Preliminary investigation into the use of Micro-CT scanning on impact damage to fabric,tissue and bone caused by both round and flat nosed bullets

Firearm offences in the UK, though not as high as in the USA, are increasing year upon year within both countries (Office for National Statistics, 2018 & Mervosh, 2018). This preliminary study looked into using Micro-CT scanning as a method to visualise impact damage and spray patterns caused by 12 test firings of both round and flat nosed bullets to porcine bone (shoulder and leg) suspended in ballistic gelatine and left with no covering, covered with a skin substitute, or covered with fabric (cotton or denim). Micro-CT scanning alongside VG Studio Max showed that overall, in the case of the shoulder bones the round nosed produced longer spray patterns (35.37 mm) within the gelatine blocks compared to the flat nosed bullet (27.33 mm); while with the leg bones the spray patterns were shorter, round nosed bullet (15.64 mm) and the flat nosed bullet (20.78 mm). These initial results showed that both bullet types produced considerable damage, from splitting to full penetration, which in turn illustrates how Micro-CT scanning has benefits within forensic ballistics, which should be further investigated.     

Tumbling abrasions. Injuries from ricocheting bullets

Atypical entrance gunshot wounds may be produced by deflected or ricocheting bullets. One special type of atypical entrance wound involves abrasion of the skin at a site that is remote from the point of dermal penetration. These remote abrasions, termed "tumbling abrasions," are produced by bullets that tumble after impact with an intermediate target. Three cases of tumbling abrasions are presented.     

Differentiation of bullets by spark source mass spectrometry.

A study has been made to demonstrate the capability of spark source mass spectrometry (SSMS) for differentiating bullets on the basis of elemental composition. Twenty-six elements are commonly found in bullet lead at the 0.1-ppm level and above. Only twelve of these prove to be generally useful for quantitative characterization. The precision of analysis with SSMS using photographic detection is about 10% relative standard deviation. The accuracy obtained in this study is considerably worse than this, about 30% average error. In spite of such large errors, SSMS is shown to be far superior to the more precise method of neutron activation analysis. The reason, of course, is the large number of elements determined by SSMS. Bullets do not have uniform elemental compositions within a box or lot. Instead, there are usually two or three distinct groups of bullets within a given box. Three Winchester boxes representing lots manufactured a few weeks apart showed common groups among them. All other boxes had unique groups of bullets, indicating that the method is a promising alternative to the conventional method of identifying bullets by physical markings.     

Ballistic impact of hollow-point ammunition on porcine bone

Identifying failure mechanisms in skeletal tissue allows a deeper understanding of the effects of specific projectile impacts on bone. While ballistic trauma in flat bones is largely researched, knowledge of how long bones react to gunshot impacts is limited in the literature. The impacts of deforming ammunition appear to produce higher levels of fragmentation; however, these have not been studied in depth. This study compares the damage to femora bone by HP 0.357 and 9 mm projectiles constructed with both full and semi-metal jackets. Impact experiments were undertaken on a single-stage light gas gun involving the use of a high-speed video camera and full reconstruction of the bones to ascertain fracture patterns occurring in the femora. Higher degrees of fragmentation are likened to the presence of semi-jacketed HP projectiles than jacketed HP projectiles. The observations of external facing beveled edges are believed to be associated with the increased separation of the jacket and lead core of projectiles. Additionally, experimentation has shown that the amount of kinetic energy lost postimpact is likely related to the presence or the absence of a metal jacket on an HP projectile. The observed data, therefore, suggest that the composition, rather than the configuration, of a projectile affects the type and extent of the damage.     

Automatic rifle injuries: suicide by eight bullets. Report of an unusual case and a literature review

A 25-year-old man committed suicide by shooting himself with eight bullets fired from a military rifle set on automatic. This rifle has two firing modes: an automatic mode and a self-loading, single-shot mode. Using this case as an example, some important aspects of firearm injuries are discussed with special emphasis on those points that are relevant to automatic military rifles and most applicable to forensic pathology practice. Some of the pathologic features of firearm wounds are reviewed and the role of the pathologist is discussed. Lastly, the most important points that help the pathologist to determine the type or nature of a firearm death--that is, whether it is an accident, homicide, or a suicide--are discussed. Classically, the number of the firearm wounds is used to differentiate suicide from homicide. As in the case reported here, however, when an automatic rifle or a military rifle set on automatic is used, the number of wounds is not a reliable indicator of the type of death.     

Right to refuse treatment: impact of Rivers v. Katz

This article examines the impact of the New York court decision, Rivers v. Katz, which in June 1986 dramatically changed the state procedure for responding to involuntarily committed psychiatric patients who formally refused psychopharmacologic treatment. The court rejected the medically administered review process that had been used to respond to involuntarily committed psychiatric patients who formally refused medication, and replaced it with a judicial determination of competent and "substituted judgment" provided by the court. Post-Rivers, the rate of patients consistently refusing treatment decreased, and the time from refusal to resolution increased. The clinical, legal, and economic implications of the Rivers procedure are discussed.     

The influence of right or left handedness on the ability to simulate handwritten signatures and some elements of signatures: A study of Arabic writers

It has been widely assumed since the 1970s that right-handed writers, on average, do not write or simulate handwriting any better than left-handed writers. This study has dug deeper into that question, to find narrow language environments which left-handed and right-handed writers simulate with different degrees of success or making different types of errors. These might provide useful markers of handedness in writers or forgers. The sample of 823 native Arabic-writing adults, 763 right handed and 60 left handed, first attempted to simulate two Arabic signatures. As expected, the accuracy of the simulations of the two groups was not significantly different. Simulation accuracy of a variety of narrower elements was then measured to search for small environments in which the two groups performed differently. Two elements – slant and alignment – were significantly more poorly simulated by left-handed subjects than right-handed subjects, although the differences were not great enough to be useful in suggesting the handedness of a forger. These differences in simulation accuracy were not totally explored or explained. Instead, the differences in types of errors to slant and to alignment were investigated. Left-handed simulators, but not right-handed simulators, showed a strong tendency that had been predicted for both groups: to slant strokes and letters toward the side of the writing hand, when the target strokes and letters slanted in the opposite direction. The difference between the handedness groups was great enough that a strong preference for leftward slant in an Arabic writer or forger might suggest left handedness, but not, of course, rule out right handedness. Right-handed simulators, but not left-handed simulators, showed a strong tendency that had also been predicted for both groups: for the line of writing to be higher on the side where the writing hand was located. Again, the difference between handedness groups was great enough that a strong tendency for the writing line to fall to the left in Arabic writing and simulation might suggest right handedness, but would certainly not rule out left handedness. Thus, suggestive, but not absolute, markers of handedness have been found. In an effort to explain these almost mirror-image patterns, it was noticed that the operation of two more tendencies, in addition to the operation in both groups of the two predicted tendencies, might explain the patterns of the data. If we assume that both handedness groups tended to slant toward the writing hand and tended to make the writing line higher on the side of the writing hand, the two other tendencies operating in both groups would have been a tendency to slant strokes and letters toward the end of the writing line, and a tendency for writing to fall toward the end of the writing line. The operation of these four tendencies would account quite well for the right-handed and left-handed patterns in the two groups.     

Investigating forensic document examiners’ skill relating to opinions on photocopied signatures

Many forensic document examiners are hesitant to express authorship opinions on photocopied handwriting as the photocopying process results in less feature information than original writing. This study aimed to test the accuracy of 15 examiners' opinions regarding whether photocopied questioned signatures were genuine or simulated. Each examiner received the same set of original signature exemplars, from one individual, and a set of eighty questioned photocopied signatures comprising of genuine and simulated signatures. The overall misleading (error) rate for the grouped examiners' opinions was 0.9% providing strong evidence that examiners can make accurate observations regarding the authorship of non-original handwriting.     

Matching Judicial Supervision to Clients' Risk Status in Drug Court

This article reports outcomes from a program of experimental research evaluating the risk principle in drug courts. Prior studies revealed that participants who were high risk and had (a) antisocial personality disorder or (b) a prior history of drug abuse treatment performed better in drug court when scheduled to attend biweekly judicial status hearings in court. In contrast, participants who were low risk performed equivalently regardless of the court hearings schedule. This study prospectively matches drug court clients to the optimal schedule of court hearings based on an assessment of their risk status and compares outcomes to clients randomly assigned to the standard hearings schedule. Results confirmed that participants who were high risk and matched to biweekly hearings had better during-treatment outcomes than participants assigned to status hearings as usual. These findings provide confirmation of the risk principle in drug courts and yield practical information for enhancing the efficacy and cost-efficiency of drug courts.     

Morphological findings of 'cardiac concussion' due to experimental blunt impact to the precordial region.

The dog's precordial region at the sternum was impacted with a mechanical elastic-cord propelled impactor at the velocity of 8.0 m/s. The left and right intraventricular pressures and electrocardiogram (ECG) were monitored continuously for 60 min after the impact. The micro- and ultra-structure of myocardium were examined. Localization of myocardial myoglobin (Mb), creatine kinase BB (CK-BB) and creatine kinase MM (CK-MM) as well as plasma membrane permeability were studied by immunohistochemical and lanthanum probe techniques. Upon the impact, abrupt over-pressures within both ventricles were recorded with transient depression of the left ventricular systolic pressure. In all the dogs, some rhythm- and conduction-disorders were noted, which lasted transiently and resumed to normal sinus rhythm. At autopsy, no gross injuries of the heart were detected, and microscopic examination showed no visible myocardial lesions. However, immunohistochemically, focal patchy loss of myocardial Mb, CK-BB and CK-MM was identified with scattered deposition of these substances between myocardial fibers elsewhere. Such changes as relaxed myofibrils with widened I band, contracted myofibrils and broken cristae of the mitochondria were observed in myocardial ultrastructure. Lanthanum particles deposited inside the mitochondria. These results indicate that increase in cardiac cell membrane permeability and ultrastructural damage in myocardium may be involved even in cardiac concussion.     

Upon a failure to equal entry and exit wounds: a possible case of tandem bullets in view of the literature

Forensic medicine specialists take account of the projectiles remaining in the body when determining whether there are an equal number of entry and exit wounds. The absence of projectiles should suggest blank cartridges, a single exit wound despite several firings and bullet embolization, whereas the presence of more projectiles than expected may indicate tandem projectiles and multiple projectiles entering through the same hole. Radiological examination of the whole body, follow-up of the bullet trajectories, examination of the clothes, and examination of the gun and projectiles play a key role in solving difficult cases. We review such situations based on a case of tandem bullets. Two 7.65-mm bullets created lethal wounds entering through a 32-year-old victim's neck followed the same trajectory to a certain point and diverted. We discussed the possibilities in cases that show inequalities between entry and exit wounds, in light of relevant literature.     

Determination of opiates in postmortem bone and bone marrow.

Bone and bone marrow of a fatally poisoned heroin addict were analyzed by FPIA and GC-FID, immediately after death. A piece of the bone from the above case was buried for 1 year and analyzed by the same procedure. Morphine was detected in all specimens at concentrations of 195, 340 and 155 ng/g for bone marrow, bone and buried bone, respectively. A loss of 54.4% of morphine concentration was observed during 1-year burial. Such findings have potential forensic value in cases of skeletonized remains.     

Contribution of rodents to postmortem artifacts of bone and soft tissue.

Postmortem disturbance of human remains by rodents extends beyond production of characteristic tooth mark artifacts in dry bones. Three case examples are presented that demonstrate a spectrum of rodent damage to dry and fresh bone and to fresh and mummified soft tissue. In one case, human remains are used for nesting purposes. Rodents are also noted to be vectors of bone transport. Rodent activities can affect bone recovery, human identification, and interpretation of artifacts to bone and soft tissue. Guidelines to differentiate soft tissue artifacts caused by rodents and carnivores are suggested.     

Matching consequences to behavior: implications of failing to distinguish between noncompliance and nonresponsivity

Neither punitive nor therapeutic approaches alone are effective at addressing the dual public health and public safety concerns associated with managing criminal behavior perpetrated by people who have psychiatric and substance use disorders. The optimal solution may instead require the integration of both criminal justice supervision and treatment. Using problem-solving courts (PSCs) as a model, we focus on one dimension of this integrated approach, distinguishing between behavior that stems from willful noncompliance with supervision and behavior that results from nonresponsivity to treatment. First, we discuss the public health and public safety consequences of using singular approaches to address the criminal behavior of this population. We then present lessons learned from PSCs that distinguish between noncompliant and nonresponsive behaviors in making treatment and supervision decisions. Finally, we consider how the concepts of nonresponsivity and noncompliance may be extended, via policy, to probation and parole settings as well as mental health and substance abuse treatment services outside the criminal justice setting in order to enhance public health and safety.     

Recovery of human skeletal elements from a recent UK murder inquiry: preservational signatures.

Factors that control bone preservation are not fully understood but generally include those that reflect "natural" taphonomic or diagenetic processes and also those reflecting anthropogenic activity. The aim of this paper is to examine whether the survival of skeletal elements from a recent UK serial murder investigation (n = 12) and three archaeological cemetery sites from England (n = 112, 95, 182; Roman to early-medieval), share a similar recovery signature. Examination of this data demonstrates that even when clear evidence of traumatic and perimortem dismemberment exists within an assemblage, the distribution of missing elements can be almost identical to archaeological material buried in normal attrition cemeteries. Given that these preservational signatures are so similar, it is concluded that careful observation of bone surfaces is necessary to confidently interpret bone loss, particularly where dismemberment and/or element excision is suggested by the non-anatomical position of the skeleton within the grave. Where postmortem excision of bone is suspected, careful examination of contiguous bone surfaces, both macroscopic and microscopic, is suggested to detect fine cutmark lesions indicative of anthropogenic excision. Without this evidence other preservational factors must be considered both taphonomic and diagenetic.