Towards a biological monitoring guidance value for acrylamide.

Acrylamide is classified as a potential human carcinogen and neurotoxicant. Biological monitoring is a useful tool for monitoring worker exposure. However, other sources of exposure to acrylamide (including cigarette smoke and diet) also need to be considered. This study has performed repeat measurements of the urinary mercapturic acids of acrylamide (AAMA) and its metabolite glycidamide (GAMA) and determined globin adducts in 20 production-plant workers at a UK acrylamide production facility. The relationship between biomarker levels and environmental monitoring data (air levels and hand washes) was investigated. Good correlations were found between all of the biomarkers (r(2)=0.86-0.91) and moderate correlations were found between the biomarkers and air levels (r(2) = 0.56-0.65). Our data show that urinary AAMA is a reliable biomarker of acrylamide exposure. Occupational hygiene data showed that acrylamide exposure at the company was well within the current UK Workplace Exposure Limit. The 90th percentile of urinary AAMA in non-smoking production-plant workers (537 µmol/mol creatinine (n = 59 samples)) is proposed as a possible biological monitoring guidance value. This 90th percentile increased to 798 µmol/mol if smokers were included (n = 72 samples). These values would be expected following an airborne exposure of less than 0.07 mg/m(3), well below the current UK workplace exposure limit of 0.3mg/m(3). Comparison of biomarker levels in non-occupationally exposed individuals suggests regional variations (between UK and Germany), possibly due to differences in diet.

Experimental forensic studies of the preservation of pollen in vehicle fires.

The implications of the recent recommendations of the Law Commission regarding the use of admissibility tests have the potential to be far reaching for forensic disciplines that rely on the expertise of highly qualified expert witnesses. These disciplines will need a concomitant body of peer-reviewed experiments that provides a basis for the interpretations of such evidence presented in court. This paper therefore, presents such results from two experiments which were undertaken to address specific issues that were raised in cases presented in the British courtroom. These studies demonstrate that there is a variability in the persistence of Lily, Daffodil and Tulip pollen when exposed to high temperatures between 0.5min and 1440min (24h). It was possible to identify all three pollen types after 30min of exposure to 400°C, and after shorter time frames the threshold for successful identification was 700°C after 0.5min for all pollen types tested and 500°C for Daffodil and Lily after 5min of heat exposure. Over longer time periods (18h (1080min)) the different pollen types were found to persist in a viable form for identification at 300°C (Lily), 200°C (Daffodil) and 50°C (Tulip). These findings, albeit from a small sample of pollen types, provide empirical contextual information that would contribute to such evidence having sufficient scientific weight to meet admissibility criteria and be viable evidence for a court. These studies demonstrate the value in seeking pollen evidence from even such extreme crime scenes as encountered in vehicular fires.

The spatial and temporal distribution of pollen in a room: forensic implications.

This paper presents two experimental studies that deal with the spatial and temporal distribution of pollen grains within a room of a domestic dwelling. The findings concur with the preliminary work of Morgan et al. [1] and provide greater detail as to the behaviour of pollen grains within indoor locations that are pertinent for forensic investigations. The spatial distribution of pollen in a room exhibits strong distance decay trends, with the majority of pollen recovered within 0.8m of its source. The pollen was found to persist in increasing quantities during the time the flowers were in the room. This study also shows that 20days after the flowers were removed, 25-32% of the original pollen was still present within the room. The influence of disturbance was investigated and whilst areas of high disturbance were found to retain less pollen than undisturbed locations, the influence of the proximity to source was a more dominant factor. These findings have significant implications for forensic investigation protocols, particularly the collection and interpretation phases of trace evidence analysis. The distribution of pollen around a room ensures that viable sources of trace pollen are available for transfer if contact is made between a location in the room and a suspect. The persistence of pollen many days after the flowers have been removed from a room indicates that many rooms in domestic dwellings will have distinctive assemblages that reflect the history of the flowers that have been displayed within that room in the past, and that these assemblages will persist and therefore be available for transfer. These preliminary findings indicate that investigation by forensic palynology in indoor domestic settings may well be an underutilised technique that has the potential to provide accurate and valuable intelligence and evidence for forensic enquiry.

The recovery of pollen evidence from documents and its forensic implications.

Three experiments were undertaken to establish the potential for forensic palynological analysis in cases of suspected document fraud. The first study tested 6 different types of paper and 9 different types of ink (n=54) and it was established that the best retainer of particulates (in this case a proxy was used in the form of UV powder) was medium biro ink and Wove and Connoisseur paper. It was found that for the different paper types 42-52% of the particulates collected were found in the ink and thus both the paper and the ink are potentially valuable sources of trace evidence in a forensic investigation. The second study sought to address the differences in the spatial distribution of particulates on documents when writing took place before or after the paper was treated with UV particulates. Ninety-six observations were made for each piece of paper tested and it was found that when the writing took place after the particulates were applied to the paper; more particulates were retained on the paper in contrast to when the writing took place before the particulate treatment. The spatial distribution of particulates was also affected, with particulates being retained in the folds of the paper when the writing took place before particulate treatment in contrast to a more erratic pattern that emerged due to the pressure of the hand of the writer when the writing took place after the particulate treatment. The third study utilised lily (Lilium) pollen grains and the findings broadly concurred with the second study. The main difference identified was when the writing took place before the particulates were applied; when UV powder was used the particulates were retained in the folds of the paper whereas this pattern was not seen to the same degree when pollen grains were used due to their 'stickier' nature. Envelopes and the pen nibs were also found to be rich sources of pollen grains after the experiments were undertaken. These studies have implications for the application of forensic palynology in cases of suspected document fraud. Pollen grains may well be present, and their analysis has the potential to reveal not only the timing of the generation of the document, but the spatial trends revealed indicate that it may well be possible to establish the sequence of significant events for forensic reconstruction. As such forensic palynology is demonstrated to have great potential in aiding forensic investigations, and is as yet an under-utilised form of trace evidence.

Investigation of quartz grain surface textures by atomic force microscopy for forensic analysis.

This paper presents a study of quartz sand grain surface textures using atomic force microscopy (AFM) to image the surface. Until now scanning electron microscopy (SEM) has provided the primary technique used in the forensic surface texture analysis of quartz sand grains as a means of establishing the provenance of the grains for forensic reconstructions. The ability to independently corroborate the grain type classifications is desirable and provides additional weight to the findings of SEM analysis of the textures of quartz grains identified in forensic soil/sediment samples. AFM offers a quantitative means of analysis that complements SEM examination, and is a non-destructive technique that requires no sample preparation prior to scanning. It therefore has great potential to be used for forensic analysis where sample preservation is highly valuable. By taking quantitative topography scans, it is possible to produce 3D representations of microscopic surface textures and diagnostic features for examination. Furthermore, various empirical measures can be obtained from analysing the topography scans, including arithmetic average roughness, root-mean-square surface roughness, skewness, kurtosis, and multiple gaussian fits to height distributions. These empirical measures, combined with qualitative examination of the surfaces can help to discriminate between grain types and provide independent analysis that can corroborate the morphological grain typing based on the surface textures assigned using SEM. Furthermore, the findings from this study also demonstrate that quartz sand grain surfaces exhibit a statistically self-similar fractal nature that remains unchanged across scales. This indicates the potential for a further quantitative measure that could be utilised in the discrimination of quartz grains based on their provenance for forensic investigations.

Multiple transfers of particulates and their dissemination within contact networks.

The application of social network theory to understanding the nature and occurrence of multiple transfers of particulate evidence is demonstrated to be a useful means of identifying the prevalence of such transfers. Four experimental scenarios of increasing complexity empirically demonstrate that this trace particulate evidence exhibits behaviour in accordance with that previously identified for hair and fibre evidence. However, the utilisation of social network concepts is demonstrated to add valuable insights into the behaviour of this form of evidence and is shown to be a useful tool in highlighting the complexity of evidence dynamics. The identification of the networks within which trace evidence is transferred has implications for the robust interpretation of particulate evidence during the process of crime reconstruction.

Evaluation of particle-induced X-ray emission and particle-induced γ-ray emission of quartz grains for forensic trace sediment analysis.

The independent verification in a forensics context of quartz grain morphological typing by scanning electron microscopy was demonstrated using particle-induced X-ray emission (PIXE) and particle-induced γ-ray emission (PIGE). Surface texture analysis by electron microscopy and high-sensitivity trace element mapping by PIXE and PIGE are independent analytical techniques for identifying the provenance of quartz in sediment samples in forensic investigations. Trace element profiling of the quartz grain matrix separately from the quartz grain inclusions served to differentiate grains of different provenance and indeed went some way toward discriminating between different quartz grain types identified in a single sample of one known forensic provenance. These results confirm the feasibility of independently verifying the provenance of critical samples from forensic cases.

The reincorporation and redistribution of trace geoforensic particulates on clothing: an introductory study.

Two experimental studies were undertaken to investigate the processes of reincorporation and redistribution of trace evidence on garments when worn by a suspect or a victim (reincorporation) or after the garments have been seized and packaged for subsequent forensic analysis (redistribution). The first experiment utilised UV powder, an established proxy for geoforensic trace particulates and the second experiment utilised daffodil pollen transferred onto garments under conditions that mimicked forensic reality. It was demonstrated that reincorporation of trace particulates occurs from upper to lower parts of the same garment and also from upper garments to lower garments. Reincorporation also occurred to all areas of the lower garments, however the highest concentration of particulates was found to be the lap area of the jeans. Particulates also tended to be preserved around technical details such as stitching or relief design features of the garments. Thus the decay of particulates after a contact has been made does not necessarily involve a loss of those particulates from the entire system. These findings have implications for the interpretation of trace evidence when seeking to establish the source of initial contacts or the chronology of pertinent events. The second study demonstrated that folding and packaging items of clothing leads to a redistribution of any trace particulate evidence that is present thereby eliciting an alteration in the spatial distribution of that evidence. There is therefore a necessity to take the context of trace evidence into account and also to follow protocols that are sensitive to these aspects of trace evidence behaviour as a failure to do so may have consequences for the correct interpretation of such evidence.

Tracheoesophageal fistula secondary to chemical trauma: is there a place for planned conservative management?

OBJECTIVE: We present a unique case in which closure of a large tracheoesophageal fistula was achieved with planned conservative management. METHOD: The literature was reviewed for other documented cases of spontaneous closure of traumatic tracheoesophageal fistula. RESULTS: Acquired tracheoesophageal fistula may result secondary to a chemical burn from an alkaline disc battery impacted in the oesophagus, particularly when the presentation, and thus diagnosis, are delayed. This condition is rare. The majority of such cases occur in children, and are conventionally managed with surgical repair. We found only three previously reported cases in which conservative management was attempted. CONCLUSION: Non-interventional management should be tried initially for the management of paediatric acquired tracheoesophageal fistula, to permit closure by secondary intention.

Allele-specific antibodies to Plasmodium falciparum merozoite surface protein-2 and protection against clinical malaria.

IgG and IgG3 antibodies to merozoite surface protein-2 (MSP-2) of Plasmodium falciparum have been associated with protection from clinical malaria in independent studies. We determined whether this protection was allele-specific by testing whether children who developed clinical malaria lacked IgG/IgG3 antibodies specific to the dominant msp2 parasite genotypes detected during clinical episodes. We analysed pre-existing IgG and IgG1/IgG3 antibodies to antigens representing the major dimorphic types of MSP-2 by ELISA. We used quantitative real-time PCR to determine the dominant msp2 alleles in parasites detected in clinical episodes. Over half (55%, 80/146) of infections contained both allelic types. Single or dominant IC1- and FC27-like alleles were detected in 46% and 42% of infections respectively, and both types were equally dominant in 12%. High levels of IgG/IgG3 antibodies to the FC27-like antigen were not significantly associated with a lower likelihood of clinical episodes caused by parasites bearing FC27-like compared to IC1-like alleles, and vice versa for IgG/IgG3 antibodies to the IC1-like antigen. These findings were supported by competition ELISAs which demonstrated the presence of IgG antibodies to allele-specific epitopes within both antigens. Thus, even for this well-studied antigen, the importance of an allele-specific component of naturally acquired protective immunity to malaria remains to be confirmed.

Somatostatin actions on rat supraoptic nucleus oxytocin and vasopressin neurones.

Magnocellular neurones in the supraoptic nucleus (SON) receive major afferent inputs from the brainstem that have been implicated in the regulation of oxytocin and vasopressin secretion from the posterior pituitary. Notably, at parturition, some neurones that project from the nucleus tractus solitarii (NTS) in the brainstem directly to the SON are activated. Many of these are noradrenergic and regulate oxytocin secretion during parturition, whereas others contain somatostatin and their role is unclear. In the present study, we report that, at parturition, somatostatin mRNA expression in the NTS is significantly increased compared to pregnancy, suggesting an active role for these neurones at that time. Intracerebroventricular somatostatin infusion significantly increased plasma oxytocin secretion in both virgin female and pregnant rats. Intracerebroventricular somatostatin increased SON oxytocin and vasopressin neurone firing-rates, and increased Fos expression in the SON and paraventricular nucleus and in the subfornical organ. Retrodialysis of somatostatin onto the ventrally exposed SON also increased vasopressin neurone firing rate but, unexpectedly, decreased oxytocin neurone firing rate. The experiments indicate that somatostatin neurones in the NTS are activated during parturition but, because the direct effects of somatostatin on oxytocin neurones are inhibitory, this direct pathway does not appear to contribute to enhanced oxytocin release at this time, although indirect somatostatin effects may do so.

Holding personal information in a disease-specific register: the perspectives of people with multiple sclerosis and professionals on consent and access.

OBJECTIVE: To determine the views of people with multiple sclerosis (MS) and professionals in relation to confidentiality, consent and access to data within a proposed MS register in the UK. DESIGN: Qualitative study using focus groups (10) and interviews (13). SETTING: England and Northern Ireland. PARTICIPANTS: 68 people with MS, neurologists, MS nurses, health services management professionals, researchers, representatives from pharmaceutical companies and social care professionals. RESULTS: People with MS expressed open and altruistic views towards the use of their personal information to facilitate service provision and research, placing trust in responsible guardianship and legitimate use of their information. Participant's proposed that people with MS should be able to select their individual level of involvement in a register using levels of consent. It was agreed that access to the register should be governed by a guardianship committee composed of a range of stakeholders. People with MS did not wish their details to be used by marketing agencies and did not consider this a legitimate use of their data. Whilst participants were positive of the role a register could play in promoting research, participants felt that access to data by pharmaceutical industries should be administered by the guardianship committee. People with MS are concerned should their employers be able to access their personal information. Professionals were more cautious than people with MS in their approach to the use of patient personal data within a register. CONCLUSIONS: Whilst all stakeholders were positive of the benefits of an MS register, development of such a resource must incorporate robust data security and guardianship measures in order to ensure that, whilst opportunities are maximised, risks to the privacy of individuals and legal challenges to professionals are avoided.

The relevance of the evolution of experimental studies for the interpretation and evaluation of some trace physical evidence.

In order for trace evidence to have a high evidential value, experimental studies which mimic the forensic reality are of fundamental importance. Such primary level experimentation is crucial to establish a coherent body of theory concerning the generation, transfer and persistence of different forms of trace physical evidence. We contend that the forensic context, at whatever scale, will be specific to each individual forensic case and this context in which a crime takes place will influence the properties of trace evidence. It will, therefore, be necessary in many forensic cases to undertake secondary level experimental studies that incorporate specific variables pertinent to a particular case and supplement the established theory presented in the published literature. Such studies enable a better understanding of the specific forensic context and thus allow more accurate collection, analysis and interpretation of the trace physical evidence to be achieved. This paper presents two cases where the findings of secondary level experimental studies undertaken to address specific issues particular to two forensic investigations proved to be important. Specific pre-, syn- and post-forensic event factors were incorporated into the experimental design and proved to be invaluable in the recovery, analysis and in achieving accurate interpretations of both soil evidence from footwear and glass trace evidence from a broken window. These studies demonstrate that a fuller understanding of the specific context within which trace physical evidence is generated and subsequently collected, as well as an understanding of the behaviour of certain forms of trace physical evidence under specific conditions, can add evidentiary weight to the analysis and interpretation of that evidence and thus help a court with greater certainty where resources (time and cost) permit.

The preservation of quartz grain surface textures following vehicle fire and their use in forensic enquiry.

During a terrorist trial, dispute arose as to whether the temperature produced in a car fire was sufficient to destroy quartz grain surface textures. A series of seven sequential experiments showed that the temperature for quartz surface texture modification/destruction and the production of vugs, vesicles and glassy precipitation ('snowdrifting') occurred at 1200 degrees C under normal atmospheric conditions. By adding a number of man-made and natural substances, it was found that only the presence of salts depressed this modification temperature (to 900 degrees C). Experiments to determine the temperature of fire in a car indicated that the maximum temperature produced under natural conditions (810 degrees C) was insufficient to affect the quartz grain surface textures. These results confirm the use of surface texture analysis of quartz grains recovered from the remains of cars subjected to fire and their use as a forensic indicator.

The use of grain size distribution analysis of sediments and soils in forensic enquiry.

The use of grain size distribution analysis in forensic enquiry was investigated with reference to four forensic case studies which contained the type of sample restraints and limitations often encountered in criminal case work. The problems of the comparison of trace and bulk samples are outlined and the need for multiple sample analysis is highlighted. It was found that the problems of soil analysis, particularly when the soil was recovered from anthropogenic sources, focused on the lack of identification of pre-, syn- and post-forensic event mixing of materials, thus obscuring the recognition of false-negative or false-positive exclusions between samples. It was found that grain size distribution analysis was a useful descriptive tool but it was concluded that if it were to be used in any other manner the derived results should be treated with great caution. The statistical analyses of these data did not improve the quality of the interpretation of the results.

Presentation of first branchial cleft anomalies: the Sheffield experience.

Abnormalities of the first branchial cleft are rare. They may present with a cutaneous defect in the neck, parotid region, external auditory meatus or peri-auricular area, or with inflammatory or infective lesions at these sites. A retrospective case note review of the patients treated by the senior author is presented. This group consisted of 18 patients and represents the largest published UK series to date. Eleven patients (65 per cent) had undergone incomplete surgery prior to referral. Over half the patients had a clinically apparent lesion in relation to the external auditory meatus. There was a variable relationship between the tract and the facial nerve, which was identified at surgery in 15 cases. These findings are consistent with those of previously published series. Clinicians should keep this diagnosis in mind when assessing patients with infected lesions in the neck and parotid area. Surgeons should be familiar with parotid surgery, in children where appropriate, and be prepared to expose the facial nerve before embarking on the surgical management of these lesions.