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On the uncertainty associated with using a signal detection theory model to analyze data from forensic black-box studies 关于使用信号检测理论模型分析法医黑箱研究数据的不确定性
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2026-01-07 DOI: 10.1016/j.forsciint.2026.112816
Bruce Budowle , Max D. Morris , Todd J. Weller
A parametric signal detection theory model has been used in recent literature to model data collected from black-box studies of forensic examiner accuracy, and to predict how error rates might change if examiners were to be either more or less demanding in their requirements for making IDENTIFICATION or EXCLUSION calls. Such models depend on latent (i.e., unobservable) scores, summaries of which are only partially estimable from the data collected on categorical conclusion scales. As a result, inferences based on signal detection theory models are sensitive to the probability model used, and imprecise due to the limited information available about the latent scores. This paper explains some of these uncertainties, with the aim of demonstrating that they can be substantial in typical forensics applications.
在最近的文献中,一个参数信号检测理论模型被用于对法医审查员准确性的黑箱研究中收集的数据进行建模,并预测如果审查员在进行识别或排除呼叫时要求更高或更低,错误率将如何变化。这些模型依赖于潜在(即不可观察的)分数,其摘要只能从分类结论量表收集的数据中部分估计。因此,基于信号检测理论模型的推断对所使用的概率模型很敏感,并且由于潜在分数的可用信息有限而不精确。本文解释了其中的一些不确定性,目的是证明它们在典型的取证应用中可能是实质性的。
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引用次数: 0
Falls from height in forensic medicine: Differentiating accident, suicide, and homicide through case analysis and biomechanical modeling 法医学中的高空坠落:通过案例分析和生物力学模型区分意外、自杀和他杀
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2026-01-05 DOI: 10.1016/j.forsciint.2026.112815
Pelin Erol , Yaşar Mustafa Karagöz

Background

Falls from height represent one of the leading causes of unintentional injury and death worldwide. Distinguishing between accidental, suicidal, and homicidal falls remains a major forensic challenge. Autopsy findings alone may not reveal the true origin, particularly in cases with inconsistent witness statements or complex injury mechanisms. Integrating biomechanical simulations with classical forensic methods offers an opportunity to strengthen interpretative accuracy.

Methods

We retrospectively analyzed 258 fall-from-height cases referred to the Department of Forensic Medicine, Akdeniz University, between 2007 and 2016. Demographic variables, fall height, injury patterns, and manner of fall were evaluated. Additionally, a representative case (25-year-old female, 7th-floor fall) was reconstructed using MADYMO and LS-DYNA in three scenarios: accidental backward fall, suicidal forward jump, and homicidal push. Detailed initial and boundary conditions—including friction coefficient (μ=0.60), restitution coefficient (e=0.15), and scenario-specific initial velocities—were defined. Simulation outputs (impact velocity, rotational components, HIC15, VC, AIS-based injury probabilities) were compared with autopsy findings.

Results

Of the 258 cases, 94.9 % were accidents, 4.7 % suicides, and 0.4 % suspected homicides. The mean fall height was 7.03 m, with head–neck trauma being the most common injury (49.2 %). In the representative case, the accidental scenario demonstrated the highest concordance (89 %) with autopsy findings, while suicide and homicide simulations produced inconsistent injury profiles. Biomechanical modeling showed increasing head accelerations and injury probabilities across accident (82 g; 54 %), suicide (94 g; 71 %), and homicide (110 g; 89 %) scenarios. Rotational motion around the railing pivot increased intermediate contact velocity, substantially affecting impact severity.

Conclusions

Accurate determination of fall origin requires a multidisciplinary approach integrating autopsy findings, scene investigation, and biomechanical simulations. Objective simulation-based metrics (HIC, VC, g-forces) complement classical forensic evaluation and improve the interpretative reliability of disputed or ambiguous cases.
背景高空坠落是全世界造成意外伤害和死亡的主要原因之一。区分意外坠落、自杀坠落和杀人坠落仍然是法医的一大挑战。单独的尸检结果可能无法揭示真正的起源,特别是在证人陈述不一致或损伤机制复杂的情况下。整合生物力学模拟与经典法医方法提供了一个机会,以加强解释的准确性。方法回顾性分析2007 - 2016年阿克德尼兹大学法医学院系收治的258例高空坠落病例。评估了人口统计学变量、坠落高度、损伤模式和坠落方式。另外,利用MADYMO和LS-DYNA对一例25岁女性7楼坠楼的典型案例进行了三种情景的重构:意外向后坠楼、自杀式向前跳和杀人推楼。定义了详细的初始和边界条件,包括摩擦系数(μ=0.60)、恢复系数(e=0.15)和特定场景的初始速度。仿真输出(冲击速度、旋转分量、HIC15、VC、基于ais的损伤概率)与尸检结果进行了比较。结果258例中,94.9% %为意外事故,4.7% %为自杀,0.4% %为他杀。平均坠落高度为7.03 m,以头颈部损伤最为常见(49.2% %)。在代表性案例中,意外情景与尸检结果的一致性最高(89% %),而自杀和他杀模拟产生了不一致的伤害特征。生物力学模型显示,在事故(82 g; 54 %)、自杀(94 g; 71 %)和杀人(110 g; 89 %)情况下,头部加速度和受伤概率都在增加。围绕栏杆枢轴的旋转运动增加了中间接触速度,大大影响了冲击的严重性。结论:准确确定跌倒原因需要多学科方法,包括尸检结果、现场调查和生物力学模拟。基于客观模拟的指标(HIC, VC, g-forces)补充了经典的法医评估,提高了有争议或模棱两可案件的解释可靠性。
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引用次数: 0
Age estimation using third molars in forced migrant populations: Determining age and probability 强迫移民人口第三磨牙的年龄估计:确定年龄和概率
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2026-01-03 DOI: 10.1016/j.forsciint.2026.112814
Andrea Faragalli , Flavia Carle , Luca Aquilanti , Giorgio Rappelli , Erminia Coccia , Nikolaos Angelakopoulos , Roberto Cameriere , Valeria Santoro , Luigi Ferrante , Edlira Skrami

Background

Accurate age estimation is a critical component of forensic assessment in undocumented forced migrants, as it directly influences legal protection, social support, and immigration procedures.

Objectives

To develop and validate a statistical model for estimating chronological age and its probability distribution based on third molar maturity index values in forced migrants.

Material and Methods

In this observational study, we employed a Bayesian Calibration approach utilizing a Normal density and an expected value modeled by a Segmented function. The model underwent calibration using a training sample consisting of 481 orthopantomographs of healthy males, gathered during routine visits spanning from 2012 to 2017. A testing sample comprising 45 forced migrant males recruited from four Italian hosting centers in 2018 was utilized to validate the model.

Results

The two samples exhibited similar distributions in terms of age and dental maturity index. The model's breakpoint age was estimated at 18.6 years, suggesting a sharp decline in dental maturity rate beyond this threshold. For instance, the probability of a forced migrant being 18 years or older with a dental maturity index of 0.15 was 0.75. The mean error in age estimation was 1.57 years, with a variability of 2 years, and demonstrated a statistically significant increasing trend of 0.3 years.

Discussion

The model offers, in addition to estimated age, the likelihood that an individual is of a specific age or older, taking into account their dental maturity. This provides valuable supplementary information to authorities during the age assessment procedure. A web application has been launched to facilitate the retrieval of age estimates and associated probabilities when inputting the dental maturity index value.
准确的年龄估计是无证强迫移民法医评估的关键组成部分,因为它直接影响到法律保护、社会支持和移民程序。目的建立并验证基于强迫移民第三摩尔成熟度指数的实足年龄及其概率分布的统计模型。材料和方法在这项观察性研究中,我们采用贝叶斯校准方法,利用正态密度和由分割函数建模的期望值。该模型使用由481名健康男性的骨正像片组成的训练样本进行了校准,这些样本是在2012年至2017年的常规访问期间收集的。测试样本包括2018年从四个意大利收容中心招募的45名被迫移民男性,用于验证该模型。结果两种标本在年龄和牙成熟指数上分布相似。该模型的断点年龄估计为18.6岁,表明牙齿成熟率在这个阈值之后急剧下降。例如,18岁或以上牙齿成熟指数为0.15的被迫移民的概率为0.75。年龄估计的平均误差为1.57岁,变异率为2岁,呈统计学上显著的增加趋势(0.3岁)。除了估计年龄,该模型还提供了考虑到牙齿成熟程度的个体处于特定年龄或更大年龄的可能性。这为当局在年龄评估过程中提供了有价值的补充信息。我们推出了一个网页应用程序,方便市民在输入牙齿成熟度指数值时,检索年龄估计及相关的概率。
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引用次数: 0
The long-term capability of soil pore air sampling to detect graves 土壤孔隙空气取样长期探测坟墓的能力
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2026-01-02 DOI: 10.1016/j.forsciint.2025.112806
M. Dalva , T.R. Moore , M. Kalacska , G. Leblanc
We examined the concentrations of methane (CH4), carbon dioxide (CO2) and nitrous oxide (N2O) in the pore air of a well-drained soil at which pig carcasses were buried over 12–13 years at depths between 50 and 100 cm. Sites included disturbed pits without carcasses, an undisturbed site, a mass grave (20 pigs) and single carcass graves buried at two depths with and without burial in a plastic bag. Twelve years after burial, the concentrations of CH4 were mostly below atmospheric values (∼ 2.0 ppm), showing that this gas was of little value in detecting graves under these conditions. Concentrations of CO2 were above values found under undisturbed conditions. Much of the increase is related to the decomposition of the carcasses, though disturbance during pit refilling and root respiration may account for part of the increase. The best indicator of burial over 13 years was increases in the concentration of N2O associated with inclusion of carcasses and with evidence of lateral flow of N2O in the soil. The N2O concentration is well above that of undisturbed or disturbed soils providing a detectible effect in sites with carcasses.
我们检测了排水良好的土壤孔隙空气中甲烷(CH4)、二氧化碳(CO2)和氧化亚氮(N2O)的浓度,这些土壤将猪尸体埋在50至100 厘米的深度,埋了12-13年。地点包括没有尸体的被破坏的坑,一个未被破坏的地点,一个万人坑(20头猪)和一个单独的尸体坟墓,埋在两个深度,有和没有被埋在塑料袋里。掩埋12年后,CH4的浓度大多低于大气值(~ 2.0 ppm),表明在这种条件下,这种气体在探测坟墓方面几乎没有价值。二氧化碳浓度高于未受干扰条件下的值。增加的大部分与尸体的分解有关,尽管在坑填充和根呼吸过程中的干扰可能是增加的部分原因。掩埋超过13年的最佳指标是N2O浓度的增加,这与尸体的包裹有关,并且有证据表明N2O在土壤中横向流动。N2O浓度远高于未受干扰或受干扰的土壤,在有尸体的地点提供了可检测的影响。
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引用次数: 0
Using 2D video analysis and model based image matching to measure joint angles for forensic biomechanical analysis 利用二维视频分析和基于模型的图像匹配测量关节角度,用于法医生物力学分析
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-31 DOI: 10.1016/j.forsciint.2025.112804
Kevin G. Gilmore , Geoffrey T. Desmoulin , Marc-André Nolette , Szymon Claridad , Theodore E. Milner
Forensic injury biomechanics involves the use of all relevant data in order to conduct analysis and draw conclusions about an incident under investigation. Video recordings of the scene can be especially helpful due to their objectivity and the wealth of information which can be garnered from them. We compared the accuracy of different analysis techniques and multiple camera views for measuring human joint angles. The analysis techniques were reverse projection and model-based image matching (MBIM). For this purpose, 8 static postures performed by a human subject were recorded with 4 cameras. One camera was placed so that its focal plane was aligned with the plane of the subject's movement and 3 cameras were placed at various out-of-plane locations. The knee and elbow joint angles were first measured using a goniometer and then compared to angle measurements made through reverse projection and MBIM employing both single and combined camera views. Overall, the results indicated that multi-camera solutions and single, in-plane camera views produced joint angle reconstructions with the highest accuracy when comparted to the single out of plane camera views. Moreover, there was no significant difference between in the MBIM and reverse projection techniques in regard to joint angle accuracy.
法医损伤生物力学涉及使用所有相关数据,以便对正在调查的事件进行分析并得出结论。现场的视频记录特别有用,因为它们很客观,而且可以从中获得丰富的信息。我们比较了不同的分析技术和多相机视图测量人体关节角度的精度。分析技术为反向投影和基于模型的图像匹配(MBIM)。为此,用4台摄像机记录了人类受试者的8种静态姿势。放置一台相机使其焦平面与被摄体运动平面对齐,另外3台相机放置在不同的平面外位置。首先使用测角仪测量膝关节和肘关节的角度,然后将其与通过反向投影和使用单个和组合相机视图的MBIM测量的角度进行比较。总体而言,结果表明,与单个平面外相机视图相比,多相机解决方案和单个平面内相机视图产生的联合角度重建精度最高。此外,在关节角度精度方面,MBIM和反向投影技术之间没有显着差异。
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引用次数: 0
Qualitative assessment of DNA isolation from fresh, frozen, and ancient human bone using a homogenizer-assisted workflow 使用均质机辅助工作流程对从新鲜、冷冻和古代人骨中分离的DNA进行定性评估
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-31 DOI: 10.1016/j.forsciint.2025.112807
Volkan Karaman , Fatih Tepgeç , Pulat Akın Sabancı , Ayça Dilruba Aslanger , Mehmet Görgülü , Duygu Dölen , Zehra Oya Uyguner
Effective DNA recovery from bone material is essential for applications in biomedical research, clinical diagnostics, and forensic and archaeogenetic investigations. In this study, DNA isolation performance was evaluated in an exploratory manner in human bone samples representing three preservation states: fresh, cryopreserved, and ancient. All samples were processed using a unified bead mill homogenization and magnetic bead–based extraction workflow in order to maintain procedural consistency. DNA quantity and purity were evaluated by spectrophotometry, and amplifiability was assessed using nuclear and mitochondrial PCR assays as well as representative STR profiling. Fresh and cryopreserved samples yielded higher DNA concentrations and more consistent amplification than ancient specimens, in which recovery was primarily constrained by postmortem degradation. PCR success demonstrated a clear dependence on amplicon length, with shorter mitochondrial and nuclear targets amplifying more reliably across all sample types. Due to the limited sample size and the use of a single individual per preservation group, the results are presented as qualitative observations rather than as statistically generalizable conclusions. Within these constraints, the study demonstrates the feasibility of using a standardized mechanical disruption and extraction workflow across bone samples of differing preservation status and provides a methodological reference for future larger-scale studies involving both modern and degraded skeletal material.
有效地从骨材料中恢复DNA对于生物医学研究、临床诊断、法医和考古调查的应用至关重要。在这项研究中,以探索性的方式评估了代表三种保存状态的人骨样品的DNA分离性能:新鲜,冷冻保存和古代。所有样品均使用统一的球磨均质和基于磁珠的提取工作流程进行处理,以保持程序的一致性。用分光光度法评估DNA的数量和纯度,用核和线粒体PCR分析以及代表性STR分析评估扩增性。新鲜和冷冻保存的样品比古代标本产生更高的DNA浓度和更一致的扩增,古代标本的恢复主要受到死后降解的限制。PCR的成功证明了扩增子长度的明显依赖性,在所有样品类型中,较短的线粒体和核靶标扩增更可靠。由于样本量有限,并且每个保存组使用单个个体,因此结果是定性观察结果,而不是统计上可推广的结论。在这些限制条件下,该研究证明了在不同保存状态的骨样本中使用标准化机械破坏和提取工作流程的可行性,并为未来涉及现代和降解骨骼材料的更大规模研究提供了方法参考。
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引用次数: 0
Technical note MD-VF-Auto SEM: A method of the forensic diatom test that may help end the longstanding “war-on-diatoms” MD-VF-Auto SEM:一种法医硅藻测试方法,可能有助于结束长期的“硅藻战争”。
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-31 DOI: 10.1016/j.forsciint.2025.112803
Sunlin Hu , Liang Chen , Jie Ma , Liguang Li , Yang Ming , Jingjie Wu , Yang Liu , Siyun Guo , Yuchi Zhou
The diatom test has been a classical test for drowning diagnosis for over a century. While it is often regarded in literature as a reliable method—even a golden standard—its validity remains a subject of ongoing controversy. This paper emphasized that the major cause for the controversy is from the methodology of the test. Conventional methods for the test lack sufficient sensitivity and accuracy, making diatom analysis results difficult to be interpreted in both drowning and non-drowning cases. In contrast, the MD-VF-Auto SEM method—which integrates microwave digestion (MD), vacuum filtration (VF), and automated scanning electron microscopy (Auto SEM)—offers significantly improved sensitivity and accuracy. This enhanced method is capable of clarifying the relationship between diatom presence and drowning, thereby addressing key questions regarding the test’s validity. The rationale as well as related research findings are presented. In the end, we call for international collaborative effort to collectively resolve the long-standing “war-on-diatoms”.
一个多世纪以来,硅藻测试一直是诊断溺水的经典测试。虽然它在文学中经常被认为是一种可靠的方法,甚至是黄金标准,但它的有效性仍然是一个持续争议的主题。本文强调,引起争议的主要原因是测试的方法。传统的检测方法缺乏足够的灵敏度和准确性,使得硅藻分析结果在溺水和非溺水情况下都难以解释。相比之下,MD-VF-Auto SEM方法-集成了微波消解(MD),真空过滤(VF)和自动扫描电子显微镜(Auto SEM) -提供了显着提高的灵敏度和准确性。这种增强的方法能够澄清硅藻存在与溺水之间的关系,从而解决有关测试有效性的关键问题。介绍了研究的基本原理和相关研究结果。最后,我们呼吁进行国际合作,共同解决长期存在的“硅藻战争”。
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引用次数: 0
Characterizing bone injuries in avalanche fatalities in the French Alps: Comparing anthropological and surgical classifications 表征在法国阿尔卑斯山雪崩死亡的骨损伤:比较人类学和外科分类
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-31 DOI: 10.1016/j.forsciint.2025.112805
Amandine Fort , Clémence Delteil , Virginie Scolan , Gilbert Ferretti , Emilie Reymond , Marc Blancher , Pascal Adalian
Avalanches are a major cause of death in mountainous regions, primarily from asphyxia. However, increased recreational activities and climate change may be leading to more traumatic injuries, such as bone fractures, which are currently understudied. This study compared two distinct bone fracture classification systems, to better understand specific injury mechanisms in avalanche victims. We conducted a retrospective analysis of post-mortem CT scans from 13 adult avalanche victims in Grenoble, France, all with at least one bone fracture. Using MIP, MPR, and 3D reconstructions, we systematically classified fractures across ten major anatomical regions, representing the entire body. We analyzed each fracture to determine its traumatic mechanism using both the surgical AO/OTA and the anthropological Galloway et al. (2014) classification systems. The study included 13 individuals (61.5 % male; mean age: 37 years), with a total of 265 fractured bones. Fractures were most frequently observed in the thorax (52 %), spine (21 %), and skull (14 %). We found that multiple injury mechanisms, such as impact and compression, often occurred simultaneously. Both classification systems consistently identified six "burst"-type spinal fractures. However, for five open-book pelvic fractures, only the Galloway et al. system precisely described the specific injury mechanism. Our findings indicate that the AO/OTA and Galloway et al. classifications are complementary. The AO/OTA system offers standardized clinical utility, while the Galloway et al. system enhances forensic and anthropological interpretation by elucidating trauma mechanisms. These preliminary insights into bone injury mechanisms in avalanche events emphasize the need for interdisciplinary approaches to improve victim care and safety.
雪崩是山区死亡的主要原因,主要是窒息。然而,娱乐活动的增加和气候变化可能导致更多的创伤性伤害,如骨折,这一点目前还没有得到充分的研究。本研究比较了两种不同的骨折分类系统,以更好地了解雪崩受害者的具体损伤机制。我们对法国格勒诺布尔的13名成年雪崩受害者的死后CT扫描进行了回顾性分析,他们都至少有一处骨折。通过MIP, MPR和3D重建,我们系统地将骨折分为十个主要解剖区域,代表整个身体。我们使用外科AO/OTA和人类学Galloway等人(2014)的分类系统分析了每个骨折,以确定其创伤机制。该研究包括13名个体(61.5% %男性,平均年龄:37岁),共有265块骨折。骨折最常见于胸部(52% %)、脊柱(21% %)和颅骨(14% %)。我们发现多种损伤机制,如撞击和挤压,经常同时发生。两种分类系统一致地确定了六种“爆裂”型脊柱骨折。然而,对于5例开放式骨盆骨折,只有Galloway等人的系统准确描述了具体的损伤机制。我们的研究结果表明,AO/OTA和Galloway等人的分类是互补的。AO/OTA系统提供了标准化的临床应用,而Galloway等人的系统通过阐明创伤机制增强了法医和人类学的解释。这些对雪崩事件中骨损伤机制的初步见解强调了跨学科方法改善受害者护理和安全的必要性。
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引用次数: 0
Temperature-dependent development of Musca domestica (Diptera: Muscidae) and posterior spiracle–based substaging of third instar larvae 家蝇(双翅目:蝇科)的温度依赖性发育和三龄幼虫的后螺旋亚分期
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-30 DOI: 10.1016/j.forsciint.2025.112801
Ziyan Liu , Tae Mo Kang , Jieun Park , Kwang Soo Ko , Young Kyu Park , Seong Hwan Park
Estimating the minimum postmortem interval (mPMI) is an essential task in practical forensic entomology. mPMI estimation is carried out using information on the species recovered at the scene, appropriate developmental data, and the developmental stages of those species. In this study, we obtained developmental data for Musca domestica Linnaeus, 1758 (Diptera: Muscidae), a synanthropic species that inhabits human-associated environments and is also encountered in forensic entomology cases. Musca domestica was reared at constant temperatures ranging from 16 to 34 °C, and we generated developmental data, estimated a thermal summation model, and subdivided third instar development based on time-dependent changes in the posterior spiracle. Musca domestica completed development across all tested temperatures (706.5 h at 16 °C; 163.6 h at 34 °C). For the entire developmental period, the lower developmental threshold and total thermal requirement were estimated as 11.43 °C and 3350.2 accumulated degree hours, respectively. We also documented time-dependent changes in third instar posterior spiracle structures—the peritreme, spiracular plate, slits, and scar—and proposed developmental substages centered on the scar and surrounding morphology. The third instar was subdivided into four substages based on externally observable features of these structures. Through this work, we provide developmental data for Korean populations of the forensically important species M. domestica and propose third instar substages that enable more precise estimation of developmental time and can be applied using simple microscopic observations in forensic casework.
估计最小死后时间是法医昆虫学实践中的一项重要任务。mPMI估计是利用在现场恢复的物种、适当的发育数据和这些物种的发育阶段的信息进行的。本研究获得了Linnaeus家蝇(Musca domestica Linnaeus, 1758)的发育资料(双翅目:蝇科),这是一种生活在人类相关环境中的合生物种,在法医昆虫学案例中也经常遇到。我们将家蝇饲养在16 - 34°C的恒温环境中,生成发育数据,估计一个热总和模型,并根据后气门的时间依赖性变化细分第三期发育。家蝇在所有测试温度下都完成了发育(16°C时为706.5 h; 34°C时为163.6 h)。在整个发育过程中,估计发育下限和总热需求分别为11.43°C和3350.2累积度小时。我们还记录了三龄后气门结构的时间依赖性变化——周膜、气门板、裂口和疤痕——并提出了以疤痕和周围形态为中心的发育亚阶段。根据这些结构的外部可观测特征,将第三阶段细分为四个子阶段。通过这项工作,我们为法医重要物种家蝇的韩国种群提供了发育数据,并提出了第三期亚阶段,可以更精确地估计发育时间,并可以在法医案件中使用简单的显微镜观察。
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引用次数: 0
Use of blood micro-samples in forensic thanatology 微量血液样本在法医病理学中的应用
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-30 DOI: 10.1016/j.forsciint.2025.112798
Myriam Bertrand- Ndoye , Hugo Girard , Florian Hakim , Alexandr Gish , Caroline Ghoul , Yann Delannoy , Quentin Scanvion , Valéry Hédouin , Jean-Michel Gaulier
In forensic thanatology, post-mortem blood is often stored for long periods, leading to in vitro variations in drug concentrations. This study evaluated the use of dried blood microsampling supports dried (Dried Blood Spot – DBS and Volumetric Absorptive MicroSampling (VAMS) as an alternative to conventional tubes. 72 bodies were sampled, including 35 analyzed toxicologically. 6 categories of substances (26 molecules) were quantified using LC-MS/MS or LC-HRMS. Heroin, several benzodiazepines, and cocaine showed excellent stability on DBS, while they degraded or disappeared in conventional tubes. In some cases, the absence of a micro-sample would have prevented the diagnosis of intoxication. For other molecules, concentration differences between DBS and conventional tubes did not alter the medico-legal interpretation, with equivalent values for morphine, codeine, and tramadol. THC and its metabolites remained difficult to extract from DBS. Microsampling has improved the qualitative detection of unstable drugs in post-mortem blood in routine forensic thanalogic sampling practice.
在法医死亡学中,死后的血液通常被储存很长时间,导致体外药物浓度的变化。本研究评估了干血微采样支架(干血斑点- DBS)和体积吸收微采样(VAMS)作为传统管的替代方法的使用。采集了72具尸体样本,其中35具进行了毒理学分析。采用LC-MS/MS或LC-HRMS对6类物质(26个分子)进行定量分析。海洛因、几种苯二氮卓类药物和可卡因在脑起搏器中表现出极好的稳定性,而它们在常规试管中降解或消失。在某些情况下,缺乏微量样本会阻止中毒的诊断。对于其他分子,DBS和传统管之间的浓度差异没有改变医学法律解释,吗啡、可待因和曲马多的浓度相同。四氢大麻酚及其代谢物仍然难以从DBS中提取。显微取样改进了法医常规样品中不稳定药物的定性检测。
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引用次数: 0
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Forensic science international
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