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Counterfeit and substandard drugs in Tanzania: A review 坦桑尼亚的假药和劣药:综述
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2022.100302
Petro Karungamye

In several countries, counterfeit and substandard pharmaceuticals are a severe public health concern. This is a global issue, but it is especially prevalent in African countries, where more than 30 % of the pharmaceuticals supplied are counterfeit or substandard. Many reasons contribute to the emergence of this issue, which differ from country to country. Online business, light sanctions for drug infringers, ignorance, and an absence of meaningful collaboration amongst players are all variables involved. The Tanzania Food and Drugs Authority (TFDA), Tanzania Police Force, Weights and Measures Agency Tanzania Fair Competition Commission (FCC), Tanzania Bureau of Standards (TBS) and Tanzania Revenue Authority (TRA) Customs are all involved in the fight against counterfeit drugs in Tanzania. Despite this, more work needs to be done to control the supply of counterfeit and substandard pharmaceuticals, which have major health and economic effects. Based on the public health and economic consequences of these low-quality pharmaceuticals, strong international cooperation is required to address the issue. This includes tighter state licensing oversight of pharmaceutical suppliers. In order to identify these products at various supply chain stages, advanced technologies should be used. Finally, consumers must be educated on how to recognize counterfeit pharmaceuticals and their effects.

在一些国家,假冒伪劣药品是一个严重的公共卫生问题。这是一个全球性问题,但在非洲国家尤为普遍,那里供应的药品中有30%以上是假冒或不合格的。许多原因导致了这一问题的出现,这些原因因国而异。在线业务,对毒品侵权者的轻微制裁,无知以及玩家之间缺乏有意义的合作都是涉及的变量。坦桑尼亚食品和药品管理局(TFDA)、坦桑尼亚警察部队、计量局坦桑尼亚公平竞争委员会(FCC)、坦桑尼亚标准局(TBS)和坦桑尼亚税务局(TRA)海关都参与了坦桑尼亚打击假药的行动。尽管如此,还需要做更多的工作来控制假冒和不合格药品的供应,这些药品对健康和经济有重大影响。鉴于这些低质量药品对公共卫生和经济造成的后果,需要强有力的国际合作来解决这一问题。这包括加强国家对药品供应商的许可监管。为了在供应链的各个阶段识别这些产品,应该使用先进的技术。最后,必须教育消费者如何识别假药及其影响。
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引用次数: 1
Predicted changes to the rate of human decomposition due to climate change during the 21st century 21世纪气候变化对人类分解速度的预测变化
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2023.100321
Julius Strack , Martin J. Smith

Estimating the post mortem interval is an important aspect of the work of forensic pathologists and forensic anthropologists. Whilst temperature is generally agreed as the most important variable affecting decomposition, some formulae also incorporate relative humidity for a more detailed estimate. Both these variables are impacted by anthropogenic climate change. This study aims to provide a first overview of the likely extent to which anthropogenic climate change will affect future rates of decomposition. The post mortem interval from death until skeletonization (PMIDS) was calculated using the formula by Vass [1], as well as temperature and humidity predictions from two different climate models, to predict changes in the speed of decomposition between the decades 2020–2029 and 2090–2099. The changes are calculated for different climate zones, and a global average, as well as different climate change scenarios, and for decomposition starting in January and July. The estimated PMIDS is significantly (p < 0.05) decreased in most scenarios, with the largest global decrease of 33.5% in the SSP5–8.5 scenario, with decomposition starting in July, and the smallest decrease of 2.6% in the SSP1–2.6 scenario, with decomposition starting in January. The significantly accelerated decomposition in the SSP5- 8.5 scenario will increase the workload of forensic anthropologists, by decreasing the time until skeletonization, after which the expertise of a forensic anthropologist is more likely to be needed. However, climate change is also predicted to decrease the accuracy of the formulae used for PMI estimation, even in regions where levels of precision are currently good. The present authors therefore argue, that the impacts of climate change will warrant increasing attention in the field of forensic anthropology, and that more research into PMI estimation will be needed particularly in warmer and drier regions.

估计死后时间间隔是法医病理学家和法医人类学家工作的一个重要方面。虽然温度通常被认为是影响分解的最重要的变量,但有些公式也纳入了相对湿度,以便进行更详细的估计。这两个变量都受到人为气候变化的影响。本研究旨在首次概述人为气候变化可能影响未来分解速率的程度。使用Vass[1]的公式以及来自两种不同气候模式的温度和湿度预测来计算从死亡到骨骼化的死后间隔(PMIDS),以预测2020-2029年和2090-2099年间分解速度的变化。这些变化是根据不同的气候带、全球平均值、不同的气候变化情景以及从1月和7月开始的分解计算出来的。估计的PMIDS显著(p <0.05)在大多数情景中均有所下降,其中SSP5-8.5情景全球降幅最大,为33.5%,从7月开始分解;SSP1-2.6情景降幅最小,为2.6%,从1月开始分解。SSP5- 8.5情景中显著加速的分解将增加法医人类学家的工作量,因为缩短了到骨骼化的时间,之后更有可能需要法医人类学家的专业知识。然而,预计气候变化也会降低用于PMI估算公式的准确性,即使在目前精度水平较高的地区也是如此。因此,本文作者认为,气候变化的影响将在法医人类学领域得到越来越多的关注,并且需要对PMI估计进行更多的研究,特别是在温暖和干燥的地区。
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引用次数: 1
Forensic implications of classification of accident-related deaths: A case report and review of the medical and legal literature 与事故有关的死亡分类的法医意义:一份病例报告和对医学和法律文献的审查
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2023.100307
Lauren Santoro , Judy Melinek

One of the most important documents produced by physicians is a death certificate. It is not only used in the field of forensic science but is also utilized by statisticians, administrators, historians, researchers, and public health experts. Insurance companies refer to the cause and manner of death listed in the death certificate when deciding whether to distribute benefits. We report the case of a 40-year-old male who was declared dead after crashing his vehicle against a fixed object in a head-on collision. The collision occurred after he had worked a highly strenuous shift as a volunteer firefighter. The decedent’s daughter was a passenger in the car when the incident occurred, and witnessed him become unconscious and exhibit signs of a seizure while driving, before he lost control of the vehicle. The forensic pathologist who performed the autopsy received a police report which did not include details of the crash and which specifically omitted the daughter’s witnessed account. Based on the absence of traumatic injuries and the presence of facial petechiae and marks on his abdomen and chest from the seatbelt, the autopsy pathologist concluded that the cause of death was mechanical/positional asphyxia due to entrapment by the seatbelt. The decedent had significant cardiovascular disease, but this was not considered a cause or a contributory cause of death. Because the cause of death did not align with the terms of the decedent’s insurance coverage, which required that any qualified accident be directly due to on the job injury or occur due to a cardiovascular event within 24 h of job-related exertion, the family was denied Public Safety Officer accidental death benefits. The family approached a legal advocate with experience in appealing these types of claims, and the advocate reached out to a consulting pathologist to peer-review the case. The consultant authored a report incorporating the daughter’s witnessed statement and discovered evidence on microscopy that indicated that cardiac strain brought on by workplace exertion was the likely cause of the collision and terminal entrapment. Upon tertiary review by the Chief Medical Examiner, the death certificate was subsequently amended to acknowledge the decedent’s cardiovascular disease, allowing the family to successfully appeal the insurance agency’s decision and receive the benefits.

医生出具的最重要的文件之一是死亡证明。它不仅用于法医学领域,也被统计学家、管理人员、历史学家、研究人员和公共卫生专家使用。保险公司在决定是否发放保险金时,会参考死亡证明上所列的死亡原因和死亡方式。我们报告的情况下,40岁的男性谁被宣布死亡后,他的车辆撞上了一个固定的物体在正面碰撞。事故发生在他作为一名志愿消防员完成了一次高度劳累的轮班之后。事故发生时,死者的女儿也在车上,在他失去对汽车的控制之前,她目睹了死者在开车时失去知觉并表现出癫痫发作的迹象。进行尸检的法医病理学家收到了一份警方报告,其中没有包括坠机的细节,而且特别遗漏了女儿的证人陈述。由于没有外伤,腹部和胸部有面部斑点和安全带留下的痕迹,尸检病理学家得出结论,死因是由于安全带卡住造成的机械性/体位性窒息。死者患有严重的心血管疾病,但这并不被认为是导致死亡的原因或促成死亡的原因。由于死亡原因不符合死者保险范围的规定,即任何合格事故必须直接由工伤造成,或在与工作有关的努力工作24小时内因心血管疾病而发生,因此,公共安全官员拒绝向其家属发放意外死亡抚恤金。这家人找到了一位在这类索赔方面有经验的法律辩护律师,这位律师联系了一位咨询病理学家,让他对此案进行同行评议。顾问撰写了一份报告,纳入了女儿的证人陈述,并在显微镜下发现了证据,表明工作场所劳累引起的心脏紧张可能是导致碰撞和末端夹住的原因。经首席法医第三次审查后,对死亡证明进行了修订,承认死者患有心血管疾病,使家属能够成功地对保险机构的决定提出上诉,并获得赔偿。
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引用次数: 0
Head injuries caused by hammer blows: A case report and literature review 锤击致头部损伤1例报告及文献复习
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2023.100309
Nozomi Idota, Satoko Kimura, Risa Bandou, Hiroshi Ikegaya

This paper reports a fatal assault with a hammer, with numerous strikes to the skull. The victim was a man in his 70 s with dementia. The suspect was the victim’s son, a man in his 50 s with schizophrenia. According to the son's testimony, he struck the father approximately 100 times with ‘murderous intent’ using a hammer. The son called 911, but the father was dead when the authorities arrived. The futon on which the victim’s head was lying as well as his clothes were soaked with a lot of blood. Numerous additional bloodstains were observed on the wall and furniture. The hammerhead was made of metal and had a square face with rounded corners at each end. At autopsy, many purple bruises, thought to be defensive wounds, were found on both forearms and hands. Dozens of scalp-contused lacerations, abrasions, and small open scalp wounds accompanied by abrasions were observed. There were no skull bone fractures or major intracranial injuries. We believe hemorrhage from multiple scalp wounds was the cause of death. Most previous reports of head injuries due to hammer blows focused on skull fractures and scarcely focused on scalp injuries. This is the first report of head injuries due to blows with a square-faced hammer with rounded corners. We report this case because evaluating the unique characteristics of the wounds on the victim, as well as accumulating information from similar cases, may help identify wounds caused by similar weapons in the future.

这篇文章报道了一起致命的锤子袭击,头骨被多次击打。死者是一名70多岁的老年痴呆症患者。嫌疑人是受害者的儿子,50多岁患有精神分裂症。根据儿子的证词,他用锤子“蓄意”击打父亲约100次。儿子拨打了911,但当警方赶到时,父亲已经死亡。死者头部所在的蒲团和衣服都被大量的血浸透了。墙上和家具上还发现了许多其他血迹。锤头锤头是由金属制成的,有一个方形的面,两端都有圆角。在尸检中,在前臂和手上发现了许多紫色的瘀伤,被认为是防御伤。观察了数十例头部挫伤、擦伤和伴有擦伤的小开放性头皮伤口。无颅骨骨折或颅内损伤。我们认为多处头皮伤口的出血是死因。以往关于锤击所致头部损伤的报道大多集中于颅骨骨折,而很少关注头皮损伤。这是第一起因使用圆角方面锤子击打而导致头部受伤的报告。我们报告这个案例是因为评估受害者伤口的独特特征,以及从类似案件中积累的信息,可能有助于在未来识别由类似武器造成的伤口。
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引用次数: 0
A preliminary anthropometric study on second digit: Fourth digit (2D:4D) ratio and other hand dimensions for sex determination 第二指:第四指(2D:4D)比例和其他手部尺寸的初步人体测量研究
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2023.100320
Francis Kofi Sarkodie, Belinda Manu Adjei, Joshua Tetteh, Samuel Bimpong, James Nketsiah, Collins Adjei-Antwi, Nancy Darkoa Darko, Chrissie Stansie Abaidoo

Sex determination is one of the most important primary parameter in human identification. The development of forensic science in the world has provided identification tools and biometric systems for various identity cards. However, there is very little information available in Ghana on sex determination using Second digit: fourth Digit ratio (2D:4D), and hand dimensions. Therefore, the aim of the present study was to determine sex using 2D:4D, and hand dimensions. This quantitative cross-sectional study involved 100 (46 males and 54 females) undergraduate students of the University aged 17–26 years. Measurements of 2D:4D, and hand dimensions of participants were taken with a flatbed scanner (CanoScan LiDe 120) and resultant hand prints images were measured using the parallel dimension tool in Corel DRAW X7 application software. Statistical analysis was done using Statistical Package for Social Sciences (version 20.0). The average hand length, breadth and index were found to be greater in males than in females. The predominant hand index for the study was Dolichocheri (Long fingers with narrow small palm) and the least common was the Hyperdolichocheri (Very long fingers with narrow small palm). The 2D:4D showed sexual differences and the male participants recorded significantly higher values for the right hands but no significant difference for the left. A binary logistic regression analysis was done to determine the sex of the participants using 2D:4D, and hand dimensions. The significance of the study is that, it has provided additional data for forensic work in Ghana.

性别决定是人类身份识别中最重要的基本参数之一。世界法医学的发展为各种身份证提供了识别工具和生物识别系统。然而,在加纳,关于使用第二位数:第四位数比率(2D:4D)和手的尺寸来决定性别的信息很少。因此,本研究的目的是通过2D:4D和手的尺寸来确定性别。本定量横断面研究涉及100名17-26岁的大学本科生(男46名,女54名)。使用平板扫描仪(CanoScan LiDe 120)测量参与者的2D:4D和手部尺寸,并使用Corel DRAW X7应用软件中的平行尺寸工具测量手印图像。统计分析使用社会科学统计软件包(20.0版)完成。研究发现,男性的平均手长、宽度和指数都大于女性。在这项研究中,主要的手部指数是Dolichocheri(手指长,手掌窄),最不常见的是Hyperdolichocheri(手指很长,手掌窄)。2D:4D显示了性别差异,男性参与者记录的右手值明显更高,但左手没有显著差异。使用二维:四维和手部维度进行二元逻辑回归分析以确定参与者的性别。这项研究的意义在于,它为加纳的法医工作提供了额外的数据。
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引用次数: 0
Evaluation of the suitability of the Greulich and Pyle atlas in estimating age for the Botswana population using hand and wrist radiographs of young Botswana population 评估Greulich和Pyle地图集在使用年轻博茨瓦纳人口的手和手腕x线片估计博茨瓦纳人口年龄方面的适用性
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2023.100312
Baraedi Olaotse , Phokedi Gothatamang Norma , Panzirah-Mabaka Kaone , Mosothwane Morongwa , Mokgadi Janes , Kemiso Kabo , Mugoma Shathani , Patlakwe Thato

The applicability of Greulich and Pyle atlas for estimating age for court cases that require age estimation amongst the Botswana population is often questioned because the atlas has been adopted without being evaluated for Botswana. It has long been established that accuracies of such age estimation methods are dependent on different factors such as the general health and nutrition of the population. We present a study aimed at determining the level of accuracy of the Greulich and Pyle atlas at estimating age for the Botswana population. It is the first time that this type of study is being performed for Botswana. The results will be used to confirm if there is need to develop specific age estimation standards for Botswana. A total of 140 x-ray image samples were obtained from local hospitals for patients aged between 5 and 18 years. The sample images were compared with the Greulich and Pyle age estimation standards. In forensic age estimations, there are several important age limits which are considered. The legal age of maturity for Botswana is 18 years. This age limit is very important in determining whether offenders should be tried as children or adults and at the same time, in determining if victims are minors or adults. It also forms the basis for sentencing of offenders for crimes committed against children. For the important age group 15 ≤ 18 the mean skeletal age difference was found to be 0.94 (statistically significant) indicating that age was underestimated for males. This could be a problem where a perpetrator’s age is underestimated as a result not sentenced accordingly as they are mistaken for a minor. The mean skeletal age difference for females was found to be 0.64 years, indicating that age was underestimated by up to 0.64 years for females while the mean skeletal age difference was found to be 0.50 years for males in overall. This indicated that the Greulich and Pyle atlas underestimated age by 0.50 years overall. Significant statistical difference was observed between the mean chronological age and the mean estimated age as the p-values were found to be 0.03 for females and 0.05 for males. Based on these findings, it can be concluded that the Greulich and Pyle atlas can be used to estimate age but with caution as there is a possibility of errors. There is need for this atlas to be revised to reduce errors in age estimation for the Botswana context.

对于需要在博茨瓦纳人口中估计年龄的法庭案件,Greulich和Pyle地图集在估计年龄方面的适用性经常受到质疑,因为地图集在没有对博茨瓦纳进行评估的情况下被采用。人们早已确定,这种年龄估计方法的准确性取决于不同的因素,例如人口的总体健康和营养状况。我们提出了一项研究,旨在确定格鲁里奇和派尔地图集在估计博茨瓦纳人口年龄时的准确性水平。这是第一次为博茨瓦纳进行这种类型的研究。研究结果将用于确认是否需要为博茨瓦纳制定具体的年龄估计标准。从当地医院获得5 ~ 18岁患者的x线图像样本140张。将样本图像与Greulich和Pyle年龄估计标准进行比较。在法医年龄估计中,有几个重要的年龄限制需要考虑。博茨瓦纳的法定成年年龄是18岁。这一年龄限制对于确定罪犯应作为儿童还是成年人受审,同时对于确定受害者是未成年人还是成年人,都是非常重要的。它也是对侵害儿童罪行的罪犯量刑的依据。对于15≤18岁的重要年龄组,平均骨骼年龄差为0.94(有统计学意义),表明男性年龄被低估。这可能是一个问题,因为犯罪者的年龄被低估,导致他们被误认为未成年人而没有得到相应的判决。女性的平均骨骼年龄差异为0.64岁,表明女性的年龄被低估了0.64岁,而男性的平均骨骼年龄差异总体上为0.50岁。这表明Greulich和Pyle地图集总体上低估了年龄0.50年。平均实足年龄与平均估计年龄的差异有统计学意义,女性的p值为0.03,男性的p值为0.05。基于这些发现,可以得出结论,Greulich和Pyle地图集可以用来估计年龄,但要谨慎,因为有可能出现错误。有必要对该地图集进行修订,以减少博茨瓦纳背景下年龄估计的错误。
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引用次数: 1
Retraction notice to “Developmental validation of the VersaPlex™ 27PY system” [Forensic Sci. Int. Rep. 2C (2020) 100156] 对“VersaPlex™27PY系统的开发验证”的撤回通知[法医科学]。Int。众议员2C (2020) 100156]
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2023.100306
Kristy A. Lenz , Dawn R. Rabbach , Chao Liu , Quyi Xu , Ying Zeng , Carolyn R. Steffen , Douglas R. Storts

This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal).

This article has been retracted at the request of the Section Editor and Authors after a thorough investigation.

While NIST informed the journal that it followed appropriate human subjects protocols, it has come to light that the manuscript fails to indicate whether consent was obtained for all sample acquisition. The article further incorrectly implies that NIST collaborated with the Guangzhou Forensic Science Institute. All authors have been informed of this decision. Apologies are offered to readers of the journal that this was not detected during the submission process.

本文已被撤回:请参阅爱思唯尔关于文章撤回的政策(https://www.elsevier.com/about/our-business/policies/article-withdrawal)。应章节编辑和作者的要求,经过彻底调查,本文已被撤回。虽然NIST告知该杂志,它遵循了适当的人类受试者协议,但据了解,手稿未能表明是否获得了所有样本采集的同意。文章进一步错误地暗示NIST与广州法医科学研究所合作。所有作者都已获悉这一决定。对于在提交过程中没有检测到这一点,我们向该杂志的读者表示歉意。
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引用次数: 0
Alcohol use trends in Dallas County during the COVID-19 pandemic 2019冠状病毒病大流行期间达拉斯县酒精使用趋势
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2023.100318
Sara K. Dempsey, Lindsay Glicksberg, Amanda J. Rausch, Heidi Christensen, Brittany K. Casey

Alcohol (ethanol) is the most widely detected drug in forensic toxicology casework and an increase in consumption of alcohol was reported during the COVID-19 pandemic. The increase in consumption could be attributed to rising stress levels and social isolation. To determine whether the pandemic had an impact on ethanol positivity and concentrations in cases analyzed by the Dallas County Southwestern Institute of Forensic Sciences, blood ethanol results were evaluated from January 1, 2019, through December 31, 2021. This time frame captured ethanol prevalence and concentrations before, during, and immediately following the pandemic for comparison. The average ethanol concentration in postmortem casework over the three years for each quarter ranged from 0.116 g/100 mL to 0.142 g/100 mL while the average concentration in driving while intoxicated (DWI) was higher, ranging from 0.173 g/100 mL to 0.188 g/100 mL. The ethanol positivity rate for postmortem casework remained relatively the same at approximately 20% during the time frame, while there was a decrease in ethanol positivity rate for DWI casework during the pandemic in April - June (Q2) 2020. However, the positivity rate returned to pre-pandemic levels by the end of 2020. Despite the self-reported surveys of increased alcohol consumption during the pandemic, a corresponding increase in average ethanol concentrations was not observed in Dallas County and the surrounding area.

酒精(乙醇)是法医毒理学案件中检测最广泛的药物,据报告,在2019冠状病毒病大流行期间,酒精消费量有所增加。消费的增加可归因于压力水平的上升和社会孤立。为了确定大流行是否对达拉斯县西南法医科学研究所分析的病例中的乙醇阳性和浓度产生影响,对2019年1月1日至2021年12月31日的血液乙醇结果进行了评估。这个时间框架捕获了大流行之前、期间和之后的乙醇流行率和浓度,以便进行比较。三年来,每个季度死后工作的平均乙醇浓度范围为0.116 g/100 mL至0.142 g/100 mL,而醉酒驾驶(DWI)的平均浓度更高,范围为0.173 g/100 mL至0.188 g/100 mL。在此期间,死后工作的乙醇阳性率相对保持不变,约为20%。而在2020年4月至6月(第二季度)大流行期间,DWI病例的乙醇阳性率有所下降。然而,到2020年底,阳性率回到了大流行前的水平。尽管自我报告调查显示大流行期间酒精消费量增加,但在达拉斯县及周边地区未观察到平均乙醇浓度相应增加。
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引用次数: 0
Role of soft-tissue thickness on the reproducibility in forensic facial approximation: A comparative case study 软组织厚度对法医面部近似再现性的影响:一个比较案例研究
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2022.100293
Debesh Nilendu , Abraham Johnson

Forensic facial approximation plays a vital role in identifying individuals who cannot be identified using conventional approaches. The key concern is linking the hard and soft tissues while improving the precision and consistency of its varied approaches. However, forensic facial approximation has limited relevance in India due to a lack of thorough study and proficiency with a diverse population displaying disparities in facial characteristics. The current study attempts to assess the changes in facial characteristics on forensic facial reconstruction utilizing different soft tissue thickness databases while keeping the skeletal elements, technique, and operator constant. Three facial approximations were created based on three facial soft tissue thickness databases of different geographic regions within India. Visual assessment and superimposition were used to analyze the reconstructed faces and subjects. All the reconstructed faces showed a considerable difference between each other and the subject. The placement of the eyes, ears, and, most crucially, the mouth differed significantly. No approach works with the nose, eyes, mouth, and ears; even with the best practices possible, sometimes inaccurate results occur. Facial approximation should be seen as a blend of science and art based on well-documented anatomical principles.

法医面部近似在识别传统方法无法识别的个体方面起着至关重要的作用。关键问题是连接硬组织和软组织,同时提高其各种方法的精度和一致性。然而,由于缺乏对不同人群面部特征差异的深入研究和熟练程度,法医面部近似在印度的相关性有限。本研究试图在保持骨骼元素、技术和操作人员不变的情况下,利用不同的软组织厚度数据库评估法医面部重建中面部特征的变化。基于印度不同地理区域的三个面部软组织厚度数据库,创建了三个面部近似。采用视觉评价和叠加法对重建的人脸和被试进行分析。所有重建的面部都显示出彼此之间和受试者之间的相当大的差异。眼睛,耳朵,最重要的是,嘴巴的位置明显不同。没有一种方法对鼻子、眼睛、嘴巴和耳朵有效;即使有了最佳实践,有时也会出现不准确的结果。面部近似应该被看作是科学和艺术的结合,它基于有据可查的解剖学原理。
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引用次数: 0
Sex estimation using proximal femoral parameters of adult population in the Volta region of Ghana 加纳Volta地区成年人口股骨近端参数的性别估计
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.fsir.2023.100323
Raymond Saa-Eru Maalman , Joseph K. Korpisah , Kingsley Ampong , Nancy Darkoa Darko , Isaac E. Ennin , Esther Eseenam Kpordzih , Micheal Barima Kumi , Mahamudu Ayamba Ali , Peter Adatara

Background

The estimation of sex is a fundamental component in the establishment of a biological profile and a critical step for the identification of skeletal remains in forensic contexts. The proximal femoral geometry is frequently evaluated at crime scene for the estimation of sex, but the use of radiograph anthropometry for the estimation of sex is rare, even though radiographs would be easier to handle than bone specimen.

Aim

The aim of this study was to estimate sex using proximal femoral parameters of adult population in the Volta region of Ghana.

Method

This study made use of 214 normal anteroposterior (AP) radiographs of the pelvis that showed the hip joints and the proximal femora. The age and sex were recorded. Four proximal femoral parameters were measured on the radiographs using the ‘DICOM radiology reader software. The hip axis length was measured and mean difference of the parameters between the genders and the laterality categories were assessed.

Results

Three out of the four parameters measured; femoral head diameter, neck diameter and hip axis length demonstrated statistically significantly difference (p = 0.0001) between the males and females in both right and left side measurement. The right hip axis length (RHAL) and left head diameter (LHD) contributed significantly to sex estimation.

Conclusion

The right hip axis length demonstrates a high accuracy of 81.3% in sex determination among the population. This is the first study to present this finding in this population and might provide another way (if not easier way) to estimate the sex of a given skeletal specimen may give valuable insight into a better-customised implant and prosthesis design.

性别估计是建立生物轮廓的基本组成部分,也是法医鉴定骨骼遗骸的关键步骤。在犯罪现场经常评估股骨近端几何形状来估计性别,但使用x线人体测量来估计性别是罕见的,尽管x线照片比骨标本更容易处理。目的本研究的目的是利用加纳Volta地区成年人口的股骨近端参数来估计性别。方法本研究利用214张正常骨盆正位(AP)片显示髋关节和股骨近端。记录了年龄和性别。使用DICOM放射学阅读器软件在x线片上测量股骨近端4个参数。测量髋轴长度,并评估性别和侧位类别之间参数的平均差异。结果4个参数中有3个测量得到;男女左右侧测量股骨头直径、颈直径、髋轴长差异均有统计学意义(p = 0.0001)。右髋轴长(RHAL)和左头径(LHD)对性别估计有显著影响。结论右臀轴长度在人群性别判定中准确率高达81.3%。这是首次在这一人群中提出这一发现的研究,并可能提供另一种方法(如果不是更容易的方法)来估计给定骨骼标本的性别,这可能会为更好地定制植入物和假体设计提供有价值的见解。
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引用次数: 1
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Forensic Science International: Reports
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