纸质塑形支架夹板超关节固定治疗上肢关节周围骨折

目的 观察纸质塑形支架夹板超关节固定治疗肩、肘、腕关节周围骨折的临床疗效.方法 采用回顾性研究方法,对1976-2010年2 800例肩、肘、腕关节周围骨折患者,采用传统中医手法整复,纸质塑形支架夹板超关节固定,功能锻炼的方法治疗.采用国家中医药管理局制定的<中医病证诊断疗效标准>来评价疗效.结果 肱骨外科颈骨折组、肱...     

3种骨骼DNA提取方法的应用效果比较

目的对3种方法提取骨骼DNA的效果进行比较,为实际应用中选择方法提供参考。方法应用骨骼孵化液法、DNA Investigator试剂盒法和CTAB法对同一骨骼样本进行脱钙、消化、提取DNA,用紫外分光光度计检测DNA的浓度值;使用Identifilerplus试剂盒进行PCR扩增,3130xl型遗传分析仪检测分型,并用SPSS 19.0软件对各项实验结果进行统计分析。结果 1g骨粉样本经上述3种方法提取,得到的DNA浓度分别为26.53ng/μL±5.47ng/μL、23.63ng/μL±4.56ng/μL、14.93ng/μL±3.88ng/μL;单因素方差分析表明3组数据之间差异性具有统计学意义。PCR扩增后电泳检测结果显示,骨骼孵化液法和DNA Investigator试剂盒法基因座检出率和峰值大致相同,均优于CTAB法。结论本文比较的3种方法均可用于骨骼样本的实际检案,检出率较高的两种方法可作为优选方案。     

246例高坠案件中坠落高度与损伤分析

目的对高坠案件进行统计分析,为相关鉴定研究提供参考。方法收集上海市浦东地区最近十年来记录有坠落距离的246例高坠案件,对人体损伤的特点进行比较分析。结果自杀高坠的高度显著高于意外高坠的高度(25.70m:13.98m);所有高坠中,头部损伤概率较高(75.2%),颈部损伤概率较低(6.5%);意外高坠的头部损伤概率高于自杀组(89.4%:75.2%)。结论意外高坠的死者比自杀高坠的死者更缺乏四肢对于头部的保护;过低的颈部损伤发现率提示国内法医工作者应该更加重视在高坠案件中的对于颈部损伤的检查。     

A New Method for Determination of Postmortem Interval: Citrate Content of Bone*

Abstract: Few accurate methods exist currently to determine the time since death (postmortem interval, PMI) of skeletonized human remains found at crime scenes. Citrate is present as a constituent of living human and animal cortical bone at very uniform initial concentration (2.0 ± 0.1 wt %). In skeletal remains found in open landscape settings (whether buried or not), the concentration of citrate remains constant for a period of about 4 weeks, after which it decreases linearly as a function of log(time). The upper limit of the dating range is about 100 years. The precision of determination decreases slightly with age. The rate of decrease appears to be independent of temperature or rainfall but drops to zero for storage temperature <0°C.     

A Powder-free DNA Extraction Workflow for Skeletal Samples

The processing of skeletal material poses several challenges for forensic laboratories. Current methods can be laborious, time-consuming, require dedicated equipment, and are vulnerable to contamination. In this study, various sample mass (1 × 50 mg, 3 × 50 mg, and 1 × 150 mg chip(s)) and incubation times (2, 4, and 16 h) were tested using the PrepFiler^® BTA™ Forensic DNA Extraction Kit to digest whole bone chips in lieu of powdering. The most effective method was then applied to bones and tooth fragments collected from contemporary human cadavers exposed to various environmental conditions using an automated platform. Over a third of the samples tested generated full DNA profiles without having to powder the bone/tooth fragment or further alter the manufacturer's protocol. However, for most samples resulting in incomplete STR profiles due to low amounts of DNA, slightly better results were achieved with powdered tissue. Overall, this work demonstrates the potential use of a faster, nonpowdering DNA extraction method for processing skeletal samples as an effective first-pass screening tool.     

大鼠颅骨材料力学和骨质参数的增龄性变化

目的 通过检测大鼠颅骨材料力学和骨质参数,探讨二者关系及其与年龄的相关性.方法 48只健康雄性SD大鼠按年龄分为2、4、6、8、17、26、52和104周龄组,每组6只.利用KDⅡ-0.2型微机控制电子万能试验机压缩右侧颅盖骨检测其材料力学参数(极限载荷、压缩强度、压缩模量),之后分离颅骨骨片进行Micro-CT系统扫...     

陈旧性骨骼DNA提取技术的研究

对陈旧性骨骼建立一个高回收率并能除去 PCR 反应抑制物的提取 DNA 的方法。采用 CTAB 法提取 DNA。结果显示,该方法不但能有效去除 PCR 抑制物,而且对水泡、火烧、土埋以及10年左右的骨骼所提取的 DNA 均能成功地进行荧光标记 STR 多基因座扩增检验。实验表明,该方法稳定,重复性好,适合陈旧骨骼标本的 DNA 提取。     

Structural analysis of human rib fracture and implications for forensic interpretation

Patterns of rib fractures are of significant clinical and forensic interest. Linking patterns of rib fracture with specific physical events provides a foundation for understanding the nature of traumatic events that are associated with rib fracture in forensic contexts. In this study, isolated human ribs (n = 8) were end-loaded to failure to investigate: (i) local deformations (bone strain) prior to and during structural failure, (ii) location of ultimate failure, and (iii) fracture mode. Structural properties of ribs were used to calculate theoretical stresses to determine whether such calculations could be used to predict site of fracture. Ribs fractured on the sternal side of midshaft in all experiments, but mode of failure varied with transverse, buckle, spiral, and "butterfly" fractures observed. Comparison of calculated stress with observed strain values suggest that experimental, rather than theoretical, approaches will be most productive in furthering understanding rib fracture in forensic contexts.     

大黄泄浊颗粒保留灌肠对非透析慢性肾脏病肾性骨病湿热证患者骨密度及血清骨形成蛋白-7的影响

目的观察非透析慢性肾脏病(chronic kidney diseases,CKD)肾性骨病湿热证患者腰椎骨密度(bone mineral density,BMD)和血清骨形成蛋白-7(bone morphogenetic protein-7,BMP-7)水平及大黄泄浊颗粒保留灌肠的干预作用。方法将64例非透析CKD 3~5期湿热证患者随机分为治疗组和对照组各32例(结果每组失访2例),并设正常组20例。两组均给予基础治疗,治疗组加用大黄泄浊颗粒保留灌肠,每日1次,疗程均为8周。治疗前后分别观察两组血尿素氮(blood urea nitrogen,BUN),血清肌酐(serum creatinine,SCr)、钙(calcium,Ca)、磷(phosphorus,P)、碱性磷酸酶(alkaline phosphatase,ALP)、甲状旁腺激素(parathyroid hormone,iPTH)、BMP-7水平及第2—4腰椎BMD。结果治疗组临床疗效显著优于对照组(P0.05)。治疗4周末和8周末,两组中医证候积分均较前一时点显著降低(P0.05),且治疗组积分均显著低于对照组(P0.05)。治疗组在降低BUN、SCr和血清P、iPTH、ALP方面,以及在升高血清Ca和肾小球滤过率估算值方面均显著优于对照组(P0.05)。与正常组比较,CKD病例组BMD和BMP-7均显著降低(P0.05);两组治疗后BMD和BMP-7均显著升高(P0.05),而治疗组BMD和BMP-7升高值均显著大于对照组(P0.05)。结论非透析CKD肾性骨病湿热证患者BMD和BMP-7水平均显著低于健康人群;大黄泄浊颗粒保留灌肠可防治非透析CKD肾性骨病,其机制可能与改善肾功能及升高血清BMP-7含量有关。     

Taphonomic Effects of Vulture Scavenging*

Abstract: From July through September 2007, three pig carcasses (Sus scrofa), weighing between 27 and 63 kg were placed outside in a grassy area in central Texas. A surrounding fence prevented entrance by terrestrial scavengers, while allowing avian scavengers unrestricted access. A fourth pig carcass served as a control for the rate of decomposition and was placed in a cage that prevented terrestrial and avian animal access. Modification of the carcasses was recorded through the use of two motion‐sensing digital cameras and daily on‐site observations. American black vultures (Coragyps atratus) and turkey vultures (Cathartes aura) waited c. 24 h before beginning to scavenge and completely skeletonized the carcasses in 3 to 27 h of feeding, leaving scratches on the bones. The accelerated rate of decomposition and the signature markings on the bones should be considered when interpreting taphonomic events and determining an accurate postmortem interval at vulture‐modified scenes.