This book covers new and exciting topics which have emerged in the area of autopsy recently, including the three different post-mortem CT-angiography systems currently available to practitioners in this field; a highly topical chapter on the role of genetic abnormalities in the handling of drugs within the body and how this can affect the interpretation of toxicological results in relation to how the drug may have caused or contributed to death; an update on the current classification and considerations related to deaths due to hanging; a review of injuries and fatalities caused by animals including post-mortem scavenging; an authoritative review of poisons and toxins from water and the life that inhabits it; and recent advances in knowledge in the use of entomology as an investigative tool as well as knowledge related to colonisation of cadavers by insects, animals and birds. Essentials of Autopsy Practice: Advances, Updates and Emerging Technologies is a multi-subject book, aimed at different grades of practitioners, from different practice areas, covering topics that are currently discussed and anticipated to be discussed in the field of autopsy practice over the next few years.

The definitive interdisciplinary reference work for wound ballistics Fundamentals in Physics, arms and ammunition, ballistics Simulating gunshot wounds: Virtopsy - a virtual autopsy method, combining CT, MRT and surface scanning and Materials that reproduce the interaction of soft tissue, bone and blood vessels with a bullet that penetrates the body. Wound ballistics for Short-range and long-range weapons, fragments, such as those from bombs and hand grenades, gas jets from blanks, gas weapons, etc., "Non-lethal" weapons as used by the police, in military operations or in urban settings Specialist knowledge and reference detailed tables: ballistic tables for typical ammunition, ballistic values for numerous types of ammunition, including older types, materials properties, plus additional, hard-to-find data. Most tables are in both metric and U.S. units., an extensive trilingual glossary of specialized terminology in German, English and French NEW: the latest diagnostic / simulation methods and the latest types of ammunition The practice and application of wound ballistics in: forensic medicine, surgery - especially emergency and war surgery and international conventions Globalized conflict zones, terrorism and crime - these issues affect a wider circle than just the armed forces and medical services abroad. Police officers, surgeons, forensics specialists and criminalists also need to be familiar with ballistics and gunshot wounds and must be able to assess the complex factors involved. The practice and application of wound ballistics in forensic medicine. surgery - especially emergency and war surgery and International conventions. Globalized conflict zones, terrorism and crime - these issues affect a wider circle than just the armed forces and medical services abroad. Police officers, surgeons, forensics specialists and criminalists also need to be familiar with ballistics and gunshot wounds and must be able to assess the complex factors involved.

DNA evidence is widely used in the modern justice system. Statistical methodology plays a key role in ensuring that this evidence is collected, interpreted, analysed and presented correctly. This book is a guide to assessing DNA evidence and presenting that evidence in a courtroom setting. It offers practical guidance to forensic scientists with little dependence on mathematical ability, and provides the scientist with the understanding they require to apply the methods in their work. Since the publication of the first edition of this book in 2005 there have been many incremental changes, and one dramatic change which is the emergence of low template DNA (LTDNA) profiles. This second edition is edited and expanded to cover the basics of LTDNA technology. The author's own open-source R code likeLTD is described and used for worked examples in the book. Commercial and free software are also covered.

The life and death, but also the creative work of famous musicians is closely linked to their personal medical histories. In "Famous Composers - Diseases Reloaded" these case histories are vividly reconstructed on the basis of authentic biographical testimonies and closely linked to the personalities of the musicians. The latest research findings on the pathophysiology of these composers will be woven into the overall picture. Was Paganini's "devilishness" caused by a hereditary disease? Did Scarlatti have strange signs of illness on his fingers? What did Bach really die of? How did "Christel" from a dubious milieu change Schumann's entire life? What aggravated Ravel's underlying illness so that he did not complete a single composition in the last five years before his death? How did Tarrega manage to play the guitar again after his stroke with hemiplegia? Did the Brazilian Villa-Lobos' worldwide reputation help him live longer thanks to the best treatment available to him? Andreas Otte, physician and musician, has incorporated the latest medical history research into the composers' pathographies. This book is an exciting and "well-tempered" reading experience not only for physicians, music lovers, musicologists and musicians, but for all readers who want to develop a basic understanding of the pathophysiology and life scores of these great masters under current conditions from today's perspective.

Fresh research has opened up new vistas in forensic pathology that are allowing for closer national and international cooperation between pathologists and scientists in a range of medical and scientific disciplines. At the same time, autopsy and laboratory techniques are undergoing rapid evolution, with new procedures coming on stream while existing processes yield additional-and more accurate-results. This sixth volume of reviews in forensic pathology provides professionals working in the field with cutting-edge material on the latest key advances in the fields of traumatic death, sudden natural death and death time estimation. Now with numerous color illustrations, the book gives forensic experts across the world a fully up-to-date guide to contemporary procedures and theory in forensic science and medicine. The chapters cover an exhaustive range of aspects in the discipline, from the analysis of sudden natural deaths in infancy and childhood to the cardiac proteomics approach in the study of cases involving sudden cardiac death. Other specialist chapters deal with the forensic investigation of deaths in aviation and as a result of accidents involving all-terrain vehicles. The volume covers fresh research in the use of protein markers for the estimation of post-mortem intervals, and features a chapter telling the story of the medico-legal investigation into the deaths resulting from the 9-11 terrorist attacks on the World Trade Center. Comprehensive and current, this fresh volume of reviews is an essential resource for professionals who need to stay ahead of the game in a fast-moving and exciting field of scientific endeavor.

In spite of the current feelings that today only molecular DNA analysis is the exact identification method - and that, if DNA cannot be isolated, it might be better to give up the identification - the author has used for the same purpose older, classical methods from physical anthropology to forensic medicine and especially a recent method of comparison of epigenetic traits, which proved to be very useful for identification of the family related skulls in connection with historical, genealogical and other data. These multidisciplinary methods can serve the same purpose as the reference method and can be applied in similar cases all over the world. The monograph presents the identification of 18 collectively interred skulls, supposedly belonging to the Counts of Celje (15th c.), and to family members, who lived on the territory of present-day Slovenia. Their kinship is established by comparison of X-ray images of paranasal cavities (frontal and maxillary sinuses, and also orbital and nasal cavities), the shape and size of which are autosomal dominant inherited characters. The comparison also extends to numerous other, likewise inherited, epigenetic trait similarities on the skulls. This work will be an invaluable guide for the identification and verification of kinship by skulls collectively interred (in family vaults), where isolation of DNA is no longer possible, even though the skeletal remains may not be old. This work based on the latest epigenetic research, is highly relevant for modern non-genetic identification studies. It is highly recommended to: scientists working on human identification and studying heredity, forensic scientists, physical anthropologists, radiologists, stomatologists, paleopathologists, geneticists, historians and many others.

In Buprenorphine Therapy of Opiate Addiction, participating physicians and toxicologists summarize and evaluate their experiences with five years of intensive buprenorphine therapy. They cover all aspects of its use, including the pharmacology, conditions of delivery, risks from use with other psychoactive drugs, toxicology and related deaths, as well as its testing in blood, urine, tissue, and hair. Special attention is given to comparing the long-term care of opiate-dependent patients using high-dose buprenorphine vs methadone, and to explaining the differences in treatment, administration, and delivery. The authors also describe how buprenorphine is currently prescribed and monitored in France and Australia, and review all the latest advances in analytical techniques for the determination of buprenorphine and its metabolites in biological fluids and tissues.

Contains thorough explanations and descriptions
Offers clear informative diagrams and photographs
Aimed at pathologists in training, medical students, and mortuary technicians

Thoroughly revised 2nd edition includes the most recent guidance to an accurate mortem diagnosis from the Royal College of Pathologists and from the College of American Pathologists

Shelley Saunders This book offers a welcome diversity of topics covering the broader subjects of teeth and the study of teeth by anthropologists. There is an impressive array of coverage here including the history of anthropological study of the teeth, morphology and structure, pathology and epidemiology, the relationship between nutrition, human behavior and the dentition, age and sex estimation from teeth, and geographic and genetic variation. Most chapter authors have provided thorough reviews of their subjects along with examples of recent analytical work and recommendations for future research. North American researchers should particularly appreciate the access to an extensive European literature cited in the individual chapter bibliographies. Physical anthropologists with even a passing interest in dental research should greet the publication of this book with pleasure since it adds to a growing list of books on how the study of teeth can tell us so much about past human populations. In addition to the archaeological applications, there is the forensic objective of dental anthropology which the editors refer to in their introduction which is dealt with in this volume. The chapters dealing with methods of sex determination, age estimation of juveniles and age estimation of adults using the teeth are exhaustive and exacting and of critical importance to both "osteoarchaeologists" and forensic anthropologists. Authors Liversidge, Herdeg and Rosing provide very clear guidelines for the use of dental formation standards in juvenile age estimation, recommendations that are so obviously necessary at this time.

In the literature, there is no comprehensive survey and assessment of the histology of natural and unnatural injuries to humans that has been scien- tifically researched and practically examined from the point of view offo- rensic medicine. Even today, an analysis of the international literature shows that the significance of histology in medicolegal examinations has not hitherto been systematically presented in the English language. Above all, there is a lack of a critical appraisal of the evidence value of histology and its significance within the scope of concrete forensic determinations. In the present volume, I have attempted to rectify this situation and thus bridge the prevailing gap in the literature. It is not, however, intended that a new area of histology be established as an independent discipline within forensic medicine. Rather, those facilities of histology will be emphasized that should be considered by scientists in forensic practice. There are of course older and more recent studies on branches of the subject (Kasianow 1954; Gerin 1965; Raekallio 1965,1970; Pioch 1966; Berg 1972; Benecke 1972; Perper and Wecht 1980). Otherwise, isolated histological examination findings on organ and tissue damage have been dealt with in old and new standard works on forensic medicine (Hofmann and Haberda, von Neureiter, Walcher, Pons old, Mueller, Popielski and Kobiela, Prokop, Poulsen, Tedeschi et aI. , Uotila, Gresham).

A collection of cutting-edge accounts of special topics from various fields of forensic pathology and death scene investigation. The authors offer critical insight into the medicolegal investigation of bodies found in water, the forensic aspects of the human immunodeficiency virus (HIV)-1 infection of the central nervous system, deaths in a head-down position, and forensic bitemark analysis. Additional chapters address taphonomic changes in human bodies during the early postmortem interval, arrhythmogenic ventricular dysplaisia that produces sudden death in young people, the postmortem diagnosis of death in anaphylaxis, and iatrogenici deaths. The forensic aspects of suicide, murder-suicide, and suicide trends in the United States are also discussed, along with the evaluation of fatal pulmonary thromboembolism and the use of radiology in medicolegal investigations.

A collection of cutting-edge reviews of many of the key recent medical and legal advances in forensic science. These critical surveys concentrate on common pathological entities likely to be encountered in daily forensic routine, as well as on specific pathological conditions rarely seen in the autopsy room. Complementing rather than replacing the classic textbooks in forensic pathology, the authors explore new avenues for analyzing the pathology of burned bodies, traumatic brain injury, death by drug abuse, sudden cardiac death, sudden infant death and neonaticide, and fatalities resulting from kicking and trampling. Other areas of interest include accidental autoerotic deaths, hypothermia fatalities, injuries from resuscitation procedures, the interpretation of alcohol levels in different specimens, and the potential forensic differential diagnoses and interpretation of iliopsoas muscle hemorrhage in the light of autopsy.

Cutting-edge accounts of special topics from various fields of forensic pathology and death scene investigation. The authors explore new avenues for analyzing the pathology of death from starvation (child neglect), head injuries inflicted by glass bottles, the clinical and pathological features of primary cerebral neoplasms, obesity as it is relevant to the forensic pathologist, and infant and early childhood asphyxial death. Other areas of interest covered include suicide, viral myocarditis in sudden death cases, curious death scene phenomena (hiding, covering and undressing), forensic entomology, the interpretation of toxicological findings, anabolic-androgenic-steroid abuse, and autopsy findings of subendocardial hemorrhages.

It is at least a decade since scientists turned their imaginations to creating new compact, portable test instruments and self-contained test kits that could be used to analyze urine and saliva for alcohol, drugs, and their metabolites. Although the potential applications for such tests at the site of specimen collection, now called "on-site" or "point-of-care" testing, range far beyond hospital emergency rooms and law enforcement needs, it was catalyzed by the requirements of workplace drug testing and other drugs-of-abuse testing programs. These programs are now a minor national industry in the United States and in some western European countries, and cover populations as diverse as the military, incarcerated criminals, people suspected of driving under the influence of alcohol and other drugs, all athletes from college to professional ranks, and of course the general employed population, which is monitored for illegal drug use and numbers in the millions. It is not surprising, then, that the need for rapid and precise tests, conducted economically by trained professionals, has become a major goal. Current government approved and peer reviewed laboratory methods for urine analysis serve present needs very well and have become remarkably robust over the past twenty years, but the logistics of testing some moving populations, such as the military, the Coast Guard, workers on off-shore oil platforms, and athletes-perhaps the most mobile of these groups-are unacceptably cumbersome.

Prominent experts explain the pharmacology and metabolism of benzodiazepines (LDB) and g-hydroxybutyric acid (GHB) and offer powerful and effective methodologies that will enable better detection of these drugs in various body fluids, as well as in hair. The techniques include highly sensitive immunoassay detection of LDBs, the detection of Rohypnol (R) and other LDBs by mass spectrometry, and the ultrasensitive detection of GHB. State-of-the-art and highly practical, Benzodiazepines and GHB: Detection and Pharmacology offers toxicologists, forensic scientists, and clinical chemists today's most effective methods for detecting these widely abused drugs that are sometimes found associated with criminal acts.

Sudden in-custody restraint deaths have emerged as a critical and imp- tant problem for police, correctional, and medical care workers. The scope and magnitude of the problem clearly reveals that the subject matter is worthy of further consideration. Although the frequency of these deaths is very low, the criticality of its occurrence requires attention to the subject matter. The purpose of Sudden Deaths in Custody is to provide current information that addresses the issue from a number of perspectives. It is our purpose to assemble, under one title, current research that addresses the varying facets that underscore the nature of sudden in-custody deaths. The intent is to provide information that can further educate and assist those officers, adm- istrators, investigators, trainers, and medical personnel who must interact, intervene, and make decisions about how to prevent sudden in-custody deaths. Sudden Deaths in Custody specifically addresses sudden in-custody deaths that occur after a violent confrontation. Such incidents may occur after police or correction officers' intervention, but also include incidents that may occur in a mental health facility or emergency medical field setting. The deaths described in this volume all involve sudden death within minutes or hours of contact preceded by one or more of the following: violent confrontation with police or corrections personnel, forcible control measures, and behavior inf- enced by a chemical substance, or mental impairment. Incidents involving custodial suicides, homicides, accidents, fatal pursuits, or police shootings are excluded.

This complete laboratory reference manual explains the principles behind solid phase extraction (SPE) and provides readily reproducible protocols for solving extraction problems in forensic and clinical chemistry. Numerous actual chromatograms, based on original research and diverse applications, demonstrate the technique and the results that can be achieved. Extensive appendices allow fast access to frequently needed information on reagents, the preparation of solutions and buffers, milliequivalent and millimode calculations, buffers and pKa for SPE, and a complete RapidTrace (R) technical manual. Each proven protocol is described in step-by-step detail and contains an introduction outlining the principle behind the technique, lists of equipment and reagents, and tips on troubleshooting and on avoiding known pitfalls.

Leading forensic pathologists from around the world synthesize the practical advances in a variety of important subspecialties of forensic pathology and demonstrate how the latest medical and scientific progress is being applied to solve current problems of high interest to forensic pathologists today. The authors offer cutting-edge insights into death from environmental conditions (lightning and elder abuse), homicide by sharp force, death from natural causes (asthma, Marfan syndrome, and peliosis of the liver and spleen), and pathology of human endothelium in septic organ failure. Additional chapters address special aspects of crime scene interpretation and behavioral analysis, neogenesis of ethanol and fusel oils in putrefying blood, agrochemical poisoning, imaging techniques in forensic pathology, and fixation techniques for organs and parenchymal structures. A comprehensive, up-to-date review of the international literature is given for each chapter.

Criminal Profiling: Principles and Practice provides a compendium of original scientific research on constructing a criminal profile for crimes that are not readily resolvable by conventional police investigative methods. Leading profiling expert Richard N. Kocsis, PhD, utilizes a distinct approach referred to as Crime Action Profiling (CAP), a technique that has its foundations in the disciplinary knowledge of forensic psychology. The initial four chapters examine the skills, accuracy, components, and processes surrounding the construction of a criminal profile. The next two chapters focus on CAP research, the methods developed for the profiling of violent crimes and describing a systematic method for the interpretation and use of the CAP models. The subsequent three chapters canvass the respective CAP studies undertaken for crimes of serial rape, serial/sexual murder, and serial arson. An explanation for how each of the models is developed is also given. The final chapters of the book are devoted to the geographical analysis of crime patterns and to a discussion of the format conventions and procedural guidelines for developing a criminal profile. Offering a scientifically grounded method for the construction of a criminal profile, Criminal Profiling: Principles and Practice provides law enforcement personnel, forensic psychologists and psychiatrists, criminologists, and forensic investigators with a step-by-step, practical guide for understanding and applying CAP techniques for the construction of a criminal profile in a systematic and replicable manner.

An international panel of experts from diverse specialties examine the idea of "evil" in a medical context, specifically a mental health setting, to consider how the concept can be usefully interpreted, and to elucidate its relationship to forensic psychiatry. The authors challenge the belief that the concept of "evil" plays no role in "scientific" psychiatry and is not helpful to our understanding of aberrant human thinking and behavior. Among the viewpoints up for debate are a consideration of organizations as evil structures, the "medicalization" of evil, destruction as a constructive choice, violence as a secular evil, talking about evil when it is not supposed to exist, and the influence of evil on forensic clinical practice. Among the highlights are a psychological exploration of the notion of "evil" and a variety of interesting research methods used to explore the nature of "evil."

Commingling of human remains presents an added challenge to all phases of the forensic process. This book brings together tools from diverse sources within forensic science to offer a set of comprehensive approaches to handling commingled remains. It details the recovery of commingled remains in the field, the use of triage in the assessment of commingling, various analytical techniques for sorting and determining the number of individuals, the role of DNA in the overall process, ethical considerations, and data management. In addition, the book includes case examples that illustrate techniques found to be successful and those that proved problematic.

This book introduces the reader to the basic principles of handwriting and the factors that affect their development. The book discusses the basic concept of the characteristics of writing that are compared when making an identification or elimination of a writer. In addition, readers will be able to recognize the signs of forgery and disguise and to distinguish between simulation and disguise.

A concise compilation of the known interactions of the most commonly prescribed drugs, as well as their interaction with nonprescription compounds. The agents covered include CNS drugs, cardiovascular drugs, antibiotics, and NSAIDs. For each class of drugs the authors review the pharmacology, pharmacodynamics, pharmacokinetics, chemistry, metabolism, epidemiological occurrences, adverse reactions, and significant interactions. Environmental and social pharmacological issues are also addressed in chapters on food and alcohol drug interactions, nicotine and tobacco, and anabolic doping agents.
Comprehensive and easy-to-use, Handbook of Drug Interactions: A Clinical and Forensic Guide provides physicians with all the information needed to avoid prescribing drugs with undesirable interactions, and toxicologists with all the data necessary to interpret possible interactions between drugs found simultaneously in patient samples.

Forensic mental health assessment (FMHA) has grown into a specialization informed by research and professional guidelines. This series presents up-to-date information on the most important and frequently conducted forms of FMHA. The 19 topical volumes address best approaches to practice for particular types of evaluation in the criminal, civil, and juvenile/family areas. Each volume contains a thorough discussion of the relevant legal and psychological concepts, followed by a step-by-step description of the assessment process from preparing for the evaluation to writing the report and testifying in court.
Volumes include the following helpful features:
- Boxes that zero in on important information for use in evaluations
- Tips for best practice and cautions against common pitfalls
- Highlighting of relevant case law and statutes
- Separate list of assessment tools for easy reference
- Helpful glossary of key terms for the particular topic
In making recommendations for best practice, authors consider empirical support, legal relevance, and consistency with ethical and professional standards. These volumes offer invaluable guidance for anyone involved in conducting or using forensic evaluations.
This book addresses evaluations for child protection, one of the most delicate legal arenas in which forensic mental examiners play a part. The evaluations are highly specialized, requiring child clinical specialization, a knowledge of the legal and social context, and a thorough understanding of the professional and ethical guidelines for child protection evaluations. This volume provides the foundation that any mental health professional needs when pursuing specialization in evaluating children and parents before the court in child abuse and neglect cases.

Handbook of Autopsy Practice, Fourth Edition is divided into three parts. Part I contains six new chapters in which the reader will find an assortment of tools that will increase the value of the autopsy. Included in the section are valuable resources and tools such as a sample next-of-kin letter, a quality assurance worksheet, new discourse on the dissection procedure which is accompanied by a worksheet and template for the gross description. There is also a new, detailed discussion of the safe handling of sharps, complete with photographs and the reader will also find the updated requirements of the Eye Bank of America and the U.S. Food and Drug Administration for ocular tissue transplantation.

Part II has been updated with new diseases and recent references added. Practicing autopsy pathologists, residents and students are invited to review this alphabetical listing of disorders before each autopsy in order to re-acquaint themselves with what they might encounter. Part III provides a series of tables providing organ weights and body measurements for fetuses, children and adults.

Handbook of Autopsy Practice Fourth Edition is an essential resource for clinicians, pathologists, residents and students who strive to hone their trade and increase the value of the autopsies they perform.