Biomedical subjects

Gita Mall

Publications and source records attributed to Gita Mall.

7 recordsLinked to original sources

PubMed2005

Estimation of time since death by heat-flow Finite-Element model. Part I: method, model, calibration and validation.

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 models can in principle be applied to any complex cooling situations. The main problem having so far prevented heat flow models from being used in practice was the difficulty of solving the heat transfer equation for complex geometrical, initial and boundary conditions. This problem is now overcome by using the Finite-Element-Method as a numerical procedure. The study presents a three-dimensional Finite-Element-Model of the human body containing various tissue compartments with different thermal tissue properties. The initial temperature field is modelled inhomogeneously with a temperature gradient between body core and shell. Heat loss by conduction, convection and radiation as well as heat gain by supravital activity or irradiation from external sources can be simulated. One model parameter, the decrease rate of the supravital energy production, was calibrated and the model successfully validated using the experimentally verified empirical model by Marshall and Hoare.

Algorithms↗

PubMed2005

Estimation of time since death by heat-flow Finite-Element model part II: application to non-standard cooling conditions and preliminary results in practical casework.

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 modelled inhomogeneously with a gradient between core and shell. Boundary conditions such as heat loss by convection or radiation as well as heat gain by supravital energy production or irradiation can be modelled. One model parameter, the decrease rate of the supravital energy production, was calibrated using the empirical model by Marshall and Hoare. Validation was successful using the Marshall and Hoare model as well for standard cooling situations. Part II now concentrates on the application of the model to non-standard cooling conditions and in practical casework. The parameters that have to be recorded at the crime scene are discussed. Special attention has to be paid to the insertion depth of the rectal temperature probe and to the thickness of the clothing material. Five real cases are presented, where the time of death is meanwhile known. The different steps of adjusting the standard Finite-Element model to the actual body and environmental conditions are described. In all cases, the victims were completely clothed. In one case, the victim was turned from a ventral to a dorsal position. In another case, the victim was killed and transported at room temperature in still air and then deposited outside in a much lower temperature and in slight wind. The model produced plausible results in all cases. The Finite-Element cooling curves are compared to the curves produced by the empirical model of Henssge. In two cases with strong body constitutions, the time since death was considerably overestimated by the Henssge model, in the other cases slightly. The results indicate that the heat transfer approach by Finite Elements is suited to considerably improve death time estimation.

Adult↗

PubMed2004

Temperature-based death time estimation with only partially known environmental conditions.

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 environmental temperature at the death scene remains unknown or can only be roughly reconstructed. In such cases the question arises whether it is possible to estimate the time since death from rectal temperature data alone recorded over a longer time span. The present study theoretically deduces formulae which are independent of the initial and environmental temperatures and thus proves that the information needed for death time estimation is contained in the rectal temperature data. Since the environmental temperature at the death scene may differ from that during the temperature recording, an additional factor has to be used. This is that the body core is thermally well isolated from the environment and that the rectal temperature decrease after a sudden change of environmental temperature will continue for some time at a rate similar to that before the sudden change. The present study further provides a curve-fitting procedure for such scenarios. The procedure was tested in rectal cooling data of from 35 corpses using the most commonly applied model of Henssge. In all cases the time of death was exactly known. After admission to the medico-legal institute the bodies were kept at a constant environmental temperature for 12-36 h and the rectal temperatures were recorded continuously. The curve-fitting procedure led to valid estimates of the time since death in all experiments despite the unknown environmental conditions before admission to the institute. The estimation bias was investigated statistically. The 95% confidence intervals amounted to +/-4 h, which seems reasonable compared to the 95% confidence intervals of the Henssge model with known environmental temperature. The presented method may be of use for determining the time since death even in cases in which the environmental temperature and rectal temperature at the death scene have unintentionally not been recorded.

Adult↗

PubMed2004

Simulating irradiation power density on body surface in postmortem cooling.

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 implementation of irradiation boundary conditions in heat-transfer models requires the knowledge of the irradiation power density on the body surface. The present study develops formulae and implements them in a computer program to simulate the radiation power density on a semi-cylindrical body surface coming from irradiation by a rectangular radiant heater nearby or from the sun. The formulae are valid for deliberate geometrical arrangements of either body and radiant heater or body and sun. In case of the radiant heater scenario shading functions for the shading of the semi-cylinder by itself and by the rear panel of the radiant heater are developed. In case of the sun scenario only the shading by the semi-cylinder is relevant. In examplary analyses of typical irradiation scenarios the power density coming from a 2000W radiant heater nearby on the body surface amounted to a maximum of 418W/m2, the radiation power density originating from sunlight on a clear summer afternoon in middle-Europe amounted to a maximum of 422W/m2.

Body Temperature↗

PubMed2003

The neuropathology of cocaine abuse.

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 cerebrovascular complications. In chronic cocaine abusers morphological, physiological, and neurochemical abnormalities have been demonstrated by using neuroradiological techniques such as computed tomography, magnetic resonance imaging, positron emission tomography or single photon emission computed tomography. The spectrum of neuropathologic changes encountered in the brains of cocaine abusers is broad, but the major findings consist of ischemic and hemorrhagic stroke, subarachnoid and intracerebral hemorrhages and cerebral ischemia. Especially persons with underlying arteriovenous malformation or aneurysm are at risk for such events. Except for a few instances of vasculitis, the etiology of cocaine-related cerebrovascular accidents is still unclear. Besides pharmacologically-induced vasospasm, impaired hemostasis and platelet function and decreased cerebral blood flow have been proposed. At the cellular level, abnormalities in the expression of transcription factors and changes of brain neurotransmitter systems have been reported.

Central Nervous System Diseases↗

PubMed2002

Supravital energy production in early post-mortem phase - estimate based on heat loss due to radiation and natural convection.

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 paper concentrates on the heat loss due to radiation and natural convection. Since both heat transfer mechanisms depend on the temperature gradient between skin and environment, the skin temperature was measured in corpses of different constitution (lean, medium and obese) and its decrease fitted by a single-exponential model. Heat loss due to radiation was calculated according to the non-linearized form of the law of Stefan and Boltzmann, heat loss due to natural convection according to the semi-empirical thermodynamic laws; the shape of the body in supine position was approximated to a semi-cylinder of finite length. The power due to radiation ranged between 386kJ/h (lean) and 550kJ/h (obese), that due to natural convection between 307kJ/h (lean) and 429kJ/h (obese) initially. Cumulative energy loss amounted to 2167kJ (lean) and 4239kJ (obese) by radiation and 1485kJ (lean) and 2922kJ (obese) by natural convection up to 20h pm. The energy loss due to radiation plus natural convection initially exceeded the energy loss due the decrease of the energy content of the body (mass x heat capacity x temperature decrease). This surplus can be explained only by exothermal processes in the phase of intermediary life and directly provides lower bounds for supravital energy production. Cumulative supravital energy ranges between 1139kJ up to 5h pm in the lean and 2516kJ up to 10h pm in the obese corpses. The courses of supravital energies and powers are presented as functions of time. Under standard conditions like still air (no forced convection) and insulating ground (little conductive heat transfer), the lower bounds represent estimates for total supravital energy production.

Journal Article↗

PubMed2002

Modelling postmortem surface cooling in continuously changing environmental temperature.

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 restricted to constant ambient temperatures. Since surface in contrast to core temperatures are highly sensitive to changes of ambient temperature, a model for skin cooling has to take into account such changes. The present study provides an estimator for the time-dependent function of the temperature decrease of the skin and presents a model of the cooling process. The formulae are developed on the basis of skin cooling data of the exposed skin of the forehead in a 40-year-old female (163 cm, 62.1 kg). The single exponential Newtonian model for the surface temperature T(S) valid for constant environmental temperature T(E):T(S)(t)=(T(S)(0)-T(E))e(-lambda(t))+T(E) is localized to small time intervals. By Taylor series expansions a differential equation directly providing an estimator for the temperature decrease rate lambda is derived. The solution of this differential equation represents the extended Newtonian model valid for non-constant environmental temperatures and non-constant temperature decrease rates. The extended model is tested successfully by reinserting the estimated values for the temperature decrease rate: the reconstructed and the measured skin temperature decrease curves completely overlap each other. The temperature decrease rate is a function of the difference between skin and environmental temperature and of the actual change of the skin temperature. A scatter plot of this function shows a structured cloud of points lying in one plane. The temperature decrease rate can thus be parametrized by a simple affine equation with three coefficients determined by linear regression. Inserting the affine equation in the extended Newtonian model leads to an inhomogeneous, non-linear differential equation which is solved by recursion. With knowledge of the initial temperature and the course of the environmental temperature the decrease of the skin temperature can be predicted with very good results. The model is validated with good results in 12 further experimental skin cooling curves of ten different individuals.

Journal Article↗