The colour of the human skull.

The colour of the human skull was determined from 124 fresh skull samples using the tristimulus colour measurement system "Micro Color" and listed as The Commission Internationale de l'Eclairage (CIE) L*a*b*-values. The skulls were found to be relatively light (L*=72.5), nearly colourless on the a*-axis (a*=-7.4), and slightly yellow (b*=16.4). No difference was found between the colours of the outer and the inner surfaces of the skulls. Including a small number (n=8) of skulls from diabetic patients in the study, we detected no colour difference between the samples from diabetics and non-diabetics. However, a hitherto unknown correlation between the subjects' age and the yellowness (b*-value) of the skull could be demonstrated.

[Forensic medicine experiences in Kosovo]. / Rechtsmedizinische Erfahrungen im Kosovo.

In summer 1999, a German forensic team of CID officers and forensic pathologists was sent to Kosovo on request of the International Criminal Tribunal for the former Yugoslavia (ICTY) to investigate possible war crimes. For this purpose, witnesses had to be found and interrogated and graves of victims had to be located and the bodies exhumed and examined forensically. Roughly 200 bodies have been found and examined during the campaign that were predominantly of male sex and showed mainly gunshot wounds. A high percentage of all bodies could be identified. The article deals with different forensic-pathologic aspects of such an investigation.

Colour measurements of pallor mortis.

Little interest has yet been focused on the development of postmortem paleness (pallor mortis). Using an opto-electronical colour measurement device, we examined pallor mortis in 126 bodies and compared these findings to the average skin colour of 72 living Caucasian volunteers. It was shown that (a) hairy skin influences the results and any hair must be removed by shaving before colour determination, (b) among the living, there is a skin colour difference between the sexes which disappears after death, (c) postmortem paleness is caused by lack of capillary circulation after death and (d) paleness develops so rapidly after death that it has no or little use in determining time of death.

[Microscopic study of powders of hallucinogenic mushrooms--Psilocybe sp]. / Mikroskopische Untersuchung von Pulvern halluzinogener Pilze--Psilocybe sp.

The paper presents simple methods for microscopic examination and basic microchemical testing for the identification of suspect mushroom powders. The microscopic features of the most commonly cultivated and trafficked hallucinogenic genus Psilocybin are described and may serve for the decision whether any suspect material consists of such mushroom powder (and is therefore to be subjected to further analysis) or not.

[Microscopic examination of Guaraná powder--Paullinia cupana Kunth]. / Mikroskopische Untersuchung von Guaraná-Pulver-Paullinia cupana Kunth.

Guaraná is a product from the seeds of the Amazonian liana Paullinia cupana that is also cultivated since a couple of years. It is rich in caffeine and serves in Brasil for the production of stimulants, soft drinks, and sweets. In the drug scene it is sometimes trafficked as natural stimulant or drug surrogate. Microscopic examination shows the presence of starch and tannins and provides a simple, quick and cheap method to distinguish guaraná from drugs of abuse.

What happens in freezing bodies? Experimental study of histological tissue change caused by freezing injuries.

In order to evaluate histological features of freezing damages to human tissue after death, we froze samples of liver and heart tissue to temperatures of -12 degrees C, -28 degrees C and -80 degrees C, and stored them for 24 and 72 h, respectively, at those temperatures. After thawing and routine preparation for histology, the samples were evaluated both by microscope and with an electronic image analyzer. In all cases, we found extended extracellular spaces and shrunken cells resulting from the freeze-thaw cycle. These features were more pronounced in tissues stored for longer durations. Such findings seem to be typical of tissue that has been frozen prior to examination. Two cases of dead bodies found outdoors at subzero temperatures demonstrate that formerly frozen and unfrozen tissues can be distinguished histologically. The findings are examined in relation to the fundamental laws of cryobiology.

Honey with Psilocybe mushrooms: a revival of a very old preparation on the drug market?

In 1996 samples of suspicious honey preparations were confiscated at the Dutch-German border. The labels on the 50 ml jars indicated that the honey contained Stropharia cubensis (better known as Psilocybe cubensis). The jars were filled with honey with a ca. 1 cm layer of fine particles on the top. The particles were collected and subjected to microscopic and chemical analysis. By microscopy mushroom tissue (plectenchym) and spores typical for the genus Psilocybe were identified in all samples. The HPLC analysis with atmospheric pressure mass spectrometry and diode array detection revealed psilocine but psilocybine was not found. The quantitative analysis was very difficult due to the matrix problems. A search showed that the honey with Psilocybe can be purchased in Dutch coffee shops without any limitations although psilocine and psilocybine belong to listed substances according to Dutch law.

[Medical and non-medical assistance for suicide]. / Zur Frage der ärztlichen und nichtärztlichen Hilfe zur Selbsttötung.

Assistance to suicide can only be accepted ethically and juristically if the decision to commit suicide is based on a responsible, undisturbed freedom of decision-making. However, in a selection of the patients willing to commit suicide this freedom is restricted due to mental illness or other psychiatric disorders. In such cases doctors as well as laymen are obliged to help the patient to survive. Some problems may arise from the fact that medical laymen are frequently incompetent in distinguishing between mentally normal and disturbed states.

[Child abuse with fatal sequelae in an Essen autopsy sample]. / Kindesmisshandlung mit Todesfolge im Essener Sektionsgut.

In the Institute of Forensic Medicine in Essen/Germany 24 cases of lethal child battering or neglect have been observed over 17 years from 1973 to 1989. The medicolegal and morphologic findings in these cases are presented and compared to the literature. The patterns of abuse/neglect in Essen compare to those frequently reported in the literature: skull/brain traumas caused by blunt impact, multiple hematomas, bone fractures, and symptoms of malnutrition, vitamin deficiency, and general neglect. In many cases the abuse could be shown to have been chronic. In the seven years 1983-1989 the cases of lethal child mistreatment and neglect amounted to 0.18 percent of all autopsies. Five cases of lethal sexual assault in children during the same period are compared to the mistreated cases.

[Use of "fuzzy logic" and fractal geometry in forensic medicine]. / Zur Anwendung der "fuzzy logic" und der Fraktalgeometrie in der Rechtsmedizin.

New developments of scientific basic research may be of theoretical as well as of practical significance for forensic medicine. This will be demonstrated for two examples: fuzzy logic and fractal geometry.

Airway resistance of the posterior nasal pathways in sudden infant death victims.

In order to test the hypothesis that infectious swelling of parts of the inner nose causes airway obstruction and is of aetiological significance for sudden infant death (SID), we measured the airway resistances of the prepared posterior nasal pathways of 55 SID victims and 7 infants who died of other causes. About 25% of the SID victims but none of the control cases had strongly elevated nasal resistances; over 4000 kPa.s.m-3 up to unmeasurable values. A histological survey showed that about 50% of the SID cases and only 1 of the control cases exhibited distinct to severe signs of inflammation of the nasal mucous membranes. No correlation was found between nasal resistance and age, sex, body weight, body length, head circumference, or histological findings. We conclude that an elevated nasal resistance plays a role in some SID cases and that SID is rather the result of different processes than a monocausal disease.

[Homicide in the elderly. A study of homicide in the aged based on an Aachen autopsy sample of the 10-year period 1976-1985]. / Tötungsdelikte an älteren Menschen. Eine Untersuchung zur Greisentötung anhand des Aachener Obduktionsgutes aus dem Zehn-Jahres-Zeitraum 1976-1985.

Investigations on the peculiarities of homicides of the elderly are missing in the German literature up to the present date. Therefore we undertook an evaluation of the case files collected at the Aachen Institute of Forensic Medicine from the ten-year-period 1976-1985. Among 3736 autopsies we found 183 cases of homicide with 35 victims of 60 years and older. We collected peculiarities of modus operandi related to victim, suspect and offence and compared the data with such from police criminal statistics and partially with German population statistics. Two types of homicide of the elderly can be differentiated: One is independent of the victim's age whereas the other exploits the living conditions in the higher age (living alone, socially isolated, ailing, helpless etc.) For these latter cases the name "Gerontocide" is proposed. The paper deals with the peculiar difficulties of criminal investigation and clarification in such cases, resulting on the one hand from the lack of suspicion if elderly people die, on the other hand from the more difficult detection of causal relationship between offence and death--especially in the presence of severe illness of the victim.

[Sudden death in cerebral hemiatrophy]. / Plötzlicher Tod bei Hemiatrophia cerebri.

Hemiatrophia cerebri is a rare disease, and the etiology and pathogenesis remain unclear in most cases. In the present case, the marked hemiatrophy of the brain in a 19-year-old patient who died suddenly is attributed to encephalitis during early childhood and subsequent prolonged seizures.