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Identification of the fragmentary, burned remains of two U.S. journalists seven years after their disappearance in Guatemala.

The contribution of a physical anthropologist to a forensic investigation is generally associated with analysis of skeletal remains in a laboratory. This case, which deals with the identification of two U.S. journalists who disappeared in Guatemala in March 1985, shows that the observations of a physical anthropologist in the field--at the site where the skeletal remains are located--can be essential to the success of an investigation. In this case, there was a deliberate attempt to mislead the investigators, but the physical anthropologists on the team discovered the deception. Subsequently, when they were taken to the actual cremation site, they obtained bone fragments and teeth that permitted identification of the victims. For one individual, the unusual morphology of the frontal sinus made positive identification possible. Comparison of premortem dental X-rays with teeth found at the site resulted in positive identification of the second individual.

Adult↗

Field test of the new fungal identification system in POISINDEX.

A new program, Fungal Identification System (FIS) was introduced in POISINDEX (PI) in 1991. We studied the accuracy of this program compared to the traditional method of consulting an expert mycologist and also the utility of FIS for the certified specialist in poison information (CSPI) and the emergency department personnel. Fifteen samples were obtained from a Chicago area forest preserve and immediately identified by a CSPI using FIS from PI of summer-fall 1991. The samples were then refrigerated overnight and identified the following morning by a PhD mycologist, using standard mycological identification techniques (SMIT). Another group of 18 mushrooms were collected in August 1992 from rural southwestern Michigan and identified by FIS and SMIT after refrigeration overnight. In 4 cases the mycologist used both SMIT and FIS to identify the mushrooms. Identification by FIS did not match SMIT in 27 of 31 samples (1 was discarded and 1 was identified by FIS but not identified by SMIT). In 2 of 4 cases where the mycologist used FIS, a different answer was obtained from that obtained by the CSPI; however, these were still incorrect identifications. Four types of problems using FIS have been identified which can lead to erroneous results; these are the use of multipart questions, emphasis on color over less variable characteristics, questions which do not account for variability in morphology, and problems which arise from the sequence of questions. These points need to be addressed before FIS can be used as a safe basis for clinical recommendations.

Basidiomycota↗

Forensic dental identification of casualties during Operation Desert Storm.

Forensic dental identification of casualties during Operation Desert Storm was performed at the Dover Port Mortuary, Dover Air Force Base, under the auspices of the Office of the Armed Forces Medical Examiner. A total of 251 dental identifications were attempted and 244 individuals were positively identified by dental comparison. The panoramic radiographs on file at the Central Panograph Storage Facility were the primary antemortem records utilized in establishing the dental identification. The inability to establish a positive dental identification was most often the result of a lack of available antemortem dental records.

Dental Records↗

Comparison of MICRO-ID Listeria method with conventional biochemical methods for identification of Listeria isolated from food and environmental samples: collaborative study.

Fourteen laboratories participated in a collaborative study to evaluate the ability of the MICRO-ID Listeria identification method to correctly identify Listeria isolated from food and environmental sources. Each collaborator received 60 isolates consisting of 51 Listeria and 9 non-Listeria cultures. All isolates were identified by conventional biochemical analyses in the principal laboratory. Cultures were checked for purity by Gram staining and examined for oxidase and catalase activities. Only Gram positive, oxidase negative, catalase positive cultures were tested with the method. Colonies from trypticase soy agar with 0.6% yeast extract were suspended in 4.6 mL physiological saline to a MacFarland No. 1 turbidity standard and used to inoculate the test strip. In addition, the hemolytic reaction of each isolate was determined by using the Christie-Atkins-Munch-Peterson (CAMP) test and by stabbing sheep blood agar. Identification of Listeria is based on the octal code obtained from the strip and the hemolytic reaction of the isolate. The MICRO-ID Listeria method agreed with conventinal biochemical identification for 98.0% of L. monocytogenes, 77.1% of L. seeligeri, 90.0% of L. ivanovii, 96.4% of L. grayi/L. murrayi, 73.9% of L. welshimeri, and 100% of L. innocua isolates. A large percentage of errors in identification of the L. seeligeri and L. ivanovii cultures was caused by inaccurate reading of the CAMP and hemolysis tests rather than errors in the test strip. The method was adopted first action by AOAC International.

Animals↗

[Identification of the breakpoint-flanking markers on chromosomes 1 and 17 of a constitutional translocation T(1;17)(P36;Q12-21) in a patient with neuroblastoma].

Neuroblastoma is a childhood cancer which originates in the embryonic tissue of the developing sympathetic neural crest. In 1972, Dr. A. Knudson hypothesised a similar 'two-hit mutation' model for the origin of neuroblastoma as for retinoblastoma and Wilms tumor. In this model, malignant cell growth is caused by mutations of both alleles of a tumor suppressor gene. In hereditary tumors, a germinal mutation is present in all cells of the individual, a mutation of the remaining allele by a somatic hit causes loss of gene function. Sporadic tumors result from two somatic mutations of a tumor suppressor gene involving both alleles within the same cell. The occurrence of patients with a constitutional chromosomal deletion syndrome in association with tumor facilitated the cloning of a retinoblastoma gene and of a Wilms tumor suppressor gene. In neuroblastoma, cytogenetic and molecular studies suggest the existence of a neuroblastoma (suppressor) gene at chromosome 1, at subband 1p36. A constitutional chromosomal deletion syndrome was not known for neuroblastoma. We described a constitutional chromosome translocation t(1;17)(p36.31-21; q11.2-12) in a patient with neuroblastoma. We hypothesised that this translocation, involving the chromosomal band 1p36, predisposed the patient to neuroblastoma development by disturbance of a gene located at the translocation breakpoint. Consequently, identification of the breakpoint flanking markers can be an important step towards the identification and cloning of a neuroblastoma suppressor gene. Radioactive in situ hybridization methods were first applied on the patient's fibroblasts. Soon it became evident that cells with better growth characteristics were needed and that the availability of sufficient patient material was essential. Therefore a somatic cell fusion experiment was performed between the patient's fibroblasts and a thymidine kinase-deficient Chinese hamster cell line. Somatic cell hybrid clones were selected on the presence of the derivative human chromosomes 1 and 17, and of the normal homologues. With the use of fluorescence in situ hybridisation (FISH), the position of chromosome 1 and chromosome 17 markers respective to the breakpoints was determined on chromosome metaphases of the hybrid cell lines containing the human derivative chromosomes. The pronatriodilatine (PND) and the adenovirus 12 modification site (A12M2) were identified as distal and proximal 'single copy' flanking markers of the chromosome 1 breakpoint, respectively. The chromosomal break occurred in a highly repetitive region containing an adenovirus modification site and genes encoding transfer RNA and small U1-RNA genes. The breakpoint on chromosome 17 is located in a region with as proximal boundary the distal part of the neurofibromatosis 1 (NF1) gene locus and as distal flanking marker the SCYA7 locus, encoding the monocyte chemotactic protein-3. Southern blot analysis showed no rearrangements of hybrid DNA using single copy probes for the four flanking markers. Identification of the four breakpoint flanking markers on chromosomes 1 and 17 constitutes a pivotal step for the cloning of the translocation breakpoints and for the identification of a presumed neuroblastoma suppressor gene.

Abdominal Neoplasms↗

Identification performance by right- and left-handed listeners on dichotic CV materials.

Normative data from 24 right-handed and 24 left-handed subjects were obtained for the dichotic consonant-vowel (CV) materials (pa, ta, ka, ba, da, and ga) recorded on the Veterans Affairs (VA) compact disc (CD) Tonal and Speech Materials for Auditory Perceptual Assessment, Disc 1.0. Identification performance by the two subject groups was significantly different. With the right-handed subjects, identification performances on the materials presented to the right ear (RE) were better than performances on the materials presented to the left ear (LE) by (1) 16.3 percent for simultaneous onsets (RE = 72.8%; LE = 56.5%), (2) 11.3 percent for the 90-msec right-ear lag (RE = 86.3%; LE = 75.0%), and (3) 8.7 percent for the 90-msec left-ear lag condition (RE = 85.8%; LE = 77.2%). In comparison to the right-handed subjects, the left-handed subjects exhibited a smaller right-ear advantage and more inter-subject variability. With the left-handed subjects, identification performances on the materials presented to the right ear also were better than performances on the materials presented to the left ear by (1) 1.7 percent for simultaneous onsets (RE = 62.9%; LE = 61.1%), (2) 2.8 percent for the 90-msec right-ear lag (RE = 75.0%; LE = 72.2%), and (3) 3.1 percent for the 90-msec left-ear lag condition (RE = 75.9%; LE = 72.9%). The results are similar to previous dichotic CV data and indicate that the CVs recorded on the VA-CD provide valid estimates of identification performance on the dichotic CV materials.

Adult↗

[The rolandic line: a simple baseline for the identification of the central region. An MRI study and functional validation].

INTRODUCTION: The identification of the central region--i.e. the central sulcus, the pre- and post-central gyri, the paracentral lobule--on MRI and angiographic images may be necessary prior to stereotactic procedures such as biopsies or resection of centrally located tumors, depth electrode recordings for presurgical evaluation of drug-resistant epilepsies, or radiosurgery of arteriovenous malformations. Stereotactic methods, such as the Talairach's proportional grid based on the bicommissural system, demonstrated the statistical position of the central sulcus according to the Ac-Pc, Vac and Vpc baselines. However, the course and the spatial position of this sulcus have remarkable individual differences that sometimes make the sulcus difficult to identify on serial sagittal MRI or lateral angiographic images. In order to facilitate this identification, the authors propose a new oblique baseline, the rolandic (R) line. MATERIAL AND METHODS: The stereotactic MRI and angiography of 22 patients were reviewed for this study. Eleven of these patients had stereotactic biopsies for a low-grade tumor located in the central region, while eleven others had multiple intracerebral electrodes implantation and depth EEG recording (SEEG: stereoelectroencephalography) in the presurgical evaluation of drug-resistant partial epilepsy, prior to epileptogenic cortex resection. The Ac-Pc, Vac, Vpc baselines and segments of the central sulcus were drawn from the mid-sagittal and lateral T1-weighted MRI images and reported on an individual graph. Surface and deep margins as well as axis of the central sulcus were also reported along with corpus callosum baselines as defined by Olivier et al.: horizontal plane, anterior and posterior callosal planes. The rolandic line was then traced from the graph:it joined the intersection point between the anterior callosal plane and an orthogonal line passing through the floor of the temporal fossa, and the intersection point between posterior callosal plane and an orthogonal line passing through the top of the hemisphere. The rolandic line was then superimposed on any sagittal MRI image or lateral stereotactic angiographic film. Finally, the spatial position of electrode contracts through which electrical stimulations elicited motor and/or sensory responses, either from central electrode implanted for motor fibers identification prior to stereotactic biopsies or from SEEG electrodes implanted for epileptogenic zone identification and cortical mapping, was reported on the individual graph. Angular and linear measurements were taken from the graph, between the rolandic line, the central sulcus axis, the Ac-Pc and callosal baselines, and the central sulcus limits (top, bottom, anterior and posterior margins). RESULTS: Graph measurements indicated that the rolandic line was significantly closer to the inferior part of the central sulcus than to its superior part (average distance between the line and the inferior point of the sulcus: 1.86 +/- 1.87 mm; average distance between the line and the superior point of the sulcus: 4.5 +/- 2.3 mm; p < 0.001-t test); similarly, the rolandic line was closer to the deep margin of the sulcus rather than to its superficial border (average distance between the line and the most anterior point of the sulcus: 11.43 +/- 3.16 mm; average distance between the line and the most posterior point of the sulcus: 7.95 +/- 4.14 mm; p < 0.01-t test). In 90% of the cases, the rolandic line followed the deep or middle part of the sulcus, with an average angle of 4.18 degrees +/- 2.53 degrees between the line and the sulcus axis. The spatial position of the electrode contacts that elicited motor/or sensory responses to stimulations correlated topographically well in all cases with the position of the motor and sensory fibers defined according to the central sulcus, baselines and reference to stereotactic atlases. (ABSTRACT TRUNCATED)

Adolescent↗

Individualisation of dental tissue--an aid for odontological identification?

The introduction of new methods in forensic diagnostics, especially serological techniques, including the use of individual markers for identification is becoming increasingly important. The DNA techniques are particularly promising and dental tissue, especially dental pulp, is a good source of DNA because it is well protected against autolysis. Gc-subtyping and application of DNA techniques for identification were reported in 1992 and show the efficacy of PCR systems for the individualisation of dental tissues. In cases of optimal conditions-room temperature and dry air-the analysis was successful after 6 or 12 months and the results could be used for identification. Under the influence of high temperature autolysis occurs and the pulp degrades making DNA typing almost impossible. The experiments show that the system HLA-DQ alpha is more reliable than the system MCT 118 and the results confirm that these techniques can be used for identification of unknown persons in some cases. The methods are only usable if comparative material belonging to the subject, such as hair, is available.

Alleles↗

A quantitative analysis of subtraction images based on bite-wing radiographs for simulated victim identification in forensic dentistry.

The comparison between ante- and post-mortem radiographs constitutes an important basis for victim identification in forensic dentistry. Due to the decline in dental caries among children that has occurred in Western countries over the last 20 years, the number of restorations in future populations will be limited. It is likely that this will impede successful victim identification in the future. It was the aim of this study to evaluate a new radiographic technique, subtraction radiography based on bitewing radiographs and determine whether it could provide an objective quantitative measure for victim identification. Bite-wings randomly sampled from a large population of adolescents (13-19 yrs) were video-camera-recorded and digitized. Subtraction images were performed of pairs of bite-wings originating from the same individual (identical images) and from different individuals (non-identical images). The images were separated into two groups, one without fillings (12 identical and 48 non-identical) and one with simple amalgam fillings (15 identical and 60 non-identical). The distribution of grey shades in the subtraction image was used as the parameter for evaluation of homogeneity in the images. Subtraction images derived from identical radiographs were significantly more homogeneous than those derived from non-identical radiographs (p < 0.001) in both group with and without fillings. Although the difference was statistically highly significant, the distribution of grey shades in the two groups overlapped. Thus, the grey shades in the subtraction image cannot per se unequivocally establish the identity of a victim, but may add to the subjective comparison of two radiographs in victim identification.

Adolescent↗

[Two cases of personal identification from dental information].

We describe two cases in which unknown bodies were positively identified from dental information and biochemical examination using tooth materials. In one case, a charred body was positively identified with little effort by comparison of antemortem dental records (dental chart and dental X-ray film) with postmortem data. In the other case, although the unknown individual had dental treatment, the police were unable to obtain the antemortem dental records of the victim. We then conducted biochemical analysis of teeth, facilitating personal identification using DNA analysis and age estimation based on aspartic acid racemization. The mutation obtained from the sequence of mtDNA and the genotypes of HLADQ alpha, HPRTB and ABO blood groups including the data for estimated age supported the kinship between the unknown individual and his mother. The data for maternally inherited mtDNA were of great importance in this case, since it was possible to obtain DNA from the mother. Dental identification in one of the most accurate methods of personal identification if suitable antemortem records are available. In the absence of such records, biochemical analysis of teeth also makes it possible to increase the probability of correct personal identification.

Adult↗

Evaluation of a multitest microtechnique for yeast identification.

A new, multitest, microtechnique system, API 20C (Analytab Products Inc. Clinical Yeast System), was evaluated by comparing it to the U.S. Center for Disease Control (CDC) standard techniques for the identification of yeast. Forty-four yeast strains isolated from clinical specimens were tested by fermentation and assimilation. Six fermentation carbohydrates and ten assimilation carbohydrates were compared. API results were read after incubation of 24 and 48 hours while the standard CDC system was read after 48 hours and 14 days when needed. One hundred per cent agreement in identification was found between the two systems in the strains studied. Growth in the presence of actidione was tested by the API strip only and gave unreliable results with nine per cent of the strains tested. The API 20 Clinical Yeast System provides a reliable and rapid approach to yeast identification enabling the clinical laboratory to completely identify a yeast organism in 48 hours instead of the usual four to 14 days. A cost comparison showed the API system to be significantly more economical than the conventional method of identification.

Culture Media↗

Identification of the microsporidian Encephalitozoon hellem using immunoglobulin G monoclonal antibodies.

OBJECTIVE: Microsporidia isolated from clinical specimens so far have been identified to level of species by electron microscopy, indirect immunofluorescence (IIF), western blot (WB), and genetic analysis. Recent studies, however, indicate extensive serologic cross-reactions among microsporidian species involved in human disease. DESIGN AND SETTING: In this study, we used IIF and WB techniques to evaluate the reactivity of six different immunoglobulin G monoclonal antibodies (MAbs) raised against Encephalitozoon hellem with six isolates of E hellem that originated from patients with acquired immunodeficiency syndrome. A rabbit isolate of Encephalitozoon cuniculi, and an isolate of Encephalitozoon intestinalis, which was established in cultures from the urine of a patient with acquired immunodeficiency syndrome were also used for comparison. RESULTS: Five of the six antibodies, when analyzed by both IIF and WB assays, specifically identified six isolates of E hellem originating from three patients with acquired immunodeficiency syndrome. The sixth MAb, however, reacted with all of the E hellem isolates in the WB assay, but failed to react with them in the IIF assay. Using the IIF test, five of the six MAbs failed to react with E cuniculi and E intestinalis, even at a dilution of 1:50. The MAbs also did not react in the IIF test with Enterocytozoon bieneusi, Giardia, and Cryptosporidium. These MAbs did react with E cuniculi and E intestinalis in the WB assay, but the banding patterns were very different from those of E hellem, thus facilitating the identification of E hellem from the other microsporidia. The MAbs also reacted, in the IIF test, with E hellem spores in formalin-fixed tissue sections that were heated in a microwave oven. CONCLUSIONS: Identification of microsporidian agents to the species level is important. Since certain therapeutic agents (eg, fumagillin, albendazole) are efficacious in treating E hellem infections of the cornea, as well as urogenital and respiratory infections caused by E hellem, a quick and definitive identification of the organism is important so that successful therapy may be instituted. An IIF test using the MAbs described here would therefore be invaluable in the quick identification of this parasite.

Animals↗

[Diagnostic molecular microbiology--identification of Staphylococcus epidermidis].

The species Staphylococcus epidermidis is the predominant coagulase-negative staphylococci (CNS) isolated from clinical sources. S. epidermidis is now recognized as an important nosocomial pathogen. Identification of CNS is often performed using diagnostic kits based on biochemical or immunological reactions. However, these kits are often unreliable for the identification of CNS species including S. epidermidis. Currently, ribosomal RNA (rRNA) analyses are the most powerful methods for determining phylogenetic relationships among microorganisms and also for identification of species. Several aspects of construction of ribosomal probes for identification of CNS species are presented and discussed. Additionally, the application of restriction fragment length polymorphisms (RFLP) of rRNA genes for differentiation of clinical isolates of S. epidermidis is shown.

Cross Infection↗

[Surgical management for preserving motor function in patients with gliomas near the primary motor cortex: usefulness of preoperative identification of motor cortex and intraoperative monitoring of motor evoked potentials].

Preoperative identification of precentral gyrus and intraoperative monitoring of motor evoked potentials (MEPs) were performed to preserve postoperative motor function in seven patients with gliomas near the primary motor cortex. Tumors were astrocytomas in 3 patients, glioblastomas in 2 patients, anaplastic astrocytoma and mixed glioma in one patient each. Preoperative identification of the primary motor cortex was performed by three-dimensional (3D) display of magnetic resonance (MR) images and by functional images using MR imaging and single-photon emission tomography. The primary motor cortex identified by 3D display of MR images coincided well with that identified by functional images. 3D display of MR images was also useful for detecting the relationship between the tumor and the primary motor cortex. Intraoperatively, the central sulcus was confirmed by the finding of phase reversal of cortical somatosensory evoked potential, and this corresponded with the preoperative identifications by 3D display and by functional mapping. The primary motor cortex was stimulated electrically, and MEP (corticospinal evoked potential) was continuously monitored during surgery using electrodes inserted in the cervical epidural space. The amplitude of direct waves of MEPs during surgery was maintained above half of that recorded at the beginning of tumor removal, and all patients showed preservation of preoperative motor function. These results suggest that preoperative identification of precentral gyrus and intraoperative MEP monitoring provide useful information for preserving motor function in patients with gliomas near the primary motor cortex.

Adult↗

[Presumptive tests and molecular hybridization for the identification of untypable strains of Streptococcus pneumoniae].

Five different methods for identification of pneumococci (optochine susceptibility, bile solubility, Slidex Pneumo-kit, Phadebact Pneumococcus test, AccuProbe DNA test) were evaluated with a total of 280 Streptococcus pneumoniae non typable strains. 189 strains were identified as pneumococci according to the AccuProbe test results. Among these, 180 strains (95.2%) were optochine sensitive (d > or = 12 mm). Bile solubility was seen in 125 (66.1%) of the pneumococci. Immunological identifications were respectively positive for 67 and 56 among 140 strains. By comparison with the DNA/RNA reassociation method, the poor sensitivities and specificities of the presumptive identification tests are actually demonstrated for pneumococcal non typable strains. Thus, the AccuProbe DNA test is seen as the only adequate method for identification of such strains.

Bacterial Typing Techniques↗

Identification of partially presented meaningless patterns: effect of completeness and distinctiveness.

The role of parts versus that of wholes in a visual perception has been debated for a century as two opposite approaches, namely, an analytic and holistic. In two psychophysical experiments we investigated whether the stimulus completeness or distinctiveness is essential for identification of the partially presented patterns under brief presentation conditions. For this purpose, a special class of stimuli was constructed in such a way that the patterns could be divided into informative and redundant parts. The first experiment clearly demonstrated the importance of the redundant part for effective pattern identification for the majority of subjects. The second experiment revealed the direct dependence of identification accuracy of the patterns on their completeness (2, 3, 4, 5, or 6 elements). Familiarisation of subjects with the test stimuli influenced the strength of this dependence.

Adult↗

Professional identification: a study of female students at a medical college in India.

This paper explores female medical students' identification with their profession at a medical college in India by comparing it with that of male students. The professional identification is conceptualized as having three elements: career commitment, career-satisfaction and professional self-image, each elicited by a single question. Compared to males, females were found to perceive medicine as more satisfying, and yet they were less sure than males of pursuing a medical career throughout their lives. The female students' commitment to their career was basically conditional, whereas for the males, it was primarily categorical. Additionally, females expressed less professional ambition than males and preferred different specialties. The main thrust of this paper is that the professional identification of both males and females is qualitatively different. The reasons for these differences are sought in sex-role socialization, cultural norms and informal social pressures at home and at the college.

Career Choice↗

Newborn genetic identification: a protocol using microsatellite DNA as an alternative to footprinting.

Newborn identification by foot- or finger-printing presents serious drawbacks. This study proposes an alternative method based on DNA analysis of blood-spots taken from the newborn child. CSF1PO, TPOX and TH01 microsatellite loci were chosen to develop a fast and reliable protocol to be applied in cases where it is suspected that newborn children have been exchanged. The advantage of these loci is that one can simultaneously amplify them by PCR multiplex reaction and determine their alleles, thereby reducing the time needed for identification tests. Moreover, the amplification products of these loci are very small (< 350 bp) and so can be analyzed in samples with degraded DNA. We have been able to prove that it is possible to obtain results in blood-spots taken from newborns up to 13 years before and kept at room temperature. Thus the protocol proposed here can be applied in long-term post-natal identification cases.

Base Sequence↗