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Death of RUSH Oral Administration: A Case Report Journal of Forensic Medicine    2021, 37 (6): 883-887.   DOI: 10.12116/j.issn.1004-5619.2020.400811 Abstract （5327）   HTML （1351）    PDF（pc） （970KB）（4381）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Interpretation and Implementation of Guidance for Judicial Expertise of Medical Malpractice Journal of Forensic Medicine    2022, 38 (2): 143-149.   DOI: 10.12116/j.issn.1004-5619.2022.220111 Abstract （2854）   HTML （272）    PDF（pc） （707KB）（1306）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Comparation between Guidance for Judicial Expertise of Medical Malpractice and Medical Association Identification Rules of Medical Damage Zi-hui CHENG, Lu ZHANG, Liang WANG, Jie ZHANG, Ling-jie KONG, Long YU, Song-yue HE Journal of Forensic Medicine    2022, 38 (2): 173-181.   DOI: 10.12116/j.issn.1004-5619.2022.220205 Abstract （2511）   HTML （41）    PDF（pc） （773KB）（843）       Knowledge map    Save On the basis of retaining the technical identification system of medical negligence, the Medical Association Identification Rules of Medical Damage mainly provides technical services for various types of conciliation work about doctor-patient dispute. Its identification work is still influenced by the thinking of medical negligence technical identification and has certain administrative color. Guidance for Judicial Expertise of Medical Malpractice is mainly reflected that the trial of civil cases and pre-trial mediation of courts need service. Its procedures and evidence review are strictly required by the litigation rules and has the characteristics of public legal services provided as a third-party neutral institution. Technical identification of medical damage, whether organized by the Medical Association or the forensic identification institutions, is carried out under the background of the current Regulations on the Prevention and Treatment of Medical Disputes and the Civil Code of the People’s Republic of China; both have a corresponding positive role in regulating the medical damage identification activities, and have also laid a certain foundation for the establishment of a unified identification system in the future in China. To understand the different characteristics of the medical damage identification rules issued by the Chinese Medical Association and the Ministry of Justice, and to improve the understanding of the standardization of the forensic identification of medical damage, a comparative study was conducted on Medical Association Identification Rules of Medical Damage and Guidance for Judicial Expertise of Medical Malpractice from seven aspects: Concept and legal status, entrust of identification, identification acceptance, identification procedures, identification presentation meeting, theory of medical malpractice evaluation, consequences and causality of medical damage. The subject of evaluation, the function of evidence review, the role of consulting experts, the technical standard system of malpractice evaluation and other contents were emphatically analyzed. Reference | Related Articles | Metrics | Comments（0）

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Comparison of Medical Dispute Resolution Mechanisms in China and Abroad Xu-dong ZHANG, Tian TIAN, Xu-fu YI, Jun-hong SUN Journal of Forensic Medicine    2022, 38 (2): 150-157.   DOI: 10.12116/j.issn.1004-5619.2022.220106 Abstract （2325）   HTML （278）    PDF（pc） （740KB）（1081）       Knowledge map    Save Medical disputes are one of the common problems concerned by the whole world. All countries and regions have established their own medical dispute resolution mechanisms, in accordance with their own national conditions. Medical dispute identification opinions, as one of the important bases for identifying the responsibilities of both doctors and patients, play a pivotal role in the process of dispute settlement. A reasonable medical dispute resolution mechanism and standardized medical dispute identification model can help resolve disputes flexibly and reduce the conflict between doctors and patients. This paper briefly compares the medical dispute resolution mechanism and identification mode of China and several other representative countries （the United States, Britain, France, Germany, Italy, Japan, etc.）, and discusses their respective characteristics and shortcomings, to bring some enlightenment to the medical dispute resolution and identification in our country. Reference | Related Articles | Metrics | Comments（0）

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Forensic identification of death caused by black bear attack：Three case reports  Journal of Forensic Medicine    2022, 38 (4): 560-562.   DOI: 10.12116/j.issn.1004-5619.2020.400908 Abstract （2158）   HTML （219）    PDF（pc） （2343KB）（2113）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Research on the Identification Model of Medical Damage Tian TIAN, Xu-dong ZHANG, Li-bing YUN, Ming LI, He-wen DONG, Ning-guo LIU, Min LIU Journal of Forensic Medicine    2022, 38 (2): 158-165.   DOI: 10.12116/j.issn.1004-5619.2022.220105 Abstract （1778）   HTML （199）    PDF（pc） （765KB）（748）       Knowledge map    Save To understand the perceptions of doctors, patients and forensic examiners on the current situation of medical disputes and medical damage identification in China, and to explore the medical damage identification model that is more conducive for the resolution of medical disputes. A questionnaire was designed, and in-service clinicians, forensic examiners and inpatients in Sichuan Province and Chongqing City were randomly selected from April to November 2019. SPSS 22.0 software was used to analyze the data of various survey results. Compared with patients （24.92%）, doctors （61.72%） believed that the current doctor-patient relationship was more tense than before; both doctors and patients were more inclined to choose voluntary consultation and people’s mediation to resolve medical disputes; forensic examiners have the highest level of cognition of medical and health-related laws and regulations, followed by doctors and patients; 66.72% of doctors and 78.41% of patients believed that medical damage identification was necessary, and they were more inclined to entrust forensic identification institutions; different groups all believed that forensic examiners and doctors should participate in the identification together, 80.94% of doctors believed that the appraisal institutions should be responsible for the forensic opinion, not the appraiser. It is suggested that the Medical Association identification and forensic identification should learn from each other and formulate basic unified rules for the identification of medical damage. It is suggested to standardize the behavior of medical damage forensic identification institutions and appraisers, to improve their own appraisal level, actively invite clinical medical experts for consultation in identification, and promote the standardized, scientization of forensic identification. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Writing and Normalized Expression of Medical Damage Identification Documents Journal of Forensic Medicine    2022, 38 (2): 188-192.   DOI: 10.12116/j.issn.1004-5619.2022.220201 Abstract （1683）   HTML （20）    PDF（pc） （554KB）（748）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Medical Damage Identification of Nephrectomy Caused by Misdiagnosis of Renal Abscess as Renal Tumor: A Case Report Journal of Forensic Medicine    2022, 38 (2): 208-211.   DOI: 10.12116/j.issn.1004-5619.2020.200616 Abstract （1601）   HTML （34）    PDF（pc） （718KB）（545）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Informed Consent in Medical Damage Identification Journal of Forensic Medicine    2022, 38 (2): 198-201.   DOI: 10.12116/j.issn.1004-5619.2022.220112 Abstract （1557）   HTML （30）    PDF（pc） （613KB）（613）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Medical Damage Identification of Spontaneous Anterior Spinal Artery Syndrome after Internal Fixation of Lumbar Spine Fracture: A Case Report Journal of Forensic Medicine    2022, 38 (2): 204-207.   DOI: 10.12116/j.issn.1004-5619.2020.200715 Abstract （1534）   HTML （26）    PDF（pc） （813KB）（547）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Medical Damage Identification of Peripheral Facial Palsy after Removal of Ear Canal Foreign Body: A Case Report Journal of Forensic Medicine    2022, 38 (2): 202-203.   DOI: 10.12116/j.issn.1004-5619.2020.200205 Abstract （1495）   HTML （39）    PDF（pc） （479KB）（594）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Attributes and Characteristics of Forensic Identification on Medical Damage Journal of Forensic Medicine    2022, 38 (2): 182-187.   DOI: 10.12116/j.issn.1004-5619.2022.420111 Abstract （1494）   HTML （21）    PDF（pc） （718KB）（673）       Knowledge map    Save Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Application of Postmortem Biochemistry Analysis in Forensic Medicine Bao-li ZHU, Zhi-peng CAO Journal of Forensic Medicine    2021, 37 (6): 859-866.   DOI: 10.12116/j.issn.1004-5619.2020.401205 Abstract （1489）   HTML （134）    PDF（pc） （769KB）（2078）       Knowledge map    Save In recent years, postmortem biochemistry analysis has gradually been applied to forensic practice, providing objective evidence for health conditions before death, disease pathophysiological processes and forensic diagnosis of postmortem interval and cause of death. It is of great significance to understand the change patterns of postmortem biochemical indicators and their applications in forensic medicine. This article reviews the research progress of postmortem biochemistry and its application in forensic medicine, it summarizes the existing problems of postmortem biochemistry analysis in forensic medicine of China and discusses the application prospect of postmortem biochemistry analysis in forensic medicine. This review is expected to provide references for forensic practitioners. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Identification Principle and Thought of “Medical Malpractice” Based on Theoretical Analysis Xu WANG, Xiao-hua LIU Journal of Forensic Medicine    2022, 38 (2): 166-172.   DOI: 10.12116/j.issn.1004-5619.2022.220203 Abstract （1427）   HTML （23）    PDF（pc） （680KB）（889）       Knowledge map    Save At present, medical disputes are still widely-concerned social problems and occasionally evolve into severe social events. In the dispute settlement mechanism, forensic identification opinion is the important technical support. Due to the high professionalism and complexity of medicine, the identification of medical malpractice has become major and difficult problem in the identification. This paper systematically analyze the concept of medical malpractice and five legal theories of malpractice determination, pointing out that China’s forensic identification of medical damage should be led by the theory of “medical standards”, supplemented by “prudent patient” standard and strengthen “peer review” in form. At the same time, seven main identification principles should be followed in practice: （1） take “obligation of diagnosis and treatment” as the basic principle of medical malpractice identification; （2） take whether to fulfill the obligation of diagnosis and treatment corresponding to current medical level as the specific principle; （3） take diagnosis and treatment routine, norms and guidelines as the main basis; （4） the principle of “peer review”; （5） the principle of “the generality of medical emergency action”; （6） the principle of “notification-informed-consent”; （7） the principle of “review of complications”. This paper also puts forward the corresponding identification ideas in view of the above principles, hoping this helps standardize medical damage forensic identification activities. Reference | Related Articles | Metrics | Comments（0）

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Abuse of Pharmaceutical Drugs and Its Prevention Shi-qiu MENG, Jie SHI Journal of Forensic Medicine    2021, 37 (6): 788-795.   DOI: 10.12116/j.issn.1004-5619.2021.310403 Abstract （1388）   HTML （98）    PDF（pc） （789KB）（1618）       Knowledge map    Save Abuse of pharmaceutical drugs is a major public health and social problem worldwide. Mostly abused drugs mainly include opioids such as morphine, tramadol, methadone and fentanyl, sedative-hypnotics such as benzodiazepines and non-benzodiazepines, and central stimulants such as Ritalin （methylphenidate）, Adderall （amphetamine and dextroamphetamine） and modafinil. Abuse of pharmaceutical drugs not only causes direct damage to multiple systems of the body, but also significantly increases risks of mental and physical diseases, imposing a heavy burden on individuals, families and society. Therefore, the prevention and control of pharmaceutical drug abuse are of vital importance. The Chinese government has taken strict administration measures for pharmaceutical drugs with abuse risk. However, confronting endless new drugs and changing abuse trends, it is necessary to further strengthen management and prevention of pharmaceutical drugs, monitor the trend of abuse, establish rapid response mechanisms, popularize relevant knowledge, and develop specific therapeutic drugs and intervention means, in order to promote prevention and treatment of pharmaceutical drug abuse. Reference | Related Articles | Metrics | Comments（0）

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Discussion on Standardization of Forensic Identification Procedure for Medical Damage Journal of Forensic Medicine    2022, 38 (2): 193-197.   DOI: 10.12116/j.issn.1004-5619.2022.220208 Abstract （1315）   HTML （14）    PDF（pc） （543KB）（633）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Discussion on classification and analysis of cause of death in forensic pathology Journal of Forensic Medicine    2022, 38 (2): 280-283.   DOI: 10.12116/j.issn.1004-5619.2021.411207 Abstract （1150）   HTML （255）    PDF（pc） （563KB）（1527）       Knowledge map    Save Reference | Related Articles | Metrics | Comments（0）

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Current Situation of Methamphetamine Abuse and Related Research Progress Shi-jun HONG, Bao-yu SHEN, Rong-ji SUN, Gen-meng YANG, Chun-mei DUAN, Qian-yun NIE, Cong-bin ZHANG, Wen-juan DONG, Hao YU, Shang WANG, Peng-liang LIU, Pin-yuan WEN, Li-hua LI Journal of Forensic Medicine    2021, 37 (6): 763-775.   DOI: 10.12116/j.issn.1004-5619.2021.310202 Abstract （1105）   HTML （256）    PDF（pc） （944KB）（1926）       Knowledge map    Save Drug problem is a major social and public security problem in the world. Drug abuse poses a great threat to economic development, social stability and public health. In recent years, synthetic drugs represented by methamphetamine have surpassed traditional drugs such as morphine, heroin, ketamine and become one of the most abused drugs in the world. In order to solve the problem of drug abuse, it is of great theoretical value and practical significance to carry out all-round and multi-level scientific research on drug-related issues. Based on the current situation of drug abuse, this article reviews research progresses on the epidemiology of methamphetamine abuse, the monitoring technology, the basic researches on toxicity damage, the withdrawal drug screening, the related clinical comorbidity and the testing technologies, comprehensively presenting the development trend of methamphetamine abuse related issues. Reference | Related Articles | Metrics | Comments（0）

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Forensic Analysis of Sudden Death Associated with Sexual Activity Shu-quan ZHAO, Fang HUANG, Wei-nian DENG, Long-da MA, Zi-hao LIU, Qing SHI, Yi-wu ZHOU Journal of Forensic Medicine    2021, 37 (6): 832-835.   DOI: 10.12116/j.issn.1004-5619.2020.400518 Abstract （1061）   HTML （335）    PDF（pc） （554KB）（1630）       Knowledge map    Save To analyze the characteristics of sudden death associated with sexual activity to provide recommendations for forensic identification. A retrospective analysis was conducted on autopsy cases accepted by Forensic Identification Center of Huazhong University of Science and Technology from 1998 to 2018, and a total of 15 cases of sudden death associated with sexual activity were screened out. The general information, case data and pathological changes of 15 cases were collected to find the relationship between sexual activity and sudden death. The ratio of male to female was 1.5∶1. The average age of males was 50.1 years and that of females was 35.0 years. Coronary artery diseases and brain diseases accounted for most of the cases （12/15）. Sexual partners were associated with locations of deaths and body dumping behaviors. Sudden death associated with sexual activity, although rare, may occur in people over 30 years old with pre-existing heart or brain diseases, which should be paid attention to in forensic practice. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Review and Prospect of Diagnosis of Drowning Deaths in Water Chao LIU, Bin CONG Journal of Forensic Medicine    2022, 38 (1): 3-13.   DOI: 10.12116/j.issn.1004-5619.2021.410625 Abstract （962）   HTML （141）    PDF（pc） （854KB）（1432）       Knowledge map    Save Drowning is the death caused by asphyxiation due to fluid blocking the airway. In the practice of forensic medicine， it is the key to determine whether the corpse was drowned or entered the water after death. At the same time， the drowning site inference and postmortem submersion interval （PMSI） play an important role in the investigating the identity of the deceased, narrowing the investigation scope, and solving the case. Based on diatoms testing， molecular biology， imaging and artificial intelligence and other technologies， domestic and foreign forensic scientists have done relative research in the identification of the cause of death， drowning site inference and PMSI， and achieved certain results in forensic medicine application. In order to provide a reference for future study of bodies in the water， this paper summarizes the above research contents. Reference | Related Articles | Metrics | Comments（0）