{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T04:00:44Z","timestamp":1788235244919,"version":"build-2803163510"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T00:00:00Z","timestamp":1566950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Dev Pathol"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>It is a generally held concept that finding increased aspirated amniotic fluid squames at autopsy supports a diagnosis of acute fetal asphyxia, the massive aspiration of squames being an indicator of terminal gasping. To evaluate this concept, we identified autopsies on 15 third-trimester stillborns with clinical acute placental abruption (acute asphyxia); 13 also had thymic petechiae and none had severe acute thymic involution, findings also supporting acute asphyxia. Thirty third-trimester stillborns with findings supporting a subacute or chronic mode of death, including severe thymic involution and absence of thymic petechiae, comprised the comparison group. Intra-alveolar squames were scored as 0, no squames; 1+, scattered squames singly or in small groups; and 2+, squames in many alveoli, at least focally in compacted clusters. In all cases, the squames were patchily distributed, and none received a score of 0. In the abruption group, the intra-alveolar squames were scored as 1+ in 12 (80%) and as 2+ in 3 (20%) cases, while in the comparison group, the squames were scored as 1+ in 20 (67%) and 2+ in 10 (33%) cases ( P\u2009=\u2009NS). There was also no difference in the quantification of intra-alveolar squames in term compared to preterm stillborns. In conclusion, quantification of intra-alveolar squames did not aid in separating an acute mode of death (acute asphyxia) from subacute or chronic modes of death.<\/jats:p>","DOI":"10.1177\/1093526619872617","type":"journal-article","created":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T12:47:21Z","timestamp":1566996441000},"page":"139-143","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Do Increased Intra-alveolar Squamous Cells at Autopsy Correlate With Acute Fetal Asphyxia?"],"prefix":"10.1177","volume":"23","author":[{"given":"Suzanne M","family":"Jacques","sequence":"first","affiliation":[{"name":"Department of Pathology, Detroit Medical Center and Wayne State University School of Medicine, Hutzel Women\u2019s Hospital, Detroit, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Department of Pathology, Detroit Medical Center and Wayne State University School of Medicine, Hutzel Women\u2019s Hospital, Detroit, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,8,28]]},"reference":[{"key":"bibr1-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1007\/s100240010121"},{"key":"bibr2-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.11.041"},{"key":"bibr3-1093526619872617","doi-asserted-by":"publisher","DOI":"10.2350\/14-11-1577-OA.1"},{"issue":"3","key":"bibr4-1093526619872617","first-page":"163","volume":"42","author":"Agapitos E","year":"1994","journal-title":"Arch Anat Cytol Pathol"},{"key":"bibr5-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1177\/1093526616686252"},{"key":"bibr6-1093526619872617","doi-asserted-by":"publisher","DOI":"10.2350\/12-01-1137-OA.1"},{"key":"bibr7-1093526619872617","doi-asserted-by":"publisher","DOI":"10.2350\/10-03-0803-OA.1"},{"issue":"20","key":"bibr8-1093526619872617","first-page":"3299","volume":"29","author":"Jacques SM","year":"2016","journal-title":"J Matern Fetal Neonatal Med"},{"key":"bibr9-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1002\/9781444398038.ch10"},{"key":"bibr10-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.s3-11.1.142"},{"key":"bibr11-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1016\/S0046-8177(88)80146-1"},{"key":"bibr12-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00386-X"},{"key":"bibr13-1093526619872617","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2015-0225-CC"},{"key":"bibr14-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1016\/S0046-8177(00)80241-5"},{"key":"bibr15-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2010.73"},{"key":"bibr16-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2008.01.017"},{"key":"bibr17-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1080\/15513819609169284"},{"key":"bibr18-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(76)90564-0"},{"issue":"6","key":"bibr19-1093526619872617","first-page":"653","volume":"87","author":"Oppenheimer EH","year":"1969","journal-title":"Arch Pathol"},{"issue":"10","key":"bibr20-1093526619872617","first-page":"756","volume":"53","author":"deSa DJ","year":"1978","journal-title":"Arch Dis Child"},{"key":"bibr21-1093526619872617","doi-asserted-by":"publisher","DOI":"10.3109\/00313028409068543"},{"key":"bibr22-1093526619872617","doi-asserted-by":"publisher","DOI":"10.2350\/13-07-1354-OA.1"},{"key":"bibr23-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1007\/BF00556313"},{"key":"bibr24-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000139944.15133.e3"},{"key":"bibr25-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.002"},{"key":"bibr26-1093526619872617","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.06.057"}],"container-title":["Pediatric and Developmental Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1093526619872617","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1093526619872617","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1093526619872617","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:06:04Z","timestamp":1777694764000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1093526619872617"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,28]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1177\/1093526619872617"],"URL":"https:\/\/doi.org\/10.1177\/1093526619872617","relation":{},"ISSN":["1093-5266","1615-5742"],"issn-type":[{"value":"1093-5266","type":"print"},{"value":"1615-5742","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,28]]}}}