Psychosocial Complications of Crohn's Disease and Cause of Death

Patients who suffer from Crohn's disease are prone not only to the complications of a relapsing, unpredictable disease, but also to feelings of stigmatization; depression; and increased risk of suicidal ideation, suicide, or drug and alcohol abuse. Cases performed at the Jackson County Medical Examiner's Office from 2008 to 2010 were reviewed. Autopsy findings, investigator reports, toxicology results, medical records, and interviews with survivors were analyzed. Twelve cases of Crohn's disease were recovered. In 10 of these cases, inflammatory bowel disease was not the cause of death. Instead, psychosocial consequences of the disease had significant implications in the deaths. The mean age of decedents was 45 years, with a female predominance. In eight cases, the decedents lived alone. Five patients had issues of acute or chronic drug or alcohol use. Five patients committed suicide. These cases underscore the role of psychosocial factors that can contribute significantly to the cause of death in patients with Crohn's disease.     

Progress Toward the Determination of Correct Classification Rates in Fire Debris Analysis II: Utilizing Soft Independent Modeling of Class Analogy (SIMCA)

A multistep classification scheme was used to detect and classify ignitable liquid residues in fire debris into the classes defined by the ASTM E1618‐10 standard method. The total ion spectra (TIS) of the samples were classified by soft independent modeling of class analogy (SIMCA) with cross‐validation and tested on fire debris. For detection of ignitable liquid residue, the true‐positive rate was 94.2% for cross‐validation and 79.1% for fire debris, with false‐positive rates of 5.1% and 8.9%, respectively. Evaluation of SIMCA classifications for fire debris relative to a reviewer's examination led to an increase in the true‐positive rate to 95.1%; however, the false‐positive rate also increased to 15.0%. The correct classification rates for assigning ignitable liquid residues into ASTM E1618‐10 classes were generally in the range of 80–90%, with the exception of gasoline samples, which were incorrectly classified as aromatic solvents following evaporative weathering in fire debris.     

Shark‐Inflicted Trauma: A Case Study of Unidentified Remains Recovered from the Gulf of Mexico*

Abstract: Here, we present a case of an unidentified male whose remains, except for the right arm, were recovered from the Gulf of Mexico 10 years prior to osteological analysis by forensic anthropologists. After the poorly preserved soft tissue was removed and the bones cleaned, forensic analysis revealed an unusual series of hard tissue trauma later attributed by a shark expert as shark scavenging and/or predation. Identified were five unique hard tissue trauma patterns that are bite mark artifacts produced by sharks: punctures without fractures, punctures with associated fractures, striations with bone shaving, overlapping striations, and incised bone gouges. The cooperation among experts provided a comprehensive death case analysis and a better understanding of shark‐inflicted trauma on human skeletal remains.     

Characterization of the volatile organic compounds present in the headspace of decomposing animal remains, and compared with human remains

Human Remains Detection (HRD) dogs can be a useful tool to locate buried human remains because they rely on olfactory rather than visual cues. Trained specifically to locate deceased humans, it is widely believed that HRD dogs can differentiate animal remains from human remains. This study analyzed the volatile organic compounds (VOCs) present in the headspace above partially decomposed animal tissue samples and directly compared them with results published from human tissues using established solid-phase microextraction (SPME) and gas chromatography/mass spectrometry (GC/MS) methods. Volatile organic compounds present in the headspace of four different animal tissue samples (bone, muscle, fat and skin) from each of cow, pig and chicken were identified and compared to published results from human samples. Although there were compounds common to both animal and human remains, the VOC signatures of each of the animal remains differed from those of humans. Of particular interest was the difference between pigs and humans, because in some countries HRD dogs are trained on pig remains rather than human remains. Pig VOC signatures were not found to be a subset of human; in addition to sharing only seven of thirty human-specific compounds, an additional nine unique VOCs were recorded from pig samples which were not present in human samples. The VOC signatures from chicken and human samples were most similar sharing the most compounds of the animals studied. Identifying VOCs that are unique to humans may be useful to develop human-specific training aids for HRD canines, and may eventually lead to an instrument that can detect clandestine human burial sites.     

THE ADMINISTRATION OF EARLY MEDIEVAL ENGLAND, WITH SPECIAL REFERENCE TO NORTHUMBERLAND

The administrative system of England after the Norman Conquest has been described as "the adaptation of the ancient customary institutions of a decentralized system to the uses of [the Norman and Angevin kings'] highly centralized administration".¹ It was complex, adaptable, efficient to a high degree, and constantly changing. It had only a few of the features of a modern bureaucracy, as "government" to the medieval man did not imply anything resembling the modern state and its workings. It meant the practical expression of the rights owed to the king by his subjects and the duties of the king to his people. Its chief functions were the raising of finance and the administration of justice.     

Toxicological findings in deaths due to ingestion of pentazocine: A report of two cases

Two cases of fatal suicidal ingestion of pentazocine are presented. Toxicological findings in these deaths are compared to those of twelve similar pentazocine fatalities gleaned from various compilation of toxicology data. Pentazocine blood and liver concentrations in the presented cases were 3.3 and 9.2 mg/l, and 34 and 43 mg/kg, respectively. Blood and liver concentrations in references cases ranged from 0.8 – 38 mg/l and 3 – 197 mg/kg, respectively. The interpretation of toxicology findings following the ingestion of pentazocine is discussed.