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  • Metric analysis of the patella for sex estimation in a Portuguese sample
    Publication . Maio, Cláudia; Cunha, E; Navega, David
    The biological profile estimation is the first step toward positive identification. However, it is not always possible to access a complete and well-preserved skeleton due to postmortem damage and taphonomic changes. As such, there is a need to develop new alternatives to analyze different bones of the human skeleton. The present study aims to analyze the patellar osteometry, with attention to its degree of sexual dimorphism, to establish a simple method for estimating sex in Portuguese adults. Six measurements were taken from 222 patella pairs, including 117 females and 105 males from the XXI Century Identified Skeleton Collection of the University of Coimbra. Subsequently, this method was validated in a different sample of 50 individuals equally representing both sexes. Maximum height stands out with a 77.0% of correct sex estimation, reaching 98.0% when applied to the new sample. The linear discriminant function analysis containing all the six variables showed the best results, with 80.2% of correct classification after cross-validation and 96.0% when applied to the independent sample
  • Evaluation of data collection bias of third molar stages of mineralisation for age estimation in the living
    Publication . de Oliveira Santos, Inês; Baptista, Isabel Poiares; da Silva, Ricardo Henrique Alves; Cunha, E
    Age assessment of the living is a fundamental procedure in the process of human identification, in order to guarantee fair treatment of individuals, which has ethical, civil, legal, and medical repercussions. The careful selection of the appropriate methods requires evaluation of several parameters: accuracy, precision of the method, as well as its reproducibility. The approach proposed by Mincer et al. adapted from Demirjian et al. exploring third molar mineralisation, is one of the most frequently considered for age estimation of the living. Thus, this work aims to assess potential bias in the data collection when applying the classification stages for dental mineralisation adapted by Mincer et al. A total of 102 orthopantomographs, of clinical origin, belonging to individuals aged between 12 and 25 years (⁠ = 20.12 years, SD = 3.49 years; 65 females, 37 males, all of Portuguese nationality) were included and a retrospective analysis performed by five observers with different levels of experience (high, average, and basic). The performance and agreement between five observers were evaluated using Weighted Cohen’s Kappa and the Intraclass Correlation Coefficient. To access the influence of impaction on third molar classification, variables were tested using ordinal logistic regression Generalised Linear Model. It was observed that there were variations in the number of teeth identified among the observers, but the agreement levels ranged from moderate to substantial (0.4–0.8). Upon closer examination of the results, it was observed that although there were discernible differences between highly experienced observers and those with less experience, the gap was not as significant as initially hypothesised, and a greater disparity between the classifications of the upper (0.24–0.49) and lower third molars (>0.55) was observed. When bone superimposition is present, the classification process is not significantly influenced; however, variation in teeth angulation affects the assessment. The results suggest that with an efficient preparation, the level of experience as a factor can be overcome. Mincer and colleague's classification system can be replicated with ease and consistency, even though the classification of upper and lower third molars presents distinct challenges.
  • Combining anthropology and imaging to reconstruct antemortem trauma for identification purposes
    Publication . Petaros, Anja; Lindblom, Maria; Cunha, Eugénia
    Identification of unidentified remains involves a comparison of ante- and postmortem features using biological identifiers. Anthropological identifiers, referred to by International Criminal Police Organization (INTERPOL) as secondary identifiers, have often been judged less reliable than DNA, fingerprints and dental records (referred to as primary identifiers). However, anthropological identifiers have been proven as discriminatory as the primary sources in many instances, and play a decisive role in positive identification. To guarantee better use of anthropological identifiers, it is not only essential to develop standard protocols and statistical frameworks, but also to test different identification approaches in cases from daily practice. Evidence of skeletal antemortem trauma can be a valuable aid in the identification process, especially if the exact type of traumatic event causing the injury is identified. Here, we present a case in which the combination of anthropological analysis and imaging confirmed an interesting and unique sequence of antemortem traumatic events in incomplete skeletal remains. The remains were assumed to pertain to an individual who went missing several years earlier, and whose medical records revealed a unique history of trauma to the right femur. The individual had sustained a fracture due to a fall from a high height followed, 10 years after the primary trauma, by a gunshot wound to the same bone; both treated by intramedullary nail fixation. While the anthropological analysis matched the biological profile of the missing individual and identified a healed defect to the right femur compatible with a gunshot wound, the radiological examination indicated that the bone underwent three surgical procedures on different occasions. Radiological examination also identified a pre-existing healed fracture adjacent to the gunshot defect. In addition to presenting the identification process in this specific case, this article discusses the difficulties in antemortem trauma interpretation, importance of combining macroscopic and radiological analysis to aid the reconstruction of previous traumatic events and mechanisms of injury from healed fractures that can play important roles in forensic human identification.
  • The "microwave oven" practice in Brazil
    Publication . Lemos, Yara Vieira; Corradi, Luciene Menrique; Silva, Melina Calmon; Couto, Lorena de Oliveira; Bittencourt, Giovanna Hooper; Dionísio, Alexander Santos; Lima, Adriana Zatti; Cardoso, Márcio Alberto; Cunha, Eugénia
    This article presents a forensic case of an unusual illegal cremation of a person using a process colloquially known as the “microwave oven” practice in Brazil. The microwave process involves two actions: placing the victim in a tire stack and then setting the structure on fire using flammable substances to accelerate the progression. A similar practice, identified as “necklacing”, has also been reported in other countries such as South Africa. This report presents a case of microwave oven cremation of a body found in a rural area of Minas Gerais, Brazil. The forensic work helped determine the biological profile and identity of the victim using radiological comparisons. Although the microwave oven cremation practice is rare, it can impose challenges for investigators. Therefore, fully understanding this practice can be helpful to the academic and forensic communities.
  • Automatic variable extraction from 3D coxal bone models for sex estimation using the DSP2 method
    Publication . Kuchař, Michal; Pilmann Kotěrová, Anežka; Morávek, Alexander; Santos, Frédéric; Harnádková, Katarína; Henyš, Petr; Cunha, Eugénia; Brůžek, Jaroslav
    Thanks to technical progress and the availability of virtual data, sex estimation methods as part of a biological profile are undergoing an inevitable evolution. Further reductions in subjectivity, but potentially also in measurement errors, can be brought by approaches that automate the extraction of variables. Such automatization also significantly accelerates and facilitates the specialist’s work. The aim of this study is (1) to apply a previously proposed algorithm (Kuchař et al. 2021) to automatically extract 10 variables used for the DSP2 sex estimation method, and (2) to test the robustness of the new automatic approach in a current heterogeneous population. For the first aim, we used a sample of 240 3D scans of pelvic bones from the same individuals, which were measured manually for the DSP database. For the second aim a sample of 108 pelvic bones from the New Mexico Decedent Image Database was used. The results showed high agreement between automatic and manual measurements with rTEM below 5% for all dimensions except two. The accuracy of final sex estimates based on all 10 variables was excellent (error rate 0.3%). However, we observed a higher number of undetermined individuals in the Portuguese sample (25% of males) and the New Mexican sample (36.5% of females). In conclusion, the procedure for automatic dimension extraction was successfully applied both to a different type of data and to a heterogeneous population.
  • The Identification Potential of Atherosclerotic Calcifications in the Context of Forensic Anthropology
    Publication . Monteiro, Sara; Curate, Francisco; Garcia, Susana; Cunha, Eugénia
    Atherosclerosis is an inflammatory disease that, in its more developed stages, can lead to the calcification of fatty plaques on the walls of arteries, resulting in the appearance of new bone elements. It is a condition that has been studied and documented little in the context of paleopathology, especially in the framework of forensic anthropology. This article analyzed the skeletal remains of 71 individuals (35 females and 36 males) from the Luís Lopes Identified Collection of the National Museum of Natural History and Science in Lisbon, 31 of whom had an autopsy report. An attempt was made to ascertain whether these bone elements resulting from atherosclerotic calcification would resist cadaveric decomposition and whether they would be recoverable several years after burial, and a survey was carried out of their distribution according to sex and age, as well as their association with other pathologies, such as osteoporosis and cardiac and renal pathologies. An imaging analysis of an atherosclerotic plaque was also carried out to complement the macroscopic analysis and present other methods of identifying plaques. It was concluded that each atherosclerotic calcification has a unique profile, which can be useful for identification, especially in cases where the individual shows a severe condition. In terms of identification potential, the analysis of calcified atherosclerotic plaques can be useful, as they can corroborate or reject an identification. However, it always requires the existence of ante-mortem imaging exams and must always be used in addition to other identification methods. Regardless of the identification, these plaques are bone elements resulting from a pathology and should, therefore, be known and recognized by the scientific community.
  • Dating death
    Publication . Ermida, Catarina; Cunha, Eugénia; Ferreira, Maria Teresa
    The estimation of the postmortem interval (PMI), particularly the late time since death, is a crucial issue when dealing with human remains. Its establishment is an important task for forensic scientists since it has important legal implications such as identifying a victim or prosecuting an offender. However, dating death is a very complex and challenging task due to the amount of intrinsic and extrinsic factors, that may influence the rate and nature of body decomposition. Many methods have been used to estimate PMI, from classical decomposition methods to entomological and botanical methods or more recently physics and biochemical methods. This paper reviews current forensic dating methods, focusing especially on forensic anthropological techniques. Nevertheless, the existing literature is insufficient, denoting a lack of effective methods to achieve an accurate and reliable PMI estimation and further investigation is required. A holistic approach, where every element must be considered, is the key to achieving a reliable estimation of PMI. Interdisciplinarity is thus mandatory, allied with the capacity of forensic anthropologists to denote
  • Rib fractures in the Coimbra Identified Skeletal Collection
    Publication . Curate, Francisco; Cunha, Eugénia
    There is a high prevalence of rib fractures in human remains from archeological contexts, but these are seldom the focus in paleopathological studies pertaining skeletal trauma. This study aims to document rib fracture patterns in the Coimbra Identified Skeletal Collection, Department of Life Sciences, University of Coimbra. Specific aims of this study included the estimation of rib fracture prevalence in 252 individuals, from both sexes (females: 128; males: 124), with age-at-death varying from 20 to 96 years; and the analysis of the relationship between rib fractures and age-at-death, biological sex, and bone mineral density measured at the proximal femur. The crude prevalence of rib fractures is 6.3% (16 cases in a total of 252 individuals observed); while the true prevalence rate is 0.7% (38 fractured ribs in relation to 5656 ribs studied). Males have been more affected than females (males: 10.5%, 13/124; females: 2.3%, 3/128). Individuals with one or more rib fractures were significantly older (mean=66.19 years old; standard deviation [SD]=14.08) than those who have not experienced any rib fracture (mean=50.41 years old; SD=19.45). Bone mineral density was also associated with the presence of rib fractures but only in females. These results expand the scientific awareness about the prevalence of rib fractures in human skeletal collections.