Forensic Medicine
The research of the Forensic Medicine research group consists of one PhD project and two projects carried out in collaboration with other faculties and another university.
The research conducted at the Forensic Medicine Unit, Department of Surgical Sciences, Uppsala University is carried out in three areas. One concerns the link between abuse of anabolic androgenic steroids and premature death. Another area is the etiology/pathogenesis of certain medical findings in infants that often form the basis of the conclusion that the child has been abused. The third area concerns how forensic assessments are valued and interpreted by the judiciary.
The research regarding anabolic androgenic steroids has resulted in more than 20 scientific publications and one review article and three doctoral theses
In an ongoing doctoral project, pathological changes linked to the abuse of anabolic androgenic steroids are mapped. The topic is studied based on forensic autopsy material and animal studies. To date, three publications have been made. The defense is planned for 2025.
The field of etiology/pathogenesis of certain findings in infants has been studied for approximately 10 years and has resulted in twelve publications, five of which are included in a doctoral thesis. Part of the project is based on epidemiological registers and medical records. Another part of the project is done in collaboration with prof. Svein Kleiven, Department of Neuronics, KTH and is based on injury simulation in biomechanical models, which includes validating the models using well-documented clinical cases.
The interface between forensic assessments and law is included as part of the work within The International Center for Evidence-Based Criminal Law (EB-CRIME), which is led by researchers at the Department of Law, Uppsala University.
Three levels are studied: 1) The strength of the product itself (how sure can one be that the assessment is correct?). 2) Is there variation between different forensic doctors regarding how to communicate the degree of certainty in the assessment? 3) Does the recipient (prosecutor, judge) perceive the forensic report in the way that the sender intends (attempts to convey)?
The first level overlaps with the research area of infant findings. The other two levels are studied using constructed cases and questionnaires. So far, studies dealing with how forensic doctors' judgments are affected by the existence of an alternative hypothesis (usually a course given by the suspect (alternative hypothesis) that deviates from what has been given by the plaintiff (hypothesis). Currently, a study aimed at judges is being conducted in collaboration with a law researcher, a researcher in cognitive psychology and a researcher in the field of digital forensics.
Collaboration partners
Ulf Högberg, Professor, KBH, Uppsala University
Moa Lidén, Ph.D. Law & Psychology, Law Faculty, Uppsala University & Department of Security and Crime Science, University College, London
Joakim Sundh, Ph.D. Department of Psychology, Uppsala University
Xiaogai Li, Assiciate professor, KTH
Svein Kleiven, professor, KTH
Publications
The role of alternative hypotheses in reducing bias in forensic medical experts' decision making
Part of Science & justice, p. 581-587, 2023
Part of Acta Paediatrica, p. 1820-1821, 2023
Paneth cell proteins DEFA6 and GUCA2A as tissue markers in necrotizing enterocolitis
Part of European Journal of Pediatrics, p. 2775-2784, 2023
Part of Journal of Forensic Sciences, p. 1084-1085, 2023
- DOI for Commentary on: Beer T, Backstrom B, Ottosson A, Rietz A, Michard J-F, Loisel J, et al. The utility of histology in assessing the cause of death in medico-legal autopsies in selected trauma deaths: Suspension-, immersion-, fire-, and traffic-related
- Download full text (pdf) of Commentary on: Beer T, Backstrom B, Ottosson A, Rietz A, Michard J-F, Loisel J, et al. The utility of histology in assessing the cause of death in medico-legal autopsies in selected trauma deaths: Suspension-, immersion-, fire-, and traffic-related
Part of International journal of legal medicine, p. 1077-1088, 2023
How do we know that infant abusive head trauma has occurred?
Part of Acta Paediatrica, p. 888-889, 2022
Part of Biomedicines, 2022
Part of Beroendemedicin, Studentlitteratur AB, 2022
Part of Barnförhör, p. 151-170, Studentlitteratur AB, 2022
Part of European Heart Journal Open, 2022
- DOI for NT-proBNP and stem cell factor plasma concentrations are independently associated with cardiovascular outcomes in end-stage renal disease hemodialysis patients
- Download full text (pdf) of NT-proBNP and stem cell factor plasma concentrations are independently associated with cardiovascular outcomes in end-stage renal disease hemodialysis patients
Oxycodone-related deaths in Sweden 2006-2018
Part of Drug And Alcohol Dependence, 2022
Part of Acta Paediatrica, p. 800-808, 2022
Part of Hemodialysis International, p. 191-201, 2022
Mathematically optimal decisions in forensic age assessment
Part of International journal of legal medicine, p. 765-776, 2022
Cutaneous steam burns and steam inhalation injuries: a literature review and a case presentation
Part of European journal of plastic surgery, p. 881-896, 2022
Aetiologies and Epidemiology of Subdural Haematoma in Infancy
2021
Part of Forensic Science International, 2021
- DOI for Characteristics of post-mortem beta-hydroxybutyrate-positivet cases: A retrospective study on age, sex and BMI in 1407 forensic autopsies
- Download full text (pdf) of Characteristics of post-mortem beta-hydroxybutyrate-positivet cases: A retrospective study on age, sex and BMI in 1407 forensic autopsies
Rib fractures in infancy, case-series and register case-control study from Sweden
Part of Journal of Pediatric Endocrinology & Metabolism (JPEM), p. 363-372, 2021
Part of TOXICOLOGIE ANALYTIQUE ET CLINIQUE, p. 327-337, 2021
Methadone-related deaths among youth and young adults in Sweden 2006-15
Part of Addiction, p. 319-327, 2021
Association between homicide injury severity and benzodiazepine influence
Part of Forensic Sciences Research, p. 53-58, 2021
Criminal mutilation in Sweden from 1991 to 2017
Part of Journal of Forensic Sciences, p. 1788-1796, 2021
Part of Health Policy, p. 807-813, 2021
Part of Pediatric Neurology, p. 26-34, 2021
Part of International journal of legal medicine, p. 253-267, 2021
Part of International journal of legal medicine, p. 223-233, 2021
- DOI for Microbial neoformation of volatiles: implications for the estimation of post-mortem interval in decomposed human remains in an indoor setting
- Download full text (pdf) of Microbial neoformation of volatiles: implications for the estimation of post-mortem interval in decomposed human remains in an indoor setting
Drug-related deaths: Statistics based on death certificates miss one-third of cases
Part of Scandinavian Journal of Public Health, p. 29-37, 2020
High Risk of Bias in a Systematic Review of Rib Fractures and Abuse by Paine et al (2019)
Part of Pediatric emergency care, 2020
Forensic taphonomy in an indoor setting: Implications for estimation of the post-mortem interval
2020
Part of Journal of Epidemiology, p. 276-277, 2020
- DOI for Do inter-country differences in the frequency of abusive head trauma reflect different proportions of overdiagnosis of abuse or true differences in abuse?
- Download full text (pdf) of Do inter-country differences in the frequency of abusive head trauma reflect different proportions of overdiagnosis of abuse or true differences in abuse?
Part of Acta Paediatrica, p. 2040-2048, 2020
Part of PLOS ONE, 2020
Part of BMC Musculoskeletal Disorders, 2020
Part of Forensic Science International, p. 173-182, 2019
Homicide injury severity in association with the victim-offender relationship
Part of Forensic Science International, p. 151-156, 2019
Opioid-related deaths and previous care for drug use and pain relief in Sweden
Part of Drug And Alcohol Dependence, p. 253-259, 2019
2019
Part of Archives of Disease in Childhood, 2019
Part of Forensic Science International, p. 402-414, 2019
Quantifying Homicide Injuries: A Swedish Time Trend Study Using the Homicide Injury Scale
Part of Scandinavian Journal of Forensic Science, p. 20-25, 2019
Medical diagnoses among infants at entry in out-of-home care: A Swedish population-register study
Part of Health Science Reports, 2019
Preventable harm and child maltreatment diagnosis (eLetter)
Part of The BMJ, 2019
Error rates for unvalidated medical age assessment procedures
Part of International journal of legal medicine, p. 613-623, 2019
Part of BMC Psychiatry, 2019
- DOI for Psychoactive substances in natural and unnatural deaths in Norway and Sweden: a study on victims of suicide and accidents compared with natural deaths in psychiatric patients
- Download full text (pdf) of Psychoactive substances in natural and unnatural deaths in Norway and Sweden: a study on victims of suicide and accidents compared with natural deaths in psychiatric patients
Part of European Journal of Public Health, p. 641-646, 2018
Part of Acta Paediatrica, p. 1308-1309, 2018
Part of Forensic Science International, p. 180-189, 2018
Part of Acta Paediatrica, p. 477-483, 2018
Part of PLOS ONE, 2018
- DOI for Metabolic bone disease risk factors strongly contributing to long bone and rib fractures during early infancy: A population register study
- Download full text (pdf) of Metabolic bone disease risk factors strongly contributing to long bone and rib fractures during early infancy: A population register study
Epidemiology of subdural haemorrhage during infancy: A population-based register study
Part of PLOS ONE, 2018