化瘀通络、分清泌浊法治疗高尿酸血症肾病38例临床观察

目的 :观察化瘀通络、分清泌浊法对高尿酸血症肾病的疗效。方法 :治疗组 38例口服化瘀通络、分清泌浊中药 ,配合口服别嘌呤醇 ,每次 10 0mg ,每日 2次。对照组 38例口服别嘌呤醇 ,每次 10 0mg ,每日 2次。结果 :治疗组总有效率为 86 .8% ,对照组总有效率为 6 3.2 % ,治疗组疗效优于对照组 (P <0 .0 1)。治疗组 2 4h尿蛋白定量、尿素氮及血肌酐治疗后较治疗前明显下降 ,治疗组疗效优于对照组 (P <0 .0 1)。结论 :化瘀通络、分清泌浊法可明显改善高尿酸血症肾病患者临床表现 ,降低尿蛋白 ,改善肾功能。     

Oral abuse of fentanyl patches (Duragesic): seven case reports

In order to increase the understanding regarding the oral abuse and potential toxicity of fentanyl patches seven cases were identified over a 3-year period where fentanyl, either alone or in combination with other factors, contributed to death following the oral abuse of Duragesic patches. The decedents comprised three females and four males with ages ranging from 20 to 51 years. Postmortem blood fentanyl concentrations were determined in all cases and ranged from 7 to 97 ng/mL. Two deaths were classified as a fentanyl overdose, three deaths were classified as a fentanyl and ethanol overdose, one death was considered a mixed drug intoxication and the remaining death was determined to be a combination of fentanyl and medical causes. These cases represent the largest reported series of deaths following the oral administration of transdermal fentanyl patches and provide detailed information on the potential for the abuse of transdermal Duragesic patches via this route. The postmortem blood fentanyl concentrations detected for each of the decedents demonstrate the potentially fatal blood concentrations that can arise after this relatively rare route of administration.     

Comparison of presumptive blood test kits including hexagon OBTI

Four presumptive blood tests, Hexagon OBTI, Hemastix(R), Leucomalachite green (LMG), and Kastle-Meyer (KM) were compared for their sensitivity in the identification of dried bloodstains. Stains of varying blood dilutions were subjected to each presumptive test and the results compared. The Hexagon OBTI buffer volume was also reduced to ascertain whether this increased the sensitivity of the kit. The study found that Hemastix(R) was the most sensitive test for trace blood detection. Only with the reduced buffer volume was the Hexagon OBTI kit as sensitive as the LMG and KM tests. However, the Hexagon OBTI kit has the advantage of being a primate specific blood detection kit. This study also investigated whether the OBTI buffer within the kit could be utilized for DNA profiling after presumptive testing. The results show that DNA profiles can be obtained from the Hexagon OBTI kit buffer directly.     

血中乙醇质量浓度与神经行为能力的关系

目的 研究血中乙醇质量浓度与神经行为能力的关系。方法 采用中文第三版计算机化神经行为测试评价系统（NES-C3）,通过自身对照的方式,对233名饮酒者进行神经行为能力的测试。结果 当血中乙醇质量浓度I〉0．157mg／mL时,视简单反应时和数字筛选能力指数有显著性下降;当血中乙醇质量浓度I〉0．204mg／mL时,心算、视觉保留、线条判断能力指数有显著性下降。结论 神经行为能力随着血中乙醇质量浓度的升高而下降,然后随着乙醇的不断代谢,血中乙醇质量浓度的降低,神经行为能力逐渐恢复。     

Methamphetamine and alcohol detection in vehicle-driver fatalities in South Australia: A 10-year survey (2008–2018)

Motor vehicle driver fatalities (≥18 years) from the files at Forensic Science South Australia were reviewed from January 2008 to December 2018 for cases in which either positive blood sample for methamphetamine (MA) or an illegal blood alcohol concentration (BAC) >0.05g/100 ml were found. Three hundred driver deaths were found with MA detected in 28 cases (age range 21–62 years; ave. 37.8 years; M:F 23:5). Hundred and fifteen cases with a BAC > 0.05 g/100 ml were identified (age range 18–67 years; ave 35.7 years; M:F 95:20). No change was found in numbers of MA cases, although alcohol cases showed a significant decline (p < 0.001). Drunk driving-related fatal crashes tended to occur in the evening (5 p.m. to 11 p.m.), while MA-related fatal crashes had a longer peak extending from late evening until late morning (11 p.m. to 8 a.m.). This study has demonstrated that while roadside breath testing, legislative changes, and increased monitoring have resulted in reduced levels of drunk driving, similar safety countermeasures have had negligible effects on MA use in drivers. Continued monitoring of MA use by drivers will, therefore, be necessary to assess the possible effects, or not, of new countermeasures.     

Visualization of Latent Blood Stains Using Visible Reflectance Hyperspectral Imaging and Chemometrics

The detection of latent traces is an important aspect of crime scene investigation. Blood stains on black backgrounds can be visualized using chemiluminescence, which is invasive and requires a darkened room, or near-infrared photography, for which investigators need to change filters manually to optimize contrast. We demonstrated the performance of visible reflectance hyperspectral imaging (400–720 nm) for this purpose. Several processing methods were evaluated: single wavelength bands, ratio images, principal component analysis (PCA), and “SIMPLe-to-use Interactive Self-modeling Mixture Analysis” (SIMPLISMA). Using these methods, we were able to enhance the contrast between blood stains and 12 different fabrics. On black cotton, blood dilutions were visible with a minimal concentration of 25% of whole blood. The hyperspectral camera system used in this study is portable and wireless, which makes it suitable for crime scene use. The described technique is noncontact and nondestructive, so all traces are preserved for further analysis.     

Comparison of Four Saliva Detection Methods to Identify Expectorated Blood Spatter

Blood spatter analysis is an important step for crime scene reconstruction. The presence of saliva in blood spatter could indicate expectorated blood which is difficult to distinguish from impact spatter. In this study, four saliva test methods (SALIgAE^®, Phadebas^® sheet, RSID^™-Saliva kit, and starch gel diffusion) were compared to identify the best method for detecting expectorated blood spatter. The RSID^™-Saliva kit showed the highest sensitivity even when saliva was mixed with blood, and was not inhibited by the presence of blood. The SALIgAE^® test provided easy and rapid results, but the yellow color of a positive reaction was overwhelmed by the red color of the blood. The starch gel diffusion method and the Phadebas^® sheet exhibited relatively low sensitivity and the assay took a long time. When using the RSID^™-Saliva kit for identifying saliva in blood, results should be read within 10 min.     

Simultaneous Screening for 45 Poisonous Alkaloids in Blood by LC-MS/MS

Objective To develop a liquid chromatography-tandem mass spectrometry(LC-MS/MS) screening method for 45 poisonous alkaloids in blood. Methods Identification was based on the compound’s retention time and two precursor-to-production transitions. The method involved a liquid-liquid extraction(LLE) followed by LC-MS/MS with multiple-reaction monitoring(MRM). When 1 m L of blood was extracted with diethyl ether at p H=9.2 with SKF525 Aas the internal standard, the target compounds were analyzed with LC-MS/MS in the positive ionization mode. Results The target alkaloids had good linearity(r>0.995 1), both the intra-day precision and inter-day precision being less than 14.77%. The limits of detection ranged from 0.05 to 25 ng/m L in blood. Conclusion The method is selective and sensitive in detecting poisonous alkaloids with a total running time of 12 minutes; therefore it was successfully applied to some actual cases of suspected alkaloids poisoning.     

亮绿SF溶液增强红色光滑客体表面潜血手印技术研究

目的探索一种实验室和犯罪现场上均可使用的红色光滑表面上血潜手印新型显现技术。方法把0.2g亮绿SF溶解到容积为200m L盛有5m L蒸馏水的烧杯中,然后加入0.2g正四丁基碘化铵、93m L无水乙醇,使用玻璃棒搅拌,充分溶解后,最后加入盐酸2m L形成绿色透明溶液作为显现液,采用精细喷雾器喷涂客体增强红色光滑面潜血手印,潜血手印增强后,照相提取后并对局部放大观察效果,研究其对红色光滑表面潜血手印的增强效果。结果对遗留手印进行了批量显现与统计分析,0.2%的亮绿SF酒精显现液对红色客体表面潜血手印的反应极其敏感,实验室条件下潜血手印样本显现率可达100%,显出的手印纹线清晰连贯,反差明显,无颜色背景,且局部放大能够有效显示出纹线的细节特征。结论 0.2%的亮绿SF显现液能有效增强红色光滑客体表面潜血手印,反差极其明显,可以作为红色光滑客体表面潜血手印增强试剂。     

超高效液相色谱-串联质谱法测定血液中噻螨酮

目的建立血液中噻螨酮的超高效液相色谱-质谱检测方法。方法采用乙腈沉淀蛋白法进行样本前处理,使用Acquity UPLCHSS T3(50mm×2.1mm,1.8μm)色谱柱,乙腈-0.1%甲酸梯度洗脱,电喷雾多反应监测模式(MRM)检测。结果血液中噻螨酮具有良好的色谱峰,无内源性物质干扰,在0.1~500.0ng/m L范围内线性良好,R2=0.998 7,回收率80.5%~92.8%,最低检出限0.02ng/m L,日内精密度3.5%~6.9%,日间精密度8.3%~11.2%。结论本文建立的超高效液相色谱-质谱检测法操作简便快速,提取回收率高,灵敏度高,重现性好,可用于实际案例中噻螨酮的检测。