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Biomedical subjects

P Vanezis

Publications and source records attributed to P Vanezis.

At least 19 recordsLinked to original sources

Inter- and intra-individual variation in applied force when listening at a surface, and resulting variation in earprints.

We aimed to explore the level of inter- and intra-individual variation in applied force when listening at a surface, and assess the resulting variation in earprints. We further intended to identify possible sources of this variation. Forty subjects each listened twenty-four times at a surface while applied force was recorded. In between efforts the level and frequency of the target sound, and the level of ambient noise were varied. Each listening effort was characterized by two values: the mean of a series of force recordings ('functional force') and the highest force reading of the effort ('peak value'). A mixed model analysis of variance revealed that repetition during multiple efforts of listening and the level of the target sound significantly affected both values for applied force. The frequency of the target sound affected the peak value, but we assume this was due to confounding effects. The level of ambient noise did not affect applied force. To explore the correlation between values for applied force of various efforts by single ear, the intra-class correlation coefficient was calculated. For functional force it was 0.80; for the peak value it was 0.79. To study intra-individual variation in earprints, five prints from each ear were lifted and studied. Variation in prints is discussed.

Analysis of Variance↗

Interpreting bruises at necropsy.

The accurate interpretation of bruising at necropsy is essential to understanding how a victim has been injured and assists the pathologist in a reliable reconstruction of the events leading to death. It is essential not only to assess the mechanism of production of a bruise, taking into account the type of impacting surface and the magnitude of force used, but also to estimate when the injury was caused. An account is given of the various methods used in the examination of bruises, particularly with respect to aging, as well as the factors that may affect their appearance. Differentiation from artefacts resulting from postmortem changes is also discussed in some detail.

Artifacts↗

Cranio-facial reconstruction in forensic identification--historical development and a review of current practice.

Cranio-facial reconstruction has its origins in the 19th century, initially to recreate and 'bring back to life' the faces of the rich and the famous. Since then, over the last 100 years, there have been various methods used to produce reconstructions for forensic identification as well as for historical or archaeological purposes. These range from the traditional sculpting methods to those based on up-to-date computer technology. When no other method of identification is available in skeletalized, badly mutilated or decomposing remains, forensic cranio-facial reconstruction may be employed to produce a face which it is hoped will trigger recognition and thus lead to a positive identification. This paper discusses the role that cranio-facial reconstruction may play in identification and its limitations.

Face↗

The use of mitochondrial DNA and short tandem repeat typing in the identification of air crash victims.

In February 1998, a civilian air plane crashed into a remote mountainside in the Philippines, killing all 104 passengers and crew. The victims were subjected to severe environmental insult, preventing conventional identification methods in most cases. As part of the identification process, samples were subjected to a combination of mitochondrial DNA (mtDNA) and short tandem repeat (STR) DNA profiling. The DNA extracted from the victims' remains was in all cases highly degraded. However, profiling using mtDNA was still successful with 95% of the victims' samples; this compared to a 50% success rate using three STR loci. The use of mtDNA and STR profiling enabled 187 human fragments from the crash site to be placed into 80 distinct groups; when combined with postmortem data, the samples could be further separated into 95 distinct groups, thereby assisting in the identification process.

Accidents, Aviation↗

Investigation of clandestine graves resulting from human rights abuses.

The role of the forensic scientist in the investigation of clandestine graves resulting from human rights abuses is discussed. Individuals buried in such circumstances have perished following abuse by persons in authority or by other political factions. Such persons have been classed by the abusers as dissidents or political opponents, or have been killed simply for belonging to a particular racial or religious grouping. Guidelines for investigation and the general approach by the scientist are suggested and examples of exhumations are cited in which the author has had personal involvement. These include exhumations carried out in the former Yugoslavia, Rwanda and Chile.

Journal Article↗

Puncture resistance and tensile strength of skin simulants.

This study aims ultimately to quantify the force needed to penetrate human tissue. The results will reduce the subjectivity of expert opinion in stabbing incidents. They will also aid clinicians in assessing the severity of injury and help prevent the unnecessary deaths which can occur when this is not fully appreciated. Tensile tests were performed to identify suitable skin simulants with synthetic chamois and pigskin as candidate materials. Quasi-static penetration experiments were also performed in which a knife blade penetrated a skin simulant target. Pigskin was found to be much stronger than chamois under tensile load yet the puncture resistance was almost identical for the two materials.

Animals↗

Medicolegal aspects of the Thai Airbus crash near Kathmandu, Nepal: findings of the investigating pathologists.

A Thai Airbus, carrying 99 passengers and 14 crew members, traveling from Bangkok to Kathmandu, hit a mountain and crashed several minutes before landing. There were no survivors. Recovered human remains, none of which was easily identifiable, varied in size from a small piece of muscle to mutilated bodies. Of the 97 fragments, only 15 were sufficiently intact (albeit, only partially) to be designated as "bodies." Of the fragments and "bodies," only 11 were positively identified. Causes of death, although all traumatic, could not be stated accurately due to the degree of disintegration. Identification of human remains in these circumstances is a major problem for the pathologist.

Accidents, Aviation↗

Photometric assessment of skin colour and lightness using a tristimulus colorimeter: reliability of inter and intra-investigator observations in healthy adult volunteers.

The ageing of injuries is an important aspect of forensic medicine, and one which can have significant medico-legal consequences. The sequence and timing of color changes associated with the appearance and disappearance of bruises, as well as the factors which govern this process, have long been a source of controversy. Whilst visual assessment currently remains the easiest and most practical method available to date bruises, it appears unlikely that it can be relied upon to provide an accurate and consistent measure of the age of a bruise. In an ongoing pilot study designed to assess the applicability of colorimetry to the dating of bruises, the Dr. Lange MICRO COLOR tristimulus colorimeter will be used to assess how the color and colour density (lightness) of bruises change over time. The results of a preliminary study are presented, in which the variability of skin colour measurements obtained by different investigators was assessed. Measurements were taken of the same area on the volar surface of the forearm of five volunteers, after having them remain with their arm motionless for a predetermined period of time (2, 5, and 10 min). Four sets of measurements were taken by each investigator over a total period of 3 h. No significant statistical difference was found after the resting time interval of 5 min between the values obtained by the two investigators (P > 0.05). While studies on a much larger population remain to be completed, our initial findings would seem to suggest that the colorimeter is able to provide an objective, quantitative, and relatively consistent measure of skin colour when used by different individuals.

Adult↗

Evaluation of hypostasis using a colorimeter measuring system and its application to assessment of the post-mortem interval (time of death).

Hypostasis was measured in 93 cadavers using a tristimulus colorimeter in order to investigate its relationship with the time of death. The intensity (lightness) of the hypostasis in each case was measured over a period of 4 h and the rate of change in lightness derived. When examined against the time of death, it was found that there was a good correlation between the two. Namely, that the rate of change of lightness (and it can be inferred that this represents displaceability) decreases as the post-mortem period increases. The shift in hypostasis was particularly marked in the first 12 h and decreased thereafter. However, hypostasis could be useful for time of death estimation for up to 48 h. After this time, the degree of change was small or non-existent and by 72 h hypostasis had become fixed in the majority of cases, within our measuring period of 4 h.

Adult↗

Techniques in facial identification: computer-aided facial reconstruction using a laser scanner and video superimposition.

A facial image was reconstructed from the skull, part of a complete skeleton found in woodland, of a male person who hanged himself from a tree. In addition, video superimposition was carried out with antemortem photographs of a person suspected of being the victim, and a good match was obtained. In a further case, a cheaper video-transparency superimposition was carried out, with identity later being confirmed on the basis of dental records. The techniques and the problems encountered are discussed. According to our experience, 3D computer reconstruction and video superimposition have a useful role in the process of identification, particularly in the early stages of an investigation and when other more definitive methods may not be available.

Adult↗

Morphological classification of facial features in adult Caucasian males based on an assessment of photographs of 50 subjects.

Fifty sets of photographs showing facial features of Caucasian males aged 18 to 60 years were examined to establish a morphological classification of the face. It is suggested that such a classification could assist facial identification by photocomparison. The selection criteria stress the importance of interassessor agreement and discrimination among feature subset units in formulating the proposed classification.

Adolescent↗

Postmortem injuries by indoor pets.

Four cases of postmortem injuries caused by indoor pets (three by dogs and one by cats) are presented. A pattern which is associated with this phenomenon is described. The important common factors appear to be the presence of free-moving pets inside the house, social isolation of the deceased, and the victim having a predisposing condition causing sudden death.

Adult↗

Internal carotid artery thrombosis following manual strangulation.

Thrombosis of the internal carotid artery is an unusual complication of neck compression, and even more infrequently observed in manual strangulation. It is important in such cases to exclude spontaneous thrombosis which may result from atherosclerotic narrowing of the vessel.

Aged↗