Aconitum alkaloid content and the high toxicity of aconite tincture

Although proprietary medicines and decoction of processed aconite roots are the most widely used, tincture accounts for the great majority of aconite poisoning cases in China, indicating that it is much more toxic than other formulations. Aconite tincture is often self-prepared at home and raw aconite plants or roots are often used. Even if processed aconite roots were used to make the tincture, the amount of Aconitum alkaloids is highly variable, depending on the adequacy of processing and quality control. Aconitum alkaloids dissolve efficiently in alcohol. For these reasons, tincture contains very high concentrations of Aconitum alkaloids. Despite its high intrinsic toxicity, overdose of aconite tincture by the users has been common. Severe aconite poisoning can be complicated by fatal ventricular tachyarrhythmias and asystole. The public should be repeatedly warned of the danger of taking aconite tincture by mouth.     

Detection and validated quantification of 21 benzodiazepines and 3 "z-drugs" in human hair by LC-MS/MS

A method for detection and quantification of 21 benzodiazepines and the pharmacologically related "z-drugs" in human hair samples was developed and fully validated using liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS). After methanolic and methanolic/aqueous extraction, the analytes were separated using two different LC-MS systems (AB Sciex 3200 QTRAP and AB Sciex 5500 QTRAP). Separation columns, mobile phases and MS modes for both systems were: Phenomenex Kinetex, 2.6 μm, 50/2.1; 5mM ammonium formate buffer pH 3.5/methanol, total flow 0.75 mL/min; electrospray ionization (ESI), multiple reaction monitoring (MRM), information dependent acquisition (IDA), enhanced product ion scan (EPI). The assays were found to be selective for the tested compounds (alprazolam, 7-aminoclonazepam, 7-aminoflunitrazepam, bromazepam, chlordiazepoxide, clonazepam, N-desalkylflurazepam, diazepam, flunitrazepam, flurazepam, alpha-hydroxymidazolam, lorazepam, lormetazepam, midazolam, nitrazepam, nordazepam, oxazepam, phenazepam, prazepam, temazepam, triazolam, zaleplon, zolpidem and zopiclone), all validation criteria were in the required ranges according to international guidelines, except for bromazepam. Matrix effects, and process efficiencies were in the acceptable ranges evaluated using the post-extraction addition approach. Lower limits of quantification were between 0.6 and 16 pg/mg of hair. The LC-MS/MS assay has proven to be applicable for determination of the studied analytes in human hair in numerous authentic cases (n=175).     

Must Internal Working Models be Internalized? A Case Illustrating an Alternative Pathway to Attachment

Internal working models of attachment are conceptualized as internalizations of interpersonal dynamics involving attachment—schemata derived from secure therapeutic relationships if not established in childhood. The potential for developing internal working models in the absence of adequate attachment history is demonstrated by the case of a dismissing (avoidantly-attached) client with Dissociative Identity Disorder (DID) abandoned in early childhood. Using the Collective Heart model (Krakauer 2001)—which targets posttraumatic misattributions of power and quickly challenges the client’s perceived brokenness and helplessness—the client formed an intimate bond with a formerly unconscious inner guidance resource experienced as a maternal attachment figure long before a robust therapeutic relationship was established. Verbatim case material illustrates autohypnotic interventions potentiating this “Wise Mother’s” guidance of the client’s identity development and mastery of relational tasks by mining and augmenting fragmentary attachment experiences. Theoretical and clinical implications of the evolution and function of the Wise Mother are discussed.     

Genetic variation at nine STR loci in populations from the Philippines and Thailand living in Taiwan

In order to apply a set of nine STR loci and the amelogenin locus in forensic testing, we have performed a population study on individuals from the Philippines and Thailand living in Taiwan (273 Philippine and 146 Thai individuals were typed by commercially available kits and an automated sequencer). A total of 73 alleles for all systems for both populations could be observed in these two populations. No new intermediate fragments were found. Allele frequencies showed no deviation from Hardy-Weinberg equilibrium. The mean exclusion power (MEP) ranged from 0.327 (TPOX) to 0.706 (FGA), the discriminating power (DP) ranged from 0.790 (TPOX) to 0.963 (FGA) for Philippinos, MEP ranged from 0.247 (TPOX) to 0.723 (FGA), DP ranged from 0.761 (TPOX) to 0.968 (FGA) for Thais, the combined MEP is > 0.9988 and the combined DP is > 0.9999999993 for both Philippinos and Thais.     

Progress in forensic anthropology: the 20th century

Anthropological contribution to forensic sciences has been multifaceted and the progress has been remarkable in the last quarter of this century. The field has brought together scientists from all around the world. The purpose of this paper is to present a special issue on forensic anthropological research. Some of the papers cover age estimation from the ankle and knee epiphyses (India), basioccipital synchondrosis (also India), sternal end rib metamorphosis in Turks, and histomorphometry of the Japanese. Sex determination from the South African cranium and Mongoloid humerus are the subject of two papers. Factors of individualization include a comparison of photographic images using neural network, bone trabecular radiography, determination of handedness from the humerus, time since death using 210Po to 210Pb ratio, and changes in the mineral content of bone after burial. From the papers in this special issue it can be concluded that there will be integration of many areas of forensic sciences to deal with anthropological issues in the 21st century. Estimation of time since death will be based on new and more precise techniques. Further research is needed to develop population specific osteological standards for populations of Africa, central and southeast Asia and Pacific region. In addition, there will be an increased interest in the study of living people.     

Age assessment by rib phase analysis in Turks

The I?can's phase method for the estimation of adult age at death from the sternal extremity of the fourth rib was introduced in 1983. Over the years, numerous tests have confirmed the reliability of this technique on varied samples. However, no large scale study has been conducted to test the application of this method on a modern white sample geographically, genetically, and culturally diverse from the American white database. Therefore, the purpose of this paper is to apply rib phase standards to a Turkish sample to test if the progression of morphological changes follow the same age sequence. Using a sample of 150 males and 144 females of known age at death, each rib was phased using the standards developed by I?can and associates in 1984 and 1985. The phase estimations were then subject to an analysis of variance. The results of the study indicated that Turkish ribs show the same morphological characteristics that define the phases at nearly identical ages. Variation as measured by the standard deviation increased from phase 5 on in both sexes. In conclusion, this study demonstrated that the rib phase standards can be accurately applied to Turks. Investigations of this nature are vital because one cannot assume that a method developed from one group is applicable to a distant population, especially in medicolegal proceedings.     

In- and out-flows of elements in bones embedded in reference soils

Possible exchanges of elements between bone and the surrounding soil after being embedded underground for 2 years were estimated. Bone pieces were samples from human vertebrae without any treatments after resection. Sixteen elements were determined by atomic emission mass spectrometry. These were divided into three types; Type I, an in-flow in which elements increased, as in Fe, Al and Ba; type II, a balanced decrease in which changes were found in S, Mg and Zn; and type III, an out-flow in which elements, such as Ca and P, entered into bones from embedded soils. These exchanges depended on the varying nature of soils and also on the time underground. The exchanges were progressed in duration of the time after burial. Data obtained are possible references to judge the time-lapse after burial of bones in relating to characters of soils embedded, and to identify proper bone elements from containment elements.     

人体组织ABO血型检测方法的研究

探讨人体组织ABO血型检测方法。对已知ABO血型尸体的不同组织,用红细胞粘连试验、吸收—抑制试验和吸收－解离试验进行ABO血型测定。12例尸体的16种组织中均检出与尸体血痕相同的ABH物质。对不同温度保存的组织块进行ABH物质检测的结果显示,4℃保存的组织ABH物质的检出时间长于室温,空腔脏器的检出时间短于实质脏器。三种方法中,红细胞粘连试验简单易行,适用于基层单位,吸收－抑制试验用于组织块的测定时优于吸收－解高试验。