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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
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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
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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
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    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.

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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
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    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.

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    Inhibitory Effect of CCK-8 on Methamphetamine-Induced Apoptosis
    Wu-hua ZHANG, Ming-long ZHANG, Wei-wei JING, Bing XIE, Hai-tao BI, Feng YU, Bin CONG, Chun-ling MA, Di WEN
    Journal of Forensic Medicine    2021, 37 (6): 796-805.   DOI: 10.12116/j.issn.1004-5619.2021.310206
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    Objective

    To investigate the inhibitory effect of cholecystokinin octapeptide (CCK-8) binding to cholecystokinin 2 receptor (CCK2R) on methamphetamine (METH)-induced neuronal apoptosis, and to explore the signal transduction mechanism of β-arrestin 2 in CCK-8 inhibiting METH-induced neuronal apoptosis.

    Methods

    SH-SY5Y cell line was cultured, and HEK293-CCK1R and HEK293-CCK2R cell line were constructed by lentivirus transfection. Small interfering RNA (siRNA) was used to knockdown the expression of β-arrestin 2. Annexin Ⅴ-FITC/PI staining and flow cytometry were used to detect the apoptotic rate of cells, and Western blotting was used to detect the expression of apoptosis-related proteins.

    Results

    The apoptosis of SH-SY5Y cells was induced by 1 mmol/L and 2 mmol/L METH treatment, the number of nuclear fragmentation and pyknotic cells was significantly increased, and the expression of apoptosis-related proteins Bax and cleaved caspase-3 were increased. CCK-8 pre-treatment at the dose of 0.1 mmol/L and 1 mmol/L significantly reversed METH-induced apoptosis in SH-SY5Y cells, and inhibited cell nuclear fragmentation, pyknosis and the changes of apoptosis-related proteins induced by METH. In lentivirus transfected HEK293-CCK1R and HEK293-CCK2R cells, the results revealed that CCK-8 had no significant effect on METH-induced changes of apoptosis-related proteins in HEK293-CCK1R cells, but it could inhibit the expression level of apoptosis-related proteins in HEK293-CCK2R cells induced by METH. The inhibitory effect of CCK-8 on METH-induced apoptosis was blocked by the knockdown of β-arrestin 2 expression in SH-SY5Y cells.

    Conclusion

    CCK-8 can bind to CCK2R and exert an inhibitory effect on METH-induced apoptosis by activating the β-arrestin 2 signal.

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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
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    Objective

    To analyze the characteristics of sudden death associated with sexual activity to provide recommendations for forensic identification.

    Methods

    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.

    Results

    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.

    Conclusion

    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.

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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
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    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.

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    Mass Spectrometry Imaging and Its Application in Forensic Toxicology
    ZHOU Li-ying, WANG Xin, XIANG Ping
    Journal of Forensic Medicine    2021, 37 (3): 402-411.   DOI: 10.12116/j.issn.1004-5619.2020.300502
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    Mass spectrometry imaging (MSI) is a new imaging technology that can simultaneously detect and record the spatial distribution information of multiple molecules on the sample surface without labeling. The main principle of MSI is to combine mass spectrometry with imaging technology and irradiate the sample slice with ion beam or laser to ionize the molecules on its surface, obtain the mass spectrometry signal through the detector, convert the obtained data into pixel points by the imaging software, and then construct the spatial distribution image of the target compound on the tissue surface. The sample preparation for MSI include: sample collection and storage, tissue section, tissue pretreatment, selection and application of matrix. At present, this technology has been widely used in the fields of biomedicine, new drug development and proteomics, and its application in the field of forensic toxicology has also gradually attracted attention. This article reviews the principles and sample preparation process of MSI, describes the application of MSI in abused substances and metabolites of various material matrices, herbal mixtures, latent fingerprints, hair and animal and plant tissues, and discusses the prospects of the application of this technology in forensic toxicology, in order to provide ideas and references for the application of MSI technology in forensic toxicology.
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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
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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
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    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.

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    Forensic Identification of Diving Deaths
    Wei WU, Bing-bing GUO, Jing-guo ZHANG, Rong-shuai WANG, Hong-bin RUAN, Liang LIU
    Journal of Forensic Medicine    2021, 37 (5): 683-686.   DOI: 10.12116/j.issn.1004-5619.2020.400501
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    Investigation of the cause of death during diving is one of the contents of forensic pathology. In this article, relevant foreign literature is reviewed to summarize the techniques and methods used in the identification of diving deaths, such as accident reconstruction, diving monitoring data, postmortem CT examination and gas analysis (location and quantity) in the body of the corpse, in order to provide a reference for forensic identification of such cases.

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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
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    Research Progress on Metabolite Identification of Synthetic Cannabinoid New Psychoactive Substances
    LI Le, ZHAO Jun-bo, YAN Hui, et al.
    Journal of Forensic Medicine    2021, 37 (4): 459-469.   DOI: 10.12116/j.issn.1004-5619.2021.310602
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    Synthetic cannabinoids are currently a class of new psychoactive substances with the largest variety and most abused. Metabolite identification research can provide basic data for monitoring synthetic cannabinoids abuse, which is the current research hotspot. The main trend of structural modification of synthetic cannabinoid is to replace the fluorine atom on pentyl indole or indazole cyclopentyl with hydrogen atom, which greatly improves the biological activity of the compound. The main metabolic reactions include hydroxylation, fluoropentyl oxidative, ester hydrolyze, amide hydrolysis. Liquid chromatography-high resolution mass spectrometry has become the preferred choice for the structural identification of metabolites. This review mainly summarizes research on metabolism software prediction and human hepatocyte model, human liver microsomes model, rat in vivo model, zebrafish model and fungus C. elegans model in metabolite identification based on the structure and classification of synthetic cannabinoids.
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    SNP Panel Analysis of Ancestry Inference in East Asian Populations
    JIA Zhen-jun, GAO Chun-fang, QIAN Zun-lei, et al.
    Journal of Forensic Medicine    2021, 37 (4): 539-545.   DOI: 10.12116/j.issn.1004-5619.2020.500713
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    Objective To develop an SNP Panel for East Asian population, which has a high individual identification rate and the capability of ancestry analysis. Methods The 55 SNP Panel by Professor KIDD of Yale University and the 128 SNP Panel by Professor SELDIN of Davis School of California University, 170 SNP Panel in total was used as the basis and its test data in the East Asian population was collected. The genetic parameters of SNP loci were calculated and combined with the results of heatmap analysis to screen SNP loci suitable for East Asian population. Some Tibetan and Han samples were tested. The possibility of using the SNP loci in ancestry inference was analyzed by means of STRUCTURE analysis, principal component analysis and heatmap analysis. Results A Panel with 45 SNPs (45 SNP Panel) was screened out, and the average genetic parameters of each SNP were better than 170 SNP Panel, with the same ancestry analysis and inference ability. Conclusion In terms of ancestry inference information, the 45 SNP Panel can completely replace the 170 SNP Panel and achieve the same ancestry analysis and inference ability. In genetic parameters, 45 SNP Panel is better than 170 SNP Panel in the East Asian population, which shows its important potential forensic application value.
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    Application of ITO Method in Determination of Special Half-Sibling Relationship
    Cheng-chen SHAO, Yi-ning YAO, Yue-qin ZHOU, Zhi-ping LIU, Hong-mei XU, Jian-hui XIE, Kuan SUN
    Journal of Forensic Medicine    2021, 37 (6): 836-840.   DOI: 10.12116/j.issn.1004-5619.2020.500712
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    Objective

    To identify whether the relationship between Zhang A, Zhang B, Zhang C and Zhang X is the half-sibling relationship whose mother is sister (hereinafter referred to as the special half-sibling relationship) or the common first cousin relationship and discuss the application of ITO method in discriminating the special kinship.

    Methods

    DNA was extracted from blood stain of four identified individuals, PowerPlex? 21 System and AGCU 21+1 STR kit were used to detect autosomal STR genetic markers. Investigator? Argus X-12 QS kit was used to detect the X chromosome STR genetic markers, the special half-sibling index (SHSI) and first cousin index (FCI) and their likelihood ratio (LR) were calculated by ITO method.

    Results

    The LR results of SHSI to FCI, which were calculated based on autosomal STR genotyping and the analysis of X-STR genotyping results suggested that the relationship between Zhang A, Zhang B, Zhang C and Zhang X was inclined to be a special half-sibling relationship.

    Conclusion

    For the identification of special kinship, it is necessary to comprehensively apply various genetic markers according to the case. After the conclusion that shared alleles cannot be excluded from the analysis, ITO method can be further used to establish discriminant assumptions according to the specific case to obtain objective and reliable identification opinions.

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    A Bibliometric and Visual Analysis of the Current Status and Trends of Forensic Mixed Stain Research
    Qing-wei FAN, Ling LI, Hui-ling YANG, Ting-ting DENG, Dong-dong XU, Yun WANG, Bing DU, Jiang-wei YAN
    Journal of Forensic Medicine    2024, 40 (1): 20-29.   DOI: 10.12116/j.issn.1004-5619.2022.521010
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    Objective To explore the context and hotspot changes of forensic mixed stain research through bibliometric approach. Methods The literature of forensic mixed stain included in the core collection of Web of Science database from 2011 to 2022 were collected as the study object, and the annual publication number, countrie (region), institution, journal, keywords, etc. were bibliometrically and visually analyzed using the R-based Bibliometrix 1.1.6 package and VOSviewer 1.6.18 software. Results A total of 732 articles on forensic mixed stain were included from 2011 to 2022, with the annual number of articles published and the annual citation frequency showing a steady increase year by year. Among the 59 countries (regions) with the most published articles, the United States ranked first with 246 articles, followed by China with 153 articles. The literature came from 104 journals, and the total number of articles published in the top 10 journals was 633. FORENSIC SCI INT GENET ranked first with 307 articles. Visual analysis using VOSviewer software showed that keywords could be divided into four research clusters, namely the genetic marker development group (blue), the mixed stain typing analysis theory group (red), the sequencing analysis group (yellow), and the case sample research group (green). It can be divided into four development stages in terms of different time periods: early development (2011—2013), middle development (2014—2016), rapid development (2017—2020) and latest development (2021—2022). Conclusion The number of publications by domestic and foreign scholars in the study of mixed stain in forensic science is showing a relatively stable trend. Machine learning, next generation sequencing and other research have been the hottest topics that have attracted the most attention in recent years, which is expected to further develop the theory of mixed stain typing and sequencing analysis in forensic mixed stain research.

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    Deep Learning-Based Cardiac Imaging Data Measurement and Its Application in Diagnosis of Sudden Cardiac Death
    LI Ze-hao, LIU Ning-guo, DONG He-wen, et al.
    Journal of Forensic Medicine    2021, 37 (4): 546-554.   DOI: 10.12116/j.issn.1004-5619.2021.410503
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    In the field of forensic medicine, diagnosis of sudden cardiac death is limited by subjective factors and manual measurement methods, so some parameters may have estimation deviation or measurement deviation. As postmortem CT imaging plays a more and more important role in the appraisal of cause of death and cardiopathology research, the application of deep learning such as artificial intelligence technology to analyze vast amounts of cardiac imaging data has provided a possibility for forensic identification and scientific research workers to conduct precise diagnosis and quantitative analysis of cardiac diseases. This article summarizes the main researches on deep learning in the field of cardiac imaging in recent years, and proposes a feasible development direction for the application of deep learning in the virtual anatomy of sudden cardiac death at present.
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    Forensic Identification of Scrotal and Testicular Injury: Three Case Reports
    Journal of Forensic Medicine    2022, 38 (5): 681-685.   DOI: 10.12116/j.issn.1004-5619.2020.201104
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    Journal of Forensic Medicine    2023, 39 (3): 308-311.   DOI: 10.12116/j.issn.1004-5619.2021.510905
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    Forensic Analysis of Suicidal Strangulation after High Fall: A Case Report
    Journal of Forensic Medicine    2021, 37 (6): 891-893.   DOI: 10.12116/j.issn.1004-5619.2020-400602
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