将确认的化自杀死亡与中毒中心监视估计的估计进行比较
Joshua Bloom1,2,3, Alexis Sharpe4, Seth Nulman4
1Department of Emergency Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
JAMA network open
|September 23, 2024
概括
酸盐死亡人数正在增加,但中毒中心的监测错过了许多病例. 标准化的法医调查对于准确的跟踪和公共卫生反应至关重要.
科学领域:
- 法医毒理学 法医毒理学
- 公共卫生监督 公共卫生监督
- 化学安全 化学安全
背景情况:
- 酸是一种常见的治愈剂,越来越多地与自我伤害和自杀案件有关.
- 美国目前的监测方法可能不足以追踪与酸盐有关的死亡事故.
- 缺乏标准化的法医调查方法阻碍了准确的病例识别.
研究的目的:
- 建立一个标准化的法医方法来识别化死亡.
- 将法医调查结果与现有的中毒中心监控数据进行比较.
- 评估与酸盐相关的死亡和暴露的趋势.
主要方法:
- 在纽约两个法医司法管辖区 (2000-2022) 进行了对死亡和暴露的回顾性案例系列分析.
- 使用了法医报告 (死亡原因) 和中毒中心报告 (故意暴露).
- 通过验证性血酸盐测试作为标准标准的既定法医确定.
主要成果:
- 确定了36名死者,平均年龄为28岁; 63.8%是男性.
- 从2019年到2022年,观察到酸盐死亡人数的每年显著增加,主要是由于中毒中心监视而错过的.
- 在83.3%的病例中获得了确认性死后血中亚酸盐度;一些死者在网上访问了自杀信息.
结论:
- 酸盐死亡人数正在上升,验尸医生的数据证实了这一趋势.
- 毒品中心的监测大大低估了与酸盐有关的死亡事故的真实负担.
- 标准化的法医分析和多源数据对于有效的公共卫生监测和干预至关重要.
更多相关视频
08:23Chemiluminescence-based Assays for Detection of Nitric Oxide and its Derivatives from Autoxidation and Nitrosated Compounds
Published on: February 16, 2022
3.8K
08:25Measuring Nitrite and Nitrate, Metabolites in the Nitric Oxide Pathway, in Biological Materials using the Chemiluminescence Method
Published on: December 25, 2016
22.5K
相关概念视频
Precipitation Titration Curve: Analysis
1.1K
The precipitation titration curve demonstrates the change in concentration of one reactant with the volume of titrant added. During the titration of chloride ions with silver nitrate, the precipitation titration curve is divided into three regions: before, at, and after the equivalence point. Before the equivalence point, low redissolution of the sparingly soluble silver chloride precipitate gives a low silver ion concentration. However, in the second region, representing the equivalence point,...
1.1K
EDTA: Indirect and Alkalimetric Titration
867
Unlike direct titration, back-titration, and displacement titration, indirect titration is an EDTA titration method for quantifying anions. In the indirect titration method, anions are precipitated as their insoluble salts with excess metal ions. The filtrate containing the excess metal ions is directly titrated with standard EDTA until the endpoint is achieved. Another approach involves extracting the metal ion and back-titrating with standard EDTA to obtain the endpoint. In this way, the...
867
