HPLC-DAD determination of mepivacaine in cerebrospinal fluid from a fatal case

A fatal case involving mepivacaine-induced epidural anesthesia is described. The pathological findings were typical of cardiac shock from ischemic origin. Cerebrospinal fluid (CSF) was obtained several hours after death and mepivacaine was identified by gas chromatography-mass spectrometry (GC-MS). Its concentration was determined by high performance liquid chromatography with diode array detection (HPLC-DAD). Extraction from CSF was performed by deproteinization with acetonitrile. The mepivacaine concentration in the sample was 264 microg/mL. Concentrations of mepivacaine in CSF following epidural anesthesia are not reported in literature to our knowledge. This is the first reported case of death in which the mepivacaine concentration in CSF has been determined.     

A framework for estimating probability of a match in forensic bite mark identification

In forensic dentistry, a human expert typically does the comparison and identification based on bite marks. Unlike DNA analysis, however, there is no quantitative basis with which to assign a probability for this given match. This paper proposes a framework for empirically estimating the probability of such a bite mark match and reports on initial experimental results. The methodology involved collection of dental population data (3D dental casts and bite mark images), image analysis for quantitatively measuring the degree of match (based on chamfer distance), and performing a logistic regression analysis using the collected population data to estimate the probability of match from the calculated degree of match. The model correctly predicted 35 of the 42 matches and 585 of the 588 mismatches. The method also has potential for use in other forensic applications in which the assignment of quantitative probabilities is important.     

A case of a fatal Himalayan black bear attack in the zoo

We present a case of a 22-year-old male, who was found inside the cage of Himalayan black bears in the Belgrade Zoo. The victim attended the Belgrade Beer festival the previous night, drinking a lot of beer and acting aggressively. A medico-legal autopsy was performed at the Institute of Forensic Medicine in Belgrade. Autopsy findings showed numerous excoriations all over the body surrounded by bruises, as well as spindle-shaped, oval, and partly irregular wounds of variable size, large defects of skin and subcutaneous soft tissue, fractures of the thyroid and cricoid cartilage, and fracture of ribs. Postmortem toxicological analysis revealed the presence of ethanol in vitreous humor and urine and 11-nor Δ9 tetrahydrocannabinolic acid found in the urine. We discussed similar cases from the available literature in different regions of the world. In conclusion, we pointed out that the presented case does not follow the general pattern of Himalayan bear attacks.