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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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    Research Progress of Exosomes and Their Forensic Significance
    Yuan-bo KANG, Si-fan WANG, Ting-jun CHEN, Ya-dong GUO, Chang-quan ZHANG
    Journal of Forensic Medicine    2022, 38 (6): 754-762.   DOI: 10.12116/j.issn.1004-5619.2021.410302
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    Exosomes are membranous tiny vesicles secreted by cells, which are widely found in the extracellular matrix and various body fluids and carry a variety of biologically functional molecules such as proteins, lipids, messenger RNA (mRNA) and microRNA (miRNA). Exosomes not only play important biological roles in the field of immunology and oncology, but also have potential application value in the field of forensic medicine. This article reviews the discovery, production and degeneration mechanism, biological functions, isolation and identification methods of exosomes, summarizes the research on exosomes and their significance in the field of forensic science, and discusses their applications in body fluid identification, individual identification, postmortem interval estimation to provide ideas for the application of exosomes in forensic work.

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    Animal DNA Typing and Its Research Progress in Forensic Medicine
    Hong-yan GAO, Guang-fu LIU, Jian WU, Peng-yu CHEN
    Journal of Forensic Medicine    2023, 39 (2): 161-167.   DOI: 10.12116/j.issn.1004-5619.2021.511210
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    With the advance of molecular biology, DNA analysis technology has been widely applied in forensic science. Non-human DNA analysis can be used in some special cases and has unique forensic value to provide investigation clues and trial basis. Animal DNA typing plays a more prominent role in the detection of all kinds of non-human DNA related cases and is the main content of forensic non-human DNA analysis. This paper reviews the development history, present situation, advantages and disadvantages of animal DNA typing according to its technology, characteristic, challenges facing forensic science application scenarios, and also its future development.

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    Age Estimation Based on DNA Methylation and Its Application Prospects in Forensic Medicine
    Zi-wei WANG, Qian-nan XU, Cheng-tao LI, Xi-ling LIU
    Journal of Forensic Medicine    2023, 39 (1): 72-82.   DOI: 10.12116/j.issn.1004-5619.2021.510604
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    With the improvement of DNA methylation detection techniques, studies on age-related methylation sites have found more age-specific ones across tissues, which improves the sensitivity and accuracy of age estimation. In addition, the establishment of various statistical models also provides a new direction for the age estimation of tissues from different sources. This review summarizes the related studies of age estimation based on DNA methylation from the aspects of detection technology, age-related cytosine phosphate guanine site and model selection in recent years.

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    Research Progress on Molecular Changes in Pulmonary Hypoxia and Cause of Death Identification in Mechanical Asphyxia
    Tian-pu WU, Jian-long MA, Xin-biao LIAO, Dong-chuan ZHANG, Kai-jun MA, Yan-geng YU, Long CHEN
    Journal of Forensic Medicine    2023, 39 (1): 57-65.   DOI: 10.12116/j.issn.1004-5619.2022.421005
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    Lung is the largest organ of the respiratory system. During hypoxia, pulmonary cells undergo rapid damage changes and activate the self-rescue pathways, thus leading to complex biomacromolecule modification. Death from mechanical asphyxia refers to death due to acute respiratory disorder caused by mechanical violence. Because of the absence of characteristic signs in corpse, the accurate identification of mechanical asphyxia has always been the difficulty in forensic pathology. This paper reviews the biomacromolecule changes under the pulmonary hypoxia condition and discusses the possibility of application of these changes to accurate identification of death from mechanical asphyxia, aiming to provide new ideas for related research.

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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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    Journal of Forensic Medicine    2024, 40 (1): 86-87.   DOI: 10.12116/j.issn.1004-5619.2023.430102
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    New Advances, Challenges and Opportunities in Forensic Applications of Microbiomics
    Fan-zhang LEI, Man CHEN, Shu-yan MEI, Ya-ting FANG, Bo-feng ZHU
    Journal of Forensic Medicine    2022, 38 (5): 625-639.   DOI: 10.12116/j.issn.1004-5619.2022.520303
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    The succession of microbiota is closely associated with several essential factors, including race, sex, health condition, lifestyle, postmortem interval, etc., and it has great potential application value in forensic medicine. This paper summarizes recent studies on the forensic applications of the microbiome, including individual identification, geographical feature identification, origin identification of the tissue or body fluid, and postmortem interval estimation, and introduces the current machine learning algorithms for microbiology research based on next-generation sequencing data. In addition, the current problems facing forensic microbiomics such as the extraction and preservation of samples, construction of standardization and database, ethical review and practical applicability are discussed. Future multi-omics studies are expected to explore micro ecosystems from a comprehensive and dynamic perspective, to promote the development of forensic microbiomics application.

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    Journal of Forensic Medicine    2024, 40 (2): 205-207.   DOI: 10.12116/j.issn.1004-5619.2023.430318
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    Methods and Research Hotspots of Forensic Kinship Testing
    Ran LI, Hong-yu SUN
    Journal of Forensic Medicine    2023, 39 (3): 231-239.   DOI: 10.12116/j.issn.1004-5619.2023.530208
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    Kinship testing is widely needed in forensic science practice. This paper reviews the definitions of common concepts, and summarizes the basic principles, advantages and disadvantages, and application scope of kinship analysis methods, including identity by state (IBS) method, likelihood ratio (LR) method, method of moment (MoM), and identity by descent (IBD) segment method. This paper also discusses the research hotspots of challenging kinship testing, complex kinship testing, forensic genetic genealogy analysis, and non-human biological samples.

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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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    Legal Theories, Disability Models and Principles of Disability Assessment
    Xu WANG
    Journal of Forensic Medicine    2023, 39 (4): 329-336.   DOI: 10.12116/j.issn.1004-5619.2023.230307
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    In the personal injury compensation system, the protection and relief of the injured people’s rights to life, rights to health, and body rights are generally based on the results of disability assessment. Over the years, with the increased number of personal injury compensation cases, the practice of disability assessment have been greatly developed, and the development of disability assessment standards tends to be mature. However, the lack of basic theories for disability assessment has seriously affected the construction and unification of standards. Starting from the tort legal system of personal injury compensation, this article systematically analyzes the legal theories of disability assessment, and holds that the loss of labor ability is the legal basis for disability assessment in China, and the essence of disability assessment should be understood as the quantitative assessment of an individual’s permanent loss of labor ability. This article combines the international disability assessment models and the primary concepts of American Medical Association’s Guides to the Evaluation of Permanent Impairment to refine the basic concepts of disability assessment in China, such as impairment, disability, handicap, disabled people and self-care ability, etc. At the same time, it sorts out the critical issues of identification time, promotion principles and compound calculation of multiple injuries in disability assessment. It is expected to be beneficial to the theory and practice of disability assessment in personal injury compensation.

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    Pathological Changes and Cause of Death Associated with the Global Novel Coronavirus Disease (COVID-19)
    Bin YANG, Lu-yao XU, Ling-yue LI, Dong-fang QIAO, Si-hao DU, Xia YUE, Hui-jun WANG
    Journal of Forensic Medicine    2023, 39 (6): 586-595.   DOI: 10.12116/j.issn.1004-5619.2023.430703
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    The coronavirus disease 2019 (COVID-19) has been a global epidemic for more than three years, causing more than 6.9 million deaths. COVID-19 has the clinical characteristics of strong infectivity and long incubation period, and can cause multi-system damage, mainly lung damage, clinical symptoms of acute respiratory distress syndrome (ARDS) and systemic multiple organ damage. The SARS-CoV-2 virus is still constantly mutating. At present, there is no global consensus on the pathological changes of COVID-19 associated deaths and even no consensus on the criteria for determining the cause of death. The investigation of the basic pathological changes and progression of the disease is helpful to guide the clinical treatment and the development of therapeutic drugs. This paper reviews the autopsy reports and related literature published worldwide from February 2020 to June 2023, with a clear number of autopsy cases and corresponding pathological changes of vital organs as the inclusion criteria. A total of 1 111 autopsy cases from 65 papers in 18 countries are included. Pathological manifestations and causes of death are classified and statistically analyzed, common pathological changes of COVID-19 are summarized, and analytical conclusions are drawn, suggesting that COVID-19 infection can cause life-threatening pathological changes in vital organs. On the basis of different health levels of infected groups, the direct cause of death is mainly severe lung damage and secondary systemic multiple organ failure.

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    Strategies for Collection and Analysis of Samples in Simple Asphyxiant Gas Acute Poisoning Death Cases
    Ping XIANG, Ning-guo LIU, Bao-hua SHEN, Huo-sheng QIANG, Min SHEN
    Journal of Forensic Medicine    2022, 38 (4): 507-514.   DOI: 10.12116/j.issn.1004-5619.2021.310501
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    At present, the death cases of simple asphyxiant gas acute poisoning are increasing sharply. Common asphyxiant gases in death cases include nitrogen, helium, carbon dioxide, methane, propane, laughing gas, etc. Simple asphyxiant gas has no affinity for biological matrices and escapes quickly, which puts forward new requirements for autopsy procedures, selection and collection of samples, laboratory analysis and identification. This paper reviews the research and development process of death cases caused by simple asphyxiant gas acute poisoning and put forwards the collection and analysis strategy of the samples in such cases. The most valuable biological samples in such cases should be lung tissues associated with the airways, followed by brain tissue and cardiac blood. Gaseous samples from the esophageal cavity, tracheal cavity, pulmonary bronchi, gastric and cardiac areas are also recommended as valuable samples. In the case of postmortem examination, the gas should be injected into gas sample bag directly. Biological materials such as tissue and blood should be directly sealed in head-space vials and analyzed by using the headspace gas chromatography-mass spectrometry.

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    Cooling Kinetic Characteristics of Temperature Difference between Cadaver Temperature and Ambient Temperature
    Xiao-fei DUAN, Zi-long GUO, Zhen YAO, Yin-di LIU, Hai HU, Zhou-yang HU
    Journal of Forensic Medicine    2022, 38 (5): 579-583.   DOI: 10.12116/j.issn.1004-5619.2021.411117
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    Objective To study the cooling reaction kinetic characteristics of the temperature difference between cadaver temperature and ambient temperature (hereinafter referred to as “cadaver temperature difference”) according to the reaction kinetics method. Methods Thirty rabbits were randomly divided into 5 groups with 6 rabbits in each group. The rabbits were injected with 10% potassium chloride solution intravenously. After death, the rabbits were placed at 5 ℃, 10 ℃, 15 ℃, 20 ℃ and 25 ℃ environment condition, respectively, and the rectal temperature was measured every minute for 20 hours. The measured cadaver temperature was subtracted from ambient temperature, and the cadaver temperature difference data was calculated using the reaction kinetics formula. The linear regression equation was fitted for analysis, and the experimental results were applied to the temperature difference data of human body after death for verification. Results Under different environmental conditions, the linear coefficient determination of temperature difference -ln(C/C0) in rabbits was 0.99, showing a good linear relationship with time t. The application of human body temperature data after death was consistent with the results of animal experiments. Conclusion Under stable conditions, the temperature difference cooling process after death in rabbits is a first-order kinetic response. The method can also be used to study the temperature difference in human body after death.

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    Process of Forensic Medicine in DNA Identification of Aged Human Remains
    Lu CHEN, Zhe ZHOU, Sheng-qi WANG
    Journal of Forensic Medicine    2023, 39 (5): 478-486.   DOI: 10.12116/j.issn.1004-5619.2021.511209
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    Skeleton and teeth are important biological samples. Due to their special structure and strong ability to resist degradation, they are ideal biological materials to retain DNA under natural condition. In many cases, such as historical figure identification, aged skeleton and teeth are usually the only biological samples. However, their DNA is in a state of trace, damage and degradation to different degrees, which requires special experimental treatment to achieve identification. This paper reviews the sample selection, DNA extraction, DNA enrichment and analysis approaches based on relevant research reports in recent years, aiming to promote the further development and improvement of the aged skeleton and teeth identification system.

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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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    Analysis of 39 Forensic Clinical Sex Identification Cases after Sex Reassignment Surgery
    Yu-jiao WU, Yue-qin ZHOU, Yi-wen SHEN, Jie-qing JIANG
    Journal of Forensic Medicine    2024, 40 (4): 365-371.   DOI: 10.12116/j.issn.1004-5619.2023.230602
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    Objective To analyze the characteristics of forensic clinical sex identification cases after sex reassignment surgery for transsexualism, discuss the main point of forensic clinical sex identification in China based on domestic and foreign sex change policies and related cases, so as to standardize relevant identification. Methods A total of 39 cases of forensic clinical sex identification were collected from Center for Forensic Science, Shanghai Medical College of Fudan University in recent years, and the ratio of sex, identification time, the location of surgery, secondary sex characteristic and other information were statistically analyzed. Results Transgender woman accounted for 97.4% of the cases, and 94.9% of the cases were operated in Thailand. All cases were identified after the sex reassignment surgery, and at least one of the secondary sex characteristics was consistent with the postoperative primary sexual characters. There were only 2 cases in which auxiliary examination was applied. Conclusion Forensic clinical sex identification should be based on the principle that the primary and secondary sex characteristics are consistent with the changed sex.

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    Journal of Forensic Medicine    2023, 39 (4): 337-342.   DOI: 10.12116/j.issn.1004-5619.2023.230310
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    Suicide by Taking Phenobarbital and Scopolamine: A Case Report
    Journal of Forensic Medicine    2022, 38 (5): 664-666.   DOI: 10.12116/j.issn.1004-5619.2020.401011
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