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Seized drug reporting of NPS helps to guide regional toxicological practice: A 17 month review between 2022 and 2023 关于 NPS 的缉获毒品报告有助于指导地区毒理学实践:2022年至2023年期间为期17个月的审查。
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-06-09 DOI: 10.1111/1556-4029.15556
Kayla N. Ellefsen PhD, Donna M. Papsun MS, Dani C. Mata, Jessica L. Ayala PhD, Celia Modell MS, Lana J. Goodson, Michael T. Truver PhD

Novel psychoactive substances (NPS) are everchanging and plague forensic laboratories who must identify an unending variety of emerging substances and evolve current methodologies to detect these substances. Identifying potential regional NPS targets and timely examining trends in seized drug data could help mitigate the burden laboratories face. Over 17 months, NPS seized drug data were processed and categorized from three laboratories located across the United States to determine any NPS regional similarities and prevalent NPS drug categories: the South Carolina Law Enforcement Division (SLED), the Sedgwick County Regional Forensic Science Center (SCRFSC), and the Orange County Crime Laboratory (OCCL). Seized drug materials, including pills, powders, and plant material, were primarily analyzed for NPS via gas chromatography–mass spectrometry and Fourier transform infrared spectroscopy. From June 2022 to October 2023, 1940 NPS seized drug identifications were reported by these laboratories with 63 different NPS reported. Novel synthetic opioids (NSO) were the most prevalent NPS class across all three laboratories (55%), with fluorofentanyl accounting for 74% of NSO identifications. This is unsurprising given the fentanyl epidemic in the United States. Furthermore, these data highlighted varying regional NPS seized drug trends: eutylone, a synthetic cathinone, was one of the most frequently identified NPS in SLED, SCRFSC observed the most diverse set of synthetic cannabinoids, and OCCL observed an increased prevalence in the designer benzodiazepine, bromazolam. NPS scope recommendations are a valuable resource for forensic laboratories; however, most focus on a national perspective. Timely analysis and reporting of NPS seized drug data may help to develop regional NPS scope recommendations laboratories may employ.

新型精神活性物质(NPS)日新月异,困扰着法医实验室,他们必须识别层出不穷的新兴物质,并不断改进当前的方法来检测这些物质。确定潜在的地区性 NPS 目标并及时检查缉获毒品数据的趋势有助于减轻实验室面临的负担。在 17 个月的时间里,我们对位于美国各地的三个实验室(南卡罗来纳州执法部门 (SLED)、塞奇威克郡地区法医学中心 (SCRFSC) 和奥兰治郡犯罪实验室 (OCCL) )缉获的 NPS 毒品数据进行了处理和分类,以确定任何 NPS 区域相似性和流行的 NPS 毒品类别。缉获的毒品材料,包括药丸、粉末和植物材料,主要通过气相色谱-质谱法和傅立叶变换红外光谱法分析其是否含有 NPS。从 2022 年 6 月到 2023 年 10 月,这些实验室共报告了 1940 项 NPS 缉获药物鉴定,报告了 63 种不同的 NPS。新型合成类阿片(NSO)是所有三个实验室中最常见的 NPS 类别(55%),其中氟芬太尼占 NSO 鉴定的 74%。鉴于芬太尼在美国的流行,这种情况不足为奇。此外,这些数据还突显了不同地区缉获的 NPS 毒品趋势:合成卡西酮 eutylone 是 SLED 最常识别的 NPS 之一,SCRFSC 观察到的合成大麻素种类最多,OCCL 观察到特制苯并二氮杂卓 bromazolam 的流行率有所上升。NPS 范围建议是法医实验室的宝贵资源;然而,大多数建议都侧重于国家视角。及时分析和报告缉获的 NPS 毒品数据可能有助于制定实验室可采用的区域 NPS 范围建议。
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引用次数: 0
Correction to: “Commentary on: Elkhazeen A, Poulos C, Zhang X, Cavanaugh J, Cain M. A TikTok™ “Benadryl challenge” death—A case report and review of the literature.” J Forensic Sci. 2023;68(4):1442–3. https://doi.org/10.1111/1556-4029.15307 更正:"评论:Elkhazeen A, Poulos C, Zhang X, Cavanaugh J, Cain M:Elkhazeen A, Poulos C, Zhang X, Cavanaugh J, Cain M. A TikTok™ "Benadryl challenge" death-A case report and review of the literature. "的评论。J Forensic Sci. 2023;68(4):1442-3. https://doi.org/10.1111/1556-4029.15307.
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-06-05 DOI: 10.1111/1556-4029.15552

The author's email, Erica Bakota, should be replaced with [email protected], and the institution address should be removed.

This Letter to the Editor is unrelated to the author's current scope of work. The author did not intend to imply a connection between the discussion of diphenhydramine toxicity and their current job duties or scope of work.

We apologize for this error.

作者的电子邮件 "Erica Bakota "应替换为[email protected],机构地址应删除。作者无意暗示有关苯海拉明毒性的讨论与其目前的工作职责或工作范围之间存在联系,我们对此错误深表歉意。
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引用次数: 0
Improving flow dynamics and storage longevity of a low-cost phosphorescent fingerprint powder 改善低成本磷光指纹粉的流动动力学和储存寿命。
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-05-28 DOI: 10.1111/1556-4029.15549
Jodie L. Harrington, William J. Gee PhD

An inexpensive, commercially available doped strontium aluminate phosphor with long-lived afterglow was prepared as a luminescent fingerprint dusting powder suited for challenging, highly patterned substrates; however, prolonged exposure to humidity was found to reduce that powder's affinity for fingermarks. Here, an enhanced preparation for synthesizing that fingerprint dusting powder is presented that prevents powder aggregation and loss of function upon exposure to humid environments. This was achieved by introducing a flow regulator during synthesis: hydrophobic silica SIPERNAT® D10 or SIPERNAT® D17. Increasing the hydrophobicity of the powder prevents aggregation by inhibiting the uptake of water, thereby improving the material's flow dynamics and transfer behavior from brush to fingermark. The angle of repose and flow characteristics made by the modified powders were quantified, with excellent affinity for fingermarks observed, even after being stored under 85% (±5%) humidity for 4 weeks. A preliminary comparison of the performance of the modified hydrophobic powders relative to the unmodified precursor revealed that more of the SIPERNAT® treated powder typically adhered to fingermarks while simultaneously imparting less background development. In addition, fewer clumps of particulate were observed in the developed fingermarks after addition of a hydrophobic flow regulator. This technical report outlines the updated method for synthesizing the fingerprint powder, with summarized flow performance results, and a demonstration of the modified powder's affinity for simulated fingermark evidence.

一种价格低廉、可在市场上买到的掺杂铝酸锶荧光粉具有长效余辉,被制备成发光指纹粉末,适用于具有挑战性的高图案基底;然而,长期暴露在潮湿环境中会降低这种粉末对指印的亲和力。本文介绍了一种合成指纹粉末的增强型制备方法,它能防止粉末在暴露于潮湿环境中时发生聚集并丧失功能。这是通过在合成过程中引入流量调节器来实现的:疏水性二氧化硅 SIPERNAT® D10 或 SIPERNAT® D17。增加粉末的疏水性可以通过抑制水分的吸收来防止聚集,从而改善材料的流动动态和从刷子到指印的转移行为。对改性粉末的静止角和流动特性进行了量化,即使在湿度为 85%(±5%)的条件下存放 4 周,也能观察到其对指痕具有极佳的亲和力。对改性疏水性粉末与未改性前体的性能进行初步比较后发现,经过 SIPERNAT® 处理的粉末通常能粘附更多的指痕,同时还能减少背景显影。此外,添加疏水性流量调节剂后,在显影指痕中观察到的颗粒团块更少。本技术报告概述了合成指纹粉末的最新方法,总结了流动性能结果,并展示了改良粉末对模拟指印证据的亲和力。
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引用次数: 0
A holistic digital forensic analysis of Discord – Storage, memory, and network perspectives Discord 的整体数字取证分析--存储、内存和网络视角。
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-05-28 DOI: 10.1111/1556-4029.15548
Khushi Gupta BSc, Phani Lanka MSc, Cihan Varol PhD

In the last decade, the market share and user base of social media applications have witnessed significant growth. However, this surge in popularity has inadvertently drawn the attention of criminals aiming to exploit these platforms for illicit activities. The forensic examination of these applications emerges as a pivotal avenue for uncovering valuable insights into criminal behavior and identifying suspects. Discord, a social media platform, has become a significant focal point for such illicit activities. In this paper, we examine the remnants of Discord on both Windows and Linux operating systems, employing storage, memory, and network analysis techniques to review the remnants of Discord. Our investigation reveals a range of crucial artifacts that have been successfully recovered across all three areas of analysis, including login and payment details, chat history, account information, and much more. Collectively, these artifacts constitute a valuable resource for forensic investigations, allowing the reconstruction of most of the user's activity.

在过去十年中,社交媒体应用程序的市场份额和用户群都有了显著增长。然而,这种流行程度的激增无意中引起了旨在利用这些平台进行非法活动的犯罪分子的注意。对这些应用程序进行取证检查成为揭示犯罪行为和识别嫌疑人的重要途径。社交媒体平台 Discord 已成为此类非法活动的一个重要焦点。在本文中,我们采用存储、内存和网络分析技术来审查 Discord 在 Windows 和 Linux 操作系统上的残余。我们的调查揭示了在所有三个分析领域中成功恢复的一系列关键人工制品,包括登录和支付详情、聊天记录、账户信息等。总体而言,这些人工制品是法证调查的宝贵资源,可以重建用户的大部分活动。
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引用次数: 0
Assessment of artificial intelligence to detect gasoline in fire debris using HS-SPME-GC/MS and transfer learning 利用 HS-SPME-GC/MS 和迁移学习对人工智能检测火灾残骸中的汽油进行评估。
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-05-26 DOI: 10.1111/1556-4029.15550
Ting-Yu Huang MS, Jorn Chi Chung Yu PhD

Due to the complex nature of the chemical compositions of ignitable liquids (IL) and the interferences from fire debris matrices, interpreting chromatographic data poses challenges to analysts. In this work, artificial intelligence (AI) was developed by transfer learning in a convolutional neural network (CNN), GoogLeNet. The image classification AI was fine-tuned to create intelligent classification systems to discriminate samples containing gasoline residues from burned substrates. All ground truth samples were analyzed by headspace solid-phase microextraction (HS-SPME) coupled with a gas chromatograph and mass spectrometer (GC/MS). The HS-SPME-GC/MS data were transformed into three types of image presentations, that is, heatmaps, extracted ion heatmaps, and total ion chromatograms. The abundance and mass-to-charge ratios of each scan were converted into image patterns that are characteristic of the chemical profiles of gasoline. The transfer learning data were labeled as “gasoline present” and “gasoline absent” classes. The assessment results demonstrated that all AI models achieved 100 ± 0% accuracy in identifying neat gasoline. When the models were assessed using the spiked samples, the AI model developed using the extracted ion heatmap obtained the highest accuracy rate (95.9 ± 0.4%), which was greater than those obtained by other machine learning models, ranging from 17.3 ± 0.7% to 78.7 ± 0.7%. The proposed work demonstrated that the heatmaps created from GC/MS data can represent chemical features from the samples. Additionally, the pretrained CNN models are readily available in the transfer learning workflow to develop AI for GC/MS data interpretation in fire debris analysis.

由于可燃液体(IL)化学成分的复杂性和火灾残骸基质的干扰,色谱数据的解读给分析人员带来了挑战。在这项工作中,通过在卷积神经网络(CNN)GoogLeNet 中进行迁移学习,开发了人工智能(AI)。对图像分类人工智能进行了微调,以创建智能分类系统,区分含有汽油残留物的样品和烧毁的基质。所有地面实况样品均通过顶空固相微萃取(HS-SPME)结合气相色谱仪和质谱仪(GC/MS)进行分析。HS-SPME-GC/MS 数据被转换成三种图像,即热图、提取离子热图和总离子色谱图。每次扫描的丰度和质量电荷比被转换成汽油化学特征的图像模式。迁移学习数据被标记为 "存在汽油 "和 "不存在汽油 "两个类别。评估结果表明,所有人工智能模型识别纯汽油的准确率都达到了 100 ± 0%。当使用加标样品对模型进行评估时,使用提取的离子热图开发的人工智能模型获得了最高的准确率(95.9 ± 0.4%),高于其他机器学习模型所获得的准确率(从 17.3 ± 0.7% 到 78.7 ± 0.7%)。所提出的工作表明,根据 GC/MS 数据创建的热图可以代表样品的化学特征。此外,预训练的 CNN 模型可随时用于迁移学习工作流程,为火灾残骸分析中的 GC/MS 数据解读开发人工智能。
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引用次数: 0
Cranial trauma in handgun executions: Circumferential delamination defect and its relationship with contact/close-range shooting 手枪行刑中的颅脑创伤:环状分层缺陷及其与接触/近距离射击的关系。
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-05-26 DOI: 10.1111/1556-4029.15551
Roberto C. Parra MSc, Jose Pablo Baraybar PhD, Lucio A. Condori MSc, Leandro Luna PhD, Gonzalo Garizoain PhD, Ernesto Avalos-Cordero MSc

Skeletal evidence usually constitutes the only source of information to interpret lesion patterns that help to clarify the circumstances surrounding death. The examination and interpretation of bone trauma are essential to the application and utility of anthropology as a forensic science. When discussing the effect of gunshot wounds in bone, it becomes imperative to differentiate between short and long-distance injuries based on clear, distinct, and observable signs. To contribute to the debate, our focus is directed toward the external analysis of the so-called circumferential delamination defect (CDD) as an observable proxy for close-range shooting (≤30 cm) and contact gunshot wounds in the skull. In the context of known extrajudicial killings, in which the perpetrators used short 9 × 19 FMJ ammunition in a close-range shooting, instances of CDD have been documented. Empirical evidence reinforcing the causal relationship between CDD and close-range shootings is presented. Elements’ characteristics of firearm residues were also found in remains buried for up to 30 years. Primarily, this work shows that the concentrations of gunshot residues (Pb, Ba, and Sb) resemble those observed in fresh corpses with the same gunshot wound (GSW). Moreover, the correlation observed between CDD and gunshot residues, where the likelihood of CDD increases the closer to the head and the more perpendicular the shot angle is, reinforces CDD as a pivotal discriminatory factor in the skeletal evidence of short-range or contact shot. This research contributes to the field of forensic anthropology by providing fundamental insights into the etiology of CDD and its practical application.

骨骼证据通常是解释损伤模式的唯一信息来源,有助于澄清死亡情况。检查和解释骨骼创伤对于人类学作为法医学的应用和实用性至关重要。在讨论枪伤对骨骼的影响时,必须根据清晰、明显和可观察到的迹象来区分短距离伤害和长距离伤害。为了对这一争论有所贡献,我们的重点是对所谓的周缘分层缺损(CDD)进行外部分析,将其作为头骨中近距离射击(≤30 厘米)和接触性枪伤的可观察替代物。在已知的法外处决事件中,犯罪者使用 9×19 FMJ 短弹进行近距离射击,有 CDD 事件的记录。本文提出了经验证据,以加强 CDD 与近距离射击之间的因果关系。在埋藏长达 30 年的遗骸中也发现了枪支残留物的元素特征。这项工作主要表明,枪支残留物(铅、钡和锑)的浓度与在具有相同枪伤(GSW)的新鲜尸体中观察到的浓度相似。此外,在 CDD 和枪弹残留物之间观察到的相关性表明,越靠近头部和射击角度越垂直,出现 CDD 的可能性就越大。这项研究为 CDD 的病因学及其实际应用提供了基本见解,从而为法医人类学领域做出了贡献。
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引用次数: 0
Sequence variation of commercially available kratom products at universal DNA barcode regions 市售桔梗产品在通用 DNA 条形码区域的序列变异。
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-05-22 DOI: 10.1111/1556-4029.15547
Kari Graham PhD, Cesar Cantu BS, Rachel Houston PhD

Mitragyna speciosa, commonly known as kratom, is a narcotic plant that is used for its unique mood-enhancing and pain-relieving effects. It is marketed throughout the United States as a ‘legal high’ and has gained popularity as an alternative to opioids. However, kratom's increasing involvement in accidental overdoses, especially among polydrug users, has prompted warnings from the Drug Enforcement Agency (DEA) and the Food and Drug Administration (FDA). Despite these warnings, kratom remains legal federally, although it is banned in six states. This legal disparity complicates monitoring and enforcement efforts in states where kratom is illegal. Common forensic techniques using morphology or chemical analysis are beneficial in some instances but are not useful in source attribution because most seized kratom is powdered and the alkaloid content of samples can vary within products, making sourcing unreliable. This study focused on developing a DNA barcoding method to access sequence variation in commercial kratom products. It evaluated the utility of one nuclear barcode region (ITS) and three chloroplast barcode regions (matK, rbcL, and trnH-psbA) in assessing sequence variation across commercially available kratom products. Novel polymorphisms were discovered, and the ITS region showed the greatest variation between samples. Among the 15 kratom products tested, only two haplotypes were identified across the four barcoding regions. The findings highlight the potential of DNA barcoding as a forensic tool in the traceability and enforcement against illegal kratom distribution. Nonetheless, the limited haplotypic diversity points to a need for further development and expansion of the M. speciosa DNA sequence database.

桔梗(Mitragyna speciosa)俗称桔梗,是一种麻醉植物,因其独特的增强情绪和镇痛效果而被使用。它在美国各地被作为 "合法兴奋剂 "销售,并作为阿片类药物的替代品广受欢迎。然而,越来越多的人,尤其是吸食多种毒品的人意外服用过量克拉托姆,这引起了美国缉毒署(DEA)和食品药品管理局(FDA)的警告。尽管有这些警告,但克瑞托姆在联邦仍然是合法的,尽管它在六个州是被禁止的。这种法律上的差异使得在 kratom 非法的各州的监控和执法工作变得更加复杂。使用形态学或化学分析的普通法医技术在某些情况下是有益的,但在确定来源方面并不实用,因为大多数查获的 kratom 都是粉末状的,而且不同产品的样本生物碱含量可能不同,因此来源并不可靠。本研究的重点是开发一种 DNA 条形码方法,以获取商品化 kratom 产品中的序列变异。它评估了一个核条形码区(ITS)和三个叶绿体条形码区(matK、rbcL 和 trnH-psbA)在评估市售桔梗产品序列变异方面的效用。结果发现了新的多态性,而 ITS 区域在不同样品之间的差异最大。在检测的 15 种桔梗产品中,四个条形码区域只发现了两种单倍型。这些发现凸显了 DNA 条形码作为法医工具在追踪和打击非法桔梗销售方面的潜力。然而,有限的单倍型多样性表明有必要进一步开发和扩展 M. speciosa DNA 序列数据库。
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引用次数: 0
Analysis of unknown (unlabeled/mislabeled) drug products for active pharmaceutical ingredients and related substances by an international mail facility satellite laboratory equipped with rapid screening devices 由配备快速筛查设备的国际邮寄设施卫星实验室对未知(无标签/错标)药物产品的活性药物成分和相关物质进行分析。
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-05-15 DOI: 10.1111/1556-4029.15537
Adam Lanzarotta PhD, Sara Kern PhD, JaCinta Batson MS, Melissa Collins PhD, Anvi Patel MS, Muhammad Altaf PhD, Julio Arrecis PhD, Brian Boyd BS, Fernando Gonzalez Illan PhD, Kelsey M. Griffin BS, Gregory Howe BS, Morgan Hudson-Davis BS, Martin Kimani PhD, Donna LaGarde BS, David Laguerre MS, Mark Loh BS, Lisa Lorenz BS, Flavia Morales-Garcia PhD, Megan E. Sterling BS, Allison M. Reimer BS, Michael Thatcher BS, Anthony E. Wetherby Jr. PhD

Two chemists employed a three-device rapid screening “toolkit” consisting of a handheld Raman spectrometer, transportable mass spectrometer, and portable Fourier transform infrared (FT-IR) spectrometer at an international mail facility (IMF) satellite laboratory to examine unknown (unlabeled/mislabeled) products for the presence of active pharmaceutical ingredients (APIs). Phase I of this project previously demonstrated that this toolkit was the most effective collection of instruments for identifying APIs in product types collected at IMFs during a nationwide mail blitz and Phase II of this project previously demonstrated that results generated using the toolkit during a satellite laboratory pilot program were as reliable as those generated by a full-service library when two or more of these instruments identify an API. This study (Phase III) described the results of the satellite laboratory toolkit during production mode and encompassed the period ranging from June 2021 through December 2022. During this study, a total of 858 products were examined on-site at the IMF. The satellite laboratory yielded conclusive results for 726 (84.6%) products, which were used to support regulatory action, and identified 132 (15.4%) products that required additional full-service laboratory analyses due to inconclusive results. The satellite and full-service laboratory verified/confirmed at least one API/related substance in 617 (71.9%) products. A total of 709 APIs/related substances were found in the 617 products, and 202 of these 709 compounds were unique/different. Overall, during Phases I through III of this program, 350 different substances have been identified in products collected at IMFs.

两名化学家在国际邮件设施 (IMF) 卫星实验室使用了由手持式拉曼光谱仪、便携式质谱仪和便携式傅立叶变换红外光谱仪组成的三台设备快速筛查 "工具包",检查未知(无标签/错标)产品是否含有活性药物成分 (API)。该项目的第一阶段曾证明,该工具包是在全国范围内的邮件突击检查中鉴定 IMF 收集的产品类型中的 API 的最有效的仪器集合,而该项目的第二阶段曾证明,在卫星实验室试点计划中使用该工具包生成的结果与全面服务图书馆生成的结果一样可靠,其中两台或更多仪器可鉴定出 API。本研究(第三阶段)描述了卫星实验室工具包在生产模式下的结果,时间跨度为 2021 年 6 月至 2022 年 12 月。在这项研究期间,国际货币基金组织共现场检查了 858 个产品。卫星实验室为 726 种(84.6%)产品得出了结论性结果,这些结果被用于支持监管行动,并确定了 132 种(15.4%)产品,这些产品因结果不确定而需要额外的全方位实验室分析。卫星实验室和全方位服务实验室对 617 种(71.9%)产品中的至少一种原料药/相关物质进行了验证/确认。在这 617 种产品中总共发现了 709 种原料药/相关物质,其中 202 种化合物是独特的/不同的。总体而言,在该计划的第一至第三阶段,在 IMF 收集的产品中发现了 350 种不同的物质。
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引用次数: 0
Death of the suicide law: A changing standard of liability for clinicians 自杀法的死亡:临床医生责任标准的变化。
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-05-13 DOI: 10.1111/1556-4029.15530
Shariful A. Syed MD, Brigham Dixson MBA, JD, Rodrigo Fontenele MD, Spencer Eth MD, Judith Regan MD, MBA, JD

High rates of suicide continue to plague the modern world, with clinicians, researchers, and policymakers working urgently to ameliorate what has been recognized as a worldwide public health crisis. Under American Law, individuals- including health care providers, could generally not be held liable for causing the suicide of another person. This article presents a review of suicide law in the United States in the context of a recent civil case in which a physician with expertise in mental health was sued for the death of an ex-partner who committed suicide in his home. Historical events and landmark legal cases spanning the 15th century to now are examined and presented as a narrative review to inform society and mental health clinicians a-like towards interpreting the changing medical-legal landscape. As modern advances in science continue to discern the critical biopsychosocial factors that contribute to the act of suicide, there is an inevitably growing concern that suicide may no longer be an incomprehensible nor irrational event as has been assumed for centuries. Thus, it may be considered that individual with expertise and qualification to treat a group of individuals at higher risk of suicide (severe mental illness) may be subject to a different standard than the average individual. This article seeks to present a complex matter where no simple or broad-sweeping conclusions can yet be drawn, however remains a critically important matter for mental health clinicians.

高自杀率继续困扰着现代世界,临床医生、研究人员和政策制定者都在紧急致力于改善这一已被公认为世界性公共健康危机的问题。根据美国法律,个人(包括医疗服务提供者)一般不承担导致他人自杀的责任。在最近的一起民事案件中,一名具有精神健康专业知识的医生因其前伴侣在家中自杀身亡而被起诉,本文以这起案件为背景,对美国的自杀法进行了回顾。该书对从 15 世纪至今的历史事件和具有里程碑意义的法律案例进行了研究,并以叙述性回顾的方式向社会和心理健康临床医生提供了解读不断变化的医疗法律环境的信息。随着现代科学的进步,人们不断发现导致自杀行为的关键生物心理社会因素,人们不可避免地越来越担心,自杀可能不再像几个世纪以来人们假定的那样是不可理解或非理性的事件。因此,我们可以认为,在治疗自杀风险较高的人群(严重精神病患者)时,具有专业知识和资格的个人可能需要遵守与普通人不同的标准。本文试图阐述一个复杂的问题,在这个问题上还不能得出简单或一概而论的结论,但对于心理健康临床医生来说,这仍然是一个极其重要的问题。
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引用次数: 0
The influence of rehydration on decomposition in the Highveld region of South Africa—Using a pig model 南非高地地区补水对分解的影响--以猪为模型。
IF 1.5 4区 医学 Q2 MEDICINE, LEGAL Pub Date : 2024-05-12 DOI: 10.1111/1556-4029.15540
Claire Lynne du Toit MSc, Jolandie Myburgh PhD, Desiré Brits PhD

Researchers have observed that rainfall may re-initiate decomposition in desiccated tissue; however, no conclusive research-based evidence exists on the specific effects of rehydration on decomposition. Therefore, this study aimed to assess the effects of artificial rehydration on the progression of decomposition following the advanced stage of decomposition. Twelve adult pig cadavers (8 experimental; 4 controls) were placed in the central Highveld of South Africa during cooler (April–July 2021) and warmer (August–November 2021) months. Decomposition was scored approximately biweekly to obtain the total body score, and accumulated degree days (ADD) were calculated for each pig. All pig cadavers were covered by chicken wire cages with transparent tarps to control for natural rehydration and scavenging. Once the experimental pig cadavers reached a three-visit stasis in the advanced phase of decomposition, they were artificially rehydrated, and changes in the progression of decomposition between the control and experimental groups were plotted (ADD against TBS) for observation. The rehydrated experimental pig cadavers showed re-initiation of decay and insect re-colonization, while the control cadavers mainly remained in a state of stasis with insect activity ceased altogether. Greater cadaver decomposition islands and a color change post-rehydration were also noted in some experimental cadavers. This supports the need for future research on the impact of rehydration, including associated soil moisture on decomposition rates, progression, and invertebrate colonization, which will enhance our understanding of the effects these environmental factors have on the accuracy of post-mortem interval estimation.

研究人员发现,降雨可能会重新引发干燥组织的分解;但是,关于补水对分解的具体影响,目前还没有确凿的研究证据。因此,本研究旨在评估人工补水对腐烂晚期后腐烂进展的影响。在较冷的月份(2021 年 4 月至 7 月)和较热的月份(2021 年 8 月至 11 月),将 12 头成年猪尸体(8 头实验组;4 头对照组)放置在南非中部高地。大约每两周对尸体分解情况进行一次评分,以获得尸体总分,并计算出每头猪的累积度日(ADD)。所有猪尸体都被鸡笼和透明油布覆盖,以控制自然补水和清扫。当实验组猪尸体在腐烂晚期达到三访停滞期时,对其进行人工补水,并绘制对照组和实验组之间的腐烂进展变化图(ADD 与 TBS 的对比图)以供观察。经过补水的实验组猪尸体出现了重新开始腐烂和昆虫重新定殖的现象,而对照组尸体则主要处于停滞状态,昆虫活动完全停止。在一些实验尸体上还发现了更大的尸体腐烂岛和补水后的颜色变化。这说明今后有必要研究补水的影响,包括相关土壤湿度对腐烂速度、进展和无脊椎动物定殖的影响,这将加深我们对这些环境因素对尸体间隔估计准确性的影响的理解。
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Journal of forensic sciences
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