Death by compaction in a garbage truck

We report on two deaths by compaction in a garbage truck that recently occurred in this county. In both cases, the victim apparently climbed into a recycling dumpster to sleep, and was emptied with the contents of the receptacle into a garbage truck. Subsequent compaction of the victim with the load led to death. We also discuss several similar fatalities that have been reported to the U.S. Consumer Product Safety Commission.     

The diversity of adult dental patterns in the United States and the implications for personal identification

Few would argue about the individuality of dental radiographs for forensic identification, but when an antemortem/postmortem comparison is based strictly on dental treatment notes and/or charts it becomes less certain. In the past, attempts to validate the high diversity of dental patterns created by combinations of missing, filled, and unrestored teeth have been based on unfounded statistical assumptions. The goal of this research is to present a statistically valid method of assessing dental pattern diversity for the identification of missing individuals. Empirical observation of large reference datasets was found to be the best technique for assessing dental diversity. This technique is nearly identical to the procedure used for mitochondrial DNA casework. For the research presented in this paper, two large datasets were used, one composed of U.S. military personnel and one composed of U.S. civilians. Dental patterns were found to be very diverse on a scale that is comparable to mtDNA. In addition, it was found that the diversity values remain very consistent regardless of the level of detail present in the treatment records. Overall, combinations of missing, filled, and unrestored teeth were found to be very individualistic and an excellent source for forensic identification.     

The relationship between the soft tissues and the skeletal detail of the mouth

The estimation of mouth width and lip thickness from the skull for facial reconstruction has traditionally relied upon scant scientific research and "rules of thumb" laid down by subjective interpretation and experience. This study tested these assumptions by taking caliper and photographic measurements of mouth width and interpupillary and interlimbus distances of 96 subjects and lip thickness and teeth height measurements of 95 subjects. The most reliable indicator of mouth width was found to be the interlimbus distance, and lip thickness was positively related to the height of the teeth. There were no differences in these relationships between men and women. Standards for predicting the lip thickness from the teeth height were suggested for White Europeans and Asians from the Indian subcontinent.     

Malaria deaths in the United States: case report and review of deaths, 1979-1998

Malaria is the world's most important parasitic disease, accounting for an estimated 300 to 500 million new cases and between 1.5 and 2.7 deaths annually. The majority of these deaths occur in sub-Saharan Africa where malaria is endemic and are the result of infection with Plasmodium falciparum. The number of deaths in the United States due to malaria is comparably much lower and involves so-called "imported" cases in which U.S. travelers acquire the infection upon travel to endemic areas and subsequently return to the United States or in which infected foreign citizens travel to the United States. There were a total of 118 deaths due to malaria in the United States between 1979 and 1998 with an average of 5.9 deaths per year. Specific epidemiological data provided by the CDC regarding the 40 deaths that occurred between 1992 and 1998 yielded the following results. Deaths occurred in patients ranging from 9 months to 89 years of age (median, 53 years). Thirty-eight (95%) of these were due to P. falciparum and two (5%) due to P. vivax. Anti-malarial chemoprophylaxis was taken in 40% of cases, not taken in 45% of cases, and unknown in 15% of cases. Twenty-four (60%) of the cases involved U.S. travelers to endemic areas, of whom 59% traveled to Africa, 25% to South America, 8% to India, 4% to Haiti, and 4% to unspecified areas. The remaining cases included eleven foreign travelers to the U.S. (27.5%), three induced cases (7.5%), and two undetermined cases (5%). Thirty-nine (98%) of the cases were diagnosed antemortem and only one case was known to have come to the attention of the medical examiner/coroner. An illustrative case report demonstrates many of the features associated with fatal malaria infections in the United States. The case involves a U.S. student who was studying in Africa and who, by report, had not taken antimalarial chemoprophylaxis. Despite seeking medical attention, the patient was not diagnosed with P. falciparum infection and cerebral malaria until the time of medico-legal autopsy, where the classic gross and microscopic features of cerebral malaria were identified. This case represents one of the few cases of P. falciparum infection in the United States not diagnosed antemortem. Given the worldwide prevalence of the disease, increasing international travel, and rapidly developing drug resistance, malaria will continue to be an important disease and should be considered in cases of sudden, unexplained deaths. By reviewing the major epidemiological features of malaria-related deaths in the United States and by presenting the major gross and microscopic features of cerebral malaria, an attempt is made at raising the awareness of the forensic community to the potential of malaria-related deaths.     

Measurement of eyeball protrusion and its application in facial reconstruction

The estimation of eyeball protrusion from the bony orbit has traditionally relied upon Wolff's theory (1976) that the cornea will be tangental to a line taken from the superior to the inferior orbital margin. This study tested this theory by taking measurements from MRI cranial images of 78 eyes of white adult subjects. Orbital depth had a significant negative linear correlation with eyeball protrusion, and protrusion of the eyeball was determined by the following standard: eyeball protrusion = 18.3 - (0.4 x orbit depth). Current eyeball position determination was shown to be as much as 3.9 mm too deep in the socket, and a practical application of this result to facial reconstruction is discussed.     

Methods used for the killing and preservation of blowfly larvae, and their effect on post-mortem larval length

A record of the length of the largest larvae collected from a corpse can be used to estimate the age of the oldest larvae present and, therefore, give an estimate of minimum time since death. Consequently, factors that affect post-mortem larval length will impact on any estimate of PMI based on it. Methods used to kill and preserve larvae are known to affect post-mortem length. This study looks at the effects of different preservatives, and variations in the protocol used for killing larvae by immersion in a hot water bath = [hot water killed; HWK], on the length of dead larvae of two common blowfly species. Post-feeding third instar Calliphora vomitoria and Lucilia sericata larvae were either HWK in boiling water and then placed in 80% ethanol or 10% formaldehyde solution, or placed live into the preservatives. For both species, choice of preservative and method of killing significantly affected post-mortem length. There were significant interspecific differences in their response to identical methods of killing and preservation. Additional experiments were carried out where C. vomitoria larvae were HWK in water at 80 and 100 degrees C for 1, 30, 60 and 90 s duration. Both temperature and duration significantly affected post-mortem length. Maximum length was attained after at least 60 s immersion. The amount of post-mortem decomposition that occurred after the larvae were placed in preservative could be greatly reduced by increasing the duration of immersion and/or increasing the water temperature. For the HWK larvae, it was possible to record their length immediately after death and before they had been placed in preservative. This data revealed that where 80% ethanol was used as a preservative the larvae expanded in the preservative. The timing of this expansion was investigated with a sample of C. vomitoria, HWK at 100 degrees C for 30 s and recording post-mortem length immediately after death and again after 3, 6, 9, 12, 24, 27, 30 and 33 h storage in 80% ethanol. Maximum length was recorded after 12 h storage and the rate of expansion was highest during the first 3 h in this preservative. After long-term storage (290 days), larvae killed and preserved in the same way were on average 0.7% longer than immediately after death and 0.6% (0.11 mm) smaller than when last measured (after 28 days storage).     

Assessing competency to waiveMiranda rights in defendants with mental retardation

Criminal defendants with mental retardation face special problems in the process of interrogation and confession, particularly with regard to the knowing, intelligent, and voluntary waiver ofMiranda rights. Despite this, little attention has been paid to empirical measurement of this form of competency in mentally retarded adults. The present research uses scales originally developed by Grisso (1981) to measure competency to waive such rights in juveniles. Two samples of mentally retarded adults, one in a sheltered workshop setting and the other composed of current probationers, were tested. Both samples scored substantially lower on measures ofMiranda comprehension than Grisso's samples of juveniles and adults. There were also differences between the samples that appear attributable to differential levels of criminal justice experience. It is concluded that the Grisso scales may be helpful in determining competency to waiveMiranda rights in defendants with mental retardation. In addition, the present data raise strong concerns about the ability of many such defendants to make intelligentMiranda waivers. Policy recommendations are discussed.