Forensic science international最新文献

Disturbances in cardiac rhythm affect a significant fraction of the population; they can have an ample range of repercussions on one person's quality of life, from negligible to lethal. As an implication, arrhythmias concern many private, commercial and public-passenger-vehicle driving licence holders. In their practice, medical professionals can be asked to assess an arrhythmia patient's fitness to drive effectively. Due to the subject's complexity (requiring an extent of multidisciplinary competencies), the current guidances' heterogeneity and the possible ethical conflicts, the decision-making process becomes challenging and of particular concern to the doctor. To offer an applicable decision support system to doctors of various backgrounds to implement in their practice when asked to assess for fitness to drive in a patient with a suspected disease, a formulated diagnosis or subjected to therapy for cardiac rhythm disturbances, we started gathering the issues concerning the fitness assessment of drivers (or candidates) who present with any condition, symptom or treatment possibly or knowingly caused by cardiac rhythm disturbances. Subsequently, we reviewed the English-based literature, including various countries' published medical standards. Then, the overview was revised by local medical experts in clinical arrhythmology, electrophysiology and traffic medicine to reach a consensus statement at a local level. The result is an easily consultable operational protocol that lists conditions, symptoms or treatments caused or possibly caused by cardiac rhythm disturbances; the certifications required for the assessment of the driver (or candidate); the orientation about the fitness or unfitness to drive under the enlisted medical conditions (distinguishing between private and professional drivers); and the recommended time limits to revise the case. A particular focus is applied to patients subject to the remote monitoring system of an implantable cardiac device, as this innovative approach constitutes a solid and efficient instrument for an accurate evaluation of the patient's cardiovascular situation. Despite some limitations, mainly concerning the lack of information at the moment of the evaluation or the infrequency of the medical condition, this proposal offers a ready-to-use solution for doctors who are asked to give their professional (clinical or medico-legal) opinion about the fitness to drive of patients with an arrhythmia problem. As an advantage, the constant cooperation among professionals from different backgrounds, like electrophysiologists and traffic medicine experts, allows a more individual, less predetermined evaluation of the specific case.

Forensic science bodies their respective regions and form the foundation for best practice. Until recently, no officially registered body existed that represented all forensic science practitioners across Africa. The African Forensic Sciences Academy (AFSA) was founded in December 2022 for this reason to serve African forensic science practitioners. This article details the progress of AFSA to date, highlights its core values and mission, and outlines the way forward for this newly established Academy.

Recent conceptual and empirical developments in decomposition research have highlighted the intricate dynamics within necrobiome communities and the roles of various decay drivers. Yet the interactions between these factors and their regulatory mechanisms remain relatively unexplored. A comprehensive understanding of this facet of decomposition science is important, given its broad applicability across ecological and forensic disciplines, and current lack of research which investigates the inter-dependencies between two critical components of the necrobiome (the microbiome and insect activity), and the consequences of this interdependency on mass loss and total body score. Here we investigated the relationships among these key aspects of the decay process. We experimentally manipulated these variables by physically excluding insects and chemically perturbing the external microbiome of piglet (Sus scrofa) carcasses and quantified the effects on mass loss and total body score, as well as insect pre-appearance interval and colonisation. We found that piglets in the insect excluded and microbially perturbed treatment groups exhibited a significant delay in reaching 50 + % of mass loss compared with control piglets with insect access and intact microbiome. However, only remains with insects excluded displayed a significantly slower rate of total mass loss throughout the majority of the experiment and remained a significantly higher mass at the endpoint of 11,000 accumulative degree hours. Additionally, all insect excluded and microbially perturbed treatment groups displayed significantly lower total body scores compared to control piglets at corresponding time points. We also observed a significant delay in insect pre-appearance interval and colonisation for piglets with perturbed microbiomes compared to control piglets. Our findings demonstrate the significance of interacting components of the necrobiome, and the power of manipulative experiments in revealing causal relationships between biota and decomposition rates. These considerations are paramount for developing accurate post-mortem interval estimations and a comprehensive understanding of ecological processes during decomposition.

Forensic age estimation of stain donors through DNA methylation has been intensively studied in recent years. To date, there are many published age estimation tools which are based on technologies including pyrosequencing, minisequencing, or MPS. With the implementation of such tools into routine forensic casework in many laboratories worldwide, there is a need for thorough evaluation and performance comparison. In this study, we tested published age estimation tools that are based on either minisequencing or MPS on four body fluids (blood, saliva, buccal cells and semen). All samples were analyzed with both technologies and the age estimates were compared. Biological replicates were taken from ten (blood, saliva, buccal cells) or 12 individuals (semen) to assess the reproducibility of each tool. Our study demonstrates high accuracy in estimating chronological age for various body fluids using both technologies, except for semen. The mean absolute errors (MAEs) ranged from three to five years for blood, saliva and buccal cells, while semen exhibited a higher MAE of seven to eight years. Despite the overall good performance for blood, saliva, and buccal cells, significant discrepancies were observed for some individuals both between the two technologies or when compared to their chronological age. Conclusively, we demonstrated that forensic age estimation tools based on two different technologies are similarly accurate for blood, saliva and buccal cells, while the semen tools need some adjustments before implementation into forensic casework. Our results could be helpful in the decision-making process for laboratories seeking to newly establish an age estimation workflow.

The recent case of Lucy Letby in the UK shows that exposing a serial killer in healthcare is challenging. Statistical evidence has been used in the courts, but the overturning of the life sentence of a Dutch nurse in 2008 due to inadequate data analysis suggests the need for objective statistical approaches. In our case, a nurse was convicted after injecting an infant with insulin following a dispute at a family party and killing a patient with insulin in an institute for disabled persons. The nurse had previously worked in a geriatric unit for seven months, during which 29 deaths occurred, some with suspicious features. We applied statistical methods developed for the evaluation of diagnostic tests to analyze the nurse's possible involvement in these deaths. We searched for discrepancies in the death certificates and performed medico-legal autopsies on exhumed deceased patients. During the 7 months, 69 nurses and practical nurses at the geriatric ward completed 27,324 shifts. Of the deaths, 16/29 (55 %) occurred during night shifts. The convicted nurse had worked a clearly higher number of night shifts, in particular, than others. She was among the highest 10 % whose work shifts coincided with the deaths in terms of sensitivity, specificity, and likelihood ratios. Of the deaths, 11/29 (38 %) occurred during or immediately after her shift. Unexplained suspicious blood glucose fluctuations or hypoglycemia-mimicking comas unrelated to known illnesses were reported in 6 (55 %) of the 11 deaths, and in one of these cases, the incident was supported by autopsy findings. Statistical methods for diagnostic accuracy may allow the targeting of the investigation when searching for a possible serial killer in a hospital. However, a statistical approach does not allow an unambiguous determination of a perpetrator nor does it replace a thorough examination of the circumstances and cause of death when investigating a small number of suspicious deaths among patients with serious illnesses and high mortality.

The Netherlands plays a key role in the global production of the synthetic illicit drug MDMA. However, the actual Dutch production of MDMA is difficult to quantify. The illicit production of MDMA results in large amounts of waste. This study uses amounts of waste found in the environment and production-related MDMA residues in wastewater to estimate the amount of MDMA that is produced. The MDMA produced, associated to the amount of waste found in the environment is 4.2 and 5.8 tons per year for two common synthesis routes. The MDMA produced, associated to production-related residues in wastewater is significantly larger, with 39.2 tons per year. The estimated MDMA production associated to waste in the environment and wastewater analysis is 43.4 and 45.0 tons per year for two common synthesis routes. Even though these estimates are difficult to validate, they are feasible when compared to prevalence-based consumption estimates or production estimates based on interceptions of precursors. The current study illustrates that waste of an illicit industry can shed light on its production volumes, thereby, complementing other efforts to estimate production, trade and use of synthetically produced illicit substances.

In recent years, Photon-counting detector CT (PCD CT) has emerged as a new and groundbreaking technology in clinical radiology. While clinical research and practical applications of PCD-CT are constantly evolving, it has not yet been integrated into post-mortem CT (PMCT) imaging. Documented research into the potential applications of PCD CT in the field of post-mortem human forensic pathology and anatomical pathology is scarce in literature. This is despite the fact that PCD CT shows promise in expanding PMCT imaging diagnostic due to features such as ultra-high resolution and intrinsic spectral multienergy imaging. The authors have recently started scanning forensic corpses with a PCD CT to explore its possibilities and limits in the post-mortem field. In this technical note, the PCD CT acquisition and reconstruction parameters that resulted in excellent image quality in terms of noise and contrast for a slice thickness up to 0.2 mm in unenhanced whole-body examinations are presented.

Xylazine, increasingly implicated in illicit opioid overdose deaths, poses a significant public health threat due to its synergistic effects with fentanyl and resistance to naloxone reversal. Despite its rising prevalence, xylazine is not classified as a controlled substance, leading to its exclusion from routine forensic screening. This study introduces a novel analytical method combining Raman hyperspectral imaging with Multivariate Curve Resolution-Alternating Least Squares (MCR-ALS) to detect xylazine in drug mixtures containing common excipients such as acetaminophen, dipyrone, and mannitol. Utilizing only non-negativity constraints, MCR-ALS successfully resolved the Raman spectrum of xylazine at levels as low as 5 % without reference spectra. The method demonstrated robust performance, with percent variance explained (R²) values of 99.60 %, 99.80 %, and 99.91 % for the drug mixtures containing 25 %, 10 %, and 5 % xylazine, respectively.

Experimental: taphonomy and neotaphonomic monitoring have become two relevant tools in interpreting modifications, and most especially in forensic investigations. Research facilities, where human decomposition experiments are carried out under controlled situations, provide a better understanding of the tapho-forensic history of cadaveric remains under specific environments and in different situations or even climates. There are, however, limitations of time to monitoring, such as space for experimentation and ethics, that do not always allow to carry out these types of investigations. The study presented here investigates the early post mortem modifications of the cadaveric state using animal models (pig autopods) simulating different forensic scenarios in accelerated time, under controlled climatic parameters, in different environmental contexts. This study was carried out under semi-arid conditions programmed in a climatic chamber. The aim of this study is to open a new range of knowledge in experimental taphonomy. As results of this experiment, different types of cadaveric states (such as total skeletonization, skeletonization with dry putrid matter, saponification and mummification) were obtained related to the type of contexts in which animal models were deposited (submerged or buried in wet or dry sediment).

In Germany, Forensic Addiction Treatment serves the purpose of reintegration into society. Patients with a migration background are over-represented, show slightly higher rates of premature termination and exhibit less successful outcomes. However, outcome research was often limited by conceptual ambiguities and insufficient control for confounding variables. In the present article, we defined reintegration as a comprehensive concept comprising three domains (re-delinquency, addiction-related behavior, resocialization). In a multicenter approach, 466 migrant patients were compared on 35 catamnestic variables to a group of non-migrants matched on the variables sex, main offense, main diagnostic group and age at discharge. For to seek evidence for and against interrelation, we applied both inferential and Bayesian statistics. Both groups show almost the same substance use behaviors and identical re-delinquency rates, with some tendency toward more serious re-offenses among non-migrants. The migrant-group combines more favorable patterns on relevant indicators of resocialization. However, while treatment is proving equally successful in terms of its core purpose of reintegration, it does not succeed in overcoming systemic barriers to accessing the general health care system, as migrants show more reluctant help-seeking behaviors. This, in turn, could increase the risk of long-term re-delinquency due to a lack of adequate post-forensic support. Hence, barriers should be reduced and treatment offers should be adapted to migrants' needs.