Forensic Sciences Research最新文献

{"title":"Who are they? A retrospective study of unidentified bodies in Institute of Medical-Legal Paris from 2018 to 2023.","authors":"Alexandre Biro, Bertrand Ludes, Tania Delabarde","doi":"10.1093/fsr/owae051","DOIUrl":"10.1093/fsr/owae051","url":null,"abstract":"<p><p>\"I still don't realize that he's dead.... I cried over it. It makes me sad to know that he was buried unaccompanied on his last trip. We were all shocked.\" This testimony corresponds to a family whose relative was buried in an anonymous grave 6 months after his disappearance was reported to the police. It is estimated that between 1 000 and 3 000 unidentified bodies are buried in anonymous graves in France each year. Most of these decedents have passed through the medico-legal system. However the identification of these bodies, outside the context of mass disasters, remains a complex problem. Several national and international publications have highlighted the prevalent problem of unidentified burials and the consequences for families who do not know the fate of their loved ones, specifically, whether they are alive or deceased. This 6-year retrospective study (2018-2023), covering a total of 2 324 unidentified decedents admitted to the Institute of Medical-Legal Paris (IMLP), aimed to assess the impact of the identification protocol implemented in 2017 on the number of bodies that remain unidentified (<i>n</i> = 164). In addition, this study aimed to establish profiles for individuals who remained unidentified with the objective of identifying the factors that hinder their identification and developing correlated methods to address these issues. The results of this study were compared with other published studies to highlight the global problem and the ongoing need for collaboration between forensic practitioners and relevant authorities.</p><p><strong>Key points: </strong>Despite great advances in human identification, unidentified decedents remain a global problem.This 6-year overview study covering a total of 2 324 unidentified bodies admitted to the IMLP provided relevant information about the unidentified decedent population and assessed the impact of a protocol established in 2017 on the rate of deceased buried without identity in Paris.The need to establish a national database in France to properly document and disseminate information on missing persons and to centralize the biological profile of unidentified bodies is key, as without antemortem information or a biometric database there can be no matching.</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"9 3","pages":"owae051"},"PeriodicalIF":1.4,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human identification by medical findings in a forensic anthropology context.","authors":"Yara Vieira Lemos, Alexandre Neves Furtado, Adriana Zatti Lima, Alexander Santos Dionísio, Ricardo Moreira Araújo, Eugénia Cunha","doi":"10.1093/fsr/owae041","DOIUrl":"10.1093/fsr/owae041","url":null,"abstract":"<p><p>This article presents a series of three complex forensic cases that posed significant challenges for identifying human remains. These include a mass dam disaster, burnt human remains, and extensively decomposed human remains. Positive identification was achieved using a shadow positioning technique with imaging comparisons of medical findings. After establishing the biological profile, medical data were evaluated with digital radiography and computed tomography examinations the human remains. These aimed to replicate the original (intravitam) traits in the same angulation to examine postsurgical characteristics, as well as the anatomical, pathological, and morphological features, which were sufficient to establish a positive scientific identification. Technological advancements tend to reveal additional skeletal details, making medical data comparisons significantly more effective in the context of anthropological identification. These cases demonstrate that the possibility of identification should never be ignored, even in situations with advanced decomposition.</p><p><strong>Key points: </strong>Conventional identification methods may not always be applicable in forensic anthropology cases.The presented cases include a mass dam disaster, burnt human remains, and extensively decomposed human remains.These three cases involved successful human identification with medical findings comparisons using the shadow position technique.Identification could be established in these cases, despite challenges, such as fire damage, an incomplete body, and extensive decomposition.These cases suggest medical findings should be considered as biological identifiers rather than secondary identifiers.</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"9 3","pages":"owae041"},"PeriodicalIF":1.4,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combining anthropology and imaging to reconstruct antemortem trauma for identification purposes.","authors":"Anja Petaros, Maria Lindblom, Eugénia Cunha","doi":"10.1093/fsr/owae048","DOIUrl":"https://doi.org/10.1093/fsr/owae048","url":null,"abstract":"<p><p>Identification of unidentified remains involves a comparison of ante- and postmortem features using biological identifiers. Anthropological identifiers, referred to by International Criminal Police Organization (INTERPOL) as secondary identifiers, have often been judged less reliable than DNA, fingerprints and dental records (referred to as primary identifiers). However, anthropological identifiers have been proven as discriminatory as the primary sources in many instances, and play a decisive role in positive identification. To guarantee better use of anthropological identifiers, it is not only essential to develop standard protocols and statistical frameworks, but also to test different identification approaches in cases from daily practice. Evidence of skeletal antemortem trauma can be a valuable aid in the identification process, especially if the exact type of traumatic event causing the injury is identified. Here, we present a case in which the combination of anthropological analysis and imaging confirmed an interesting and unique sequence of antemortem traumatic events in incomplete skeletal remains. The remains were assumed to pertain to an individual who went missing several years earlier, and whose medical records revealed a unique history of trauma to the right femur. The individual had sustained a fracture due to a fall from a high height followed, 10 years after the primary trauma, by a gunshot wound to the same bone; both treated by intramedullary nail fixation. While the anthropological analysis matched the biological profile of the missing individual and identified a healed defect to the right femur compatible with a gunshot wound, the radiological examination indicated that the bone underwent three surgical procedures on different occasions. Radiological examination also identified a pre-existing healed fracture adjacent to the gunshot defect. In addition to presenting the identification process in this specific case, this article discusses the difficulties in antemortem trauma interpretation, importance of combining macroscopic and radiological analysis to aid the reconstruction of previous traumatic events and mechanisms of injury from healed fractures that can play important roles in forensic human identification.</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"9 3","pages":"owae048"},"PeriodicalIF":1.4,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application and implications of radiocarbon dating in forensic case work: when medico-legal significance meets archaeological relevance.","authors":"Benoit Bertrand, Thibault Clauzel, Pascale Richardin, Anne Bécart, Philippe Morbidelli, Valery Hédouin, Carina Marques","doi":"10.1093/fsr/owae046","DOIUrl":"10.1093/fsr/owae046","url":null,"abstract":"<p><p>The estimation of the postmortem interval for skeletal remains is a crucial aspect of forensic anthropology. This paper illustrates the importance of radiocarbon analysis for establishing medico-legal significance and supporting forensic identification, through the analysis of three case studies for which the years of both birth and death were investigated. In Audresselles, Northern France, a partial skull was discovered with no contextual information or identity. Radiocarbon dating yielded an average calibrated calendar age of 4232 BCE (92.5% probability), indicating significant archaeological value but no forensic relevance. In the second case, skeletal remains were found in the flooded underground of a historical fort at Wimereux, Northern France, also with no identity. Radiocarbon dating based on the bomb-pulse curve indicated a calibrated date of death in 1962 CE (37.3% probability) or 1974-1975 CE (58.1% probability), both surpassing the French statute of limitations. Lastly, a skeleton with a suspected identity was discovered near Valenciennes, Northern France, and various biological tissues underwent radiocarbon dating. A bone sample suggested a calibrated date of death of 1998-2002 CE (84.6% probability), differing from a hair sample (2013-2018 CE, 83.3% probability) because of the slower bone tissue remodeling process. DNA analysis confirmed the person's identity, reported missing a decade prior to the discovery of the remains, following the alignment of the radiocarbon results with the individual's year of birth based on dental tissues and year of death. These case studies reveal that traditional radiocarbon dating and bomb-pulse dating are essential tools for estimating the postmortem interval, providing mutual benefits for archaeologists, forensic anthropologists, and the criminal justice system.</p><p><strong>Key points: </strong>Traditional radiocarbon dating and bomb-pulse dating are essential tools to establish the archaeological relevance or medico-legal significance of human skeletal remains.Bomb-pulse dating enables assessment of an individual's years of birth and death.Bomb-pulse dating helps to narrow down the pool of candidates for identification.Radiocarbon analysis provides mutual benefits for archaeologists, forensic anthropologists, and the criminal justice system.</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"9 3","pages":"owae046"},"PeriodicalIF":1.4,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An interdisciplinary forensic approach in a mummified child with evidence of abuse and neglect.","authors":"Norbert Moravanský, Soňa Masnicová, Petra Švábová, Roman Kuruc, Branislav Gális, Radoslav Beňuš","doi":"10.1093/fsr/owae049","DOIUrl":"10.1093/fsr/owae049","url":null,"abstract":"<p><p>Mummification of corpses with partial skeletonization is not an uncommon occurrence in daily forensic work. Cooperation between different forensic fields is important in these cases in terms of obtaining the most accurate and forensically relevant results, especially when child abuse and neglect is suspected. In Central Europe, up to 21% of children are exposed to physical and psychological harm, which is mostly perpetrated by family members. This report describes a case of subadult female mummified remains in which interdisciplinary forensic pathology, forensic anthropology, and entomology input was needed to obtain legally relevant results. Entomological analysis of the fly and beetle species present served primarily to estimate the postmortem interval. External examination confirmed advanced postmortem decomposition of the body. The anthropological findings based on radiographs and analysis of selected bones confirmed various antemortem fractures and post-traumatic changes involving the ribs, the distal portion of the humerus, the nasal bones, and the anterior portions of the maxilla and mandible. Furthermore, non-specific findings of growth arrest (Harris) lines in the distal metaphysis of the right tibia indicated growth retardation and, overall, child neglect. The autopsy findings confirmed subdural blood coagulum, part of which formed a clearly moulded plaster mass that had originally been attached to the cranial vault up to the internal lamina. The findings indicated a post-traumatic condition as the underlying cause of death in this child. Interdisciplinary forensic analyses confirmed that the child had been repeatedly exposed to violent assaults throughout her lifetime.</p><p><strong>Key points: </strong>If mummified remains with partial skeletonization of a subadult are found, collaboration among forensic experts is requiredIn this case, dried subdural blood coagulum indicated post-traumatic, non-spontaneous subdural haemorrhagePeriosteal reaction present on the facial bones and distal portion of the humerus was a suspicious findingAnalyses of female subadult remains based on an interdisciplinary approach revealed a syndrome of child abuse and neglect.</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"9 3","pages":"owae049"},"PeriodicalIF":1.4,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical succession of insects associated with pig cadavers (<i>Sus scrofa</i> Linnaeus, 1758) in Tunja, Boyacá, Colombia.","authors":"Mateo Restrepo-Rúa, Angela Patricia Mancipe-Villamarin, Nidya Alexandra Segura Guerrero","doi":"10.1093/fsr/owae042","DOIUrl":"10.1093/fsr/owae042","url":null,"abstract":"<p><p>Forensic entomology complements medicolegal investigations by studying insects at the crime scene. In Colombia, studies that characterized the succession of cadaver entomofauna have been published. However, in Tunja (Boyacá), the information related to evaluating the decomposition process and the fauna associated with cadavers is incipient. Therefore, this study aimed to describe that process under the environmental conditions of the municipality. Four pig cadavers were used to monitor decomposition and collect the visiting species. We conducted a descriptive statistical analysis with diversity indexes and a canonical correspondence analysis to evaluate the possible relations among decomposition stages, the species, and environmental variables. The observed decomposition process was atypical, presenting a prolonged duration of the early cadaveric phenomena and a low number of arthropods attracted to the cadavers. In total, we collected 1 249 arthropods. The Diptera and Coleoptera orders were the most abundant, representing 55.7% and 33.7%, respectively. The Calliphoridae family represented 64.7% of the Diptera fauna succession, with <i>Calliphora vicina</i> and <i>Chrysomya albiceps</i> as the most abundant species and the first colonizers under the conditions of the study zone. The results provide information about the entomofauna associated with decomposing bodies in the municipality of Tunja. Due to the environmental conditions of the study zone, we could demonstrate that factors like rainfall and temperature could delay colonization and the onset times of cadaveric phenomena.</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"10 1","pages":"owae042"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case study on the endeavour to identify the \"unidentifiable\" fallen soldiers of WWI on the Italian front.","authors":"Daniel Gaudio, Andrea Betto","doi":"10.1093/fsr/owae037","DOIUrl":"https://doi.org/10.1093/fsr/owae037","url":null,"abstract":"<p><p>If there is a category of war victims for whom the identification process has been and still remains an extremely challenging issue, it is the soldiers of World War One. There are various reasons for this, including unreliable identity tags, the unprecedented number of casualties, and the level of destruction caused by the massive use of \"new\" weapons. In Italy, this phenomenon was so severe and well-known that a monument was erected in Rome specifically in memory of those unknown soldiers (\"Tomba del Milite Ignoto\"). However, modern techniques in forensic archaeology and anthropology can facilitate identification even in this extreme context. In the casework described here, the presence of human remains was reported to the judicial authorities, which were subsequently located and excavated in a remote region of the Italian Alps using a range of techniques, including drone imagery, GPR, and micromorphological surveying. During the archaeological excavation of the human remains, a World War One zinc identification tag in very poor condition was found adjacent to the body. The biological profile was estimated (male, 20-30 years old, 166 cm±3.27 cm), and a trauma survey was performed. Thanks to the restoration of the ID tag, parts of the name and enrolment number were found and cross-referenced with the anthropological data of the subject, matching the information in the available military records. The victim had no siblings or offspring, making it impossible to identify descendants. However, the operation led to a contextual/presumptive identification of the soldier and the discovery of his story. He was a native of Tuscany, who died during the \"Punitive Expedition\" (1916) and was buried, probably by his comrades, in a small flat area hidden from enemy lines. In investigations like this, the involvement of local communities, whether groups or individuals, is crucial. In this case report, it will be shown how multidisciplinary approaches and collective actions can play a pivotal role in resolving highly intricate scenarios, such as those pertaining to armed conflicts.</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"9 3","pages":"owae037"},"PeriodicalIF":1.4,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving from the unknown to the known: a multidisciplinary approach to the identification of skeletal remains from Sandy Point, Australia.","authors":"Soren Blau, Dadna Hartman, April Stock, Fiona Leahy, Jodie Leditschke, Lyndall Smythe, Noel Woodford, Samantha Rowbotham","doi":"10.1093/fsr/owae032","DOIUrl":"https://doi.org/10.1093/fsr/owae032","url":null,"abstract":"<p><p>When human remains are inadvertently located, case-related circumstantial information is used to generate an identification hypothesis, and the preservation of the remains typically informs which identification methods may then be used to validate that hypothesis. What happens, however, when there is no contextual information to generate an identification hypothesis? This paper presents the case of a near-complete human skeleton discovered at Sandy Point in Victoria, Australia. The circumstances of the case did not facilitate an identification hypothesis, and with no hypothesis to triage the identification process, all possible identification methods were employed. Preservation of the individual meant neither a visual nor a fingerprint identification was possible, and the lack of an identification hypothesis meant there was no antemortem reference data to compare with the postmortem DNA or dental information. Consequently, in addition to historical research, novel methods, such as radiocarbon dating and genetic intelligence, were utilized to complement information provided by the forensic anthropology and odontology analyses, which ultimately resulted in the identification. This example highlights the complexity of cases of unidentified skeletal remains and emphasizes the fact that identification is a process that necessarily requires a multidisciplinary and collaborative approach.</p><p><strong>Key points: </strong>Human skeletal remains were recovered from Sandy Point, Victoria.The absence of circumstantial information and the poor preservation (i.e. skeletonized) of the remains precluded the formation of an identification hypothesis, rendering the identification process complex.Only through the integration of anthropology, odontology, molecular biology, radiocarbon dating, historical research, and genealogy were the remains able to be identified as Mr. Christopher Luke Moore, who drowned in 1928.Human identification is a process that necessarily requires a multidisciplinary and collaborative approach.</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"9 3","pages":"owae032"},"PeriodicalIF":1.4,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11409877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction of: Sequence variations of 58 STRs and 94 SNPs in Northeastern Xibe with ForenSeq^TM DNA signature prep kit.","authors":"","doi":"10.1093/fsr/owae030","DOIUrl":"10.1093/fsr/owae030","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1093/fsr/owad043.][This retracts the article DOI: 10.1093/fsr/owae011.].</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"9 2","pages":"owae030"},"PeriodicalIF":1.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive elucidation on the genetic profile of the Hezhou Han population <i>via</i> an efficient InDel panel.","authors":"Shuyan Mei, Wei Cui, Man Chen, Meiming Cai, Fanzhang Lei, Xi Wang, Shangwu Yang, Bofeng Zhu","doi":"10.1093/fsr/owae021","DOIUrl":"10.1093/fsr/owae021","url":null,"abstract":"<p><p>The Han nationality is widely distributed in different regions, and it is one of the most populous nationalities in China. Compared with the ethnic minorities in Guangxi Zhuang Autonomous Region, there is relatively less research on Han individuals dwelled in Guangxi as a part of Chinese Han population. In this study, the genetic polymorphisms of 57 autosomal insertion/deletion (InDel) loci were explored in Hezhou Han (HZH) population. Forensic-related parameters revealed that these 57 InDel loci had high forensic validity and could be used in forensic practice application. In addition, the genetic relationships between the HZH population and 30 worldwide reference populations were explored using a variety of analytical methods, such as phylogenetic tree, principal component analysis, and genetic structure analysis. These results demonstrated that there were closer genetic relationships between the HZH and nine populations from East Asia (EAS). The prediction accuracy rates of five inter-continental cross-validation analyses for individuals from EAS was >0.9, and the prediction accuracy rates of three inter-continental cross-validation analyses for individuals from EAS, Europe, and Africa were all >0.95. In addition, 24 of the 57 InDel loci could be served as ancestral information inference loci, which could effectively distinguish individuals of EAS, Europe, and Africa. In conclusion, these InDel loci could be used not only as a good tool for individual identification and paternity testing in HZH population, but also as an auxiliary tool for ancestry information inference research.</p>","PeriodicalId":45852,"journal":{"name":"Forensic Sciences Research","volume":"10 1","pages":"owae021"},"PeriodicalIF":1.4,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}