家畜附红细胞体病免疫学诊断方法的研究进展

概述了补体结合试验、荧光抗体技术、间接血凝试验和酶联免疫吸附试验等用于诊断家畜附红细胞体病的血清学方法的建立和应用情况,同时简述了家畜附红细胞体的分子生物学检测技术,这些技术包括DNA探针技术、常规PCR和实时定量PCR。指出了上述各种诊断方法存在的不足,期待这些方法的进一步完善和规范。     

住肉孢子虫病免疫学诊断方法的研究

本文以间接血凝试验(IHA)、酶联免疫吸附试验(ELISA)、荧光抗体试验(IFA)、斑点酶联免疫吸附试验(Dot-ELISA)等4种免疫方法诊断水牛、黄牛和猪的住肉孢子虫病,检出率分别为77.6％(其中水牛为93.4％,黄牛为65.9％),96.1％(其中猪为59.2％,小牛及青年牛为71.4％,成年牛为97.5％),97.5％和97.8％。其中应用IFA、Dot-ELISA诊断家畜住肉孢子虫病,在国内尚未见有报道。试验表明,免疫学诊断技术是当前对家畜住肉孢子虫病进行生前诊断的主要方法。     

论变态人格

变态人格是一个颇有研究价值的人格类型。在我国,变态人格已被人格障碍或反社会人格所代替,这种现象反映出理解上的混乱。通过对变态人格术语的演变、变态人格与相关术语之间的关系的探讨可以澄清对变态人格的认识。此外,对变态人格的诊断标准、形成原因及其矫正也作了全面的分析与介绍。     

Attention‐Deficit/Hyperactivity Disorder in Young French Male Prisoners

While forensic studies have reported higher than community rates of mental disorders in imprisoned populations, few studies have focused on attention‐deficit/hyperactivity disorder (ADHD) in these subjects. The aim of this study was to investigate ADHD prevalence among young French male prisoners. A specific diagnostic interview (Conners' Adult ADHD Diagnostic Interview for DSM‐IV, CAADID) was used. Correlations between ADHD, subsyndromal ADHD, and criminal features were investigated. 11% of young male prisoners among 93 male subjects aged 18–35 years met the criteria for actual ADHD, and 17% met those for childhood ADHD. Considering ADHD and subsyndromal ADHD, prevalence was about 43% in adulthood. ADHD and subsyndromal ADHD in adulthood were significantly associated with a higher number of imprisonments and a younger age at first arrest. It could be advisable to better identify subjects with ADHD symptoms among prison populations.     

Effect of History and Context on Forensic Pathologist Interpretation of Photographs of Patterned Injury of the Skin

In a previous study, a survey‐based analysis of pathologist diagnoses of patterned injury was performed. Subjects were provided with photographs of “classic” injuries and asked to diagnose the lesion in the absence of history or context. There was a relatively low diagnostic consensus among respondents. A second survey suggested that the disparate answers were not due to a strong belief in different diagnoses, but instead reflected how the respondents dealt with ambiguity. A third survey was created that asked participants to evaluate patterned injuries of the skin, but provided history and contextual information. The addition of history and contextual information increased consensus from a median of 80% to 98% on a per‐question basis. Confidence increased from a median of 56%–92%. These results demonstrate the importance of history and context in medical diagnosis of patterned injuries of the skin.     

Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the Forensic and Clinical Sciences

Cognitive effort is an essential part of both forensic and clinical decision‐making. Errors occur in both fields because the cognitive process is complex and prone to bias. We performed a selective review of full‐text English language literature on cognitive bias leading to diagnostic and forensic errors. Earlier work (1970–2000) concentrated on classifying and raising bias awareness. Recently (2000–2016), the emphasis has shifted toward strategies for “debiasing.” While the forensic sciences have focused on the control of misleading contextual cues, clinical debiasing efforts have relied on checklists and hypothetical scenarios. No single generally applicable and effective bias reduction strategy has emerged so far. Generalized attempts at bias elimination have not been particularly successful. It is time to shift focus to the study of errors within specific domains, and how to best communicate uncertainty in order to improve decision making on the part of both the expert and the trier‐of‐fact.     

Major depression – a study on the validity of clinicians’ diagnoses in medicolegal assessment

Major depression ranges among the most frequently diagnosed psychiatric disorders. Accordingly, diagnoses of depression are often underlying insurance, compensation or disability claims. This report evaluates the validity of clinicians’ diagnoses of major depression in a sample of claimants. In 2015, n = 127 consecutive cases were examined for medicolegal assessment. For all of them, a diagnosis of major depression had been established by clinicians. All testees underwent a psychiatric interview, a physical examination, they answered questionnaires for depressive symptoms according to DSM-5, embitterment disorder, post concussion syndrome (PCS) and unspecific somatic complaints. Performance and symptom validity tests were administered. Only 31% fulfilled the diagnostic criteria for DSM-5 major depression according to self-report, while none did so according to psychiatric assessment. Negative response bias was found in 64% of cases, feigned neurologic symptoms in 22%. Symptom exaggeration was indiscriminate rather than depression-specific. By self-report, 64% of the participants qualified for embitterment disorder and 93% for PCS. In conclusion, clinicians’ diagnoses of depression seem often confounded by improper assessment of the diagnostic criteria, confusion of depression with bereavement or embitterment and also by response bias.     

Diagnosing Crime and Diagnosing Disease‐II: Visual Pattern Perception and Diagnostic Accuracy

Previously, we reviewed how general cognitive processes might be susceptible to bias across both forensic and clinical fields, and how interdisciplinary comparisons could reduce error. We discuss several examples of clinical tasks which are heavily dependent on visual processing, comparing them to eyewitness identification (EI). We review the “constructive” nature of visual processing, and how contextual factors influence both medical experts and witnesses in decision making and recall. Overall, studies suggest common cognitive factors uniting these visual tasks, in both their strengths and shortcomings. Recently forensic sciences have advocated reducing errors by identifying and controlling nonrelevant information. Such efforts could effectively assist medical diagnosis. We suggest potential remedies for cognitive bias in these tasks. These can generalize across the clinical and forensic domains, including controlling the sequencing of contextual factors. One solution is an agnostic primary reading before incorporation of a complete history and interpretation.     

Understanding of forensic expert reports by judges,defense lawyers and forensic professionals

Forensic scientists strongly advocate the use of likelihood ratios for expressing the diagnostic value of evidence in technical forensic reports. They call this the logically correct approach. The correct comprehension of such likelihood ratios by jurists, however, appears to be particularly problematic. The present research has empirically investigated this issue for defense lawyers and criminal judges. For comparative purposes forensic professionals, many of whom use the logically correct approach, were included in the study as well.

Using fictitious forensic reports, it was shown that proper understanding of likelihood ratios by jurists is quite poor, due mainly, but not exclusively, to the prosecutor's fallacy. Forensic professionals outperformed jurists to a large extent but made many mistakes themselves. It is further shown that participants’ self-expressed supposed level of understanding of logically correct conclusions is quite high and thus not justified by their levels of proper understanding. Suggestions for how to improve the situation are presented.     

牛结节性皮肤病防控技术研究现状及其策略

2019年8月我国新疆伊犁地区首次爆发牛结节性皮肤病,为做好该病的防控工作,防止外来疫情扩散蔓延到我国内地,现将该病防控的诊断检测技术、疫苗研发状况以及我国的策略进行概括介绍,为有效控制、净化和根除该病提供指导。