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"FORENSIC MEDICINE"
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Forensic science education and training : a tool-kit for lecturers and practitioner trainers
\"A comprehensive and innovative guide to teaching, learning and assessment in forensic science education and practitioner training Includes student exercises for mock crime scene and disaster scenarios Addresses innovative teaching methods including apps and e-gaming Discusses existing and proposed teaching methods\"-- Provided by publisher.
Book
Clinical forensic medicine in emergency departments: a pilot study of a forensic training and evaluation of its effectiveness in an Italian hospital
Because emergency departments are often the first point of contact for victims of violence, it is critical to provide the appropriate treatment in compliance with all necessary medicolegal precautions. For this reason, a randomized controlled trial was conducted at the Policlinico Hospital of Milan (Italy) in which an intervention group (12 physicians) received a 6-h course on clinical forensic medicine and their performance in medicolegal procedures in claimed cases of violence was compared with that of a control group (13 physicians) by means of a 16-item assessment scale over the 3 months before and the 3 months after the course. Overall, 195 medical records were included in the statistical analysis. Out of these cases, 105 occurred before the course (60 analyzed by the control group and 45 by the intervention group) and 90 occurred after the course (45 analyzed by the control group and 45 by the intervention group). The results showed that the overall mean score of physicians who participated to the course increased from 14.0 (IQR 7.0) to 19.0 (IQR 8.0) with a
p
-value < 0.0001 and that the comparison between the intervention group and the control group after the course was 19.0 (IQR = 8.0) and 14.0 (IQR = 7.0), respectively, with a
p
-value < 0.0001. The improvement was very little and below the expectations pointing out that educational courses, although they can be a first step towards raising the ED physicians’ awareness of clinical forensics, may not be enough and that more structured training and new strategies should be implemented.
Journal Article
Advancement and the existing landscape of forensic medicine in Africa: A comparison with developed countries
This article explores the development and challenges of forensic medicine in Africa, comparing it to developed countries. It addresses limited resources, funding, and a shortage of trained professionals. The growth of forensic investigation capabilities and the challenges of funding and technology access are discussed. Training and education have improved, but disparities remain. Partnerships with developed countries and international organizations are crucial to bridge the gap. A comprehensive legal framework is important, but disparities exist among African countries. Harmonizing forensic laws would enhance cooperation. The role of forensic medicine in the criminal justice system is examined, emphasizing the need to build trust in forensic evidence. International collaboration and capacity building are key to advancing forensic medicine in Africa. Investments in infrastructure, funding, training, and legal frameworks are required. By leveraging partnerships, Africa can develop its forensic medicine capabilities for a fair and effective criminal justice system.
Journal Article
Current status of undergraduate teaching in forensic & legal medicine in Europe
The European Council of Legal Medicine (ECLM) is the body established in 1992 to represent practitioners forensic & legal medicine and is composed of delegates of the countries of the European Union (EU) and from other countries which form part of Europe to a current total of 34 member countries. The aims of this study were to determine the current status of undergraduate forensic & legal medicine teaching in the curriculum of medical studies in ECLM countries and to use the results of this study to determine whether it would be appropriate to develop new guidelines and standards for harmonising the content of undergraduate forensic medicine training across ECLM member countries. A detailed questionnaire was sent to all individuals or organisations listed on the ECLM contact database. Responses were received from 21 of 33 countries on the database. These responses showed considerable emphasis on undergraduate teaching of forensic medicine in all countries with the exception of Belgium and the United Kingdom. There was great general consistency in the subjects taught. The data from this survey provide a baseline which should assist in developing a strategy to harmonise forensic & legal medicine undergraduate training in member countries of the ECLM. The ECLM is now in a good position to establish a pan-European working group to coordinate a consensus document identifying an appropriate and modern core undergraduate forensic medicine curriculum that can be presented to the medical education authorities in each country, and which can be adapted for local requirements, based on available personnel, the forensic medicine structure in the country, and most importantly, the needs of the local population.
Journal Article
Five days at Memorial : life and death in a storm-ravaged hospital
Here the author, a physician and reporter, provides a landmark investigation of patient deaths at a New Orleans hospital ravaged by Hurricane Katrina, and a suspenseful portrayal of the quest for truth and justice. She reconstructs 5 days at Memorial Medical Center and draws the reader into the lives of those who struggled mightily to survive and to maintain life amid chaos. After Katrina struck and the floodwaters rose, the power failed and the heat climbed. Exhausted caregivers chose to designate certain patients last for rescue. Months later, several health professionals faced criminal allegations that they deliberately injected numerous patients with drugs to hasten their deaths. She unspools the mystery of what happened in those days while the hospital fought for its life and launches into a conversation about the most terrifying form of health care rationing. In this book, Fink exposes the hidden dilemmas of end-of-life care and reveals just how ill-prepared we are in America for the impact of large-scale disasters.
Book
Medico-legal identification of unidentified bodies and missing persons in Milan and Paris: a comparative institutional study
The challenges and methodologies associated with reporting missing persons and identifying unidentified bodies, including migrants and domestic deaths, widely vary worldwide. This comparative study delves into the medico-legal practices and legislative frameworks in Italy and France, specifically focusing on the cities of Milan and Paris and highlights the disparities and similarities in the processes and legislative environments of both countries. The ultimate aim is to propose improvements to existing methods and advocate for a more unified approach within Europe, recognizing the shared challenges and the need for concerted efforts in upholding the dignity of the deceased and providing closure for affected families. This study uses Milan and Paris as case examples to highlight the need for improved interconnectivity and procedural alignment in forensic identification across national and European jurisdictions, potentially anchored in internationally recognized frameworks, such as INTERPOL’s Disaster Victim Identification protocol. This work indeed reveals that, while national and regional systems are in place for managing these cases, there are significant limitations in terms of interconnectivity, resource allocation, and management of data. The effectiveness of these systems, considering the high number of cases in large cities and the different scientific, administrative and legal variables involved is then discussed. The paper also provides a detailed analysis of the medico-legal procedures and the involvement of multiple professional disciplines in the identification process, emphasizing the multi-faceted nature of this work. The importance of collaborative strategies and shared practices at a supranational level to address the complex challenges in identifying missing persons and unknown bodies is underlined. The findings from Milan and Paris serve as a microcosm to understand broader patterns, offering insights that could inform global practices.
Journal Article
European Council of Legal Medicine (ECLM) on-site inspection forms for forensic pathology, anthropology, odontology, genetics, entomology and toxicology for forensic and medico-legal scene and corpse investigation: the Parma form
Further to a previous publication by the European Council of Legal Medicine (ECLM) concerning on-site forensic and medico-legal scene and corpse investigation, this publication provides guidance for forensic medical specialists, pathologists and, where present, coroners’ activity at a scene of death inspection and to harmonize the procedures for a correct search, detection, collection, sampling and storage of all elements which may be useful as evidence, and ensure documentation of all these steps. This ECLM’s inspection form provides a checklist to be used on-site for the investigation of a corpse present at a crime or suspicious death scene. It permits the collection of all relevant data not only for the pathologist, but also for forensic anthropologists, odontologists, geneticists, entomologists and toxicologists, thus supporting a collaborative work approach. Detailed instructions for the completion of forms are provided.
Journal Article
Hyperspectral imaging for non-contact analysis of forensic traces
Hyperspectral imaging (HSI) integrates conventional imaging and spectroscopy, to obtain both spatial and spectral information from a specimen. This technique enables investigators to analyze the chemical composition of traces and simultaneously visualize their spatial distribution. HSI offers significant potential for the detection, visualization, identification and age estimation of forensic traces. The rapid, non-destructive and non-contact features of HSI mark its suitability as an analytical tool for forensic science. This paper provides an overview of the principles, instrumentation and analytical techniques involved in hyperspectral imaging. We describe recent advances in HSI technology motivating forensic science applications, e.g. the development of portable and fast image acquisition systems. Reported forensic science applications are reviewed. Challenges are addressed, such as the analysis of traces on backgrounds encountered in casework, concluded by a summary of possible future applications.
Journal Article