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使用经过防腐处理的人类遗骸的灾难受害者身份识别研讨会,重点是法医牙科学。

A disaster victim identification workshop focused on forensic odontology using embalmed human remains.

机构信息

Department of Anatomy, University of Otago, Dunedin, New Zealand.

Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

出版信息

Int J Legal Med. 2022 Nov;136(6):1801-1809. doi: 10.1007/s00414-022-02790-5. Epub 2022 Mar 2.

Abstract

A high number of victims of mass casualty incidences are identified through their teeth. While forensic odontologists need to have a complex skillset during a disaster victim identification (DVI) response, hands-on training opportunities are rare. In countries with very limited forensic casework, such as New Zealand, many forensic odontologists find it difficult to achieve the number of annual forensic dental identifications required to maintain their credentialling. This report details the development of a hands-on forensic odontology-focused DVI workshop using human Crosado-embalmed remains. Anonymous participant evaluations, including five-point Likert and open-ended items, were performed in both years the workshop was held. A total of 10 and 17 participants, predominantly dentists, attended the workshop in 2020 and 2021, respectively. Participant feedback was extremely positive. Likert items were statistically similar between participants in both years. Open-ended items revealed positive feedback regarding the use of cadaveric remains, the gained hands-on experience, or the teamwork aspect. Participants who attended the workshop in both years commented on the positive aspect of repetition to cement their skills. As areas of improvement, participants named (for example) time management and the number of portable X-ray devices, leading to changes that were implemented in 2021. Moreover, the participants expressed interest to further their skills on decomposed, burnt, and fragmented human remains, which for ethical reasons has yet to be implemented. The DVI workshop described here, using embalmed human remains, provides an opportunity to add dental identifications toward annual credentialling requirements for forensic odontologists. Participants rated the course to be excellent overall and highly relevant for their role. For future workshops, there is an interest to include further aspects of the DVI response such as fingerprinting or police work as well as remains, which are altered due to natural or physical reasons.

摘要

大量的大规模伤亡事件受害者是通过他们的牙齿来识别的。虽然法医牙科学者在灾难受害者身份识别(DVI)响应中需要具备复杂的技能,但实践培训机会却很少。在像新西兰这样法证案件非常有限的国家,许多法医牙科学者发现很难达到维持其认证所需的每年法医牙科鉴定数量。本报告详细介绍了使用 Crosado 防腐人体遗骸开展法医牙科学为重点的 DVI 实践培训工作坊的情况。在举办该工作坊的两年中,对匿名参与者进行了包括五点李克特量表和开放性问题在内的评估。2020 年和 2021 年分别有 10 名和 17 名主要是牙医的参与者参加了该工作坊。参与者的反馈非常积极。在这两年中,参与者的李克特量表项目统计上相似。开放性问题显示了对使用尸体遗骸、获得实践经验或团队合作方面的积极反馈。参加过两年工作坊的参与者评论说,重复的积极方面有助于巩固他们的技能。作为改进的领域,参与者提到(例如)时间管理和便携式 X 光设备的数量,这导致 2021 年进行了更改。此外,参与者表示有兴趣进一步提高他们在分解、烧焦和碎片化人体遗骸方面的技能,但由于道德原因,这尚未实施。这里描述的使用防腐人体遗骸的 DVI 工作坊为法医牙科学者提供了一个机会,可以增加牙科鉴定数量,以满足年度认证要求。参与者总体上对该课程评价很高,认为该课程与他们的角色高度相关。对于未来的工作坊,有兴趣包括指纹识别或警察工作以及由于自然或物理原因而改变的遗骸等 DVI 响应的进一步方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f118/9576667/eb34b531b310/414_2022_2790_Fig1_HTML.jpg

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