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Body fat percentage estimation in children - searching for the most accurate equation. 估计儿童体脂百分比-寻找最准确的方程式。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-09-28 DOI: 10.1127/homo/2021/1345
Łukasz Kryst, Magdalena Żegleń, Małgorzata Kowal, Agnieszka Woronkowicz

Background and aims: Analysis of body composition is a very important issue, and it is often used as one of the crucial markers of overall health. The aim of the study was to analyse the relationship between the percentage of body fat ratio estimated using selected equations and adiposity obtained by bioimpedance in 7-16-year-olds from Kraków (Poland). Methods and results: The study included 1887 children and adolescents. Body weight and height were measured according to standard methods and Body Mass Index was calculated on the basis of those measurements. Biceps, triceps, subscapular, suprailiac, abdominal and calf skinfolds were measured. Adiposity was obtained using the BIA method as well as estimated by Siri, Goran, Slaughter, Deurenberg, Huang, Dezenberg, Ripka and Brożek equations. Relationship between results obtained from the equations and bioimpedance was assessed using Deming regression. All calculations were performed using Microsoft Excel and MedCalc. Statistically significant (p ≤ 0.001) relationship between adiposity obtained by bioimpedance and estimated was observed for all of the analysed equations. For girls, the strongest one was noted for Siri equation, with R = 0.83 (95%CI: 0.81-0.85). Among boys, the strongest relationship was observed for 3-skinfolds based equation developed by Ripka, with the Pearson's correlation coefficient value of 0.84 (95%CI: 0.81-0.85). Conclusions: The most useful equation to estimate the body fat percentage in the population of 7-16-year olds from Kraków (Poland) differed between the sexes. For boys, it was Ripka 3-skinfold equation, while for girls it was the equation developed by Siri.

背景与目的:身体成分分析是一个非常重要的问题,它经常被用作整体健康的重要标志之一。该研究的目的是分析7-16岁儿童(Kraków,波兰)使用选定方程估计的体脂率百分比与生物阻抗获得的肥胖之间的关系。方法与结果:本研究纳入1887名儿童和青少年。根据标准方法测量体重和身高,并在此基础上计算身体质量指数。测量肱二头肌、肱三头肌、肩胛下、髌上、腹部和小腿皮肤皱褶。肥胖采用BIA法计算,并通过Siri、Goran、Slaughter、Deurenberg、Huang、Dezenberg、Ripka和Brożek方程估算。利用Deming回归评估方程结果与生物阻抗之间的关系。所有计算均使用Microsoft Excel和MedCalc进行。在所有分析的方程中,通过生物阻抗获得的肥胖与估计值之间的关系具有统计学意义(p≤0.001)。对于女孩来说,最强大的是Siri方程,R = 0.83 (95%CI: 0.81-0.85)。在男孩中,Ripka开发的基于3个皮肤褶皱的方程的相关性最强,Pearson相关系数值为0.84 (95%CI: 0.81-0.85)。结论:估计来自Kraków(波兰)的7-16岁人群体脂百分比最有用的方程在性别之间存在差异。对男孩来说,这是里普卡3-皮肤折叠方程,而对女孩来说,这是Siri开发的方程。
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引用次数: 0
Morphometric analysis of the sella turcica in subjects with different vertical growth patterns - a cephalometric study. 不同垂直生长模式受试者的蝶鞍形态计量学分析-一项头测量学研究。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-09-28 DOI: 10.1127/homo/2021/1413
Tatjana Perović, Zorica Blažej, Ivan Jovanović, Marija Cvetković

The objective of this study is the comparison of the size and shape of the sella turcica in subjects with different vertical patterns in the skeletal class I in adults, as well as to determine sex differences within examined groups. Lateral cephalograms were used to examine parametars: shape of sella, angulation, length, diameter, index of the depth and cross-sectional area of the sella turcica in 155 adult Caucasian subjects (79 male and 76 female) from the central Balkan area. Subjects were divided into three groups according to the ANB angle, Wit's appraisal and SN/GoGn angle into normodivergent (angle value between 26° and 38° in 28 male, 27 female subjects), hypodivergent (angle value less than 26° in 26 male, 25 female subjects) and hyperdivergent (angle value higher than 38° in 25 male, 24 female subjects). A normal shape of the sella was established in 40% of the overall number of subjects. Significant sex differences were found for angulation angle and sella depth index (p < 0.05). Significant differences between groups were found only for sella depth (p < 0.02). The area of sella turcica appears to be saved from significant changes in morphology, as well as in measurable dimensions and the obtained results justify the use of sella turcica as an important landmark in different cephalometric analyses.

本研究的目的是比较成人I类骨骼中具有不同垂直模式的受试者的蝶鞍的大小和形状,以及确定被检查组内的性别差异。本研究采用侧位脑电图检查来自巴尔干中部地区的155名成年高加索人(男性79名,女性76名)的鞍形、成角、长度、直径、深度指数和鞍横截面积等参数。根据ANB角度、Wit’s评价和SN/GoGn角度将受试者分为正常调节组(男性28例,女性27例)、低发散组(男性26例,女性25例,角度小于26°)和超发散组(男性25例,女性24例,角度大于38°)。在全部受试者中,有40%的受试者形成了正常的鞍形。成角角度和鞍深指数性别差异显著(p < 0.05)。组间差异有统计学意义(p < 0.02)。蝶鞍的面积似乎从形态学和可测量尺寸的显著变化中得以保存,所获得的结果证明了将蝶鞍作为不同头颅测量分析的重要标志是合理的。
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引用次数: 1
The effects of orthopedic pathological conditions and systemic diseases on the prevalence of hip osteoarthritis in Modern African- and European-Americans. 现代非洲裔和欧裔美国人髋关节骨关节炎患病率的骨科病理状况和全身性疾病的影响。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-09-28 DOI: 10.1127/homo/2021/1329
Aubrie Sanchez, Sean D Tallman, Allysha P Winburn, Joshua Stefanik

Osteoarthritis (OA) is a leading cause of disability among aging adults. In the U.S., many individuals living with total hip replacements attribute OA as the cause. However, the majority of anthropological OA research excludes pathological individuals (i.e., individuals with systemic disease, traumatic injuries, or orthopedic devices). Thus, little is known about how implants and pathological conditions impact OA beyond a general acceptance that they likely increase OA risk. This study adds to the skeletal research surrounding OA by directly investigating its relationship with age, disease, and implants. The proximal femora of 186 African- and European-American individuals (21-95 years old) from the Edmonds Orthopedic Pathology Collection (National Museum of Health and Medicine; Armed Forces Institute of Pathology) were analyzed. The individuals were grouped into three cohorts: disease; non-disease; and previous injury/implant. Jurmain's (1990) ordinal scoring method was used to categorize OA changes as: none/slight; moderate; severe; and ankylosis. Intra-rater reliability for the scoring of OA was perfect, while inter-rater reliability was moderate. Results from Chi-square tests, exploratory data analysis, and ordinal logistic regression showed that there was a statistically significant relationship (p < 0.001) between degree of OA, age, recorded disease (e.g., cancer), and evidence of previous injury (i.e., healed fractures, fracture fixation devices). In contrast with the expectation that different populations exhibit different patterns of OA, no significant sex or ancestry effects were observed. These results help researchers better understand the etiology and contemporary risk factors of OA as well as identifying an additional subset of the population who may be at greater risk for developing OA - i.e., individuals with fractures, implants, and systemic disease, especially those in older age cohorts (60+ years).

骨关节炎(OA)是老年人致残的主要原因。在美国,许多接受了全髋关节置换术的患者将骨关节炎视为病因。然而,大多数人类学OA研究排除了病理个体(即患有全身性疾病、创伤性损伤或矫形装置的个体)。因此,除了普遍认为植入物和病理状况可能增加OA风险之外,关于它们如何影响OA的了解甚少。本研究通过直接调查骨性关节炎与年龄、疾病和植入物的关系,增加了骨性关节炎的骨骼研究。来自Edmonds骨科病理收藏(国家卫生和医学博物馆;武装部队病理研究所)进行了分析。这些人被分为三组:疾病组;十几;以及之前的损伤/植入。采用Jurmain(1990)的序数评分法将OA变化分为:无/轻微;温和的;严重的;和关节僵硬。OA评分的量表内信度为完美,量表间信度为中等。卡方检验、探索性数据分析和有序逻辑回归的结果显示,骨性关节炎程度、年龄、记录的疾病(如癌症)和既往损伤证据(即骨折愈合、骨折固定装置)之间存在统计学显著关系(p < 0.001)。与预期不同的种群表现出不同的OA模式相反,没有观察到显著的性别或血统影响。这些结果有助于研究人员更好地了解骨关节炎的病因和当代危险因素,并确定可能患骨关节炎风险更高的人群——即骨折、植入物和全身性疾病的个体,特别是那些年龄较大的人群(60岁以上)。
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引用次数: 0
Postnatal changes of the human bony labyrinth morphology. 出生后人骨迷路形态的变化。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-09-28 DOI: 10.1127/homo/2021/1365
Joanna Helena Bonczarowska, Konstantinos Spanakis, Elena F Kranioti

It has been suggested that the inner ear attains its final morphology already in utero and that environmental factors do not influence its size or shape after birth. Thus, direct comparison between the adult and the subadult bony labyrinths can be made. Herein, this hypothesis was tested in a sample of 170 subadult individuals. Three-dimensional (3D) models of the labyrinths were created for 170 French and Greek juveniles. Ten linear measurements of the 3D models were taken and the labyrinthine shape was evaluated by calculating 10 shape indices. All variables were subsequently analyzed in the context of postnatal development. Significant positive correlation between the chronological age and several variables was noted suggesting that age-related changes of the bony labyrinth occur in the postnatal period. Our findings contradict the simplified assumption that the bony labyrinth retains a stable morphology after birth. Further research should concentrate on evaluating postnatal changes to the temporal bone and their influence on the labyrinthine morphology.

有人认为内耳在子宫内就已形成最终形态,出生后环境因素不会影响其大小和形状。因此,可以直接比较成人和亚成人骨迷路。在此,这一假设在170个亚成年个体的样本中进行了检验。迷宫的三维模型是为170名法国和希腊青少年制作的。对三维模型进行了10次线性测量,并通过计算10项形状指标对迷宫形状进行了评价。随后在出生后发育的背景下分析所有变量。实足年龄与几个变量之间存在显著的正相关,表明骨迷路的年龄相关变化发生在出生后。我们的发现反驳了出生后骨迷路保持稳定形态的简单假设。进一步的研究应集中于评估出生后颞骨的变化及其对迷路形态的影响。
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引用次数: 2
The relationship between the position of the spine in the sagittal plane and longitudinal arching of the feet in school-age girls and boys - cross-sectional study. 学龄男女儿童脊柱矢状面位置与足部纵弓度关系的横断面研究。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-09-28 DOI: 10.1127/homo/2021/1255
Agnieszka Jankowicz-Szymańska, Marta Bibro, Katarzyna Wódka, Eliza Smoła, Edyta Mikołajczyk

Introduction: Discoveries concerning the role of connective tissue and myofascial chains require a change in thinking about the functioning of the human body and verification of the approach to correcting posture defects. The aim of the study was to evaluate the relationship between the shape of the spine in the sagittal plane and longitudinal arching of the feet. Material and methods: 271 girls and 241 boys aged 10-12 years were examined. Height and body weight were measured. The BMI was calculated and the status of body weight was estimated. The depth of thoracic kyphosis and lumbar lordosis as well as the sagittal trunk inclination were assessed using the Zebris Pointer ultrasound system. Arching of the feet was determined on the basis of the Arch Index on BTS P-walk platform. Statistica v13 software was used to analyse the data. Results: Both sexes showed a tendency to have deeper thoracic kyphosis and lumbar lordosis. About 15% of the participants had flatfeet. Hollow and correct arching of the feet was observed with a similar frequency (38-43%). Hollow feet arching was accompanied by shallower lumbar lordosis and a shift of the body's general centre of gravity backwards. The participants with flat foot arching tend to have deeper lumbar lordosis. A greater depth of physiological curvatures of the spine and lower longitudinal arching of the feet were observed in boys. BMI was positively correlated with decreased arching of the feet and deepened lumbar lordosis. Conclusions: Longitudinal arching of the feet significantly correlates with the depth of lumbar lordosis and trunk balance.

引言:结缔组织和肌筋膜链作用的发现需要改变对人体功能的思考,并验证纠正姿势缺陷的方法。该研究的目的是评估脊柱矢状面形状与足部纵弓之间的关系。材料与方法:10 ~ 12岁女生271例,男生241例。测量身高和体重。计算BMI并估计体重状况。使用Zebris Pointer超声系统评估胸后凸和腰椎前凸深度以及矢状躯干倾斜度。根据BTS P-walk平台上的Arch Index来确定足弓度。采用Statistica v13软件对数据进行分析。结果:男女均有较深的胸后凸和腰椎前凸的倾向。大约15%的参与者有平底足。空心和正确的足弓出现的频率相似(38-43%)。足部凹陷拱起伴有较浅的腰椎前凸和身体的一般重心向后移动。有平足弓的参与者往往有更深的腰椎前凸。在男孩中观察到更大的脊柱生理弯曲深度和更低的足纵向弓。BMI与足弓度减少和腰椎前凸加深呈正相关。结论:足部纵弓与腰椎前凸深度和躯干平衡显著相关。
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引用次数: 2
VDR polymorphisms effect on bone mineral density in Polish postmenopausal women. VDR多态性对波兰绝经后妇女骨密度的影响。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-09-28 DOI: 10.1127/homo/2021/1356
Anna Elżbieta Spinek, Ireneusz Majsterek, Anna Walczak, Iwona Rosset, Ewa Sewerynek, Elżbieta Żądzińska

Purpose: Osteoporosis is the most widespread systemic disease of the skeleton. According to estimated data for Poland, it affects ca. 3 million people. Although the disease is multifactorial, with significant influence of environmental factors on the increase of the risk of its occurrence, genetic factors play an important role in its pathogenesis. The aim of this study was an analysis of the relation of the ApaI, BsmI and TaqI polymorphisms of the VDR gene, with bone mineral density measured in lumbar spine and/or in proximal femur in a group of polish women. Methods: The study included 135 women at the postmenopausal age from the area of central Poland. BMD was measured at the hip and/or at the lumbar spine, using dual-energy X-ray absorptiometry. The influence of the selected VDR genotypes on bone mineral density was studied using the ApaI, the BsmI and the TaqI restriction enzymes. Lifestyle information was obtained via questionnaire. Results: Women with the 'bb' genotype showed lower BMD values of the hip (Total BMD value) comparing to patients with 'BB' or 'Bb' genotypes. We did not observe similar correlation for the lumbar spine. The remaining polymorphisms (ApaI and TaqI) did not demonstrate a significant relation with the differentiation of the mean BMD values obtained from the hip nor from lumbar vertebrae. Conclusion: The present study has demonstrated that the BsmI polymorphism of the vitamin D receptor gene is a factor of bone mineral density changes in postmenopausal women from Poland.

目的:骨质疏松症是最广泛的骨骼全身性疾病。根据波兰的估计数据,它影响了大约30万人。虽然该病是多因素的,环境因素对其发生风险的增加有显著影响,但遗传因素在其发病机制中起重要作用。本研究的目的是分析VDR基因的ApaI、BsmI和TaqI多态性与一组波兰妇女腰椎和/或股骨近端骨密度的关系。方法:该研究包括来自波兰中部地区的135名绝经后妇女。使用双能x线骨密度仪测量髋部和/或腰椎的骨密度。采用ApaI、BsmI和TaqI限制性内切酶研究了所选VDR基因型对骨矿物质密度的影响。生活方式信息通过问卷调查获得。结果:与“bb”或“bb”基因型的患者相比,“bb”基因型的女性显示出较低的髋关节骨密度值(总骨密度值)。我们在腰椎中没有观察到类似的相关性。其余的多态性(ApaI和TaqI)与从髋部和腰椎获得的平均骨密度值的分化没有显着关系。结论:本研究表明维生素D受体基因的BsmI多态性是波兰绝经后妇女骨密度变化的一个因素。
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引用次数: 2
UCT Human Skeletal Repository: Its stewardship, history, composition and educational use. UCT人类骨骼库:它的管理,历史,组成和教育用途。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-06-25 DOI: 10.1127/homo/2021/1402
Victoria E Gibbon, Alan G Morris

The University of Cape Town (UCT) Human Skeletal Repository began in 1913 and its composition a century later reflects the history of biological anthropology at the University, in South Africa and internationally. It consists of 1059 skeletons from archaeological (472; 44%), cadaveric (372; 36%) and forensic contexts (160; 14%). They are used for educational and research purposes to provide engaged scholarship and experiential learning for undergraduate and postgraduate students from a variety of disciplines including health professionals. The cadaveric remains help build population specific standards, forensic cases assist to address social and criminal justice, and the archaeological discoveries to preserve African culture and heritage. Overall, the repository provides a distinct contribution to knowledge locally and globally. The new management approach of the repository is presented. Ethical considerations and management policies are discussed. Stewardship of these individuals is facing several challenges and there are areas that continue to require attention. UCT is committed to address past unethical procurement of remains through engaging with the relevant interested and affected parties in restitution and repatriation.

开普敦大学(UCT)人类骨骼库始于1913年,一个世纪后,它的组成反映了开普敦大学、南非和国际生物人类学的历史。它由1059具考古骸骨组成(472具;44%),尸体(372;36%)和法医背景(160;14%)。它们用于教育和研究目的,为包括卫生专业人员在内的各种学科的本科生和研究生提供聘任奖学金和体验式学习。尸体遗骸有助于建立针对特定人群的标准,法医案件有助于解决社会和刑事司法问题,考古发现有助于保护非洲文化和遗产。总的来说,存储库为本地和全局的知识提供了独特的贡献。提出了一种新的知识库管理方法。讨论了伦理考虑和管理政策。对这些人的管理面临着一些挑战,有些领域仍然需要关注。UCT致力于通过与相关利益方和受影响方在归还和遣返方面进行接触,解决过去不道德的遗体采购问题。
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引用次数: 7
Mandibular third molar maturation stage as indicator for the legal adult age in an Egyptian sample. 下颌骨第三磨牙成熟阶段作为埃及样本中法定成年年龄的指标。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-06-25 DOI: 10.1127/homo/2021/1344
Fatma Mohamed Hassan, Asmaa Mohammad Moawad, Walaa Samir, Yara Rabia Helaly, Noha Saleh Abu-Taleb

Determination of the age of majority is of critical importance in forensic and legal practice. This study aimed to assess the mandibular third molar maturation stage in discriminating adults and minors in an Egyptian population sample using two methods: Cameriere's third molar maturity index (I3M) and Demirjian's stage of maturation; further, the I3M cut-off value of < 0.08 for age 18 years and older was tested. The study included 350 digital panoramic radiographs of 14-24 years old participants. The effectiveness of I3M < 0.08 and Demirjian's stages were assessed using sensitivity, specificity, accuracy, post-test probability, positive likelihood ratio, and negative likelihood ratio. Receiver operating characteristic (ROC) curves were constructed to detect the overall effectiveness of I3M and Demirjian's stages to determine adults. I3M < 0.08 showed accuracy, sensitivity, specificity, post-test probability, positive and negative likelihood ratios of 88.65%, 91.74%, 83.67%, 90.6%, 5.62 and 0.10 respectively in males, and 82.76%, 80.16%, 87.04%, 91.03%, 6.18 and 0.23 in females. Stage H showed the best specificity and post-test probability within Demirjian stages; 91.84% and 94.06% in males and 90.74% and 91.84% in females. Both I3M and Demirjian's stage H of the mandibular third molar were useful indicators for discriminating between Egyptian adults and minors. The cut-off value of I3M < 0.0625 in males and I3M < 0.104 in females showed a better discrimination performance than I3M < 0.08 among Egyptians.

成年年龄的确定在法医和法律实践中至关重要。本研究旨在通过camiere的第三磨牙成熟指数(I3M)和Demirjian的成熟阶段两种方法来评估埃及人群样本中区分成人和未成年人的下颌第三磨牙成熟阶段;进一步对18岁及以上的I3M截断值< 0.08进行检验。该研究包括350张14-24岁参与者的数字全景x线照片。采用敏感性、特异性、准确性、验后概率、阳性似然比和阴性似然比评价I3M < 0.08和Demirjian分期的有效性。构建受试者工作特征(ROC)曲线,检测I3M和Demirjian分期判定成人的总体有效性。I3M < 0.08男性的准确率、敏感性、特异性、验后概率、阳性、阴性似然比分别为88.65%、91.74%、83.67%、90.6%、5.62、0.10,女性为82.76%、80.16%、87.04%、91.03%、6.18、0.23。H期在Demirjian分期中特异性和验后概率最好;男性91.84%、94.06%,女性90.74%、91.84%。下颌第三磨牙的I3M和Demirjian's H期是区分埃及成年人和未成年人的有用指标。在埃及人中,男性的临界值I3M < 0.0625,女性的临界值I3M < 0.104比埃及人的临界值I3M < 0.08表现出更好的辨别能力。
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引用次数: 3
Sexual dimorphism in mastoid process volumes measured from 3D models of dry crania from mediaeval Croatia. 从克罗地亚中世纪干颅骨三维模型测量乳突突体积的两性二态性。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-06-25 DOI: 10.1127/homo/2021/1243
Anja Petaros, Sabrina B Sholts, Mislav Čavka, Mario Šlaus, Sebastian K T S Wärmländer

3D analysis of skeletal volumes has become an important field in digital anthropology studies. The volume of the mastoid process has been proposed to display significant sexual dimorphism, but it has a complex shape and to date no study has quantified the full mastoid volume for sex estimation purposes. In this study we compared three different ways to isolate the volume of the mastoid process from digital 3D models of dry crania, and then evaluated the performance of the three different volume definitions for sex estimation purposes. A total of 170 crania (86 male, 84 females) excavated from five medieval Croatian sites were CT-scanned and used to produce 3D stereolitographic models. The three different isolation techniques were based on various anatomical landmarks and planes, as well as the anatomy of the mastoid process itself. Measurements of the three different mastoid volumes yielded different accuracies and precisions. Interestingly, anatomical structures were sometimes more useful than classical landmarks as demarcators of mastoid volume. For all three volume definitions, male mastoid volumes were significantly larger than female volumes, in both relative and absolute numbers. Sex estimation based on mastoid volume showed a slightly higher precision and better accuracy (71% correct classifications) than visual scoring techniques (67%) and linear distance measurements (69%) of the mastoid process. Sex estimation based on cranial size performed even better (78%), and multifactorial analysis (cranium size + mastoid volume) reached up to 81% accuracy. These results show that measurements of the mastoid volume represent a promising metric to be used in multifactorial approaches for sex estimation of human remains.

骨骼体积的三维分析已成为数字人类学研究的一个重要领域。乳突的体积被认为显示出明显的性别二态性,但它具有复杂的形状,迄今为止还没有研究量化乳突的完整体积以用于性别估计。在这项研究中,我们比较了从干颅骨数字3D模型中分离乳突体积的三种不同方法,然后评估了三种不同体积定义的性能,用于性别估计。从五个中世纪克罗地亚遗址中挖掘出的170个头盖骨(86个男性,84个女性)进行了ct扫描,并用于制作3D立体模型。这三种不同的分离技术是基于不同的解剖标志和面,以及乳突本身的解剖结构。对三种不同乳突体积的测量产生了不同的准确度和精密度。有趣的是,作为乳突体积的分界,解剖结构有时比经典地标更有用。对于所有三种体积定义,男性乳突体积在相对和绝对数量上都明显大于女性体积。基于乳突体积的性别估计比目测评分技术(67%)和乳突线性距离测量(69%)的准确性略高,准确率(71%)略好。基于头盖骨大小的性别估计效果更好(78%),多因素分析(头盖骨大小+乳突体积)的准确率高达81%。这些结果表明,乳突体积的测量代表了一个有前途的指标,可用于多因素方法的性别估计的人类遗骸。
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引用次数: 6
Integration patterns of the asymmetric components of the skull: A covariational statistical approach on a modern Greek sample. 头骨不对称成分的整合模式:现代希腊样本的协变统计方法。
IF 0.6 4区 社会学 Q3 Medicine Pub Date : 2021-06-25 DOI: 10.1127/homo/2021/1369
Andreas Bertsatos, Maria-Eleni Chovalopoulou

Objectives: The integration patterns of the asymmetric components of the skull can be informative, especially in the diagnosis and surgical treatment planning of patients. This research aims to explore the interactions of the asymmetric components between the mandible, the basicranium, and the upper face. Material and methods: The sample comprises 100 skulls of Greek adults and the three-dimensional coordinates of 35 landmarks, extracted from the cranial and mandibular virtual 3D bones, were analyzed using the generalized least-squares Procrustes method. The integration patterns of the asymmetric components of the shapes of the specific structures were evaluated through partial least-squares correlation analysis with a two-blocks approach. Results: When handling the skull regions separately, there is statistically significant integration of the asymmetric components between the mandible and the basicranium as well as between the mandible and the upper face. Furthermore, the mandible and the basicranium exhibit the strongest interaction among the three pairs examined. Conclusions: The asymmetric variation of the skull regions should be taken into consideration for surgical treatment planning. However, comparing our findings with other studies revealed that the utilization of the skull regions in the context of a structure as a whole while running the analysis, as well as different landmark combinations, may lead to different results. Furthermore, there might be population-specificity to certain integration patterns of the asymmetric component of the total shape variation among skull regions. Hence, surgical bone restoration, especially in the mandible, should consider overall skull asymmetry and population-specific data to ensure optimal integration.

目的:颅骨不对称部位的整合模式对诊断和制定手术治疗方案具有重要的参考价值。本研究旨在探讨下颌骨、基颅骨和上面部之间的不对称成分的相互作用。材料和方法:样本包括100个希腊成年人的头骨,并使用广义最小二乘Procrustes方法对从颅骨和下颌虚拟三维骨骼中提取的35个地标的三维坐标进行分析。通过偏最小二乘相关分析和双块法对特定结构形状的非对称分量的积分模式进行了评估。结果:分别处理颅骨区域时,下颌骨与颅底骨、下颌骨与上面部之间的不对称分量整合有统计学意义。此外,下颌骨和基颅骨表现出最强的相互作用在三对检查。结论:在制定手术治疗方案时应考虑颅骨区域的不对称变异。然而,将我们的研究结果与其他研究进行比较后发现,在进行分析时,在整体结构的背景下利用颅骨区域,以及不同的地标组合,可能会导致不同的结果。此外,头骨区域之间总形状变化的不对称成分的某些整合模式可能存在人群特异性。因此,外科骨修复,特别是下颌骨的骨修复,应考虑整体颅骨不对称和人群特异性数据,以确保最佳整合。
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引用次数: 0
期刊
Homo-Journal of Comparative Human Biology
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