Sexual Offenses Overview

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Questions and Answers

What is a key symptom of decompression syndrome type 1?

  • Weakness
  • Fatigue (correct)
  • Poor balance
  • Numbness

Which treatment method is most effective in managing decompression syndrome?

  • Administering pain relievers
  • Avoiding physical activity
  • Taking anti-inflammatories
  • Recompression therapy (correct)

During recompression therapy, what is primarily done to assist in nitrogen elimination?

  • Patients drink large volumes of water
  • Patients breathe normal air
  • Patients undergo physical exercises
  • Pressure is increased and 100% oxygen is provided (correct)

What symptom is unique to decompression syndrome type 2?

<p>Clouded thinking (C)</p> Signup and view all the answers

What is the process that occurs during the decompression therapy when pressure is decreased?

<p>Nitrogen safely leaves the body (B)</p> Signup and view all the answers

What is the main purpose of adding a small amount of nitrogen to a diver's gas mixture?

<p>To stabilize the nervous system (C)</p> Signup and view all the answers

Which of the following is NOT a symptom associated with High Pressure Nervous Syndrome (HPNS)?

<p>Seizures (D)</p> Signup and view all the answers

Oxygen toxicity can lead to CNS effects. Which of the following is a symptom of this condition?

<p>Tinnitus (B)</p> Signup and view all the answers

What is a recommended method to prevent neurological symptoms while diving?

<p>Maintain a slow/gradual compression rate (A)</p> Signup and view all the answers

Which effect is related to breathing oxygen at increased pressures?

<p>Visual disturbances (B)</p> Signup and view all the answers

What is the recommended maximum ascent rate for divers to avoid complications?

<p>10m per minute (B)</p> Signup and view all the answers

What happens during a rapid ascent for a diver?

<p>Gasses come out of solution too quickly, leading to gas bubbles. (D)</p> Signup and view all the answers

Which of the following describes a potential injury caused by rapid expansion of gases in the body during ascent?

<p>Barotrauma (B)</p> Signup and view all the answers

How does the body respond to decreased ambient pressure during ascent?

<p>It allows previously dissolved gasses to come out of solution. (C)</p> Signup and view all the answers

What is a key practice for divers during an ascent to prevent pulmonary barotrauma?

<p>Breathe in and out continuously (B)</p> Signup and view all the answers

What factor increases the rate at which nitrogen is absorbed in the body during diving?

<p>Longer time spent underwater (B)</p> Signup and view all the answers

Which type of tissues absorb nitrogen more readily?

<p>Fatty tissues (A)</p> Signup and view all the answers

What occurs during the desaturation process (off-gassing) as a diver ascends?

<p>Nitrogen travels from tissue to blood to alveoli (D)</p> Signup and view all the answers

What is supersaturation in the context of diving?

<p>Higher tissue pressure of nitrogen than in lungs (D)</p> Signup and view all the answers

What is the risk associated with a rapid ascent after nitrogen saturation occurs?

<p>Formation of nitrogen bubbles in blood (B)</p> Signup and view all the answers

How does tissue perfusion affect nitrogen absorption?

<p>Well-perfused tissues absorb nitrogen faster (A)</p> Signup and view all the answers

Why does nitrogen dissolve more readily in blood and tissues under increased pressure?

<p>Higher partial pressure of nitrogen (B)</p> Signup and view all the answers

What happens to nitrogen during a slow ascent after diving?

<p>It can escape slowly and safely (C)</p> Signup and view all the answers

What is the primary purpose of adjuvant therapy in diving-related incidents?

<p>To reduce inflammation and thrombocyte aggregation (B)</p> Signup and view all the answers

Which condition is directly associated with pulmonary barotrauma?

<p>Cerebral arterial gas embolism (D)</p> Signup and view all the answers

What are common symptoms associated with cerebral decompression sickness (Type 2 DCS)?

<p>Hemiplegia and confusion (B)</p> Signup and view all the answers

At what depth does nitrogen narcosis primarily start to affect divers?

<p>30 meters (B)</p> Signup and view all the answers

What is a major treatment for nitrogen narcosis?

<p>Ascend to shallower depths (B)</p> Signup and view all the answers

Which of the following is NOT a symptom of cerebral arterial gas embolism (CAGE)?

<p>Severe headache (A)</p> Signup and view all the answers

What occurs during the indirect effects of pressure diving?

<p>Dissolution of gases in tissues (C)</p> Signup and view all the answers

Which type of decompression sickness is primarily related to occlusion of spinal cord by gas microbubbles?

<p>Spinal DCS (C)</p> Signup and view all the answers

What is considered an unnatural sex offense?

<p>Sexual acts involving animals (B)</p> Signup and view all the answers

Which pharmacological agent is used in adjuvant therapy to promote muscle relaxation?

<p>Diazepam (D)</p> Signup and view all the answers

Which method can be used to detect the presence of sperm in a rape investigation?

<p>Vaginal swab (D)</p> Signup and view all the answers

What is a common outcome of oxygen toxicity in divers?

<p>Visual disturbances (D)</p> Signup and view all the answers

What is one sign of potential violence on a victim's body?

<p>Grip marks on arms (B)</p> Signup and view all the answers

Which condition may contribute to a victim's defenselessness during an assault?

<p>Inability to communicate verbally (D)</p> Signup and view all the answers

What is one requirement for photographing a crime scene?

<p>Capture the scene undisturbed (B)</p> Signup and view all the answers

What evidence can indicate a person has been raped?

<p>Damage to the hymen and fresh injuries (D)</p> Signup and view all the answers

Why might elderly women sustain more serious injuries during intercourse?

<p>Physical changes can result in more severe injuries (B)</p> Signup and view all the answers

Which factor does NOT contribute to judgment of a victim's defenselessness?

<p>Physical fitness level (C)</p> Signup and view all the answers

What is a common sign of struggle that may be found on a victim?

<p>Injuries to the face and neck (A)</p> Signup and view all the answers

What is an essential part of the examination of victims of a sexual offense?

<p>Biological trace collection and investigation (D)</p> Signup and view all the answers

Flashcards

Decompression Phase

The stage of diving where the diver ascends back to the surface, experiencing a decrease in pressure.

Safe Ascend Rate

The recommended rate at which a diver should ascend during the decompression phase to avoid decompression sickness.

Decompression Sickness

The condition that occurs when dissolved gases come out of solution too quickly during a rapid ascent, forming bubbles that can obstruct blood flow.

Barotrauma

A pressure-related injury that can occur during ascent due to the expansion of compressed gases in the body's cavities.

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Pulmonary Barotrauma

A type of barotrauma that can occur during ascent if a diver holds their breath, leading to lung overexpansion and potential rupture.

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Bestiality

Sexual acts involving animals.

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Examination of Victims

The examination of a crime victim often includes collecting biological traces and investigating the victim's condition.

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Loss of Virginity

A sign of rape that refers to damage to the hymen with fresh injuries.

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Injury to Genitals

A sign that can indicate rape, but can also occur during normal intercourse.

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Penetration and Ejaculation

The process of determining if sexual penetration and ejaculation occurred during an assault.

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Presence of Sperm

A sign that indicates the presence of sperm, which can be detected via a vaginal swab.

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Signs of Violence

A sign of violence that involves physical marks on the victim's body, such as grip marks, bruises, and bite marks.

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Judgment of Defenselessness

A situation where a victim is unable to resist an assault due to factors such as unconsciousness, age, or mental health.

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Photographs

A set of photographs taken at a crime scene to document the scene, the victim, their injuries, and any other important details.

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Time and Nitrogen Absorption

The time spent underwater at a particular depth directly impacts the amount of nitrogen that dissolves into the body's tissues. The longer the dive, the more nitrogen dissolves.

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Tissue Perfusion and Nitrogen Absorption

Tissues that receive a higher blood flow absorb nitrogen at a faster rate.

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Tissue Absorption and Nitrogen Solubility

Fatty tissues, such as those in the brain and spinal cord, are more prone to absorbing nitrogen because nitrogen is more soluble in fat than other tissues.

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Nitrogen Absorption in Lungs

When we inhale air, nitrogen from the air dissolves into the blood in our lungs.

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Nitrogen Movement and Pressure

Nitrogen travels from the blood into the tissues, particularly fatty tissues, due to the increased pressure underwater. Under pressure, more nitrogen dissolves into the body.

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Desaturation - Off-gassing

The process of nitrogen leaving the tissues and returning to the lungs during ascent.

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Supersaturation

During ascent, the partial pressure of nitrogen in the blood and tissues becomes greater than in the lungs, leading to supersaturation.

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Decompression Sickness (DCS)

Rapid ascents can cause nitrogen to come out of solution too quickly, forming bubbles in the blood and tissues, leading to decompression sickness.

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Decompression Syndrome Type 1

A type of decompression sickness characterized by fatigue, joint/muscle pain, and skin rashes.

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Decompression Syndrome Type 2

A type of decompression sickness characterized by clouded thinking, numbness, weakness, paralysis, rash, and poor balance.

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Recompression Therapy

A treatment for decompression sickness involving breathing 100% oxygen in a pressurized chamber to reduce the size of nitrogen bubbles and facilitate their absorption back into the bloodstream.

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Recompression

The process of increasing pressure surrounding a diver to reduce the size of nitrogen bubbles and aid in their absorption into the bloodstream.

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Decompression Line

A broad term encompassing various clinical symptoms caused by bubbles in the body, including Decompression Sickness (DCS) and Cerebral Arterial Gas Embolism (CAGE).

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Neurological Decompression Sickness - Type 2 DCS

A type of DCS that affects the brain, causing various neurological symptoms. It's often referred to as Cerebral DCS.

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Cerebral DCS

Cerebral DCS is characterized by occlusion of cerebral vascular beds by gas microbubbles. Symptoms include hemiplegia (weakness on one side of the body), visual disturbances, confusion, speech disorder, and sometimes even seizures.

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Spinal DCS

Spinal DCS involves occlusion of the spinal cord by gas microbubbles. Symptoms include weakness, paralysis, loss of sensation, and incontinence.

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Nitrogen Narcosis

A condition where nitrogen dissolved in the bloodstream during deep dives affects the central nervous system, leading to symptoms similar to alcohol intoxication.

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Cerebral Arterial Gas Embolism (CAGE)

A condition that develops rapidly due to pulmonary barotrauma (ruptured alveoli), leading to air bubbles entering the bloodstream.

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Cardiac DCS

A condition that involves microbubbles in the heart muscle, sometimes classified as Type 1 DCS.

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Indirect Effects of Pressure Diving

Occurs due to changes in the partial pressure of gases in the diver's breathing environment, such as Nitrogen Narcosis.

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Helium in Diving

Breathing helium allows divers to reach greater depths without experiencing nitrogen narcosis, a condition that affects mental clarity and judgment.

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High Pressure Nervous Syndrome (HPNS)

HPNS occurs when the nervous system reacts negatively to rapid pressure changes at depth, leading to symptoms like dizziness, nausea, and impaired cognitive function.

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Nitrogen in Diving Gas

Adding a small amount of nitrogen to the breathing gas can help stabilize the nervous system and prevent HPNS.

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Oxygen Toxicity

Breathing pure oxygen at high pressures can lead to oxygen toxicity, causing seizures or respiratory distress.

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Preventing Oxygen Toxicity

Monitoring oxygen levels and exposure time is crucial to prevent oxygen toxicity. Avoid prolonged exposure to high oxygen pressure.

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Study Notes

Sexual Offenses

  • Sexual offenses include behaviors deviating from typical sexual attraction, such as fetishes (arousal from objects or body parts), sadism/masochism (pleasure from inflicting/receiving pain), necrophilia (attraction to corpses), transvestism (dressing in opposite sex clothing), exhibitionism (exposing oneself), voyeurism (pleasure from watching others), and pedophilia (attraction to children).
  • Rape involves non-consensual sexual intercourse (vaginal, anal, or oral penetration by penis or object).
  • Statutory rape is sexual intercourse with a minor, even if consensual.
  • Marital rape is non-consensual sex by a spouse.
  • Incest is sexual relations between family members.
  • Bestiality involves sexual acts with animals.

Natural Sex Offense

  • These are activities considered against natural order, such as bestiality (sex with animals).

Unnatural Sex Offenses

  • These sexual activities are considered deviations from natural behavior and order.

Examination of Victims

  • Examining victims involves assessing injuries, medical conditions (like STIs), and mental impairments (like unconsciousness due to drugs or alcohol, conditions that hinder the ability to resist, or age).
  • Analyzing victim's actions (like cleaning themselves or changing clothes) is crucial.

Proof of Rape

  • Physical evidence like injuries, sperm presence, and STDs can prove rape.
  • Loss of virginity/hymen damage, injuries, and penetration/ejaculation are assessed (sperm generally stays up to 7 days, or up to a week in a deceased body).
  • Pregnancy is a possible consequence of rape.

Signs of Violence

  • Bruises, bite marks, grip marks on arms, and struggles in a body's position are signs of physical violence.
  • Other indicators include injuries to the face, neck, hemorrhage on eyes, and STDs present.

Other

  • The condition of the victim (if the victim cleaned themselves or changed clothes, if there was visible violence, etc.) is important to consider.
  • Whether the victim was unconscious or had impairments in resistance due to drugs, age, or other conditions.

Judgment of Defenselessness

  • Factors like unconsciousness from drugs, age (< 12), and mental health conditions (psychopathology) affect victim's ability to resist; and are considered.
  • Physical restraints during alleged violence are taken into account.

Photographs

  • Photographs of the scene, the body (including injuries), and the conditions (physical evidence and observations) are crucial for documentation.

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