Volume 23 (2017): Issue 1 (June 2017)

Spinal injury following direct loading of the head and neck is a rare sequel of bicycle crashes. Fatal head injuries following bicycle crashes have been described in great detail and safety measures such as bicycle helmets have been developed accordingly. Less frequently, however, potentially severe cervical spine injuries have been described. We present the case of a middle-aged female who sustained an ultimately fatal cervical spine injury following a collision with a car whilst biking wearing a helmet. We discuss the literature regarding the protective effects of bicycle helmets, the relevance to cervical spine injury and legislation on mandatory use of helmets for injury prevention.

There is limited knowledge on the global prescription and consumption patterns of therapeutic (TD) and illicit drugs (ID). Pooled urine analysis and wastewater-based epidemiology (WBE) has been used for local-based drug screening. It is, however, difficult to study the global epidemiology due to difficulties in obtaining samples. The aims of the study were to test the detectability of TD and ID in airplane wastewater samples categorized according to their geographical origin.

Wastewater samples (n= 17) were collected from long-distance flights and prepared with enzymatic conjugate cleaving followed by either precipitation or solid phase extraction. Aliquots were analysed on various liquid chromatography – mass spectrometers. TDs were grouped according to their Anatomical Therapeutic Chemical (ATC) codes.

Identification confidence was assigned to three levels based on variables including detection on multiple instruments and number of targets per compound. A total of 424 compounds were identified across all samples, distributed on 87 unique TD and 2 ID. Two principal components in a principal component analysis separated three clusters of wastewater samples corresponding to geographical origin of the airplanes with therapeutic subgroup ATC codes as variables. Airplane wastewater analysis is useful for identifying targets for WBE and toxicological analysis and explore drug use and abuse patterns.

In 1934 a grave was found in the church ruins of the Cistercian Abbey at Øm in central Jutland, Denmark (founded in 1172, demolished 1561 AD). The grave contained the skeletal remains of an individual lying in a supine position with the head towards the west. The anthropological analysis revealed that the remains belonged to a young male, aged 25-30 years at death and approximately 162.7 cm tall. He had 9 perimortem sharp force lesions, five of which were cranial and four were postcranial, indicating he suffered a violent death in a swordfight.

This paper presents a detailed analysis and description of the individual lesions and their probable effect on the soft tissue, followed by a suggestion for the most likely order of the blows which caused the lesions, and finally a tentative reconstruction of the battle accompanied by photographs. This case illustrates both that forensic pathology can be very useful when applied to an archaeological case and suggests that the forensic pathologist could benefit from examination of ancient cases when interpreting bone lesions in modern cases.