forensic

法医
  • 文章类型: Journal Article
    鞋印是在犯罪现场发现的最常见的证据之一,仅次于指纹。然而,涉及诸如机器学习和深度学习之类的用于检测和分析鞋印的现代方法的研究在该领域相当有限。随着技术的进步,最近出现了2D鞋印检测的积极结果。然而,很少有研究关注3D鞋印。本研究旨在利用深度学习方法,特别是PointNet架构,对于3D鞋印的二元分类应用,利用两个不同的鞋品牌。这项研究采用了由160双鞋创建的3D数据集。该数据集包括来自阿迪达斯品牌的797张图像和来自耐克品牌的2445张图像。研究中使用的数据集包括磨损的鞋印。根据获得的结果,训练阶段达到了96%的准确率,验证阶段达到了93%的准确率。这些研究结果是非常积极的,并表明对3D鞋印进行分类的潜力。这项研究被描述为首次使用深度学习方法进行的分类研究,特别是在3D鞋印上。它提供了可以在3D鞋印上进行深度学习研究的概念证明。虽然这些3D鞋印的二进制分类可能无法完全满足当前的法医需求,它将成为未来研究和创建用于法医目的的3D数据集的动力来源。
    Shoe prints are one of the most common types of evidence found at crime scenes, second only to fingerprints. However, studies involving modern approaches such as machine learning and deep learning for the detection and analysis of shoe prints are quite limited in this field. With advancements in technology, positive results have recently emerged for the detection of 2D shoe prints. However, few studies focusing on 3D shoe prints. This study aims to use deep learning methods, specifically the PointNet architecture, for binary classification applications of 3D shoe prints, utilizing two different shoe brands. A 3D dataset created from 160 pairs of shoes was employed for this research. This dataset comprises 797 images from the Adidas brand and 2445 images from the Nike brand. The dataset used in the study includes worn shoe prints. According to the results obtained, the training phase achieved an accuracy of 96%, and the validation phase achieved an accuracy of 93%. These study results are highly positive and indicate promising potential for classifying 3D shoe prints. This study is described as the first classification study conducted using a deep learning method specifically on 3D shoe prints. It provides proof of concept that deep learning research can be conducted on 3D shoeprints. While the developed binary classification of these 3D shoeprints may not fully meet current forensic needs, it will serve as a source of motivation for future research and for the creation of 3D datasets intended for forensic purposes.
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  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Journal Article
    医学证据证明通常用于帮助法院评估受害者受伤的原因和严重程度。在大量失血的情况下,有时会出现出血本身是否危及生命的问题。为了回答这个问题,ATLS®中描述的低血容量休克的容量分类通常用作辅助手段,其中相对失血>30%被认为危及生命。在最近一项关于内出血导致死亡的研究中,许多病例的相对失血率<30%.然而,许多包括在内的病例都有可能通过其他机制导致死亡的伤害,使解释不确定。为了解决剩余的歧义,我们研究了孤立性肝撕裂导致的死亡是否有相对失血<30%,一种死亡原因,其中死亡机制可能只是失血。利用国家法医学委员会的尸检数据库,我们确认了所有的成人死者,2001-2021年进行了医学法律尸检(n=105952),其中肝脏裂伤被记录为死亡的根本原因(n=102)。由其他伤害共同导致死亡的病例(n=79),以及接受过医院护理的病例,被排除在外(n=4),留下19起案件。在这些致命的纯放血中,内部出血占计算的总血液量的比例为12%至52%,63%的病例比例<30%。我们的结果进一步支持了ATLS®中描述的低血容量性休克的体积分类不适用于评估医学法律案件中危及生命的出血程度的说法。
    Certificates of medical evidence are often used to aid the court in assessing the cause and severity of a victim\'s injuries. In cases with significant blood loss, the question whether the bleeding itself was life-threatening sometimes arises. To answer this, the volume classification of hypovolemic shock described in ATLS® is commonly used as an aid, where a relative blood loss > 30% is considered life-threatening. In a recent study of deaths due to internal haemorrhage, many cases had a relative blood loss < 30%. However, many included cases had injuries which could presumably cause deaths via other mechanisms, making the interpretation uncertain. To resolve remaining ambiguity, we studied whether deaths due to isolated liver lacerations had a relative blood loss < 30%, a cause of death where the mechanism of death is presumably exsanguination only. Using the National Board of Forensic Medicine autopsy database, we identified all adult decedents, who had undergone a medico-legal autopsy 2001-2021 (n = 105 952), where liver laceration was registered as the underlying cause of death (n = 102). Cases where death resulted from a combination of also other injuries (n = 79), and cases that had received hospital care, were excluded (n = 4), leaving 19 cases. The proportion of internal haemorrhage to calculated total blood volume in these fatal pure exsanguinations ranged from 12 to 52%, with 63% of cases having a proportion < 30%. Our results lend further support to the claim that the volume classification of hypovolemic shock described in ATLS® is inappropriate for assessing the degree of life-threatening haemorrhage in medico-legal cases.
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  • 文章类型: Journal Article
    背景:低温被定义为身体核心温度低于35°C,并且可以由内部或外部压力引起。原发性体温过低是由于在没有任何医疗条件的情况下过度暴露于低环境温度引起的。继发性低温是由疾病引起的体温调节改变引起的,创伤,手术,毒品,或感染。研究的目的是研究在五个不同时间点接受特定水温的大鼠的核心温度值。它着重于区分这些大鼠的原发性和继发性低温。
    方法:将21只Wistar大鼠分为三个实验组:对照组大鼠仅暴露于低温条件(n=7);酒精低温(n=7);和苯并二氮卓类低温(n=7)。研究中分析的温度点是:正常核心温度,注射0.3氯胺酮期间的核心温度,浸泡温度和低温开始时的温度以及死亡时的温度。
    结果:在我们的研究中,对浸入水中后各个时间点的体温进行的比较分析显示,用酒精或苯二氮卓类药物治疗的研究组与对照组之间存在显着差异。在基线温度中观察到显著的差异,麻醉后诱导温度,和立即浸没后的温度。具体来说,发现酒精和苯并二氮卓组之间存在显着差异(p<0.001),酒精和对照组之间存在显着差异(p<0.001)。诱导低温后的生存时间分析显示,三个实验组之间存在统计学上的显着差异(p=0.04),尽管随后的事后比较未显示平均生存时间存在显著差异.
    结论:原发性和继发性低温组的生存时间存在差异,取决于酒精或苯二氮卓类药物的消费和中毒。诱导低温后的生存时间分析显示,两组之间存在统计学上的显着差异。
    BACKGROUND: Hypothermia is defined as a body core temperature below 35 °C and can be caused by internal or external stress. Primary hypothermia is caused by excessive exposure to low environmental temperature without any medical conditions prior to that. Secondary hypothermia is caused by alteration in thermoregulation by disease, trauma, surgery, drugs, or infections. The aim of the research is to investigate core temperature values in rats subjected to specific water temperatures at five different time points. It focuses on distinguishing between primary and secondary hypothermia in these rats.
    METHODS: The total 21 Wistar rats were divided into three experimental groups as: Control group rats exposed only to hypothermic condition (n = 7); Alcohol + hypothermia (n = 7); and Benzodiazepines + hypothermia (n = 7). The temperature spots analyzed in the study were: normal core temperature, core temperature during injection of 0,3 ketamine, temperature of immersion and the temperature at the onset of hypothermia and temperature at the time of death.
    RESULTS: In our study the comparative analysis of body temperatures at various time points following submersion in water revealed significant differences among the study groups treated with either alcohol or benzodiazepines and the control group. Notable differences were observed in baseline temperature, post-anesthesia induction temperature, and immediate post-submersion temperature. Specifically, significant differences were discovered among the alcohol and benzodiazepine groups (p < 0.001) and ranging from the alcohol and control groups (p < 0.001). The analysis of survival times following induced hypothermia revealed a statistically significant difference among the three experimental groups (p = 0.04), though subsequent post-hoc comparisons did not demonstrate significant differences in mean survival times.
    CONCLUSIONS: There is a difference in survival time between primary and secondary hypothermia groups, depending on consumption and intoxication with alcohol or benzodiazepines. The analysis of survival times following induced hypothermia showed a statistically significant difference among the groups.
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  • 文章类型: Journal Article
    Vibrational spectroscopy combined with machine learning has a great potential for forensic research. Portable Raman spectrometers are already being used by law-enforcement agencies to identify drugs. Several new technologies based on vibrational spectroscopy, that can be used in forensic science to analyze documents, gunshot traces, cloths, soil, hair, nails and lacquer, are being developed nowadays. The article considers the use of vibrational spectroscopy in forensic practice for conducting serological studies with an emphasis on the development of a universal method of identifying the main secretions of the body. The method allows to determine the time elapsed since the trace was made, as well as the phenotypic profile of host, including sex, race and age.
    Колебательная спектроскопия в сочетании с машинным обучением имеет большой потенциал для судебно-медицинских исследований. Портативные рамановские спектрометры уже используются правоохранительными органами для идентификации наркотиков. В настоящее время на основе колебательной спектроскопии разрабатывается несколько новых технологий, которые можно применять в криминалистике для анализа документов, следов выстрелов, тканей, почвы, волос, ногтей и лака. В статье рассматривается использование колебательной спектроскопии в судебно-медицинской практике для проведения серологических исследований с акцентом на разработку универсального метода идентификации основных выделений организма. Метод позволяет определить время, прошедшее с момента образования следа, а также фенотипический профиль хозяина, включая пол, расу и возраст.
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  • 文章类型: Journal Article
    振动光谱学是一个强大的分析领域,其中傅里叶变换红外光谱(FTIR)和拉曼光谱作为范例,提供高化学特异性和灵敏度。这些方法在很长一段时间内都有助于表征化合物。他们特别擅长识别和分析微量样品。FTIR和拉曼光谱都精通阐明小液体样品和检测细微的分子变化。化学计量学的应用进一步增强了其分析能力。目前,这些技术在法医学中处于研究阶段,尚未在检查和鉴定过程中广泛实施。尽管如此,研究表明,利用FTIR和拉曼光谱的组合分类模型在识别生物流体相关信息和确定死亡原因方面产生了出色的结果。这篇综述的目的是描述这两种振动光谱技术在法医学背景下的体液检测和死亡原因确定中的当前研究轨迹和潜在应用。
    Vibrational spectroscopy is a powerful analytical domain, within which Fourier transform infrared spectroscopy (FTIR) and Raman spectroscopy stand as exemplars, offering high chemical specificity and sensitivity. These methodologies have been instrumental in the characterization of chemical compounds for an extensive period. They are particularly adept at the identification and analysis of minute sample quantities. Both FTIR and Raman spectroscopy are proficient in elucidating small liquid samples and detecting nuanced molecular alterations. The application of chemometrics further augments their analytical prowess. Currently, these techniques are in the research phase within forensic medicine and have yet to be broadly implemented in examination and identification processes. Nonetheless, studies have indicated that a combined classification model utilizing FTIR and Raman spectroscopy yields exceptional results for the identification of biological fluid-related information and the determination of causes of death. The objective of this review is to delineate the current research trajectory and potential applications of these two vibrational spectroscopic techniques in the detection of body fluids and the ascertainment of causes of death within the context of forensic medicine.
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  • 文章类型: Journal Article
    情境侵略的动态评估:青年版(DASA:YV)是一个简短的工具,最常用于护士,专门用于评估青少年环境中迫在眉睫的暴力风险。迄今为止,建议以线性方式解释DASA:YV分数,高分表明风险水平更高,因此需要更自信和立即的干预。本研究使用当代稳健的数据分析程序重新分析现有数据集,以检查DASA:YV的预测有效性,并确定适当的风险范围。当观察结果相关时,使用混合效应逻辑回归模型来确定DASA:YV是否预测侵略。采用两种方法来识别和测试新的DASA:YV风险带,其中(1)以前为成人DASA生成的三个风险带用作考虑将DASA:YV重新分类为三个风险带的起点,(2)使用称为卡方自动交互检测的决策树分析方法来产生风险带。四类和三类风险带之间没有统计学上的显著差别。四类和三类选项的AUC值为0.85。DASA:YV建议采用三类方法。新的风险带可以通过提供更准确的风险状态分类来帮助护理人员。识别风险状态的升级可能会促使早期干预,这也可以防止在年轻人有采取积极行动的风险时依赖限制性做法。
    The Dynamic Appraisal of Situational Aggression: Youth Version (DASA:YV) is a brief instrument, most often used by nurses and was specifically designed to assess risk of imminent violence in youth settings. To date, it has been recommended that DASA:YV scores are interpreted in a linear manner, with high scores indicating a greater level of risk and therefore need more assertive and immediate intervention. This study re-analyses an existing data set using contemporary robust data analytic procedures to examine the predictive validity of the DASA:YV, and to determine appropriate risk bands. Mixed effect logistic regression models were used to determine whether the DASA:YV predicted aggression when the observations are correlated. Two approaches were employed to identify and test novel DASA:YV risk bands, where (1) three risk bands as previously generated for the adult DASA were used as a starting point to consider recategorising the DASA:YV into three risk bands, and (2) using a decision tree analysis method known as Chi-square automated interaction detection to produce risk bands. There was no statistically significant difference between a four and three category of risk band. AUC values were 0.85 for the four- and three-category options. A three-category approach is recommended for the DASA:YV. The new risk bands may assist nursing staff by providing more accurate categorisation of risk state. Identification of escalation in risk state may prompt early intervention, which may also prevent reliance on the use of restrictive practices when young people are at risk of acting aggressively.
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  • 文章类型: Journal Article
    死亡年龄估计是法医学和人类学的重要问题。最初,方法依赖于形态学标准,但是随着放射学的进步,出现了新技术,例如多层计算机断层扫描(CT)重建的形态学研究。通过研究年龄与骨矿物质密度(BMD)之间的相关性,最近的研究显示了有希望的结果。然而,目前缺乏涉及分解尸体的死后CT(PMCT)的数据,在事后背景下,关于亨氏单位测量变化的信息有限。鉴于这些差距,我们的研究旨在使用法医样本检查死亡年龄与耻骨和髂骨BMD之间的关系.我们还旨在确定验尸过程,比如腐败,可能会干扰这种相关性。我们的回顾性分析包括在图尔大学医院进行法医学尸检之前进行的637次PMCT。利用简单和多元线性回归,我们调查了年龄与耻骨和髂骨BMD之间的相关性,以及BMD与放射学改变指数(RAI)之间的关系,用于量化腐败程度的量表。我们的研究结果表明,对于没有或中度分解(RAI<80)的身体,使用耻骨和/或髂骨BMD进行死亡年龄估计有希望的结果,尤其是40岁以下的人。然而,对于高度分解的尸体(RAI≥80),气体渗透的存在显着影响the骨和耻骨的BMD。因此,我们主张将RAI评分纳入年龄估计方程,以提高我们在此类病例中结果的准确性.涉及更大的分解体队列的进一步调查可以促进我们的方法在该特定人群中的完善和验证。
    Age-at-death estimation is an important issue in forensic medicine and anthropology. Initially, methods relied on morphological criteria, but with the advancement of radiology, new techniques such as morphological studies on multi-slice computed tomography (CT) reconstructions have emerged. Recent studies have shown promising results by investigating the correlation between age and bone mineral density (BMD). However, there is currently a lack of data on post-mortem CTs (PMCT) involving decomposed bodies, and limited information exists regarding changes in Hounsfield Units measurement in a post-mortem context. In light of these gaps, our study aimed to examine the relationship between age at death and pubic and ilium BMD using a sample of forensic bodies. We also aimed to determine whether post-mortem processes, such as putrefaction, could interfere with this correlation. Our retrospective analysis encompassed 637 PMCTs conducted before medicolegal autopsies at Tours University Hospital. Utilizing simple and multiple linear regressions, we investigated the correlation between age and pubic and ilium BMD, as well as the relationship between BMD and the radiologic alteration index (RAI), a scale employed to quantify the degree of putrefaction. Our findings indicate promising outcomes in age-at-death estimation using pubic and/or ilium BMD for bodies exhibiting no or moderate decomposition (RAI < 80), particularly among individuals under 40 years old. However, for highly decomposed corpses (RAI ≥ 80), the presence of gas infiltration significantly influences the BMD of both the ilium and pubis. Consequently, we advocate for the incorporation of the RAI score into the age estimation equation to enhance the accuracy of our results in such cases. Further investigation involving a larger cohort of decomposed bodies could facilitate refinement and validation of our method within this specific population.
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  • 文章类型: Journal Article
    情绪不稳定的人格障碍(EUPD)是一种使人衰弱的精神障碍,在女性和法医人群中尤其常见。然而,有效控制EUPD症状的适当药物治疗仍未满足临床需求.多巴胺受体部分激动剂(DRPAs),比如阿立哌唑,具有良好的耐受性,并且在针对情绪失调的症状方面表现出一些益处,虽然,关于新型D2/D3DRPA卡利拉嗪在EUPD患者中的作用的证据有限.
    在诊断更为普遍的一系列女性法医住院患者中,评估卡利拉嗪对EUPD的疗效和耐受性。
    患者的人口统计学和临床信息是在他们进入专门的NHS法医服务期间从患者电子记录中收集的。在基线时使用阳性和阴性综合征量表(PANSS)测量治疗反应,3和6个月以及基线和6个月时的总体临床印象量表(CGI评分)。耐受性和BMI,在开始前和6个月时记录ECGQTc间期和催乳素水平。
    8名EUPD女性患者(平均年龄29.8岁,SD5.3)用卡利拉嗪(范围3-6mg)治疗。总CGI评分在6个月时从5.6基线适度改善至5.0。从基线到6个月,PANSS平均总分降低(92.5,SD8.1至72.4,SD15.8),一般精神病理学(56.1SD6.7至42.5,SD9.7),积极(21.9SD4.6至17.1,SD4.8)和消极的PANSS得分(14.5SD6.3至12.8,SD4.6),相当于21%,23%,20%和3%的平均得分降低,分别。Cariprazine表现出良好的代谢和激素副作用,在6个月的随访中没有停止治疗。
    这是第一个评估卡利拉嗪在EUPD中有效性的病例系列。其在改善PANSS和CGI-S评分方面的功效总体适度且高度可变,反映了固有的异质性和合并症患者样本,但对治疗毅力和耐受性的益处是相当大的。Cariprazine可能在EUPD中特别有益,在EUPD中,精神病症状是共病的,作为氯氮平的补充策略,或以前的抗精神病药引起代谢或激素副作用的地方。
    UNASSIGNED: Emotionally unstable personality disorder (EUPD) is debilitating psychiatric disorder, particularly common in female and forensic populations. However, appropriate pharmacological treatment to effectively manage symptoms of EUPD remains an unmet clinical need. Dopamine receptor partial agonists (DRPAs), such as aripiprazole, have a favourable tolerability profile and have demonstrated some benefits in targeting symptoms of emotional dysregulation, although, evidence regarding the effects of novel D2/D3 DRPA cariprazine in EUPD patients has been limited.
    UNASSIGNED: To evaluate the efficacy and tolerability of cariprazine for EUPD in a case series of female forensic inpatients where the diagnosis is more prevalent.
    UNASSIGNED: Demographic and clinical information of the patients were collected from patient electronic records during their admission in a specialized NHS forensic service. Treatment response was measured using the Positive and Negative Syndrome Scale (PANSS) at baseline, 3 and 6 months and Global Clinical Impression Scale (CGI-scores) at baseline and 6 months. Tolerability and BMI, ECG QTc interval and prolactin levels were recorded prior to initiation and at 6 months.
    UNASSIGNED: Eight female patients with EUPD (mean age 29.8 years, SD 5.3) were treated with cariprazine (range 3-6mg). Total CGI-scores modestly improved from 5.6 baseline to 5.0 at 6 months. There was a reduction in mean total PANSS scores from baseline to 6 months (92.5, SD 8.1 to 72.4, SD 15.8), general psychopathology (56.1 SD 6.7 to 42.5, SD9.7), positive (21.9 SD 4.6 to 17.1, SD4.8) and negative PANSS scores (14.5 SD 6.3 to 12.8, SD4.6), corresponding to a 21%, 23%, 20% and 3% mean score reduction, respectively. Cariprazine demonstrated a favourable metabolic and hormonal side effect profile with no treatment discontinuation at 6 months follow up.
    UNASSIGNED: This is the first case series to evaluate the effectiveness of cariprazine in EUPD. Its efficacy in improving PANSS and CGI-S scores was overall modest and highly variable, reflective of an inherently heterogenous and comorbid patient sample but the benefits on treatment perseverance and tolerability were considerable. Cariprazine may be of particular benefit in EUPD where psychotic symptoms are co-morbid, as an augmentation strategy to clozapine, or where previous antipsychotics have caused metabolic or hormonal side effects.
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  • 文章类型: Journal Article
    全球气候的异常变化,导致极端天气,极大地威胁到参与户外活动的个人的安全。低温引起的昏迷或死亡经常发生在临床和法医环境中。尽管如此,由于低温引起的中枢神经系统损伤的确切机制尚不清楚,阻碍了有针对性的临床治疗方法和特定法医诊断指标的发展。搜索GEO数据库以识别与体温过低相关的数据集。后生物信息学分析,DEGs,与铁中毒相关的DEGs(FerrDEGs)相交。然后进行GSEA以阐明Ferr相关基因的功能。在这项研究中进行的动物实验表明,低温,与对照治疗相比,可以诱导铁死亡相关基因如PPARG的显著改变,SCD,ADIPOQ,脑皮质神经细胞中的SAT1、EGR1和HMOX1。这些变化导致铁离子积累,脂质过氧化,和铁死亡相关蛋白的显著表达。铁死亡抑制剂Ferrostatin-1(Fer-1)的应用有效地调节了这些基因的表达,减少脂质过氧化,并提高铁死亡相关蛋白的表达。严重的低温会破坏大脑皮层神经细胞的代谢,导致铁凋亡相关基因的显著改变。这些遗传变化通过多种途径促进铁死亡。
    Abnormal shifts in global climate, leading to extreme weather, significantly threaten the safety of individuals involved in outdoor activities. Hypothermia-induced coma or death frequently occurs in clinical and forensic settings. Despite this, the precise mechanism of central nervous system injury due to hypothermia remains unclear, hindering the development of targeted clinical treatments and specific forensic diagnostic indicators. The GEO database was searched to identify datasets related to hypothermia. Post-bioinformatics analyses, DEGs, and ferroptosis-related DEGs (FerrDEGs) were intersected. GSEA was then conducted to elucidate the functions of the Ferr-related genes. Animal experiments conducted in this study demonstrated that hypothermia, compared to the control treatment, can induce significant alterations in iron death-related genes such as PPARG, SCD, ADIPOQ, SAT1, EGR1, and HMOX1 in cerebral cortex nerve cells. These changes lead to iron ion accumulation, lipid peroxidation, and marked expression of iron death-related proteins. The application of the iron death inhibitor Ferrostatin-1 (Fer-1) effectively modulates the expression of these genes, reduces lipid peroxidation, and improves the expression of iron death-related proteins. Severe hypothermia disrupts the metabolism of cerebral cortex nerve cells, causing significant alterations in ferroptosis-related genes. These genetic changes promote ferroptosis through multiple pathways.
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