Forensic epidemiology

  • 文章类型: Journal Article
    Post-traumatic headache (PTH) is a common and disabling symptom secondary to the traumatic event. It is known that assault is associated with a wide range of physical symptoms including PTH. In this work, the general causation approach provided by the Hill criteria is described as an assessment tool for specific causation with regards to PTH and sexual assault. Time-dependent models of probability and, in-turn, relative risk are described as quantitative algorithms for addressing inductive and abductive conclusions of causation in forensic science.
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  • 文章类型: Letter
    2021年8月,我们在《环境健康》杂志上发布了用于检测滥用流行病学方法的工具包,旨在为透明地评估流行病学研究提供组织框架。一具证据,以及由此产生的结论。津田等人。,第一组以系统的方式利用工具包,提出了修改建议。
    在Tsuda等人提出的修改中。,我们同意,重新安排工具包的A部分以反映流行病学研究过程的顺序将有助于其有用性。将工具包扩展或适应其他学科将是有价值的,但需要输入特定学科的专门知识。我们告诫不要使用工具包的各个部分来产生计数或累积分数,因为没有一个项目是关于重要性或影响的加权。相反,我们建议以视觉方式表示研究如何满足Toolkit项目,例如用于显示Cochrane综述中纳入研究的偏倚风险标准的热图.我们建议将工具包纳入被称为“法医流行病学”的子专业中,“以及在研究生培训课程中,继续教育项目,和会议,认识到这是被广泛接受的流行病学研究伦理准则的延伸。
    我们欢迎来自研究界的关于加强工具包的方法的反馈,因为它被应用于更广泛的研究和学科组合。有助于其作为生活工具/工具的价值。Tsuda等人对工具包的应用。说明了这个框架对透明评估的有用性,以系统的方式,流行病学研究,关于因果关系的结论,和政策决定。
    我们注意到我们的工具包有,最近,启发具有保护生物学领域特定学科专业知识的作者,以使其适用于生物科学。
    In August 2021, we published in Environmental Health a Toolkit for detecting misused epidemiological methods with the goal of providing an organizational framework for transparently evaluating epidemiological studies, a body of evidence, and resultant conclusions. Tsuda et al., the first group to utilize the Toolkit in a systematic fashion, have offered suggestions for its modification.
    Among the suggested modifications made by Tsuda et al., we agree that rearrangement of Part A of the Toolkit to reflect the sequence of the epidemiological study process would facilitate its usefulness. Expansion or adaptation of the Toolkit to other disciplines would be valuable but would require the input of discipline-specific expertise. We caution against using the sections of the Toolkit to produce a tally or cumulative score, because none of the items are weighted as to importance or impact. Rather, we suggest a visual representation of how a study meets the Toolkit items, such as the heat maps used to present risk of bias criteria for studies included in Cochrane reviews. We suggest that the Toolkit be incorporated in the sub-specialty known as \"forensic epidemiology,\" as well as in graduate training curricula, continuing education programs, and conferences, with the recognition that it is an extension of widely accepted ethics guidelines for epidemiological research.
    We welcome feedback from the research community about ways to strengthen the Toolkit as it is applied to a broader assemblage of research studies and disciplines, contributing to its value as a living tool/instrument. The application of the Toolkit by Tsuda et al. exemplifies the usefulness of this framework for transparently evaluating, in a systematic way, epidemiological research, conclusions relating to causation, and policy decisions.
    We note that our Toolkit has, most recently, inspired authors with discipline-specific expertise in the field of Conservation Biology to adapt it for use in the Biological Sciences.
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  • 文章类型: Journal Article
    Forensic investigation performed on people suspected to be drug abusers covering all Tunisian cities was conducted by monitoring an epidemiological study of human urine samples surveying positive rates of consumption for drugs of abuse. The forensic investigations were conducted on a total of 28,298 arrested individuals suspected to be drug addicts during five years (January 2010-December 2015). An immunoassay screening tests to detect elevated levels of drugs classes in urine samples was performed. These screening assays provide a preliminary qualitative test result. Only positives urine specimens were analyzed with GC-MS for confirmation. Except for cannabis, the results showed insignificant number of positive cases for cocaine, ecstasy (MDMA) and amphetamine consumptions (<1%).
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  • 文章类型: Journal Article
    In epidemiology, the identification of \'who infected whom\' allows us to quantify key characteristics such as incubation periods, heterogeneity in transmission rates, duration of infectiousness, and the existence of high-risk groups. Although invaluable, the existence of many plausible infection pathways makes this difficult, and epidemiological contact tracing either uncertain, logistically prohibitive, or both. The recent advent of next-generation sequencing technology allows the identification of traceable differences in the pathogen genome that are transforming our ability to understand high-resolution disease transmission, sometimes even down to the host-to-host scale. We review recent examples of the use of pathogen whole-genome sequencing for the purpose of forensic tracing of transmission pathways, focusing on the particular problems where evolutionary dynamics must be supplemented by epidemiological information on the most likely timing of events as well as possible transmission pathways. We also discuss potential pitfalls in the over-interpretation of these data, and highlight the manner in which a confluence of this technology with sophisticated mathematical and statistical approaches has the potential to produce a paradigm shift in our understanding of infectious disease transmission and control.
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