Diesel fumes do kill: a case of fatal carbon monoxide poisoning directly attributed to diesel fuel exhaust with a 10-year retrospective case and literature review*

While it is known that diesel fuel combustion engines produce much lower concentrations of carbon monoxide (CO) than gasoline engines, these emissions could certainly generate lethal ambient concentrations given a sufficient amount of time in an enclosed space and under suitable environmental conditions. The authors report a case of CO poisoning which was initially referred for autopsy as a presumed natural death of a truck driver found in the secure cab of a running diesel tractor trailer truck. Completion of the preliminary investigation ascribed death to complications of ischemic heart disease (IHD), pending toxicological analysis that included quantification of CO. When the toxicology results showed lethal blood COHbg, the cause of death was re-certified as CO intoxication secondary to inhalation of (diesel) vehicular exhaust fumes. Because of the unique source of fatal CO intoxication in this case, the contributory IHD and the possible contaminants in the putrefied blood, a 10-year retrospective review was conducted on all nonfire related CO deaths autopsied (n = 94) at the Office of the Chief Medical Examiner in Louisville, KY from 1994 to 2003. For validation of the COHbg detection method used by the Kentucky Office of Forensic Toxicology (KYOFT), blood samples from these cases along with controls were submitted to three laboratories using various analytical methods yielding no statistically significant differences. Lastly, an extensive literature review produced no scientifically reported cases of fatal CO poisoning attributed to diesel fuel exhaust.     

Stature estimation from foot dimensions

Identification of an individual is the mainstay in forensic investigations. The dimensions of the foot have been used for the determination of sex, age, and stature of an individual. The present study examines the relationship between stature and foot dimensions among Gujjars, a North Indian endogamous group. Stature, foot length and foot breadth of 200 subjects comprising 100 males and 100 females were measured. Statistical analyses indicated that the bilateral variation was insignificant for all the measurements except foot breadth in males (p<0.01). Sex differences were found to be highly significant for all the measurements (p<0.01). Linear and multiple regression equations for stature estimation were calculated using the aforementioned variables and multiplication factors were computed. The correlation coefficients between stature and foot dimensions were found to be positive and statistically highly significant. The highest correlation coefficient between stature and foot length in males and foot breadth in females indicates that the foot length provides the highest reliability and accuracy in estimating stature of an unknown male and foot breadth in a female. Prediction of stature was found to be most accurate by multiple regression analysis.     

Comparison of modern techniques for saliva screening

Saliva stains present a unique challenge in the forensic setting, often challenging the analyst to weigh the value of presumptive indication of the fluid versus the potential for DNA analysis to yield identification information. There are many situations in which determining the presence of a body fluid is probative and further corroborates DNA evidence. That said, even a minute portion of sample consumed by a screening test could mean the difference between a full, partial, or null profile obtained through DNA analysis. The basis of presumptive testing or screening of saliva has historically been based on the presence of amylase, a component found in relatively high concentrations in human saliva versus other body fluids and substances. Though the current available methods for the screening of saliva in a forensic application have grown in number, the popularity of these methods seemingly has not. This study attempts to identify a specific and sensitive saliva screening test by comparing three modern techniques--the recently released SALIgAE, Phadebas, and starch-iodine mini-centrifuge test--on the basis of sensitivity, specificity, mixtures, and simulated casework samples while also considering sample consumption. The Phadebas method for presumptive saliva testing detected dilutions of neat saliva down to 1:200 versus considerably less sensitive results with SALIgAE and the starch-iodine mini-centrifuge test. Utilizing a screening test with a high degree of sensitivity, such as Phadebas, allows an analyst to gain a maximum amount of information in the form of body fluid indication and DNA results because of the consumption of a small portion of sample.     

Attitude counts: engaging with rice farmers in West Africa

An international project called PADS promoted participatory learning and action research with inland valley rainfed rice farmers in West Africa. All countries received the same training, similar funding, and the same leadership. Although the staff in Ghana were conscientious and gave much training to the farmer beneficiaries, the Mali staff explicitly encouraged farmers to experiment. Farmers in Mali responded to this favourable attitude by experimenting more than those in Ghana, and in qualitatively more interesting ways. Long-term engagement with grassroots organisations may be as conducive to changing public servants' attitudes as the actual participatory approach promoted on the ground.

L'attitude compte: travail avec des riziculteurs en Afrique de l'Ouest

Un projet international appelé PADS a favorisé l'apprentissage participatif et la recherche-action avec des riziculteurs pratiquant la culture pluviale dans les vallées de l'intérieur des terres en Afrique de l'Ouest. Tous les pays ont reçu la même formation, un financement similaire et le même leadership. Alors que les membres du personnel du Ghana étaient consciencieux et dispensaient une formation considérable aux agriculteurs bénéficiaires, le personnel du Mali encourageait expressément les riziculteurs à faire des expériences. Les riziculteurs du mali ont réagi à cette attitude favorable en faisant plus d'expériences que ceux du Ghana, et ce de manières plus intéressantes sur le plan qualitatif. L'engagement à long terme avec les organisations de la base populaire peut être tout aussi propice à la modification des attitudes des fonctionnaires que l'approche participative même promue sur le terrain.

As atitudes contam: Engajamento com produtores de arroz na África Ocidental

Um projeto internacional chamado PADS promoveu uma pesquisa sobre aprendizado e ação participativa com produtores de arroz irrigado com água da chuva no interior do vale na África Ocidental. Todos os países receberam o mesmo treinamento, financiamento semelhante e a mesma liderança. Embora os funcionários de Gana estivessem cientes e oferecessem bastante treinamento aos produtores beneficiários, os funcionários de Mali incentivaram explicitamente os produtores a experimentar. Os produtores de Mali responderam a esta atitude favorável experimentando mais do que aqueles de Gana e de maneiras mais interessantes em termos qualitativos. O engajamento de longo prazo com organizações de base pode contribuir para mudar as atitudes dos servidores públicos tanto quanto a abordagem participativa real promovida na base.

La actitud cuenta: el trato personal con campesinos arroceros de África Occidental

Un proyecto internacional llamado PADS promovió el aprendizaje participativo y la investigación-acción entre campesinos que cultivaban arroz de secano en los valles centrales de África Occidental. Todos los países participantes recibieron la misma capacitación, un financiamiento similar y las mismas orientaciones. Si bien el personal de Ghana era muy diligente y transmitió muchos conocimientos a los campesinos beneficiarios en capacitaciones, el personal de Malí se centró más explícitamente en animarlos para que experimentaran. Los campesinos de Malí respondieron a esta actitud estimuladora realizando más experimentos y de maneras cualitativamente más interesantes que los campesinos de Ghana. El compromiso de largo plazo con organizaciones de base puede ser tan importante para lograr un cambio en la actitud del servidor público como el método participativo que se promueve en la actualidad sobre el terreno.     

Dynamics of remittance practices and development: Bangladeshi overseas migrants

Remittances from migrant workers play a significant role in keeping the economy of Bangladesh vibrant, adding around six per cent to the country's GDP and helping to maintain the balance of payments. This article examines remittance flows from Hong Kong and Malaysia to Bangladesh; the dynamics of remittance practices; and the impact on the well-being of migrant families. Data were collected from 126 labour migrants (56 in Hong Kong and 70 in Malaysia) between November 2004 and October 2006. The article presents empirical data showing that while remittances are significant component of the Bangladeshi economy, a considerable amount goes to ‘unproductive’ schemes. Hence remittances at the micro level that do not significantly contribute to increasing household capacities fail to bring about the anticipated sustainable development at the macro level.

La dynamique des pratiques d'envoi de fonds et le développement : migrants bangladais à l'étranger

Les envois de fonds par les travailleurs migrants jouent un rôle considérable dans le maintien du dynamisme de l'économie du Bangladesh, car ils comptent pour environ six pour cent du PIB du pays et contribuent à maintenir la balance des paiements. Cet article examine les transferts d'argent de Hong Kong et de Malaisie vers le Bangladesh, la dynamique des pratiques d'envois de fonds et l'impact sur le bien-être des familles migrantes. Des données ont été recueillies parmi 126 ouvriers (56 à Hong Kong et 70 en Malaisie) entre novembre 2004 et octobre 2006. Cet article présente des données empiriques qui montrent que, si les envois de fonds constituent effectivement un élément considérable de l'économie bangladaise, une quantité importante va vers des programmes « non productifs ». Ainsi, les envois de fonds au niveau micro qui n'apportent pas une contribution importante à l'accroissement des capacités des ménages ne donnent pas lieu au développement durable prévu au niveau macro.

Dinâmicas de práticas de remessa e desenvolvimento: imigrantes bengaleses

As remessas feitas por trabalhadores imigrantes desempenham um papel significativo em manter a economia de Bangladesh vibrante, adicionando cerca de seis por cento do PIB do país e ajudando a manter o balanço de pagamentos. Este artigo examina os fluxos de remessa de Hong Kong e Malásia para Bangladesh, as dinâmicas das práticas de remessa e o impacto sobre o bem-estar das famílias de imigrantes. Os dados foram coletados de 126 trabalhadores imigrantes (56 em Hong Kong e 70 na Malásia) entre novembro de 2004 e outubro de 2006. O artigo apresenta dados empíricos mostrando que embora as remessas sejam um componente significativo da economia de Bangladesh, um montante considerável vai para esquemas “improdutivos”. Assim, as remessas no nível micro que não contribuem significativamente para melhorar as condições da família, não conseguem promover o desenvolvimento sustentável previsto no nível macro.

La dinámica de las remesas y el desarrollo: los migrantes de Bangladesh en el extranjero

Las remesas de los trabajadores migrantes constituyen una parte importante de la economía de Bangladesh ya que representan el seis por ciento del PIB del país y contribuyen a mantener el equilibrio de la balanza de pagos. Este ensayo analiza los flujos de remesas de Hong Kong y Malasia hacia Bangladesh, la dinámica de cómo se utilizan las remesas y su impacto en el bienestar de las familias de los migrantes. Se recopilaron estadísticas de 126 trabajadores migrantes (56 en Hong Kong y 70 en Malasia) entre noviembre de 2004 y octubre de 2006. Los datos empíricos que presenta el ensayo demuestran que, si bien las remesas son un componente significativo de la economía de Bangladesh, una parte considerable se destina a actividades “improductivas”. Por lo tanto, las remesas a nivel micro que no contribuyen de manera significativa a mejorar las condiciones de los hogares no aportan al desarrollo sustentable a nivel macro que sería deseable.     

Structural Reform Policy: Privatisation and Beyond—The Case of Greece

Privatisation, coupled with liberalisation and competition, constitutes one of the most popular policy options to improve the performance of state-owned enterprises. However, in Greece, it was only after 1991 that privatisation started to gain ground in the political and economic agendas of governments. Drawing upon the theoretical underpinnings of privatisation, the paper overviews and critically analyses the new legal framework on denationalisation in Greece. The paper argues that, though the modernisation of the legal regime is welcomed, the Greek government has failed to treat privatisation as part of wider structural reforms aiming at enhancing competition and foreign investment. The paper concludes that wider structural reforms, including regulatory reform and liberalisation, as well as combating corruption and bureaucracy and promoting transparent capital markets, are absolutely necessary in order to create a competitive environment, which would both complement and support privatisation efforts.     

Barriers to evaluating the effectiveness of drug treatment behind bars

The delivery of substance abuse treatment within correctional settings marks one of the criminal justice system's primary opportunities to disrupt the drugs-crime nexus. Federally funded residential substance abuse treatment programs were rapidly introduced across the nation, although implementation problems increased their operational variability. This article examines how implementation barriers interrelate with other types of obstacles and multiply to hinder determinations of program effectiveness. Specific barriers were identified from a case study of process and outcome evaluations of the South Carolina Residential Substance Abuse Treatment (RSAT) program. A conceptual framework groups barriers by type into four interrelated domains wherein additive effects and reciprocal consequences that can undermine effective program assessment are illustrated.     

An unusual fatality in a child due to oxycodone

An unusual fatality secondary to oxycodone in a child is reported. A 2-year-old female child was conveyed to a local hospital after exhibiting signs of rubbing of the mouth and staggering. A hospital toxicological immunoassay screen for drugs of abuse and tricyclic antidepressants was performed on a urine sample and reported as negative. She was discharged and found unresponsive the next morning. She was conveyed to a second hospital in full cardiopulmonary arrest and despite resuscitative efforts, was pronounced dead upon arrival. An autopsy was performed and postmortem specimens were submitted and screened for drugs using mainly chromatographic techniques. Quantitation was achieved by gas chromatography with nitrogen phosphorus detection. Confirmation was performed by gas chromatography/mass spectrometry. Oxycodone was the only drug detected in the following concentrations: heart blood, 1.36 mg/L; gastric contents, 7.33 mg in 33 mL (222.34 mg/L); liver, 0.2 mg/kg; and urine, 47.23 mg/L (47,230 ng/mL). In addition, immunoassay testing of the urine was positive for the opiate class of drugs. This case report demonstrates an unusual cause of death in a young child with emphasis on potential limitation in hospital urine screening tests and the importance of complete forensic toxicological testing in all child deaths.     

The forensic medical diagnosis of intoxication of alcohol surrogates by morphological findings

The pathomorphology of intoxication of alcohol surrogates is described. A high frequency rate of DIC-syndrome is shown for the condition. A majority of thrombi accumulates at places with the highest concentrations of toxic substances as well as at those places, through which poisoning substances are brought out of the body, i.e. in the liver (since toxic substances are introduced perorally) and kidneys. Thrombi were detected in all internals, including the brain, in lethal intoxication. The immediate toxic effect from methanol and from higher spirits can matter in the genesis of changes, including acute swelling and chromatolysis with subsequent cell death. Exclusively cerebral or coagulopathic-cerebral types of thanatogenesis were registered in studied case of intoxication.