João Pinheiro

Instituto Nacional de Medicina Legal (Portugal), Coimbra, Distrito de Coimbra, Portugal

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Publications (9)12.32 Total impact

  • Article: Diptera Brachycera found inside the esophagus of a mummified adult male from the early XIX century, Lisbon, Portugal.
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    ABSTRACT: Fly puparia and adult fragments of diptera muscid were found inside the esophagus of a mummified body from the early XIX century, buried inside the crypt of the Sacrament Church (Lisbon, Portugal). The identification of the material revealed a monospecific colonization by Ophyra capensis (Wiedemann) (Diptera: Muscidae), a species known to invade corpses in the ammoniacal fermentation wave. This species can be found in corpses kept indoors, not available to the early waves of blowflies (Diptera: Calliphoridae). In the present case, the number of pupae and their developmental stage suggest that the female invaded the mummified corpse through the partially opened mouth and the oviposition took place directly inside the esophagus. This is the first case of O. capensis infesting internal organs of an intact corpse. The use of chemical products for the embalming process probably explains why external colonization did not occur.
    Memórias do Instituto Oswaldo Cruz 04/2008; 103(2):211-3. · 2.15 Impact Factor
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    Article: Exchanged identities in a complex multiple homicide case. Identification and cause of death.
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    ABSTRACT: We report a multiple homicide in Angola involving six Portuguese citizens. Immediately after the crime, four bodies were retrieved from the homicide site. Forensic autopsies were allegedly performed by local doctors and three bodies were transferred to Portugal, where they were buried with no extra expertise, presumably identified only by the examinations carried out in Angola. The two remaining bodies, presumably from sub-adults, were only discovered 1 year later. At that time, some bone samples of these two corpses were sent to Portugal. A multidisciplinary team of the National Institute of Legal Medicine (NILM) in Portugal, including forensic anthropologist and pathologists, and forensic geneticist, found out that the bodies were previously misidentified. In fact, the anthropological and genetic examinations on the remains of the two persons showed that they did not belong to a child and an adolescent but instead to two adult victims, at least one of them was supposed to be buried in Portugal since 1 year. The verification of this misunderstanding led to a series of exhumations, of the three victims previously buried in Portugal. In all, the identities were reconstructed and the cause of death could be established in four of them. A multiplicity of severe traumatic cranial injuries were detected, which were, undoubtedly due to a violent death.
    Deutsche Zeitschrift für die Gesamte Gerichtliche Medizin 12/2007; 121(6):483-8. · 2.59 Impact Factor
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    Article: Fatal intoxication with tianeptine (Stablon).
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    ABSTRACT: Tianeptine (Stablon), although structurally similar to tricyclic antidepressants, acts by enhancing the reuptake of serotonin. A fatal case is presented involving a 26-year-old man, found lying in bed with a "mushroom of foam" around his mouth. Empty blister packs of Stablon and a suicide note were found next to the body. A liquid-liquid extraction procedure with n-hexane: ethyl acetate and n-hexane: 2-propanol, followed by LC-DAD-MS analysis, using positive mode electrospray ionization was performed. The detection limit was 0.001 microg/mL. The toxicological results revealed the following tianeptine concentrations in the post-mortem samples: blood 5.1 microg/mL; urine 2.0 microg/mL; liver 23 microg/g; stomach contents 22 mg. Femoral blood analyses also revealed an ethanol concentration of 0.53 g/L. The present method was also developed and validated for the other post-mortem specimens, since no previous published data had confirmed the post-mortem distribution of tianeptine. The absence of other suitable direct causes of death (macroscopic or histological) and the positive results achieved with the toxicological analysis led the pathologist to rule that death was due to an intoxication caused by the suicidal ingestion of tianeptine in combination with alcohol.
    Forensic science international 09/2007; 170(2-3):200-3. · 2.10 Impact Factor
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    Article: Two fatal intoxication cases with imidacloprid: LC/MS analysis.
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    ABSTRACT: Imidacloprid [1-(6-chloro-3pyridylmethyl)-N-nitroimidazolidin-2-ylideneamine] is a new and potent nitromethylene insecticide with high insecticidal activity at very low application rates. It is the first highly effective insecticide that, like nicotine, acts on the nervous system, causing blockage of postsynaptic nicotinergic acetylcholine receptors. Two fatal cases with this insecticide in two male individuals, of 33 and 66 years old, are presented. An LC/MS with electrospray method for measuring imidacloprid and its metabolites in post-mortem samples is described. In the chromatographic separation, a reverse-phase column XTerra MS C18 (2.1mm i.d.x 150 mm, 5 microm) was used and the mobile phase composed with acetonitrile and 0.1% formic acid (15:85), at a 0.25 mL/min flow rate. Samples were prepared with a liquid-liquid extraction procedure with dichloromethane. Calibration curves for imidacloprid in blood and urine samples were linear from 0.2 to 15 microg/mL. The mean recovery was 86% with a coefficient of variation of +/-5.9%. The detection limit was 0.002 microg/mL. Quantitative results were obtained for all post-mortem matrices available of the two fatal cases: blood, urine, stomach contents, lung, liver and kidney. The imidacloprid blood concentrations found in two-cases were 12.5 and 2.05 microg/mL. The authors validated a method to detect and quantify imidacloprid in post-mortem samples, and to our knowledge for the first time a post-mortem tissue distribution was performed on various samples for this insecticide.
    Forensic Science International 11/2005; 153(1):75-80. · 2.30 Impact Factor
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    Article: Forensic intoxication with clobazam: HPLC/DAD/MSD analysis.
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    ABSTRACT: Clobazam (Castillium, Urbanil), a benzodiazepine often used as an anxiolytic and in the treatment of epilepsy, is considered a relatively safe drug. The authors present a fatal case with a 49-year-old female, found dead at home. She had been undergoing psychiatric treatment and was a chronic alcoholic. The autopsy findings were unremarkable, except for multivisceral congestion, steatosis and a small piece of a plastic blister pack in the stomach. Bronchopneumonia, bronchitis and bronchiolitis were also diagnosed. Anhigh-performance liquid chromatography (HPLC)/diode array detector (DAD)/mass spectrometry detection (MSD) with electrospray method was developed in order to detect, confirm and quantify clobazam in the post-mortem samples. In the chromatographic separation, a reversed-phase column C18 (2.1 x 150 mm, 3.5 microm) was used with a mobile phase of methanol and water, at a 0.25 ml/min flow rate. Carbonate buffer (pH 10.5) and 20 microl of prazepam (100 microg/ml) as internal standard were added to the samples. A simple and reliable liquid-liquid extraction method for the determination of clobazam in post-mortem samples was described. Calibration curves for clobazam were performed in blood, achieving linearity between 0.01 and 10 microg/ml and a detection limit of 1.0 ng/ml. The clobazam concentration found in post-mortem blood was 3.9 microg/ml, higher than the reported therapeutic concentration (0.1-0.4 microg/ml). The simultaneous acquisition by photodiode array detection and mass spectrometry detection results allowed benzodiazepines to be identified with sufficient certainty. An examination of all the available information suggested that death resulted from respiratory depression due to clobazam toxicity.
    Forensic Science International 08/2004; 143(2-3):205-9. · 2.30 Impact Factor
  • Article: Choking death on a live fish (Dicologoglossa cuneata).
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    ABSTRACT: A choking death of a healthy fisherman, who put a type of live sole between his jaws to free up his hands so that he could collect more fish to put into his basket, is described. The fish squirmed into the larynx and upper trachea and the attempts to rescue the man by his colleagues who used pliers did not succeed, and the man died. Other published cases are reviewed, and risk factors and rescue possibilities discussed.
    American Journal of Forensic Medicine & Pathology 07/2003; 24(2):177-8. · 0.88 Impact Factor
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    Article: A linguagem das fracturas: a perspectiva da Antropologia Forense
    Eugénia Cunha, João Pinheiro
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    ABSTRACT: Resumo Os ossos, o material mais resistente do corpo humano, têm uma capaci‑ dade ímpar para registar muitos episódios ocorridos em vida, na altura da morte e até mesmo depois da morte. As lesões traumáticas estão entre as marcas deixadas nos ossos mais informativas, o que faz delas uma fonte única de registos sobre vio‑ lência, cabendo ao antropólogo forense a tarefa de as decifrar. As lesões traumáticas relacionadas com a morte são as mais violentas, razão pela qual foram as seleccionadas para desenvolver no presente artigo, designadamente as provocadas por arma de fogo, os traumas de natureza contundente e as lesões incisas ou cortantes. Cada uma destas lesões perimortais é abordada no contexto da determinação da causa da morte ou da etiologia médico‑legal. Para uma melhor interpretação de cada um destes tipos, são abordados alguns conceitos de biome‑ cânica das lesões e referidos alguns casos práticos ilustrativos. Palavras‑chave Fracturas; morte; violência; perimortais; antropologia forense. Abstract Because bones are among the most resistant material of the human body they have the capacity to save some events occurred during life, at the time of death and even after death. Traumatic injuries are among the most informative skeletal marks making them a unique source about violence. To read the fracture's language is a forensic anthro‑ pologist paramount task. The traumatic lesions associated with the time of death can be particularly violent, the reason why they will be approached in the present article, namely gunshot wounds, blunt force trauma and sharp force trauma. Each of these perimortem injuries will be discussed within the context of cause and manner of death. In order to provide a better insight to each of these types, some concepts of bone biomechanics as well as some practical cases will be given.
  • Article: Identification in forensic anthropology: Its relation to genetics
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    ABSTRACT: Within forensic activity, whenever identification is a problem, it is generalized that DNA analysis is the solution. However, it is well known both by forensic pathologists and anthropologists that, apart form the immense potentiality of this technique, there are many situations where the classical forensic anthropology examination is still useful and irreplaceable. Through the presentation of two forensic routine cases of the National Institute of Legal Medicine (NILM) in Portugal, the interdisciplinarity between forensic anthropology and forensic genetic is discussed showing the benefits as well as the pitfalls of each of these sciences.
    International Congress Series 1288:807-809.
  • Article: Case report Fatal intoxication with tianeptine (Stablon1)
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    ABSTRACT: Tianeptine (Stablon1), although structurally similar to tricyclic antidepressants, acts by enhancing the reuptake of serotonin. A fatal case is presented involving a 26-year-old man, found lying in bed with a ''mushroom of foam'' around his mouth. Empty blister packs of Stablon1 and a suicide note were found next to the body. A liquid-liquid extraction procedure with n-hexane: ethyl acetate and n-hexane: 2-propanol, followed by LC-DAD-MS analysis, using positive mode electrospray ionization was performed. The detection limit was 0.001 mg/mL. The toxicological results revealed the following tianeptine concentrations in the post-mortem samples: blood 5.1 mg/mL; urine 2.0 mg/mL; liver 23 mg/g; stomach contents 22 mg. Femoral blood analyses also revealed an ethanol concentration of 0.53 g/L. The present method was also developed and validated for the other post-mortem specimens, since no previous published data had confirmed the post-mortem distribution of tianeptine. The absence of other suitable direct causes of death (macroscopic or histological) and the positive results achieved with the toxicological analysis led the pathologist to rule that death was due to an intoxication caused by the suicidal ingestion of tianeptine in combination with alcohol. # 2007 Elsevier Ireland Ltd. All rights reserved.