Analysis of Body Fluids for Forensic Purposes
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Vii. Infection Prevention
VII. INFECTION PREVENTION Prevention of Hospital Acquired Infections What is Infection Prevention? Infection prevention is doing everything possible to prevent the spread of germs which lead to hospital acquired infection. What is a bloodborne pathogen? • Bloodborne pathogens are micro-organisms such as viruses or bacteria that are present in human blood that can cause disease in humans. These pathogens include, but are not limited to: – Hepatitis B (HBV) – Hepatitis C (HCV) – Human immuno-deficiency virus (HIV) – Malaria, syphilis, West Nile virus, Ebola OTHER POTENTIALLY INFECTIOUS MATERIAL (OPIM) • In addition to human blood, bloodborne pathogens can be found in other potentially infectious material such as: – Blood products (plasma/serum) – Saliva – Semen – Vaginal secretions – Skin tissue/cell cultures – Any body fluid that is contaminated with blood • Body fluids that are not usually considered infectious with bloodborne pathogens are: – Vomit – Tears – Sweat – Urine – Feces – Sputum /nasal secretions ALL BODY FLUIDS SHOULD BE REGARDED AS POTENTIALLY INFECTIOUS!!! TRANSMISSION IN THE WORKPLACE Bloodborne pathogens can be transmitted when blood or OPIM is introduced into the blood stream of a person • This can happen through: – Non intact skin (acne, scratches, cuts, bites, blisters, wounds) – Contact with mucus membranes found in the eyes, nose and mouth – Contaminated instruments such as needles and sharps METHODS TO PREVENT BLOODBORNE PATHOGEN EXPOSURE A. Standard Precautions – ALL body fluids should be considered as potentially infectious materials – Use stand precautions EVERY TIME you anticipate contact with blood, body fluids, secretions/excretions, broken skin and mucous membranes – Use appropriate personal protective equipment – Decontaminate spills METHODS TO PREVENT BLOODBORNE PATHOGEN EXPOSURE B. Personal Protective Equipment Include: gloves, gowns, laboratory coats, face shields or masks, eye protection, mouthpieces, resuscitation bags, pocket masks, or other ventilation devices. -
Body Fluid Exposure Procedure
Employee Health Services 210 Lincoln Street Worcester, MA 01605 Body Fluid Exposure Procedure Step 1: Treat Exposure Site As soon as possible after exposure, use soap and water to wash areas exposed to potentially infectious fluids Flush exposed mucous membranes with water Flush exposed eyes with 500 ml of water or saline, at least 3-5 minutes Do not apply caustic agents, disinfectants or antibiotics in the wound Step 2: Gather Information and Document Employees need to complete a “First Report of Injury” form, state or clinical, as appropriate. Students need to complete an occurrence form. Using the UMMHC PEEP sheet as a guide, document o The circumstances of the occupational exposure o Evaluation of the employee . Evaluation of exposure site . Evaluation of Hepatitis B, C and HIV status Hepatitis B antibody (HBA) Hepatitis B antigen (HSA) Hepatitis C antibody (HCV) HIV antibody . Baseline lab. At the initial visit, we do not necessarily know the disease status of the source patient. Therefore, the baseline labs take into account only the decision to take or decline PEP. No Post-Exposure Prophylaxis (PEP) [2 gold top tubes] Alt HSA HBA HCV HIV Taking Post-Exposure Prophylaxis 2 gold top and 1 purple top tubes All of the above, PLUS AST Amylase Creatinine Glucose CBC/diff UCG as appropriate o Evaluation of the source patient . When the source of the exposure is known Source chart needs to be reviewed and source consented for HIV, Hepatitis B antigen and antibody, and Hepatitis C. J: Employee Health: Body Fluid Exposure Procedure-Revised 09/29/09 jc 1 On the University campus, notify Pat Pehl, the HIV counselor. -
Forensic Document Examination in the Courts
CHAPTER 9 Forensic Document Examination in the Courts Chapter Outline ELSEVIER Before 1900 .................................................................................................119 The 20th-Century Courts ...........................................................................120 The Critics ....................................................................................................122 The American Board of Forensic Document Examiners ..........................123 Forensic Document Examiners Meet Each Daubert Factor .....................123 1. Theory Tested .........................................................................................................124 2. Standards.................................................................................................................126 3. Peer Review and Publications ..........................................................................126 4. General Acceptance.............................................................................................128 5. Error Rate .................................................................................................................130 Forensic Document Examination. http://dx.doi.org/10.1016/B978-0-12-416693-6.00009-6 Copyright © 2014 Elsevier Inc. All rights reserved. 117 Forensic Document Examination Early Court Challenges ...............................................................................131 21st-Century Courts ...................................................................................132 -
Persistence of Ebola Virus in Various Body Fluids During Convalescence
Epidemiol. Infect. (2016), 144, 1652–1660. © Cambridge University Press 2016 doi:10.1017/S0950268816000054 Persistence of Ebola virus in various body fluids during convalescence: evidence and implications for disease transmission and control A. A. CHUGHTAI*, M. BARNES AND C. R. MACINTYRE School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, Australia Received 19 November 2015; Final revision 22 December 2015; Accepted 6 January 2016; first published online 25 January 2016 SUMMARY The aim of this study was to review the current evidence regarding the persistence of Ebola virus (EBOV) in various body fluids during convalescence and discuss its implication on disease transmission and control. We conducted a systematic review and searched articles from Medline and EMBASE using key words. We included studies that examined the persistence of EBOV in various body fluids during the convalescent phase. Twelve studies examined the persistence of EBOV in body fluids, with around 800 specimens tested in total. Available evidence suggests that EBOV can persist in some body fluids after clinical recovery and clearance of virus from the blood. EBOV has been isolated from semen, aqueous humor, urine and breast milk 82, 63, 26 and 15 days after onset of illness, respectively. Viral RNA has been detectable in semen (day 272), aqueous humor (day 63), sweat (day 40), urine (day 30), vaginal secretions (day 33), conjunctival fluid (day 22), faeces (day 19) and breast milk (day 17). Given high case fatality and uncertainties around the transmission characteristics, patients should be considered potentially infectious for a period of time after immediate clinical recovery. -
Mitochondrial DNA and Methods for Forensic Identification
Mini Review J Forensic Sci & Criminal Inves Volume - 9 Issue 1 - May 2018 Copyright © All rights are reserved by Gazi Nurun Nahar Sultana DOI: 10.19080/JFSCI.2018.09.555755 Mitochondrial DNA and Methods for Forensic Identification Gazi Nurun Nahar Sultana*and Mohammad Zakir Sultan Centre for Advanced Research in Sciences (CARS), University of Dhaka, Dhaka, Bangladesh Submission: May 24, 2018; Published: May 29, 2018 *Corresponding author: Gazi Nurun Nahar Sultana, Centre for Advanced Research in Sciences (CARS), University of Dhaka, Dhaka, Bangladesh, Tel: ; Email: Abstract A growing area of forensic mitochondrial DNA (mtDNA) has been appreciated by forensic scientists and law enforcement agencies in many countries. Crime scene investigators, law enforcement agencies, and prosecuting attorneys have recommended that this form of testing may successfully advance the investigation and prosecution of cases with limited biological evidences, such as bones, hairs and degraded skeletal remains. Defense attorneys are also increasingly requesting testing of samples with advancement of methods that may aid in exonerating their clients. MtDNA an extra nuclear genome, has certain features that make it desirable for forensics; namely, high copy number, lack of recombination, matrilineal inheritance, heteroplasmy, expression variability, and mitotic segregation. MtDNA typing has become routine in forensic biology since mid of 1980 and is a last resort for testing highly degraded biological debris. Further, the high mutation rate of the human mitochondrial -
Forensic Identification
Forensic Identification Watch it online http://www.kqed.org/quest/television/view/68 Story length 3:30 minutes QUEST CallPROGRAM them Bone NOTES Detectives. SUBJECTS Call them detectives of a different sort. Investigate the world of forensic anthropology with Life Biology University of California, Santa Cruz doctoral candidate and “bone detective” Chelsey Science Health Juarez. She has developed a novel technique to help identify the remains of migrants Environment who die crossing the border between the United States and Mexico. Earth Geology Science Weather In this segment you’ll find out… Astronomy why Chelsey Juarez developed the new technique to identify the ۞ Physical Physics remains of migrant workers. Science Chemistry Engineering ۞ how teeth are prepared and examined to provide information about where we come from. CA SCIENCE STANDARDS ۞ the important role forensic anthropologists play in forensic science. Grade 7 Genetics 2. A typical cell of any TOPIC BACKGROUND organism contains genetic instructions that specify its Forensic science is the application of scientific methods and processes to the law. A forensic traits. Those traits may be scientist usually works in a lab analyzing different types of evidence and writing reports, and also modified by environmental testifies in court as an expert witness. Sometimes forensic scientists go to crime scenes to help influences. (e) reconstruct the crime and collect or preserve evidence. Forensic scientists work in a variety of settings, such as local, state and federal governments; forensic labs; police departments; Earth and Life History universities or as independent consultants. (Earth Science) 4. Evidence from rocks The field of forensic science has many branches, including forensic entomology, forensic allows us to understand toxicology, forensic pathology and forensic anthropology. -
Skin Microbiome Analysis for Forensic Human Identification: What Do We Know So Far?
microorganisms Review Skin Microbiome Analysis for Forensic Human Identification: What Do We Know So Far? Pamela Tozzo 1,*, Gabriella D’Angiolella 2 , Paola Brun 3, Ignazio Castagliuolo 3, Sarah Gino 4 and Luciana Caenazzo 1 1 Department of Molecular Medicine, Laboratory of Forensic Genetics, University of Padova, 35121 Padova, Italy; [email protected] 2 Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35121 Padova, Italy; [email protected] 3 Department of Molecular Medicine, Section of Microbiology, University of Padova, 35121 Padova, Italy; [email protected] (P.B.); [email protected] (I.C.) 4 Department of Health Sciences, University of Piemonte Orientale, 28100 Novara, Italy; [email protected] * Correspondence: [email protected]; Tel.: +39-0498272234 Received: 11 May 2020; Accepted: 8 June 2020; Published: 9 June 2020 Abstract: Microbiome research is a highly transdisciplinary field with a wide range of applications and methods for studying it, involving different computational approaches and models. The fact that different people host radically different microbiota highlights forensic perspectives in understanding what leads to this variation and what regulates it, in order to effectively use microbes as forensic evidence. This narrative review provides an overview of some of the main scientific works so far produced, focusing on the potentiality of using skin microbiome profiling for human identification in forensics. This review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The examined literature clearly ascertains that skin microbial communities, although personalized, vary systematically across body sites and time, with intrapersonal differences over time smaller than interpersonal ones, showing such a high degree of spatial and temporal variability that the degree and nature of this variability can constitute in itself an important parameter useful in distinguishing individuals from one another. -
Advanced Statistical Population Genetics Methods for Forensic DNA Identification Author(S): Noah A
The author(s) shown below used Federal funding provided by the U.S. Department of Justice to prepare the following resource: Document Title: Advanced Statistical Population Genetics Methods for Forensic DNA Identification Author(s): Noah A. Rosenberg, Ph.D. Document Number: 253932 Date Received: October 2019 Award Number: 2014-DN-BX-K015 This resource has not been published by the U.S. Department of Justice. This resource is being made publically available through the Office of Justice Programs’ National Criminal Justice Reference Service. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. Basic Research and Development in Forensic Science for Criminal Justice Purposes Department of Justice, Office of Justice Programs National Institute of Justice NIJ SL # SL001082 NIJ‐2014‐3744 Award # 2014‐DN‐BX‐K015 ADVANCED STATISTICAL POPULATION GENETICS METHODS FOR FORENSIC DNA IDENTIFICATION Prepared by: Noah A. Rosenberg, PhD Principal Investigator Department of Biology Stanford University 371 Gilbert Building, Room 109 Stanford, CA 94305‐5020 Tel: 650 721 2599 Email: [email protected] Prepared on: January 10, 2019 Recipient Organization: Board of Trustees of the Leland Stanford Junior University Stanford University 3160 Porter Drive, Suite 100 Palo Alto, CA 94304‐8445 Final Progress Report Project Period: 01/01/2015 – 12/31/2018 Signature of Submitting Official: Robert Loredo, Contract and Grant Officer 01/24/2019 This resource was prepared by the author(s) using Federal funds provided by the U.S. Department of Justice. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. -
Infection Control Orientation
Infection Control: Preventing the Spread of Infectious Diseases Mount Sinai Hospital Healthcare-Associated Infections ~2 million hospital-acquired infections per year – These infections affect ~5-10% of patients. ~88,000 deaths related to those infections. At least 1/3 of those infections are preventable. Healthcare-Associated Infections (HAI) The most common HAI are: – Urinary tract infections (35%) – Surgical site infections (20%) – Bloodstream infections (15%) – Pneumonia (15%) Often associated with multidrug-resistant pathogens: MRSA, VRE, C. difficile, GNR (Klebsiella, Acinetobacter, etc.). Risk Factors for Healthcare- Associated Infections Severity of underlying illness Invasive devices and procedures Antimicrobial therapy Poor infection prevention practices – Healthcare worker hand hygiene – Environmental cleaning – Equipment disinfection and sterilization The Chain of Infection Pathogen Reservoir Susceptible Host where infectious agent normally lacks effective resistance lives and multiplies to pathogen Portal of Entry Portal of Exit entry sites, mechanisms by which mechanisms of introduction Mode of pathogen can leave reservoir Transmission contact, droplet, airborne, common vehicle, vector-borne Topics to be Covered Blood and Body Fluid Exposures (BBFE) – Definitions – Risk –Prevention – Post-exposure management Regulated Medical Waste Standard Precautions – Hand hygiene – Personal protective equipment Transmission-Based Precautions Bloodborne Pathogens Hepatitis B Hepatitis C Human Immunodeficiency Virus (HIV) Case 1 You are on your first rotation as a third year medical student. You want to be helpful to the nursing staff so you offer to empty Mr. Jones’ urinal. Unfortunately, you drop the urinal and your leg is splashed with clear, yellow urine. Case 2 You are now a seasoned fourth year student and you are performing phlebotomy on a 36 year old man admitted to the hospital with pneumonia. -
Human Remains and Identification
Human remains and identification HUMAN REMAINS AND VIOLENCE Human remains and identification Human remains Human remains and identification presents a pioneering investigation into the practices and methodologies used in the search for and and identification exhumation of dead bodies resulting from mass violence. Previously absent from forensic debate, social scientists and historians here Mass violence, genocide, confront historical and contemporary exhumations with the application of social context to create an innovative and interdisciplinary dialogue. and the ‘forensic turn’ Never before has a single volume examined the context of motivations and interests behind these pursuits, each chapter enlightening the Edited by ÉLISABETH ANSTETT political, social, and legal aspects of mass crime and its aftermaths. and JEAN-MARC DREYFUS The book argues that the emergence of new technologies to facilitate the identification of dead bodies has led to a ‘forensic turn’, normalizing exhumations as a method of dealing with human remains en masse. However, are these exhumations always made for legitimate reasons? And what can we learn about societies from the way in which they deal with this consequence of mass violence? Multidisciplinary in scope, this book presents a ground-breaking selection of international case studies, including the identification of corpses by the International Criminal Tribunal for the Former Yugoslavia, the resurfacing ANSTETTand of human remains from the Gulag and the sites of Jewish massacres from the Holocaust. Human remains -
Meeting the Challenges of the Daubert Trilogy: Refining and Redefining the Reliability of Orf Ensic Evidence
Tulsa Law Review Volume 43 Issue 2 Daubert, Innocence, and the Future of Forensic Science Winter 2007 Meeting the Challenges of the Daubert Trilogy: Refining and Redefining the Reliability of orF ensic Evidence Mara L. Merlino Victoria Springer Jan Seaman Kelly Derek Hammond Follow this and additional works at: https://digitalcommons.law.utulsa.edu/tlr Part of the Law Commons Recommended Citation Mara L. Merlino, Victoria Springer, Jan S. Kelly, & Derek Hammond, Meeting the Challenges of the Daubert Trilogy: Refining and Redefining the Reliability ofor F ensic Evidence, 43 Tulsa L. Rev. 417 (2013). Available at: https://digitalcommons.law.utulsa.edu/tlr/vol43/iss2/9 This Article is brought to you for free and open access by TU Law Digital Commons. It has been accepted for inclusion in Tulsa Law Review by an authorized editor of TU Law Digital Commons. For more information, please contact [email protected]. Merlino et al.: Meeting the Challenges of the Daubert Trilogy: Refining and Redef MEETING THE CHALLENGES OF THE DAUBERT TRILOGY: REFINING AND REDEFINING THE RELIABILITY OF FORENSIC EVIDENCE Mara L. Merlino,* Victoria Sprnger *Jan Seaman Kell Derek Hammond, Eric Sahota, & Lori Haines I. INTRODUCTION Daubert1 and its progeny, General Electric Co. v. Joiner2 and Kumho Tire Co. v. Carmichael,3 established new guidelines and procedures for determining the evidentiary reliability of expert testimony. Following the Daubert trilogy, the admissibility of expert testimony is presumably based not only on an analysis of the evidence's legal merits and Frye's general acceptance standard,4 but also on the judicial analysis of the qualifications of the expert, the methods by which the expert arrives at his or her 5 conclusions, and even the conclusions themselves. -
Forensic Methods of Identifying Corpses with Unknown Identity
Forensic Methods of Identifying Corpses with Unknown Identity Ovidiu Andrei Hamburda Faculty of “Economic Sciences and Public Administration," Law Specialization, University “Ștefan cel Mare,” Romania Master in Criminal Sciences at "Dimitrie Cantemir" Christian University of Bucharest, [email protected] ABSTRACT: Finding the truth is the most difficult process, especially in a society that reveals itself as a high- speed field, whose passengers combine good and evil, honor and dishonesty, respect for the law and crime. Identification of dead bodies is one of the most common but complicated activities that the magistrate, criminal investigation dead bodies, criminalist or forensic doctor encounters, because compared to the living people who appreciate both the static signs, the dynamic signs and the functional features noted by different gestures, attitudes, etc. only the static forms and the personal objects on them or the clothing are appreciated in the case of dead bodies. Most procedures claim certain data and information to be compared, such as DNA, fingerprints, dentition, etc., but if they do not exist, comparison with the rest of the population is impossible. To identify a person, the forensic research bodies also found other methods, such as the over-projection method, the reconstruction of the skull physiognomy, the skeletal identification, dental or dental identification. KEYWORDS: clothes, dead bodies, dentition, DNA, research, skeleton, unknown Introduction In the society where we living, personal and national security is very easy to attack, hence the need for more stringent and trustworthy measures to identify and secure our identity. Although in the book of Alexander Dumas - Martin Guerre, identity was established by cunning and confession, in today's world, a simple comparison of DNA would solve the problem, beyond any reasonable uncertainty (Thompson and Black 2007).