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Editorial. 社论。
Q4 Medicine Pub Date : 2021-06-01 Epub Date: 2021-08-30 DOI: 10.1177/19253621211039122
Christopher Milroy
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引用次数: 0
Legal Frameworks: A Starting Point for Strengthening Medicolegal Death Investigation Systems and Improving Cause and Manner of Death Statistics in Civil Registration and Vital Statistics Systems. 法律框架:加强法医死亡调查系统以及改进民事登记和生命统计系统中死亡原因和方式统计的起点。
Q4 Medicine Pub Date : 2021-06-01 Epub Date: 2021-07-08 DOI: 10.1177/19253621211027747
Olga Joos, Srdjan Mrkic, Lynn Sferrazza

Medicolegal death investigation systems, which generally fall within one of three types-medical examiner, coroner, or law-enforcement-led systems-investigate deaths that are unnatural or suspicious. The current quality of cause of death statistics on deaths investigated within medicolegal death investigation systems globally limits effective public health response. A starting point to strengthening global medicolegal death investigation systems and improving the quality of cause and manner of death reported to civil registration systems is through a strong legal framework. Two resources, the United Nations Statistics Division Guidelines on the Legislative Framework for Civil Registration, Vital Statistics and Identity Management and the Global Health Advocacy Incubator Legal and Regulatory Toolkit for Civil Registration, Vital Statistics and Identity Management, present recommendations and provide guidance to country stakeholders in reviewing and revising their medicolegal death investigation legal frameworks. Physician determination of cause and manner of death, defined criteria for case referral to the medicolegal death investigation system, an amendment process, and investigation collaboration are four core considerations for medicolegal death investigation system legal frameworks. A strong medicolegal death investigation legal framework is a necessary starting point, but it is not sufficient for ensuring the timely, accurate, and complete reporting of cause and manner of death in national vital statistics.

法医死亡调查系统通常分为三种类型之一--法医、验尸官或执法部门主导的系统--调查非自然死亡或可疑死亡。目前全球范围内法医死亡调查系统所调查的死亡原因统计数据的质量限制了有效的公共卫生应对措施。要加强全球法医死亡调查系统并提高向民事登记系统报告的死因和死亡方式的质量,一个起点就是建立强有力的法律框架。联合国统计司的《民事登记、生命统计和身份管理立法框架指南》和全球健康倡导孵化器的《民事登记、生命统计和身份管理法律和监管工具包》这两份资料提出了建议,并为各国利益相关者审查和修订其法医死亡调查法律框架提供了指导。医生确定死因和死亡方式、向法医死亡调查系统移交案件的明确标准、修正程序和调查协作是法医死亡调查系统法律框架的四个核心考虑因素。强有力的法医死亡调查法律框架是必要的起点,但不足以确保在国家生命统计中及时、准确和完整地报告死亡原因和方式。
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引用次数: 0
Veterinary Forensic Histopathology. 兽医法医组织病理学。
Q4 Medicine Pub Date : 2021-06-01 Epub Date: 2021-05-28 DOI: 10.1177/19253621211015856
Vanessa Delgado, Nuno Topa, Isabel Pires
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引用次数: 1
Quantitation of Synthetic Cannabinoid Receptor Agonists in Postmortem Blood Using a Single Point Calibration. 用单点校准法定量死后血液中合成大麻素受体激动剂。
Q4 Medicine Pub Date : 2021-06-01 Epub Date: 2021-07-20 DOI: 10.1177/19253621211032511
Phoebe Sharp, Simon Hudson, Stephen R Morley

Synthetic cannabinoid receptor agonists (SCRA) share minimal structural similarities to tetrahydrocannabinol or themselves. Due to their heterogeneous structures and the rapid appearance and disappearance of new SCRA on the drug scene, the quantitation of SCRA has not been attempted extensively. We present a wide series of SCRA concentrations based on a single-point calibration using peak height ratios for the extracted ion chromatogram of the protonated precursor ion against that of the internal standard. These concentrations are viewed as indicative only given the use of a single concentration "calibrator" based on the response of a deuterated analogue of a structurally related compound. What is of note, is that, despite the potential differences in potency the majority of SCRA seem to have relatively similar concentrations in postmortem cases.

合成大麻素受体激动剂(SCRA)与四氢大麻酚或其本身具有最小的结构相似性。由于它们的异质结构和新的SCRA在药物领域的快速出现和消失,SCRA的定量还没有广泛尝试。我们提出了一系列基于单点校准的SCRA浓度,使用质子化前体离子的提取离子色谱的峰高比与内标的峰高比。只有在使用基于结构相关化合物的氘化类似物反应的单一浓度“校准器”时,这些浓度才被视为指示性的。值得注意的是,尽管存在潜在的效力差异,但大多数SCRA在死后病例中似乎具有相对相似的浓度。
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引用次数: 0
Forensic Pluralism and the Dead Body in Early 20th-Century China. 法医多元论与20世纪初中国的尸体。
Q4 Medicine Pub Date : 2021-03-01 Epub Date: 2021-03-25 DOI: 10.1177/19253621211002504
Daniel Asen

Modern forensic medicine was introduced into China during the first decades of the 20th century. The members of China's first generation of medicolegal experts were soon advocating that medical expertise play a greater role in police and judicial officials' investigations of suspicious death and homicide cases. While forensic reform in China had parallels with developments in other contemporary societies in which physicians were pushing for a greater role in the law, this process unfolded in China in unique ways, against the backdrop of an older tradition of forensic science that had developed under the Qing dynasty (1644-1911). Central to this tradition was the Records on the Washing Away of Wrongs, a handbook of forensic practice that was written in the 13th century and saw numerous editions and expansions over subsequent centuries. Death investigation in early 20th-century China was defined by "forensic pluralism," a situation in which the different body examination methods and standards of forensic proof associated with the Washing Away of Wrongs and modern forensic medicine were both accepted by officialdom and society. This article untangles the complexities of forensic practice during this period through the rather unexceptional exchange over a case of suspected drowning that occurred between local officials in Hebei province and Lin Ji (1897-1951), director of the Beiping University Medical School Institute of Legal Medicine. This case reveals the different regimes of forensic knowledge and practice that were used in China during this period as well as the sites at which they interacted.

现代法医学是在20世纪头十年传入中国的。中国第一代法医学专家的成员很快就主张,在警察和司法官员调查可疑的死亡和凶杀案件时,医学专业知识应发挥更大的作用。虽然中国的法医学改革与其他当代社会的发展有相似之处,在这些社会中,医生在法律中发挥了更大的作用,但这一进程在中国以独特的方式展开,其背景是清朝(1644-1911)时期发展起来的法医学传统。这一传统的核心是《洗去冤案记录》(Records on Washing Away of wrong),这是一本法医实践手册,写于13世纪,在随后的几个世纪里经历了无数次的修订和扩充。20世纪初,中国的死亡调查被定义为“法医多元化”,在这种情况下,与“洗去冤案”和现代法医相关的不同尸体检验方法和法医证明标准都被官场和社会所接受。本文通过河北省地方官员与北平大学医学院法医学研究所所长林吉(1897-1951)就一起疑似溺水案进行的相当寻常的交流,梳理了这一时期法医实践的复杂性。本案例揭示了这一时期在中国使用的不同的法医知识和实践制度,以及它们相互作用的地点。
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引用次数: 3
Thermal Effects on DNA Degradation in Blood and Seminal Stains: Forensic View. 热效应对血液和精液中DNA降解的影响:法医观点。
Q4 Medicine Pub Date : 2021-03-01 Epub Date: 2021-03-19 DOI: 10.1177/1925362121998547
Randa H Abdel Hady, Hayam Z Thabet, Noha Esmael Ebrahem, Heba A Yassa

Forensic investigations using DNA analysis have been grown rapidly. Samples retrieved from crime scene may be exposed to different conditions before proceeding. This study aimed to evaluate the effect of different grades of temperature and burn on DNA extraction and typing.

Methods: Seven mL of blood and four mL of semen were collected from each volunteer. Effects of temperature grades (100 °C, 50 °C, 37 °C, 4 °C, -20 °C, and burn) on blood and seminal stain were tested.

Results: Bloodstains exposed to temperature grades 100 °C, 50 °C, 37 °C, 4 °C, and -20 °C can be identified using preliminary test while burnt blood stain cannot. Seminal stains exposed to temperature grades 37 °C, 4 °C, and -20 °C can be identified by Florence test while those exposed to 100 °C, 50 °C, and burn cannot. Blood and seminal stains exposed to temperature grades 100 °C, 50 °C, and burn show marked reduction in DNA concentration while maximum DNA conc could be recovered from stains exposed to temperature grade temperature. Both blood and seminal DNA was affected only in case of burn without significant difference between THO1 and Amelogenin primers.

Conclusion: High environmental temperature affect the quantity of extracted DNA from different stains but less effect on the quality of extracted DNA. Burn affects both preliminary test, DNA quantity, and quality in stains.

利用DNA分析的法医调查迅速发展。从犯罪现场提取的样本在进行前可能会暴露在不同的条件下。本研究旨在评估不同程度的温度和烧伤对DNA提取和分型的影响。方法:每人采集血液7 mL,精液4 mL。测试了不同温度等级(100°C、50°C、37°C、4°C、-20°C和烧伤)对血液和精液染色的影响。结果:暴露在100°C、50°C、37°C、4°C和-20°C温度等级下的血迹可以通过初步试验识别,而烧焦的血迹则不能。暴露于37°C、4°C和-20°C温度等级的精液污渍可以通过佛罗伦萨测试识别,而暴露于100°C、50°C和烧伤的精液污渍则不能识别。暴露在100°C、50°C和烧伤温度等级下的血液和精液染色显示出DNA浓度的显著降低,而暴露在温度等级温度下的染色可以恢复最大的DNA浓度。血液和精液DNA仅在烧伤情况下受到影响,THO1与淀粉原蛋白引物之间无显著差异。结论:高环境温度对不同染色剂提取DNA的数量有影响,但对提取DNA的质量影响较小。烧伤会影响初步测试、DNA数量和染色质量。
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引用次数: 4
Guest Editorial for Academic Forensic Pathology. 学术法医病理学》客座编辑。
Q4 Medicine Pub Date : 2021-03-01 Epub Date: 2021-05-16 DOI: 10.1177/19253621211014474
Daniel Asen, Jeffrey Jentzen
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引用次数: 0
What's Scientific About Forensic Science? Three Versions of American Forensics, 1903-1965, and One Modest Proposal. 法医科学有什么科学性?《美国法医学的三个版本,1903-1965》和《一个温和的建议》。
Q4 Medicine Pub Date : 2021-03-01 Epub Date: 2021-03-19 DOI: 10.1177/1925362121999414
Christopher Hamlin

Growing attention to the philosophy of forensic science in recent decades has sometimes included the question: "what kind of science is forensic science"? Yet there has been little discussion of how that question has been differently construed in terms of period, place, and prevailing anxieties. Following an examination of the unique character this question must have in an American legal context, this article reviews three modes/phases of response, rooted successively in individual authority, comprehensive method, and institutions of flexible problem-solving. The conclusion applies this complex legacy in two ways: first to clarify areas of incoherence and tension in recent attempts to underwrite forensic sciences, and second to supply a fuller framework for Max Houck's argument for the essentially historical character of forensic science.

近几十年来,人们对法医学哲学的关注越来越多,有时会提出这样一个问题:“法医学是一门什么样的科学?”然而,很少有人讨论这个问题是如何在不同的时期、地点和普遍的焦虑方面得到不同的解释的。在考察了这一问题在美国法律背景下所具有的独特性之后,本文回顾了三种应对模式/阶段,它们依次植根于个人权威、综合方法和灵活解决问题的制度。结论部分以两种方式应用了这一复杂的遗产:首先,澄清了最近试图支持法医学的不连贯和紧张的领域,其次,为马克斯·霍克关于法医学本质上的历史特征的论点提供了一个更完整的框架。
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引用次数: 3
Teaching Forensic Science to the American Police and Public: The Scientific Crime Detection Laboratory, 1929-1938. 向美国警察和公众教授法医学:科学犯罪检测实验室,1929-1938。
Q4 Medicine Pub Date : 2021-03-01 Epub Date: 2021-04-05 DOI: 10.1177/19253621211002515
Heather Wolffram

Established in 1929, Northwestern University's Scientific Crime Detection Laboratory (SCDL), America's first independent forensic crime laboratory, undertook a wide range of scientific case work during the 1930s, including toxicology, firearms identification, polygraph testing, the analysis of questioned documents and bacteriology; its mission being to provide Chicago with a world-class forensic science service. Alongside this mission, however, a key ambition of the SCDL's founders was to forensically educate police officers, legal professionals, and the general public. Convinced that American police were largely ignorant of scientific aids to crime detection and that the public's lack of forensic awareness led to the destruction and contamination of crime scenes, the SCDL attempted to fashion itself as a "school for manhunters." But, while the laboratory's ambitious program of public talks, scientific demonstrations, detective schools, expositions, and radio programs were intended to foster the creation of both a scientifically savvy public and policemen on par with those to be found in Europe, the SCDL encountered a number of significant hurdles to achieving these goals, including the hostility of some high-ranking police officials.

西北大学科学犯罪检测实验室(SCDL)成立于1929年,是美国第一个独立的法医犯罪实验室,在20世纪30年代承担了广泛的科学案件工作,包括毒理学、枪支鉴定、测谎仪测试、可疑文件分析和细菌学;它的使命是为芝加哥提供世界一流的法医科学服务。然而,除了这一使命,SCDL创始人的一个关键目标是对警察、法律专业人士和公众进行法医教育。SCDL深信美国警察在很大程度上对犯罪侦查的科学辅助手段一无所知,公众缺乏法医意识导致了犯罪现场的破坏和污染,因此试图将自己塑造成一所“追捕者学校”。但是,尽管实验室雄心勃勃的公共演讲、科学演示、侦探学校、展览和广播节目计划旨在培养一批与欧洲相当的科学头脑的公众和警察,但SCDL在实现这些目标时遇到了许多重大障碍,包括一些高级警察官员的敌意。
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引用次数: 2
Fatal Motor Vehicle-Pedestrian Collision Injury Patterns-A Systematic Literature Review. 致命的机动车-行人碰撞伤害模式-系统的文献综述。
Q4 Medicine Pub Date : 2020-12-01 Epub Date: 2021-03-17 DOI: 10.1177/1925362120986059
Moheem Masumali Halari, Michael James Shkrum

Introduction: Injury patterns in pedestrians struck by motor vehicles were described in medical literature first published almost a half century ago. "Classical" triads of injury distribution were described for adults (skull-pelvis-extremity) and subsequently applied to children (head-hip or pelvis-distal femur/knee joint). Notably, these classical triads were derived from two publications reporting clinical observations of only 11 patients, all of whom were adults.

Methods: A systematic literature review was conducted using Medline, CINAHL, EMBASE, and Cochrane to determine the evidence-base for motor vehicle collision (MVC)-pedestrian injury "triads" and other trauma patterns described for pedestrians in the adult and pediatric age groups.

Results: Of the 1540 full-text articles identified in the review, 56 articles published in English met the inclusion criteria, that is, motor vehicle-pedestrian collision resulting in specific, fatal injuries determined by postmortem examinations. There were variations in injury patterns that differed from the "classical" triads. These differences likely stem from advances in vehicle design and safety features which have affected the nature and distribution of injuries.

Discussion: Further research on the correlation of specific injuries sustained by pedestrians of different ages with various types of vehicles and impacts are needed to assess the validity of previously observed injury patterns in relation to the current motor vehicle fleet. Delineation of injury patterns can assist health care teams in trauma management. Vehicle manufacturers and government regulators can better assess whether the introduction of advanced driver assistance features designed to protect pedestrians when struck will be effective in reducing severe injuries. In forensic pathology practice, knowledge of pedestrian injury patterns based on data representative of impacts involving modern vehicles can provide MVC death investigators the means to determine MVC dynamics and pedestrian kinematics.

导读:行人被机动车撞击的伤害模式在医学文献中有描述,这些文献在近半个世纪前首次出版。“经典”损伤分布三位一体被描述为成人(颅骨-骨盆-四肢),随后应用于儿童(头-髋或骨盆-股骨远端/膝关节)。值得注意的是,这些经典的三位一体来自两份出版物,报告了仅有11名患者的临床观察,这些患者都是成年人。方法:使用Medline、CINAHL、EMBASE和Cochrane进行系统的文献综述,以确定成人和儿童年龄组行人的机动车碰撞(MVC)-行人损伤“三合一”和其他创伤模式的证据基础。结果:在本综述中发现的1540篇全文文章中,56篇英文论文符合纳入标准,即机动车与行人碰撞导致的具体致命伤害是通过尸检确定的。受伤模式的变化与“经典”三位一体不同。这些差异可能源于车辆设计和安全功能的进步,这影响了伤害的性质和分布。讨论:需要进一步研究不同年龄的行人所遭受的特定伤害与不同类型的车辆和影响的相关性,以评估先前观察到的与当前机动车辆相关的伤害模式的有效性。损伤模式的描述可以帮助医疗团队进行创伤管理。汽车制造商和政府监管机构可以更好地评估,引入旨在保护行人被撞时的高级驾驶辅助功能,是否能有效减少严重伤害。在法医病理学实践中,基于现代车辆撞击数据的行人伤害模式知识可以为MVC死亡调查员提供确定MVC动力学和行人运动学的手段。
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引用次数: 5
期刊
Academic Forensic Pathology
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