Current trend of sexual maturity, teeth eruption, and bone fusion in the present female population, relative to documented age and development of prediction model for age of females.

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of Family Medicine and Primary Care Pub Date : 2024-09-01 Epub Date: 2024-09-11 DOI:10.4103/jfmpc.jfmpc_411_24
Anamika Nath, Pradip K Thakuria, Nitu K Gogoi, Ambalika Debnath
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Abstract

Background: Understanding sexual maturity and bone fusion is crucial in forensic investigations and legal contexts. This study investigates the contemporary trend of sexual maturity and bone fusion in females, comparing the observed age-related characteristics with documented ages. Such analyses contribute to the accuracy of age estimation methods used in medico-legal scenarios.

Methods: A comprehensive study was conducted involving a diverse sample of females, and their sexual maturity and bone fusion were assessed relative to documented ages. The research utilized a cross-sectional design, collecting data through interviews, medical examinations, and radiographic imaging. Ethical approval was obtained, and participants provided informed consent. Variables included documented age, age of menarche, stages of sexual maturity, dentition, and bone fusion. Validation of model performance was conducted.

Results: Among 70 cases studied, the mean age of menarche was 10.48 years (range: 7-12 years). Maternal reports indicated menarche onset between 12-17 years. Tanner's Staging 5 for pubic hair and fully developed breasts occurred at 14 years. Permanent teeth increased with age, with 28 or more teeth present at age 14 or above. Fusion of the distal end of the Radius and Ulna with the parent bone was positive from 15 years onwards. The regression model predicted age accurately (97.99% fit).

Conclusion: The results highlight the early onset of sexual maturation, consistent teeth eruption, and bone fusion patterns in females. The observed correlations offer valuable insights for medicolegal practitioners and forensic experts.

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目前女性人口中性成熟、牙齿萌出和骨融合的趋势与记录年龄的关系,以及女性年龄预测模型的开发。
背景:了解性成熟和骨融合对法医调查和法律背景至关重要。本研究调查了当代女性性成熟和骨融合的趋势,并将观察到的年龄相关特征与记录的年龄进行了比较。此类分析有助于提高医学法律场景中使用的年龄估计方法的准确性:方法:我们对不同的女性样本进行了综合研究,评估了她们的性成熟和骨融合情况与记录年龄之间的关系。研究采用横断面设计,通过访谈、体检和放射成像收集数据。研究获得了伦理批准,参与者也提供了知情同意书。变量包括记录年龄、初潮年龄、性成熟阶段、牙齿和骨融合。对模型的性能进行了验证:在研究的 70 个病例中,月经初潮的平均年龄为 10.48 岁(范围:7-12 岁)。母亲的报告显示月经初潮年龄在 12-17 岁之间。阴毛和乳房完全发育的坦纳氏分期为 5 期,发生在 14 岁。恒牙随着年龄的增长而增加,14 岁或以上时有 28 颗或更多的恒牙。从 15 岁开始,桡骨和乌尔骨的远端与母骨的融合呈阳性。回归模型能准确预测年龄(拟合度为 97.99%):研究结果表明,女性性早熟、牙齿萌出和骨融合模式一致。观察到的相关性为法医和法证专家提供了宝贵的见解。
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7.10%
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审稿时长
40 weeks
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