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At least 19 recordsLinked to original sources
PubMed1998

Potential use of embalmed cadavers to study mast cell presence.

BACKGROUND: Embalmed cadavers in medical classes represent a potential source for collecting human tissues without the inherent problems of obtaining fresh or surgical specimens. Although the manner of fixation and vagaries of embalming techniques eliminate many such tissues for histological assessment, other techniques can be applied successfully to embalmed tissues. Pertinent to the present study, mast cells contain granules that are preserved under good fixation in formaldehyde, a main ingredient in embalming fluids. Visualization of these granules is possible, even though the ultrastructure of these cells is not preserved. METHODS: Two techniques for the visualization of connective tissue mast cells were compared using embalmed and fresh specimens: Alcian blue and avidin conjugated to fluorescein isothiocyanate (FITC-Avidin). Both will bind to mast cell granules, even in the presence of formaldehyde. RESULTS: Although mast cell numbers in the connective tissue did not differ between embalmed and fresh tissues, comparisons between the techniques involved showed the FITC-Avidin technique to be possibly more sensitive, perhaps because of the increased contrast from the fluorescent dye. CONCLUSIONS: Thus for some studies, human cadavers may provide a valuable source of tissue. However, use of embalmed tissue necessitates ensuring good embalming, checking for dehydration, and proper storage until embedment.

Adult↗
PubMedDate not supplied

Successful reduction of morticians' exposure to formaldehyde during embalming procedures.

A case study of the effectiveness of upgraded ventilation engineering controls in a military mortuary facility was performed. Worst-case mortician formaldehyde exposures generated during the use of highly concentrated embalming fluid (required to meet a 2-week preservation standard for overseas case processing and return of the deceased to the continental United States) were documented. A detailed exposure evaluation via consecutive short-term exposure limit (STEL) samples facilitated characterization of the hazard potential for each distinct phase of the embalming process. After baseline screening with 3M passive formaldehyde dosimeters, a total of 145 personal and area STEL sorbent tube samples were collected during six embalming cases between 1994 and 1998. Prior to the installation of local exhaust ventilation controls, personal time-weighted average (TWA) exposure values during embalming activities were 3.19-7.69 ppm for a mean of 4.80 ppm (calculated 8-hour TWA exposures for mortician workshifts were 1.32-2.86 ppm, mean 1.93 ppm). Initial STEL exposures ranged from a low of 0.14 during preembalming body preparation to 20.89 ppm during aspiration of arterial fluids (mean = 4.16 ppm). Embalming room general area samples revealed a mean concentration of 0.76 ppm. With ventilation upgrades installed in 1997, calculated personal 8-hour TWA exposure values during embalming procedures were reduced. STEL exposures decreased to between 0.11 to 3.44 ppm (mean of 0.55 ppm); embalming room general area sample concentrations decreased to a mean of 0.089 ppm. Because occasional 15-min peak exposures continued to exceed the 2.0 ppm Occupational Safety and Health Administration STEL during tasks involving large volumes of embalming fluid or direct contact with paraformaldehyde preservative powders, general room ventilation was further upgraded to 25 room air changes per hour.

Air Pollutants, Occupational↗
PubMed1997

O6-alkylguanine DNA alkyltransferase activity in student embalmers.

O6-Alkylguanine-DNA alkyltransferase (AGT) activity was assessed in peripheral blood lymphocytes among 23 mortuary science students before and after 9 weeks in a laboratory course in techniques of embalming. Formaldehyde exposure was established by environmental monitoring. The average air concentration of formaldehyde during embalming was about 1.5 ppm. At the pre-exposure sampling, baseline DNA repair capacity tended to be reduced in subjects who reported a prior history of embalming (p = 0.08). From pre- to post-exposure, 17 subjects decreased in DNA repair capacity, while only 6 increased (p < 0.05). Analysis of variance, including adjustment for age, sex, and smoking status, confirmed these findings. Among the eight subjects who had no embalming experience during the 90 days before study, seven had decreased and one had increased AGT activity during the period of study (p < 0.05). For those with prior embalming experience, 10 subjects decreased in AGT activity, while 5 increased (p < 0.05). Although the major chemical exposure in embalming practice was to formaldehyde, no clear link was established between amount of formaldehyde exposure and AGT activity.

Adult↗
PubMed1987

Ultrastructural and immunofluorescent detection of herpes simplex virus after embalming and burial.

The practice of embalming preserves body tissues, and embalmed bodies may resist decay processes for many decades with relatively little change. As the chemicals used for embalming are poisonous to microorganisms, bacterial and viral cultures are futile after such funerary procedures are performed. However, embalming may act as a virtual tissue fixative, especially with arterial perfusion, and identification methods other than culture may be used to detect and identify pathogenic organisms. In the case presented here, a death from a fulminating, but unidentified, illness in a young girl was successfully diagnosed as herpes hepatitis by immunofluorescent and electron-microscopic studies of tissue obtained 3 weeks after she was embalmed and interred. Routine embalming and burial should not eliminate these diagnostic procedures from consideration in specific situations where potentially useful information may be realized.

Autopsy↗
PubMed1978

An improved embalming procedure for long-lasting preservation of the cadaver for anatomical study.

A successful embalming procedure necessary for long-lasting preservation of the cadaver and its subsequent anatomical dissection has been undertaken in our laboratory. In short, the procedure consists of a preembalming treatment with blood clot disperser, removal of blood clots, drainage of blood, and arterial embalming with an embalming machine via both carotid and femoral triangles of the body. The embalming fluid is prepared from methyl alcohol and a small amount of formalin as the fixatives, ethylene glycol as a preservative, and liquefied phenol as a mould preventive. Coloring of the blood vessels is also useful in their identification. Other matters relevant to embalming problems are also discussed.

Anatomy↗
PubMed1992

Attitudes of funeral directors and embalmers toward autopsy.

Although physician and family attitudes toward autopsy have been suggested as factors leading to declining autopsy rates, attitudes of funeral directors and embalmers toward autopsy have not been studied. We surveyed members of the Illinois Funeral Directors Association concerning beliefs about the purposes of autopsy, problems they experienced with autopsied cases, and the advice they gave to family members about permitting autopsy. Three hundred eight (42.2%) of 730 funeral directors and embalmers responded to the questionnaire. Although 80.3% believed that autopsy served a purpose, 46.4% had counseled families not to permit autopsy, and 16.6% did so more than half the time. Perceived difficulty in embalming autopsied cases (odds ratio, 2.3), family concern about the risk of disfigurement (odds ratio, 1.9 to 2.2), having attempted to talk to a pathologist or hospital administrator about a poorly performed autopsy (odds ratio, 2.0), and belief in the purpose of autopsy (odds ratio, 0.38), were significant independent predictors of counseling against autopsy. Of funeral directors who counseled against autopsy, 28.3% reported that families never permitted autopsy, and 39.4% reported that families only occasionally permitted autopsy, in cases where they had counseled against it. Funeral directors from Illinois counties with 1989 medical certificate case autopsy rates of less than 5% counseled against autopsy more frequently than funeral directors from counties with higher autopsy rates. We conclude that although most funeral directors and embalmers believe in the purposes of the autopsy, difficulties in embalming autopsied cases, and family concern about the risk of disfigurement, may lead members of the funeral profession to counsel against autopsy, and that such advice may influence families not to permit an autopsy.

Attitude↗
PubMed1997

Molecular detection of JC virus in embalmed, formalin-fixed, paraffin-embedded brain tissue.

Embalmed tissues are adequate for the detection of JC virus in lesions of progressive multifocal leukoencephalopathy (PML) by immunohistologic and molecular methods. JC virus was readily detected in embalmed brain tissue using immunohistochemistry (IHC), in situ hybridization (ISH), and the polymerase chain reaction (PCR). Two brains were removed from bodies that had been embalmed at least 24 h prior to autopsy. They were subsequently post fixed in 10% buffered formalin for 10-14 days before dissection and molecular studies were performed. Though these techniques are not novel, their use in embalmed tissues is. Routine embalming should not eliminate these diagnostic procedures from consideration.

Brain↗
PubMed1976

The antimicrobial activity of embalming chemicals and topical disinfectants on the microbial flora of human remains.

The antimicrobial activity of embalming chemicals an topical disinfectants was evaluated to determine the degree of disinfection achieved during the embalming of human remains. The administration of arterial and cavity embalming chemicals resulted in a 99% reduction of the postmortem microbial population after 2 hours of contact. This level of disinfection was maintained for the 24 hours test period. Topical disinfection of the body orifices was also observed. Therefore, it is probable that present embalming practices reduce the hazard from transmission of potentially infectious microbial agents within the immediate environment of embalmed human remains.

Anal Canal↗
PubMed1995

Peripheral nerve tension due to joint motion. A comparison between embalmed and unembalmed human bodies.

Various joint positions of the upper extremity were used to study the tensile forces on the median nerve. To analyse the effect of embalmment, tensile forces were measured in situ in unembalmed and embalmed human bodies. A positive correlation was found between tensile force data from unembalmed and embalmed nerves. This finding justifies, for comparative studies, the use of embalmed human bodies, although the absolute tensile forces are higher. RELEVANCE: In daily activities or during certain operations positions of the upper extremity vary, hence creating tensile forces of different magnitude on peripheral nerves. Tensile forces are also applied in the diagnosis of nerve (root) lesions of the upper extremity. To analyse these tensile forces, in-situ experiments on unembalmed human bodies, though problematic, are supposed to be the most realistic approach. In this study it has been shown that in comparative studies on peripheral nerve tension, data obtained from embalmed human bodies can be used.

Journal Article↗
PubMed1994

The last invasion of human privacy and its psychological consequences on survivors: a critique of the practice of embalming.

In spite of the fact that it is required only occasionally for sanitary reasons and not legally mandatory, the practice of embalming is widespread in contemporary American society. This study explores the historical, cultural and psychological factors which gave rise to the practice of embalming and why the practice continues. Two case studies are presented in which delayed grief reactions were present; linkages with embalming are described. It is suggested that the frightening finitude of the self and a fear of death in modern society have led to practices in which the corpse is viewed as looking "natural," thus denying the reality of death. Embalming is seen as the final assault on the self, which can also carry with it problematic psychological consequences for the survivors.

Attitude to Death↗
PubMed2002

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.

Aged↗
PubMed1993

[Arterial embalming method of the cadaver and its application to research].

Ever since 1974, the cadaver has been embalmed by the arterial embalming method, using pre-embalming fluid with blood clot disperser and cell conditioner for the removal of blood clots and drainage of blood, at the Department of Anatomy of the Kawasaki Medical School. According to this method, the cadavers are always very well fixed so that they can be used for not only anatomical dissection but also research for the vascular system by vasography, kinematics of the joint and other histologic examinations. In this report we have described our embalming procedure concretely and its application to research.

Angiography↗
PubMed1997

Fractures of experimentally traumatized embalmed versus unembalmed cadaver legs.

Intact legs from six geriatric cadavers were fractured in a self-controlled study aimed at documenting the effects of embalming on both the soft and hard tissues of cadaver specimens subjected to biomechanical impact research. Upon bequeathal, one leg was removed and frozen while the other remained with the cadaver for embalming. The embalmed legs were amputated later and pre-test radiographs were made. For testing, a rod was inserted in the upright leg such that simulated upper body mass could be applied. A 50 kg cart propelled by a pneumatic accelerator to 7.5 m/s struck the anterior leg midway between the knee and ankle. The cart was headed by an instrumented steel pipe (4.75 cm dia.) coupled to a transducer which relayed impact force data to a Hewlett Packard 3562 A signal analyzer. Testing was captured on standard VHS video (30 frames/s) and 16 mm Color High Speed Film (1,000 frames/s). Post-test analyses included radiographs and thorough dissection. Peak forces were comparable for matched pairs. The unembalmed legs showed greater soft tissue damage (muscle and skin) but generally less bone fragmentation than their embalmed counterparts. Neurovascular components were virtually unharmed in most legs.

Aged↗
PubMed1996

Spinal cord diameters in cadaveric specimens and magnetic resonance scans, to assess embalming artefacts.

It would be valuable to use cadaveric models of cervical vertebrae and spinal cord to assess how varying degrees of traumatic subluxation would relate to neurological damage. However, before such a study may be undertaken, it would be important to assess the degree of shrinkage of expansion of the spinal cord that occurs during the embalming process. This is achieved in this study by comparing diameters of cadaveric spinal cord to that of sagittal magnetic resonance scans of living subjects. The geometric measurements of radiographs in living subjects has been assessed but no direct model for spinal cord injury has been described [1]. If embalmed spinal cord diameters were a good estimator of living spinal cord diameters then cadaveric cervical spines could be used as a model. By reproducing various degrees of fracture and dislocation the extent of corresponding cord compression could be assessed. Our study shows that spinal cord dimensions increase after embalming using the Cambridge procedure [4].

Aged↗
PubMed1988

Determination of ethchlorvynol in body tissues and fluids after embalmment.

A 54 year-old female expired at her residence. Her husband, a physician, signed a certificate stating that her death was due to cerebrovascular accident (CVA) and released her body to a funeral home, where she was embalmed. Since the deceased had a long history of medical problems and drug abuse, an autopsy was performed and no evidence of CVA was found. Toxicological analyses of body fluids and tissues revealed the presence of ethchlorvynol in high concentration in the bile (112 mg/l). The bloody fluid collected from the heart contained a concentration of ethchlorvynol below the limit for quantitation. Other findings included phenobarbital (32.8 mg/l) in heart bloody fluid and methanol (an ingredient of embalming fluid). The significance of the findings is discussed in relation to embalmment prior to autopsy and toxicological analyses. Ethchlorvynol concentration in the bile is compared to other fatal cases due to ethchlorvynol overdose.

Bile↗
PubMed2003

Determination of heroin after embalmment.

A 30-year-old male died in Thailand after a scuffle. The corpse was embalmed and repatriated to France where an autopsy was performed. As usual in cases of embalmment, fluids such as blood and urine were unavailable and the toxicological analyses was performed on the bile and the liver. An overdose of heroin was determined as the cause of death. A review of the literature indicates that several drugs can be detected in fluids and tissues that contain formaldehyde. This case demonstrates that in embalmed corpses, toxicological assessment is still possible, e.g. after heroin fatalities.

Adult↗
PubMedDate not supplied

Embalming fluid-soaked marijuana: new high or new guise for PCP?

A growing trend of smoking marijuana soaked in what is purported to be embalming fluid has been reported in the literature since the mid-1980s. This article describes several cases of intoxication, gives regional epidemiological data on this phenomenon, and includes current nomenclature. The authors also analyze a sample of fluid said to be embalming fluid and discover PCP (phencyclidine) and multiple congeners and by-products of PCP manufacture. The implications of this finding are discussed, and the hypothesis that most embalming fluid-soaked marijuana likely contains PCP is considered.

Adult↗
PubMed1984

Exposure of embalmers to formaldehyde and other chemicals.

Seven funeral homes were surveyed in 1980 to determine the magnitude of embalmers' exposure to formaldehyde, other chemical vapors, and total and respirable particulates. Air was monitored for formaldehyde by personal and area samples, and assayed using the chromotropic acid method. Personal sampling revealed time-weighted average formaldehyde concentrations which ranged from 0.1 to 0.4 ppm (mean 0.3 ppm) and 0.5 to 1.2 ppm (mean 0.9 ppm) during the embalming of intact and autopsied bodies, respectively. Concentrations of other airborne chemicals and of particulates were negligible. In preparing autopsied bodies, embalming technique and condition of the body itself appeared to be major determinants of formaldehyde exposure.

Air Pollutants, Occupational↗