Forensic determination of pregnancy hormones in human bloodstains.

When different bloodstains are encountered at the scene of crime, it is possible to discriminate those from a pregnant woman from others. Human chorionic gonadotrophin, human placental lactogen, total oestriol and progesterone in the stains may be determined with radioimmunoassay techniques using commercial kits. Only 1 cm2 of bloodstain is needed for the determination of all four parameters, which gives information about the state of pregnancy. More than 100 stains of blood from women in all stages of pregnancy, normal menstruating women, menopausal and post-menopausal women and male subjects, and of menstrual blood were analysed. Bloodstains from pregnant women were easy to evaluate with the four determinations, only very early pregnancies being undetected. Stains from non-pregnant women were negative or below the cut-off level. Two case examples are also described.     

Differential diagnosis of accident and resuscitation traumas

The purpose of this paper is to define the criteria for the differential diagnosis of trauma following resuscitation and road accidents. To this end, 311 cases of thoracic and epigastric trauma were selected from the 2893 medico-legal autopsies carried out between 1979 and 1982 at the Institute of Forensic Medicine of the University of Heidelberg. Cardiopulmonary resuscitation had to be considered as the cause of trauma in 140 of these, but 45 of this group were excluded from further evaluation as they had been the victims of blunt trauma and no clear-cut distinction was possible between trauma resulting from an accident and trauma resulting from resuscitation. Thus, we were left with 95 cases of internal injury that presented as emergencies and in whom death followed resuscitation, as a group for comparison with 171 road accident victims who had not received cardiopulmonary resuscitation. Rib fractures, predominantly on the left side, were established in half the cases resuscitated, sternal fractures also being found in one-third of these victims. Bleeding at various sites, including hemato-thorax, was rare, with an incidence of 15%, thus making it highly unlikely that serious traumas caused by resuscitation were a major factor in the cause of death. This paper encompasses an extensive discussion on serious injuries, such as aortic and gastric ruptures, in this connection.     

Preservation of human tissue immersed for five years in fresh water of known temperature

Two human bodies were recovered from the waters of the Duluth, Minnesota harbor. Extensive adipocere formation resulted in remarkable preservation of gross anatomic features of internal organs. Total time of immersion could be precisely estimated at five years. Water temperature during those five years could also be accurately estimated by direct measurements taken during the year following recovery of the bodies and from information supplied by a local electric power generating company. Immersion occurred at the time of the year when water temperature was highest (70 degrees F [21 degrees C]) facilitating the rapid formation of adipocere. A proposed mechanism for formation of adipocere is described.     

The Nature of Borders and International Conflict: Revisiting Hypotheses on Territory

This study examines the utility of moving beyond a simple "on–off" dichotomous view of contiguous land borders. For each of the 301 contiguous land borders between states in the international system, measures of ease of interaction, salience, and overall border "vitalness" have been developed using Geographical Information Systems technology. These variables are used to test two major extant lines of thought in international relations literature, as well as our proposed alternative, regarding the expected effect of the "nature" of borders on interstate behavior. We conclude not only that the "nature" of contiguous borders matters but also that the relationship between each of the three border measures and the likelihood of conflict is curvilinear concave—with both high ease of interaction and high salience related to lower levels of conflict, and the middle range of both variables related to higher levels of conflict.     

The Employment Appeal Tribunal: October 2002-July 2005

The Employment Appeal Tribunal (EAT) has been governed by theEAT Rules¹ since 1993 (amended in 2001), and in 1996, Sir JohnMummery, the then president, issued a Practice Direction whichenshrined the practice that had been developed and honed overthe 20 years of the EAT existence. The changes over the past3 years have now been reflected in the 2004 amendments to theEAT Rules and by two further Practice Directions, first in December2002, to implement the effect of the changes introduced in practiceas from October 2002 and then in December 2004, once they hadbedded in, to adjust to the amended Rules, which had also reflectedthose changes. This article is written for the purpose of summarisingthose changes and reflecting upon their effect.     

Correlations on radioimmunoassay, fluorescence polarization immunoassay, and enzyme immunoassay of cannabis metabolites with gas chromatography/mass spectrometry analysis of 11-nor-delta 9-tetrahydrocannabinol-9-carboxylic acid in urine specimens.

Results obtained from three commercial immunoassay kits, Abuscreen, TDx, and EMIT, commonly used for the initial test of urine cannabinoids (and metabolites) were correlated with the 11-nor-delta 9-tetrahydrocannabinol-9-carboxylic acid (9-THC-COOH) concentration as determined by GC/MS. Correlation coefficients obtained based on 26 (out of 1359 total sample population) highly relevant samples, are 0.601 and 0.438 for Abuscreen and TDx. Correlation coefficients obtained from a parallel study on a different set of 47 (out of 5070 total sample population) highly relevant specimens are 0.658 and 0.575 for Abuscreen and Emit. The immunoassay concentration levels, that correspond to the commonly used 15 ng/ml GC/MS cutoff value for 9-THC-COOH, as calculated from the regression equations are 82 ng/ml and 75 ng/ml for TDx and EMIT and 120 ng/ml and 72 ng/ml for Abuscreen manufactured at two different time periods. The difference of these calculated corresponding concentrations provides quantitative evidence of the reagent specificity differences.     

Factors associated with breath test refusals in drunken driving arrests.

OBJECTIVE: Jurisdictions with per se breath alcohol legislation rely heavily on breath test evidence in prosecuting drunk driving cases. Depending on other legal considerations, where subjects refuse the breath test, prosecution may be more difficult. The objective was to identify factors significantly associated with the risk of test refusal. This knowledge would be relevant for improving the compliance rate. METHOD: A retrospective observational study evaluated drunken driving arrest records (n = 38,687) within Washington State during 2003 where breath tests were requested under implied consent legislation. The association was determined between the risk of test refusal and several categorical variables including: arresting agency, gender, race, age, accident involvement, repeat offense, pre-arrest breath test, driver's license and all possible two-way interactions. The association was quantified by odds ratios (OR) and 95% confidence intervals (CI) using a logistic regression model. RESULTS: The overall refusal rate was 19.7%. The single main effect variable associated with the greatest reduction in risk of refusal was the performance of a pre-arrest breath test (OR = 0.31, 95% CI 0.30-0.33). No single main effect variables showed significant association with an increased risk of refusal. Several two-way interactions, however, were significant. Other possible predictor variables, not included in the analysis, are also discussed. CONCLUSIONS: An arrested subject's decision to refuse the breath test is clearly a multivariate issue. Knowledge of these results should help in developing a jurisdictionally specific breath test compliance model by identifying the legal, demographic and procedural factors contributing most significantly to breath test refusal rates.     

Understanding management: Henry Mintzberg on the activities of managers

The Nature of Managerial Work, 2^nd edition. By Henry Mintzberg . Engle‐wood Cliffs, N.J.: Prentice‐Hall.