Interpretation of glass composition measurements: the effects of match criteria on discrimination capability

The concentrations of ten elements in 209 unrelated glass specimens received as evidence were used to assess the frequencies of errors of false association (Type II errors) using several comparison criteria at specified significance levels (Type I errors). Pairwise comparisons of the samples using either the equal-variance t-test or Welch's modification (unequal variances) result in a small number of errors of false association, even when adjusting the significance level (Bonferroni correction) for multivariate comparisons. At the 95% confidence level (overall Type I error of 0.05, or individual element comparison error of 0.005), only two Type II errors are made in 21736 comparisons (0.009%) when using the equal-variance t-test for comparison of sample means. In this study, the range overlap test using three replicate measurements per specimen results in no errors of false association. Most specimen pairs in this data set are readily discriminated either by differences in the concentrations of several elements or by an extremely large difference in the concentrations of one or more element.     

Detection of ketosis in vitreous at autopsy after embalming

Ketosis occurs in ketoacidosis or malnourishment. When either is suspected in relation to a death, it may be important to analyze for ketosis at autopsy. We encountered a case where starvation was suspected in a deceased nursing home resident, where the body had been embalmed prior to autopsy. Gas chromatography (GC) was unable to separate acetone from formaldehyde, a component of embalming fluid. The Acetest is a simple test that can detect acetone and acetoacetate in body fluids. We validated the Acetest with GC on vitreous. The Acetest and GC were consistent except at very low levels of acetone or acetoacetate. The sensitivity of the Acetest for acetoacetate in vitreous was 10 mg/dL, consistent with early starvation. Significant interference from embalming fluid did not occur. The Acetest was negative in the described case. The Acetest is a simple and useful test for the detection of ketosis in embalmed autopsies.