Pub Date : 2023-06-30DOI: 10.4038/mljsl.v11i1.7476
B. Sanjaya, A. Vadysinghe, M. Sivasubramanium, E. Ekanayake, G. Rodrigo, Lakshika S. Nawarathna, L. P. M. Liyanage
Introduction: Sex determination using human skeletal remains is a challenging task for forensic practitioners and foramen magnum is used at lesser extents for this purpose. The aim of this study was to determine the sex by evaluating the parameters of the foramen magnum in a Sri Lankan population using computed tomography (CT).Methods: CT images of 300 individuals aged between 20 to 60 years, comprising 146 males (49%) and 154 females (51%), obtained from the Radiology Department of National Hospital, Kandy, Sri Lanka were retrieved for the study. Four parameters of the foramen magnum, namely length, width, circumference, and area, were measured/calculated using the RadiAnt Dicom Viewer 2022.1 software and analyzed using SPSS 26 software.Results: The analyses indicated that all four measurements were significantly higher in males than in females. All the parameters showed positive correlations with each other. Discriminant function analysis indicated that length was the most dimorphic single parameter for males, with an accuracy of 76%, and for females, the length also provided an accuracy of 71%.Conclusion: Results of this study show that the parameters of the foramen magnum, mainly the length, can be used for sex determination. By combining other parameters of sexing human bones, more accurate results for sex determination can be obtained.
{"title":"Sex Determination by Evaluation of Foramen Magnum on Computer Tomography Scanning Among Sri Lankan Population","authors":"B. Sanjaya, A. Vadysinghe, M. Sivasubramanium, E. Ekanayake, G. Rodrigo, Lakshika S. Nawarathna, L. P. M. Liyanage","doi":"10.4038/mljsl.v11i1.7476","DOIUrl":"https://doi.org/10.4038/mljsl.v11i1.7476","url":null,"abstract":"Introduction: Sex determination using human skeletal remains is a challenging task for forensic practitioners and foramen magnum is used at lesser extents for this purpose. The aim of this study was to determine the sex by evaluating the parameters of the foramen magnum in a Sri Lankan population using computed tomography (CT).Methods: CT images of 300 individuals aged between 20 to 60 years, comprising 146 males (49%) and 154 females (51%), obtained from the Radiology Department of National Hospital, Kandy, Sri Lanka were retrieved for the study. Four parameters of the foramen magnum, namely length, width, circumference, and area, were measured/calculated using the RadiAnt Dicom Viewer 2022.1 software and analyzed using SPSS 26 software.Results: The analyses indicated that all four measurements were significantly higher in males than in females. All the parameters showed positive correlations with each other. Discriminant function analysis indicated that length was the most dimorphic single parameter for males, with an accuracy of 76%, and for females, the length also provided an accuracy of 71%.Conclusion: Results of this study show that the parameters of the foramen magnum, mainly the length, can be used for sex determination. By combining other parameters of sexing human bones, more accurate results for sex determination can be obtained.","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115672344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.4038/mljsl.v11i1.7478
U. Mayorathan, T. William, R. Harruff
Introduction: The adipose tissue in the right ventricle is frequently found during forensic autopsies. However, the pathological significance of right ventricular lipomatosis was not well studied in the available literature. This study aims to study identify the relationship between right ventricular lipomatosis and sociodemographic factors, BMI, and waist circumferenceMethods: Assessment of the fatty infiltration and fibrosis was performed by two pathologists who read all specimens separately. The average of the two values was taken for analysis.Results: A total of 100 decedents were examined in this study, of which 70 were male,76 were Caucasians thirteen were black, nine were Asian, and two were Native American. Among the population 76 were older than 30. Seventy-one out of a hundred recorded a BMI of more than 25, and 63 decedents had a normal waist circumference. Fat infiltration of the anterior wall and lateral wall and average fat infiltration of the right ventricle showed significant association with the female sex and the Caucasian population at a 95% confidence interval. Neither cause of death, past medical history, nor fibrosis of the right ventricle walls showed significant association with the fat infiltration of the right ventricle. Yet, age above 30 years and body mass index over 25 showed a significant association in the fat infiltration of the posterior wall (p-value < 0.05). At the same time, higher waist circumference was significantly associated with the average right ventricular fat infiltration (p-value < 0.05).Conclusion: Right ventricular lipomatosis is significantly associated with BMI and waist circumference in our study. At the same time, it was positively correlated with age, sex, and race.
{"title":"Right Ventricular Lipomatosis: A postmortem study","authors":"U. Mayorathan, T. William, R. Harruff","doi":"10.4038/mljsl.v11i1.7478","DOIUrl":"https://doi.org/10.4038/mljsl.v11i1.7478","url":null,"abstract":"Introduction: The adipose tissue in the right ventricle is frequently found during forensic autopsies. However, the pathological significance of right ventricular lipomatosis was not well studied in the available literature. This study aims to study identify the relationship between right ventricular lipomatosis and sociodemographic factors, BMI, and waist circumferenceMethods: Assessment of the fatty infiltration and fibrosis was performed by two pathologists who read all specimens separately. The average of the two values was taken for analysis.Results: A total of 100 decedents were examined in this study, of which 70 were male,76 were Caucasians thirteen were black, nine were Asian, and two were Native American. Among the population 76 were older than 30. Seventy-one out of a hundred recorded a BMI of more than 25, and 63 decedents had a normal waist circumference. Fat infiltration of the anterior wall and lateral wall and average fat infiltration of the right ventricle showed significant association with the female sex and the Caucasian population at a 95% confidence interval. Neither cause of death, past medical history, nor fibrosis of the right ventricle walls showed significant association with the fat infiltration of the right ventricle. Yet, age above 30 years and body mass index over 25 showed a significant association in the fat infiltration of the posterior wall (p-value < 0.05). At the same time, higher waist circumference was significantly associated with the average right ventricular fat infiltration (p-value < 0.05).Conclusion: Right ventricular lipomatosis is significantly associated with BMI and waist circumference in our study. At the same time, it was positively correlated with age, sex, and race.","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114334519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.4038/mljsl.v10i2.7470
P. D. Palipana
{"title":"Diagnostic and Management Challenges and Medico-legal Impacts of Multiple Dento-Alveolar Injuries: A Case Report","authors":"P. D. Palipana","doi":"10.4038/mljsl.v10i2.7470","DOIUrl":"https://doi.org/10.4038/mljsl.v10i2.7470","url":null,"abstract":"","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117244336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.4038/mljsl.v10i2.7467
U. Mayorathan, S. Pranavan, J. S. A. Niroshini, M. Moganalukshan, A. M. Jiffry
{"title":"An Analysis of Medico-Legal Autopsies Alleged to be Homicide: A Study from the Northern Province of Sri Lanka","authors":"U. Mayorathan, S. Pranavan, J. S. A. Niroshini, M. Moganalukshan, A. M. Jiffry","doi":"10.4038/mljsl.v10i2.7467","DOIUrl":"https://doi.org/10.4038/mljsl.v10i2.7467","url":null,"abstract":"","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121468902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.4038/mljsl.v10i2.7460
R. Samaranayake, S. Gunawardena, S. M. H. D. Senadhipathi, N. V. Ewaduge, M. A. D. P. K. Abeyratne, T. Siriwardena
{"title":"Fatal Myocarditis Following Administration of Zoledronic Acid: A Case Report","authors":"R. Samaranayake, S. Gunawardena, S. M. H. D. Senadhipathi, N. V. Ewaduge, M. A. D. P. K. Abeyratne, T. Siriwardena","doi":"10.4038/mljsl.v10i2.7460","DOIUrl":"https://doi.org/10.4038/mljsl.v10i2.7460","url":null,"abstract":"","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116270185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.4038/mljsl.v10i2.7471
P. D. Palipana, A. Adikari
{"title":"Prolonged Effects of Dental Trauma Managed by Conservative Means and Their Medico-legal Implications: A Case Report","authors":"P. D. Palipana, A. Adikari","doi":"10.4038/mljsl.v10i2.7471","DOIUrl":"https://doi.org/10.4038/mljsl.v10i2.7471","url":null,"abstract":"","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122041352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.4038/mljsl.v10i2.7466
M. Izzath, S. Kodikara
{"title":"Attrition of Cases of Sexual Offences from The Criminal Justice System of Sri Lanka; A Pilot Study","authors":"M. Izzath, S. Kodikara","doi":"10.4038/mljsl.v10i2.7466","DOIUrl":"https://doi.org/10.4038/mljsl.v10i2.7466","url":null,"abstract":"","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131232800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.4038/mljsl.v10i2.7464
P. Appuhamy
{"title":"The Practice of Death Certification by Grama Niladhari and the Birth and Death Registration Act: A Review with Reforms","authors":"P. Appuhamy","doi":"10.4038/mljsl.v10i2.7464","DOIUrl":"https://doi.org/10.4038/mljsl.v10i2.7464","url":null,"abstract":"","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116529927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-30DOI: 10.4038/mljsl.v10i0.7474
P. Ruwanpura, M. Vidanapathirana, P. Edirisinghe
{"title":"Abstract Book : INPALMS: 14th International Congress of Indo Pacific Association of Law Medicine and Science, 2022, Galadari Hotel, Colombo, Sri Lanka 13th -16th December 2022.","authors":"P. Ruwanpura, M. Vidanapathirana, P. Edirisinghe","doi":"10.4038/mljsl.v10i0.7474","DOIUrl":"https://doi.org/10.4038/mljsl.v10i0.7474","url":null,"abstract":"","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125378170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-07DOI: 10.4038/mljsl.v10i3.7462
M. Vidanapathirana, P. Ruwanpura
{"title":"Abstracts of the 19th Annual Academic Sessions of the College of Forensic Pathologists of Sri Lanka 2020/2021","authors":"M. Vidanapathirana, P. Ruwanpura","doi":"10.4038/mljsl.v10i3.7462","DOIUrl":"https://doi.org/10.4038/mljsl.v10i3.7462","url":null,"abstract":"","PeriodicalId":446761,"journal":{"name":"Medico-Legal Journal of Sri Lanka","volume":"155 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123501674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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