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Muerte por sangrado umbilical en el adulto 成人脐带出血死亡
Q3 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.reml.2023.04.004
Mercè Subirana-Domènech, Helena Martínez-Alcázar
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引用次数: 0
Evaluación métrica de caninos permanentes para la estimación sexual en la Colección “Prof. Dr. Rómulo Lambre”, Buenos Aires, Argentina 阿根廷布宜诺斯艾利斯“Romulo Lambre博士教授”系列中永久犬科动物性估计的指标评估
Q3 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.reml.2022.12.002
Gonzalo Garizoain , Claudia Aranda , Leandro Luna

Introduction

Sex estimation is a fundamental aspect of forensic work as a mandatory step for the identification of human remains of unknown origin. The methodological analysis of the dentition as a sexual estimator is important due to its high degree of preservation. Considering the need for specific information regarding the potential of dentition for sex estimation in forensic cases from Argentina, the aim of this study is to evaluate the proposal previously developed by Luna (2019) in a local sample of human skeletal remains.

Materials and methods

A sample of 152 permanent canines belonging to 98 individuals of both sexes was selected- The individuals belong to the Prof. Dr. Rómulo Lambre osteological collection (La Plata, Argentina). Luna's proposal (2019) was applied to estimate sex from canine crown and neck metrics, which considers direct measurements and different types of discriminant functions and logistic regressions.

Results

Only the cervical mesiodistal diameter showed acceptable results (> 75%) for sex estimation. Moreover, discriminant function 1 showed a posteriori probabilities of correct classifications greater than 0.75 and logistic regressions 1 and 3 offered acceptable overall results.

Conclusions

This proposal based on the metric recording of permanent canines constitutes an adequate methodological alternative in situations in which the diagnostic bone elements of sex are deteriorated or absent.

性别估计是法医工作的一个基本方面,是鉴定来历不明的人类遗骸的必要步骤。牙列的方法分析作为性别估计是重要的,因为它的高度保存。考虑到在阿根廷的法医案件中需要关于牙列在性别估计方面的潜力的具体信息,本研究的目的是评估Luna(2019)先前在当地人类骨骼遗骸样本中提出的建议。材料和方法选择了152只永久犬的样本,分别属于98只雌雄个体,这些个体属于Rómulo Lambre教授博士的骨骼收藏(阿根廷拉普拉塔)。Luna的提议(2019)被应用于从犬冠和颈部指标估计性别,该指标考虑了直接测量和不同类型的判别函数和逻辑回归。结果只有颈近端径显示可接受的结果(>75%)用于性别估计。此外,判别函数1显示正确分类的后验概率大于0.75,逻辑回归1和3提供了可接受的总体结果。结论:该建议基于永久性犬的度量记录,在性别诊断骨元素恶化或缺失的情况下,构成了一个适当的方法选择。
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引用次数: 0
Víctimas de trata de seres humanos: una realidad emergente en medicina forense 人口贩运受害者:法医学的一个新兴现实
Q3 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.reml.2023.10.004
Elena Cano , Anna Mateu , Antonia Bertomeu , Alexandre Xifró
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引用次数: 0
Perfil epidemiológico de los ingresos involuntarios en el Servicio de Psiquiatría del Hospital Universitario de Gran Canaria Doctor Negrín 大加那利大学医院精神科非自愿收入流行病学概况内格林博士
Q3 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.reml.2023.04.001
Naomi Fernández Hernández, Marina Martínez Grimal, Claudio Cabrera Velázquez, Raquel Rodríguez Medina, Almudena Sánchez Villegas, José Luís Hernández Fleta

Introduction

Involuntary admissions due to mental disorders occur with relative regularity in hospital admission units in our country. This work will study the socio-demographic and clinical characteristics found in relation to this type of patients, in order to have more information, both clinical and legal, with which to work and perform a better function, administration of resources and development of necessary skills in these situations.

Material and methods

Retrospective descriptive observational study, in which different variables will be analyzed, previously selected, present in the population of psychiatric patients involuntarily admitted to the Doctor Negrín Hospital in a period of 2 years, 2019 and 2020, thus determining, the degree of prevalence of each of them.

Results

Among the variables most associated with involuntary admission are, being a man, in the fourth decade of life, single, without children, or employment, with a diagnosis of major psychotic or affective disorder who has most likely abandoned treatment.

Discussion

It would be advisable to carry out a special follow-up of patients who meet the profile described above in order to minimize involuntary occurrence. It is necessary to develop educational, follow-up and adherence programs within the reach of the population of psychiatric patients in order to minimize the need for involuntary admissions in our environment.

前言:在我国住院单位中,因精神障碍而非自愿住院的发生较为普遍。这项工作将研究与这类患者有关的社会人口和临床特征,以便获得更多的临床和法律信息,以便在这些情况下工作和更好地发挥作用,管理资源和发展必要的技能。材料和方法回顾性描述性观察性研究,其中将分析先前选择的不同变量,这些变量存在于2019年和2020年医生Negrín医院2年期间非自愿入院的精神病患者人群中,从而确定每种患者的患病率。结果与非自愿入院最相关的变量包括:男性,40岁,单身,无子女,无工作,诊断为严重精神病或情感障碍,最有可能放弃治疗。建议对符合上述特征的患者进行特殊随访,以尽量减少非自愿发生。有必要在精神病患者群体范围内制定教育、随访和依从性计划,以尽量减少我们环境中对非自愿入院的需求。
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引用次数: 0
Análisis de 27 marcadores STR del cromosoma Y en poblaciones de la selva del Perú 秘鲁丛林种群中27个STR Y染色体标记的分析
Q3 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.reml.2022.10.001
Carlos David Neyra-Rivera , Cristian Saul Robles Mamani , Edgardo Delgado Ramos , Margarita Rosa Eugenia Velasquez Reinoso , Bruce Budowle

Y-chromosome-specific short tandem repeat (Y-STR) markers reside on the non-recombinant portion of the Y chromosome, their inheritance is paternal, they are not detectable in female DNA. These properties make Y-STRs a useful tool in forensic investigations such as sexual assault, parenting, and other violent crimes; likewise they are also useful in genealogical and evolutionary studies. The objective of the research is to expand the scientific evidence of the distribution by region or country of the Y sex chromosome haplotypes. Similar studies in Peruvian populations are scarce due to the smaller number of Y-STR polymorphisms frequently used in Forensic and Population Genetics.

Material and method: In the investigation, 141 DNA samples from the jungle of Peru were analyzed, of which comprised of 104 samples from Iquitos region (Loreto), 29 samples from Awajun (Amazonas) and 8 samples from Tambopata (Madre de Dios). The samples were processed using direct PCR with the Yfiler™ Plus PCR Amplification kit for 27 STRs, the amplified products were analyzed by capillary electrophoresis on the Applied Biosystem™ 3500XL Genetic Analyzer, and the data obtained was imported into the GeneMapper® ID-X v1.5 software to generate the genetic profiles. With the results obtained, the statistical analysis and the population structure were carried out.

Results: Of the 141 samples, 106 unique haplotypes were observed. Gene diversities for each Y-STR marker ranged from 0.317 to 0.919. The haplotype diversity for the total sample was 0.9906. This study supports that the Y-STR haplotypes in this population are highly polymorphic in the analyzed population and, therefore, are very useful in forensic studies of human identification, as well as in population genetics when investigating groups or individuals from Latin America.

Y染色体特异性短串联重复序列(Y- str)标记存在于Y染色体的非重组部分,其遗传是父系的,在女性DNA中检测不到。这些特性使y - str在性侵犯、育儿和其他暴力犯罪等法医调查中成为有用的工具;同样,它们在家谱和进化研究中也很有用。该研究的目的是扩大Y性染色体单倍型按地区或国家分布的科学证据。由于法医和群体遗传学中经常使用的Y-STR多态性数量较少,秘鲁人群的类似研究很少。材料与方法:对来自秘鲁丛林的141份DNA样本进行了分析,其中104份来自伊基托斯地区(洛雷托),29份来自Awajun地区(亚马逊),8份来自Tambopata地区(马德雷·德迪奥斯)。使用Yfiler™Plus PCR扩增试剂盒对27个str进行直接PCR处理,扩增产物在Applied Biosystem™3500XL遗传分析仪上进行毛细管电泳分析,获得的数据导入GeneMapper®ID-X v1.5软件生成遗传谱。根据所得结果,进行了统计分析和种群结构分析。结果:在141份样本中,观察到106种独特的单倍型。各Y-STR标记的基因多样性范围为0.317 ~ 0.919。总样本的单倍型多样性为0.9906。该研究支持该种群的Y-STR单倍型在分析的种群中具有高度多态性,因此在人类鉴定的法医研究以及在调查拉丁美洲群体或个体时的种群遗传学研究中非常有用。
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引用次数: 1
Valoración de las lesiones físicas en 702 casos de violencia sexual en la provincia de Alicante (2016-2020) 阿利坎特省702例性暴力案件(2016-2020年)人身伤害评估
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.reml.2023.04.003
Clara Vega-Vega , Esperanza Navarro-Escayola , Rafael Bañón-González

Introduction

The aim of this paper is to analyze the characteristics of the victims and the circumstances of sexual violence related with the risk of physical lesions, as well as to determine the frequency and severity of the injuries.

Material and methods

Descriptive study of 702 cases of sexual assault attended at the Institute of Legal Medicine and Forensic Sciences of Alicante between the years 2016–2020. A comparative study was carried out between victims with and without injuries, to identify the variables associated to their presentation.

Results

314 victims attended showed physical injuries (44,8%). Profile of the victims with injuries were women (95.5%), aged 18 to 27 years (31.3%), and previous alcohol consumption (50%). Injuries physical were mainly extragenital (38.6%), anogenital (15%), or both, and most cases were mild in severity (97.5%). Recovery was less to one week (83.4%) and without aftermath (97.1%). When the victim showed aftermath (9 cases), the most frequent were psychological type (1.6%).

Conclusions

Physical injuries in sexual violence is related with circumstances of victim vulnerability: women, age between 18 to 27 years, and previous alcohol consumption.

Our study shows that anogenital lesions are absent in a significative number of victims of sexual assault, so this absence cannot exclude sexual violence. The lesions found are mild in severity, and the absence of physical aftermath in most of the victims may be conditioned by the scarce follow-up of them.

引言本文的目的是分析受害者的特征和与身体损伤风险相关的性暴力情况,并确定损伤的频率和严重程度。材料和方法2016年至2020年间,阿利坎特法律医学和法医科学研究所对702起性侵案件进行了描述性研究。对受伤和未受伤的受害者进行了比较研究,以确定与他们的表现相关的变量。结果314名受害者出现身体伤害(44.8%)。受伤受害者为女性(95.5%),年龄在18至27岁之间 年龄(31.3%)和以前饮酒(50%)。身体伤害主要是生殖器外(38.6%)、肛门外(15%)或两者兼有,大多数情况下严重程度较轻(97.5%)。恢复时间不到一周(83.4%),没有后遗症(97.1%)。当受害者表现出后遗症时(9例),最常见的是心理类型(1.6%)。结论性暴力中的身体伤害与受害者的脆弱性有关:女性,年龄在18至27岁之间 年,以及以前的饮酒情况。我们的研究表明,在相当多的性侵受害者中,肛门生殖器病变是缺失的,因此这种缺失不能排除性暴力。发现的病变严重程度较轻,大多数受害者没有身体后遗症,这可能是因为他们很少进行随访。
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引用次数: 0
Hacia un cambio de paradigma en la atención psicológica en grandes emergencias: de incidentes con múltiples víctimas a incidentes con múltiples afectados 重大紧急情况下心理护理的范式转变:从多受害者事件到多受影响事件
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.reml.2023.07.001
Andrés Cuartero, A. Pérez-González
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引用次数: 0
Eficacia de 3 métodos de extracción de ADN a partir de restos óseos obtenidos de 3 contextos tafonómicos 从三种埋葬环境中获得的骨遗骸中提取dna的三种方法的有效性
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.reml.2022.11.004
Lucero I. Portuguéz Ramírez , Dan E. Vivas-Ruiz , Roberto C. Parra Chinchilla , Nelson O. Rivera Fernández

Introduction

The extraction techniques of deoxyribonucleic acid (DNA) from old bone samples are based on the use of complex methodologies, which deal with the degradation of the sample, the low amount of DNA and the presence of inhibitors that can be extracted simultaneously.

Objective

To compare the efficiency in obtaining DNA from the methods: organic extraction, commercial kit and previous total demineralization, to obtain STR profiles of old bone samples from three taphonomic processes (alkaline, acid and moist mitotic).

Materials and methods

29 skeletal remains from three different taphonomic contexts were processed: acidic, alkaline and wet-fungal. The amount of DNA obtained from three methodologies was evaluated in a comparative manner: organic extraction method (phenol-chloroform-isoamyl alcohol) (SO), extraction by silica column KIT QIAamp® DNA Investigator of QIAgen® (KC) and the methodology of extraction by previous total demineralization (DP). Finally, the obtaining of the STR profiles from the methodology of greater performance was tested.

Results

The following quantification values were obtained: i) alkaline medium: 0.068 ± 0.07 ng/μL (SO), 0.021 ± 0.01ng/μL (KC) y 0.073 ± 0.052 ng/μL (DP); ii) acidic medium: 0.098 ± 0.064 ng/μL (SO), 0.041 ± 0.029 ng/μL (KC) y 0.068 ± 0.042 ng/μL; iii) Wet-mitotic medium: 0.25 ± 0.061 ng/μL (SO), 0.04 ± 0.027 ng/μL (KC) y 0.15 ± 0.072 ng/μL (DP). Likewise, using the DNA samples obtained by the SO method, complete profiles were obtained for the wet taphonomic context while the alkaline taphonomic process proved to be the most drastic for DNA degradation, presenting a greater number of incomplete profiles.

Conclusions

The methodology of organic extraction was optimal in obtaining DNA from the three taphonomic processes evaluated. On the other hand, the wet-fungal taphonomic process is the one that produces the least negative impact on the preservation of DNA from skeletal remains.

从旧骨样品中提取脱氧核糖核酸(DNA)的技术是基于复杂方法的使用,这些方法涉及样品的降解,DNA的低量以及可以同时提取的抑制剂的存在。目的比较有机提取法、商品化试剂盒提取法和既往全脱矿法提取老骨标本碱法、酸法和湿法三种分离方法的DNA提取效率。材料和方法研究人员对来自三种不同环境的29具骨骼遗骸进行了处理:酸性、碱性和湿真菌。通过比较三种方法获得的DNA量进行评估:有机提取法(苯酚-氯仿-异戊醇)(SO)、QIAgen®公司的KIT QIAamp®DNA研究者(KC)硅胶柱提取和先前总脱矿法(DP)提取。最后,测试了从性能更高的方法中获得的STR配置文件。结果:1)碱性培养基:0.068±0.07 ng/μL (SO)、0.021±0.01ng/μL (KC)和0.073±0.052 ng/μL (DP);ii)酸性介质:0.098±0.064 ng/μL (SO)、0.041±0.029 ng/μL (KC)、0.068±0.042 ng/μL;iii)有丝分裂湿介质:0.25±0.061 ng/μL (SO), 0.04±0.027 ng/μL (KC)和0.15±0.072 ng/μL (DP)。同样,使用SO法获得的DNA样本,在湿法环境下可以获得完整的DNA图谱,而在碱性环境下DNA降解最为剧烈,呈现出更多的不完整的DNA图谱。结论有机提取法是三种分离方法中提取DNA的最佳方法。另一方面,湿真菌埋植过程是对骨骼遗骸DNA保存产生最小负面影响的过程。
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引用次数: 0
Rotura de seudoaneurisma anastomótico como complicación tardía de aortoplastia torácica con parche. A propósito de un caso 吻合性假性动脉瘤破裂是胸主动脉补片成形术的晚期并发症。关于一个案件
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.reml.2023.02.003
Manuel Alfonso Aparcero Fernández del Campo , Valeriano Muñoz Hernández , Carolina Arroyo García , Juan Carlos Bohórquez Sierra
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引用次数: 0
Revista Española de Medicina Legal solo en formato online 西班牙法律医学杂志仅在线版
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.reml.2023.09.003
Eneko Barbería , Carles Martin-Fumadó , Alexandre Xifró , Esperanza Luisa Gómez-Durán , Josep Arimany-Manso , Amadeo Pujol-Robinat
{"title":"Revista Española de Medicina Legal solo en formato online","authors":"Eneko Barbería ,&nbsp;Carles Martin-Fumadó ,&nbsp;Alexandre Xifró ,&nbsp;Esperanza Luisa Gómez-Durán ,&nbsp;Josep Arimany-Manso ,&nbsp;Amadeo Pujol-Robinat","doi":"10.1016/j.reml.2023.09.003","DOIUrl":"https://doi.org/10.1016/j.reml.2023.09.003","url":null,"abstract":"","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"49 3","pages":"Pages 79-81"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49788078","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
Revista Espanola de Medicina Legal
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