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Prof. Witold Seńczuk (1925-2023) 维托尔德-森祖克教授(1925-2023)
Pub Date : 2023-12-11 DOI: 10.4467/16891716amsik.23.010.18685
J. Jodynis-Liebert
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引用次数: 0
Knowledge and attitudes of Polish prosecutors and general Polish population in regard to post-mortem computed tomography in 2019 波兰检察官和波兰普通民众对 2019 年尸检计算机断层扫描的认识和态度
Pub Date : 2023-12-11 DOI: 10.4467/16891716amsik.23.008.18295
Victoria Prokopowicz, A. Borowska-Solonynko, Małgorzata Brzozowska, Aleksandra Chamier-Gliszczyńska
Post-mortem computer tomography (PMCT) is an imaging technique that is gaining popularity both worldwide and in Poland. It provides certain benefits in death investigation that a conventional autopsy is not able to, however, it has significant limitations. As PMCT and post-mortem computed angiography (PMCTA) continue to develop in this country, it is critical to become aware what people know and think about these imaging techniques, especially the prosecutors who officially order such examinations to be performed. In 2019, two concurrent surveys were administered to Polish prosecutors and general Polish population, respectively, regarding their current knowledge and opinions on PMCT. The results were collected both online and on paper, and then subjected to analysis. In total, 92 prosecutors and 227 non-prosecutors responded to the survey. The present authors observed that while prosecutors were more likely to have heard of this examination than the general public, their knowledge was often inadequate or incorrect. Conventional autopsy was still held as the gold standard in death investigation. However, a good popular sentiment towards PMCT was shown, and a desire to learn more about it – not just among prosecutors, but among the general public as well. The present authors’ recommendation is that more courses and training should be organised for Polish prosecutors to compensate this knowledge gap.
死后计算机断层扫描(PMCT)是一种成像技术,在全球和波兰都越来越受欢迎。它为死亡调查提供了传统尸检无法提供的某些好处,但也有很大的局限性。随着 PMCT 和死后计算机血管造影术(PMCTA)在波兰的不断发展,了解人们对这些成像技术的了解和看法至关重要,尤其是正式下令进行此类检查的检察官。2019 年,我们分别对波兰检察官和波兰普通民众进行了两次调查,了解他们目前对 PMCT 的了解和看法。调查结果通过在线和纸质两种方式收集,然后进行分析。共有 92 名检察官和 227 名非检察官对调查做出了回应。本文作者注意到,虽然检察官比普通公众更有可能听说过这种检查,但他们的了解往往不足或不正确。常规尸检仍被视为死亡调查的黄金标准。然而,公众对 PMCT 表现出了良好的情绪,并希望了解更多相关信息--不仅是检察官,普通公众也是如此。本文作者的建议是,应为波兰检察官组织更多的课程和培训,以弥补这一知识空白。
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引用次数: 0
Prevention of the spread of infection during highly infectious autopsy using a craniotomy box 使用开颅箱进行高感染性尸体解剖时防止感染扩散
Pub Date : 2023-12-11 DOI: 10.4467/16891716amsik.23.009.18296
Sahil Thakral, Sarthak Aeron, Richa Mishra, P. Setia
In cranial autopsies, the post-mortem examination requires the use of a saw for the removal of the skull cap. In these procedures, sawing of bone becomes a critical source of infectious aerosols which spread instantaneously in the immediate environment, generating liquid aerosols including droplets of cerebrospinal fluid and blood, and leading to exposure of all autopsy personnel. In high-risk cases like prion disease, tuberculosis, severe acute respiratory syndrome (SARS), COVID-19, etc. where the skull would require sawing, the prime concern is the saw operator’s exposure to these pathogens. Therefore, the author suggests the use of an ingenious ergonomic semi-circular craniotomy box during skull cap and brain removal in the autopsy procedure to successfully prevent the contamination of the entire autopsy hall. A transparent acrylic plastic box has been customized, which is semi-circular in shape having three walls, one semi-circular dome without a floor, a front wall with adjustable zipper closure, and a hind wall with circular holes with sleeves made of 5-layer fabrics. The dome contains one outlet for a vacuum suction pipe on the side, two holes on each side of the dome with non-woven fabric arms for the saw operator, and assistants’ arms for performing skull opening procedures. The use of this box allowed the author to prevent and limit the spread of the generation of infectious aerosols in the autopsy hall as the bone dust collected in the vacuum ensures the safety of autopsy surgeons.
在颅骨解剖中,尸检要求使用锯子去除颅盖。在这些过程中,锯骨成为传染性气溶胶的重要来源,这些气溶胶会在周围环境中瞬间扩散,产生包括脑脊液和血液飞沫在内的液态气溶胶,导致所有尸检人员接触到这些气溶胶。在朊病毒病、肺结核、严重急性呼吸系统综合症(SARS)、COVID-19 等需要锯开头骨的高风险病例中,最令人担忧的是锯开操作人员会接触到这些病原体。因此,作者建议在解剖过程中去除头盖和大脑时使用一个巧妙的符合人体工程学的半圆形开颅盒,以成功防止整个解剖大厅受到污染。作者定制了一个透明的丙烯酸塑料箱,该箱呈半圆形,有三面墙,一面是半圆形的穹顶,没有底板,前墙有可调节的拉链封口,后墙有圆孔,带 5 层织物制成的套筒。穹顶侧面有一个真空吸管出口,穹顶两侧各有两个孔,孔内有无纺布臂,供锯子操作员使用,还有助手臂,用于执行开颅程序。由于真空中收集的骨粉可确保尸检外科医生的安全,因此使用该箱可防止和限制尸检大厅中产生传染性气溶胶的传播。
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引用次数: 0
Fragments of hydrophilic polymer coating as an embolic material – rare complication and potential cause of death 作为栓塞材料的亲水性聚合物涂层碎片--罕见并发症和潜在死因
Pub Date : 2023-12-11 DOI: 10.4467/16891716amsik.23.014.18689
Slezak, Bloch-Bogusławska, Grzanka
The most common complications of percutaneous coronary interventions and other endovascular procedures include minor hemorrhage, hematoma, or infection at the insertion site [1]. Much more serious ones include damage to the vessel wall, dissection, shock from contrast administration, acute kidney injury, myocardial infarction [2] and ischemic stroke [3]. Ischemic complications can be caused by an embolic incident due to a thrombus formation or detachment of atherosclerotic plaque fragments [3]. A rarely diagnosed complication is ischemia caused by microembolisms from the material covering the equipment inserted into the vessel – hydrophilic polymer coating (HPC)[4]. We present an interesting case of HPC revealed in coronary vessels within myocardial preparations taken in forensic post-mortem examination conducted at the Department of Forensic Medicine in Bydgoszcz (L.dz. 676/19). This article raises the issue of clinical implications and forensic aspects.
经皮冠状动脉介入治疗和其他血管内手术最常见的并发症包括插入部位的轻微出血、血肿或感染[1]。更严重的并发症包括血管壁损伤、夹层、造影剂引起的休克、急性肾损伤、心肌梗死[2]和缺血性中风[3]。缺血性并发症可由血栓形成或动脉粥样硬化斑块碎片脱落导致的栓塞事件引起[3]。一种很少诊断的并发症是由插入血管的设备外层材料--亲水性聚合物涂层(HPC)--产生的微栓子引起的缺血[4]。我们介绍了一个有趣的病例,即在比得哥什法医部进行的法医尸检(L.dz. 676/19)中,在心肌制备物中的冠状血管中发现了 HPC。本文提出了临床影响和法医方面的问题。
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引用次数: 0
Creating crime scene 3D model with body wear camera footage 利用穿戴式摄像机镜头创建犯罪现场 3D 模型
Pub Date : 2023-12-11 DOI: 10.4467/16891716amsik.23.013.18688
Krzysztof Maksymowicz, Szleszkowski, Kuzan, Tunikowski
The aim of this study is to develop a methodology for creating 3D images of crime scenes based on footage from cameras used by emergency services. To accomplish this, a research experiment was conducted, which consisted of re-enactment of a crime scene and simulation of the actions of the emergency team. The experiment did not illustrate a real case. The scenario was developed and dedicated for the purpose of the research.The research material of this study consists of footage recorded in digital video format. The footage shows the course of a re-enacted intervention of emergency services at the crime scene. The re-enactment, which was a research experiment, was arranged under conditions close to real ones. The 3D model of the scene was created in three stages: video analysis and 3D reconstruction of the spatial position of the camera; 3D modelling of the figure of the participant with reconstruction of the position similar to the one in the recording; and 3D scanning of the scene of the simulated crime, assembly of individual elements, and scaling to real dimensions.The result (a 3D model) was presented in the form of a set of images: horizontal projections, vertical sections, and isometric and perspective views of the model. Technical data of the research equipment as well as other relevant information was presented in tables and diagrams.This study demonstrated that graphic data obtained unintentionally and through alternative recording sources may significantly complement the data collected in the course of routine medico-legal and forensic activities. The use of cameras during the actions of rescue and emergency services allows us to obtain information of significant importance for medico-legal and forensic analyses. The footage from cameras of emergency services makes it possible to obtain a 3D image of the crime scene for further medico-legal and forensic analyses
本研究的目的是开发一种方法,根据应急服务使用的摄像机镜头创建犯罪现场的三维图像。为此,我们进行了一项研究实验,包括重现犯罪现场和模拟应急小组的行动。实验并没有说明真实的案件。本研究的研究材料包括以数字视频格式录制的片段。这些镜头展示了应急服务人员在犯罪现场的干预过程。作为一项研究实验,重演是在接近真实的条件下进行的。现场三维模型的创建分为三个阶段:视频分析和摄像机空间位置的三维重建;参与者形象的三维建模,并重建与录像中相似的位置;模拟犯罪现场的三维扫描、单个元素的组装和真实尺寸的缩放。这项研究表明,通过其他记录来源无意中获得的图形数据可以极大地补充在日常医疗法律和法医活动中收集的数据。在救援和紧急服务行动中使用摄像机可以让我们获得对法医和法证分析具有重要意义的信息。通过应急服务摄像机的镜头,可以获得犯罪现场的三维图像,以便进行进一步的医学-法学和法医学分析。
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引用次数: 0
Low-level point heteroplasmy detection in human mitogenomes amplified with different polymerases and sequenced on MiSeq FGx platform 用不同聚合酶扩增并在 MiSeq FGx 平台上测序的人类有丝分裂基因组中的低水平点异质性检测
Pub Date : 2023-12-11 DOI: 10.4467/16891716amsik.23.011.18686
K. Skonieczna, Marzanna Ciesielka, Grzegorz Teresiński, Tomasz Grzybowski
Introduction: Massively parallel sequencing of mitogenomes usually requires prior amplification. The PCR step may influence the quality of the data obtained, especially when low-level heteroplasmy detection is applied.Aim: The aim of this study was to compare the reliability of two different DNA polymerases in detecting homoplasmic and heteroplasmic substitutions in human mitogenomes.Materials and Methods: Mitogenomes of five samples were amplified with Long PCR Enzyme Mix from Fermentas or TaKaRa LA Taq DNA Polymerase from TaKaRa. Then, NexteraTM XT DNA libraries were sequenced on MiSeq FGx platform (Illumina). mtDNA substitutions were called for alternative variants above the 1% level.Results: All homoplasmic substitutions detected in amplicons generated with polymerases studied here and sequenced on MiSeq FGx system were consistently identified as homoplasmies with alternative sequencing methods. TaKaRa LA Taq DNA Polymerase was found to be less accurate in low-level heteroplasmy detection than Long PCR Enzyme Mix enzyme as more false negative and false positive results were observed for minority variants called above the 1% level. Nevertheless, both PCR systems studied can be successfully used to detect authentic mtDNA substitutions, for which minority variants exceed the 3.61% level assuming at least 10,000x coverage and sequencing Nextera XT DNA libraries on MiSeq FGx machine.Conclusions: The accuracy and sensitivity of point heteroplasmy detection with the MiSeq FGx instrument varies on polymerase used for mtDNA amplification. Therefore, it is recommended to validate the laboratory protocols used for mtDNA substitution detection prior to their implementation for the forensic or medical genetics purposes.Conflicts of interest statement: The authors declare no conflict of interest
简介对有丝分裂基因组进行大规模平行测序通常需要事先进行扩增。目的:本研究旨在比较两种不同的 DNA 聚合酶检测人类有丝分裂基因组中同质和异质替换的可靠性:用Fermentas公司的Long PCR Enzyme Mix或TaKaRa公司的LA Taq DNA聚合酶扩增5个样本的有丝分裂基因组。然后,在MiSeq FGx平台(Illumina)上对NexteraTM XT DNA文库进行测序:结果:用本文研究的聚合酶生成的扩增子中检测到的所有同源变异,在 MiSeq FGx 系统上测序后,用其他测序方法也能一致鉴定为同源变异。研究发现,TaKaRa LA Taq DNA 聚合酶在低水平异质体检测方面的准确性不如 Long PCR Enzyme Mix 酶,因为在 1%水平以上的少数变异体中观察到更多的假阴性和假阳性结果。尽管如此,假定至少有 10,000 倍的覆盖率,并在 MiSeq FGx 机器上对 Nextera XT DNA 文库进行测序,所研究的这两种 PCR 系统都能成功用于检测真实的 mtDNA 替换,其少数变异超过 3.61% 的水平:结论:使用 MiSeq FGx 仪器检测点异质性的准确性和灵敏度因用于 mtDNA 扩增的聚合酶而异。因此,建议在用于法医或医学遗传学目的的 mtDNA 替换检测实验室方案实施前对其进行验证:作者声明无利益冲突
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引用次数: 0
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Archives of Forensic Medicine and Criminology
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