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[Correlation between an occupational accident and death 55 years later. Evidence despite 2 1/2 months burial--a contribution to the value of insurance medicine autopsy also after exhumation].

Analysis of 24 autopsy cases ordered by insurances and performed at the Institute of Legal Medicine, Johannes Gutenberg University, Mainz (FRG), in the years from 1985 to 1991 revealed that even if there was a long period of time between accident and death (average: 20.3 years; maximum: 55 years) and in cases of exhumation necropsy was a useful tool in checking the relative's claim to insurance premium. Nevertheless post mortem examination should be performed as soon as possible to ensure evident pathomorphological findings and to avoid unjustified waiting periods with economical problems (e. g. case report: 78 years old widow couldn't pay electricity and call charge; she had a right to a pension due to an accident of her husband 55 years before, proved by exhumation 2 1/2 months after death.

Accidents, Occupational↗

Septic tank burial: not just another skeleton in the closet.

Backed-up toilets lead to the discovery of a skeleton in the septic tank. Our challenges began with the excavation of this unconventional grave and progressed through recovery and examination of the skeleton, determination of the cause and manner of death, and ultimately, identification of the victim. Main aspects of the septic tank system are summarized, including functional theory, physical design and components, and general comments on use and maintenance. We discuss some basic principles applicable to the excavation and examination of any human skeletal remains, and offer a general approach to identification of the decedent.

Forensic Anthropology↗

A new model for atmospheric oxygen over Phanerozoic time.

A mathematical model has been constructed that enables calculation of the level of atmospheric O2 over the past 570 my from rates of burial and weathering of organic carbon (C) and pyrite sulfur (S). Burial rates as a function of time are calculated from an assumed constant worldwide clastic sedimentation rate and the relative abundance, and C and S contents, of the three rock types: marine sandstones and shales, coal basin sediments, and other non-marine clastics (red beds, arkoses). By our model, values of O2 versus time, using a constant total sedimentation rate, agree with those for variable sedimentation derived from present-day rock abundances and estimates of erosional losses since deposition. This agreement is the result of our reliance on the idea that any increase in total worldwide sediment burial, with consequently faster burial of C and S and greater O2 production, must be accompanied by a corresponding increase in erosion and increased exposure of C and S on the continents to O2 consumption via weathering. It is the redistribution of sediment between the three different rock types, and not total sedimentation rate, that is important in O2 control. To add stability to the system, negative feedback against excessive O2 fluctuation was provided in the modeling by the geologically reasonable assignment of higher weathering rates to younger rocks, resulting in rapid recycling of C and S. We did not use direct O2 negative feedback on either weathering of C and S or burial of C because weathering rates are assumed to be limited by uplift and erosion, and the burial rate of C limited by the rate of sediment deposition. The latter assumption is the result of modern sediment studies which show that marine organic matter burial occurs mainly in oxygenated shallow water and is limited by the rate of supply of nutrients to the oceans by rivers. Results of the modeling indicate that atmospheric O2 probably has varied appreciably over Phanerozoic time. During the Late Carboniferous and Permian periods O2 was higher than previously because of the rise of vascular land plants and the widespread burial of organic matter in vast coal swamps. A large decrease in O2 during the Late Permian was due probably to the drying-up of the coal swamps and deposition of a large proportion of total sediment in C and S-free continental red beds. Sensitivity study shows that major parameters affecting results are the mean C concentration in coal basins and the relative sizes of the reservoirs of young (rapidly recycled) versus old rocks. Less sensitivity was found for changes over time in total land area undergoing weathering and the use of direct O2 negative feedback on marine carbon burial. Good agreement for rates of C burial calculated via our model and via independent models, which are based on the use of stable carbon isotopes, indicates that the dominant factor that has brought about changes in atmospheric O2 level (and the isotopic composition of dissolved inorganic carbon in seawater) over Phanerozoic time is sedimentation and not weathering or higher temperature phenomena such as basalt-seawater reaction.

Atmosphere↗

Evaluation of the correlation between time corpses spent in in-ground graves and findings at exhumation.

To determine how long pathological findings persist after burial and which factors play a role in decomposition of a corpse, we evaluated all bodies exhumed under the auspices of the Institute of Legal Medicine at the Hannover Medical School between 1978 and 1997. A total of 87 exhumations (54 men, 33 women) were performed in this period. The time bodies remained buried varied between 5 days and 16.8 years (mean 1.5 years, median 2.3 months). Fifty-six percent of the bodies were exhumed after at most 3 months, 10% remained buried for greater than 3 years. Pathomorphological changes of the soft tissues and the internal organs remained evident after several months, in some cases after several years of burial. Overall, it was possible to evaluate internal organs after 5 years of burial. Bodies became mostly decomposed after approximately 8 years at the earliest, although it was still possible to evaluate some soft tissue remnants after 16.8 years. In stepwise logistic regression, both the length of time the body was buried (p < 0.00005) and the time of year (p < 0.0019) clearly affected the rate of physical change. The variables of sex (p = 0.33), age (p = 0.61) and changes in the integrity of the body before burial (trauma, autopsy before burial; p = 0.15) did not influence the physical state of the body after exhumation. Our data show that much information may be gained from an exhumation even after significant time has passed since burial.

Adolescent↗

Carcass disposal: lessons from Great Britain following the foot and mouth disease outbreaks of 2001.

The foot and mouth disease (FMD) outbreak that occurred in the United Kingdom in 2001 was of an unprecedented scale and severity and presented a massive logistical challenge to Government. Over 6.5 million animals were slaughtered and disposed of, over 4 million as a direct result of disease and a further 2.5 million on welfare grounds. On-farm burial and on-farm burning were the principal routes for disposal at the commencement of the outbreak. On-farm burial was limited by legislation to protect groundwater supplies and pyre burning came increasingly under attack from local communities concerned about health risks from smoke and emissions. Burning also painted a vivid but distressing picture of the war against disease. Increasingly, rendering capacity made an important contribution to disposal. The peak of the outbreak could only be managed by the development of a new disposal route--mass burial in engineered sites and by using licensed landfill where available. During the course of the outbreak, a disposal hierarchy was developed to reflect environmental and public health concerns, namely: rendering and incineration ranked first, licensed landfill next, followed by burning with mass burial or on-farm burial as the least preferred options. However, the campaign against the disease could not have been won without the tactical use of mass burial in addition to all the other available disposal routes. The authors describe the development and deployment of the disposal routes used in the 2001 outbreak.

Air Pollution↗

Modelling the buried human body environment in upland climes using three contrasting field sites.

Despite an increasing literature on the decomposition of human remains, whether buried or exposed, it is important to recognise the role of specific microenvironments which can either trigger or delay the rate of decomposition. Recent casework in Northern England involving buried and partially buried human remains has demonstrated a need for a more detailed understanding of the effect of contrasting site conditions on cadaver decomposition and on the microenvironment created within the grave itself. Pigs (Sus scrofa) were used as body analogues in three inter-related taphonomy experiments to examine differential decomposition of buried human remains. They were buried at three contrasting field sites (pasture, moorland, and deciduous woodland) within a 15 km radius of the University of Bradford, West Yorkshire, UK. Changes to the buried body and the effect of these changes on hair and associated death-scene textile materials were monitored as was the microenvironment of the grave. At recovery, 6, 12 and 24 months post-burial, the extent of soft tissue decomposition was recorded and samples of fat and soil were collected for gas chromatography mass spectrometry (GCMS) analysis. The results of these studies demonstrated that (1) soil conditions at these three burial sites has a marked effect on the condition of the buried body but even within a single site variation can occur; (2) the process of soft tissue decomposition modifies the localised burial microenvironment in terms of microbiological load, pH, moisture and changes in redox status. These observations have widespread application for the investigation of clandestine burial and time since deposition, and in understanding changes within the burial microenvironment that may impact on biomaterials such as hair and other associated death scene materials.

Animals↗

Effects of dung and seed size on secondary dispersal, seed predation, and seedling establishment of rain forest trees.

Seeds dispersed by tropical, arboreal mammals are usually deposited singly and without dung or in clumps of fecal material. After dispersal through defecation by mammals, most seeds are secondarily dispersed by dung beetles or consumed by rodents. These post-dispersal, plant-animal interactions are likely to interact themselves, as seeds buried by dung beetles are less likely to be found by rodents than unburied seeds. In a series of three experiments with seeds of 15 species in central Amazonia (Brazil), we determined (1) how presence and amount of dung associated with seeds influences long-term seed fate and seedling establishment, (2) how deeply dung beetles bury seeds and how burial depth affects seedling establishment, and (3) how seed size affects the interaction between seeds, dung beetles, and rodents. Our overall goal was to understand how post-dispersal plant-animal interactions determine the link between primary seed dispersal and seedling establishment. On average, 43% of seeds surrounded by dung were buried by dung beetles, compared to 0% of seeds not surrounded by dung ( n=2,156). Seeds in dung, however, tended to be more prone than bare seeds to predation by rodents. Of seeds in dung, probability of burial was negatively related to seed size and positively related to amount of dung. Burial of seeds decreased the probability of seed predation by rodents three-fold, and increased the probability of seedling establishment two-fold. Mean burial depth was 4 cm (0.5-20 cm) and was not related to seed size, contrary to previous studies. Probability of seedling establishment was negatively correlated with burial depth and not related to seed size at 5 or 10 cm depths. These results illustrate a complex web of interactions among dung beetles, rodents, and dispersed seeds. These interactions affect the probability of seedling establishment and are themselves strongly tied to how seeds are deposited by primary dispersers. More generally, our results emphasize the importance of looking beyond a single type of plant-animal interaction (e.g., seed dispersal or seed predation) to incorporate potential effects of interacting interactions.

Animals↗

The folding of an enzyme. VI. The folding pathway of barnase: comparison with theoretical models.

The sequence of events in the refolding pathway of barnase has been analysed to search for general principles in protein folding. There appears to be a correlation between burying hydrophobic surface area and early folding events. All the regions that fold early interact extensively with the beta-sheet. These interactions involve predominantly hydrophobic interactions and the burial of very extensive hydrophobic areas in which multiple, close, hydrophobic-hydrophobic contacts are established around a central group of aliphatic residues. There is no burial of hydrophilic residues in these regions; those that are partly screened from the solvent make hydrogen bonds. All the regions or interactions that are made late in the folding pathway do not make extensive contacts with the beta-sheet. Their buried hydrophobic regions lack a central hydrophobic residue or residues around which other hydrophobic residues pack. Further, in some of these regions there is an extensive burial of hydrophilic residues. The results are consistent with one of the earlier events in protein folding being the local formation of native-like secondary structure elements driven by local hydrophobic surface burial. A possible candidate for an initiation site is a beta-hairpin between beta-strands 3 and 4 that is conserved in the microbial ribonuclease family. A comparison of structures in this family shows that those regions that can be superimposed, or have sequence homology, correspond to elements of structure that are formed and interact with each other early in the folding pathway, suggesting that some of these residues could be involved in directing the folding process. The data on barnase combined with results from other laboratories suggest the following tentative conclusions for the refolding of small monomeric proteins. (1) The refolding pathway is, at least in part, sequential and of compulsory order. (2) Secondary structure formation is driven by local hydrophobic surface burial and precedes the formation of most tertiary interactions. These elements are then stabilized and sometimes elongated by tertiary interactions. It is plausible that there are stop signals encoded in the linear sequence that prevent the elongation of isolated secondary structure elements in solution to a larger extent than is found in the folded protein. (3) Many tertiary interactions are not very constrained in the intermediate but become more and more defined as the hydrophobic cores consolidate, loop structures form and the configuration of surface residues takes place. The interactions between different elements of secondary structure are the last ones to be consolidated while the interactions within the secondary structure elements are consolidated earlier.(ABSTRACT TRUNCATED AT 400 WORDS)

Amino Acid Sequence↗

Field management of avalanche victims.

The median annual mortality from snow avalanches registered in Europe and North America 1981-1998 was 146 (range 82-226); trend stable in Alpine countries (r=-0.29; P=0.24), increasing in North America (r=0.68; P=0.002). Swiss data over the same period document 1886 avalanche victims, with an overall mortality rate of 52.4% in completely-buried, versus 4.2% in partially-, or non-buried, persons. Survival probability in completely-buried victims in open areas (n=638) plummets from 91% 18 min after burial to 34% at 35 min, then remains fairly constant until a second drop after 90 min. Likewise, survival probability for completely-buried victims in buildings or on roads (n=97) decreases rapidly following burial initially, but as from 35 min it is significantly higher than that for victims in open areas, with a maximum difference in respective survival probability (31% versus 7%) from 130 to 190 min (P<0.001). Standardised guidelines are introduced for the field management of avalanche victims. Strategy by rescuers confronted with the triad hypoxia, hypercapnia and hypothermia is primarily governed by the length of snow burial and victim's core temperature, in the absence of obviously fatal injuries. With a burial time < or =35 min survival depends on preventing asphyxia by rapid extrication and immediate airway management; cardiopulmonary resuscitation for unconscious victims without spontaneous respiration. With a burial time >35 min combating hypothermia becomes of paramount importance. Thus, gentle extrication, ECG and core temperature monitoring and body insulation are mandatory; unresponsive victims should be intubated and pulseless victims with core temperature <32 degrees C (89.6 degrees F) (prerequisites being an air pocket and free airways) transported with continuous cardiopulmonary resuscitation to a specialist hospital for extracorporeal re-warming.

Cardiopulmonary Resuscitation↗