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Patterns of skeletal trauma resulting from motor vehicle collisions: a scoping literature review. 机动车碰撞导致的骨骼创伤模式:范围文献综述。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-26 eCollection Date: 2025-06-01 DOI: 10.1093/fsr/owae064
Alexandra Wulff, Richard G D Fernandez, Joanna F Dipnall, Soren Blau, Samantha K Rowbotham

As a leading cause of fatality, motor vehicle collisions comprise a significant proportion of medico-legal cases worldwide. During death investigations into such events, forensic practitioners may be asked to make inferences about the relationship between traumatic injuries and the circumstances of the collision. These interpretations require a thorough understanding of the hard and soft tissue blunt force trauma that results from vehicle collisions. This scoping literature review aimed to assess what is currently known about skeletal fracture patterns in occupants of fatal motor vehicle collisions and how contextual variables influence those fractures. Upon screening the search results from several databases based on a set of pre-defined inclusion criteria, 133 articles were identified including case reports, case series and large empirical studies. Most studies investigated car occupants, followed by motorcyclists, with very few focusing on heavy vehicle occupants. Fractures patterns observed comprised a high prevalence of rib, lower limb, and skull fractures in motorcyclists and a high frequency of skull, vertebral and rib fractures in car occupants, whilst pectoral girdle fractures were rare in both occupant types. The level of contextual detail about the collision varied between studies, with most failing to consider the influence of occupant and crash-related variables on resulting fractures. Further, there was a strong focus on soft tissue trauma and a lack of differentiation between fractures in deceased adult vehicle occupants and other groups. The minimal fracture data available in these studies provides limited assistance to forensic practitioners interpreting motor vehicle collision trauma. Additional research on fracture patterns in the context of the variables that influence trauma is recommended.

机动车碰撞是造成死亡的主要原因,在全世界的医疗法律案件中占很大比例。在对这类事件进行死亡调查期间,可能会要求法医从业人员对创伤与碰撞情况之间的关系作出推论。这些解释需要对车辆碰撞造成的硬组织和软组织钝力创伤有透彻的了解。本文献综述旨在评估目前已知的致命机动车碰撞中乘员骨骼骨折模式以及环境变量如何影响这些骨折。根据一套预定义的纳入标准,对多个数据库的搜索结果进行筛选后,确定了133篇文章,包括病例报告、病例系列和大型实证研究。大多数研究调查了汽车乘员,其次是摩托车手,很少关注重型车辆乘员。观察到的骨折类型包括摩托车手的肋骨、下肢和颅骨骨折的高发率,汽车乘员的颅骨、椎体和肋骨骨折的高发率,而胸骨带骨折在两种乘员类型中都很少见。关于碰撞的背景细节水平在不同的研究中有所不同,大多数研究没有考虑乘员和碰撞相关变量对导致骨折的影响。此外,有强烈的关注软组织创伤和缺乏区分骨折死者成人车辆乘客和其他群体。这些研究中提供的最小骨折数据为法医从业者解释机动车碰撞创伤提供了有限的帮助。建议在影响创伤的变量背景下对骨折模式进行进一步的研究。
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引用次数: 0
I have a question about evaluative reporting: a comprehensive collection of FAQs. 我有一个关于评估报告的问题:一个全面的常见问题解答集。
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.

随着法医科学文献中对模式匹配学科采用评估报告(也称为似然比或逻辑方法)的各种呼吁,习惯于在更传统的范式下报告证据的从业者可能会有一定程度的理解,并面临陡峭的学习曲线。人们可能会怀疑评估报告的好处,它何时适用,何时不适用,它实际上需要什么,它的有效性,以及如何在法庭上解释。这些问题和更多的问题在这个关于评估报告的常见问题的综合收集中得到了回答。虽然重点是为法医笔迹审查员提供上下文,但许多问题和答案本质上是通用的,并且这些概念可以应用于其他学科。
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引用次数: 0
Utility of the morphological scoring of costal cartilage ossification in age estimation of adult Egyptians using multidetector computed tomography. 肋软骨骨化形态学评分在埃及成人年龄估计中的应用。
IF 1.4 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-09-20 eCollection Date: 2025-06-01 DOI: 10.1093/fsr/owae061
Mai Mohammad Elgendy, Somaya Abdel-Gawad Madkour, Fatma Mohamed Magdi Badr Eldine, Doaa Mokhtar Emara, MennattAllah Hassan Attia

Age estimation of adults is a challenging procedure in forensic practice. Inspired by the previous work by Chinese scholars, we established population-specific age estimation models from the osseous and calcified projections (OCPs) of costal cartilages, using three-dimensional volume-rendering technique. A total of 168 clinical CT scans (2 mm slice thickness) were used to develop the sex-specific age prediction models from a sample of Egyptians, comprising 70 females and 98 males, with documented ages between 12 and 85 years. The sample was also used for validating the Chinese model. We reported the differences between the predictive accuracy of the Egyptian (population specific) and Chinese (non-population specific) models. The most accurate age estimation model was stepwise linear regression with standard error of estimates of 10.9 and 11.8 years in males and females, respectively. For the simple linear regression models, the most accurate formula included OCP of the right second costal cartilage in males and OCP of the left third costal cartilage in females with standard error of estimates of 11.2 and 12.2 years, respectively, and mean absolute error (MAE) of 8.8 and 9.6 years, respectively. By comparison, the best accuracy rates produced by the Chinese vs. the Egyptian models in males and females within 5 years were 30.61% and 32.86% vs. 35.71% and 32.86%, respectively, whereas within 10 years, the accuracy rates increased up to 57.14% and 58.57% vs. 72.45% and 64.29%, respectively. Although the accuracy rates from the Chinese models were lower than those obtained from the Egyptian models, the MAE and least error values were comparable in both sexes. Notable accurate age estimation rates in the advanced age group ≥40 years were reached being 81.25% to 97.92% in males and 69.77% to 93.02% in females. OCP of the right first costal cartilage was the most accurate in cross-population application for males and females with MAE values of 10.7 and 11.03 years, respectively, with balanced accuracy rates of age estimation using the 10-year interval and 40-year cutoff.

Key points: Age differences in calcification form and amount in the seven costal cartilages were found.The best model for males include the second costal cartilage.The best model for females include third or fifth costal cartilages.First OCP is the most accurate in cross-population application regardless of sex.The best OCP in one population is not necessarily the best predictor in both samples.

成人年龄的估计是一个具有挑战性的程序在法医实践。受中国学者前人工作的启发,我们利用三维体绘制技术,从肋软骨的骨和钙化投影(ocp)建立了人群特定年龄估计模型。共使用168个临床CT扫描(2毫米切片厚度)从埃及人样本中建立性别特异性年龄预测模型,其中包括70名女性和98名男性,记录年龄在12至85岁之间。该样本也用于验证中国模型。我们报告了埃及(特定人群)和中国(非特定人群)模型的预测准确性之间的差异。最准确的年龄估计模型为逐步线性回归,男性和女性的估计标准误差分别为10.9和11.8岁。对于简单的线性回归模型,最准确的公式为男性右侧第二肋软骨OCP和女性左侧第三肋软骨OCP,估计的标准误差分别为11.2和12.2年,平均绝对误差(MAE)分别为8.8和9.6年。通过比较,中国模型和埃及模型在男性和女性中5年内的最佳准确率分别为30.61%和32.86%,而在10年内,准确率分别为57.14%和58.57%,分别为35.71%和32.86%,分别为72.45%和64.29%。虽然中国模型的准确率低于埃及模型,但男女的MAE和最小误差值具有可比性。≥40岁高龄组男性的年龄估计准确率为81.25% ~ 97.92%,女性为69.77% ~ 93.02%。右第一肋软骨OCP在男性和女性的跨群体应用中最准确,MAE值分别为10.7和11.03岁,使用10年间隔和40年截止年龄估计的准确率平衡。重点:发现7种肋软骨钙化形式和钙化量的年龄差异。男性的最佳模型包括第二肋软骨。女性的最佳模型包括第三或第五肋软骨。首先,无论性别如何,OCP在跨种群应用中是最准确的。一个群体的最佳OCP不一定是两个样本的最佳预测因子。
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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
Parallel sequencing of 170 STR and 132 SNP markers using the FGID forensic four-in-one DNA typing kit on the DNBSEQ-G99RS platform. 在DNBSEQ-G99RS平台上使用FGID法医四合一DNA分型试剂盒对170个STR和132个SNP标记进行平行测序。
IF 1.8 4区 医学 Q3 MEDICINE, LEGAL Pub Date : 2024-08-21 eCollection Date: 2025-09-01 DOI: 10.1093/fsr/owae050
Xiaoyuan Zhen, Zhenmin Zhao, Ruocheng Xia, Xiling Liu, Hui Li, Yuzhen Gao, Baifang He, Chengtao Li, Ruiyang Tao

Massive parallel sequencing (MPS) has rapidly emerged as a promising technique for forensic DNA typing due to its capacity to simultaneously detect numerous genetic markers and samples in a single reaction, allowing the direct acquisition of sequence information. In this current investigation, the FGID forensic four-in-one DNA typing kit was employed on the DNBSEQ-G99RS high-throughput sequencing platform to simultaneously analyse two types of forensic genetic markers-short tandem repeat (STR) and single nucleotide polymorphism (SNP). A total of 306 DNA markers, comprising Amelogenin, 66 autosomal STR (A-STR) loci, 29 X chromosomal STR (X-STR) loci, 75 Y chromosomal STR (Y-STR) loci, and 135 SNP (132 A-SNP and 3 Y-SNP) loci, were genotyped for 100 unrelated individual samples (50 males and 50 females). As a result, sequence-based STR typing identified 940 alleles on A-STRs, 378 alleles on X-STRs, and 519 alleles on Y-STRs. In comparison with length-based alleles, the number of unique alleles based on sequence increased by 58.18%. Additionally, 97 new sequence variations were observed at 29 STR loci, and MPS sequence information was obtained for the first time at 42 STR loci. Furthermore, when utilizing sequence-based data, forensic parameters exhibited a notable increase in combined power of discrimination (CPD) and combined power of exclusion for A-STR, a slight increase in CPD and combined mean exclusion chance for X-STR, and a marginal increase in discrimination capacity for Y-STR. Moreover, information data for 132 A-SNPs were acquired. As anticipated, our findings highlight the advantages of MPS in forensic genetic applications while contributing novel genetic data for Asian populations in forensic practice.

大规模平行测序(MPS)已迅速成为一种有前途的法医DNA分型技术,因为它能够在一次反应中同时检测大量遗传标记和样本,从而直接获取序列信息。本研究采用FGID法医四合一DNA分型试剂盒,在DNBSEQ-G99RS高通量测序平台上同时分析短串联重复序列(STR)和单核苷酸多态性(SNP)两种法医遗传标记。对100份无亲缘关系个体样本(男、女各50份)进行基因分型,共检测到306个DNA标记,包括Amelogenin、66个常染色体STR (A-STR)位点、29个X染色体STR (X-STR)位点、75个Y染色体STR (Y-STR)位点和135个SNP(132个A-SNP和3个Y-SNP)位点。结果,基于序列的STR分型鉴定出a -STR上的940个等位基因,x -STR上的378个等位基因,y -STR上的519个等位基因。与基于长度的等位基因相比,基于序列的独特等位基因数量增加了58.18%。此外,在29个STR位点上观察到97个新的序列变异,在42个STR位点上首次获得MPS序列信息。此外,当使用基于序列的数据时,法医参数对a - str的联合辨别能力(CPD)和联合排除能力显著增加,对X-STR的CPD和联合平均排除机会略有增加,对Y-STR的辨别能力略有增加。此外,还获得了132个a - snp的信息数据。正如预期的那样,我们的研究结果突出了MPS在法医遗传学应用中的优势,同时为法医实践中的亚洲人群提供了新的遗传数据。
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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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Forensic Sciences Research
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