RESUMEN
More than three decades have passed since the publication of Lamendin et al.'s proposal in 1992. Over this time, numerous investigations have been conducted to assess the applicability of the technique in different populations with acceptable results in terms of estimation errors. The proposal by Lamendin and colleagues remains relevant today, and has made a significant contribution to adult age-at-death estimation due to its simplicity, repeatability, replicability, and high performance. Indeed, significant progress towards systematizing and strengthening the procedure has been reported in the published literature. One noteworthy advancement is the development of an international database that supports the use of Bayesian statistics for age-at-death estimation. This resource plays a crucial role in standardizing the methodology and improving the reliability for obtaining more reliable results on a global scale. The aim of this study is to investigate the historical evolution of the technique, to assess the accuracy of the results obtained by different analytic procedures, and to explore its impact in forensic applications through a systematic analysis of the specialized literature on this field. The current state of research indicates that this type of methodological research is an ongoing process, far from being completed. Many questions and challenges that require further attention to address effectively these issues remain unanswered, such as the development of non-linear regressions and probabilistic approaches, the deepening of procedures that improve global approximations, and the intensification of research focused on achieving more accurate estimations among individuals over 70 years-old. However, studies generally agree that the Lamendin technique works well for individuals between the ages of 30-60 years. It is still in force today, although the method has been significantly perfected. Despite the degree of research development in this area, further efforts are needed to improve the understanding and performance of these kinds of procedures. This will ultimately lead to an improvement in the accuracy and reliability of forensic investigation results worldwide.
Asunto(s)
Determinación de la Edad por los Dientes , Raíz del Diente , Adulto , Humanos , Persona de Mediana Edad , Anciano , Reproducibilidad de los Resultados , Teorema de Bayes , Determinación de la Edad por los Dientes/métodosRESUMEN
BACKGROUND: The latest Difficult Airway Society (DAS) guidelines recommend that all anaesthesiologists should to be trained in the performing of a surgical cricothyrotomy (CtQ). The aim of this study was to analyse the learning results of a CtQ workshop by assessing the success rate and time to perform CtQ on a porcine tracheal model. MATERIAL AND METHODS: A workshop was designed in which each student completed a questionnaire with demographic data and theoretical knowledge about surgical approaches of airway. During the following hour, a review was presented theoretical aspects of CtQ. The model was shown and a CtQ was performed using a classical technique. Afterwards, in groups of 3-4 students with an instructor, each one of the students performed 6 CtQ. A record was made on whether the ventilation was correct, the time to perform CtQ, and the ease of performing the CtQ by the students and instructors. Finally, students completed a questionnaire on the theoretical aspects. Students and instructors performed a workshop debriefing. A statistical analysis was performed, considering a P-value <0.05 as statistically significant. RESULTS: A total of 8 workshop sessions were held with a total of 91 students. At first attempt, 86% of students performed a CtQ with successful ventilation, and 92% at the sixth attempt (P<.0001). Time taken was 163 [107-211] seconds at first attempt, and 70 [55-85] seconds at the sixth (P<.0001). At the end of workshop, students had improved their theoretical knowledge (P<.0001) and perception of the ease of the technique. CONCLUSION: Workshop performance improved theoretical knowledge and competence in surgical cricothyrotomy.
Asunto(s)
Anestesiología/educación , Traqueotomía/educación , Traqueotomía/métodos , Animales , Modelos Animales , Porcinos , Tráquea/cirugíaRESUMEN
The use of dental metrics as a reliable tool for the assessment of biological distances has diversified dramatically in the last decades. In this paper some of the basic assumptions on this issue and the potential of cervical measurements in biodistance protocols are discussed. A sample of 1173 permanent teeth from 57 male and female individuals, recovered in Chenque I site (western Pampas, central Argentina), a Late Holocene hunter-gatherer cemetery, is examined in order to test the impact of exogenous factors that may have influenced the phenotypic manifestation and affected dental crown sizes. The statistical association between dental metric data, obtained by measuring the mesiodistal and buccolingual diameters of the crown and cervix, and the quantification of hypoplastic defects as a measure to evaluate the influence of the environment in the dental phenotypic expression is evaluated. The results show that socioenvironmental stress did not affect dental metrics and that only the more stable teeth (first incisors, canines, first premolars and first molars) and three variables (buccolingual diameter of the crown and both mesiodistal and buccolingual measurements of the cervix) should be included in multivariate analyses. These suggestions must be strengthened with additional studies of other regional samples to identify factors of variation among populations, so as to develop general guidelines for dental survey and biodistance analysis, but they are a first step for discussing assumptions usually used and maximizing the available information for low-density hunter-gatherer societies.
Asunto(s)
Fósiles/anatomía & histología , Diente/anatomía & histología , Argentina , Biodiversidad , Características Culturales , Dieta Paleolítica , Femenino , Historia Antigua , Humanos , Masculino , Modelos Dentales , Paleodontología , Corona del Diente/anatomía & histologíaRESUMEN
Osteological reference collections play a key role in bioanthropological research; they allow the development and testing of methods for sexing and ageing individuals using various bone and dental attributes. This paper presents the first stage results of the ongoing Chacarita Research Project, which aims to generate and study a reference collection of adult skeletons representative of the contemporary population of Buenos Aires city. The Chacarita Collection consists of unclaimed human remains of individuals of known nationality, sex, age, cause and date of death from the Chacarita Public Cemetery. Unlike other similar endeavours, this sample has been completely exhumed using archaeological techniques. So far, a total of 146 adult skeletons have been recovered (60 females - 41.1% and 86 males - 58.90%), the majority of which have ages-at-death in the range of 71-90 years. They were born primarily in Argentina (n=133; 91.1%), although other nationalities are also represented. Dates of death range between 1987 and 2000. In the short term, the osteological study of this collection will allow assessment of the performance of classical methods of sex determination and age-at-death estimation in a local setting. A special priority will be given to the study of osteological changes in individuals over 50 years. As the sample is being retrieved by exhumation, the impact of taphonomic agents on the most diagnostic bone structures is also being assessed. In the long term, this osteological collection will be available to generate new population-specific techniques and to develop comparative biological studies.
Asunto(s)
Determinación de la Edad por el Esqueleto/ética , Determinación de la Edad por el Esqueleto/métodos , Desarrollo de la Colección de Bibliotecas , Determinación del Sexo por el Esqueleto/ética , Determinación del Sexo por el Esqueleto/métodos , Adulto , Anciano , Anciano de 80 o más Años , Argentina , Huesos/anatomía & histología , Femenino , Antropología Forense/ética , Antropología Forense/métodos , Humanos , Masculino , Persona de Mediana Edad , Osteología/ética , Osteología/métodos , Estándares de ReferenciaRESUMEN
The aim of this paper is to conduct a historical analysis of the research-oriented studies related to dental anthropology in Argentina, evaluate its current state and discuss future expectations and perspectives. In this country, anthropological studies based on analysis of dentition have been scarce and even temporarily discontinued, since they began in the late nineteenth century, simply following the course of the predominant theoretical and methodological approaches over time. Early papers, guided mainly by evolutionary ideas, were oriented towards establishing the taxonomic position of humans through the description and comparison of morphological and morphometric aspects of the dental crown and root. Later studies mainly described types of intentional modifications (i.e. dental mutilations) and tooth wear in the context of Historic-Cultural School. However, they failed to constitute valid lines of research over time. In recent years, there has been a significant change in dental studies, mainly as a result of the interest in evaluating the adaptive aspects of human populations within biocultural settings. One of the most relevant lines of studies has been the bioarchaeological analysis of health and stress indicators, such as enamel hypoplasia, caries and tooth wear in hunter-gatherer and farmer societies. More recently, the study of discrete and metric dental traits began, with a goal to contribute to the study of evolution and inter-populational biological relations among South American groups. Since teeth contain valuable information not only about the environment in which the individual lived, but also about the action of neutral and non-neutral factors on human groups, the consolidation of ongoing studies will contribute to knowledge of various aspects of the adaptation and evolution of native American populations.