Richard C. Harruff MD, PhD, William L. Barbour BS, Nicole A. Yarid MD
With the escalating overdose epidemic, many surveillance efforts have appeared. In 2018, King County Medical Examiner's Office (KCMEO) initiated a fatal overdose surveillance project aimed at expediting death certification and disseminating timely information. In this project, KCMEO investigators collected items of evidence of drug use from overdose death scenes, which were tested by five in-house methods, four using handheld devices: TruNarc Raman spectrometer, with and without the manufacture's H-Kit, Rigaku ResQ Raman spectrometer, and MX908 mass spectrometer. The fifth in-house method used fentanyl-specific urine test strips. Results from in-house testing were compared with results from Washington State Patrol (WSP) Materials Analysis Laboratory. From 2019 to 2022, there were 4244 evidence items of drugs and paraphernalia collected from 1777 deaths scenes. A total of 7526 in-house tests were performed on collected specimens, and 2153 tests were performed by the WSP laboratory using standard analytical methods. The WSP results served as reference standards to calculate performance metrics of the in-house methods. Sensitivities, specificities, and predictive values ranged from good to poor depending on the method, drug, and evidence type. Certain drugs were often associated with specific evidence types. Acetaminophen was frequently found in combination with fentanyl. Fentanyl test strips gave good scores for detecting fentanyl; otherwise, in-house methods using handheld devices had poor performance scores with novel drugs and drugs diluted in mixtures. The results showed that in-house testing of drug evidence has value for medical examiner overdose surveillance, but it is resource intensive, and success depends on collaboration with forensic laboratories.
{"title":"Evaluation of in-house drug evidence testing by King County Medical Examiner's Office in “real-time” fatal overdose surveillance","authors":"Richard C. Harruff MD, PhD, William L. Barbour BS, Nicole A. Yarid MD","doi":"10.1111/1556-4029.15526","DOIUrl":"10.1111/1556-4029.15526","url":null,"abstract":"<p>With the escalating overdose epidemic, many surveillance efforts have appeared. In 2018, King County Medical Examiner's Office (KCMEO) initiated a fatal overdose surveillance project aimed at expediting death certification and disseminating timely information. In this project, KCMEO investigators collected items of evidence of drug use from overdose death scenes, which were tested by five in-house methods, four using handheld devices: TruNarc Raman spectrometer, with and without the manufacture's H-Kit, Rigaku ResQ Raman spectrometer, and MX908 mass spectrometer. The fifth in-house method used fentanyl-specific urine test strips. Results from in-house testing were compared with results from Washington State Patrol (WSP) Materials Analysis Laboratory. From 2019 to 2022, there were 4244 evidence items of drugs and paraphernalia collected from 1777 deaths scenes. A total of 7526 in-house tests were performed on collected specimens, and 2153 tests were performed by the WSP laboratory using standard analytical methods. The WSP results served as reference standards to calculate performance metrics of the in-house methods. Sensitivities, specificities, and predictive values ranged from good to poor depending on the method, drug, and evidence type. Certain drugs were often associated with specific evidence types. Acetaminophen was frequently found in combination with fentanyl. Fentanyl test strips gave good scores for detecting fentanyl; otherwise, in-house methods using handheld devices had poor performance scores with novel drugs and drugs diluted in mixtures. The results showed that in-house testing of drug evidence has value for medical examiner overdose surveillance, but it is resource intensive, and success depends on collaboration with forensic laboratories.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140677936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carlos A. Valdez PhD, Derrick C. Kaseman PhD, Mark L. Dreyer BSc, Saphon Hok PhD, Alexander K. Vu BSc
Pinacolyl alcohol (PA), a key forensic marker for the nerve agent Soman (GD), is a particularly difficult analyte to detect by various analytical methods. In this work, we have explored the reaction between PA and 1,1′-carbonyldiimidazole (CDI) to yield pinacolyl 1H-imidazole-1-carboxylate (PIC), a product that can be conveniently detected by gas chromatography–mass spectrometry (GC–MS) and liquid chromatography-high-resolution mass spectrometry (LC-HRMS). Regarding its GC–MS profile, this new carbamate derivative of PA possesses favorable chromatographic features such as a sharp peak and a longer retention time (RT = 16.62 min) relative to PA (broad peak and short retention time, RT = 4.1 min). The derivative can also be detected by LC-HRMS, providing an avenue for the analysis of this chemical using this technique where PA is virtually undetectable unless present in large concentrations. From a forensic science standpoint, detection of this low molecular weight alcohol signals the past or latent presence of the nerve agent Soman (GD) in a given matrix (i.e., environmental or biological). The efficiency of the protocol was tested separately in the analysis and detection of PA by EI-GC–MS and LC-HRMS when present at a 10 μg/mL in a soil matrix featured in the 44th PT and in a glycerol-rich liquid matrix featured in the 48th Official Organization for the Prohibition of Chemical Weapons (OPCW) Proficiency Test when present at a 5 μg/mL concentration. In both scenarios, PA was successfully transformed into PIC, establishing the protocol as an additional tool for the analysis of this unnatural and unique nerve agent marker by GC–MS and LC-HRMS.
{"title":"Use of carbonyldiimidazole as a derivatization agent for the detection of pinacolyl alcohol, a forensic marker for Soman, by EI-GC–MS and LC-HRMS in official OPCW proficiency test matrices","authors":"Carlos A. Valdez PhD, Derrick C. Kaseman PhD, Mark L. Dreyer BSc, Saphon Hok PhD, Alexander K. Vu BSc","doi":"10.1111/1556-4029.15527","DOIUrl":"10.1111/1556-4029.15527","url":null,"abstract":"<p>Pinacolyl alcohol (PA), a key forensic marker for the nerve agent Soman (GD), is a particularly difficult analyte to detect by various analytical methods. In this work, we have explored the reaction between PA and 1,1′-carbonyldiimidazole (CDI) to yield pinacolyl 1H-imidazole-1-carboxylate (PIC), a product that can be conveniently detected by gas chromatography–mass spectrometry (GC–MS) and liquid chromatography-high-resolution mass spectrometry (LC-HRMS). Regarding its GC–MS profile, this new carbamate derivative of PA possesses favorable chromatographic features such as a sharp peak and a longer retention time (RT = 16.62 min) relative to PA (broad peak and short retention time, RT = 4.1 min). The derivative can also be detected by LC-HRMS, providing an avenue for the analysis of this chemical using this technique where PA is virtually undetectable unless present in large concentrations. From a forensic science standpoint, detection of this low molecular weight alcohol signals the past or latent presence of the nerve agent Soman (GD) in a given matrix (i.e., environmental or biological). The efficiency of the protocol was tested separately in the analysis and detection of PA by EI-GC–MS and LC-HRMS when present at a 10 μg/mL in a soil matrix featured in the 44th PT and in a glycerol-rich liquid matrix featured in the 48th Official Organization for the Prohibition of Chemical Weapons (OPCW) Proficiency Test when present at a 5 μg/mL concentration. In both scenarios, PA was successfully transformed into PIC, establishing the protocol as an additional tool for the analysis of this unnatural and unique nerve agent marker by GC–MS and LC-HRMS.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ground truth data (GTD) is used by those in the field of digital forensics (DF) for a variety of purposes including to evaluate the functionality of undocumented, new, or emerging technology and services and the digital traces left behind following their usage. Most accepted and reliable trace interpretations must be derived from an examination of relevant GTD, yet despite the importance of it to the DF community, there is little formal guidance available for supporting those who create it, to do so in a way that ensures any data is of good quality, reliable, and therefore usable. In an attempt to address this issue, this work proposes a minimum standard of documentation that must accompany the production of any GTD, particularly when it is intended for use in the process of discovering new knowledge, proposing original interpretations of a digital trace, or determining the functionality of any technology or service. A template structure is discussed and provided in Appendix S1 which sets out a minimum standard for metadata describing any GTD's production process and content. It is suggested that such an approach can support the maintenance of trust in any GTD and improve the shareability of it.
{"title":"A template for creating and sharing ground truth data in digital forensics","authors":"Graeme Horsman PhD","doi":"10.1111/1556-4029.15524","DOIUrl":"10.1111/1556-4029.15524","url":null,"abstract":"<p>Ground truth data (GTD) is used by those in the field of digital forensics (DF) for a variety of purposes including to evaluate the functionality of undocumented, new, or emerging technology and services and the digital traces left behind following their usage. Most accepted and reliable trace interpretations must be derived from an examination of relevant GTD, yet despite the importance of it to the DF community, there is little formal guidance available for supporting those who create it, to do so in a way that ensures any data is of good quality, reliable, and therefore usable. In an attempt to address this issue, this work proposes a minimum standard of documentation that must accompany the production of any GTD, particularly when it is intended for use in the process of discovering new knowledge, proposing original interpretations of a digital trace, or determining the functionality of any technology or service. A template structure is discussed and provided in Appendix S1 which sets out a minimum standard for metadata describing any GTD's production process and content. It is suggested that such an approach can support the maintenance of trust in any GTD and improve the shareability of it.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1556-4029.15524","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140623490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The ability to determine bullet trajectories after a shooting incident can allow investigators to reconstruct the locations of individuals and the sequence of events that took place. By using trajectory rods, investigators can be provided with an immediate visual estimate as to what the path of the projectile may have been. In certain instances, the use of the probing method with trajectory rods is not appropriate due to their being a single, thin target material, or no secondary bullet impact site. In these cases, other methods such as the lead-in or the ellipse method may be useful. Overall, the lead-in method has not been well studied in the application to practical scenarios, such as those including bullet impacts on vehicle metal surfaces. This study has explored the accuracy of the lead-in method when a bullet impacts a typical vehicle metal surface using three firearm calibers, three blind participants, and two non-blind participants. The results of this study have shown that each caliber has its own characteristic error curve. In general, it was found that the lower the impact angle, the less errors were made by the participants. As the impact angle increases, the measurement errors increased, due to the smaller lead-in area present. The errors were found to have a wide range, with some being as low as 1° and some being as high as 13.9°. Further, it was found there was no significant effect on the errors of blind versus non-blind participants.
{"title":"Validation of the lead-in method in a practical shooting scenario","authors":"Maddie Keldson MScFS, Eugene Liscio BE","doi":"10.1111/1556-4029.15523","DOIUrl":"10.1111/1556-4029.15523","url":null,"abstract":"<p>The ability to determine bullet trajectories after a shooting incident can allow investigators to reconstruct the locations of individuals and the sequence of events that took place. By using trajectory rods, investigators can be provided with an immediate visual estimate as to what the path of the projectile may have been. In certain instances, the use of the probing method with trajectory rods is not appropriate due to their being a single, thin target material, or no secondary bullet impact site. In these cases, other methods such as the lead-in or the ellipse method may be useful. Overall, the lead-in method has not been well studied in the application to practical scenarios, such as those including bullet impacts on vehicle metal surfaces. This study has explored the accuracy of the lead-in method when a bullet impacts a typical vehicle metal surface using three firearm calibers, three blind participants, and two non-blind participants. The results of this study have shown that each caliber has its own characteristic error curve. In general, it was found that the lower the impact angle, the less errors were made by the participants. As the impact angle increases, the measurement errors increased, due to the smaller lead-in area present. The errors were found to have a wide range, with some being as low as 1° and some being as high as 13.9°. Further, it was found there was no significant effect on the errors of blind versus non-blind participants.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1556-4029.15523","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140631034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren C. Coaker MS, Ashley B. Batastini PhD, Riley M. Davis PhD, Michael E. Lester PhD
Forensic clinicians are often called upon to help courts determine the likelihood that someone will continue to commit sexually violent acts in the future. The utility of these evaluations depends largely on how effectively the results are communicated to and understood by the trier of fact. Actuarial results, such as those commonly reported in sexual offense risk assessments, appear particularly challenging for laypersons to understand. Using a representative sample of 206 U.S. adults, this study examines three methods of communicating actuarial risk via simulated expert testimony on participants' ratings of a hypothetical evaluee's risk of sexual re-offending. The results suggested that all participants, regardless of how results were communicated, over-estimated the examinee's risk level relative to the expert's probabilistic findings, but tended to agree with the expert's categorical predictions. Participants who were only shown actuarial data consistently rated the evaluee as more dangerous and likely to commit future sexually violent acts. Additionally, it was found that gender significantly impacted participants' perceptions, such that women found the evaluee more dangerousness and desired greater social distance from him. This study has implications for best practices regarding expert communication of actuarial results in cases involving sexual violence.
{"title":"Evaluating layperson interpretation of actuarial sexual violence risk data: A multi-method comparison of risk communication with attention to gender bias","authors":"Lauren C. Coaker MS, Ashley B. Batastini PhD, Riley M. Davis PhD, Michael E. Lester PhD","doi":"10.1111/1556-4029.15525","DOIUrl":"10.1111/1556-4029.15525","url":null,"abstract":"<p>Forensic clinicians are often called upon to help courts determine the likelihood that someone will continue to commit sexually violent acts in the future. The utility of these evaluations depends largely on how effectively the results are communicated to and understood by the trier of fact. Actuarial results, such as those commonly reported in sexual offense risk assessments, appear particularly challenging for laypersons to understand. Using a representative sample of 206 U.S. adults, this study examines three methods of communicating actuarial risk via simulated expert testimony on participants' ratings of a hypothetical evaluee's risk of sexual re-offending. The results suggested that all participants, regardless of how results were communicated, over-estimated the examinee's risk level relative to the expert's probabilistic findings, but tended to agree with the expert's categorical predictions. Participants who were only shown actuarial data consistently rated the evaluee as more dangerous and likely to commit future sexually violent acts. Additionally, it was found that gender significantly impacted participants' perceptions, such that women found the evaluee more dangerousness and desired greater social distance from him. This study has implications for best practices regarding expert communication of actuarial results in cases involving sexual violence.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140601843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Morgan J. Ferrell MA, John J. Schultz PhD, Donovan M. Adams PhD
In forensic anthropology, osteological sex estimation methods are continuously reevaluated and updated to improve classification accuracies. Therefore, to gain a comprehensive understanding of recent trends in sex estimation research in forensic anthropology, a content analysis of articles published between 2000 and 2022 in Forensic Science International, the Journal of Forensic Sciences, the International Journal of Legal Medicine, the American Journal of Biological Anthropology, and Forensic Anthropology, was performed. The main goals of this content analysis were to (1) examine trends in metric versus morphological research, (2) examine which areas of the skeleton have been explored, (3) examine which skeletal collections and population affinities have been most frequently utilized, and (4) determine which statistical methods were commonly implemented. A total of 440 articles were coded utilizing MAXQDA and the resulting codes were exported for analysis. Statistical analyses were conducted utilizing the Cochran-Armitage and Jonckheere-Terpstra tests for trends, as well as Fisher–Freeman–Halton tests. The results demonstrate that sex estimation research published in these journals has prioritized metric over morphological methods. Further, the most utilized skeletal regions continue to be the skull and pelvis, while the most popular classification statistics continue to be discriminant function analysis and logistic regression. This study also demonstrates that a substantial portion of research has been conducted utilizing U.S. and Europe-based collections and limited populations. Based on these results, future sex estimation research must continue exploring the use of long bones and other postcranial elements, testing newer methods of analysis, as well as developing population-inclusive methods.
{"title":"Sex estimation research trends in forensic anthropology between 2000 and 2022 in five prominent journals","authors":"Morgan J. Ferrell MA, John J. Schultz PhD, Donovan M. Adams PhD","doi":"10.1111/1556-4029.15522","DOIUrl":"10.1111/1556-4029.15522","url":null,"abstract":"<p>In forensic anthropology, osteological sex estimation methods are continuously reevaluated and updated to improve classification accuracies. Therefore, to gain a comprehensive understanding of recent trends in sex estimation research in forensic anthropology, a content analysis of articles published between 2000 and 2022 in <i>Forensic Science International</i>, the <i>Journal of Forensic Sciences</i>, the <i>International Journal of Legal Medicine</i>, the <i>American Journal of Biological Anthropology</i>, and <i>Forensic Anthropology</i>, was performed. The main goals of this content analysis were to (1) examine trends in metric versus morphological research, (2) examine which areas of the skeleton have been explored, (3) examine which skeletal collections and population affinities have been most frequently utilized, and (4) determine which statistical methods were commonly implemented. A total of 440 articles were coded utilizing MAXQDA and the resulting codes were exported for analysis. Statistical analyses were conducted utilizing the Cochran-Armitage and Jonckheere-Terpstra tests for trends, as well as Fisher–Freeman–Halton tests. The results demonstrate that sex estimation research published in these journals has prioritized metric over morphological methods. Further, the most utilized skeletal regions continue to be the skull and pelvis, while the most popular classification statistics continue to be discriminant function analysis and logistic regression. This study also demonstrates that a substantial portion of research has been conducted utilizing U.S. and Europe-based collections and limited populations. Based on these results, future sex estimation research must continue exploring the use of long bones and other postcranial elements, testing newer methods of analysis, as well as developing population-inclusive methods.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140601768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Videos are considered as most trustworthy means of communication in the present digital era. The advancement in multimedia technology has made video content sharing and manipulation very easy. Hence, the video authenticity is a challenging task for the research community. Video forensics refer to uncovering the forgery traces. The detection of spatiotemporal object-removal forgery in surveillance videos is crucial for judicial forensics, as the presence of objects in the video has significant information as legal evidence. The author proposes a passive max–median averaging motion residual algorithm for revealing the forgery traces, successfully giving visible object-removal traces followed by a deep learning approach, YOLO-V8, for forged region localization. YOLO-V8 is the latest deep learning model, which has a wide scope for real-time application. The proposed method utilizes YOLO-V8 for object-removal forgery in surveillance videos. The network is trained on the SYSU-OBJFORG dataset for object-removal forged region localization in videos. The fine-tuned YOLO-V8 successfully classifies and localizes the object-removal tampered region with an F1-score of 0.99 and a precision of 0.99. The observed high confidence score of the bounding box around the forged region makes the model reliable. This fine-tuned YOLO-V8 would be a better choice in real-time applications as it solves the complex object-based forgery detection in videos. The performance of the proposed system is far better than the existing deep learning approach.
{"title":"Real-time object-removal tampering localization in surveillance videos by employing YOLO-V8","authors":"Sandhya MSc, Abhishek Kashyap MTech, PhD","doi":"10.1111/1556-4029.15516","DOIUrl":"10.1111/1556-4029.15516","url":null,"abstract":"<p>Videos are considered as most trustworthy means of communication in the present digital era. The advancement in multimedia technology has made video content sharing and manipulation very easy. Hence, the video authenticity is a challenging task for the research community. Video forensics refer to uncovering the forgery traces. The detection of spatiotemporal object-removal forgery in surveillance videos is crucial for judicial forensics, as the presence of objects in the video has significant information as legal evidence. The author proposes a passive max–median averaging motion residual algorithm for revealing the forgery traces, successfully giving visible object-removal traces followed by a deep learning approach, YOLO-V8, for forged region localization. YOLO-V8 is the latest deep learning model, which has a wide scope for real-time application. The proposed method utilizes YOLO-V8 for object-removal forgery in surveillance videos. The network is trained on the SYSU-OBJFORG dataset for object-removal forged region localization in videos. The fine-tuned YOLO-V8 successfully classifies and localizes the object-removal tampered region with an F1-score of 0.99 and a precision of 0.99. The observed high confidence score of the bounding box around the forged region makes the model reliable. This fine-tuned YOLO-V8 would be a better choice in real-time applications as it solves the complex object-based forgery detection in videos. The performance of the proposed system is far better than the existing deep learning approach.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140601767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richard Sivulič MD, Martin Janík MD, Petr Hejna MD, Ivan Kocan MD, PhD, Ľubomír Straka MD
Power hammers are mechanised forging devices that constitute a pivotal part of steel manufacturing. Power hammer-associated injuries are a rare occurrence. We report a noteworthy case of a 52-year-old man who sustained a high-energy penetrating injury while working with a power (counterblow) hammer. The man used a sizable disc-shaped metallic object to dislodge the forging wedged in the machine by applying the force of the striking ram on it. On impact, the object ejected and struck the man in the right lateral portion of the chest. The autopsy disclosed extensive damage to the thoracic and abdominal organs. The cause of death was opined to be exsanguination due to penetrating trauma of the heart and transection of the descending aorta. The investigation confirmed a breach of safety regulations. To the best of our knowledge, this is the first power (counterblow) hammer-related fatality in medico-legal literature.
{"title":"Between the hammer and the anvil: An unusual power hammer fatality","authors":"Richard Sivulič MD, Martin Janík MD, Petr Hejna MD, Ivan Kocan MD, PhD, Ľubomír Straka MD","doi":"10.1111/1556-4029.15521","DOIUrl":"10.1111/1556-4029.15521","url":null,"abstract":"<p>Power hammers are mechanised forging devices that constitute a pivotal part of steel manufacturing. Power hammer-associated injuries are a rare occurrence. We report a noteworthy case of a 52-year-old man who sustained a high-energy penetrating injury while working with a power (counterblow) hammer. The man used a sizable disc-shaped metallic object to dislodge the forging wedged in the machine by applying the force of the striking ram on it. On impact, the object ejected and struck the man in the right lateral portion of the chest. The autopsy disclosed extensive damage to the thoracic and abdominal organs. The cause of death was opined to be exsanguination due to penetrating trauma of the heart and transection of the descending aorta. The investigation confirmed a breach of safety regulations. To the best of our knowledge, this is the first power (counterblow) hammer-related fatality in medico-legal literature.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140601842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The impact of contextual bias has been demonstrated repeatedly across forensic domains; however, research on this topic in forensic toxicology is very limited. In our previous study, experimental data from only one context version were compared with the actual forensic biasing casework. As a follow-up, this controlled experiment with 159 forensic toxicology practitioners was conducted, to test whether knowledge of different contextual information influenced their forensic decision-making. Participants in different context groups were tasked to identify testing strategies for carbon monoxide and opiate drugs. The results of chi-squared tests for their selections and two context groups exhibited statistically significant differences (p < 0.05 or p < 0.01). These findings show contextual information can bias forensic toxicology decisions about testing strategies, despite it is a relatively objective domain in forensic science.
语境偏差的影响已在法医领域被反复证明;然而,在法医毒理学领域对这一主题的研究却非常有限。在我们之前的研究中,只有一个语境版本的实验数据与实际的法医偏差案例工作进行了比较。作为后续研究,我们对 159 名法医毒理学从业人员进行了对照实验,以检验对不同情境信息的了解是否会影响他们的法医决策。不同背景组的参与者负责确定一氧化碳和鸦片类药物的检测策略。对他们的选择和两个情境组的卡方检验结果显示出显著的统计学差异(p < 0.05 或 p < 0.01)。这些研究结果表明,尽管法医毒理学是法医学中一个相对客观的领域,但背景信息可能会使法医毒理学对检测策略的决策产生偏差。
{"title":"Contextual bias in forensic toxicology decisions: A follow-up empirical study from China","authors":"Ning He PhD, Hongxia Hao PhD","doi":"10.1111/1556-4029.15520","DOIUrl":"10.1111/1556-4029.15520","url":null,"abstract":"<p>The impact of contextual bias has been demonstrated repeatedly across forensic domains; however, research on this topic in forensic toxicology is very limited. In our previous study, experimental data from only one context version were compared with the actual forensic biasing casework. As a follow-up, this controlled experiment with 159 forensic toxicology practitioners was conducted, to test whether knowledge of different contextual information influenced their forensic decision-making. Participants in different context groups were tasked to identify testing strategies for carbon monoxide and opiate drugs. The results of chi-squared tests for their selections and two context groups exhibited statistically significant differences (<i>p</i> < 0.05 or <i>p</i> < 0.01). These findings show contextual information can bias forensic toxicology decisions about testing strategies, despite it is a relatively objective domain in forensic science.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140601648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric population represents the most vulnerable and at risk for unintentional poisoning, with children younger than 6 years old accounting for nearly half of poison exposures. Poisoning is a time-dependent emergency. The need to reach a scientific agreement on diagnostic protocol and treatment seems to be crucial to reduce morbidity and mortality. Starting from a buprenorphine pediatric intoxication case, this article highlights the limits and pitfalls of the traditional diagnostic approach. Diagnosis of drug intoxication was achieved after several days when an in-depth diagnostic investigation became necessary and complete forensic toxicological analyses were performed. Results evidenced an alarming lack of an unequivocal diagnostic protocol in case of suspect intoxication in structures not provided with a forensic toxicological service/unit. Collection of biological specimens according to forensic protocols at hospitalization plays a paramount role in the definitive diagnosis of intoxication. A diagnostic algorithm that focuses on medical history and biological specimen collection timing is herein proposed, in order to unify emergency approaches to the suspected poisoned child.
{"title":"Pediatric poisoning management: How clinical practice can benefit from forensic approach","authors":"Pascale Basilicata PhD, Mariagrazia Marisei MD, Rossella Guadagni PhD, Michelina Sibilio MD, PhD, Massimo Niola MD, PhD, Maria Pieri PhD","doi":"10.1111/1556-4029.15517","DOIUrl":"10.1111/1556-4029.15517","url":null,"abstract":"<p>Pediatric population represents the most vulnerable and at risk for unintentional poisoning, with children younger than 6 years old accounting for nearly half of poison exposures. Poisoning is a time-dependent emergency. The need to reach a scientific agreement on diagnostic protocol and treatment seems to be crucial to reduce morbidity and mortality. Starting from a buprenorphine pediatric intoxication case, this article highlights the limits and pitfalls of the traditional diagnostic approach. Diagnosis of drug intoxication was achieved after several days when an in-depth diagnostic investigation became necessary and complete forensic toxicological analyses were performed. Results evidenced an alarming lack of an unequivocal diagnostic protocol in case of suspect intoxication in structures not provided with a forensic toxicological service/unit. Collection of biological specimens according to forensic protocols at hospitalization plays a paramount role in the definitive diagnosis of intoxication. A diagnostic algorithm that focuses on medical history and biological specimen collection timing is herein proposed, in order to unify emergency approaches to the suspected poisoned child.</p>","PeriodicalId":15743,"journal":{"name":"Journal of forensic sciences","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140338318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}