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[Analysis of injury mechanism of vertical compression ankle fracture: Two case reports]. [垂直压迫性踝关节骨折损伤机制分析:附2例报告]。
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2021.211005
晴 夏, 捷 敏 陈
吴某,男,41岁,某年8月8日因“被人打伤致右踝关节及全身多处疼痛伴活动受限半天”入院。右踝部CT片示:右后踝骨折,右下胫腓联合损伤?临床诊断为右后踝骨折,右下胫腓骨联合损伤。入院后建议手术治疗,吴某拒绝,故暂予以患肢支具外固定及对症治疗等保守治疗。出院时情况:右踝部肿胀明显减轻。出院医嘱:建议继续治疗,支具外固定4~6周,伤后3个月内严禁患肢下地活动等。原鉴定机构根据四肢长骨骨折评定为轻伤二级。现因办案需要,公安机关委托本鉴定机构对吴某右踝关节骨折的成伤机制及损伤程度进行法医学鉴定。.
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引用次数: 0
Detection and Analysis of Blood Dexmedetomidine in Drug-Facilitated Cases. 药物依赖性病例血中右美托咪定的检测与分析。
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2022.320306
Wen-Ya Zhai, Li-Na Wu, Shuo Yang, Bao-Hua Shen, Yan Shi

Objectives: To establish a simple and rapid qualitative and quantitative detection method of dexmedetomidine in blood.

Methods: Blood was separated on the Allure PFP Propyl liquid chromatography column with isocratic elution after it was precipitated by acetonitrile and filtered. Qualitative and quantitative analysis of dexmedetomidine was performed using positive ion scan mode and multi-reaction monitoring mode.

Results: The limit of detection of dexmedetomidine in blood was 0.2 ng/mL and the limit of quantification was 0.5 ng/mL. The linearity of the method was good in the range of 0.5-1 000 ng/mL, and the correlation coefficient was greater than 0.99. The accuracy of the method was 90.34%-112.67% and the extraction recovery was 50.05%-91.08%, with no significant matrix effect.

Conclusions: This method is simple, selective and suitable for the qualitative and quantitative analysis of dexmedetomidine in blood, which can provide a reference for drug-facilitated cases involving dexmedetomidine.

目的:建立一种简便、快速的血液中右美托咪定的定性、定量检测方法。方法:血液经乙腈沉淀过滤后,在Allure PFP丙基液相色谱柱上等压洗脱分离。采用正离子扫描模式和多反应监测模式对右美托咪定进行定性和定量分析。结果:血液中右美托咪定的检出限为0.2 ng/mL,定量限为0.5 ng/mL。该方法在0.5 ~ 1000 ng/mL范围内线性良好,相关系数大于0.99。方法精密度为90.34% ~ 112.67%,提取回收率为50.05% ~ 91.08%,无显著基质效应。结论:该方法简便、选择性好,适用于血液中右美托咪定的定性和定量分析,可为涉及右美托咪定的药物依赖型病例提供参考。
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引用次数: 0
[Polymorphism and mutation investigation of 37 Y-STR loci in Shandong Han population]. 山东汉族人群37个Y-STR基因座多态性及突变调查
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2022.520903
科 建 郭, 磊 黄, 士 林 李, 才 湧 殷, 真 汤
Y染色体具有男性特有、父系遗传的特点,相比常染色体遗传标记有其独特的优点。Y-STR具有非重组、单倍型父系遗传的特征,近年被广泛应用于家系排查、混合斑男性成分检测检验中,已成为公安机关侦破案件的重要手段之一[ 1]。Y染色体分为拟常染色体区和非重组区,拟常染色区常与X染色体发生重组,非重组区不发生重组,法医Y-STR基因座的挑选多分布于非重组区,呈单倍型遗传,且多含有重复序列,在遗传过程中,极易发生突变,突变率约为4×10-3[ 1- 3]。本研究通过采集山东省16个地级市1 490个家系祖孙三代人的样本,进行遗传多态性和突变率分析,以发现家系内部的遗传突变规律,为山东省Y-STR数据的应用比对和国产试剂盒的研发提供遗传学基础数据。.
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引用次数: 0
[Death caused by high-dose difenidol hydrochloride combined with ethanol and potassium chloride poisoning: A case report]. 【大剂量盐酸异丙酚联合乙醇、氯化钾中毒致死亡1例报告】。
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2022.420604
日 红 高, 新 宙 王, 冰 王, 立 新 郑
陈某,男,27岁,因工作、感情、生活等压力厌世。某日陈某独自骑摩托车旅行,于3月15日入住某民宿,并先后于实体药店和网上平台购买药物。3月22日民宿到期,房东联系不上陈某,敲门不应,遂报警。民警上门查探时发现房门为反锁状态,强行破门后发现陈某已死亡。为明确死亡原因,对其进行法医学鉴定。.
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引用次数: 0
[Identification of testicular atrophy caused by perineal trauma: A case report]. 会阴创伤致睾丸萎缩的鉴定1例
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2022.220214
安 全 马, 晓 晨 马, 俊 杰 方
王某,男,42岁,某年1月2日,因“被他人用刀刺伤右侧阴囊部”入院。出院后感觉双侧睾丸不等大,经医院多次检查后确认右侧睾丸较左侧偏小,怀疑与被刀刺伤有关,故对其损伤程度进行法医学鉴定。.
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引用次数: 0
Process of Forensic Medicine in DNA Identification of Aged Human Remains. 老年人类遗骸DNA鉴定的法医学过程。
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2021.511209
Lu Chen, Zhe Zhou, Sheng-Qi Wang

Skeleton and teeth are important biological samples. Due to their special structure and strong ability to resist degradation, they are ideal biological materials to retain DNA under natural condition. In many cases, such as historical figure identification, aged skeleton and teeth are usually the only biological samples. However, their DNA is in a state of trace, damage and degradation to different degrees, which requires special experimental treatment to achieve identification. This paper reviews the sample selection, DNA extraction, DNA enrichment and analysis approaches based on relevant research reports in recent years, aiming to promote the further development and improvement of the aged skeleton and teeth identification system.

骨骼和牙齿是重要的生物样本。由于其特殊的结构和较强的抗降解能力,是自然条件下保留DNA的理想生物材料。在许多情况下,例如历史人物鉴定,年老的骨骼和牙齿通常是唯一的生物样本。但它们的DNA都处于不同程度的微量、损伤和降解状态,需要特殊的实验处理才能实现鉴定。本文结合近年来的相关研究报道,对老年骨骼和牙齿鉴定系统的样本选择、DNA提取、DNA富集和分析方法进行了综述,旨在促进老年骨骼和牙齿鉴定系统的进一步发展和完善。
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引用次数: 0
[Dead hair detected from Gelsemium elegans poisoning: A case report]. 秀丽隐杆线虫中毒检出死毛1例。
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2022.420903
建 波 陈, 影 郭, 再 勇 陈, 人 辉 鲍, 繁 荣 孔
王某,女,74岁,某年9月16日,购买中草药“红木香”熬成汤药后与其丈夫陈某一起服用。约10 min后王某出现头晕、昏迷,经送医院治疗后一直处于植物生存状态,直至次年5月13日死亡。陈某在送院途中发生抽搐,经治疗后好转并出院。.
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引用次数: 0
Construction of an Analysis Model of mRNA Markers in Menstrual Blood Based on Naïve Bayes and Multivariate Logistic Regression Methods. 基于Naïve贝叶斯和多元Logistic回归方法的经血mRNA标记物分析模型构建
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2021.511207
Qi Zhang, He-Miao Zhao, Kang Yang, Jing Chen, Rui-Qin Yang, Chong Wang

Objectives: To establish the menstrual blood identification model based on Naïve Bayes and multivariate logistic regression methods by using specific mRNA markers in menstrual blood detection technology combined with statistical methods, and to quantitatively distinguish menstrual blood from other body fluids.

Methods: Body fluids including 86 menstrual blood, 48 peripheral blood, 48 vaginal secretions, 24 semen and 24 saliva samples were collected. RNA of the samples was extracted and cDNA was obtained by reverse transcription. Five menstrual blood-specific markers including members of the matrix metalloproteinase (MMP) family MMP3, MMP7, MMP11, progestogens associated endometrial protein (PAEP) and stanniocalcin-1 (STC1) were amplified and analyzed by electrophoresis. The results were analyzed by Naïve Bayes and multivariate logistic regression.

Results: The accuracy of the classification model constructed was 88.37% by Naïve Bayes and 91.86% by multivariate logistic regression. In non-menstrual blood samples, the distinguishing accuracy of peripheral blood, saliva and semen was generally higher than 90%, while the distinguishing accuracy of vaginal secretions was lower, which were 16.67% and 33.33%, respectively.

Conclusions: The mRNA detection technology combined with statistical methods can be used to establish a classification and discrimination model for menstrual blood, which can distignuish the menstrual blood and other body fluids, and quantitative description of analysis results, which has a certain application value in body fluid stain identification.

目的:利用经血检测技术中特异性mRNA标记结合统计学方法,建立基于Naïve贝叶斯和多元logistic回归方法的经血鉴定模型,定量区分经血与其他体液。方法:采集患者体液样本,包括经血86份、外周血48份、阴道分泌物48份、精液24份、唾液24份。提取样本RNA,反转录获得cDNA。对基质金属蛋白酶(MMP)家族成员MMP3、MMP7、MMP11、孕激素相关子宫内膜蛋白(PAEP)和斯坦钙素-1 (STC1) 5种经血特异性标志物进行扩增和电泳分析。采用Naïve贝叶斯和多元逻辑回归对结果进行分析。结果:Naïve贝叶斯法构建的分类模型准确率为88.37%,多元逻辑回归法构建的分类模型准确率为91.86%。在非经期血液样本中,外周血、唾液和精液的鉴别准确率普遍高于90%,阴道分泌物的鉴别准确率较低,分别为16.67%和33.33%。结论:利用mRNA检测技术与统计学方法相结合,可建立经血分类鉴别模型,能够区分经血与其他体液,并对分析结果进行定量描述,在体液染色鉴定中具有一定的应用价值。
{"title":"Construction of an Analysis Model of mRNA Markers in Menstrual Blood Based on Naïve Bayes and Multivariate Logistic Regression Methods.","authors":"Qi Zhang, He-Miao Zhao, Kang Yang, Jing Chen, Rui-Qin Yang, Chong Wang","doi":"10.12116/j.issn.1004-5619.2021.511207","DOIUrl":"10.12116/j.issn.1004-5619.2021.511207","url":null,"abstract":"<p><strong>Objectives: </strong>To establish the menstrual blood identification model based on Naïve Bayes and multivariate logistic regression methods by using specific mRNA markers in menstrual blood detection technology combined with statistical methods, and to quantitatively distinguish menstrual blood from other body fluids.</p><p><strong>Methods: </strong>Body fluids including 86 menstrual blood, 48 peripheral blood, 48 vaginal secretions, 24 semen and 24 saliva samples were collected. RNA of the samples was extracted and cDNA was obtained by reverse transcription. Five menstrual blood-specific markers including members of the matrix metalloproteinase (MMP) family MMP3, MMP7, MMP11, progestogens associated endometrial protein (PAEP) and stanniocalcin-1 (STC1) were amplified and analyzed by electrophoresis. The results were analyzed by Naïve Bayes and multivariate logistic regression.</p><p><strong>Results: </strong>The accuracy of the classification model constructed was 88.37% by Naïve Bayes and 91.86% by multivariate logistic regression. In non-menstrual blood samples, the distinguishing accuracy of peripheral blood, saliva and semen was generally higher than 90%, while the distinguishing accuracy of vaginal secretions was lower, which were 16.67% and 33.33%, respectively.</p><p><strong>Conclusions: </strong>The mRNA detection technology combined with statistical methods can be used to establish a classification and discrimination model for menstrual blood, which can distignuish the menstrual blood and other body fluids, and quantitative description of analysis results, which has a certain application value in body fluid stain identification.</p>","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"39 5","pages":"447-451"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138434228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Disseminated mucormycosis leading to death: A case report]. 播散性毛霉病致死亡1例
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2020.401005
钳 钳 马, 云 张, 丽 娜 秦
某男,68岁,于某年9月11日因“上腹疼痛1周”入住某医院治疗。10月30日行“胆囊切除+胆总管切开胆道镜探查+T管引流术”,当天下午开始出现血压低,转重症监护室继续治疗。该男病情仍持续恶化,逐渐出现少尿、神志昏迷症状。血常规检查提示红细胞、血红蛋白及血小板持续减少。11月13日20:55突然出现心率减慢,血压下降,经抢救无效,于当日22:45宣告临床死亡。医院死亡诊断:急性上消化道大出血,失血性休克;多器官功能障碍综合征;胆源性胰腺炎;胆总管多发结石并急性单纯性胆管炎;胆囊多发结石并胆囊炎;肝脓肿;脑梗死后遗症;陈旧性脑干梗死;血管性痴呆;帕金森综合征;高血压2级;2型糖尿病;慢性胃炎。.
{"title":"[Disseminated mucormycosis leading to death: A case report].","authors":"钳 钳 马, 云 张, 丽 娜 秦","doi":"10.12116/j.issn.1004-5619.2020.401005","DOIUrl":"10.12116/j.issn.1004-5619.2020.401005","url":null,"abstract":"某男,68岁,于某年9月11日因“上腹疼痛1周”入住某医院治疗。10月30日行“胆囊切除+胆总管切开胆道镜探查+T管引流术”,当天下午开始出现血压低,转重症监护室继续治疗。该男病情仍持续恶化,逐渐出现少尿、神志昏迷症状。血常规检查提示红细胞、血红蛋白及血小板持续减少。11月13日20:55突然出现心率减慢,血压下降,经抢救无效,于当日22:45宣告临床死亡。医院死亡诊断:急性上消化道大出血,失血性休克;多器官功能障碍综合征;胆源性胰腺炎;胆总管多发结石并急性单纯性胆管炎;胆囊多发结石并胆囊炎;肝脓肿;脑梗死后遗症;陈旧性脑干梗死;血管性痴呆;帕金森综合征;高血压2级;2型糖尿病;慢性胃炎。.","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"39 5","pages":"507-509"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138434221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screening of Genes Co-Associated with Sudden Infant Death Syndrome and Infectious Sudden Death in Infancy and Bioinformatics Analysis of Their Regulatory Networks. 婴儿猝死综合征和感染性猝死相关基因的筛选及其调控网络的生物信息学分析。
Pub Date : 2023-10-25 DOI: 10.12116/j.issn.1004-5619.2022.420803
Yu-Xin Sun, Xiao-Juan Gong, Xiu-Li Hao, Yu-Xin Tian, Yi-Ming Chen, Bao Zhang, Chun-Xia Yan

Objectives: The common differentially expressed mRNAs in brain, heart and liver tissues of deceased sudden infant death syndrome (SIDS) and infectious sudden death in infancy (ISDI) confirmed by autopsy was screened by bioinformatics to explore the common molecular markers and pathogenesis of SIDS and ISDI.

Methods: The datasets of GSE70422 and GSE136992 were downloaded, the limma of R software was used to screen differentially expressed mRNA in different tissue samples of SIDS and ISDI decedents for overlapping analysis. The clusterProfiler of R software was used to conduct gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis. The protein-protein interaction (PPI) network was constructed by STRING database, while the hub gene was screened by cytoHubba plug-in.

Results: Compared with the control group, there were 19 significant differentially expressed genes in the tissue samples of SIDS and ISDI decedents, among which 16 in the heart tissue and 3 in the liver tissue, and the astrotactin 1 (ASTN1) gene expression difference in the heart tissue was most significant. The PPI network identified Ras homolog family member A (RHOA), integrin subunit alpha 1 (ITGA1), and H2B clustered histone 5 (H2BC5) were hub genes. The analysis of GO and KEGG showed that differentially expressed genes were enriched in the molecular pathways of actin cytoskeleton regulation, focal adhesion and response to mycophenolic acid.

Conclusions: ASTN1, RHOA and ITGA1 may participate in the development of SIDS and ISDI. The enrichment of differentially expressed genes in immune and inflammatory pathways suggests a common molecular regulatory mechanism between SIDS and ISDI. These findings are expected to provide new biomarkers for molecular anatomy and forensic identification of SIDS and ISDI.

目的:采用生物信息学方法筛选经尸检证实的已故婴儿猝死综合征(SIDS)和感染性婴儿猝死(ISDI)患者脑、心、肝组织中常见的差异表达mrna,探讨SIDS和ISDI的共同分子标志物及其发病机制。方法:下载GSE70422和GSE136992数据集,利用R软件limma筛选SIDS和ISDI患者不同组织样本中差异表达的mRNA进行重叠分析。利用R软件的clusterProfiler进行基因本体(GO)和京都基因与基因组百科全书(KEGG)富集分析。利用STRING数据库构建蛋白-蛋白相互作用(PPI)网络,利用cytoHubba插件筛选枢纽基因。结果:与对照组相比,SIDS和ISDI患者组织样本中有19个显著差异表达基因,其中心脏组织有16个,肝脏组织有3个,其中星形天调素1 (ASTN1)基因在心脏组织中的表达差异最为显著。PPI网络鉴定Ras同源家族成员A (RHOA)、整合素亚基α 1 (ITGA1)和H2B聚集组蛋白5 (H2BC5)为枢纽基因。GO和KEGG分析表明,在肌动蛋白细胞骨架调控、局灶黏附和对霉酚酸反应的分子通路中,差异表达基因富集。结论:ASTN1、RHOA和ITGA1可能参与了SIDS和ISDI的发生发展。免疫和炎症通路中差异表达基因的富集表明SIDS和ISDI之间存在共同的分子调控机制。这些发现有望为SIDS和ISDI的分子解剖和法医鉴定提供新的生物标志物。
{"title":"Screening of Genes Co-Associated with Sudden Infant Death Syndrome and Infectious Sudden Death in Infancy and Bioinformatics Analysis of Their Regulatory Networks.","authors":"Yu-Xin Sun, Xiao-Juan Gong, Xiu-Li Hao, Yu-Xin Tian, Yi-Ming Chen, Bao Zhang, Chun-Xia Yan","doi":"10.12116/j.issn.1004-5619.2022.420803","DOIUrl":"10.12116/j.issn.1004-5619.2022.420803","url":null,"abstract":"<p><strong>Objectives: </strong>The common differentially expressed mRNAs in brain, heart and liver tissues of deceased sudden infant death syndrome (SIDS) and infectious sudden death in infancy (ISDI) confirmed by autopsy was screened by bioinformatics to explore the common molecular markers and pathogenesis of SIDS and ISDI.</p><p><strong>Methods: </strong>The datasets of GSE70422 and GSE136992 were downloaded, the limma of R software was used to screen differentially expressed mRNA in different tissue samples of SIDS and ISDI decedents for overlapping analysis. The clusterProfiler of R software was used to conduct gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis. The protein-protein interaction (PPI) network was constructed by STRING database, while the hub gene was screened by cytoHubba plug-in.</p><p><strong>Results: </strong>Compared with the control group, there were 19 significant differentially expressed genes in the tissue samples of SIDS and ISDI decedents, among which 16 in the heart tissue and 3 in the liver tissue, and the astrotactin 1 (<i>ASTN1</i>) gene expression difference in the heart tissue was most significant. The PPI network identified Ras homolog family member A (<i>RHOA</i>), integrin subunit alpha 1 (<i>ITGA1</i>), and H2B clustered histone 5 (<i>H2BC5</i>) were hub genes. The analysis of GO and KEGG showed that differentially expressed genes were enriched in the molecular pathways of actin cytoskeleton regulation, focal adhesion and response to mycophenolic acid.</p><p><strong>Conclusions: </strong><i>ASTN1</i>, <i>RHOA</i> and <i>ITGA1</i> may participate in the development of SIDS and ISDI. The enrichment of differentially expressed genes in immune and inflammatory pathways suggests a common molecular regulatory mechanism between SIDS and ISDI. These findings are expected to provide new biomarkers for molecular anatomy and forensic identification of SIDS and ISDI.</p>","PeriodicalId":15899,"journal":{"name":"Journal of Forensic Medicine","volume":"39 5","pages":"433-440"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138434249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Forensic Medicine
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