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How often do fingerprint examiners disagree in routine casework? 指纹检验员在日常工作中出现分歧的频率有多高?
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-07-03 DOI: 10.1016/j.forsciint.2024.112139
Ruby O’Connor , Andrew Chapman

During routine casework, fingerprint examiners are required to make decisions pertaining to the sufficiency of friction ridge skin impressions. Prior experimental research has established that differences of opinion between examiners are expected, though it is uncertain if these findings are representative of the decisions made during casework. In this study, 5000 job-cards completed by fingerprint experts of the NSW Police Force were scrutinised to track the differences of opinion that occurred between examiners. Experts recorded 19,491 casework decisions, which resulted in 8964 reported identification and inconclusive determinations. Expert decision making was found to be unanimous in 94.8 % of these determinations; 4.6 % involved one expert-to-expert disagreement; and 0.5 % involved two expert-to-expert disagreements. Nil determinations featured more than two expert-to-expert disagreements. Expert-to-expert disagreements occurred in 3.7 % of all identification and inconclusive casework verification decisions. However, verifying experts were more likely to agree with a prior expert’s identification decision, than a prior expert’s inconclusive decision. The observed expert-to-expert identification disagreement rate was 2.0 %, whereas the observed expert-to-expert inconclusive disagreement rate was 12.5 %. Overall, most casework disagreements arose due to subjective differences concerning the suitability of friction ridge skin information for comparison or sufficiency for identification. Experts were more concordant in their decision-making with other experts than with trainees, and approximately three times more likely to disagree with a prior trainees’ identification or inconclusive decision than a prior experts’ identification or inconclusive decision. We assume these differences reflect trainees’ developing proficiencies in assessing the suitability or sufficiency of friction ridge skin impression information. Differences of opinion in casework are expected, which exposes the subjective nature of fingerprint decision-making. Computer-based quality metric and likelihood ratio tools should be considered for use in casework to guide examiner evaluations and mitigate examiner disagreements.

在日常的个案工作中,指纹检验员需要对摩擦脊皮印的充分性做出判断。先前的实验研究表明,检查员之间的意见分歧是可以预见的,但还不能确定这些结果是否能代表办案过程中做出的决定。在这项研究中,对新南威尔士州警察局指纹专家填写的 5000 份工作卡进行了仔细检查,以跟踪检查员之间出现的意见分歧。专家们记录了 19,491 项个案工作决定,其中有 8964 项鉴定报告和不确定鉴定报告。在这些鉴定中,94.8%的鉴定是由专家一致做出的;4.6%的鉴定涉及一次专家与专家之间的意见分歧;0.5%的鉴定涉及两次专家与专家之间的意见分歧。没有超过两次的专家意见分歧。在所有身份验证和不确定的个案工作核查决定中,有 3.7% 出现了专家与专家之间的意见分歧。不过,核查专家更有可能同意先前专家的鉴定决定,而不是先前专家的不确定决定。观察到的专家与专家之间的鉴定意见分歧率为 2.0%,而观察到的专家与专家之间的不确定意见分歧率为 12.5%。总体而言,大多数个案工作中的分歧是由于对摩擦脊表皮信息是否适合比较或是否足以进行鉴定的主观分歧造成的。与受训人员相比,专家与其他专家的决策更一致,而不同意先前受训人员的鉴定或不确定决策的可能性大约是先前专家鉴定或不确定决策的三倍。我们认为这些差异反映了受训人员在评估摩擦脊皮纹信息的适宜性或充分性方面的能力正在提高。个案工作中的意见分歧是意料之中的,这暴露了指纹鉴定决策的主观性。应考虑在个案工作中使用基于计算机的质量度量和似然比工具,以指导检验员的评估工作,减少检验员之间的分歧。
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引用次数: 0
Using the refractive index of latent fingerprints for the quantification and characterisation of sample deposition 利用潜指纹的折射率对样品沉积进行定量和定性
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-07-02 DOI: 10.1016/j.forsciint.2024.112124
Caroline Pollard, Kim Wolff

Latent fingerprints (LFPs) are predominantly used for personal identification, but in recent years research has shown their potential for drug screening. Despite this there is no standardised collection method to allow accurate drug test interpretation. We sought to help address this by characterising different variables related to sweat deposition in LFPs as the knowledge is limited. A series of experiments were conducted firstly to validate a novel tool called the Ridgeway (Intelligent Fingerprint Ltd. UK) to quantify the amount of sweat deposited from a LFP using the refractive index (RI). A significant positive correlation was observed between the Ridgeway score (Rs) and LFP mass [r = 0.868, p < 0.01]. The Rs was used as means to investigate optimal sampling to characterise sample deposition for drug screening purposes. It was found with a consistent disposition pressure (300 – 400 g) and surface (glass slide) no significant difference was observed between the left and right index finger [left: p = 0.938; right: p = 0.838]. Significantly higher Rs [p<0.01] were obtained when 10 cumulative LFPs were deposited compared to a single LFP, suggesting a larger sweat quantity. We also wanted to investigate optimal eccrine sweat sampling to confirm drug ingestion over drug contamination of the fingerprint. We found that wearing gloves did not significantly improve mean difference in Rs when compared to no gloves [p = 0.239]. To produce eccrine only LFPs, external contamination (e.g. sebaceous sweat) needs to be removed. Soap with lint free tissue was significantly better for this compared to antibacterial hand gel [p<0.01]. Our findings showed that the Ridgeway tool effectively quantified LFPs at the point of deposition using a refractive index and enabled us to establish conditions for consistent LFP sampling.

潜伏指纹(LFP)主要用于个人身份鉴定,但近年来的研究表明,它在毒品筛查方面具有潜力。尽管如此,目前还没有标准化的采集方法来准确解释药物测试。由于知识有限,我们试图通过描述与 LFP 中汗液沉积有关的不同变量来帮助解决这一问题。我们首先进行了一系列实验,以验证一种名为 Ridgeway(英国智能指纹有限公司)的新型工具,该工具利用折射率 (RI) 量化 LFP 的汗液沉积量。在里奇韦评分(Rs)和 LFP 质量之间发现了明显的正相关性[r = 0.868, p < 0.01]。Rs 被用作研究最佳取样的手段,以确定用于药物筛选的样品沉积特征。结果发现,在配置压力(300 - 400 g)和表面(玻璃载玻片)一致的情况下,左手食指和右手食指之间没有观察到显著差异[左:p = 0.938;右:p = 0.838]。与单个 LFP 相比,10 个累积 LFP 的 Rs 明显更高 [p<0.01],这表明出汗量更大。我们还希望研究最理想的肾上腺汗液取样,以确认药物摄入而非指纹的药物污染。我们发现,与不戴手套相比,戴手套并不能显著改善 Rs 的平均差异 [p = 0.239]。要生成仅有肾上腺皮质的 LFP,需要去除外部污染(如皮脂腺汗液)。与抗菌洗手凝胶相比,使用不起毛纸巾的肥皂在这方面的效果明显更好 [p<0.01]。我们的研究结果表明,里奇韦工具能有效地利用折射率对沉积点的 LFP 进行量化,并使我们能够建立一致的 LFP 取样条件。
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引用次数: 0
Research on Species Categorical Authentication of Accelerants Based on Flame Characteristics Analysis 基于火焰特性分析的助燃剂品种分类鉴定研究。
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-07-02 DOI: 10.1016/j.forsciint.2024.112125
Qianqian Zhang , Zhengzhe Zang , Peibin Wang , Lin Zhu , Yiyue Cao , Jing Jin , Lingang Lu

Species categorical authentication of accelerants has traditionally relied on fire debris analysis. To explore a novel method for identifying the accelerants species, four commonly used accelerants for arson were loaded onto different substrates and ignited at different locations. The entire combustion process was recorded and flame characteristics were analyzed. The results showed that the probability density function (PDF) of flame apex angle counts within a certain period after ignition can be used to distinguish accelerant species, and this method is not affected by accelerant loading amount, ignition location, and substrate, demonstrating strong stability and universality, while the temporal variation of flame area and the value obtained by dividing half of the flame width by the flame height (tangent of flame cone angle) can effectively differentiate gasoline and diesel. The utilization of flame characteristics for identifying accelerants species holds significant implications for arson investigation.

助燃剂的物种分类鉴定传统上依赖于火灾残骸分析。为了探索一种鉴定助燃剂种类的新方法,我们将四种常用的纵火助燃剂装载到不同的基质上,并在不同的地点点燃。对整个燃烧过程进行了记录,并对火焰特征进行了分析。结果表明,点火后一定时间内火焰顶角计数的概率密度函数(PDF)可用于区分助燃剂种类,且该方法不受助燃剂装载量、点火位置和基质的影响,具有很强的稳定性和普适性,而火焰面积的时间变化和火焰宽度的一半除以火焰高度所得的值(火焰锥角正切值)可有效区分汽油和柴油。利用火焰特征识别助燃剂种类对纵火调查具有重要意义。
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引用次数: 0
Rapid and sensitive detection of etomidate based on functionalized copper nanoclusters fluorescent probe 基于功能化纳米铜簇荧光探针的依托咪酯快速灵敏检测。
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-07-02 DOI: 10.1016/j.forsciint.2024.112136
Jiahao Li , Jiang Ling , Zihao Cai , Yingyuan Liao , Ping Xiang , Wenlong Liu , Yanjun Ding

Etomidate as a non-barbiturate sedative, has central inhibitory effect and addiction and has been listed as a controlled drug in some countries due to the abusing trend nowadays. Therefore, rapid and sensitive detection of etomidate is of great significance. In this work, a novel fluorescent sensing probe (CuNCs@MIPs) based on copper nanoclusters (CuNCs) and molecular imprinted polymers (MIPs) has been firstly reported. CuNCs was environment-friendly synthesized using poly(vinylpyrrolidone) as a template and ascorbic acid as a reducing agent. After functionalized with molecular imprinting technique, the CuNCs@MIPs probe has special binding cavities on surface to target etomidate, causing the fluorescence intensity rapidly decrease, which confirmed it has excellent sensitivity, selectivity and stability. Under optimal conditions, the fluorescent sensing probe presented high precision linear relationship for etomidate in range of 10–500 ng/ml with detection limit of 10 ng/ml, and the whole detection process was completed within 10 min. This sensing method has also been applied to real samples detection, still demonstrated excellent feasibility in electronic cigarette liquids and urine. More importantly, compared with previous methods, this fluorescent sensing method has advantages such as rapid, simple and easy to operate. Collectively, the proposed CuNCs@MIPs sensing probe has good fluorescence characteristics and simple synthesis strategy, showed a great potential in etomidate detection and application.

依托咪酯作为一种非巴比妥类镇静剂,具有中枢抑制作用和成瘾性,由于目前的滥用趋势,已被一些国家列为管制药物。因此,快速灵敏地检测依托咪酯具有重要意义。本研究首次报道了一种基于纳米铜簇(CuNCs)和分子印迹聚合物(MIPs)的新型荧光传感探针(CuNCs@MIPs)。CuNCs 是以聚乙烯吡咯烷酮为模板、抗坏血酸为还原剂合成的环保型纳米团簇。经分子印迹技术功能化后,CuNCs@MIPs探针表面具有特殊的结合腔,可靶向依托咪酯,使其荧光强度迅速下降,从而证实其具有优异的灵敏度、选择性和稳定性。在最佳条件下,该荧光传感探针对依托咪酯在 10-500 ng/ml 范围内呈高精度线性关系,检测限为 10 ng/ml,整个检测过程在 10 分钟内完成。这种传感方法还被应用于实际样品的检测,在电子烟液和尿液中仍然表现出很好的可行性。更重要的是,与以往的方法相比,这种荧光传感方法具有快速、简单、易于操作等优点。总之,所提出的 CuNCs@MIPs 传感探针具有良好的荧光特性和简单的合成策略,在依托咪酯的检测和应用中显示出巨大的潜力。
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引用次数: 0
Amphetamine-like substances and synthetic cathinones in Portuguese wastewater influents: Enantiomeric profiling and role of suspended particulate matter 葡萄牙污水中的苯丙胺类物质和合成卡西酮:对映体分析和悬浮颗粒物的作用。
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-07-01 DOI: 10.1016/j.forsciint.2024.112128
Ivan M. Langa , Ana Rita Lado Ribeiro , Nuno Ratola , Virgínia M.F. Gonçalves , Maria Elizabeth Tiritan , Cláudia Ribeiro

Wastewater based epidemiology (WBE) has been used worldwide to estimate drug consumption routinely. Even though WBE provides valuable data to support legal and health interventions associated to drug use, monitoring studies in Portuguese wastewaters are scarce. Hence, this work aimed to estimate the consumption of some conventional abuse and illicit drugs such as amphetamine (AMP), methamphetamine (MAMP), 3,4-methylenedioxymethamphetamine (MDMA), and the synthetic cathinones buphedrone (BPD), butylone (BTL), 3,4-dimethylmethcathinone (3,4-DMMC) and 3-methylmethcathinone (3-MMC), considering not only the liquid phase, but also the suspended particulate matter (SPM). Moreover, the enantiomeric profiling of the samples was studied, exploring for the first time the possible enantioselective sorption of these drugs onto SPM. For that, 24 h composite raw wastewaters were collected from a conventional wastewater treatment plant (WWTP) in Portugal. After extraction, the liquid phase and SPM extracts were derivatized with an enantiomerically pure reagent and then, analysed using a gas chromatography-mass spectrometry (GC-MS) analytical method. The results showed a low and non-enantioselective adsorption to SPM at environmental relevant levels. Only (S)-AMP was detected in two SPM samples, whereas AMP, MAMP, MDMA, BPD, and 3,4-DMMC were detected in the liquid phase. AMP was the most frequently found drug with an estimated load up to 166.0 mg day−1 1000 people−1 and mostly found with enrichment of (S)-AMP. Nevertheless, (R)-AMP was also determined, which may be related to the consumption of either the illicit racemic AMP or the medicine (R)-deprenyl. The use of MDMA, MAMP and synthetic cathinones (BPD and 3,4-DMMC) was also suggested in Portugal. Nevertheless, the levels and the consumption estimate of the target chemicals were lower than in other European countries or worldwide. These findings provide the first step to the implementation of WBE monitoring campaigns to assess the status of drug consumption in Portuguese communities, contributing to the understanding of drug use patterns and trends worldwide and helping enforce preventive measures.

基于废水的流行病学(WBE)已在全球范围内被用于常规估算毒品消费量。尽管废水流行病学为支持与毒品使用相关的法律和健康干预措施提供了宝贵的数据,但对葡萄牙废水的监测研究却很少。因此,这项工作旨在估算一些常规滥用药物和非法药物的消费量,如苯丙胺(AMP)、甲基苯丙胺(MAMP)、3,4-亚甲二氧基甲基苯丙胺(MDMA)、以及合成卡西酮类药物丁卡西酮(Buphedrone,BPD)、丁酮(BTL)、3,4-二甲基甲卡西酮(3,4-DMMC)和 3-甲基甲卡西酮(3-MMC),不仅考虑了液相,还考虑了悬浮颗粒物质(SPM)。此外,还研究了样品的对映体特征,首次探索了这些药物在 SPM 上可能存在的对映体选择性吸附。为此,我们从葡萄牙的一家传统污水处理厂(WWTP)收集了 24 小时的复合原废水。萃取后,使用对映体纯试剂对液相和 SPM 萃取物进行衍生处理,然后使用气相色谱-质谱(GC-MS)分析方法进行分析。结果表明,在与环境相关的水平上,SPM 对对映体的吸附率较低,且不具有对映体选择性。在两个 SPM 样品中只检测到了 (S)-AMP,而在液相中则检测到了 AMP、MAMP、MDMA、BPD 和 3,4-DMMC。AMP 是最常被发现的药物,估计含量高达 166.0 毫克/天-1(1,000 人-1),而且大多是在富含 (S)-AMP 的情况下被发现的。不过,也检测到了 (R)-AMP,这可能与服用非法外消旋 AMP 或 (R)-deprenyl 药物有关。葡萄牙还发现了使用亚甲二氧基甲基安非他明(MDMA)、MAMP 和合成卡西酮(BPD 和 3,4-DMMC)的情况。不过,目标化学品的含量和估计消费量低于其他欧洲国家或全世界。这些研究结果为开展世界溴化联苯醚监测活动评估葡萄牙社区的毒品消费状况迈出了第一步,有助于了解全世界的毒品使用模式和趋势,并有助于实施预防措施。
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引用次数: 0
The reliability of character recognition: An Australian & New Zealand expert-novice comparison study in the interpretation of chemically recovered serial numbers 字符识别的可靠性:澳大利亚和新西兰专家与新手在解读化学复原序列号方面的对比研究。
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-07-01 DOI: 10.1016/j.forsciint.2024.112127
J.R. Waszczuk , J. Raymond , P. Maynard , C. Roux , S. Chadwick

The chemical recovery of a defaced serial number is a common forensic science practice, however it is not understood how proficient experts perform in correctly identifying recovered serial numbers. Understanding the accuracy of experts and how they compare to novices in character recognition can help to establish a baseline for this expertise. In this study an expert-novice comparison assessment was completed involving 118 test plates, each stamped with six randomised alphanumeric characters. The plates were defaced and chemically recovered before being viewed by multiple participants over six time intervals. A total of 3169 character inspections were completed. An assessment of confidence and error rates were calculated for both expert (trained) and novice (untrained) participants. Errors were counted when a participant interpreted a different character to that of the ground truth and believed the result was accurate for reporting. The results showed a similar (2.3 % and 2.4 %) error rate for the cohorts, however a statistical difference in confidence levels was recorded, demonstrating the more conservative nature of experts. This study aims to assist in validating practitioner interpretations, through addressing some forensic science criticisms, such as establishing error rates to routine scientific practices.

用化学方法复原污损的序列号是一种常见的法医学实践,但人们并不了解专家在正确识别复原序列号方面的熟练程度。了解专家的准确性以及他们与新手在字符识别方面的比较有助于为这一专业知识建立基准。在这项研究中,完成了一项专家与新手对比评估,涉及 118 个测试板,每个测试板上都印有六个随机字母数字字符。这些印版经过污损和化学复原后,由多名参与者在六个时间间隔内进行查看。总共完成了 3169 次字符检测。对专家(受过训练)和新手(未受过训练)参与者的信心评估和错误率进行了计算。如果参与者对字符的解释与基本真相不同,并且认为结果准确,则计算误差。结果显示,两组参与者的错误率相似(分别为 2.3% 和 2.4%),但在置信度方面存在统计差异,这表明专家更为保守。本研究旨在通过解决一些法医学批评,如确定常规科学实践的错误率,帮助验证从业人员的解释。
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引用次数: 0
Loperamide positive deaths in Sweden 2012–2022 and Finland 2017–2022: Fatal loperamide intoxication exclusively for Sweden 2012-2022 年瑞典和 2017-2022 年芬兰洛哌丁胺阳性死亡人数:瑞典洛哌丁胺中毒死亡人数。
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-07-01 DOI: 10.1016/j.forsciint.2024.112130
Lydia Kahn , Pirkko Kriikku , Anna Jönsson

Loperamide, a potent μ-opioid receptor agonist used as an antidiarrheal drug, exhibits increased bioavailability at supratherapeutic doses, causing potential central nervous system effects. Its misuse for opioid withdrawal relief and euphoria can lead to dangerously elevated blood levels, causing severe cardiac dysrhythmias and death. This study aimed to compare loperamide positive autopsy cases in Sweden and Finland after the introduction of postmortem toxicological analysis of loperamide, focusing on loperamide’s role in fatalities and identifying common characteristics among those affected. All cases with detected loperamide in femoral blood at forensic autopsies in Sweden (2012–2022) and Finland (2017–2022) were included. In Sweden, loperamide was detected in 126 individuals, and in Finland, in 111 individuals. The incidence of individuals positive for loperamide in postmortem femoral blood increased steadily over the study duration in both Sweden and Finland. Loperamide related fatalities were observed exclusively in Sweden (n=80), predominantly involving younger males with histories of substance abuse, typically classified as accidental deaths. The group of loperamide nonrelated deaths in Sweden mirrored the entirety of cases in Finland. The concentration of loperamide in postmortem femoral blood was significantly higher in cases where loperamide was considered the cause of death (median 0.140 μg/g) compared to cases where loperamide contributed (median 0.080 μg/g), as well as in deaths unrelated to loperamide in both countries (Sweden: median 0.029 μg/g; Finland: median 0.010 μg/ml). The high limit of quantification for loperamide in Sweden may underestimate therapeutic users in epidemiological assessments. This study underscores the absence of loperamide misuse in Finland and indicates a rising trend of loperamide abuse in Sweden.

洛哌丁胺是一种强效μ-阿片受体激动剂,用作止泻药,在超治疗剂量时生物利用度会增加,从而对中枢神经系统产生潜在影响。滥用洛哌丁胺缓解阿片类药物戒断症状和产生欣快感可能导致血药浓度升高,从而引起严重的心律失常和死亡。本研究旨在比较瑞典和芬兰引入洛哌丁胺尸检毒理学分析后的洛哌丁胺阳性尸检病例,重点关注洛哌丁胺在死亡病例中的作用,并找出受影响者的共同特征。纳入了瑞典(2012-2022年)和芬兰(2017-2022年)法医尸检中股部血液中检测出洛哌丁胺的所有病例。瑞典有126人检测出洛哌丁胺,芬兰有111人检测出洛哌丁胺。在研究期间,瑞典和芬兰的尸检股骨血液中洛哌丁胺阳性反应的发生率都在稳步上升。与洛哌丁胺相关的死亡病例仅出现在瑞典(人数=80),主要涉及有药物滥用史的年轻男性,通常被归类为意外死亡。瑞典的非洛哌丁胺相关死亡病例与芬兰的全部病例相同。在这两个国家中,被认为死因是洛哌丁胺的病例(中位数为 0.140 μg/g)与死因是洛哌丁胺的病例(中位数为 0.080 μg/g)相比,以及与洛哌丁胺无关的死亡病例(瑞典:中位数为 0.029 μg/g;芬兰:中位数为 0.010 μg/ml),其股动脉血中洛哌丁胺的浓度明显更高。瑞典的洛哌丁胺定量限值较高,在流行病学评估中可能会低估治疗使用者。这项研究强调了芬兰没有滥用洛哌丁胺的情况,并表明瑞典滥用洛哌丁胺的情况呈上升趋势。
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引用次数: 0
A retrospective study of 29 fatal cases of insulin overdose 对 29 例胰岛素过量致死病例的回顾性研究
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-07-01 DOI: 10.1016/j.forsciint.2024.112126
Yuhao Yuan , Zhonghao Yu , Fang Tong, Shuquan Zhao, Yiling Li, Qing Shi, Yiwu Zhou

Purpose

To summarize recent cases of fatal insulin poisoning both domestically and internationally, thereby offering valuable insights for the forensic identification of insulin overdose cases.

Methods

Literature published since 2000 on fatal insulin overdose were systematically searched and screened. Data encompassing variables such as year, age, sex, cause of death, scene conditions, occupations, medical histories of victims and perpetrators, autopsy timing, dosage and administration methods, forensic pathology, and toxicological analysis, were compiled for rigorous statistical analysis.

Results

Among the 29 fatal cases of insulin poisoning, suicides and homicides accounted for 55.2 % and 41.4 %, respectively. Precisely 34.5 % of victims or perpetrators were associated with the medical industry, 27.6 % had diabetes, and 24.1 % had mental illnesses such as depression. Intravenous injection resulted in quicker death than did subcutaneous injection. In some cases, immunohistochemical staining of insulin and protamine at injection sites yielded positive results. The average molar ratio of insulin to C-peptide in post-mortem blood was 13.76 ± 5.167, indicating a significant diagnostic value for insulin poisoning.

Conclusion

Assessment of cases of fatal insulin overdose should be thorough, incorporating case investigation, scene examination, medical records review, autopsy findings, pathological examinations, and laboratory tests, alongside considering the condition of the body and timing of death autopsy. Using mass spectrometry to detect insulin proves valuable, particularly in cases of poor body preservation.

目的总结国内外近期发生的胰岛素过量致死中毒案例,从而为胰岛素过量致死案例的法医鉴定提供有价值的见解。方法对2000年以来发表的有关胰岛素过量致死的文献进行系统检索和筛选。结果在29例胰岛素中毒死亡病例中,自杀和他杀分别占55.2%和41.4%。34.5%的受害者或肇事者与医疗行业有关,27.6%患有糖尿病,24.1%患有抑郁症等精神疾病。静脉注射比皮下注射更容易导致死亡。在某些病例中,对注射部位的胰岛素和质胺进行免疫组化染色的结果呈阳性。死后血液中胰岛素与 C 肽的平均摩尔比为 13.76 ± 5.167,表明对胰岛素中毒具有重要的诊断价值。结论对胰岛素过量致死病例的评估应全面,包括病例调查、现场检查、病历审查、尸检结果、病理检查和实验室检测,同时考虑尸体状况和死亡尸检的时间。使用质谱仪检测胰岛素证明很有价值,尤其是在尸体保存不善的情况下。
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引用次数: 0
“To do more with less” "少花钱多办事"
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-06-27 DOI: 10.1016/j.forsciint.2024.112118
Gabriel M. Fonseca , Javier Rojas-Torres
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引用次数: 0
Heart proteomic profiling discovers MYH6 and COX5B as biomarkers for sudden unexplained death 心脏蛋白质组分析发现 MYH6 和 COX5B 是不明原因猝死的生物标志物
IF 2.2 3区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-06-26 DOI: 10.1016/j.forsciint.2024.112121
Ziyan Song , Wensi Bian , Junyi Lin , Yadong Guo , Weibo Shi , Hang Meng , Yuanyuan Chen , Molin Zhang , Zheng Liu , Zijie Lin , Kaijun Ma , Liliang Li

Sudden unexplained death (SUD) is not uncommon in forensic pathology. Yet, diagnosis of SUD remains challenging due to lack of specific biomarkers. This study aimed to screen differentially expressed proteins (DEPs) and validate their usefulness as diagnostic biomarkers for SUD cases. We designed a three-phase investigation, where in the discovery phase, formalin-fixed paraffin-embedded (FFPE) heart specimens were screened through label-free proteomic analysis of cases dying from SUD, mechanical injury and carbon monoxide (CO) intoxication. A total of 26 proteins were identified to be DEPs for the SUD cases after rigorous criterion. Bioinformatics and Adaboost-recursive feature elimination (RFE) analysis further revealed that three of the 26 proteins (MYH6, COX5B and TNNT2) were potential discriminative biomarkers. In the training phase, MYH6 and COX5B were verified to be true DEPs in cardiac tissues from 29 independent SUD cases as compared with a serial of control cases (n = 42). Receiver operating characteristic (ROC) analysis illustrated that combination of MYH6 and COX5B achieved optimal diagnostic sensitivity (89.7 %) and specificity (84.4 %), with area under the curve (AUC) being 0.91. A diagnostic software based on the logistic regression formula derived from the training phase was then constructed. In the validation phase, the diagnostic software was applied to eight authentic SUD cases, seven (87.5 %) of which were accurately recognized. Our study provides a valid strategy towards practical diagnosis of SUD by integrating cardiac MYH6 and COX5B as dual diagnostic biomarkers.

原因不明的猝死(SUD)在法医病理学中并不少见。然而,由于缺乏特异性生物标志物,诊断不明原因死亡仍具有挑战性。本研究旨在筛选差异表达蛋白(DEPs),并验证其作为 SUD 病例诊断生物标志物的有用性。我们设计了一个三阶段调查,在发现阶段,通过对死于 SUD、机械损伤和一氧化碳(CO)中毒的病例进行无标记蛋白质组分析,筛选福尔马林固定石蜡包埋(FFPE)心脏标本。经过严格的标准筛选,共有26种蛋白质被确定为SUD病例的DEPs。生物信息学和 Adaboost-递归特征消除(RFE)分析进一步揭示了这 26 个蛋白质中的三个(MYH6、COX5B 和 TNNT2)是潜在的判别生物标志物。在训练阶段,与一系列对照病例(n = 42)相比,MYH6 和 COX5B 在 29 个独立 SUD 病例的心脏组织中被证实为真正的 DEPs。接收者操作特征(ROC)分析表明,MYH6和COX5B的组合达到了最佳的诊断灵敏度(89.7%)和特异度(84.4%),曲线下面积(AUC)为0.91。随后,根据训练阶段得出的逻辑回归公式构建了一个诊断软件。在验证阶段,诊断软件被应用于 8 个真实的 SUD 病例,其中 7 个(87.5%)被准确识别。我们的研究通过整合心脏 MYH6 和 COX5B 作为双重诊断生物标志物,为 SUD 的实际诊断提供了一种有效的策略。
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Forensic science international
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