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51.
Ana Claudia Martins Ciconelle BSc MSc Renan Lucio Berbel da Silva DDS MSc Jun Ho Kim DDS MSc PhD Bruno Aragão Rocha MD Dênis Gonçalves dos Santos BSc Luis Gustavo Rocha Vianna BSc MSc Luma Gallacio Gomes Ferreira BSc Vinícius Henrique Pereira dos Santos Jeferson Orofino Costa DDS Renato Vicente BSc MSc PhD 《Journal of forensic sciences》2023,68(6):2057-2064
The objective of this study is to assess the performance of an innovative AI-powered tool for sex determination using panoramic radiographs (PR) and to explore factors affecting the performance of the convolutional neural network (CNN). The study involved 207,946 panoramic dental X-rays and their corresponding reports from 15 clinical centers in São Paulo, Brazil. The PRs were acquired with four different devices, and 58% of the patients were female. Data preprocessing included anonymizing the exams, extracting pertinent information from the reports, such as sex, age, type of dentition, and number of missing teeth, and organizing the data into a PostgreSQL database. Two neural network architectures, a standard CNN and a ResNet, were utilized for sex classification, with both undergoing hyperparameter tuning and cross-validation to ensure optimal performance. The CNN model achieved 95.02% accuracy in sex estimation, with image resolution being a significant influencing factor. The ResNet model attained over 86% accuracy in subjects older than 6 years and over 96% in those over 16 years. The algorithm performed better on female images, and the area under the curve (AUC) exceeded 96% for most age groups, except the youngest. Accuracy values were also assessed for different dentition types (deciduous, mixed, and permanent) and missing teeth. This study demonstrates the effectiveness of an AI-driven tool for sex determination using PR and emphasizes the role of image resolution, age, and sex in determining the algorithm's performance. 相似文献
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Frédéric Savall M.D. Fabrice Dedouit M.D. Ph.D. Marie‐Dominique Piercecchi‐Marti M.D. Ph.D. Georges Leonetti M.D. Ph.D. Daniel Rougé M.D. Ph.D. Norbert Telmon M.D. Ph.D. 《Journal of forensic sciences》2014,59(5):1423-1426
A 58‐year‐old man died suddenly in Madagascar and poisoning was suspected. The body was embalmed after death and the general state of preservation was good. We found a major aortic dissection with a large false lumen from the aortic root to the common iliac arteries and a hemopericardium with formalinized blood clot. The intimal tear was on the ascending aorta, and an intramural hemorrhage was noted at the right coronary artery, attesting to a retrograde dissection. Microscopic studies confirmed aortic dissection with extensive intramural hemorrhage and also confirmed the retrograde dissection to the right coronary artery with a reduction of 90% of the true lumen. Classically, aortic dissection occurs in individuals with hypertension and individuals with genetic disorders of collagen formation. The diagnosis is often first established at the postmortem examination. Aortic dissection is therefore dealt with largely in necropsy studies. The usual cause of death is rupture into the pericardial sac. One case of bloodless dissection has been reported but the sudden death was explained by acute myocardial ischemia secondary to dissection of the left coronary artery. In our case, we found major hemopericardium and also intramural hemorrhage at the right coronary artery. We were able to make the diagnosis of aortic dissection and exclude the suspicion of homicide 15 days after death and after embalming. 相似文献
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Hirozumi Okuda MD Hidetada Fukushima MD PhD Tomoaki Nakatsukasa MD Koji Yamamoto MD Asuka Kaizaki-Mitsumoto PhD Satoshi Numazawa PhD Yoshito Kamijo MD PhD 《Journal of forensic sciences》2024,69(1):351-354
Nerium oleander is an ornamental evergreen shrub belonging to the family Apocynaceae. The Apocynaceae family includes the attractive evergreen shrub known as oleander. The cardiotoxic glycoside, oleandrin, is present in all portions of the common oleander plant. Oleander consumption can result in deadly situations accidentally or as a suicide attempt. After consuming kettle-boiled oleander leaf extract as part of a suicide attempt, an 80-year-old man was discovered comatose in his home and taken to our emergency room. The patient's heart rate was 30 beats per minute, and he had hypotension. Arterial blood gas analysis revealed remarkable metabolic acidosis and hyperkalemia (K: 7.7 mEq/L). An electrocardiogram showed a wide QRS wave, similar to a sine curve. The patient collapsed following cardiac arrest soon after hospital arrival. Veno-arterial extracorporeal membrane oxygenation was initiated; however, the patient eventually died. The serum level of oleandrin at hospital arrival, subsequently measured by LC–MS/MS, was found to be 33.4 ng/mL, far above the levels reported in previous fatal cases. 相似文献
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Humbert De Freminville M.D. M.Sc. Nicolas Prat M.D. M.Sc. Frederic Rongieras M.D. M.Sc. Eric J. Voiglio M.D. Ph.D. F.A.C.S. F.R.C.S. 《Journal of forensic sciences》2010,55(5):1367-1370
Abstract: Agencies all around the world now use less‐lethal weapons with homogeneous missiles such as bean bag or rubber bullets. Contusions and sometimes significant morbidity have been reported. This study focuses on wounds caused by hybrid ammunition with the pathologists’ flap‐by‐flap procedure. Twenty‐four postmortem human subjects were used, and lesions caused on frontal, temporal, sternal, and left tibial regions by a 40‐mm hybrid ammunition (33 g weight) were evaluated on various distance range. The 50% risk of fractures occurred at 79.2 m/sec on the forehead, 72.9 m/sec on the temporal, 72.5 m/sec on the sternum, and 76.7 m/sec on the tibia. Skin lesions were not predictors of bone fracture. There was no correlation between soft and bone tissue observed lesions and impact velocity (correlated to distance range). Lesions observed with hybrid ammunition were the result of bullet‐skin‐bone entity as the interaction of the projectile on skin and bone tissues. 相似文献
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Death From Butane Inhalation Abuse in Teenagers: Two New Case Studies and Review of the Literature
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Véronique Alunni M.D. Ph.D. Yvan Gaillard Pharm.D. Ph.D. François Castier MD. Marie‐Dominique Piercecchi‐Marti M.D. Ph.D. Gérald Quatrehomme M.D. Ph.D. 《Journal of forensic sciences》2018,63(1):330-335
The ready availability of butane makes butane abuse frequent. Fatalities are rare. This study presents two cases of death by butane overdose. The postmortem analyses were carried out using headspace gas chromatography–mass spectrometry. It revealed femoral blood butane concentrations of 18 and 22 mg/L, respectively, as well as specific combinations of adjuvants in each victim. In one of the victims, brain and fatty tissue also contained butane, pointing to chronic consumption. The originality of this study is to show that the identification of specific combinations of adjuvants can be helpful for identifying the brand of deodorant used. Also, sampling the skin and mucosa can help identify the method of drug delivery. The histological examination documented both the direct toxic effect of the gas on the respiratory mucosa and signs of chronic abuse. Volatile substance intoxications should be systematically considered in case of sudden death in a teenager. 相似文献
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The year 2006 proved to be another productive year for the InternationalCriminal Tribunal for the Prosecution of Persons Responsiblefor Serious Violations of International Humanitarian Law Committedin the Territory of the Former Yugoslavia since 1991. This articleexamines the eight judgements rendered by the Tribunal in 2006and highlights the principal developments in international humanitarianand criminal law at the Tribunal. 相似文献