome (SIDS) diagnosis

Research Project

Project/Area Number 08307006
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Legal medicine
Research InstitutionThe Jikei University School of Medicine

Principal Investigator

TAKATSU Akihiro  Jikei univ.School of Medicine・Forensic Med.Professor, 医学部・法医学, 教授 (60010089)

Co-Investigator(Kenkyū-buntansha) YOSHIOKA Naofumi  Akita Univ.School of Medicine・Forensic Med.Professor, 医学部・法医学, 教授 (80108935)
MAEDA Hiroshi  Osaka City Univ.Medical School・Legal Med.Professor., 医学部・法医学, 教授 (20135049)
NAKASONO Ichiro  Nagasaki Univ.School of Medicine・Legal Med.Professor, 医学部・法医学, 教授 (30108287)
KURATA Takeshi  National Inst.of Infectious Disease・Pathology, Director, 感染病理部, 部長 (50012779)
MISAWA Shogo  Univ.of Tsukuba・Legal Med.Professor, 社会医学系・法医学, 教授 (50086534)
西 克治  滋賀医科大学, 法医学, 教授 (60073681)
Project Period (FY) 1996 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥12,500,000 (Direct Cost: ¥12,500,000)
Fiscal Year 1998: ¥3,200,000 (Direct Cost: ¥3,200,000)
Fiscal Year 1997: ¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 1996: ¥5,300,000 (Direct Cost: ¥5,300,000)
Keywordssudden infant death syndrome / sudden infant death / SIDS / prone position / postmortem protocol / suffocation / ferritin / transferrin / 乳幼児突然死 / 剖検診断 / 疫学調査 / ウィルス性肺炎
Research Abstract

Three hundred and seven forensic autopsy cases of sudden infant death were collected from 31 departments of forensic medicine in Japan and statistically analysed from the various view points, such as time of death, mode of death, ante mortem clinical symptoms, death scene investigation including sleeping position, autopsy diagnosis and autopsy findings. Of total cases 39.7% were diagnosed the cause of death as sudden infant death syndrome (SIDS) and 61.5% of SIDS cases were found dead in prone position. On the basis of these analytical results, we proposed forensic pathological criteria or minimal requirements for diagnosis of SIDS.According to the criteria, SIDS always should be diagnosed after thorough autopsy of the deceased and simultaneously complete deny of the external death, caused by murder, child abuse, accidental asphyxiation etc. When external death is suspected from death scene investigation and sleeping position, particularly prone position, we should not diagnosed SIDS.As special communications we studied on analysis of judicial precedents about sudden infant death cases, immunohistochemical analysis of transferrin and ferritin in the brain from sudden infant death cases, pulmonary neuro endocrine distribution and fatty change of the lever cells in SIDS cases.

Report

(4 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • 1996 Annual Research Report
  • Research Products

    (29 results)

All Other

All Publications (29 results)

  • [Publications] 栗原 克由 他: "乳幼児突然死症候群における肝脂肪化の診断学的意義" 北里医学. 28. 484-493 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 佐藤 喜宜 他: "Sleeping environments as risk factors of sudden infant death syndrome in Japan" Legal Medicine. 1. 18-24 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Maeda H et al: "Immunohistochemical distribution of pulmonary surfactant apoprotein A with reference to the hyaline membrane disease" Proc.6th.INPALMS. (in press). (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 中園 一郎 他: "乳幼児脳におけるフェリチン, トランスフェリンの免疫組織化学的検討" 法医病理. 4. 77-78 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 三澤章吾 他: "乳幼児突然死症候群におけるカルシトニン遺伝子関連ペプチド含有肺神経内分泌細胞の分布の免疫組織化学的検討" 日本法医学雑誌. 52. 27-36 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 西 克治 他: "ヒト脳組織内の糖鎖構造物質" 法医病理. 4. 79-84 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 高津 光洋: "検死ハンドブック" 南山堂, 512 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kurihara K et al.: "Diagnostic value of fatty change of the liver in sudden infant death syn-drome cases" Kitazato Medical J. 28. 484-493 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Sato Y et al.: "Sleeping environments as risk factors of sudden infant death syndrome in Japan" Legal Medicine. 1. 18-24 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Maeda H et al.: "Immunohistochemical investigation of pulmonary surfactant in perinatal fatalities." Forensic Sci Int. 83. 219-227 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Maeda, H et al.: "Infant death presumably due to exertional self-overheating in bed : an autopsy case of suspected child abuse." Jpn J Legal Med. 52. 153-156 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Maeda H et al.: "Immunohistochemical distribution of pulmonary surfactant apoprotein A with reference to the hyaline membrane disease in forensic autopsy." Proc 6th INPALMS. (in press). (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Takatsu A et al.: "Stress and sudden Cardiac death." Nihon Ijishinpo. 3885. 28-32 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Maeda H et al.: "Evaluation of post-mortem oxymetry with reference to the causes of death." Forensic Sci Int. 87. 201-210 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Nakasono I et al.: "The distribution of ferritin and transferrin in infant brain investigated using immunohistochemical method." Jpn J Forensic Pathol. 4. 77-78 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Nishi K et al.: "The expression of Lewis antigens and carbohydrate chains in human brain." Progress in Forensic Genetics. 7. 213-215 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Nishi K et al.: "Carbohydorate chains recognized in Hassall's corpuscles in the Thymus." Proc 6th INPALMS. (in print).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yoshioka N et al.: "Platelet-activating factor is a key mediator of pulmonary vasoconstriction and bronchoconstriction after antigen challenge in the perfused sensitized rabbit lung." Shock. 9. 412-415 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Maeda H et al.: "Immunohistochemical distributionof pulmonary surfactant apoprotein A in pneumonia" Proc 6th INPALMS. (in press). (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Maeda H et al.: "Pulmonary surfactant apoprotein A levels in the cadaveric sera with reference to the causes of death in forensic sutopsy." Proc 6th INPALMS. (in press). (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Maeda H: "Evaluation of postmortem oxymetry with reference to the cause of death." Forensic Sci Int. 87. 201-210 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 三澤章吾他: "乳幼児突然死症候群におけるカルシトニン遺伝子関連ペプチド含有肺神経内分泌細胞の分布の免疫組織化学的検討" 日本法医学雑誌. 52. 27-36 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 栗原克由他: "乳幼児突然死症候群における肝脂肪化の診断学的意義" 北里医学. 28. 484-493 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 中園一郎他: "乳幼児脳におけるフェリチン,トランスフェリンの免疫組織化学的検討" 法医病理. 4. 77-78 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉岡尚文他: "剖検によりARVDが突然死の原因と考えられた1例" 法医病理. 3. 20-26 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 西克治他: "ヒト脳組織内の糖鎖構造物理" 法医病理. 4. 79-84 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 阪本奈美子,他: "乳幼児突然死症候群におけるカルシトニン遺伝子関連ペプチド含有肺神経内分泌細胞の分布の免疫組織化学的検討" 日本法医学雑誌. 52巻1号(印刷中). (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] 折原義行,他: "乳幼児脳におけるフェリチン,トランスフェリンの免疫組織学的検討" 法医病理. 4巻(印刷中). (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] 高津光洋: "検死ハンドブック" 南山堂, 514 (1996)

    • Related Report
      1996 Annual Research Report

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Published: 1996-04-01   Modified: 2016-04-21  

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