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Age assessment using the second molar maturation index (I2M): A systematic review 第二磨牙成熟度指数(I2M)的年龄评估:系统综述
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-23 DOI: 10.1016/j.forsciint.2025.112792
Clarice de Araújo Oliveira , Beatriz Alves Furtado , Paulo Henrique Viana Pinto , Ricardo Henrique Alves da Silva
Age estimation plays a crucial role in forensic sciences, being necessary for deceased and living individuals. In adolescents, it is often used to estimate whether an individual is above or below legal age thresholds, which vary across countries. In 2018, Cameriere et al. introduced the Second Molar Maturation Index (I2M), a method based on measuring apical openings and tooth height of the second molar to estimate whether an individual is older or younger than 14 or 16 years. Since then, some studies have sought to validate this method, with varying outcomes. This systematic review aimed to assess the applicability of the I2M method for estimating age thresholds of 12, 14, 15, and 16 years in forensic contexts. A systematic search was conducted in six databases (PubMed/MEDLINE, Embase, Scopus, Web of Science, LILACS, and SciELO), using keywords in Portuguese, Spanish, and English. Studies were selected based on predefined inclusion and exclusion criteria. The methodological quality and risk of bias were assessed. Seven eligible studies were identified, all using orthopantomographs of individuals aged 7–22 years. Validations were performed in seven countries: Brazil, Chile, China, Croatia, India, Portugal, and Turkey. All included studies showed a low risk of bias. The findings indicate that the I2M method is applicable for estimating age thresholds of 12, 14, 15, and 16 years in forensic practice, with satisfactory results across diverse populations. However, further primary research is necessary to strengthen the evidence base and improve the method’s reliability.
年龄估计在法医学中起着至关重要的作用,对死者和活着的人都是必要的。在青少年中,它通常用于估计个人是否高于或低于法定年龄阈值,各国的法定年龄阈值各不相同。2018年,Cameriere等人引入了第二磨牙成熟指数(I2M),这是一种基于测量第二磨牙的根尖开口和牙齿高度来估计个体年龄是大于还是小于14岁或16岁的方法。从那时起,一些研究试图验证这种方法,结果各不相同。本系统综述旨在评估I2M方法在法医环境中估计12、14、15和16岁年龄阈值的适用性。系统检索了六个数据库(PubMed/MEDLINE、Embase、Scopus、Web of Science、LILACS和SciELO),检索关键词为葡萄牙语、西班牙语和英语。根据预先确定的纳入和排除标准选择研究。评估方法学质量和偏倚风险。确定了7项符合条件的研究,所有研究均使用7-22岁个体的骨正位断层摄影术。验证在七个国家进行:巴西、智利、中国、克罗地亚、印度、葡萄牙和土耳其。所有纳入的研究均显示低偏倚风险。研究结果表明,I2M方法适用于法医实践中估计12、14、15和16岁的年龄阈值,并在不同人群中取得了令人满意的结果。但是,为了加强证据基础,提高方法的可靠性,还需要进一步的初步研究。
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引用次数: 0
Prevalence of psychoactive drugs in injured drivers over 10 years in Victoria, Australia 澳大利亚维多利亚州10年来受伤司机服用精神药物的情况
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-20 DOI: 10.1016/j.forsciint.2025.112790
Matthew Di Rago , Dimitri Gerostamoulos , Carla Morris , Gemma Wynd , Noel W. Woodford , Olaf H. Drummer AO
One thousand of the mandatory blood specimens taken from injured drivers attending a hospital over a decade were analyzed for a full range of legal and illegal drugs in an accredited forensic toxicology laboratory with confirmation by a validated LC-MS/MS procedure. Ethanol ( ≥0.05 g/100 mL), methamphetamine (≥0.01 mg/L), THC (≥1 ng/mL) were present in 13.6 %, 12.7 % and 11.5 %, respectively with only minor variations over the decade. In contrast, the prevalence of ketamine, cocaine, fentanyl and new psychoactive substances (NPS) increased substantially over this period reaching 7.0 %, 1.8 %, 2.0 % and 3.0 % in the last 5 years of the study. A substantial proportion of drivers were also positive for opioids, antidepressants, and benzodiazepines, although some of these may have been given post-crash as part of their medical treatment. Overall, about 38 % of drivers had a potentially impairing drug detected in their blood on presentation to hospital and at least one common illicit drug with or without ethanol were present in almost 23 % of drivers. The presence of more than one common illicit drug (THC, methamphetamine, MDMA, cocaine, heroin), with or without ethanol, increased from 4.3 % in the first 5 years to 5.8 % in the last five years, which may reflect a higher crash risk for those drivers.
在一个认可的法医毒理学实验室中,从十多年来在医院就诊的受伤司机身上采集的一千份强制性血液样本进行了全面的合法和非法药物分析,并通过有效的LC-MS/MS程序进行了确认。乙醇(≥0.05 g/100 mL)、甲基苯丙胺(≥0.01 mg/L)和四氢大麻酚(≥1 ng/mL)分别占13.6 %、12.7 %和11.5 %,10年间变化不大。相比之下,氯胺酮、可卡因、芬太尼和新型精神活性物质(NPS)的患病率在此期间大幅增加,在研究的最后5年达到7.0 %、1.8 %、2.0 %和3.0 %。相当一部分司机的阿片类药物、抗抑郁药和苯二氮卓类药物检测也呈阳性,尽管其中一些可能是在车祸后作为治疗的一部分服用的。总体而言,约38% %的司机在被送往医院时血液中检测到一种潜在的有害药物,至少有一种常见的非法药物(含或不含乙醇)存在于近23% %的司机身上。含有或不含乙醇的一种以上常见非法药物(四氢大麻酚、甲基苯丙胺、摇头丸、可卡因、海洛因)的存在,从前5年的4.3 %增加到最近5年的5.8 %,这可能反映了这些司机更高的撞车风险。
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引用次数: 0
Chemical profile of synthetic drugs seized in Paraná State (Brazil): Possible decline of new psychoactive substances 在paranstate(巴西)缉获的合成毒品的化学特征:新的精神活性物质可能减少。
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-19 DOI: 10.1016/j.forsciint.2025.112785
Isabella Ferreira Melo , Leociley Rocha Alencar Menezes , Philippe Rodrigues Benedetti , Luís Henrique Ferreira de Moraes , Guilherme Lanzi Sassaki
In recent decades, there has been a significant increase in the diversification and global commercialization of new psychoactive substances (NPS). This study assessed changes in the chemical profile of blotter papers and ecstasy tablets seized in the state of Paraná, Brazil, between 2014 and 2024. A total of 4911 samples (1656 blotter papers and 3255 tablets) were analyzed using GC-MS NMR, and FTIR techniques. These samples originated from synthetic drug seizures conducted across the state. A total of 64 chemical substances were identified, of which 50 were classified as NPS. The number of forensic requests for the analysis of blotters and tablets varied over the years, with peaks in 2016 and 2023. The most frequently identified compounds were central nervous system stimulants, especially phenethylamines. In ecstasy tablets, the most frequently identified substance was 3,4-methylenedioxyamphetamine (MDA), whereas among blotters, the NBOH series predominated. Additionally, a progressive increase in lysergic acid diethylamide (LSD) identifications was observed in blotters, while NPS identifications decreased over time. Most synthetic drug seizures occurred in Curitiba, the state capital, while a lower incidence was observed in border regions. The data indicate that the chemical profile of synthetic drugs identified in Paraná is diverse and resilient. Moreover, the observed decrease in the number of NPS in the state coincides with the implementation of national and international legislative measures aimed at stricter control of psychoactive substances.
近几十年来,新型精神活性物质(NPS)的多样化和全球商业化显著增加。这项研究评估了2014年至2024年间在巴西帕拉纳州查获的吸纸纸和摇头丸片的化学成分变化。采用GC-MS - NMR和FTIR技术对4911份样品(1656张吸笔纸和3255片)进行了分析。这些样本来自全州查获的合成毒品。共鉴定出64种化学物质,其中50种被归类为NPS。多年来,对吸墨纸和药片进行分析的法医请求数量各不相同,2016年和2023年达到峰值。最常见的化合物是中枢神经系统兴奋剂,尤其是苯乙胺。在摇头丸片中,最常见的鉴定物质是3,4-亚甲基二氧安非他明(MDA),而在吸附剂中,NBOH系列占主导地位。此外,在涂片中观察到麦角酸二乙胺(LSD)的鉴定逐渐增加,而NPS的鉴定随着时间的推移而下降。大多数合成毒品缉获发生在州首府库里提巴,而边境地区的发生率较低。这些数据表明,在paran中发现的合成药物的化学特征是多样和有弹性的。此外,在该州新精神药品数量减少的同时,也实施了旨在更严格控制精神活性物质的国家和国际立法措施。
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引用次数: 0
Use of luminol and ultraviolet fluorescence methods for estimation of time of death from bone tissue 利用鲁米诺和紫外线荧光法从骨组织中估计死亡时间
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-17 DOI: 10.1016/j.forsciint.2025.112788
Ilayda Sam , Ozge Unluturk , Nadir Arican
Accurate estimation of the time since death presents a persistent challenge in forensic investigations, particularly in advanced decomposition or skeletonization. Traditional visual and morphological assessments are often limited by environmental variability and taphonomic factors. This study aimed to assess the applicability of ultraviolet (UV) fluorescence and luminol-based chemiluminescence analyses for estimating the time since death from skeletal remains and evaluate their potential integration into routine forensic practice. A total of 58 adult skeletal cases with known time of death and identity were analyzed. Ultraviolet fluorescence imaging was performed using a 365 nm light source and analyzed in Adobe Photoshop to quantify blue fluorescence, employing both custom and literature-based RGB color codes. Bone powder was subsequently obtained using a Dremel 3000 device, and luminol chemiluminescence was quantified with a Fluoroskan FL Microplate Luminometer, following standard luminol preparation protocols. While both UV fluorescence and luminol chemiluminescence produced measurable signals, neither method independently demonstrated a reliable or consistent correlation with the time since death. Environmental factors and taphonomic variables, including deposition context and scavenger activity, significantly influenced the outcomes. UV fluorescence and luminol analyses demonstrate potential supplementary value in forensic skeletal assessment but are insufficient as standalone methods for the estimation of the time since death. Future studies should expand sample sizes, particularly for PMIs exceeding 30 years, and incorporate detailed taphonomic context to enhance accuracy.
准确估计死亡时间是法医调查中一个持续的挑战,特别是在深度分解或骨骼化方面。传统的视觉和形态评估常常受到环境变化和语音学因素的限制。本研究旨在评估紫外线(UV)荧光和基于发光胺的化学发光分析在估计骨骼遗骸死亡时间方面的适用性,并评估它们在常规法医实践中的应用潜力。对58例已知死亡时间和身份的成人骨骼病例进行了分析。采用365 nm光源进行紫外荧光成像,并在Adobe Photoshop中分析蓝色荧光,采用自定义和基于文献的RGB颜色编码。随后使用Dremel 3000装置获得骨粉,使用Fluoroskan FL微孔板发光计定量鲁米诺化学发光,遵循标准鲁米诺制备方案。虽然紫外线荧光和发光氨化学发光都能产生可测量的信号,但这两种方法都不能独立地证明与死亡时间的可靠或一致的相关性。环境因素和地理变量,包括沉积环境和清道夫活性,对结果有显著影响。紫外荧光和鲁米诺分析在法医骨骼评估中显示出潜在的补充价值,但作为估计死亡时间的独立方法是不够的。未来的研究应扩大样本量,特别是对于超过30年的pmi,并纳入详细的分类学背景以提高准确性。
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引用次数: 0
Postmortem correlation of ethanol and minor metabolites ethylglucuronide and ethylsulfate in blood, vitreous humor and bile 死后血液、玻璃体幽默和胆汁中乙醇和少量代谢物乙基葡萄糖醛酸酯和硫酸乙酯的相关性
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-17 DOI: 10.1016/j.forsciint.2025.112783
Ersin Göl , Ali Erkan Aşcı , Arwa M. Amin , Yusuf ATAN , Mehmet TOKDEMİR
Accurate determination of ethanol use in postmortem cases is crucial in forensic investigations. While vitreous humor (VH) is considered a stable matrix that lacks endogenous alcohol production and serves as a reliable confirmatory sample, challenges arise when VH is unavailable or only blood samples are present. In such cases, interpreting the presence of ethanol becomes difficult due to the potential forpostmortem ethanol production. Ethyl glucuronide (EtG) and ethyl sulfate (EtS), minor non-oxidative metabolites of ethanol, have been proposed as alternative biomarkers. However, the significance of their levels, especially when only one metabolite is detected, remains uncertain. This study analyzed ethanol, EtG, and EtS levels in blood, VH, and bile samples from 40 postmortem cases with blood ethanol levels ranging from 0.11 to 4.35 g/L. Ethanol concentrations were measured using HS-GC-FID, while EtG and EtS were quantified via LC–ESI-MS/MS. The highest ethanol level was found in blood (4.35 g/L), while bile contained the highest concentrations of EtG (4.98 mg/L) and EtS (0.76 mg/L). Very strong to moderate correlations were observed for ethanol and its minor metabolites across all matrices, as well as between blood and bile EtG, indicating that bile EtG is a reliable surrogate biomarker for antemortem ethanol assessment. There were no weak or non-significant correlations present. These findings suggest that ethanol and its minor metabolites in VH, blood, and bile can be reliably used in postmortem assessments. Moreover, combined analysis of EtG and EtS may enhance the interpretation of antemortem alcohol consumption in forensic cases.
在法医调查中,准确测定死后案件中乙醇的使用至关重要。虽然玻璃体幽默(VH)被认为是一种稳定的基质,缺乏内源性酒精产生,可作为可靠的确认样本,但当VH不可用或仅存在血液样本时,就会出现挑战。在这种情况下,解释乙醇的存在变得困难,因为潜在的死后乙醇生产。葡萄糖醛酸乙酯(EtG)和硫酸乙酯(EtS)是乙醇的次要非氧化代谢物,已被提出作为替代的生物标志物。然而,它们水平的意义,特别是当只检测到一种代谢物时,仍然不确定。本研究分析了40例死后血液、VH和胆汁样本中的乙醇、EtG和EtS水平,血液乙醇水平范围为0.11至4.35 g/L。采用hplc - gc - fid测定乙醇浓度,LC-ESI-MS /MS测定EtG和EtS浓度。血液中乙醇含量最高(4.35 g/L),而胆汁中EtG含量最高(4.98 mg/L)和EtS(0.76 mg/L)。在所有基质中,乙醇及其次要代谢物以及血液和胆汁EtG之间观察到非常强到中度的相关性,这表明胆汁EtG是死前乙醇评估的可靠替代生物标志物。不存在弱相关性或非显著相关性。这些发现表明,VH、血液和胆汁中的乙醇及其少量代谢物可可靠地用于死后评估。此外,EtG和et的联合分析可能会加强对法医案件中死前酒精消耗的解释。
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引用次数: 0
Design of experiments (DOE) analysis of the effects of environmental conditions on bloodstain degradation using spectroscopic methods 实验设计(DOE)利用光谱方法分析环境条件对血迹降解的影响。
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-16 DOI: 10.1016/j.forsciint.2025.112774
Laurianne Huard , Frank Crispino , Cyril Muehlethaler
Blood is one of the most common types of trace found at crime scenes. However, from a forensic point of view, the potential of blood traces is still not fully exploited, as there is as yet no reliable technique for dating blood traces found at scenes. The same difficulties are cited in the literature for published research on blood traces: the mechanisms of blood degradation are known and validated, but traces found at scenes are not controlled samples. Traces therefore need to be evaluated in the light of this uncertainty and the factors that can influence the blood trace dating model. In the course of this project, we assessed the significance of the environmental effects of temperature (10–40°C), humidity (25–75 %) and radiation (none and maximum) using three different spectroscopic techniques: Raman spectroscopy, MicroNIR spectroscopy and hyperspectral imaging. The use of a climatic chamber with the addition of LED lamps (daylight and UV) enabled parameters to be controlled during a 3-day aging period for each sample. By means of a 2-level experimental screening design of the three factors, we were able to observe complementarity between the methods used. Raman spectroscopy highlighted the influence of temperature, MicroNIR spectroscopy provided information on the influence of temperature and relative humidity, and hyperspectral imaging demonstrated the influence of temperature and the presence of radiation. These results provide a better understanding of the factors that cause the blood degradation model to deviate, enabling us to develop a more comprehensive model of these factors.
血液是犯罪现场最常见的痕迹之一。然而,从法医的角度来看,血液痕迹的潜力仍然没有得到充分利用,因为目前还没有可靠的技术来确定在现场发现的血液痕迹的年代。在已发表的关于血液痕迹的研究文献中也提到了同样的困难:血液降解的机制是已知和验证的,但在现场发现的痕迹不是受控样本。因此,需要根据这种不确定性和可能影响血液痕迹测年模型的因素来评估痕迹。在这个项目的过程中,我们评估了温度(10-40°C)、湿度(25-75 %)和辐射(无和最大)对环境影响的重要性,使用了三种不同的光谱技术:拉曼光谱、微红外光谱和高光谱成像。使用带有LED灯(日光和紫外线)的气候室,可以在3天的老化期间控制每个样品的参数。通过对这三个因素进行两水平的实验筛选设计,我们可以观察到所使用的方法之间的互补性。拉曼光谱强调了温度的影响,微红外光谱提供了温度和相对湿度影响的信息,高光谱成像显示了温度和辐射存在的影响。这些结果提供了对导致血液降解模型偏离的因素的更好理解,使我们能够开发这些因素的更全面的模型。
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引用次数: 0
From degraded to deciphered: Applying ATAC-seq to forensic molecular diagnosis under degradation conditions 从降解到解码:在降解条件下应用ATAC-seq进行法医分子诊断
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-16 DOI: 10.1016/j.forsciint.2025.112789
Yang Xu , Ying Chen , Zhuo Li , Yang Chen , Xilong Lin , Manrui Li , Yang Shen , Meili Lv , Lin Zhang , Qiuyun Yang , Weibo Liang , Xiameng Chen
Current molecular diagnostic techniques in forensic science are significantly hindered by DNA degradation, underscoring the urgent need for robust molecular tools with resistance to degradation. In our previous study using a murine traumatic brain injury (TBI) model, we were the first to propose the feasibility of using ATAC-seq (Assay for Transposase-Accessible Chromatin with high-throughput sequencing) to identify trauma-related chromatin changes under early postmortem degradation conditions (2 h). However, its applicability to human forensic samples remains insufficiently evaluated. This study aims to systematically assess the utility of ATAC-seq in identifying chromatin accessibility changes induced by TBI in human samples, with a particular focus on its stability and reliability under late-stage postmortem degradation. Cortical brain tissues from three human TBI cases and three matched controls were collected and subjected to sampling at 0 and 24 h postmortem. Standard ATAC-seq protocols were used for library construction and sequencing. Downstream analyses included quality control, differential accessibility analysis, Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway enrichment, and transcription factor motif analysis. All 12 samples exhibited high-quality sequencing metrics. Numerous differentially accessible chromatin regions (peaks) were identified between TBI and control groups, demonstrating the sensitivity of ATAC-seq in detecting trauma-associated chromatin alterations. Notably, no significant differences were observed between samples degraded for 0 and 24 h, indicating the method’s robustness to degradation. Enrichment analyses revealed that differential peaks were significantly associated with biological processes and pathways relevant to TBI pathology, including axon development, synaptic signaling, and neurotrophin signaling pathways. The SOX transcription factor family emerged as a dominant motif, consistent with known mechanisms of TBI pathophysiology. This study provides compelling evidence that trauma-induced chromatin accessibility changes remain detectable and relatively stable in degraded forensic brain tissues, including those subject to late postmortem intervals. These results, obtained in a small proof-of-concept cohort, support the feasibility of applying ATAC-seq to human postmortem brain samples and motivate validation in larger, systematically collected forensic case series.
目前法医科学中的分子诊断技术受到DNA降解的严重阻碍,因此迫切需要具有抗降解能力的强大分子工具。在我们之前使用小鼠创伤性脑损伤(TBI)模型的研究中,我们首次提出了使用ATAC-seq(高通量测序转座酶可及染色质测定)来识别早期死后降解条件下创伤相关染色质变化的可行性(2 h)。然而,其对人类法医样本的适用性仍未得到充分评估。本研究旨在系统评估ATAC-seq在鉴定人类样本中脑外伤引起的染色质可及性变化方面的效用,特别关注其在后期死后降解下的稳定性和可靠性。从3例人类TBI病例和3例匹配的对照中收集脑皮质组织,并在0和24 h死后取样。使用标准ATAC-seq协议进行文库构建和测序。下游分析包括质量控制、差异可及性分析、基因本体和京都基因与基因组百科全书途径富集、转录因子基序分析。所有12个样本均具有高质量的测序指标。在TBI和对照组之间发现了许多不同的染色质区域(峰),证明了ATAC-seq在检测创伤相关染色质改变方面的敏感性。值得注意的是,在0和24 h降解的样品之间没有观察到显著差异,表明该方法对降解具有鲁棒性。富集分析显示,差异峰与TBI病理相关的生物学过程和通路显著相关,包括轴突发育、突触信号通路和神经营养因子信号通路。SOX转录因子家族作为主导基序出现,与已知的TBI病理生理机制一致。这项研究提供了令人信服的证据,证明创伤诱导的染色质可及性变化在退化的法医脑组织中仍然是可检测的,并且相对稳定,包括那些死后较晚的脑组织。这些结果是在一个小型的概念验证队列中获得的,支持将ATAC-seq应用于人类死后大脑样本的可行性,并激励在更大的、系统收集的法医案例系列中进行验证。
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引用次数: 0
Case-based analysis to assess the validity of the Hat Brim Line Rule in cranial trauma 基于病例的分析评估帽沿线规则在颅脑外伤中的有效性。
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-16 DOI: 10.1016/j.forsciint.2025.112787
Federica POLI , Kiti DOCI , Marcello SELIGARDI , Sara DAGOLI , Alberto AMADASI , Lars OESTERHELWEG , Valentina BUGELLI
This study aims to evaluate the forensic reliability of the Hat Brim Line Rule (HBL Rule) in differentiating between accidental falls and intentionally inflicted blunt head trauma. Given the frequent diagnostic ambiguity in cranial injuries, particularly in forensic autopsies, the HBL Rule offers a potentially useful anatomical reference point for assessing the origin of skull fractures. A retrospective analysis was conducted on 78 anonymized autopsy reports from the digital archive of the Institute of Legal Medicine in Berlin, spanning from 2008 to 2024. Each case was classified based on the trauma dynamics (fall from <2 m, fall from stairs, fall from >2 m, or inflicted trauma) and analyzed for fracture location relative to three anatomical landmarks: Above G Line, Hat Brim Line (HBL), and Below External Auditory Meatus (EAM). Statistical associations were calculated using descriptive analysis and chi-square tests to compute the p-value. Fractures located below the EAM were significantly more frequent in inflicted trauma cases, in contrast with the HBL rule. Falls from heights tended to involve fractures above the G Line, while staircase falls often produced complex, multi-regional injuries. The HBL area was involved in most cases across all trauma dynamics but was not exclusively associated with a specific etiology. The hat brim line rule may serve as a useful auxiliary tool in the differential diagnosis of cranial trauma, but it cannot be used independently to distinguish between accidental and inflicted injuries. Its use should be integrated within a multidisciplinary framework, combining anatomical findings, contextual data, and advanced statistical or computational methods to improve diagnostic accuracy.
本研究旨在评估帽沿线规则(HBL规则)在区分意外跌倒和故意造成的钝性头部创伤方面的法医可靠性。考虑到颅骨损伤诊断的模糊性,特别是在法医尸检中,HBL规则为评估颅骨骨折的起源提供了一个潜在有用的解剖学参考点。对2008年至2024年柏林法律医学研究所数字档案中的78份匿名尸检报告进行了回顾性分析。每个病例根据外伤动态(从2 m跌落或造成的外伤)进行分类,并分析骨折位置相对于三个解剖标志:G线以上、帽缘线(HBL)和外耳道以下(EAM)。使用描述性分析和卡方检验计算p值来计算统计关联。与HBL规则相比,EAM以下的骨折在外伤病例中明显更常见。从高处坠落往往涉及G线以上的骨折,而楼梯坠落通常会造成复杂的多区域损伤。HBL区域涉及所有创伤动态的大多数病例,但并不完全与特定的病因相关。帽沿线规则可以作为一种有用的辅助工具在颅脑外伤的鉴别诊断,但它不能独立用于区分意外伤害和人为伤害。它的使用应该整合在一个多学科的框架内,结合解剖结果、背景数据和先进的统计或计算方法,以提高诊断的准确性。
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引用次数: 0
Seized party drugs: New substances, combination mixtures, and polydrug use 查获的聚会毒品:新物质、组合混合物和多种药物。
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-16 DOI: 10.1016/j.forsciint.2025.112780
N. Meert , J. Eliaerts , K. Segers , SMR. Wille
Party drugs are frequently used in social settings such as festivals. The changing dynamics of the party scene and drug market require up-to-date information on current drug use to support law enforcement, public health and policymakers. This study provides an overview of psychoactive substances seized at 2 international dance festivals in Belgium. In total, 1151 samples were analysed on-site using ATR-FT-IR and Raman. Selected samples were confirmed with GC-MS and quantified using GC-FID. Overall, 28 different psychoactive substances were registered in various physical forms, predominantly ecstasy-like tablets (44.3 %) and powders (34.1 %). MDMA remains the most prevalent drug, followed by cocaine and ketamine. In addition, 7 different types of synthetic cathinones (mainly MMC and CMC analogues) were detected. Notably, 33 “pink powder” samples, commonly referred as “pink cocaine”, were analysed, revealing 16 distinct combinations in their composition. A new phenomenon involves colored liquids, often containing combinations of 2 or more synthetic drugs, such as amphetamine analogues and synthetic cathinones. Based on the analysis results, it can be concluded that there is a diversification of the drug market by the detection of 28 psychoactive substances used at a party scene. Additionally, alongside the rise of polydrug formulations, users take drugs with diverse pharmacological effects, including stimulants (“uppers”), sedatives (“downers”) and psychedelics. The majority of the substances had high purity and were identified on-site using 2 complementary spectroscopic techniques with optimized settings and up-to-date libraries. The on-site detection of polydrug formulations (in powders, tablets and liquids) and low-dosed psychoactive substances (< 10 % w/w) is challenging, resulting in the necessity of lab confirmation for unambiguous identification.
派对毒品经常在节日等社交场合使用。派对现场和毒品市场不断变化的动态需要关于当前毒品使用情况的最新信息,以支持执法、公共卫生和政策制定者。本研究概述了在比利时2个国际舞蹈节上缉获的精神活性物质。利用ATR-FT-IR和拉曼光谱对1151份样品进行了现场分析。所选样品采用气相色谱-质谱法确认,气相色谱- fid定量。总的来说,28种不同的精神活性物质以不同的物理形式注册,主要是类似摇头丸的片剂(44.3% %)和粉末(34.1% %)。MDMA仍然是最普遍的毒品,其次是可卡因和氯胺酮。此外,还检测到7种不同类型的合成卡西酮(主要是MMC和CMC类似物)。值得注意的是,研究人员分析了33个“粉色粉末”样本,即通常所说的“粉色可卡因”,发现它们的成分中有16种不同的组合。一种新的现象涉及有色液体,通常含有两种或两种以上合成药物的组合,如安非他明类似物和合成卡西酮。根据分析结果,通过在聚会现场检测到28种精神活性物质,可以得出毒品市场多样化的结论。此外,随着多种药物配方的兴起,使用者服用具有多种药理作用的药物,包括兴奋剂(“兴奋剂”)、镇静剂(“镇静剂”)和致幻剂。大多数物质具有高纯度,并使用优化设置和最新文库的2种互补光谱技术进行现场鉴定。多药制剂(粉剂、片剂和液体)和低剂量精神活性物质(< 10 % w/w)的现场检测具有挑战性,因此需要实验室确认以进行明确鉴定。
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引用次数: 0
Letter to Editor regarding article “An examination of skeletal fracture patterns in car occupants following fatal motor vehicle incidents” 致编辑关于文章“致命机动车事故后汽车乘员骨骼骨折模式的检查”的信。
IF 2.5 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2025-12-15 DOI: 10.1016/j.forsciint.2025.112777
Hiroyuki Tokue, Yoshito Tsushima
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引用次数: 0
期刊
Forensic science international
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