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Correction to: Evaluation of data collection bias of third molar stages of mineralisation for age estimation in the living. 更正:评估用于活人年龄估计的第三磨牙矿化阶段的数据收集偏差。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-27 eCollection Date: 2024-09-01 DOI: 10.1093/fsr/owae057

[This corrects the article DOI: 10.1093/fsr/owae004.].

[此处更正了文章 DOI:10.1093/fsr/owae004]。
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引用次数: 0
I have a question about evaluative reporting: a comprehensive collection of FAQs.
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-23 eCollection Date: 2024-12-01 DOI: 10.1093/fsr/owae062
Ronald Brent Ostrum

With various calls in the forensic scientific literature for pattern-matching disciplines to adopt evaluative reporting, which is also known as the likelihood ratio or logical approach, practitioners used to reporting evidence under a more traditional paradigm may have a level of apprehension and face a steep learning curve. There may be doubts about the benefits of evaluative reporting, when it applies and when it does not, what it actually entails, its validity, and how to explain it in court. These questions and more are answered in this comprehensive collection of frequently asked questions on evaluative reporting. While the focus is on providing context for forensic handwriting examiners, many of the questions and answers are general in nature and the concepts can be applied to other disciplines.

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引用次数: 0
Succeeding together: the power of collaboration between forensic and criminal intelligence. 共同成功:法医和刑事情报之间合作的力量。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-17 eCollection Date: 2024-12-01 DOI: 10.1093/fsr/owae054
Maralee Tapps, Ozalée Piat, Audrey-Anne Matte, Romain Volery
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引用次数: 0
Error mitigation in forensic handwriting examination: the examiner's perspective. 法医笔迹鉴定中的错误缓解:审查员的视角。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-17 eCollection Date: 2024-12-01 DOI: 10.1093/fsr/owae065
Nicole Crown, Raymond Marquis, Erich Kupferschmid, Tomasz Dziedzic, Diana Belic, Dorijan Kerzan

Like other pattern recognition disciplines, forensic handwriting examination relies on various human factors. Expert opinions in the field are based on visual analysis and comparison, and the evaluation of findings is generally conducted without reference to tabulated data. This high level of subjectivity may contribute to bias and error in the examination process. In this paper, we draw on our research and practical experience to discuss error mitigation on several levels, addressing both aspects of quality management and the individual responsibility of examiners. Because a good understanding of the concept of error is needed to communicate appropriately about this subject, definitions of error-related concepts are provided. We consider contextual information management essential to reduce the potential for cognitive bias in casework. To ensure completeness of findings and avoid omission errors, the use of checklists during a forensic handwriting examination is encouraged, and an exemplary checklist incorporating all the examination steps is provided. We consider the use of a logical reasoning approach to evaluate findings an important step towards robustness and transparency in the examiner's report. An independent, blinded peer review of the examination is recommended as a further key step in error mitigation. Regular participation in testing programmes and continuous training and education are essential to maintaining and improving competency at both individual and organizational levels. Finally, developments in the form of tabulated data and the use of algorithms are considered useful ways of increasing objectivity in the field and minimizing human error.

与其他模式识别学科一样,法医笔迹检测依赖于各种人为因素。该领域的专家意见是基于视觉分析和比较,对结果的评价通常不参考表格数据。这种高度的主观性可能会导致考试过程中的偏见和错误。在本文中,我们利用我们的研究和实践经验来讨论几个层次上的错误缓解,解决质量管理和审查员个人责任的两个方面。由于需要很好地理解错误的概念,以便就这个主题进行适当的交流,因此提供了与错误相关的概念的定义。我们认为上下文信息管理对于减少案例工作中潜在的认知偏差至关重要。为了确保发现的完整性和避免遗漏错误,在法医笔迹检查中鼓励使用核对表,并提供了包含所有检查步骤的示例性核对表。我们认为使用逻辑推理方法来评估调查结果是在审查员报告中实现稳健性和透明度的重要一步。建议对检查进行独立的盲法同行评审,作为减少错误的另一个关键步骤。经常参加测试方案和持续的培训和教育对于保持和提高个人和组织两级的能力至关重要。最后,表格数据形式的发展和算法的使用被认为是增加该领域客观性和尽量减少人为错误的有用方法。
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引用次数: 0
Human identification through forensic skeletal analysis: three case reviews. 通过法医骨骼分析进行人体识别:三个案例回顾。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-08-29 eCollection Date: 2024-09-01 DOI: 10.1093/fsr/owae053
Joe Adserias-Garriga, Shelby Feirstein, Dakota Bell, Hannah Skropits, Dennis C Dirkmaat

Establishing a positive identification of human remains found in a forensic setting is often accomplished through DNA, fingerprints, or odontology. However, when these primary identifiers cannot be applied, practitioners can rely on combining points of concordance derived from other identification modalities such as antemortem trauma, pathology, or unique skeletal morphologies to build up a case for identification. In order to conduct these comparisons, forensic anthropologists must be well trained and experienced in human skeletal variation and antemortem trauma to properly evaluate a particular skeletal trait and understand its value with respect to personal identification. In addition to macroscopic analysis of skeletal features and standard radiographic images, recent forensic anthropological efforts of establishing personal identity from the skeleton have employed high-quality clinical imaging technologies. This article presents three forensic anthropological cases in which positive identification was established on the basis of multiple antemortem to postmortem comparison modalities that included skeletal variation, antemortem fracture morphologies, trabecular patterns, dental traits, and implanted surgical devices. These cases use a variety of imaging techniques, such as cranial radiographic images, dental radiographs, computed tomography, photography, and 3D surface scans of the skeletal remains, to achieve personal identification.

Key points: The identification of the remains becomes a top priority in forensic investigations.Dental treatment, implanted surgical devices, anatomical variation, and healed skeletal trauma can provide useful features for the antemortem vs. postmortem records comparison.This article discusses three cases in which multiple forms of antemortem and postmortem imaging were used to compare skeletal areas of interest.All cases were carried out by the Mercyhurst University Forensic Anthropology Team.

要确定在法医环境中发现的遗骸的身份,通常需要通过 DNA、指纹或骨骼学来完成。然而,当这些主要鉴定手段无法应用时,从业人员可以依靠结合从其他鉴定方式(如死前创伤、病理学或独特的骨骼形态)中得出的吻合点来建立鉴定案例。为了进行这些比较,法医人类学家必须在人类骨骼变异和死前创伤方面训练有素、经验丰富,才能正确评估特定的骨骼特征,并了解其在个人识别方面的价值。除了对骨骼特征和标准放射影像进行宏观分析外,最近的法医人类学研究还采用了高质量的临床成像技术,以便从骨骼中确定个人身份。本文介绍了三个法医人类学案例,在这三个案例中,根据从死前到死后的多种对比方式(包括骨骼变异、死前骨折形态、骨小梁形态、牙齿特征和植入手术器械)确定了正面身份。这些案例使用了多种成像技术,如头颅放射影像、牙科放射影像、计算机断层扫描、摄影和骨骼遗骸的三维表面扫描,以实现个人身份鉴定:本文讨论了三个案例,在这些案例中,使用了多种形式的死前和死后成像技术来比较感兴趣的骨骼区域,所有案例均由梅西赫斯特大学法医人类学团队完成。
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引用次数: 0
Who are they? A retrospective study of unidentified bodies in Institute of Medical-Legal Paris from 2018 to 2023. 他们是谁?2018年至2023年巴黎医学法律研究所无名尸体的回顾性研究。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-08-27 eCollection Date: 2024-09-01 DOI: 10.1093/fsr/owae051
Alexandre Biro, Bertrand Ludes, Tania Delabarde

"I still don't realize that he's dead.... I cried over it. It makes me sad to know that he was buried unaccompanied on his last trip. We were all shocked." This testimony corresponds to a family whose relative was buried in an anonymous grave 6 months after his disappearance was reported to the police. It is estimated that between 1 000 and 3 000 unidentified bodies are buried in anonymous graves in France each year. Most of these decedents have passed through the medico-legal system. However the identification of these bodies, outside the context of mass disasters, remains a complex problem. Several national and international publications have highlighted the prevalent problem of unidentified burials and the consequences for families who do not know the fate of their loved ones, specifically, whether they are alive or deceased. This 6-year retrospective study (2018-2023), covering a total of 2 324 unidentified decedents admitted to the Institute of Medical-Legal Paris (IMLP), aimed to assess the impact of the identification protocol implemented in 2017 on the number of bodies that remain unidentified (n = 164). In addition, this study aimed to establish profiles for individuals who remained unidentified with the objective of identifying the factors that hinder their identification and developing correlated methods to address these issues. The results of this study were compared with other published studies to highlight the global problem and the ongoing need for collaboration between forensic practitioners and relevant authorities.

Key points: Despite great advances in human identification, unidentified decedents remain a global problem.This 6-year overview study covering a total of 2 324 unidentified bodies admitted to the IMLP provided relevant information about the unidentified decedent population and assessed the impact of a protocol established in 2017 on the rate of deceased buried without identity in Paris.The need to establish a national database in France to properly document and disseminate information on missing persons and to centralize the biological profile of unidentified bodies is key, as without antemortem information or a biometric database there can be no matching.

"我还没意识到他已经死了....。我为此哭泣。知道他最后一次旅行是在无人陪伴的情况下下葬的,这让我很难过。我们都很震惊"。这个家庭的亲属在向警方报告失踪 6 个月后被埋在一个无名墓中。据估计,法国每年有 1000 到 3000 具身份不明的尸体被埋入无名墓穴。这些死者中的大多数都通过了医疗法律系统的鉴定。然而,在大规模灾难之外,这些尸体的身份识别仍然是一个复杂的问题。一些国内和国际出版物强调了普遍存在的无名葬问题,以及不知道亲人命运(特别是生死)的家庭所面临的后果。这项为期 6 年的回顾性研究(2018-2023 年)涵盖了巴黎医学法律研究所(IMLP)接收的共计 2 324 名身份不明的死者,旨在评估 2017 年实施的身份识别协议对仍身份不明的遗体数量(n = 164)的影响。此外,这项研究还旨在为仍未确认身份的个人建立档案,目的是找出阻碍其身份确认的因素,并制定相关方法来解决这些问题。本研究的结果与其他已发表的研究结果进行了比较,以强调这一全球性问题以及法医从业人员与相关当局之间持续合作的必要性:这项为期 6 年的概述性研究涵盖了 IMLP 共接收的 2 324 具身份不明的尸体,提供了关于身份不明死者群体的相关信息,并评估了 2017 年制定的一项协议对巴黎无身份死者埋葬率的影响。在法国建立一个国家数据库以妥善记录和传播失踪人员信息并集中管理身份不明尸体的生物特征是关键所在,因为没有验尸信息或生物特征数据库就无法进行比对。
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引用次数: 0
Human identification by medical findings in a forensic anthropology context. 在法医人类学背景下通过医学发现进行人体识别。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-08-23 eCollection Date: 2024-09-01 DOI: 10.1093/fsr/owae041
Yara Vieira Lemos, Alexandre Neves Furtado, Adriana Zatti Lima, Alexander Santos Dionísio, Ricardo Moreira Araújo, Eugénia Cunha

This article presents a series of three complex forensic cases that posed significant challenges for identifying human remains. These include a mass dam disaster, burnt human remains, and extensively decomposed human remains. Positive identification was achieved using a shadow positioning technique with imaging comparisons of medical findings. After establishing the biological profile, medical data were evaluated with digital radiography and computed tomography examinations the human remains. These aimed to replicate the original (intravitam) traits in the same angulation to examine postsurgical characteristics, as well as the anatomical, pathological, and morphological features, which were sufficient to establish a positive scientific identification. Technological advancements tend to reveal additional skeletal details, making medical data comparisons significantly more effective in the context of anthropological identification. These cases demonstrate that the possibility of identification should never be ignored, even in situations with advanced decomposition.

Key points: Conventional identification methods may not always be applicable in forensic anthropology cases.The presented cases include a mass dam disaster, burnt human remains, and extensively decomposed human remains.These three cases involved successful human identification with medical findings comparisons using the shadow position technique.Identification could be established in these cases, despite challenges, such as fire damage, an incomplete body, and extensive decomposition.These cases suggest medical findings should be considered as biological identifiers rather than secondary identifiers.

本文介绍了三个复杂的法医案件系列,这些案件给遗骸鉴定工作带来了重大挑战。这些案件包括大规模水坝灾难、烧焦的遗骸和大面积腐烂的遗骸。利用阴影定位技术和医学发现的成像对比,实现了积极的身份识别。在确定生物特征后,利用数字射线和计算机断层扫描检查遗骸,对医疗数据进行评估。这些检查旨在以相同的角度复制原始(intravitam)特征,以检查手术后特征以及解剖学、病理学和形态学特征,这些特征足以确定积极的科学鉴定。技术的进步往往会揭示更多的骨骼细节,从而使医学数据对比在人类学鉴定中更为有效。这些案例表明,即使在尸体已经高度腐烂的情况下,也绝不能忽视鉴定的可能性:这些案例表明,医学研究结果应被视为生物识别因素,而不是次要识别因素。
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引用次数: 0
Combining anthropology and imaging to reconstruct antemortem trauma for identification purposes. 将人类学和成像技术相结合,重建死前创伤,以便进行身份鉴定。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-08-19 eCollection Date: 2024-09-01 DOI: 10.1093/fsr/owae048
Anja Petaros, Maria Lindblom, Eugénia Cunha

Identification of unidentified remains involves a comparison of ante- and postmortem features using biological identifiers. Anthropological identifiers, referred to by International Criminal Police Organization (INTERPOL) as secondary identifiers, have often been judged less reliable than DNA, fingerprints and dental records (referred to as primary identifiers). However, anthropological identifiers have been proven as discriminatory as the primary sources in many instances, and play a decisive role in positive identification. To guarantee better use of anthropological identifiers, it is not only essential to develop standard protocols and statistical frameworks, but also to test different identification approaches in cases from daily practice. Evidence of skeletal antemortem trauma can be a valuable aid in the identification process, especially if the exact type of traumatic event causing the injury is identified. Here, we present a case in which the combination of anthropological analysis and imaging confirmed an interesting and unique sequence of antemortem traumatic events in incomplete skeletal remains. The remains were assumed to pertain to an individual who went missing several years earlier, and whose medical records revealed a unique history of trauma to the right femur. The individual had sustained a fracture due to a fall from a high height followed, 10 years after the primary trauma, by a gunshot wound to the same bone; both treated by intramedullary nail fixation. While the anthropological analysis matched the biological profile of the missing individual and identified a healed defect to the right femur compatible with a gunshot wound, the radiological examination indicated that the bone underwent three surgical procedures on different occasions. Radiological examination also identified a pre-existing healed fracture adjacent to the gunshot defect. In addition to presenting the identification process in this specific case, this article discusses the difficulties in antemortem trauma interpretation, importance of combining macroscopic and radiological analysis to aid the reconstruction of previous traumatic events and mechanisms of injury from healed fractures that can play important roles in forensic human identification.

识别身份不明的遗骸涉及使用生物识别资料对死前和死后特征进行比较。国际刑事警察组织(国际刑警组织)将人类学鉴定资料称为二级鉴定资料,往往被认为不如 DNA、指纹和牙科记录(称为一级鉴定资料)可靠。然而,在许多情况下,人类学识别资料已被证明与主要资料来源一样具有鉴别力,并在正面识别中发挥着决定性作用。为了保证更好地利用人类学鉴定资料,不仅有必要制定标准协议和统计框架,而且有必要在日常实践中测试不同的鉴定方法。在鉴定过程中,骨骼的死前创伤证据是一种宝贵的辅助手段,尤其是在确定了造成伤害的创伤事件的确切类型的情况下。在这里,我们介绍了一个案例,在该案例中,人类学分析和成像相结合,证实了不完整遗骸中有趣而独特的死前创伤事件序列。据推测,这具遗骸属于几年前失踪的一个人,其医疗记录显示其右股骨有独特的外伤史。此人曾因从高处坠落而造成骨折,在原发性外伤发生 10 年后,又因枪伤而造成同一骨骼骨折;两处骨折均接受了髓内钉固定治疗。虽然人类学分析与失踪者的生物特征相符,并确定右股骨上的愈合缺损与枪伤相符,但放射学检查显示,该骨头在不同场合接受过三次手术。放射检查还发现,枪伤缺损处附近有一处已经愈合的骨折。除了介绍这个具体案例的鉴定过程外,本文还讨论了尸体创伤鉴定的困难、结合宏观和放射学分析帮助重建先前创伤事件的重要性,以及在法医鉴定中发挥重要作用的愈合骨折的损伤机制。
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引用次数: 0
Application and implications of radiocarbon dating in forensic case work: when medico-legal significance meets archaeological relevance. 放射性碳年代测定在法医案件工作中的应用和影响:当医学法律意义与考古学相关性相遇时。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-08-19 eCollection Date: 2024-09-01 DOI: 10.1093/fsr/owae046
Benoit Bertrand, Thibault Clauzel, Pascale Richardin, Anne Bécart, Philippe Morbidelli, Valery Hédouin, Carina Marques

The estimation of the postmortem interval for skeletal remains is a crucial aspect of forensic anthropology. This paper illustrates the importance of radiocarbon analysis for establishing medico-legal significance and supporting forensic identification, through the analysis of three case studies for which the years of both birth and death were investigated. In Audresselles, Northern France, a partial skull was discovered with no contextual information or identity. Radiocarbon dating yielded an average calibrated calendar age of 4232 BCE (92.5% probability), indicating significant archaeological value but no forensic relevance. In the second case, skeletal remains were found in the flooded underground of a historical fort at Wimereux, Northern France, also with no identity. Radiocarbon dating based on the bomb-pulse curve indicated a calibrated date of death in 1962 CE (37.3% probability) or 1974-1975 CE (58.1% probability), both surpassing the French statute of limitations. Lastly, a skeleton with a suspected identity was discovered near Valenciennes, Northern France, and various biological tissues underwent radiocarbon dating. A bone sample suggested a calibrated date of death of 1998-2002 CE (84.6% probability), differing from a hair sample (2013-2018 CE, 83.3% probability) because of the slower bone tissue remodeling process. DNA analysis confirmed the person's identity, reported missing a decade prior to the discovery of the remains, following the alignment of the radiocarbon results with the individual's year of birth based on dental tissues and year of death. These case studies reveal that traditional radiocarbon dating and bomb-pulse dating are essential tools for estimating the postmortem interval, providing mutual benefits for archaeologists, forensic anthropologists, and the criminal justice system.

Key points: Traditional radiocarbon dating and bomb-pulse dating are essential tools to establish the archaeological relevance or medico-legal significance of human skeletal remains.Bomb-pulse dating enables assessment of an individual's years of birth and death.Bomb-pulse dating helps to narrow down the pool of candidates for identification.Radiocarbon analysis provides mutual benefits for archaeologists, forensic anthropologists, and the criminal justice system.

估算骨骼遗骸的死后时间间隔是法医人类学的一个重要方面。本文通过分析三个调查了出生和死亡年份的案例研究,说明了放射性碳分析在确定医学法律意义和支持法医鉴定方面的重要性。在法国北部的 Audresselles,发现了一个没有背景信息或身份信息的部分头骨。放射性碳测年得出的平均校准日历年龄为公元前 4232 年(概率为 92.5%),这表明它具有重要的考古价值,但与法医学无关。在第二个案例中,在法国北部维梅勒(Wimereux)一座历史古堡被洪水淹没的地下发现了一具骸骨,也没有任何身份信息。根据炸弹脉冲曲线进行的放射性碳测年表明,标定的死亡日期为西元 1962 年(概率为 37.3%)或西元 1974-1975 年(概率为 58.1%),均超过了法国的法定时效。最后,在法国北部瓦朗谢讷附近发现了一具身份可疑的骸骨,并对各种生物组织进行了放射性碳测年。骨骼样本显示的校准死亡日期为公元 1998-2002 年(概率为 84.6%),与头发样本(公元 2013-2018 年,概率为 83.3%)不同,因为骨骼组织重塑过程较慢。DNA 分析证实了此人的身份,据报告,此人在遗骸发现前十年失踪,根据牙组织和死亡年份,放射性碳测定结果与此人的出生年份相吻合。这些案例研究表明,传统的放射性碳年代测定法和炸弹脉冲年代测定法是估算死后时间间隔的重要工具,对考古学家、法医人类学家和刑事司法系统都有好处:传统的放射性碳测年和炸弹脉冲测定是确定人类骨骼遗骸的考古相关性或医学法律意义的重要工具。炸弹脉冲测定可以评估一个人的出生年份和死亡年份。
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引用次数: 0
An interdisciplinary forensic approach in a mummified child with evidence of abuse and neglect. 采用跨学科法医方法研究有虐待和忽视证据的木乃伊化儿童。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-08-14 eCollection Date: 2024-09-01 DOI: 10.1093/fsr/owae049
Norbert Moravanský, Soňa Masnicová, Petra Švábová, Roman Kuruc, Branislav Gális, Radoslav Beňuš

Mummification of corpses with partial skeletonization is not an uncommon occurrence in daily forensic work. Cooperation between different forensic fields is important in these cases in terms of obtaining the most accurate and forensically relevant results, especially when child abuse and neglect is suspected. In Central Europe, up to 21% of children are exposed to physical and psychological harm, which is mostly perpetrated by family members. This report describes a case of subadult female mummified remains in which interdisciplinary forensic pathology, forensic anthropology, and entomology input was needed to obtain legally relevant results. Entomological analysis of the fly and beetle species present served primarily to estimate the postmortem interval. External examination confirmed advanced postmortem decomposition of the body. The anthropological findings based on radiographs and analysis of selected bones confirmed various antemortem fractures and post-traumatic changes involving the ribs, the distal portion of the humerus, the nasal bones, and the anterior portions of the maxilla and mandible. Furthermore, non-specific findings of growth arrest (Harris) lines in the distal metaphysis of the right tibia indicated growth retardation and, overall, child neglect. The autopsy findings confirmed subdural blood coagulum, part of which formed a clearly moulded plaster mass that had originally been attached to the cranial vault up to the internal lamina. The findings indicated a post-traumatic condition as the underlying cause of death in this child. Interdisciplinary forensic analyses confirmed that the child had been repeatedly exposed to violent assaults throughout her lifetime.

Key points: If mummified remains with partial skeletonization of a subadult are found, collaboration among forensic experts is requiredIn this case, dried subdural blood coagulum indicated post-traumatic, non-spontaneous subdural haemorrhagePeriosteal reaction present on the facial bones and distal portion of the humerus was a suspicious findingAnalyses of female subadult remains based on an interdisciplinary approach revealed a syndrome of child abuse and neglect.

在日常法医工作中,尸体木乃伊化和部分骨骼化的情况并不少见。在这些案件中,不同法医领域之间的合作对于获得最准确、最具法医相关性的结果非常重要,尤其是当怀疑存在虐待和忽视儿童的情况时。在中欧,多达 21% 的儿童受到身体和心理伤害,而这些伤害大多是由家庭成员造成的。本报告描述了一具亚成年女性木乃伊遗骸的案例,在该案例中,需要跨学科的法医病理学、法医人类学和昆虫学投入,才能获得与法律相关的结果。对存在的苍蝇和甲虫物种进行昆虫学分析主要是为了估计死后的间隔时间。外部检查证实尸体已高度腐烂。根据 X 光片和对部分骨骼的分析得出的人类学结论证实,肋骨、肱骨远端、鼻骨以及上颌骨和下颌骨前部存在多处死前骨折和创伤后病变。此外,在右胫骨远端干骺端还发现了非特异性的生长停滞(Harris)线,这表明孩子生长迟缓,而且总体而言,孩子被忽视了。尸检结果证实了硬膜下血凝块,其中部分血凝块形成了一个明显的石膏团块,该石膏团块最初与颅骨穹隆相连,直至内层。这些结果表明,创伤后病症是导致这名儿童死亡的根本原因。跨学科法医分析证实,这名儿童一生中多次遭受暴力袭击:本案中,干硬膜下血凝块表明是创伤后、非自发性硬膜下出血,面骨和肱骨远端出现的骨膜反应是一个可疑的发现。
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引用次数: 0
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