Application of a computer assisted image analyzer to the assessment of area and number of sites of dental attrition and its use for age estimation

A simple method was devised to assess dental attrition in terms of its area and number of sites by using dental plaster casts and a computer assisted image analyser. The changes presented on the occlusal surfaces of teeth were investigated for age estimation using these criteria. The area of attrition on each tooth demonstrated a significant positive correlation with age, but a wide individual variation was observed in the values for each tooth. Therefore, this method was unsuitable for accurate age estimation of a single tooth. A strong negative correlation with age was observed in the number of sites of attrition. A multiple stepwise regression analysis using the variables 'attrition area' and 'attrition number' revealed multiple correlation coefficient values of 0.93. The quantitative assessment of both horizontal and vertical factors of dental attrition would be essential to improve the accuracy of this method.     

The influence of putrefactive changes on the determination of Paraquat in autopsy materials

This paper describes how the putrefactive changes in a cadaver will influence the determination of Paraquat in autopsy material. The carcasses of rats that had been given large doses of Paraquat and subsequently killed by cervical dislocation, were left at room temperature for up to seven days. Samples of stomach, caecum and liver were removed for the colorimetric determination of Paraquat with sodium dithionite following extraction on a Dowex 50W-4 column.Paraquat recovered from the stomach and caecum showed a decrease with time after death with the rate of decrease being greater in the caecum samples. However, the concentration of Paraquat in the liver increased for three days and then began to decrease gradually.The possible causes of these variations in Paraquat recovery are discussed. The findings appear to demonstrate the value of Paraquat determination even in samples from material that is in a state of advanced putrefaction.     

An accidental death due to Freon 22 (monochlorodifluoromethane) inhalation in a fishing vessel

We have firstly presented a case using post mortem corrosive method in forensic medical practice after coronary stent implantation. Occlusions, fate of side branches could be detected during the clinical diagnostic angiography, intravascular ultrasound, computed tomography; however, the forensic medical determination of cause of death, identification of complications needs a careful post-mortem investigation. The injection-corrosive method seems to be a useful assistance in the characterisation of pathomorphological changes after stent implantation. Besides the classical techniques of histology, immunohistochemistry, electron microscopic investigation we have introduced a new synthetic resin corrosion cast method. This three-dimensional corrosion cast preparation may provide new data about the actual morphological condition of the coronary vessels and a better understanding of the pathomechanisms of sudden cardiac death after percutaneous coronary intervention.     

Suicidal carbon monoxide inhalation of exhaust fumes. Investigation of cases

The inhalation of automobile exhaust gases is a relatively frequent suicidal method. Two such cases of special interest to forensic pathology and toxicology have been introduced. In case 1, a suicide note disclosed the victim's mental state, the inside conditions of the car, and toxic effects of automobile exhaust. In case 2, a reconstruction experiment has revealed important factors for the investigation of the scene, such as the size of a vinyl hose, the conditions of connecting site of the hose with the exhaust pipe, etc.     

Clocapramine-related fatality. Postmortem drug levels in multiple psychoactive drug poisoning

A suicide caused by ingestion of multiple psychoactive drugs is reported. A 42-year-old man with a history of psychosis was found dead in a blood pool in his room. The forensic autopsy revealed two stab wounds on his chest. However, these wounds could not explain the cause of death. Eighty-six tablets were found in his stomach. Four psychoactive drugs; clocapramine (CC), chlorpromazine (CP), promethazine (PM) and clotiazepam (CT) were detected in blood and tissues. The concentrations of CC, CP, PM and CT in the femoral vein (FV) blood were 0.39, 0.61, 1.23 and 0.09 microg/ml, respectively. The cause and manner of death were attributed to suicidal multiple psychoactive drug poisoning.Postmortem drug redistribution showed great site-dependent variations with the lowest level in the FV blood. Remarkable variations were observed in CC, CP and PM, but not in CT compared to other three drugs. The variations were dependent on the volume of distribution (Vd) of the drugs. Our human case has demonstrated drugs with higher Vd values showed higher degree of postmortem redistribution of the drug and vice versa.     

Unusual homicide by air gun with pellet embolisation.

A homicidal case by an air gun involving a 73-year-old woman who was found dead in her home is described. At autopsy, two gunshot wounds were observed on the left anterior chest and the right back. There was neither exit wound nor powder burns. The fatal pellet, 0.9 g and 5.5mm diameter, penetrated the left anterior chest and the heart to cause cardiac tamponade (200 ml) before lodging in the left subclavian artery. Death was due to cardiac tamponade.This case has exhibited two rare phenomena: homicide by an air gun and pellet embolisation. This is the first homicide case by use of air gun in Japan and demonstrates that although it may be rare, air guns can be used as potential homicidal weapons. This experience will alert our society and others on the potential hazards of air guns we have tended to regard as toys.     

A rare fatal case of wood preservative,monochloro-naphthalene (MCN), poisoning

A rare case of poisoning by the wood preservative Xylamon^® TH-Clear (active ingredient: 60% 1-chloronaphthalene) is reported.A mentally disordered carpenter, 44 years old, ingested an unknown amount of Xylamon^® and died in about 2 hours. Analysis for 1-chloronaphthalene was performed by TLC, IR and GC methods. GC analysis for 1-chloronaphthalene showed the concentration in the peripheral blood to be 2.46 μg/ml and the bile concentration to be 75.5 μg/ml. The total amount in the stomach contents was 27.7 g.     

The estimation of the time of death by non-protein nitrogen (NPN) in cadaveric materials. Report 3: Multiple regression analysis of NPN values in human cadaveric materials

The non-protein nitrogen (NPN) values in brain, lung, liver, and kidney in 79 autopsy cases were determined according to the Micro-Kjeldahl Nessler method. Multiple regression analysis of the data was performed with every possible combination of the time of death and the NPN values in the tissues.The brain NPN showed the best correlation with the postmortem time (r = 0.673), whereas the other correlations were less satisfactory (lung r = 0.422, liver r = 0.397, and kidney r = 0.379, respectively). However, multiple combinations of each tissue NPN value proved to give better correlation coefficients and smaller errors of the estimated time of death.The practical significance of the tissue NPN as a postmortem biochemical indicator of the time of death and the multiple regression analysis of such indicators were extensively discussed in this report.