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  1. Article ; Online: Cadaveric spasm.

    Fierro, Marcella F

    Forensic science, medicine, and pathology

    2013  Volume 9, Issue 2, Page(s) 253

    MeSH term(s) Cadaver ; Humans ; Mythology ; Postmortem Changes ; Spasm/pathology
    Language English
    Publishing date 2013-04-10
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2195904-3
    ISSN 1556-2891 ; 1547-769X
    ISSN (online) 1556-2891
    ISSN 1547-769X
    DOI 10.1007/s12024-013-9414-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Mass murder in a university setting: analysis of the medical examiner's response.

    Fierro, Marcella F

    Disaster medicine and public health preparedness

    2007  Volume 1, Issue 1 Suppl, Page(s) S25–30

    Abstract: Background: Seung-Hui Cho, a student at Virginia Polytechnic Institute and State University (Virginia Tech), shot and killed 33 students and faculty, including himself, on the morning of April 16, 2007.: Methods: A retrospective review of the medical ...

    Abstract Background: Seung-Hui Cho, a student at Virginia Polytechnic Institute and State University (Virginia Tech), shot and killed 33 students and faculty, including himself, on the morning of April 16, 2007.
    Methods: A retrospective review of the medical examiner system response to this multiple fatality event was undertaken to identify which procedures were and were not effective. Case records, spreadsheets, telephone call logs, notes, and after-action interviews of staff were reviewed and analyzed. Recommendations were developed to improve the management of the multiple components of a high-profile multiple fatality event.
    Results: One autopsy took place on Monday, April 16, 12 on Tuesday, April 17, and 20 on Wednesday, April 18. Pathologists archived the biopsies of major organs in formalin. Slides were made of entrance wounds that exhibited residues. Blood for alcohols was collected from victims. Blood for alcohols, acid, base, and neutral drugs was collected from Cho for analysis.
    Conclusions: Standard forensic pathology procedures worked and timely postmortem examinations were completed. The victim identification component of the family assistance center must be established and staffed at the time of the initial response. Public information officers need training in morgue and medicolegal death management and in ways to effectively communicate with different audiences about multiple fatality management procedures.
    MeSH term(s) Coroners and Medical Examiners/organization & administration ; Female ; Homicide ; Humans ; Interviews as Topic ; Male ; Mass Casualty Incidents/mortality ; Retrospective Studies ; Universities ; Virginia/epidemiology
    Language English
    Publishing date 2007-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1097/DMP.0b013e31814cf374
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: National Association of Medical Examiners Position Paper: Recommendations for the Documentation and Certification of Disaster-Related Deaths.

    Utley, Suzanne / Arunkumar, Ponni / Das, Tara / Fierro, Marcella F / Fudenberg, John / Harding, Brett E / Hoffmann, Bryan A / Keyes, Kelly A / Lewis, Adele / Maloney, Katherine / O'Neal, Bobbi Jo / Pinneri, Kathryn / Rapkiewicz, Amy / Sathyavagiswaran, Lakshmanan / Weedn, Victor / Williams, Tiffany

    The American journal of forensic medicine and pathology

    2023  

    Abstract: Abstract: Collecting and reporting accurate disaster mortality data are critical to informing disaster response and recovery efforts. The National Association of Medical Examiners convened an ad hoc committee to provide recommendations for the ... ...

    Abstract Abstract: Collecting and reporting accurate disaster mortality data are critical to informing disaster response and recovery efforts. The National Association of Medical Examiners convened an ad hoc committee to provide recommendations for the documentation and certification of disaster-related deaths. This article provides definitions for disasters and direct, indirect, and partially attributable disaster-related deaths; discusses jurisdiction for disaster-related deaths; offers recommendations for medical examiners/coroners (ME/Cs) for indicating the involvement of the disaster on the death certificate; discusses the role of the ME/C and non-ME/C in documenting and certifying disaster-related deaths; identifies existing systems for helping to identify the role of disaster on the death certificate; and describes disaster-related deaths that may require amendments of death certificates. The recommendations provided in this article seek to increase ME/C's understanding of disaster-related deaths and promote uniformity in how to document these deaths on the death certificate.
    Language English
    Publishing date 2023-07-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604537-6
    ISSN 1533-404X ; 0195-7910
    ISSN (online) 1533-404X
    ISSN 0195-7910
    DOI 10.1097/PAF.0000000000000859
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  4. Book: Death in large numbers

    Gursky, Elin A / Fierro, Marcella F

    the science, policy, and management of mass fatality events

    2012  

    Abstract: A guide and reference to adress the gap across the science, policy and management areas. Resource for diagnostic and decision making, offers the context in which to manage mass fatality"--Provided by publisher. ...

    Institution American Medical Association
    Author's details Elin A. Gursky, Marcella Farinelli Fierro, editors
    Abstract "A guide and reference to adress the gap across the science, policy and management areas. Resource for diagnostic and decision making, offers the context in which to manage mass fatality"--Provided by publisher.
    MeSH term(s) Disaster Planning/methods ; Mass Casualty Incidents ; Emergencies ; Forensic Medicine/methods
    Language English
    Size xxvi, 491 p. :, ill.
    Publisher American Medical Association
    Publishing place Chicago
    Document type Book
    ISBN 9781603596299 ; 1603596291
    Database Catalogue of the US National Library of Medicine (NLM)

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  5. Book: Death in large numbers

    Fierro, Marcella Farinelli / Gursky, Elin A

    the science, policy, and management of mass fatality events

    2012  

    Abstract: A guide and reference to address the gap across the science, policy and management areas. Resource for diagnostic and decision making, offers the context in which to manage mass fatality"--Provided by ... ...

    Institution American Medical Association
    Author's details Elin A. Gursky, Marcella Farinelli Fierro, ed
    Abstract "A guide and reference to address the gap across the science, policy and management areas. Resource for diagnostic and decision making, offers the context in which to manage mass fatality"--Provided by publisher
    MeSH term(s) Disaster Planning/methods ; Emergencies ; Forensic Medicine/methods ; Mass Casualty Incidents
    Keywords Disaster medicine ; Emergency medical services ; Mass casualties ; Medical emergencies
    Language English
    Size XXVI, 491 S., Ill., graph. Darst., 26 cm
    Publisher American Medical Association
    Publishing place Chicago
    Document type Book
    Note Includes bibliographical references and index
    ISBN 9781603596299 ; 1603596291
    Database Former special subject collection: coastal and deep sea fishing

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  6. Article ; Online: Commentary on: Dror IE, Melinek J, Arden JL, Kukucka J, Hawkins S, Carter J, et al. Cognitive bias in forensic pathology decisions. J Forensic Sci. https://doi.org/10.1111/1556-4029.14697. Epub 2021 Feb 20.

    Speth, Peter / Avedschmidt, Sarah / Baeza, John J / Beers, Dean A / Beers, Karen S / Cohle, Stephen / Corey, Tracey / Fierro, Marcella / Fowler, David R / Ann Grossberg, Lee / Holmes, Dawn B / Kohr, Roland M / Krywanczyk, Alison R / McDonald, Michelle / Miller, Elizabeth J / Peterson, Brian / Prahlow, Joseph / Pustilnik, Stephen / Rao, Valerie /
    Resk, Thomas K / Schmunk, Gregory A / Williams, Karl E / Wright, Ronald K

    Journal of forensic sciences

    2021  Volume 66, Issue 6, Page(s) 2577–2579

    MeSH term(s) Bias ; Cognition ; Forensic Pathology
    Language English
    Publishing date 2021-09-09
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 219216-0
    ISSN 1556-4029 ; 0022-1198
    ISSN (online) 1556-4029
    ISSN 0022-1198
    DOI 10.1111/1556-4029.14835
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  7. Book: CAP handbook for postmortem examination of unidentified remains

    Fierro, Marcella F

    developing identification of well-preserved, decomposed, burned, and skeletonized remains

    1986  

    Institution College of American Pathologists
    Author's details Marcella F. Fierro, editor
    MeSH term(s) Autopsy ; Forensic Medicine
    Language English
    Size v, 273 p. :, ill.
    Publisher College of American Pathologists
    Publishing place Skokie, Ill
    Document type Book
    ISBN 9780939394326 ; 0939394322 ; 0939394324
    Database Catalogue of the US National Library of Medicine (NLM)

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  8. Article ; Online: Psychosocial risk factors as contributors to pregnancy-associated death in Virginia, 1999-2001.

    Kavanaugh, Victoria M / Fierro, Marcella F / Suttle, David E / Heyl, Peter S / Bendheim, Stephen H / Powell, Virginia

    Journal of women's health (2002)

    2009  Volume 18, Issue 7, Page(s) 1041–1048

    Abstract: Objective: To determine if substance abuse, mental illness, and domestic violence contributed to preventable pregnancy-associated death and to describe characteristics of women for whom these factors contributed to death.: Methods: The medical ... ...

    Abstract Objective: To determine if substance abuse, mental illness, and domestic violence contributed to preventable pregnancy-associated death and to describe characteristics of women for whom these factors contributed to death.
    Methods: The medical records of 121 women who had pregnancy-associated deaths in Virginia between 1999 and 2001 were reviewed. The incidence of substance abuse, mental illness, and domestic violence was noted during systematic review. Multidisciplinary review of cases was conducted to determine if these factors contributed to death and if reasonable changes may have prevented death.
    Results: The pregnancy-associated maternal mortality ratio for women experiencing substance abuse, mental illness, or domestic violence as contributors to death was 17.1. Thus, for every 100,000 live births in Virginia, 17.1 women had at least one of these factors directly contribute to death. Substance abuse contributed to death in 28.9% of all cases reviewed (pregnancy-associated maternal mortality ratio = 12.2); 45.7% of those deaths were considered preventable. Mental illness contributed to death in 16.5% of cases (pregnancy-associated maternal mortality ratio = 6.9), with 50.0% considered preventable. Domestic violence contributed to death in 14.0% of cases (pregnancy-associated maternal mortality ratio = 5.9), with 64.7% of cases considered preventable. Median household incomes and years of education completed varied widely. Pregnancy-associated maternal mortality ratios for each factor were higher among African American women than among white women.
    Conclusions: Psychosocial risk assessment with appropriate referral should be completed for all women seeking care regardless of social status, education, or race.
    MeSH term(s) Adult ; Cause of Death ; Domestic Violence ; Female ; Humans ; Mental Disorders/complications ; Middle Aged ; Population Surveillance ; Pregnancy ; Pregnancy Complications/mortality ; Pregnancy Outcome ; Prenatal Care ; Risk Factors ; Socioeconomic Factors ; Substance-Related Disorders/complications ; Virginia/epidemiology
    Language English
    Publishing date 2009-07
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 1139774-3
    ISSN 1931-843X ; 1059-7115 ; 1540-9996
    ISSN (online) 1931-843X
    ISSN 1059-7115 ; 1540-9996
    DOI 10.1089/jwh.2008.1037
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    Zs.A 3584: Show issues Location:
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  9. Article: Metabolic disorders detectable by tandem mass spectrometry and unexpected early childhood mortality: a population-based study.

    Dott, Mary / Chace, Donald / Fierro, Marcella / Kalas, Theodore A / Hannon, W Harry / Williams, Jennifer / Rasmussen, Sonja A

    American journal of medical genetics. Part A

    2006  Volume 140, Issue 8, Page(s) 837–842

    Abstract: Investigators have reported that certain metabolic disorders (fatty acid oxidation (FAO) disorders and organic acidemias) contribute to unexpected early childhood deaths. We estimated the contribution of these metabolic disorders to a population-based ... ...

    Abstract Investigators have reported that certain metabolic disorders (fatty acid oxidation (FAO) disorders and organic acidemias) contribute to unexpected early childhood deaths. We estimated the contribution of these metabolic disorders to a population-based sample of unexpected early childhood deaths. The study population included children less than 3 years of age who died during 1996-2001 and whose deaths were investigated by the Virginia Office of the Chief Medical Examiner (ME). Dried post-mortem blood on filter paper was sent to a reference laboratory for metabolic screening by tandem mass spectrometry. When molecular DNA analysis was available to identify known gene mutations, positive screens were confirmed. If molecular DNA analysis for a suspected disorder was not available, tandem mass spectrometry was performed on newborn blood spots when available. If DNA analysis was not available and newborn blood spots could not be obtained, an independent expert biochemical geneticist confirmed the post-mortem interpretation. We obtained screening results for 793 (88%) of 904 children examined. Eight children had a positive screen for FAO disorders or organic acidemias. One child would not have benefited from identification in the newborn period. However, seven children's outcomes might have been improved had they been identified during the newborn period and effectively treated. Post-mortem metabolic screening may identify a cause of death for about 1% of children who die unexpectedly before 3 years of age, allowing for identification and treatment of affected siblings. Identifying and treating affected children during the newborn period may offer an opportunity to reduce early childhood mortality.
    MeSH term(s) Acyl-CoA Dehydrogenase/deficiency ; Acyl-CoA Dehydrogenase/genetics ; Child, Preschool ; Death, Sudden/epidemiology ; Humans ; Infant ; Infant, Newborn ; Metabolic Diseases/diagnosis ; Metabolic Diseases/genetics ; Metabolic Diseases/mortality ; Tandem Mass Spectrometry
    Chemical Substances Acyl-CoA Dehydrogenase (EC 1.3.8.7)
    Language English
    Publishing date 2006-03-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2108614-X
    ISSN 1552-4825
    ISSN 1552-4825
    DOI 10.1002/ajmg.a.31180
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Toxicology findings in child and adolescent suicides in virginia: 1987-2003.

    Vieweg, W Victor R / Pandurangi, Anand K / Anum, Emmanuel A / Lanier, Jack O / Fierro, Marcella F / Fernandez, Antony

    Primary care companion to the Journal of clinical psychiatry

    2006  Volume 8, Issue 3, Page(s) 142–146

    Abstract: Objective: In a follow-up report of child and adolescent suicides in Virginia, we describe postmortem toxicology findings in a subset of these youths.: Method: We analyzed "unnatural" deaths from Virginia's Office of the Chief Medical Examiner for ... ...

    Abstract Objective: In a follow-up report of child and adolescent suicides in Virginia, we describe postmortem toxicology findings in a subset of these youths.
    Method: We analyzed "unnatural" deaths from Virginia's Office of the Chief Medical Examiner for 1987 to 2003. There were 2818 unnatural deaths in children and adolescents. We grouped unnatural deaths as accidents, homicides, and suicides. Toxicology records were available for 753 cases, of which 732 were black or white youths.
    Results: There were no age differences among suicide victims and accident or homicide victims. Whites were more likely than blacks to die by accident and suicide. White females were more likely than black females to commit suicide. Black males were more likely than white males to suffer homicide. For all unexpected deaths, antidepressants were more commonly found among whites than blacks. Suicide by poisoning occurred more commonly among whites. Recreational drugs were more commonly found among blacks than whites. Suicide by gun occurred more commonly among blacks. Antidepressants were found in 39 black and white suicide victims. Anti-depressants (all tricyclic antidepressants) were causally related in 17 cases of suicide by poisoning. No other antidepressants were found in lethal levels in suicide by poisoning. Selective serotonin reuptake inhibitors (SSRIs)/venlafaxine appeared more commonly in the suicides (p < .0001) than in accidents or homicides. For suicides, SSRIs appeared no more commonly in poisoning than in gun or hanging deaths (p = .695).
    Conclusions: Antidepressants appeared more commonly among youths committing suicide than those dying by accident or homicide. SSRIs did not appear more commonly among youths committing suicide by poisoning than those committing suicide by gun or hanging. Because our data are descriptive, they are subject to over-interpretation. Cause-effect inferences should not be drawn.
    Language English
    Publishing date 2006-08-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2211618-7
    ISSN 1523-5998
    ISSN 1523-5998
    DOI 10.4088/pcc.v08n0303
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