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Stature and body weight estimations from footprint dimensions among asante and fante females in Ghana 加纳体式和扇形女性足迹尺寸的身材和体重估计
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_97_21
Samuel Dwomoh, A. Appiah, Nancy Kusi Appiah, C. Abaidoo
Background: Footprints recovered from crime scenes can assist in establishing the identity (stature, body weight, and sex) of a person. Due to variations (genetic and environmental factors) in the morphology of the foot, several authors have derived populationspecific regression equations for stature and weight estimations. Aims and Objectives: Tribal differences in the footprint dimensions of Ghanaians have not been established. Hence, this study was done to determine if they were tribal differences in footprint dimensions. Materials and Methods: The footprints of Ghanaian females, aged 19–35 years, and belonging to two tribal groups (72 Asante and 73 Fante) were recovered using an ink pad method. Height, body weight, and footprint measurements were obtained following standard procedures. Results: Although Fante females had longer foot lengths and shorter foot breadths than Asante females, the difference was significant (P < 0.001) only in the left big toe-pad length (eta squared = 0.496). Height correlated better with footprint dimensions of Fante (r = 0.246 – 0.809) than Asante (r = 0.214 – 0.660) females. Body weight correlated weakly with footprint dimensions. Unlike in Asante females, foot length measurements did not correlate significantly with body weight among Fante females. Conclusion: The use of mixed population in deriving stature, weight and sex equations is cautioned especially when there is increased genetic diversity. The findings of this study have important applications in forensic anthropometric investigations.
背景:从犯罪现场找到的脚印可以帮助确定一个人的身份(身材、体重和性别)。由于足部形态的变化(遗传和环境因素),几位作者推导了身高和体重估计的特定人群回归方程。目的和目标:尚未确定加纳人足迹方面的部落差异。因此,进行这项研究是为了确定它们在足迹维度上是否存在部落差异。材料和方法:加纳女性的足迹,年龄19–35岁,属于两个部落群(72 Asante和73 Fante),使用印泥法进行回收。身高、体重和足迹测量按照标准程序进行。结果:尽管Fante女性的足长和足宽比Asante女性长,但仅在左大脚趾垫长度(η平方=0.496)方面存在显著差异(P<0.001)。与Asante(r=0.214–0.660)女性相比,Fante的身高与足迹尺寸的相关性更好(r=0.246–0.809)。体重与足迹尺寸的相关性较弱。与Asante雌性不同,Fante雌性的足长测量值与体重没有显著相关性。结论:在推导身高、体重和性别方程时,特别是在遗传多样性增加的情况下,应注意使用混合群体。这项研究的结果在法医人体测量调查中具有重要应用。
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引用次数: 0
Cosmetology Services in Ukraine: Problems of Legal Regulation 乌克兰美容服务:法律法规问题
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_62_22
A. Muzyka, Olena Yuriyivna Cherniak, N. Lytvyn, O. V. Artemenko, Dmitry Anatoliiovych Shevchenko, H. Poperechna
The demand for cosmetology services has been recently growing in Ukraine, but there is no proper legal regulation for their provision. The aim of the article is to analyze the current status and specific features of legal regulation for the provision of cosmetology services in Ukraine, as well as to suggest the improvements to Ukrainian legislation in this area. The main objective is to distinguish the problems and to develop suggestions to improve regulatory legal acts regulating the provision of cosmetic services in Ukraine. Materials to identify the specific features of the current state of legal regulation in regard to the provision of cosmetology services in Ukraine were the legislation and case law of Ukraine, the works of Ukrainian scholars, analytical materials and Internet resources. The methodological basis of the research is general and special methods of scientific cognition, the use of which is due to specific features of the legal regulation of the market of cosmetology services. It has been stated that there is currently no normatively established procedure and specific features for the implementation of activities for the provision of cosmetology services in Ukrainian laws; there are also no standards for their provision, treatment of complications and training of qualified personnel. The author has formulated proposals to improve the legislation regulating the provision of cosmetology services and cosmetic care to the Ukrainian population. The Ministry of Health of Ukraine was offered to develop and approve a regulatory legal act governing the procedure for the provision of cosmetology services and the list of services that can be provided exclusively by health professionals.
在乌克兰,对美容服务的需求最近一直在增长,但没有适当的法律规定。本文的目的是分析乌克兰提供美容服务的法律法规的现状和特点,并提出乌克兰在这方面立法的改进建议。主要目标是区分问题,并提出建议,以改善监管乌克兰提供化妆品服务的法律行为。通过乌克兰的立法和判例法、乌克兰学者的著作、分析材料和互联网资源来确定乌克兰提供美容服务的法律法规现状的具体特征。本研究的方法论基础是科学认知的一般方法和特殊方法,其使用是由于美容服务市场法律规制的具体特点。有人指出,目前在乌克兰法律中没有关于开展提供美容服务的活动的规范程序和具体特点;对于它们的提供、并发症的治疗和合格人员的培训也没有标准。撰文人已提出建议,以改进向乌克兰人民提供美容服务和美容护理的立法。建议乌克兰卫生部制定和批准一项管理提供美容服务程序的法律法规,以及专门由保健专业人员提供的服务清单。
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引用次数: 0
Governance of Violence Risk in Patients with Severe Mental Disorders: From a Case of a Schizophrenic’s Filicide 严重精神障碍患者暴力风险的治理:以一例精神分裂症杀子为例
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_86_22
Daming Sun, Jun-Nan Huang
Schizophrenia is a chronic, prolonged illness with a significant tendency to relapse and a high disease burden. Patients are often affected by psychotic symptoms and commit violent assaults that manifest as criminal acts. At the same time, such patients generally have poor medication adherence, which also makes them more likely to commit crimes. In our case, a single mother with a history of psychiatric illness strangled her 4-year-old biological son to death with a rope, put the body in a bathtub and divided it, ate some of the victim’s organs; the results of her forensic mental health identification indicated she was in a period of illness at the time of the offense and did not have the competence for criminal responsibility. Medication adherence is an important factor affecting relapse in patients with schizophrenia. Although new medications have been introduced and researchers have been improving medication adherence through many ways such as patient education and family therapy since the 1980s, the level of medication adherence is still poor, with a nonadherence rate of about 50%. This report suggests that in practice, attention should be given to improving patients’ medication adherence, guardians of patients and their communities should strengthen their monitoring and care, including knowing the patients’ medication adherence and monitoring them to take their medication as prescribed, together with systematic psychotherapy for patients to prevent them from relapsing and committing violent attacks. Besides, when assessing the patient’s risk of violence, the realistic factors in crime motives and the impact of guardians (family) should be taken into account to evaluate the risk of violence objectively and comprehensively. A final point is that social support for patients with mental disorders and their families should be improved.
精神分裂症是一种慢性、长期性疾病,具有显著的复发倾向和很高的疾病负担。患者经常受到精神病症状的影响,并实施暴力攻击,表现为犯罪行为。与此同时,这类患者的服药依从性通常较差,这也使他们更有可能犯罪。在我们的案子里,一位有精神病史的单身母亲用绳子勒死了她四岁的亲生儿子,把尸体放在浴缸里并分开,吃了受害者的一些器官;她的法医精神健康鉴定结果表明,她在犯罪时处于疾病期,不具备承担刑事责任的能力。药物依从性是影响精神分裂症患者复发的重要因素。尽管自20世纪80年代以来,新的药物已经被引入,研究人员通过患者教育和家庭治疗等多种方式提高了药物依从性,但药物依从性水平仍然很差,不依从率约为50%。本报告建议,在实践中应重视提高患者的药物依从性,患者监护人及社区应加强对患者的监测和护理,包括了解患者的药物依从性,监督患者按规定服药,并对患者进行系统的心理治疗,防止患者复发和暴力袭击。此外,在评估患者的暴力风险时,应考虑犯罪动机和监护人(家庭)影响等现实因素,客观、全面地评估患者的暴力风险。最后一点是要加强对精神障碍患者及其家庭的社会支持。
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引用次数: 0
Clinicosocial profile of people who inject drugs receiving opioid substitution therapy at New Delhi 新德里接受阿片类药物替代治疗的注射吸毒者的临床社会概况
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_55_21
A. Naveen, S. Naik, Dinesh Kataria, A. Murari
Introduction: Injecting drug use is a public health concern due to its clinical, social, economic, and legal consequences. Objective: (1) To evaluate the prevalence of infections associated with injecting drug use; and (2) To assess the social profile of substance users and high-risk behaviors among people who inject drugs (PWID) receiving opioid substitution therapy (OST). Materials and Methods: A cross-sectional study was conducted among 100 PWID who were deemed eligible using inclusion and exclusion criteria. Data were collected through an interviewer-administered structured questionnaire after obtaining informed written consent. Results: The results revealed that 14% of PWID had human immunodeficiency virus (HIV), 7% had tuberculosis, and 2% had hepatitis B virus (HBV). None of the PWID self-reported hepatitis C virus (HCV) infection. Importantly, 71% of PWID were living on the streets (i.e. homeless), and 41% of PWID had a history of sharing needles with other users in the preceding 3 months. Unmarried or single PWID had significantly increased risk of homelessness (χ2 = 4.570; P = 0.032) and reported high-risk sexual practices with commercial sexual partners in the preceding 3 months (χ2 = 4.163; P = 0.041). Homeless PWID had significantly increased frequency of injecting practices (P = 0.020). Conclusion: Despite the higher global prevalence of HCV compared with HBV and HIV among PWID, HCV testing is not currently conducted at most OST centers in India. Access to free needles and syringes should be enhanced to reduce the morbidity associated with injecting drug use.
引言:注射吸毒因其临床、社会、经济和法律后果而引起公众健康问题。目的:(1)评价注射吸毒相关感染的发生率;以及(2)评估接受阿片类药物替代疗法(OST)的注射药物(PWID)人群中药物使用者的社会状况和高危行为。材料和方法:对100名符合纳入和排除标准的PWID进行了横断面研究。在获得知情书面同意后,通过访谈者管理的结构化问卷收集数据。结果:14%的PWID感染了人类免疫缺陷病毒(HIV),7%感染了肺结核,2%感染了乙型肝炎病毒(HBV)。没有PWID自我报告丙型肝炎病毒(HCV)感染。重要的是,71%的残疾人流落街头(即无家可归),41%的残疾人在过去3个月内曾与其他使用者共用针头。未婚或单身PWID显著增加了无家可归的风险(χ2=4.570;P=0.032),并报告了在前3个月内与商业性伴侣发生的高风险性行为(χ2=4.163;P=0.041)目前,印度大多数OST中心都没有进行PWID、HCV检测。应增加免费针头和注射器的使用,以减少与注射吸毒有关的发病率。
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引用次数: 0
Computed Tomography Assessment of Cephalic Index and Sella Turcica Dimensions and Morphology in a Nigerian Population 尼日利亚人群头侧指数和蝶鞍尺寸及形态的计算机断层评估
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_40_22
H. Chiegwu, O. Bassey, C. Ohagwu, T. Adejoh, D. Odunko
Cephalic index (CI) is the percentage of biparietal diameter to the occipitofrontal diameter of the skull and can be used in forensic investigations in cases of disputed identity where only fragments of the head/skull are available. The sella turcica houses the pituitary gland whose hormones regulate the functions of many other glands and systems of the body. Abnormal sizes of sella turcica could indicate sella/pituitary pathology with health implications. This study aimed to assess CI, head shapes and sella turcica dimensions and morphology of the Yoruba tribe of Nigeria. The objectives are: to relate CI and head shapes with sella turcica dimensions and morphology, to use CI and head shape to identify and distinguish the Yoruba tribe from other tribes, to use CI and head shape to distinguish between genders. Skull/head and sella turcica dimensions were measured on 321 retrospectively enlisted normal cranial Computed Tomography (CT) images of Yoruba subjects, mean age 55 (SD ± 17) years, in a Tertiary Hospital in South-West Nigeria between January 2020 and April 2021, and then CI calculated. Data was analyzed using IBM SPSS 27(IBM Corp. Armonk, NY, USA, 2019). Predominant head shape of the studied group was dolichocephalic. Mean CI was 70.0 ± 3.7 and showed no statistically significant difference between gender (P = 0.097). Mean sella length, depth; and anteroposterior diameter was 1.22 ± 0.24 cm, 0.80 ± 0.15 cm, 1.34 ± 0.25 cm respectively. Mean sella length and depth showed significant difference between gender (P = 0.0001; P = 0.032) respectively. Head shape has no association with sella dimensions and morphology. Head shape and CI may stratify populations in forensic practice and surgical planning.
头侧指数(CI)是指双顶骨直径占颅骨枕额直径的百分比,在身份有争议的情况下,只有头部/颅骨碎片可用,可用于法医调查。蝶鞍内有脑下垂体,脑下垂体分泌的激素调节许多其他腺体和身体系统的功能。蝶鞍大小异常可能提示蝶鞍/垂体病变,对健康有影响。本研究旨在评估尼日利亚约鲁巴部落的CI,头部形状和蝶鞍尺寸和形态。目标是:将CI和头形与蝶鞍的尺寸和形态联系起来,使用CI和头形来识别和区分约鲁巴部落与其他部落,使用CI和头形来区分性别。在2020年1月至2021年4月期间,对尼日利亚西南部一家三级医院的321名平均年龄55 (SD±17)岁的约鲁巴人正常颅骨CT (CT)图像进行回顾性测量,然后计算CI。数据分析使用IBM SPSS 27(IBM Corp. Armonk, NY, USA, 2019)。研究组的主要头型为多头畸形。平均CI为70.0±3.7,性别间差异无统计学意义(P = 0.097)。平均鞍长,深度;前后径分别为1.22±0.24 cm、0.80±0.15 cm、1.34±0.25 cm。平均鞍长和鞍深在性别间差异有统计学意义(P = 0.0001;P = 0.032)。头部形状与鞍的大小和形态无关。头部形状和CI可以在法医实践和手术计划中对人群进行分层。
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引用次数: 0
Morphologic, Radiographic, and Stereomicroscopic Evaluation of Teeth Subjected to High Temperatures: An In vitro Forensic Study 高温下牙齿的形态学、放射学和立体显微镜评价:体外法医研究
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_39_22
M. Sai Geethika, N.Purnachandra Rao Naik, A. Ravi Kiran, Y. Samatha, B. Naveen Kumar, P. Shruthi, Sethu Manjusha Saranu, K. Pavani, Sanjana Marpuri
Abstract Background To evaluate morphologic, radiographic, and stereomicroscopic changes of teeth when subjected to specific high temperatures in both direct heat and gradual heat and to compare the changes among two heat groups and also among different types of teeth. Materials and Methods An in vitro study was conducted on 90 healthy extracted human teeth, in which the teeth were divided into two groups. Group 1 (45) was subjected to direct heat and Group 2 (45) was subjected to gradual heat. Group 1 and Group 2 were further subdivided into three subgroups (A) anteriors, (B) premolars, and (C) molars each consisting of 15 teeth. Teeth were subjected to temperatures of 200°C, 400°C, 600°C, 800°C, and 1000°C in a muffle electric furnace. The color changes were noted using the Revised Munsell soil color chart and the radiographic and stereomicroscopic changes were evaluated. The results obtained were subjected to statistical analysis. Results Teeth in direct heat showed more destructive changes at lower temperatures, i.e., 400°C and 600°C when compared to gradual heat where changes are observed at 600°C and 800°C. Among different types of teeth, anteriors and premolars showed more changes when compared to molars. Interpretation and Conclusion It can be concluded that dental evidence may provide clues to solve the mystery in fire investigations as dental structures are the last to be destroyed under extreme conditions, whether temperature, acid, or putrefaction.
研究背景:评估牙齿在直接加热和渐进加热下的特定高温下的形态、放射学和立体显微镜变化,并比较两种高温组之间以及不同类型牙齿之间的变化。材料与方法对90颗健康拔牙进行体外实验,将拔牙分为两组。1组(45)直接加热,2组(45)渐进加热。组1和组2又分为前磨牙组(A)、前磨牙组(B)和磨牙组(C),每组15颗牙。牙齿在马弗电炉中经受200°C、400°C、600°C、800°C和1000°C的温度。使用修订的Munsell土壤颜色图记录颜色变化,并评估x线摄影和立体显微镜变化。所得结果进行了统计分析。结果直接加热的牙齿在较低温度下(即400°C和600°C)的破坏性变化比在600°C和800°C时观察到的逐渐加热的变化更大。在不同类型的牙齿中,前磨牙和前磨牙的变化比磨牙多。结论:在极端条件下,无论是温度、酸还是腐烂,牙齿结构都是最后被破坏的,因此牙齿证据可能为解开火灾调查之谜提供线索。
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引用次数: 0
Euthanasia: National and international experience (based on the European Court of Human Rights practice materials) 安乐死:国内和国际经验(基于欧洲人权法院的实践材料)
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_99_21
O. Orlova, T. Alforova, T. Lezhnieva, S. Chernopiatov, O. Kyrychenko
Purpose: The relevance of the study is that today, there is no unanimous position on the right to euthanasia implementation. The European Court of Human Rights (ECtHR), in making its decision, relies on the national legislation of the respective state, as there is no single decision on the right to euthanasia in the European space. Therefore, the aim of the article is to comprehensively study the phenomenon of euthanasia, elaborate the decisions of the ECtHR on euthanasia and related rights, and develop recommendations on the possibility of legalizing euthanasia in Ukraine and prospects for the right to die implementation. Methodology: The leading method of research of this issue is comparative and law, which allows to comprehensively consider the right to euthanasia and its positive and negative components and helps to establish trends in the implementation of the outlined phenomenon. Findings: The article analyzes the current state of international and domestic legislation of some states on the use of euthanasia, reveals the meaning of the term “euthanasia,” provides a classification of euthanasia, analyzes the decisions of the ECtHR, and presents examples of national legislation of states within which euthanasia is legalized, the peculiarities of euthanasia recognition in the world are analyzed, as well as the research on the possibility of euthanasia legalization in Ukraine is presented. Value: The materials of the article have practical value for all those interested in euthanasia and the realization of the right to die, as well as for practicing lawyers and judicial authorities.
目的:这项研究的相关性在于,今天,在实施安乐死的权利上没有一致的立场。欧洲人权法院(ECtHR)在做出决定时,依赖于各自国家的国家立法,因为在欧洲空间中没有关于安乐死权利的单一决定。因此,本文的目的是全面研究安乐死现象,阐述欧洲人权法院关于安乐死及其相关权利的决定,并就乌克兰安乐死合法化的可能性和死亡权实施的前景提出建议。方法论:这个问题的主要研究方法是比较和法律,它可以全面考虑安乐死的权利及其积极和消极的组成部分,并有助于建立实施趋势概述的现象。发现:本文分析了一些国家关于安乐死的国际和国内立法现状,揭示了“安乐死”一词的含义。对安乐死进行了分类,分析了欧洲人权法院的判决,列举了安乐死合法化国家的立法实例,分析了世界各国对安乐死承认的特殊性,并对乌克兰安乐死合法化的可能性进行了研究。价值:文章的材料对所有关心安乐死和实现死亡权利的人,以及执业律师和司法当局都有实用价值。
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引用次数: 0
Morphometric and volumetric evaluation of maxillary sinus as an aid in sex identification in forensic odontology – A cone-beam computed tomography study 上颌窦的形态测量和体积评估有助于法医牙病中的性别识别——锥形束计算机断层扫描研究
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_78_21
Denny E. Ceena, Mohana Bhoraskar, S. Natarajan, Almas Binnal, T. Bastian
Background: Various methods are used in forensic odontology for the purpose of sex and personal identification. Some of them include cheiloscopy, rugoscopy, mandibular measurements, and study of paranasal sinuses. In our study, we have used maxillary sinus as an aid in sex identification. For this purpose, we have evaluated the morphometric and volumetric measurements of the maxillary sinus using a 3-Dimensional imaging modality, Cone Beam Computed Tomography. Aims and Objectives: Sex and age identification are important in the process of identification of both the living and the dead. Hence, this transverse retrospective study was done to appraise the precision of the dimensions and volume of the maxillary sinus to aid in sex and age identification. Material and Methods: Eighty full Field of View (FOV) Cone-Beam Computed Tomography (CBCT) images were retrieved from the archives which were matched with age and sex. The maxillary sinuses on either side were measured mediolaterally in the axial section and supero-inferiorly in the coronal section. The volumetric analysis of the sinus was done in the sagittal section. The sex was classified using discriminant function analysis and the differences were compared using independent t-test. The differences with age were analyzed using one-way ANOVA. Results: Independent t-test was done for comparison of the sinuses between both sexes. Maxillary sinuses measurements were larger among the males both superior-inferiorly on either side (P <0.001) and mediolaterally on the right (P <0.049) showed statistically significant values. A significant correlation existed while comparing the maxillary sinus volume among both the sexes on either side (P <0.001 and <0.002 in the case of right and left respectively). On comparing the supero-inferior and mediolateral measurements and the maxillary sinus volume on either side among the various age groups, the values were statistically insignificant. Present study shows that the maxillary sinus measurements using Cone-beam computed tomography were diagnostic in the identification of sex but not in age estimation and can be used in forensic dentistry.
背景:在法医牙科学中,为了性别和个人识别的目的,使用了各种方法。其中包括舌镜检查、鼻窦镜检查、下颌测量和鼻窦研究。在我们的研究中,我们使用上颌窦作为性别鉴定的辅助工具。为此,我们使用三维成像方式,锥束计算机断层扫描评估了上颌窦的形态测量和体积测量。目的和目标:性别和年龄鉴定在鉴别生者和死者的过程中都很重要。因此,这项横向回顾性研究是为了评估上颌窦的尺寸和体积的准确性,以帮助性别和年龄的识别。材料与方法:从档案中检索与年龄、性别相匹配的80张全视场锥束计算机断层扫描(CBCT)图像。在轴位上测量两侧的上颌窦,在冠状位上测量两侧的上下颌窦。在矢状面进行鼻窦的体积分析。性别分类采用判别函数分析,差异比较采用独立t检验。采用单因素方差分析分析不同年龄的差异。结果:两性鼻窦比较采用独立t检验。男性上颌窦测量值在两侧上、下偏大(P <0.001),在右侧中外侧偏大(P <0.049),差异有统计学意义。两性上颌窦容积在两侧比较存在显著相关性(P <0.001,左、右分别<0.002)。上、下、中外侧测量值与两侧上颌窦容积在各年龄组间比较,差异均无统计学意义。本研究表明,锥束ct对上颌窦的测量在性别鉴定上有诊断作用,但在年龄估计上没有诊断作用,可用于法医牙科。
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引用次数: 0
Atypical Compression of the Neck by Domestic Hydraulic Platform Lift Classified as Suicidal Asphyxia 家用液压升降平台对颈部的非典型压迫,归类为自杀性窒息
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_26_22
Kleio Fragkouli, T. Vougiouklakis, V. Boumba
This contribution reports on a case involving the death of a female with a history of depression in treatment found dead in her house, with her neck compressed by a hydraulic lift elevator used for domestic purposes. The manner of death was determined as suicide based on an on-scene investigation and witness testimony along with a comprehensive postmortem examination. This case is reported on the grounds of its rarity and it highlights the potential danger of using advanced domestic equipment in the elder people’s residencies, especially those having a mental state of self-destruction.
这篇文章报道了一个案例,涉及一名有抑郁症治疗史的女性的死亡,她被发现死在家中,颈部被家用液压升降机挤压。根据现场调查和证人证词以及全面的尸检,死亡方式被确定为自杀。报道这一案例的理由是它的罕见性,它突出了在老年人居住场所使用先进的家用设备的潜在危险,特别是那些有自我毁灭精神状态的人。
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引用次数: 0
Improving Evidence-Based Practice in Forensic Medicine: Validation of INtegration of Forensic Epidemiology and the Rigorous EvaluatioN of Causation Elements and Principles of Evidence-Based Reporting in FORensic Medicine-Pathology version in Indonesia 完善法医学循证实践:印度尼西亚法医学病理学版中法医流行病学整合的验证和对因果因素和循证报告原则的严格评估
Q3 Social Sciences Pub Date : 2023-01-01 DOI: 10.4103/jfsm.jfsm_47_22
Putri Dianita Ika Meilia, None Herkutanto, Agus Purwadianto, Budi Sampurna, Murdani Abdullah, Diantha Soemantri, Aria Kekalih
Abstract Introduction Expert opinions presented in legal proceedings should be scientifically accountable, which is known as evidence-based practice (EBP). Although forensic medical expert opinions are essential in legal proceedings, the methods used to formulate them are not always evidence based or based on standard methods. In forensic medicine, EBP has not been explicitly applied, including in Indonesia. One potential approach to formulate evidence-based expert opinions is called INtegration of Forensic Epidemiology and the Rigorous EvaluatioN of Causation Elements (INFERENCE). In addition, there is also no universal guideline for making forensic pathological reports. One prospective guideline is named the Principles of Evidence-based Reporting in FORensic Medicine-Pathology version (PERFORM-P). Methods This article describes the validation process of INFERENCE and PERFORM-P in Indonesia. This study uses a mixed method through three interrelated phases, i.e., (1) a cross-sectional survey to determine the characteristics of Indonesian forensic doctors and their current practice, (2) the adaptation and validation process of the two tools through a review by the Indonesian College of Forensic Medicine, and (3) a one-group pre–postintervention study to assess the validity and reliability of forensic medical expert opinions formulated using Indonesian-INFERENCE (i-INFERENCE) and reported using Indonesian-PERFORM-P (i-PERFORM-P). Results and Discussion In general, both tools received a positive reception and can potentially be used in the Indonesian setting with some additions/clarifications in the user manuals. Participants envision that both tools will be most useful in complex cases. Conclusions By obtaining the i-INFERENCE and the i-PERFORM-P, it is hoped that Indonesian forensic medical doctors are better equipped in analyzing and reporting complex cases, and the implementation of EBP can be improved.
在法律诉讼中提出的专家意见应具有科学的可问责性,这被称为循证实践(EBP)。虽然法医专家意见在法律诉讼中是必不可少的,但用来提出这些意见的方法并不总是基于证据或基于标准方法。在法医学中,EBP尚未明确应用,包括在印度尼西亚。一种可能形成循证专家意见的方法被称为法医流行病学和因果因素(推理)的严格评估的整合。此外,法医病理报告也没有统一的准则。一项前瞻性指南被命名为《法医学病理学版循证报告原则》(PERFORM-P)。方法介绍了INFERENCE和performance - p在印度尼西亚的验证过程。本研究采用混合方法,通过三个相互关联的阶段,即:(1)横断面调查,以确定印度尼西亚法医的特点和他们目前的做法;(2)通过印度尼西亚法医学院的审查,两种工具的适应和验证过程;(3)一项单组干预前和干预后研究,评估采用印度尼西亚推理(i-INFERENCE)形成的法医专家意见的效度和可靠性,并使用印度尼西亚- perform - p (i-PERFORM-P)报告。结果和讨论总的来说,这两种工具都得到了积极的接受,并且可以在印度尼西亚环境中使用,在用户手册中进行一些补充/澄清。与会者设想,这两种工具在复杂情况下将是最有用的。结论通过i-INFERENCE和i-PERFORM-P,希望印尼法医能够更好地分析和报告复杂案件,提高EBP的实施水平。
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Journal of Forensic Science and Medicine
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