Firearm examination: Examiner judgments and computer‐based comparisons

Forensic firearm examination provides the court of law with information about the source of fired cartridge cases. We assessed the validity of source decisions of a computer‐based method and of 73 firearm examiners who compared breechface and firing pin impressions of 48 comparison sets. We also compared the computer‐based method's comparison scores with the examiners' degree‐of‐support judgments and assessed the validity of the latter. The true‐positive rate (sensitivity) and true‐negative rate (specificity) of the computer‐based method (for the comparison of both the breechface and firing pin impressions) were 94.4% and at least 91.7%, respectively. For the examiners, the true‐positive rate was at least 95.3% and the true‐negative rate was at least 86.2%. The validity of the source decisions improved when the evaluations of breechface and firing pin impressions were combined and for the examiners also when the perceived difficulty of the comparison decreased. The examiners were reluctant to provide source decisions for "difficult" comparisons even though their source decisions were mostly correct. The correlation between the computer‐based method's comparison scores and the examiners' degree‐of‐support judgments was low for the same‐source comparisons to negligible for the different‐source comparisons. Combining the outcomes of computer‐based methods with the judgments of examiners could increase the validity of firearm examinations. The examiners' numerical degree‐of‐support judgments for their source decisions were not well‐calibrated and showed clear signs of overconfidence. We suggest studying the merits of performance feedback to calibrate these judgments.     

Clustering of multiple sclerosis in Galion, Ohio, 1982-1985

Epidemiologic evidence indicates that the outbreak of 30-40 cases of multiple sclerosis and other demyelinating syndromes in Galion, Ohio, USA, during 1982-1985 was related to an excess concentration of heavy-metal wastes, especially of cadmium and chromium in sewage and river water. Both multiple sclerosis and myasthenia gravis were diagnosed by board-certified neurologists.     

An enzyme-linked immunosorbent assay for plasma-paraquat levels of poisoned patients

To investigate the efficacy of medical treatments, plasma-paraquat levels were measured in patients who had ingested the liquid weedkiller, Gramoxon, containing paraquat. We determined the levels by an enzyme-linked immunosorbent assay (ELISA) using a murine paraquat-specific monoclonal antibody developed by Niewola et al. (Clin. Chim. Acta, 148 (1985) 149-156). Using this ELISA, concentrations of paraquat in the range 1.56-100 ng/ml could be measured. This assay method had good precision and was suitable for measurement of low levels of paraquat. The therapeutic treatments were most effective on the day of admission. The plasma-paraquat levels of poisoned patients decreased significantly. However, the levels tended to increase again during the pause period of the haemoperfusion and this increase was serious for fatal cases. It is clear that elimination of poison not only from blood but also from tissues is necessary to lower the mortality rate.