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Forensic Epidemiology - Principles and Practice (Hardcover)
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Forensic Epidemiology - Principles and Practice (Hardcover)
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It is an inescapable fact that causation, both generally (in
populations), and specifically (in individuals), cannot be
observed. Rather, causation is determined when it can be inferred
that the risk of an observed injury or disease from a plausible
cause is greater than the risk from other plausible causes. While
many causal evaluations performed in forensic medicine are
simplified by the fact that the circumstances surrounding the onset
of an injury or disease clearly rules out competing causes (eg, a
death following a fall), there are many cases that present a more
complicated picture. It is these types of investigations, in which
an analysis of comparative levels of risk from competing causes is
needed to arrive at a reliable and accurate determination of the
most likely cause, that forensic epidemiology (FE) is directed at.
In Forensic Epidemiology, the authors present the legal and
scientific theories underlying the methods by which risk is used in
the investigation of individual causation. Methods and principles
from epidemiology are combined with those from a multitude of other
disciplines, including general medicine, pharmacology, forensic
pathology, biostatistics, and biomechanics, inter alia, as a basis
for investigating the plausibility of injury and disease exposures
and mechanisms. The ultimate determination of the probability of
causation (PC) results from an assessment of the strength of
association of the investigated relationship in the individual,
based on a comparison between the risk of disease or injury from
the investigated exposure versus the risk of the same disease or
injury occurring at the same point in time in the individual, but
absent the exposure. The principles and methods described in
Forensic Epidemiology will be of interest to those who work and
study in the fields of forensic medicine, epidemiology, and the
law.
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