死后眼组织变化与死亡时间推断

眼组织推断死亡时间一直是国内外法医学界的研究热点之一,从肉眼观到镜下观,从细胞水平到分子水平,不断有新的研究成果和报告出现。大量研究资料表明,随着死亡时间的延长,眼角膜、视网膜、玻璃体液及房水等均出现规律性的变化,并与死亡时间高度相关,可用于死亡时间推断。本文对其在法医学领域的研究进展作以综述。     

甲维盐中毒死亡小鼠体内的分布及死后再分布

目的研究甲氨基阿维菌素苯甲酸盐(简称甲维盐)中毒死亡小鼠的致死血浓度、靶器官组织、毒物蓄积库和死后毒物再分布的特征。方法采用灌胃法建立中毒小鼠模型,动态观察急性中毒组、亚急性中毒组小鼠的主要中毒症状和临床死亡时间。观察中毒死后小鼠各器官组织病理形态学改变,应用酶联免疫吸附试验测定死后0、24、48、72h甲维盐体内分布及死后再分布,采用高效液相色谱法测定中毒小鼠的致死血浓度和死后各时间点的血中甲维盐浓度。结果中毒小鼠均在灌胃后15~30 min内依次出现神经、呼吸系统症状。急性中毒组小鼠的临床死亡时间为(45.8±7.9)min,亚急性中毒组为(8.0±1.4)d。甲维盐的急性致死血浓度范围为447.164 0~524.463 5 mg/L。光镜及荧光显微镜下各器官组织均见明显的病理改变;小鼠中毒死后72 h内,血、心、肝、脾、肺、肾及脑甲维盐浓度变化具有规律性(P0.05)。结论甲维盐中毒作用的主要靶器官为心、肝、肾、肺、脑和接触部位(胃),其主要蓄积库为肾、肝,甲维盐在小鼠体内存在死后再分布现象。     

牛分枝杆菌重组MPT83蛋白间接ELISA方法的建立

以纯化的牛分枝杆菌重组MPT83蛋白为包被抗原,建立了检测牛分枝杆菌抗体的间接ELISA方法。确定了间接ELISA各组分的最适反应条件:抗原包被浓度为1μg/mL,酶标二抗稀释度为1∶1600,血清稀释度为1∶60,抗原和血清、血清和二抗均在37℃反应30 min,底物在37℃显色15 min,D655 nm阴性、阳性临界值为0.5。经阻断试验、交叉试验、重复性试验,表明该方法特异性强、重复性好。用该方法对18份结核菌素试验阳性牛血清和36份结核菌素试验阴性牛血清进行检测,结果显示,阳性血清的符合率为27.8%,阴性血清的符合率为91.7%。     

PRRS抗体间接ELISA检测方法的建立及应用

以差速离心法结合蔗糖密度梯度离心法提纯的PRRSVSC2株作为包被抗原,建立了检测猪生殖与呼吸综合征病毒(PRRSV)抗体的间接ELISA法。该法的最适抗原包被浓度为5μg/mL,最佳酶标兔抗猪抗体稀释度为1∶5000,对猪抗PRRSV的IgG检测灵敏度达到0.1μg/mL。该法只与PRRS阳性猪血清呈现阳性反应,而与PRRS阴性猪血清和猪伪狂犬病、猪乙型脑炎、猪瘟、猪细小病毒病阳性血清呈现阴性反应。应用该法检测PRRSVORF5基因疫苗免疫猪后的抗体消长规律表明,疫苗免疫猪后第7d抗体水平迅速上升,第75d达到高峰,然后缓慢下降,至第135d时仍然极显著(P<0.01)高于空载体对照和空白对照。试验结果表明,该法具有良好的特异性和敏感性,可用于PRRS流行病学调查和PRRSV基因疫苗免疫后抗体水平检测。     

Fatal Fentanyl Patch Misuse in a Hospitalized Patient with a Postmortem Increase in Fentanyl Blood Concentration

Opioid‐related mortality happens, even in healthcare settings. We describe serial postmortem fentanyl blood concentrations in a hospital inpatient who fatally abused transdermal fentanyl. This is a single‐patient case report. A 42‐year‐old man with lymphoma was started on transdermal fentanyl therapy while hospitalized for chronic abdominal pain. The patient was last seen awake 1.3 h prior to being found apneic and cyanotic. During the resuscitation attempt, a small square‐shaped film was removed from the patient's oropharynx. Femoral blood was collected 0.5 and 2 h postmortem, and the measured fentanyl concentration increased from 1.6 to 14 ng/mL. Study limitations include potential laboratory or collection errors and missing data. (i) Providers must be vigilant for signs of fentanyl patch abuse. (ii) Postmortem blood concentrations are not static postmortem, likely secondary to decreasing pH, increased aqueous solubility, and tissue redistribution, and are therefore unlikely to accurately represent antemortem blood concentrations.     

Decomposition Rate and Pattern in Hanging Pigs

Accurate prediction of the postmortem interval requires an understanding of the decomposition process and the factors acting upon it. A controlled experiment, over 60 days at an outdoor site in the northwest of England, used 20 freshly killed pigs (Sus scrofa) as human analogues to study decomposition rate and pattern. Ten pigs were hung off the ground and ten placed on the surface. Observed differences in the decomposition pattern required a new decomposition scoring scale to be produced for the hanging pigs to enable comparisons with the surface pigs. The difference in the rate of decomposition between hanging and surface pigs was statistically significant (p = 0.001). Hanging pigs reached advanced decomposition stages sooner, but lagged behind during the early stages. This delay is believed to result from lower variety and quantity of insects, due to restricted beetle access to the aerial carcass, and/or writhing maggots falling from the carcass.     

Investigating the Postmortem Molecular Biology of Cartilage and its Potential Forensic Applications

This study investigated the postmortem molecular changes that articular cartilage undergoes following burial. Fresh pig trotters were interred in 30‐cm‐deep graves at two distinct locations exhibiting dissimilar soil environments for up to 42 days. Extracts of the metacarpophalangeal (MCP) and metatarsophalangeal (MTP) joint cartilage from trotters disinterred weekly over 6 weeks were analyzed by Western blot against the monoclonal antibody 2‐B‐6 to assess aggrecan degradation. In both soil conditions, aggrecan degradation by‐products of decreasing molecular size and complexity were observed up to 21 days postmortem. Degradation products were undetected after this time and coincided with MCP/MTP joint exposure to the soil environment. These results show that cartilage proteoglycans undergo an ordered molecular breakdown, the analysis of which may have forensic applications. This model may prove useful for use as a human model and for forensic investigations concerning crimes against animals and the mortality of endangered species.     

The iteration deficit in responsive regulation: Are regulatory ambassadors an answer?

One reason that regulation is difficult is that repeated encounters between regulator and regulatee are rare. We suggest diplomacy as a model for reconfiguring regulatory institutions in response. Ambassadors for Regulatory Affairs who would be agents for all state regulatory agencies could be based in most large firms and small and medium enterprises that pose unusual regulatory risks. In rural towns, police would be trained as regulatory ambassadors. Just as a US Secretary of State can launch a “diplomatic surge” in Myanmar from 2009, so regulatory surges are possible in market sectors of high risk or high opportunity. We propose strategies of indirect reciprocity as a way in which reciprocity that is only episodic in these strategic ways can promote more general responsiveness. Indirect reciprocity is reciprocity that we do not personally experience, but learn from the experience of a culture. This means that so long as we sustain regulation as a relational as opposed to a purely technocratic process, indirect reciprocity might civilize regulatory compliance in an historical process informed by the theories of Elias and Putnam.     

猪生殖与呼吸综合征血清抗体重组N蛋白间接ELISA检测方法的建立

以纯化的猪生殖与呼吸综合征病毒 (PRRSV)重组N蛋白作为包被抗原 ,通过对各项试验条件的优化 ,建立起检测PRRS血清抗体的重组N蛋白间接ELISA检测方法。用此方法检测了2 0 0份血清样品 ,并与IDEXX公司ELISA试剂盒的检测结果相比较 ,敏感性和特异性分别为 93%和95 % ,总符合率达 91%。 2种检测方法的结果之间差异不显著 (P >0 .0 5 )。试验表明 ,建立的间接ELISA检测方法具有敏感性高、特异性强、重复性好的优点 ,可用于PRRS血清抗体的检测。     

再论法治的价值

主流观点认为,法治的核心价值是人的尊严与自由。这是一个可以质疑的观点。在百年中国的历史上,法治的价值主要被理解为救亡与治乱;对于不同的主体而言,法治的价值与意义也是不一样的。要全面地理解法治的价值,有必要把法治的价值分为两个层面：直接价值与间接价值。