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It indicates her orientation in the box.
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She was upside down.
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Hmm. So she was inverted during transit.
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Well, autopsy will confirm, but I'd venture
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positional asphyxia was likely the cause of death.
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Gravity causes the organs to impede the diaphragmatic movement.
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No movement of the diaphragm,
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no breathing, suffocation.
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There aren't any wounds evident on her.
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It doesn't appear she was forced into the box.
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That's bizarre.
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Well, yes and no.