Comparative analysis of bones, mites, soil chemistry, nematodes and soil micro-Eukaryotes from a suspected homicide to estimate the post-mortem interval

Criminal investigations of suspected murder cases require estimating the post-mortem interval (PMI, or time after death) which is challenging for longer periods. Here we present the case of human remains found in a Swiss forest. We have used a multidisciplinary approach involving the analysis of bones, soil chemical characteristics, mites and nematodes (by microscopy) and micro-Eukaryotes (by Illumina high throughput sequencing). We analysed soil samples collected beneath the remains of the head, upper and lower body and “control” samples taken a few meters away. The PMI estimated on hair 14C-data via bomb peak radiocarbon dating gave a time range of 1 to 2 years before the finding of the remains on site. Cluster analyses for chemical constituents, nematodes, mites and micro- Eukaryotes revealed two clusters 1) head and upper body and 2) lower body and controls. From mite evidence, we conclude that the body was likely to have been brought to the site after death. However, chemical analyses, nematode community analyses and the analyses of micro-Eukaryotes indicate that decomposition took place at least partly on site. This study illustrates the usefulness of combining several lines of evidence for the study of homicide cases to better calibrate PMI inference tools

International Consensus Statement on Rhinology and Allergy: Rhinosinusitis

Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods: ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion: This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS

The biochemical alteration of soil beneath a decomposing carcass

The processes associated with cadaver decomposition in outdoor settings, particularly those that occur during the extended postmortem interval (>30 days) are poorly understood. Thus, few methods are currently available to accurately estimate the extended postmortem interval (PMI). Of these methods, a soils-based approach has the potential to address the postmortem interval between which entomology and anthropology are the most valuable. Although the validity of soil-based methods has previously been established, little work has been conducted to explain the processes that have been designated for forensic application. As a consequence, we investigated the dynamics of carbon, nitrogen, and phosphorus-based compounds in soil beneath pig (Sus scrofa) cadavers (gravesoil) that were placed on the soil surface over a period of 100 days. Decomposition was assessed through the physical characteristics of the cadaver, soil pH, soil moisture content, and the concentration of total carbon, total nitrogen, soil-extractable phosphorus, and lipid-phosphorus in soil. Cadaver decomposition did not result in a significant difference in soil carbon and moisture content. However, significant (P < 0.05) increases were observed in the concentration of soil pH, total nitrogen, soil-extractable phosphorus, and lipid-phosphorus. Based on the current results, a significant increase in the concentration of gravesoil nutrients represented a maximum PMI of 43 days (lipid-P), 72 days (total nitrogen), or 100 days (soil-extractable phosphorus). This work provides further evidence that a soil-based method has the potential to act as a tool for the estimation of extended PMI. © 2008 Elsevier Ireland Ltd. All rights reserved

Management of spontaneous dissection of the cervical carotid artery

This manuscript reviews the management of patients with spontaneous dissection of the cervical internal carotid artery (sICAD). Recommendations are not based on controlled-randomized trials, but on case-control and observational, hospital-based studies, and case reports. Vascular risk factors seem to be as prevalent in patients with sICAD as in age-matched, healthy volunteers. Stroke prevention includes the treatment of vascular risk factors and the administration of oral aspirin, which may be as effective as anticoagulation. The few available data indicate that most patients with sICAD causing severe stenosis or occlusion, or an aneurysm can be treated conservatively. Patients with sICAD were not excluded in the intravenous controlled-randomized thrombolysis trials with tissue plasminogen activator, but were excluded in the intraarterial controlled-randomized thrombolysis trials. Taking the few published case series and reports on thrombolysis in patients with sICAD into consideration, intravenous thrombolysis may be beneficial, whereas it remains unclear whether intraarterial thrombolysis is useful