Evidence map›Paper›PMID 42566033›Full record

ArticleInternational journal of legal medicine2026

Species discordance in diatom testing for drowning diagnosis: a biological passive sampling hypothesis with forensic implications.

Bo Wang, Jianhua Chen, Jifeng Cai, Xiaoshi Qin, Jie Cai, Yuzhao Xu, Jianghuan Lu, Yixin Ma, Zhiao Duan, Jianqiang Deng

Abstract readLetter
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In one paragraph

Article in International journal of legal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Bo Wang *Key Laboratory of Tropical Translational Medicine of Ministry of Education, School of basic medical sciences, Hainan Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan Province, 571199, China.
Jianhua Chen *Key Laboratory of Tropical Translational Medicine of Ministry of Education, School of basic medical sciences, Hainan Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan Province, 571199, China.
Jifeng CaiKey Laboratory of Forensic Medicine, Department of Forensic Medicine, School of Basic Medical Sciences, Xinjiang Medical University, Xinjiang Key Laboratory of Molecular Biology for Endemic Diseases, Urumqi, 830000, P.R. China.
Xiaoshi QinKey Laboratory of Tropical Translational Medicine of Ministry of Education, School of basic medical sciences, Hainan Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan Province, 571199, China.
Jie CaiKey Laboratory of Tropical Translational Medicine of Ministry of Education, School of basic medical sciences, Hainan Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan Province, 571199, China.
Yuzhao XuKey Laboratory of Tropical Translational Medicine of Ministry of Education, School of basic medical sciences, Hainan Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan Province, 571199, China.
Jianghuan LuKey Laboratory of Tropical Translational Medicine of Ministry of Education, School of basic medical sciences, Hainan Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan Province, 571199, China.
Yixin MaKey Laboratory of Tropical Translational Medicine of Ministry of Education, School of basic medical sciences, Hainan Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan Province, 571199, China.
Zhiao DuanKey Laboratory of Tropical Translational Medicine of Ministry of Education, School of basic medical sciences, Hainan Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan Province, 571199, China.
Jianqiang DengKey Laboratory of Tropical Translational Medicine of Ministry of Education, School of basic medical sciences, Hainan Academy of Medical Sciences, Hainan Medical University, Haikou, Hainan Province, 571199, China. forensicpatho@163.com.ORCID https://orcid.org/0000-0002-2156-0520

Funding

National Natural Science Foundation of China 81560304;82060341
6 · The paper itself

Abstract

Diatom testing is a key technique for forensic drowning diagnosis, yet species discordance between diatom taxa in victim tissues and water samples from the recovery site remains a major medico-legal challenge, often misattributed to technical errors or post-mortem contamination. This correspondence proposes an interdisciplinary interpretative hypothesis based on biological passive sampling theory from environmental science, hypothesizing three potential mechanisms driving this discordance: selective sampling by anatomical structures and diatom physical traits, time-integrated accumulation of diatoms during the agonal period of drowning versus snapshot water sampling, and chronic dietary diatom exposure forming a potential background signal. We cautiously distinguish natural biological discordance from artificial post-mortem contamination, and suggest reframing discordance from a methodological flaw to a potential source of actionable forensic information, provided that its interpretative boundaries are clearly defined. Evidence-based forensic interpretation guidelines for different discordance patterns and standardized practice recommendations for diatom testing are provided, including reporting organ-specific diatom profiles, evaluating tissue barrier integrity, and implementing strict blank controls. This framework is presented as a testable hypothesis consistent with recent systematic reviews on diatom test interpretation and provides a theoretical basis for the urgent standardization of forensic diatom testing, enhancing the scientific validity of drowning diagnosis and site inference in medico-legal practice.

Indexed as

Biological passive samplingDiatom testingDrowning diagnosisForensic legal medicineSpecies discordance

Identifiers

PMID42566033

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