不同死因大鼠心肌内多种RNA相对表达量变化与PMI的关系

目的观察不同死因下大鼠心肌内多种RNA相对表达量随死亡时间（PMI）的变化。方法建立断颈死、窒息死和失血性休克死大鼠模型,提取心肌中总RNA,利用实时荧光定量PCR技术检测甘油醛-3-磷酸脱氢酶（glyceraldehyde～3-phosphatedehydrogenase,GAPDH）,β-肌动蛋白（β-actin）、诱导型-氧化氮合酶（induciblenitricoxidesynthase。iNOS）、缺氧诱导因子-1（hypoxia-induciblefactor-1,HIF-1）、肿瘤坏死因子-d（tumornecrosisfactor-d,TNF-a）、白细胞介素-6（interleukin-6,IL-6）tuRNA以及U6微核RNAfU6sreallnuclearRNA。U6snRNA）的循环阈值,观察各指标相对表达量随PMI的变化情况。结果U6snRNA表达稳定,可作为内对照。在死亡早期,CAPDH、HIF-1、iNOS、TNF-d和IL-6的相对表达量在窒息组和失血性休克组比断颈组呈现不同程度的增加,而β-actin在3个组皆呈现相对表达量下降趋势。在死亡晚期,随着RNA的不断降解,相对表达量持续下降。结论死后各RNA相对表达量的特征性变化可为不同死因下的PMI推断提供-定的参考。     

颈动脉窦抑制死的法医学进展

颈动脉窦外伤后死亡通常被归因于猝死中的抑制死.限于目前发案量稀少、相关研究不多,检案过程中如何确定颈动脉窦参与死亡过程并明确疾病在死亡原因中的地位,成为法医检案工作中的难点.本文通过梳理近年来国内外有关颈动脉窦相关死亡的研究文献,系统综述了颈动脉窦神经解剖结构、颈动脉窦综合征临床流行病学及近年国内外对于颈动脉窦损伤死亡...     

MALDI-TOF-IMS在蛋白质组学研究中的新进展

基质辅助激光解吸/电离-飞行时间质谱成像(matrix-assisted laser desorption/ionization time-of-flight imaging mass spectrometry,MALDI-TOF-IMS)技术已成为目前蛋白质组学研究中的经典技术,是一种研究生物组织切片中蛋白质和小分子物质分布的工具。MALDI-TOF-IMS通过单次扫描就能够同时分析生物组织切片中的各种未知组分,在保持组织中细胞和分子完整性的同时获取组织的分子成像图。近年来,质谱成像技术在生物医学各领域中有了较快发展,本文综合文献资料对MALDI-TOF-IMS技术目前的发展水平、质谱成像原理、方法学以及在法医病理学中的应用前景进行了综述。     

新生儿成骨不全Ⅱ型的尸检和MSCT鉴定1例(英文)

本文报道了1例成骨不全(osteogenesis imperfecta,OI)Ⅱ型死胎案例。在妊娠期间胎儿即有颅骨骨折和颅脑损伤。法医尸体检验后,随即进行尸体多层螺旋CT(multi-sliced computed tomography,MSCT)扫描和三维重建。尸检结果显示了OIⅡ型的典型特征,包括颅骨变软、四肢畸形、髋关节弯曲和外展及一些异常特征如白色巩膜、髋内翻、部分骨骼和器官缺失、唇裂和两耳不对称。CT检测到的异常变化有腭裂、下颌发育异常、脊柱裂、颈肋、肋骨和椎骨融合,这些都是在常规尸检中难以检测到的。本文阐述了OI的分类、致病性基因突变、死亡原因以及OI与儿童受虐的鉴别,更强调了OI学科知识对法医病理学工作者的重要性和MSCT在法医病理学尸体检验中的价值。     

有限元法研究高坠中躯干不同部位着地的肋骨骨折机制

目的利用有限元法研究躯干不同部位着地的肋骨损伤机制,对重建高坠过程提供新技术与新方法。方法采用有限元法观察全人类安全模型THUMS4.0在躯干部不同部位着地时的肋骨损伤情况,并与实际案例进行比较,从生物力学角度分析高坠导致的肋骨骨折形成机制。结果不同部位着地所形成的应力、应变分布及肋骨骨折部位存在一定差异。躯干前侧着地时双侧均发生肋骨骨折,骨折主要位于肋骨-肋软骨交界处和腋中线区域;躯干右前侧着地时,着地一侧首先发生肋骨骨折,骨折分布于右侧腋中线至腋后线区域以及双侧肋骨-肋软骨交界处;躯干后侧着地时,骨折主要位于双侧肋骨后侧;躯干右后侧着地时,着地部位易发生多发性肋骨骨折。塑性应变多集中于骨折处,von Mises应力除集中于骨折处,也可位于其他部位。结论躯干部不同部位着地时,肋骨骨折部位及损伤机制具有一定差异。     

Severe Hypokalemia due to Combination Use of Dexamethasone and Calcium Gluconate for Diabetics with Infection:A Case Report

The combination use of dexamethasone and calcium gluconate can be applied to hypersensitiv-ity. Severe hypokalemia is a usual complication of dexamethasone and calcium gluconate therapy, whichoccurs frequently with therapeutic use. Fatal cases, accidental and intentional, occur frequently in forensicpractice. The current case report presented a 43-year-old man with diabetes mellitus with infection, towhom dexamethasone and calcium gluconate were administered in the private clinic. With the develop-ment of such clinical symptoms of severe hypokalemia as quadriplegia, he was confirmed to have severehypokalemia through a biochemical test before dying of arrhythmia. And also it presented pathophysio-logic mechanism underlying severe hypokalemia as well as suggestions for clinical practice regardingcombination use of dexamethasone and calcium gluconate.     

Human Fatality Due to Thallium Poisoning: Autopsy,Microscopy, and Mass Spectrometry Assays,

Thallium has been responsible for many intoxications since its discovery; however, toxicological profiles for thallium in human fatalities have not been updated recently. Autopsy, microscopic investigations, and toxicological analyses were performed on a married couple who died from thallium sulfate intended homicidal poisoning. The distribution of thallium was established by inductively coupled plasma mass spectrometry with hair samples showing the highest thallium concentration. Electron microscopy revealed a dystrophic condition of hair with disorganized cuticle and atrophy of the hair bulb. Thallium interacts with cells at different levels, with prominent ultrastructural injuries in the mitochondria and endoplasmic reticulum, and high concentration of electron dense granules observed in the cytoplasm and mitochondria of several organs. Alopecia, toxic encephalopathy, and peripheral neuropathy were diagnosed in the victims and suggested to be crucial implications for thallium poisoning. The analytical procedures used in this case are of considerable forensic importance in the diagnosis of thallium poisoning.     

Autopsy Fingerprint Technique Using Fingerprint Powder

The collection of high‐quality fingerprints is an important component of routine forensic autopsies and represents one of the several potential methods for identifying a decedent. Fingerprint collection at autopsy frequently employs a manual method using fingerprint ink and cards, although some offices use digital‐scanning equipment. While these methodologies are adequate in most circumstances, this study introduces an alternative method using fingerprint powder and adhesive labels. The method is quick, easy to perform, and cost‐effective and provides the additional advantage of an adhesive label that easily conforms to the finger, palm, or foot which reduces smudging of prints in individuals with rigor mortis, skin slippage, or decomposition compared to more traditional autopsy fingerprint collection techniques. The prints can then be easily stored, either in hard‐copy form or scanned to make a digital record.     

Hypothermia Secondary to Glioblastoma Multiforme? Autopsy Findings in Two Cases

Death due to accidental primary hypothermia in cold climates is relatively common, with previous case series reflecting this. In contrast, hypothermia‐related death as a result of an underlying medical cause, such as a brain tumor, is rare. The literature clearly illustrates a theoretical causal relationship between brain neoplasms and hypothermia through the infiltration of the hypothalamus; however, the number of reported cases is minimal. Two cases are presented where autopsy confirmed hypothermia as the cause of death with both cases revealing widespread glioblastoma multiforme in the brain. Both decedents were elderly with a number of comorbidities identified during autopsy that could explain death; however, hypothermia was deemed the most likely cause. It is proposed that both decedents died of hypothermia as a result of the tumor's effect on thermoregulation. These cases underline the importance of forensic pathologists to be aware of the relationship between brain tumors and hypothermia and to not dismiss death as being due to other disease processes.     

垂直抛甩状血迹形态的模拟观察

目的观察不同类型打击工具的垂直抛甩状血迹形态。方法选择常见的菜刀、匕首、方锤、铁管作为打击工具。用沾新鲜鸡血5 m L的工具自上而下进行垂直抛甩,对距离垂直墙壁30 cm处形成的血迹形态进行测量分析,通过对抛甩血迹的整体分布特征(跨度、宽度、密度)、起始血迹的形态特征(长度、宽度、接触角度)进行分析。结果匕首形成抛甩血迹的分布跨度最小(P0.05);在整体分布宽度上,菜刀最小(P0.05);在整体分布密度上,除菜刀与方锤之间差异无统计学意义,其他工具两两之间差异均有统计学意义(P0.05)。方锤较其他三种工具在起始血迹点长度上最长(P0.05);菜刀与方锤、匕首与方锤在起始血迹点宽度上差异有统计学意义(P0.05)。结论每一类型的打击工具所形成的垂直抛甩血迹形态具有一定的特征,可用于命案现场推断打击工具的类型。