Gita Mall

• University Hospital Jena, Fridrich Schiller University

The maxillary sinus plays an important role in the forensic identification of unknown deceased individuals. This study aimed to evaluate whether matching postmortem computed tomography (CT) images from virtual autopsies with antemortem CT examinations from a clinical database enables reliable identification using computer vision (CV) techniques. Fr...

Objectives Computer vision (CV) mimics human vision, enabling the automatic comparison of radiological images from recent examinations with a vast image database for unique identification. This method offers significant potential in emergencies involving unknown individuals. This study assesses whether maximum intensity projection (MIP) images from...

In systemic hyper-inflammation, as in severe COVID-19 disease, there are pronounced disorders of the hematological and lymphatic systems with prognostically relevant hemophagocytosis of the bone marrow. The current work aimed to address the importance of hemophagocytosis in the lymph nodes of patients with severe COVID-19 disease. From 28 patients...

Background Nearly all practical forensic age diagnostics studies estimate the probability distribution of the age conditional on the developmental status of a certain anatomical feature. Given such a probability distribution, the probability of a person exceeding a certain legal age threshold is computed. In court, forensic experts are often asked...

Background: SARS-CoV-2 variants are constantly emerging with a variety of changes in the conformation of the spike protein, resulting in alterations of virus entry mechanisms. Solely omicron variants use the endosomal clathrin-mediated entry. Here, we investigate the influence of defined altered spike formations to study their impact on premature...

Objective Obesity is an independent risk factor for severe influenza virus and COVID-19 infections. There might be an interplay between adipose tissue and respiratory pathogens, although the mechanism is unknown. Proinflammatory factors secreted by the adipose tissue are often discussed to serve as indirect contributor to virus infection. However,...

Temperature-based time of death estimation using simulation methods such as the finite element method promise higher accuracy and broader applicability in nonstandard cooling scenarios than established phenomenological methods. Their accuracy depends crucially on the simulation model to capture the actual situation, which in turn hinges on the repr...

Background COVID-19 now exists for more than 3 years and has caused almost 7 million deaths worldwide. At the beginning of this study only little was known on the patients’ characteristics and comparative autopsy studies are still rare. Material and methods Between 11 March 2020 and 10 March 2021, 55 consecutive and complete autopsies of individua...

Rectal temperature measurement (RTM) from crime scenes is an important parameter for temperature-based time of death estimation (TDE). Various influential variables exist in TDE methods like the uncertainty in thermal and environmental parameters. Although RTM depends in particular on the location of measurement position, this relationship has neve...

In late 2019, the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as the causative agent of coronavirus disease 2019 (COVID-19) emerged in China and spread rapidly around the world, causing an ongoing pandemic of global concern. COVID-19 proceeds with moderate symptoms in most patients, whereas others experience serious respirato...

In times of peace and except for terrorist attacks, fatalities by explosions are rare. Fireworks have deadly potential, especially self-made or illegally acquired devices. The use of professional pyrotechnics by untrained persons poses a life-threatening hazard. We present a case of devastating blunt force and blast injuries to the head and chest o...

The age of majority, which corresponds to the age of 18 years in most European countries, plays a crucial role for a large number of legal decisions. Accordingly, an increasing number of requests by authorities to forensic age estimation experts comprise the question of whether the age of 18 years has been reached by an individual. In recent years,...

The reconstruction of traffic accidents involving powered two-wheelers (PTWs) frequently proves to be a challenging task. A case in which a fatal head-on crash of a PTW with a small truck where only minor vehicles damage was observed but resulted in isolated fatal chest trauma is discussed here. External examination of the corpse revealed two lacer...

The use of autopsies in medicine has been declining. The COVID-19 pandemic has documented and rejuvenated the importance of autopsies as a tool of modern medicine. In this review, we discuss the various autopsy techniques, the applicability of modern analytical methods to understand the pathophysiology of COVID-19, the major pathological organ find...

Determining majority plays a key role for forensic age diagnostics in living individuals. Recent data suggest that magnetic resonance imaging (MRI) of the proximal tibial epiphysis (PTE) may be a suitable alternative or at least an additional tool to clarify whether an individual has reached majority. However, the reference data situation is still...

Zusammenfassung Die Differenzialdiagnostik von Hautläsionen bei Lebenden gehört zum wesentlichen Aufgabenspektrum der „klinischen Rechtsmedizin“. Im vorliegenden Fall eines 10 Monate alten Jungen mit nichtjuckenden, jedoch geformt wirkenden Hautläsionen bat die behandelnde Kinderarztpraxis um rechtsmedizinische Mitbeurteilung wegen des Verdachts ei...

Clinical observations indicate that COVID-19 is a systemic disease. An investigation of the viral distribution within the human body and its correlation with tissue damage can aid in understanding the pathophysiology of SARS-CoV-2 infection. We present a detailed mapping of the viral RNA in 61 tissues and organs of 11 deceased patients with COVID-1...

Background: In patients diagnosed with cervical cancer, the purpose of lymphadenectomy is the removal of lymph nodes for diagnosis and potential treatment of metastasized tumor cells. It is unclear if afferent lymphatic vessels harbor tumor cells and, thus, may pose additional risk for recurrence or progression if not removed. Aim: In this feasibil...

Aims Haemophagocytosis in the bone marrow of patients who have succumbed to COVID‐19 has not been widely studied. The aim of the present study was to perform morphological analyses and morphometry of haemophagocytosis in bone marrow of patients with severe COVID‐19 and to correlate the findings to the clinical course of the disease. Methods and Re...

Aims Dendritic cells (DCs) are central mediators of adaptive immunity, and there is growing evidence of their role in myocardial inflammatory disease. We hypothesized that plasmacytoid and myeloid DCs are involved in the mechanisms of myocarditis and analysed these two main subtypes in human myocarditis subjects, as well as in a murine model of exp...

Für die Asservierung von Maden am Tat- oder Fundort ohne Zugriff auf 70 % Ethanol kann auch Schnaps verwendet werden. Empfohlen wird eine klare Spirituose mit hohem Alkohol- und geringem Zuckergehalt. Die Fixierung der Asservate kann im Nachgang erfolgen.

Estimation of time of death based on a single measurement of body core temperature is a standard procedure in forensic medicine. Mechanistic models using simulation of heat transport promise higher accuracy than established phenomenological models in particular in nonstandard situations, but involve many not exactly known physical parameters. Ident...

Temperature-based estimation of time of death (ToD) can be performed either with the help of simple phenomenological models of corpse cooling or with detailed mechanistic (thermodynamic) heat transfer models. The latter are much more complex, but allow a higher accuracy of ToD estimation as in principle all relevant cooling mechanisms can be taken...

Temperature based death time estimation (TDE) is severely limited in situations where body core temperature has almost decreased to ambient temperature. The TDE method of Marshall/Hoare and Henßge (MHH) defines a lower bound TK for body core temperature below which the time p.m. should be stated to be >10 h only. A recent study (Potente et al., 201...

Purpose In forensic odontology the comparison between antemortem and postmortem panoramic radiographs (PRs) is a reliable method for person identification. The purpose of this study was to improve and automate identification of unknown people by comparison between antemortem and postmortem PR using computer vision. Materials and Methods The study i...

More accurate estimates of the time since death can be obtained by analyzing postmortem body cooling for medium and short times since death. When postmortem phase phenomena are no longer measureable and the temperature of the body has reached ambient temperature, putrefaction and decomposition are the only processes left for time of death estimatio...

Post-mortem body cooling is the foundation of temperature-based death time estimations (TDE) in homicide cases. Forensic science generally provides two types of p.m. body cooling models, the phenomenological and the physical models. Since both of them have to implement important individual parameters like the quantity of abdominal fat explicitly or...

Differences in growth rate of forensically important dipteran larvae make species determination an essential requisite for an accurate estimation of time since colonization of the body. Interspecific morphological similarities, however, complicate species determination. Muscle attachment site (MAS) patterns on the inside of the cuticula of fly larv...

Temperature-based death time estimation is based either on simple phenomenological models of corpse cooling or on detailed physical heat transfer models. The latter are much more complex but allow a higher accuracy of death time estimation, as in principle, all relevant cooling mechanisms can be taken into account. Here, a complete workflow for fin...

The popular assumption persists that wounded or injured carcasses and by association human bodies, provide enhanced attraction and opportunity for the oviposition of forensically important flies and therefore lead to accelerated putrefaction. Recent studies, however, contradict this assumption. In this study piglet carcasses were exposed in early s...

The most established method for temperature based death time estimation is based on an empirical double exponential model. New physically based approaches using numerical simulation techniques are subject of current research. A major advantage of such models is the possibility to incorporate non-standard boundary conditions. The aim of this study w...

Background: Atherosclerosis is an inflammatory disease of the vessel wall promoted by different immune cells and inflammatory mediators. Methods: In this study, 26 human plaques and 12 control vessels without atherosclerosis were immunohistochemically stained to analyze the emergence of mast cells dependent on plaque morphology and to correlate...

The accuracy of the input parameter values limits the accuracy of the output values in forensic temperature-based death time estimation (TDE) like in many scientific methods. A standard strategy to overcome this problem is to perform multiple measurements of the input parameter values, but such approaches are subject to noise accumulation and stoch...

To further establish species determination using the muscle attachment site (MAS) pattern method, third instar larvae of five forensically important species of Sarcophaga Meigen were investigated: Sarcophaga argyrostoma (Robineau-Desvoidy), Sarcophaga caerulescens Zetterstedt, Sarcophaga melanura Meigen, Sarcophaga albiceps Meigen and Sarcophaga si...

Forensic case work as well as literature shows that severe head injuries, e.g., with basilar fractures and cerebral hemorrhages due to stomps can be seen; however, there is no data basis concerning contact forces and potential influencing factors. The objective of this work was to generate a data basis of contact forces in stomping by performing ex...

The determination of the time since death is essential to forensic homicide investigations since the time of death represents the presumed time of the offence. Erroneous death time estimates may lead to false acquittal or conviction of suspects. Since its introduction 30years back, the nomogram method by Henßge has been established as the standard...

Atherosclerosis is a chronic inflammatory disease of the arterial wall in which presentation of autoantigens by dendritic cells (DCs) leads to the activation of T cells. Anti-inflammatory cells like Tregs counterbalance inflammation in atherogenesis. In our study, human carotid plaque specimens were classified as stable (14) and unstable (15) accor...

Species identification is generally assessed to be more difficult in larval stages than in adult forms. Especially closely related species such as Lucilia caesar and Lucilia illustris are difficult to identify. The aim of this study was to simplify species determination in Lucilia larvae for entomological and forensic purposes. Muscle attachment si...

Estimating time of death of buried human bodies is a very difficult task. Casper’s rule from 1860 is still widely used which illustrates the lack of suitable methods. In this case study excavations in an arbor revealed the crouching body of a human being, dressed only in boxer shorts and socks. Witnesses were not able to generate a concise answer a...

Marshall and Hoare’s double exponential model with Henßge’s parameters is a well known method for temperature based death time estimation. The authors give 95%-confidence intervals for their method. Since body cooling is a complex thermodynamical process, one has to take into account a potential bias of the estimator. This quantity measures the sys...

A major problem arising frequently in Bayesian estimation (BE) is to cope with a shift (e.g. a bias) of the likelihood probability. This paper investigates the impact of a severely shifted continuous likelihood probability on the output of BE in the real numbers. The result can be interpreted as a classification of asymptotic conditional probabilit...

Bayesian estimation applied to temperature based death time estimation was recently introduced as conditional probability distribution or CPD-method by Biermann and Potente. The CPD-method is useful, if there is external information that sets the boundaries of the true death time interval (victim last seen alive and found dead). CPD allows computat...

In practical case work, forensic experts can be confronted with the problem of estimating cold exposure times in the living given the core body temperature after exposure. However, the current literature lacks systematic studies of body cooling in the living and cooling rates under different circumstances. The objective of our study is to provide w...

Cadavers can be colonized by a wide variety of bacteria and fungi. Some of these microbes could change the concentration or the metabolic pattern of drugs present in postmortem samples. The purpose of this study was to identify fungi from human postmortem material and to further assess their potential role in the metabolism of drugs. Aliquots of 25...

The blowflies Calliphora vicina and Calliphora vomitoria are among the first colonizers of human remains in Europe. Laboratory development studies with immature stages of these blowflies for postmortem interval (PMI) calculations are generally performed on different media such as processed food substrates or liver of various animals. The question a...

In the case presented, conflicting witness accounts and the subject's injuries were highly suspicious of an assault that might have caused the balcony fall. For the reconstruction, a simulation software, originally designed for motor vehicle accident reconstruction, was used. Three scenarios were simulated using the PC-Crash multibody pedestrian mo...

For an expert opinion, the course of events in a conflict resulting in a 3 cm deep and 1.8 cm wide stab wound on the neck of a woman was to be reconstructed. Based on the statements of witnesses, there were three possible scenarios: 1. The knife was thrown from a distance of about one meter. 2. The knife had accidentally slipped from the hand. 3. T...

AimsDendritic cells (DCs) are sentinels of the immune system—their role in myocardial disease is unknown as yet. We investigated their myocardial presence in human dilated cardiomyopathy (DCM).Methods and resultsEndomyocardial biopsies from 72 patients with DCM (EF ∼30%), as well as myocardial specimens from 18 suicide or accident victims were immu...

PCR is a commonly used and highly efficient technique in biomolecular laboratories for specific amplification of DNA. However, successful DNA amplification can be very time consuming and troublesome because many factors influence PCR efficiency. Especially GC-rich DNA complicates amplification because of generation of secondary structures that hind...

Kinship relation and, in particular, paternity probability estimation using a Bayesian approach require the input of a priori probabilities of different hypotheses. In practical case work, a priori probabilities or priors, for short, must often be estimated using only common sense and symmetry arguments because in most cases, there is no evidence-b...

Traumatic limb amputations and transections of the trunk generally indicate high impact velocities. Complete traumatic severances of the trunk in road accidents however are rarely reported in literature. We describe a case where the trunk of a motorcyclist was completely severed as he hit the post of a traffic sign. Based on the documented end posi...

DC (dendritic cells) play an important role in the immune system. They invade peripheral tissues to detect harmful antigens, inducing a local immune response. Studies suggest that DCPs (dendritic cell precursors) might be reduced in AMI (acute myocardial infarction); however, the reason for their reduction is unknown yet. In the present study, circ...

Temperature-based methods represent essential tools in forensic death time determination. Empirical double exponential models have gained wide acceptance because they are highly flexible and simple to handle. The most established model commonly used in forensic practice was developed by Henssge. It contains three independent variables: the body mas...

The most common method used in determining the estimated time since death in the early post-mortem phase is back-calculation based on rectal temperature decrease. Cooling experiments are essential for model generation and validation. Post-mortem temperature models are necessary to perform back-calculations. Thus far, cooling experiments have not be...

Model-based methods play an important role in temperature-based death time determination. The most prominent method uses Marshall and Hoare's double exponential model with Henssge's parameter determination. The formulae contain body mass as the only non-temperature parameter. Henssge's method is well established since it can be adapted to non-stand...

A simple clearing technique is presented by which species specific structures and organs of blowfly larvae can easily be visualized and displayed without any danger of mechanical damages or dislocations of delicate formations and without fixation of the object.

The presence of temporary myocardial pacing leads is considered a safety contraindication for magnetic resonance imaging (MRI). The aim of this ex vivo tissue study was to measure the heating effects at the tip of the leads using proton magnetic resonance spectroscopy ((1)HMRS) thermometry. The tissue effects were verified by histological analyses....

Development of larvae of different forensically important flies under constant low, medium and high temperatures as well as under daily fluctuating temperatures in a climatic chamber was investigated and compared. Results suggest faster development under fluctuating temperatures for Sarcophaga argyrostoma and Lucilia illustris but slower developmen...

Unter Vergiftung versteht man die schädliche Einwirkung toxischer Substanzen (Gifte) auf den Organismus und die daraus resultierende Symptomatik. Da Letztere mehr oder weniger charakteristisch für das aufgenommene Gift ist, kann sie bei unklarem Vergiftungsverdacht wichtige Hinweise auf die mögliche Vergiftungsursache liefern. Dies ist bei der klin...

The use of tracker dogs is the main method of finding hidden bodies, and in their search the dogs use typical scent patterns. "Electronic noses" can also be used to find and compare such patterns. Highly sensitive scent detectors have been successfully applied, e.g. in the examination of foodstuffs, in environmental tests and in material research....

In drug abusers, white matter changes have been described by neuroimaging analyses in different brain regions. A specific pattern of involvement or a predominance of a specific brain region could not be drawn. To examine alterations of the white matter as a possible morphological substrate of the neuroimaging findings. Brain specimens of 30 polydru...

We report a case of fatal gastric rupture discovered after death, which developed due to a bulimic attack of a 19-year-old woman suffering from anorexia nervosa. An autopsy revealed an acute gastric dilatation and rupture without commonly observed ischemic damage of gastric wall structures. However, it may be difficult to determine the cause of dea...

We report the case of a 33-year-old transsexual man who developed severe sepsis after an accidental intravenous injection of urine (3-5 ml) instead of methadone. He died unexpectedly 28 days after the onset of sepsis. On postmortem examination, the outstanding findings were restricted to the heart with an unusual macroscopic presentation. On histol...

Methotrexate (MTX) is an effective disease modifying antirheumatic drug (DMARD) with a relatively safe profile, and it is widely used to treat neoplastic diseases and dermatologic and rheumatologic disorders. As indications for use of MTX increase, more accidental overdoses are noted to occur. Typical problems include deficiencies in labeling, inst...

In drug abusers, white matter hyperintensities, perfusion deficits, and metabolic disturbances are detected by neuroimaging analyses in different brain regions. A specific pattern of involvement or a predominance of a specific brain region cannot be drawn. To examine changes of the cerebral microvasculature as a possible morphological substrate of...

The temperature-oriented death time determination is based on mathematical model curves of postmortem rectal cooling. All mathematical models require knowledge of the environmental conditions. In medico-legal practice homicide is sometimes not immediately suspected at the death scene but afterwards during external examination of the body. The envir...

A 71-year-old patient with melena, abdominal and lower back pain was admitted to hospital under suspicion of upper gastrointestinal bleeding. He had mild anemia and an elevated C-reactive protein. Endoscopy and ultrasound failed to localize the source of bleeding. The patient died 2 1/2 days after admission on an exsanguinating hemorrhage. On patho...

Ein 71-jhriger Patient wurde aufgrund von Teersthlen, Bauch- und Rckenschmerzen mit Verdacht auf eine obere gastrointestinale Blutung stationr eingewiesen. Bei Aufnahme wurden eine milde Anmie sowie eine Erhhung des C-reaktiven Proteins festgestellt. Mittels endoskopischer und sonographischer Untersuchungen konnte keine Blutungsquelle dargestellt w...

The present paper is part of a study investigating the application of the Finite-Element-Method to temperature-based death time determination. Part I introduced a three-dimensional Finite-Element model of the human body containing different tissue compartments with different thermal tissue properties. The initial temperature distribution is modelle...

The determination of the time since death which often represents the presumed time of an offence plays an important role in medico-legal practice. In the early postmortem phase analyses of postmortem cooling provide the most accurate estimates. Empirical models of postmortem cooling are methodically restricted to standard conditions while heat flow...

Bone tunnel enlargement is a common phenomenon following reconstruction of the anterior cruciate ligament (ACL). Biomechanical and biological factors have been reported as potential causes of this problem. However, there is no analysis of forces between the graft and bone, as the graft changes direction at the bone tunnel entrance. The purpose of t...

Irradiation poses a major problem to determining the time since death by temperature-based methods. Neither empirical nor heat-flow postmortem cooling models have so far been able to assess irradiation. Heat-flow models seem overall better suited to calculate irradiation because of their direct relation to the physics of heat transfer. An implement...

Cocaine abuse represents a worldwide significant forensic issue as it is becoming widely recognized as one of the most dangerous illicit drugs in common use today. Besides cardiovascular complications, psychiatric and neurologic symptoms are the most common manifestations of cocaine toxicity. The latter include seizures, movement disorders and cere...

This study examined the impingement behavior of the uninjured ACL and the impingement pressure and tension forces of the ACL to draw conclusions for ACL reconstructions. A miniature pressure sensor was inserted between the ACL and the intercondylar roof of 15 knees of human cadavers before and after a 3-mm notch roof resection (thickness of the sen...

Heat loss depends on the temperature gradient between body surface and environment. Skin cooling data in the forensic literature are scarce and models for skin cooling have not been developed. The dependence on the environmental temperature is a general problem in modelling postmortem cooling processes; most models of rectal cooling are therefore r...

The temperature-based determination of the time since death in the early post-mortem (pm) period plays an important role in medico-legal practice. In contrast to the common opinion according to which convection and conduction are mainly responsible for post-mortem heat loss, a considerable part of energy is emitted by thermal radiation. The present...

The neuropathological features seen in two cases with cerebral amyloid angiopathy (CAA) are presented. An 85-year-old woman was found comatose at home and died on the way to the hospital. The cause of death was an intracerebral hemorrhage (ICH) in the right parietal lobe. A 93-year-old woman with a history of traumatic subarachnoid hemorrhage was o...

A 33-year-old male black student suddenly died during a basketball game. His previous medical history, including his neurological status, was unremarkable, but he was known to take anabolic steroids for several years. At autopsy, the cause of death was due to a fresh myocardial infarction. On neuropathological examination, there was extensive bilat...

The determination of sex and the estimation of stature from bones play an important role in identifying unknown bodies, parts of bodies or skeletal remains. In medico-legal practice statements on the probable sex of a decomposed body or part of a body are often expected even during autopsy. The present study was, therefore, restricted to few easily...

The purpose of this study was to analyze the accuracy of commonly used techniques for the measurement of knee extension and to compare them with a new measurement device. The bars of an external fixator were used to determine reference knee extension angles of 15 human cadavers. These angles were compared with measurements of knee extension on radi...

The present study deals with the development of a method for determining time-dependent temperature decrease rates and its application to postmortem surface cooling. The study concentrates on evaluating skin cooling behavior since data on skin cooling in the forensic literature are scarce. Furthermore, all heat transfer mechanisms strongly depend o...

The determination of sex from bones or bone fragments considerably contributes to identifying unknown bodies or skeletal remains. Due to temporal change and regional differences anthropometric standards have to be constantly renewed. The present study provides measurements of femoral dimensions in a contemporary German population and analyses sexua...

A broad spectrum of neuropathologic changes are encountered in the brains of heroin abusers. The main findings are due to infections, either due to bacterial spread from bacterial endocarditis, mycoses, or from HIV-1 infection. Other complications include hypoxic-ischemic changes with cerebral edema, ischemic neuronal damage and neuronal loss, whic...

Two cases of unexpected death in persons with epileptic seizures due to a brain tumor are presented which encompassed an astrocytoma WHO grade II and an anaplastic astrocytoma WHO grade III. A 35-year-old man was found somnolent and disoriented at home. A computed tomography (CT) scan revealed a tumor of the right frontal lobe suggestive for an oli...

With the help of the law of Stefan and Boltzmann and a model for the cooling of exposed skin derived from the data of Lyle and Cleveland [7], the radiation energy loss ER can be calculated according to the following formula:\(\) where ɛ represents the emissivity of the skin (0.98), σ the Stefan-Boltzmann constant, AR the radiating surface area, TS(...

The positions of the head of the mandible, of the articular disc and the outline of the temporal surface are digitized from sagittal MRI-scans of the temporomandibular joint of a 32-year-old subject in 5 different positions of occlusion. The stress distribution in the joint is calculated on the basis of these data. For each position of the condyle,...

The present paper aims at analysing the significance of the anatomical structures of the human skull base for mechanical modelling. Three different Finite-Element (FE)-models of the human neurocranium were developed. The most complex model (1242 solid cuboid elements) contains holes and spaces functionally simulating the foramina and fissures and a...

Conduction and convection are assumed to account for most of the energy loss from the dead body to the (cooler) environment. There are no quantitative estimations in the literature for the contribution of radiation to heat loss. The aim of the present paper was to estimate the radiation energy loss in postmortem cooling. The Stefan-Boltzmann law is...

Due to its functional significance the human skull plays an important role in biomechanical research. The present work describes a new Finite-Element model of the human neurocranium. The dry skull of a middle-aged woman served as a pattern. The model was developed using only the preprocessor (Mentat) of a commercial FE-system (Marc). Unlike that of...