• 文章类型: Journal Article
    一些研究已经评估了蝶鞍(ST)的正常性参数,这对于面对可能影响这种结构的不同颅面综合征很重要。因此,这项研究总结了关于ST在非综合征个体性别估计中的作用的科学证据.研究方案已注册(前瞻性国际注册系统审查#CRD42021256469),然后在六个数据库中进行电子搜索(PubMed,LILACS,WebofScience,Scopus,EMBASE,和LIVIVO)和灰色文学(谷歌学者和OpenGrey)。线性元分析(宽度,长度,高度,和直径)和体积测量,除了对偏见风险(RoB)和证据确定性的评估之外,被执行了。经过986篇文章的筛选,13人通过荟萃分析进行了评估(男性1307人,女性1231人)。在亚组分析中,女性的宽度值较低(横向X光片;-0.67mm;P=0.040),长度(计算机断层扫描;-0.23mm;P=0.020),与男性相比,直径(计算机断层扫描;-0.27mm;P<0.001)。身高差异无统计学意义(P=0.95),面积(P=0.72),和体积(P=0.21)。大多数研究显示适度的RoB,结果证据的确定性非常低。在这次审查中,在ST的长度和直径方面,性别之间存在显着差异;但是,必须考虑研究的异质性。
    来自不同地理区域的研究根据性别评估了ST的形态,并将这种解剖结构作为二态性的重要指标。Meta分析显示女性ST长度和直径较短。亚组分析发现,根据侧颅X光片,女性的ST宽度较低。亚组分析根据CT扫描发现女性的长度和直径较小。
    Several studies have evaluated the parameters of normality of the sella turcica (ST), which is important to face different craniofacial syndromes that may affect this structure. Therefore, this research summarized the scientific evidence on the role of ST in the sex estimation of non-syndromic individuals. The research protocol was registered (Prospective International Registry of Systematic Reviews # CRD42021256469), followed by an electronic search in six databases (PubMed, LILACS, Web of Science, Scopus, EMBASE, and LIVIVO) and gray literature (Google Scholar and OpenGrey). Meta-analysis of linear (width, length, height, and diameter) and volumetric measurements, in addition to an assessment of risk of bias (RoB) and certainty of evidence, were performed. After the screening of 986 articles, 13 were evaluated by meta-analysis (1 307 males and 1 231 females). In subgroup analysis, females had lower values for width (lateral radiograph; -0.67 mm; P = 0.040), length (computed tomography; -0.23 mm; P = 0.020), and diameter (computed tomography; -0.27 mm; P < 0.001) compared to males. There was no statistically significant difference regarding height (P = 0.95), area (P = 0.72), and volume (P = 0.21). Most studies exhibited moderate RoB, and the certainty of evidence of the outcomes was very low. In this review, significant differences were observed between the sexes for the length and diameter of the ST; however, the heterogeneity of the studies must be considered.
    UNASSIGNED: Studies from different geographic regions evaluated the morphology of ST according to sex and showed this anatomical structure as an important indicator of dimorphism.Meta-analysis showed shorter ST length and diameter in women.Subgroup analysis found lower ST width in women based on lateral skull radiographs.Subgroup analysis found smaller lengths and diameters in women based on CT scans.
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  • 文章类型: Journal Article
    尽管下颌骨是儿科人群中最常见的面部骨折,但下颌骨骨折相对少见。下颌骨骨折的病因可以归类为故意的(例如,由于攻击,对等暴力,家庭暴力)或无意(例如,由于跌倒,机动车碰撞,体育赛事)。点对点暴力影响澳大利亚多达三分之一的男性学龄儿童。此病例报告详细介绍了一名患有双侧下颌骨骨折的儿科患者的病例,该患者在经历了点对点暴力后接受了一般牙科治疗。临床检查,报道了影像学检查结果和治疗。本文探讨了对等身体暴力对个人及其家庭的体验和影响。对相关文献进行了综述。©2024澳大利亚牙科协会。
    Mandible fractures are relatively uncommon despite the mandible being the most commonly fractured facial bone in the paediatric population. The aetiology of mandible fractures can be categorized as intentional (e.g. as a result of assault, peer-to-peer violence, family violence) or non-intentional (e.g. as a result of falls, motor vehicle crashes, sporting incidents). Peer-to-peer violence affects up to a third of male school aged children in Australia. This case report details the case of a paediatric patient with bilateral mandibular fractures who presented to a general dental practice after an episode of peer-to-peer violence. Clinical examination, radiographic findings and treatment are reported. This paper explores the experience and impact of peer-to-peer physical violence on the individual and his family. A review of the relevant literature is presented. © 2024 Australian Dental Association.
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  • 文章类型: Systematic Review
    人工智能(AI)是计算机机器显示人类能力的能力,例如推理,学习,规划,和创造力。这种处理技术接收的数据(已经准备或收集),处理它们,使用模型和算法,并回答有关预测和决策的问题。人工智能系统还能够通过分析以前行为的影响来适应自己的行为,然后自主工作。人工智能已经出现在我们的生活中,即使它经常被忽视(联网购物,家庭自动化,车辆)。即使在医疗领域,人工智能可用于分析大量医疗数据,发现匹配和模式,以改善诊断和预防。在法医学中,人工智能的应用越来越多,越来越有价值。
    进行了系统评价,选择最广泛使用的电子数据库之一(PubMed)中的文章。这项研究是使用关键词“AI取证”和“机器学习取证”进行的。研究过程包括从1990年至今发表的约2000篇文章。
    我们专注于最常见的使用领域,然后确定和分析了6个宏观主题。具体来说,文章分析了人工智能在法医病理学中的应用(主要领域),毒理学,放射学,个人身份,法医人类学,和法医精神病学.
    该研究的目的是评估AI在法医学中每个使用领域的当前应用,试图掌握未来和更多可用的应用程序,并强调它们的局限性。
    UNASSIGNED: Artificial intelligence (AI) is the ability of a computer machine to display human capabilities such as reasoning, learning, planning, and creativity. Such processing technology receives the data (already prepared or collected), processes them, using models and algorithms, and answers questions about forecasting and decision-making. AI systems are also able to adapt their behavior by analyzing the effects of previous actions and working then autonomously. Artificial intelligence is already present in our lives, even if it often goes unnoticed (shopping networked, home automation, vehicles). Even in the medical field, artificial intelligence can be used to analyze large amounts of medical data and discover matches and patterns to improve diagnosis and prevention. In forensic medicine, the applications of AI are numerous and are becoming more and more valuable.
    UNASSIGNED: A systematic review was conducted, selecting the articles in one of the most widely used electronic databases (PubMed). The research was conducted using the keywords \"AI forensic\" and \"machine learning forensic\". The research process included about 2000 Articles published from 1990 to the present.
    UNASSIGNED: We have focused on the most common fields of use and have been then 6 macro-topics were identified and analyzed. Specifically, articles were analyzed concerning the application of AI in forensic pathology (main area), toxicology, radiology, Personal identification, forensic anthropology, and forensic psychiatry.
    UNASSIGNED: The aim of the study is to evaluate the current applications of AI in forensic medicine for each field of use, trying to grasp future and more usable applications and underline their limitations.
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    文章类型: Systematic Review
    本文旨在阐明骨折血肿在法医学中的关键作用。特别关注其在区分死前和死后骨折方面的效用。该研究旨在提供有关该主题的当前知识的全面综合,强调骨折血肿分析在法医调查中的生物学和医学法律意义。对文献进行了系统的回顾,包括各种科学数据库,包括PubMed,Scopus,和WebofScience,重点关注2000年至2024年发表的研究。搜索采用的关键词如“骨折血肿,\"\"死前骨折,\"\"死前骨折\"和\"死后骨折,“在其他人中,探索相关数据。选定的研究是根据它们的相关性进行审查的,关于骨折血肿的大量数据,以及他们对法医分析的贡献。该综述强调了骨折血肿作为死前损伤指标的重要性,揭示损伤时活跃的血液循环促进血肿形成。所选研究中的详细分析说明了骨折血肿中细胞和分子动力学的相互作用。强调细胞因子的作用,特别是IL-6和愈合过程中的细胞成分。骨折血肿分析是建立骨折生命力的重要法医学工具,提高法医评估的准确性。然而,该审查还承认个人愈合变异性和死后变化带来的挑战,建议需要进一步研究以完善法医血肿分析中使用的解释性框架。
    This review aimed to elucidate the critical role of fracture hematoma in forensic medicine, with a specific focus on its utility in differentiating antemortem from postmortem fractures. The study seeks to provide a comprehensive synthesis of current knowledge on the subject, highlighting the biological and medico-legal implications of fracture hematoma analysis in forensic investigations. A systematic review of literature was conducted, encompassing various scientific databases including PubMed, Scopus, and Web of Science, focusing on studies published from 2000 to 2024. The search employed keywords such as \"fracture hematoma,\" \"antemortem fractures,\" \"perimortem fractures\" and \"postmortem fractures,\" among others, to explore relevant data. Selected studies were scrutinized based on their relevance, the presence of substantial data on fracture hematoma, and their contribution to forensic analysis. The review underscores the significance of fracture hematoma as an indicator of antemortem injuries, revealing that active blood circulation at the time of injury facilitates hematoma formation. Detailed analyses within the selected studies illustrate the interplay of cellular and molecular dynamics within fracture hematomas, emphasizing the roles of cytokines, particularly IL-6, and cellular constituents in the healing process. Fracture hematoma analysis emerges as a vital forensic tool in establishing the vitality of bone fractures, enhancing the accuracy of forensic assessments. However, the review also acknowledges the challenges posed by individual healing variability and postmortem changes, suggesting a need for further research to refine the interpretative frameworks used in forensic hematoma analysis.
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  • 文章类型: English Abstract
    Interest in the topic of age assessment for forensic medical identification of personality has not decreased for over the past decade. Establishing an exact age have a critical importance for law enforcement authorities, for example in case of wrongdoing by illegal migrants without identity documents. The search and systemic analysis of published researches devoted to age assessment by dental status in children and adolescents with subsequent updating of the directions of development in this scientific subject theme and the possibility of their realization in practice in the Russian Federation were carried out in order to have an objective concept of used methods of dental status assessment in the world practice.
    Интерес к теме оценки возраста для судебно-медицинской идентификации личности не ослабевает на протяжении последнего десятилетия. Установление точного возраста имеет решающее значение для правоохранительных органов, например в случае совершения правонарушений нелегальными мигрантами, не имеющими удостоверяющих личность документов. Для объективного представления об используемых методах оценки стоматологического статуса в мировой практике были проведены поиск и системный анализ опубликованных исследований, посвященных оценке возраста по стоматологическому статусу у детей и подростков, с последующей актуализацией направлений развития данной научной тематики и возможности их реализации на практике на территории Российской Федерации.
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  • 文章类型: Review
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  • 文章类型: Journal Article
    电子武器具有与其使用相关的危险,例如与不受控制的跌倒影响有关的烧伤和创伤,即使它们通常使发病率和死亡率降至最低。造成的损害的确切视觉结果是未知的,尽管文献中已经记录了许多关于使用这些工具引起的眼部损伤的研究。
    我们对与使用Taser相关的眼睛损伤类型进行了叙述性回顾。以下搜索词用于通过PubMed数据库识别符合条件的文章:\"TASER\",“指挥电子武器”,\"CEW\"。
    共包含15篇文章,其中包含有关38例与使用泰瑟枪相关的眼睛损害患者的信息。大多数患者是男性。在大多数情况下,损伤的机制是探针在眼睛内的穿透。38例中只有18例出现眼部损害的临床表现,并且根据损害机制的类型而有所不同。的确,探针穿透眼睛的病例表现出更严重的临床表现,视力不佳。
    总而言之,在执法中引入泰瑟枪需要认真考虑和对官员进行充分培训。
    UNASSIGNED: Electric weapons have dangers associated with their use, such as burns and trauma related with the impacts of uncontrolled falls, even though they often minimize morbidity and mortality. The exact visual outcome of the damage inflicted is unknown, even though numerous studies have been documented in the literature about the ocular damage induced by the use of these tools.
    UNASSIGNED: We present a narrative review of types of eye damage associated with the use of the Taser. The following search terms were used to identify eligible articles through the PubMed database: \"TASER\", \"Conducted Electric Weapons\", \"CEWs\".
    UNASSIGNED: A total of 15 articles were included with information about 38 patients with eye damage associated with the use of taser. The majority of patients were males. In most cases the mechanism of injury was the penetration of the probe inside the eye. Clinical manifestations of ocular damage were present in only 18 out of 38 cases and varied according to the type of damage mechanism. Indeed, the cases in which the probe had penetrated the eye showed more severe clinical manifestations with a poor visual outcome.
    UNASSIGNED: In conclusion, the introduction of taser use for law enforcement requires serious consideration and adequate training for officers.
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  • 文章类型: Journal Article
    参与车祸的儿童可能会经历直接创伤或与外部物体相互作用导致的惯性伤害,比如其他车辆,或者约束系统。此外,约束系统使用不当会导致额外的严重伤害。国际机构最近的报告强调了约束系统利用不足的持续普遍存在,这一普遍问题增加了儿童的脆弱性和受伤风险。这项研究的目的是对有关道路交通事故儿童受伤的文献进行系统的回顾,这些文献描述和分析了对法医评估有用的要素。文献检索使用PubMed,Scopus和WebofScience,从1970年1月到2023年3月。符合条件的研究已经调查了法医学对涉及儿科乘客的交通事故感兴趣的问题。共有69项研究满足纳入标准,并根据受影响的身体解剖区域(头部,脖子,胸腹,和肢体受伤),并对事故重建中的病变评估进行了检查和讨论。审查强调,在涉及儿童的机动车事故中,死因和事故动态的法医评估需要考虑几个因素,如孩子的年龄,所采用的约束系统的类型,和特定的乘客座位被占用。考虑到这次交通事故可能涉及的因素的复杂性,法官和医学专家之间进行全面的信息交流至关重要。
    Children involved in car crashes can experience either direct trauma or inertial injuries resulting from interactions with external objects, such as other vehicles, or with the restraint system. Furthermore, improper use of restraint systems can lead to additional severe injuries. Recent reports from international institutions underscored the persistent prevalence of inadequate restraint systems utilization and this widespread issue increases children\'s vulnerability and risk of injuries.The aim of this study is to provide a systematic review of the literature on injuries sustained in children involved in road accidents describing and analyzing elements useful for forensic assessment.The literature search was performed using PubMed, Scopus and Web of Science from January 1970 to March 2023. Eligible studies have investigated issues of interest to forensic medicine about traffic accidents involving pediatric passengers. A total of 69 studies satisfied the inclusion criteria and were categorized and analyzed according to the anatomical regions of the body affected (head, neck, thoraco-abdominal, and limb injuries), and the assessment of lesions in reconstruction of the accident was examined and discussed.The review highlights that in motor vehicle accidents involving children, the forensic evaluation of both the cause of death and accident dynamics needs to consider several factors, such as the child\'s age, the type of restraint system employed, and the specific passenger seat occupied. Considering the complexity of the factors that can be involved in this road accident, it is crucial that there is a comprehensive exchange of information between the judge and the medical expert.
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  • 文章类型: Journal Article
    法医学是人工智能(AI)蓬勃发展的应用领域。的确,自过去十年以来,针对法医病理学家或法医的AI应用已经出现。例如,人工智能模型的开发是为了帮助估计移民或人类遗骸的生物年龄。然而,法医病理学家或医生对人工智能应用程序的使用及其在法医学实践中的整合水平尚未得到很好的描述。因此,对PubMed进行了范围审查,ScienceDirect,和Scopus数据库。这篇评论包括的文章提到了法医病理学家或医生在实践中使用的任何AI应用程序,或者在法医病理学家或医生的一个专业领域中应用的任何AI模型。本评论不包括英语或法语以外的其他语言的文章,或主要处理由非法医病理学家或医生或人工智能专家处理的补充分析,以分析用于法医学研究目的的数据。在每篇文章中,所有相关信息都是从TRIPOD清单中得出和改编的网格分析中检索到的。这篇综述包括35篇文章,并揭示了人工智能应用在死刑学和临床法医学中的发展。然而,这些应用似乎主要停留在研究和开发阶段。的确,由于本文讨论的问题,法医病理学家或医生使用人工智能应用程序是不实际的。最后,人工智能在日常法医学实践中的整合不仅涉及法医病理学家或医生,还涉及法律专业人员。
    Forensic medicine is a thriving application field for artificial intelligence (AI). Indeed, AI applications intended to forensic pathologists or forensic physicians have emerged since the last decade. For example, AI models were developed to help estimate the biological age of migrants or human remains. However, the uses of AI applications by forensic pathologists or physicians and their levels of integration in medicolegal practices are not well described yet. Therefore, a scoping review was conducted on PubMed, ScienceDirect, and Scopus databases. This review included articles that mention any AI application used by forensic pathologists or physicians in practice or any AI model applied in one expertise field of the forensic pathologist or physician. Articles in other languages than English or French or dealing mainly with complementary analyses handled by experts who are not forensic pathologists or physicians or with AI to analyze data for research purposes in forensic medicine were excluded from this review. All the relevant information was retrieved in each article from a grid analysis derived and adapted from the TRIPOD checklist. This review included 35 articles and revealed that AI applications are developed in thanatology and in clinical forensic medicine. However, those applications seem to mainly remain in research and development stages. Indeed, the use of AI applications by forensic pathologists or physicians is not actual due to issues discussed in this article. Finally, the integration of AI in daily medicolegal practice involves not only forensic pathologists or physicians but also legal professionals.
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  • 文章类型: Journal Article
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