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1.
Cureus ; 14(2): e22088, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-35295354

RESUMEN

Introduction The stature of an individual is an important parameter for establishing identification. The height of an individual can be indirectly estimated from different parts of the skeleton and such measurements are of great use in forensic science, anatomy, and anthropometry. This study was an attempt to formulate a linear regression equation for estimation of stature by measuring the ulnar length in the living adult Khasi population. Methods The study population consists of 164 subjects (Male: 118; Female: 46) between 25 and 45 years of age. The left and right ulnar lengths were measured from the tip of the olecranon process to the tip of the styloid process with the elbow flexed and palm spread over the opposite shoulder by a spreading caliper. The measurements of the stature of the volunteers were done in the standard anatomical standing position with a bared foot with the head in the Frankfort plane. The documented data were calculated by the standard statistical software. Results The height and ulnar length in males (160.85 ± 6.34 cm and 24.41 ± 1.10 cm, respectively) were found to be significantly (p < 0.001) higher than females (149.56 ± 2.95 cm and 22.58 ± 0.47 cm, respectively). Significant positive correlation coefficient (r) between height (cm) and ulnar length (cm) were observed in both males (r = 0.955, P < 0.001) and females (r = 0.915, P < 0.001), respectively. Conclusion The length of the ulna provides an accurate and reliable means in estimating the height of an individual; being almost a percutaneous bone, its length can be measured easily. The regression formulae that were derived in this study will be useful for clinicians, human anatomists, archeologists, anthropologists, and forensic experts.

2.
Cureus ; 13(5): e14975, 2021 May 11.
Artículo en Inglés | MEDLINE | ID: mdl-34123671

RESUMEN

Estimation of time since death (TSD) is an important aspect of forensic medicine. Methods used so far are subjective and have human errors. Corneal opacity images using software to analyze the red, green, and blue (RGB) components of corneal color against the TSD may prove to be an objective method. This study aimed to estimate TSD from image analysis of corneal opacity from the cornea of deceased individuals brought in for medicolegal autopsy to study the factors affecting corneal opacity and to formulate a predictive equation for the estimation of TSD. This was a cross-sectional study conducted at the department of forensic medicine and toxicology of a tertiary care medical institute over two years. The study group included cadavers brought in for autopsy where the TSD was known from hospital records. For study tools, we used a digital single-lens reflex (DSLR) camera with standardized settings, a dark box made of cardboard, and open-access RGB analysis software. Images were analyzed for differences in the numeric values of the RGB color and compared against the TSD. Correlations between TSD and age, gender, and environmental temperature were checked. This study involved 30 cases; these were analyzed and showed an increase in the numeric values of RGB for the corneal color as the TSD increases. Of note, the correlation of TSD with the color red was greater than for either blue or green; age had a positive correlation while gender had nearly no correlation, and the environmental temperature had a negative correlation. Based on this, gender was excluded from our equation. Also, we noted that the variance inflation factor of green was high and, therefore, excluded it from the predictive equation. The equation derived follows: TSD = {(0.091 x Age) + (0.171 x Red) + (0.018 x Blue) - (0.019 x Environmental Temperature) - 5.263}. Using this equation, the mean error was 21 minutes. This equation further narrowed the time range, usually given as four to six hours, when determining the TSD via conventional methods. Image analysis of corneal color after death using RGB analysis software can give us a more accurate and human error-free TSD that can be digitally stored and reproduced and, therefore, could prove useful in the forensic arena in the future.

3.
J Family Med Prim Care ; 9(6): 2854-2859, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32984138

RESUMEN

INTRODUCTION: Traumatic brain injury (TBI) or head injury is one of the leading causes of morbidity and mortality globally. TBI includes a fractured skull as an indicator of insult which can affect the treatment outcome as well. The development of any fracture depends on a combination of factors defining the intrinsic properties of the bone and the extrinsic factors related to the impact. A decrease in bone mass secondary to deficiency of calcium (Ca) and phosphorus (P) can be a significant factor intrinsic to the skull bone, which can modulate the outcome of the impact by increasing the susceptibility of bones towards fractures. We undertook this research to find out whether or not the Ca and P concentration in skull bone has a role to play as an intrinsic factor, in the development of skull fracture following Road Traffic Accidents (RTAs). METHODOLOGY: In this case-control study conducted for two years, we collected 94 bone samples, i.e. 47 each, from skull bones with head injuries following RTA, with (case) and without (control) fracture of the skull. The elemental analyses for the bony concentration of Ca and P in both the groups were then compared using energy dispersive X-ray (EDX). Unpaired t-test and Fisher's exact test was used for statistical analysis. RESULTS: The elemental analysis of bones provided evidence that suggests that whilst; Ca is the only mineral that appears to have a significant correlation with the development of fracture skull, the overall Ca: P ratio of less than 1.99 increases the chances of skull fracture by 3.9 times. CONCLUSIONS: Both individual bony Ca concentration and Ca: P ratio can be regarded as important intrinsic factors for the development of skull fracture.

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