synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From,...

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30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology, A.J. Institute of Medical Sciences, Kuntikana, Mangalore. To, Through, The Chairman/ Member Secretary, The Head of the Department, Institutional Ethics Committee, Dept. of Forensic Medicine & Toxicology A.J.Institute of Medical Sciences, A.J.Institute of Medical Sciences, Mangalore. Mangalore. Sir, Subject: Submission of Synopsis to Ethical Committee-reg. I am herewith submitting my MD dissertation synopsis titled “Cephalo-facial Morphometry: A tool for stature determination in a South Indian population” for the consideration of the

Transcript of synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From,...

Page 1: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

30th September, 2013

From,

Dr. Nagabhushan T.,Postgraduate cum Tutor,Department of Forensic Medicine & Toxicology,A.J. Institute of Medical Sciences,Kuntikana, Mangalore.

To, Through,

The Chairman/ Member Secretary, The Head of the Department,Institutional Ethics Committee, Dept. of Forensic Medicine & ToxicologyA.J.Institute of Medical Sciences, A.J.Institute of Medical Sciences,Mangalore. Mangalore.

Sir,

Subject: Submission of Synopsis to Ethical Committee-reg.

I am herewith submitting my MD dissertation synopsis titled “Cephalo-facial Morphometry: A

tool for stature determination in a South Indian population” for the consideration of the

Institutional Ethics committee. I have also enclosed the proforma for the ethics committee, data

collection proforma, consent form and curriculum vitae. I request you to kindly do the needful

and oblige.

Thanking You,

Yours Sincerely

(Dr. Nagabhushan T.)

Page 2: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

Proforma to be filled by the Principal Investigator (PI) for submission to Institutional Ethics

Committee (IEC)

(For attachment to each copy of the proposal)

Serial No of IEC Management Office:

Proposal Title: “CEPHALO-FACIAL MORPHOMETRY: A TOOL FOR STATURE

DETERMINATION IN A SOUTH INDIAN POPULATION”

Name, Designation&Qualifications

AddressTel & Fax Nos.Email ID

Signature

Principal Investigator

Guide

Dr. Nagabhushan T.Postgraduate cum TutorDepartment of Forensic Medicine & Toxicology

Dr. Jayaprakash K.Professor & H.O.D.,Dept. of Forensic Medicine &Toxicology

A.J. Institute of Medical SciencesKuntikana, Mangalore: 575004.Ph: 8147840386E-mail: [email protected]

A.J. Institute of Medical SciencesKuntikana, Mangalore: 575004.Ph: +91 9880219930E-mail: [email protected]

Curriculum Vitae of principal investigator and the guide (with subject specific publications limited

to previous 5 years) – attached

Page 3: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

1. Type of Study: Forensic Medicine

Brief description of the proposal: During legal investigations, especially in crimes resulting in fatalities

or when unknown human remains are recovered by investigating agencies, the forensic pathologist is often

required to give an opinion regarding personal identification of the deceased. Stature is considered as one

of the parameters for personal identification and one of the ‘big fours’ of forensic anthropology. Stature

has a definite and proportional biological relationship with each and every part of the human body, i.e.

head, face, trunk, extremities. Looking at the paucity of studies pertaining to estimation of stature from

cephalo-facial dimensions and the usefulness of these studies in medico-legal and forensic investigations,

the present study provides morphometric correlation of cephalo-facial dimensions with stature and also

devises regression formulae for reconstruction of stature from these dimensions.

2. Subject selection:

i. Number of Subjects: Materials for the present study consists of one hundred and fifty South

Indian origin victims autopsied at the mortuary of A. J. Institute of Medical Sciences,

Mangalore, Karnataka between November 2013 and May 2015. The victims comprising of

both the genders in the age group of 18-60 years belonging to various parts of South India

(Karnataka, Kerala, Tamil Nadu, Andhra Pradesh & Union territories of Lakshadweep &

Pondicherry).

ii. Duration of study: 11/2 years (between November 2013 and April 2015)

iii. Will subjects from both sexes be recruited: YES

iv.Inclusion / exclusion criteria given: YES

v. Type of subjects: Materials for the present study consists of one hundred and fifty South Indian

origin victims autopsied at the mortuary of A. J. Institute of Medical Sciences, Mangalore,

Karnataka between November 2013 and May 2015.

3. Privacy and confidentiality

Confidential handling of data : YES

Page 4: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

4. Consent : Please find it attached written informed consent

i. Consent form : (included elements)1. Understandable language 2. Statement that study involves research3. Statement that consent is voluntary4. Purpose and procedures 5. Risks & Discomforts 6. Benefits 7. Confidentiality of records8. Right to withdraw9. Contact information

ii. Who will obtain consent – Principal investigator

5. Will any advertising be done for recruitment of Subjects?

(posters, flyers, brochure, websites – if so kindly attach a copy)

No

6. Risks & Benefits: No risks to the study population since it involves deceased victim autopsied, but contributes to the academic advancement in the field of Forensic Medicine.

7.Is there compensation for participation? No

Checklist for attached documents:1. Project proposal – 3Copies (2 hard copies + 1 soft copy on a CD)2. Curriculum Vitae of Investigators3. Curriculum Vitae of Guide4. Informed Consent form 5. Copy of data collection Proforma

Place: Mangalore.

Date: 30th September, 2013. Signature & Designation of Principal Investigator

Page 5: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

Curriculum Vitae of Dr. Jayaprakasha K.

Official Address: Professor and H.O.D. of Forensic Medicine & Toxicology

A.J Institute of Medical Sciences

Mangalore: 575004

Karnataka, India

Mobile : +919880219930

Email: [email protected] Fax : 0824 - 2222802

Work Experience:

* Total Teaching experience : 23 years.

Experience as Professor & Head : 10 years

Position College Year

Tutor Kasturba Medical College, Manipal Jan 1992 – Dec 1994

Assistant Professor Kasturba Medical College, Mangalore Jan 1995 – Jan 2000

Associate Professor K.S. Hegde Medical Academy, Mangalore Jan 2000 – Oct 2002

Associate ProfessorA.J. Institute of Medical Sciences, Mangalore Nov 2002 – Dec 2003

Professor & H.O.D.A.J. Institute of Medical Sciences, Mangalore Jan 2004 – Till date

Associate DeanA.J. Institute of Medical Sciences, Mangalore May 2011 – Oct 2011

Professional Education:

1. MBBS, 1983 – 1988, Government Medical College, Mysore, Mysore University.

2. MD (Forensic Medicine), 1992 – 1994, Kasturba Medical College, Manipal, MAHE

(Manipal University).

Research publications:

Research publications:

1. Jayaprakash K., Pillay VV. Absence of spinal injury in attempted hanging involving cervical spine: A case report. Journal of Forensic Medicine & Toxicology 1999; 15(1): 38-39.

Page 6: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

2. Shetty U, Jayaprakash K, Deepak C. Patil, Karen Prajwal Castelino. Intentional self poisoning: Scenario at a tertiary health care hospital in Mangalore, India, International Journal of A J Institute of Medical Sciences 2013;2:17-24.

3. Rajesh S., Sricharan KN, Jayaprakash K., Monteiro FNP. Cardiac involvement in patients with pulmonary tuberculosis. Journal of clinical and diagnostic Research, 2011; 5(3):440-442.

4. Ilanthodi S., Pallipady S., Jayaprakash K., Monteiro FNP. Secondary cardiac pleomorphic rhabdomyosarcoma - A case report and review of literature, 2011; 5(2): 364-366. .

5. Rajesh S, Jayaprakash K., Pai V, Monteiro FNP., Bhagavat P. Deliberate self harm: Socio Demographic Profile. Medico-legal Update, 2011.

6. Kumar KPK, Jayaprakash K, Monteiro FNP, Bhagavath P. Psychiatric Morbidity in Industrial Workers of South India. Journal of clinical and diagnostic Research 2011; 5(5): 921-925.

7. D’Souza K, Monteiro FNP, Jayaprakash K, Bhagavath P, Krishnan S. Spectrum of Grand Multiparity. Journal of clinical and diagnostic Research 2011; 5(6): 1247-1250.

8. D’Souza K, Kumar KPK, Monteiro FNP, Jayaprakash K, Bhagavath P, Krishnan S, D'Souza HN. A study of maternal mortality at a tertiary health care centre in Mangalore, Karnataka. Medico-Legal Update 2011.

9. Vinayachandra PH, Monteiro FNP, Jayaprakash K, Bhagavath P, Viveka S, D’Souza HL, A study on Stapes Morphometry from Mangalore Karnataka, Medico-Legal Update 2013; 13(1):69-73.

10. Vinayachandra PH, Monteiro FNP, Jayaprakash K, Bhagavath P, Viveka S, Estimating stature from percutaneous length of ulna in South India population-Medico-Legal Update 2013; 13(1):74-77.

11. Kanchan T, Monteiro FNP, Sukesh, Jayaprakash K. Pathology of Snakebite envenomation. International Journal of A J Institute of Medical Sciences 2012; 1:59-66.

Seminars/ workshops/symposiums attended:

1. Attended a workshop on Practical & Emergency Medical Toxicology, organized by the All India Institute of Medical Sciences, New Delhi on 26th February 1998.

2. Attended a workshop on Medical Writing organized by MAHE, Manipal and the British Medical Journal, U.K. on 2nd & 3rd March 1998.

3. Attended the Medical Education Workshop organized by Medical Education unit of K.S. Hegde Medical Academy on 16th March 2000.

4. Participated in the Second Police Officers Orientation Programme in their Investigation of Crime, organized by Manipal College of Medical Sciences and Manipal Teaching Hospital, Pokara, Nepal on 25th March 2002.

5. Delivered the lecture at the workshop on “Critical Care Management” at M.V. Shetty Institute of Health Sciences, Mangalore on 3rd October, 2002 to 05th October, 2002.

6. Attended a National workshop on Forensic Odontology & Medicine organized by A.B. Shetty memorial Institute of Dental Sciences, and K.S. Hegde Medical Academy on 18th to 20th June, 2004.

7. Attended a symposium on Radiation Biology and Cancer, organized by the British Council & MAHE, Manipal on 8th February 2005 to 8th February 2005

8. Attended a workshop on Research Methodology and Biostatics organized by the department of Community Medicine, K.M.C Manipal, on 23rd and 24th March 2005.

Page 7: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

9. Attended and presented a paper titled “Ethical & Legal Issues” during the workshop on Emergency Nursing (State Level) organized by K. Pandyarajah Ballal Nursing Institute, on 25th May 2005.

10. Attended a workshop on Sexual assault-evidence collection, organized by the Department of Forensic Medicine and Centre for enquiry into Health and allied themes (CEHAT), Mumbai on 26TH June 2006.

11. Attended a Basic GCP workshop organized by A.J.Hospital and Research Centre, Mangalore on 24th September, 2009.

12. Attended a Forensic Anthropology Hands-on training workshop organized by the Department of Forensic Medicine & Toxicology, Yenepoya Medical College, Mangalore on 30 th

September 2009.13. Participated as a Delegate in Workshop on Good Clinical Practice, organized by the

Department of Pharmacology, A.J.Institute of Medical Sciences, Mangalore, on 2nd & 3rd August 2013.

Conferences:

1. Attended the 12th Annual Conference of Karnataka Medico-legal Society & First South India Medico-legal Association Meet, ‘Summons-2003’, organized by the Department of Forensic Medicine, Kasturba Medical College, Mangalore, on 13th & 14th Dec, 2003.

2. Attended XIIIth Annual State Conference of Karnataka Medico-Legal Society [KAMLS]:‘FORENSICON-2005’, organized by the Department of Forensic Medicine, Fr. Muller’s Medical College, Mangalore.

3. Attended XIVth Annual State Conference of Karnataka Medico-Legal Society [KAMLS]:‘FORENSICON-2006’, organized by the Department of Forensic Medicine, Karnataka Institute of Medical Sciences, Hubli on 1st & 2nd July 2006.

4. Attended XXIX National Level Conference of Indian Academy of Forensic Medicine “FORENSICMEDICON 2008” Held at Bombay Stock Exchange, Mumbai on 13th, 14th & 15th

February 20085. Attended XVII State Level Conference of Karnataka Medico-legal society “FORENSICON

2009” organized by Vydehi Institute of Medical Sciences & Research Centre, Bangalore on 13th, 14th & 15th November 2009.

6. Attended FORENSICON 2011 – XIX Annual conference of Karnataka Medico-legal Society at K.S. Hegde Medical Academy on 25th, 26th & 27th November 2011

7. Attended FORENSICON 2012 – XX Annual conference of Karnataka Medico-legal Society at Kempe Gowda Institute of Medical Sciences, Bangalore on 23rd, 24th & 25th November 2012.

8. Attended XXXIX Annual National Conference of Indian Academy of Forensic Medicine “FORENSIC MEDICON 2013” Held at Kasturba Medical College, Manipal on 1st, 2nd & 3rd

February.

Continuing Medical Education Programme attended:

1. Attended the CME in Forensic Medicine for South India, ‘Sifcom-2003’, organized by the Department of Forensic Medicine, Kasturba Medical College, Manipal, on 27th & 28th Sep, 2003.

Page 8: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

2. Attended the 12th Annual Conference of Karnataka Medico-legal Society & First South India Medico-legal Association Meet, ‘Summons-2003’, organized by the Department of Forensic Medicine, Kasturba Medical College, Mangalore, on 13th & 14th Dec, 2003.

3. Attended the CME programme conducted as part of KMC Gold Alumni Reunion & Golden Jubilee Celebration at Kasturba Medical College, Manipal & Kasturba Medical College, Mangalore, held between 17th & 21st Dec, 2003.

4. Attended a continuing medical education programme in Forensic Medicine, organized by the Yenepoya Medical & Dental College on 12th June, 2004.

5. Attended a continuing medical education programme on Forensic Medicine Update, organized by the Department of Forensic Medicine & Toxicology, JNMC Scientific Society, Belgaum & Karnataka Medico-legal Society on 22nd October 2005.

6. Attended “FITCON-09”: CME & Medico-legal workshop organized by the Department of Forensic Medicine, JSS Medical College, Mysore in association with Karnataka Medico-legal Society, on 27th June, 2009.

7. Participated as a Resource person in the In-Service Nursing Education on “Ethical & Legal Aspects in Nursing” organized by Laxmi Memorial College of Nursing, Mangalore on 21st

July, 2009.8. Participated as a Resource person for the Continuing Nursing Education on “Wellness at Work

Place” organized by Laxmi Memorial College of Nursing, Mangalore on 4th December, 2009. 9. Attended “SIFCOM-2”, a Continuing Medical Education (CME) Programme in Forensic

Medicine for South India, on 27th September 2009, at Interact Hall, Manipal University, Manipal conducted by Department of Forensic Medicine

10. Participated in the First Indo-German International CME on Clinical Ethics Consultation, organized by the Department of Forensic Medicine & Toxicology, Yenepoya Medical College, Yenepoya University & University of Medicine, Germany on 15th February 2011.

11. Attended in the continuing medical education programme “Ethical & Legal Issues in Medical Pratice” organized by Department of Forensic Medicine & Toxicology, K.S. Hegde Medical Academy on 25th November 2011.

12. Participated in the Second Indo-German International CME on “Inter Professional Education in Clinical Ethics” organized by Centre for Ethics, Yenepoya University, Mangalore on 18 th

February, 2012. 13. Participated as a Panelist in the continuing medical education programme on Forensic

Odontology “Tooth do Tell Tales” – an aid in forensic investigation, organized by the Department of Forensic Medicine, Kasturba Medical College, Mangalore on 03rdMarch, 2012.

14. Attended the continuing medical education programme organized by Kempe Gowda Institute of Medical Sciences, Bangalore on 23rd, 24th & 25th November 2012.

15. Participated as a Moderator in the continuing medical education programme on “Brain & Behavior” organized by the Department of Physiology, A.J.Institute of Medical Sciences, Mangalore, on 31st July, 2013.

16. Attended as Delegate in continuing medical education programme on “Intimacy Matters” organized by the Department of Psychiatry, A.J.Institute of Medical Sciences, Mangalore, on 31st August, 2013.

Page 9: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

Curriculum Vitae of Dr. Nagabhushan T.

Date of Birth & Age : July 20th , 1975 – 38years

Present Designation : PG cum Tutor

Department : Forensic Medicine & Toxicology

College : A. J. Institute of Medical Sciences, Mangalore

Residential Address : Siddapura Village, Aralihalli, Bhadravathi Taluk Shimoga District.

Phone & fax number with Code : Office : 0824- 2225533 Mobile No. : +91 8147840386 E-mail address : [email protected]

Qualification :

Qualification College University Year

RegistrationNo. of UG &PG with date

Name of the StateMedical Council

M.B.,B.SJ.J.M. Medical College, Davangere

Kuvempu University 2000

602397th August 2001

Karnataka Medical Council

Previous Experience :

Designation DepartmentName of Institution From DD/MM/YY

To DD/MM/YY

Total Experience in

years & months

Medical Officer P.H.C. Tumari P.H.C., Sagar

Taluk, Shimoga

December 2002 to

June 2013

10 years 6 months

Page 10: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

SYNOPSIS

Submission for ethical clearance to Ethical Committee of AJIMS

“CEPHALO-FACIAL MORPHOMETRY: A TOOL FOR STATURE DETERMINATION

IN A SOUTH INDIAN POPULATION”

Name of the Candidate : DR. NAGABHUSHAN T.

Guide : DR. JAYAPRAKASHA K.

Course and Subject : M.D. FORENSIC MEDICINE &

TOXICOLOGY

Department of Forensic Medicine & Toxicology

A.J. INSTITUTE OF MEDICAL SCIENCES

Kuntikana, Mangalore – 575004.

2013

Page 11: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

1. Name of the candidate

& address:

(In block letters)

2. Name of the Institute: A.J.INSTITUTE OF MEDICAL SCIENCES,

NH-66, KUNTIKANA,

MANGALORE- 575004.

3. Course of study and Subject: M.D. FORENSIC MEDICINE &

TOXICOLOGY

4. Date of admission to course : 17 t h June, 2013

5. Title of the Topic : “CEPHALO-FACIAL MORPHOMETRY: A TOOL

FOR STATURE DETERMINATION IN A SOUTH

INDIAN POPULATION”

Dr. NAGABHUSHAN T.,

POSTGRADUATE STUDENT,

DEPT. OF FORENSIC MEDICINE & TOXICOLOGY,

A.J. INSTITUTE OF MEDICAL SCIENCES,

NH-66, KUNTIKANA, MANGALORE- 575004

Page 12: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

BRIEF RESUME OF THE INTENDED WORK:

6.1 Need for the Study:

During legal investigations, especially in crimes resulting in fatalities or when unknown human

remains are recovered by investigating agencies, the forensic pathologist is often required to give

an opinion regarding personal identification of the deceased. Stature is considered as one of the

parameters for personal identification and one of the ‘big fours’ of forensic anthropology. Stature

has a definite and proportional biological relationship with each and every part of the human

body, i.e. head, face, trunk, extremities. This relationship helps a forensic scientist to calculate

stature from dismembered and mutilated body parts in forensic examinations. For such a

calculation, two methods, i.e. regression method and multiplication method have been extensively

used by the scientists all over the world, and it has been universally concluded that the regression

analysis provides best estimates for stature reconstruction. 1-3 Many studies have been conducted

on the determination of stature from percutaneous measurements of various body parts including

arms, legs, feet, hands, etc. 4-20

There are few studies for stature estimation from the skull alone. Sarangi el al. did not find any

significant correlation between the stature and the skull but Introna el al. and Chiba and Terazawa

reported a significant relationship between the stature and the skull.21-23 However, the studies

concerning stature estimation from cephalo-facial dimensions by combination of skeletal and

percutaneous measurements are scanty. Jibonkumar and Lilinchandra have studied the co-relation

between stature and different facial measurements among the Indian population by using

Page 13: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

regression equation and multiplication factor.24 Krishna and Kumar and Krishna successfully

derived equations for estimating stature from sixteen cephalo-facial measurements in north Indian

population. 25,26

Looking at the paucity of studies pertaining to estimation of stature from cephalo-facial

dimensions and the usefulness of these studies in medico-legal and forensic investigations, the

present study provides morphometric correlation of cephalo-facial dimensions with stature and

also devises regression formulae for reconstruction of stature from these dimensions.

6.2Review of Literature:

Sarangi et al. performed somatometry on maximum anterior–posterior length, maximum

transverse length, and circumference of skull in 220 autopsied cases, and reported that the

correlation coefficient of stature for those parameters was insignificant for estimation of stature

(P.0.5). 21 Introna et al. performed somatometry on maximum anterior–posterior and lateral

diameter of skull in 358 young males ranging in age from between 17 to 27 years old, and

reported the feasibility of obtaining estimation of stature from the skull through calculating

correlation coefficients by multiple linear regression.22 Chiba and Terazawa successfully

estimated stature from anthropometry of skull in 124 Japanese cadavers and calculated regression

formulae. 23 Patil and Mody in their lateral cephalometric study on 150 healthy adults (75 males

and 75 females) found that all linear measurements were significantly greater in males as

compared to females. 27 The formulae of stature estimation showed high degree reliability which

may be due to the fact that the growth of skull (cephalo-facial) is mainly genetically determined

through local epigenetic factors such as growth of brain. 28 Jibonkumar and Lilinchandra studied

stature estimation on 199 male (18-45 years) by using facial measurements and found the highest

correlation of stature with bigonial breadth.24 Krishna and Kumar conducted a study on 252 male

adolescents for the determination of stature from cephalo-facial measurements and observed that

Page 14: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

the cephalic measurements such as horizontal head circumference, maximum head length and

maximum head breadth give better prediction of stature.25 Ryan and Bidmos took several

measurements on skulls taken from 99complete skeletons of indigenous South Africans from

Raymond A. Dart collection, and successfully derived regression formulae for estimation of total

skeletal height from these skull measurements.29 They also explained the utility of these

measurements in estimation of stature with certain precautions.

6.3 Aims & Objectives of the Study:

The present study has been attempted to determine stature from cephalo-facial dimensions and

formulate adequate gender-wise regression analysis.

7. Material and methods:

7.1 Source of data

Materials for the present study consists of one hundred and fifty South Indian origin victims

autopsied at the mortuary of A. J. Institute of Medical Sciences, Mangalore, Karnataka between

November 2013 and May 2015. The victims comprising of both the genders in the age group of

18-60 years belonging to various parts of South India (Karnataka, Kerala, Tamil Nadu, Andhra

Pradesh & Union territories of Lakshadweep & Pondicherry).

7.2 Method of collection of data

Written informed consent will be taken from the legal heirs after detailed information given to the

them regarding the study of the deceased victims prior to the measuring of various dimensions of

head and face. Following head and facial measurements along with the stature of the subjects

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were taken according to standard anthropometric instruments and procedures recommended by

Krishan and Kumar, Weiner and Lourie, Lohman et al. and Hall et al.25,30-32

The measurements taken are defined as follows:

1. Stature: It measures the vertical distance from vertex to heel.

2. Maximum head length: It measures straight distance between glabella (the most

prominent point on the fontal bone above the root of the nose, between the eyebrows) and

the opisthocranion (the most prominent portion of the occiput, close to the midline on the

posterior rim of the foramen magnum).

3. Maximum head breadth: It is the maximum biparietal diameter and is the distance

between the most lateral points of the parietal bones.

4. Horizontal circumference of head: It is the maximum circumference of the head (usually

horizontal just above the eyebrow ridges), measured from just above the glabella area to

the area near the top of the occipital bone (opisthocranion).

5. Head vault: It is horizontal arc of the head which is measured from right tragion (the point

in the notch just above the tragus of the ear) to left tragion with the help of measuring tape

passing over the vertex.

6. Morphological facial length: It is the straight distance from the nasal root (nasion) to the

lowest point on the lower border of mandible in the mid sagittal plane (gnathion)

7. Upper face height: It measures the straight distance between nasion and prosthion.

8. Height of lower face: It measures the straight projective distance between the chin and the

opening of the mouth i.e. between stomion and gnathion.

9. Minimum frontal breadth: It measures the straight distance between the two fronto

temporalia.

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10. Bigonial breadth: It is the maximum breadth of the lower jaw between two gonion (It is

the most posterior, inferior and laterally situated point on the external angles of the

mandible) points on the angles of mandibles.

11. Bizygomatic breadth: It is measured between the two most lateral points on the

zygomatic arches i.e. zygion to zygion by using spreading calliper.

12. Nasal height: It is measured from the nasal root (nasion) to the nasal base (subnasale) by

using sliding calliper.

13. Nasal breadth: It is the distance between two most prominent points on the lateral aspect

of the ala nasi and measured by using sliding calliper.

14. Morphological facial length: It is measured from the nasion to the gnathion (the lowest

point on the lower border of mandible in the mid sagittal plane) by using sliding callipe

15. Physiognomic facial length: It is the straight distance, measured from trichion (the

midpoint of anterior line) to the gnathion by using sliding calliper.

16. Physiognomic ear length: It is measured from the superior aspect (supra-aurale) to

inferior aspect (sub-aurale) of the external ear by using sliding calliper.

17. Physiognomic ear breadth: It is the maximum breadth, measured from the anterior aspect

(pre-aurale) to the postrior aspect (post-aurale) of the external ear by using sliding calliper.

Sample and sampling technique : Materials for the present study consists of one hundred

and fifty South Indian origin victims autopsied at the mortuary of A. J. Institute of Medical

Sciences, Mangalore, Karnataka between November 2013 and May 2015. The victims

comprising of both the genders in the age group of 18-60 years belonging to various parts of

South India (Karnataka, Kerala, Tamil Nadu, Andhra Pradesh & Union territories of Lakshadweep

& Pondicherry).

Study type: Cross Sectional Study.

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Inclusion criteria: Materials for the present study consists of one hundred and fifty South Indian

origin victims autopsied at the mortuary of A. J. Institute of Medical Sciences, Mangalore,

Karnataka between November 2013 and May 2015.

Exclusion criteria: Any pathological, fractured, or deformed head and face were excluded from

the study.

Plan for data analysis:

Base line data will be represented using tables. Statistical analysis was carried out using IBM

SPSS Statistics (IBM Inc., version 17 for Windows) software package to calculate like mean,

standard deviation, Karl Pearson’s correlation coefficient and regression analysis.

To ascertain the validity of the thus obtained regression formulae is applied over twenty five

South Indian deceased victims autopsied at the mortuary of A. J. Institute of Medical Sciences,

Mangalore, Karnataka .

7.3 Does the study require any investigations or interventions to be conducted

on patients or other humans or animals? If so, please describe briefly.

No.

7.4 Has ethical clearance been obtained from your institution in case of 7.3?

Awaited.

8. References:

Page 18: synopsis - Rajiv Gandhi University of Health Sciences · Web view30th September, 2013 From, Dr. Nagabhushan T., Postgraduate cum Tutor, Department of Forensic Medicine & Toxicology,

1. W.M. Krogman, M.Y. Iscan, The Human Skeleton in Forensic Medicine, Charles C.

Thomas, Springfield, IL, 1986.

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9.Signature of the candidate :

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10. Remarks of the guide

11. Name and Designation of (in block letters):-

11.1 Guide: DR. JAYAPRAKASHA K.

PROFESSOR & H.O.D

DEPT. OF FORENSIC MEDICINE & TOXICOLOGY

A.J. INSTITUTE OF MEDICAL SCIENCES

MANGALORE: 575004.

11.2 Signature:

11.3Co-Guide: ----

11.4 Signature: ----

11.5 Head of Department: DR. JAYAPRAKASHA K.

PROFESSOR & H.O.D.

DEPT. OF FORENSIC MEDICINE &

TOXICOLOGY

A.J. INSTITUTE OF MEDICAL SCIENCES

MANGALORE: 575004.

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11.6 Signature:

12. Remarks of the Chairman and Principal:

12.1Signature:

A J INSTITUTE OF MEDICAL SCIENCES,

KUNTIKANA, MANGALORE.

Informed consent form for the legal heirs of autopsied deceased victim at the

mortuary of A. J. Institute of Medical Sciences, Mangalore, Karnataka who

will be agreeing for the inclusion of above mentioned study subject in the

research project (MD dissertation) entitled: “CEPHALO-FACIAL

MORPHOMETRY: A TOOL FOR STATURE DETERMINATION IN A

SOUTH INDIAN POPULATION”

Name of Principal Investigator Dr. Nagabhushan T.,

Postgraduate student,

Department of Forensic Medicine &

Toxicology

Written Informed Consent Form

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Name of Organization A. J. Institute of Medical Sciences,

Kuntikana, Mangalore

This Informed Consent Form has two parts:

Information Sheet (to share information about the research with you)

Certificate of Consent (for signatures if you agree to take part)

You will be given a copy of the full Informed Consent Form

PART I: Information Sheet

Introduction

I, Nagabhushan T., Postgraduate student in the Department of Forensic Medicine & Toxicology,

A. J. Institute of Medical Sciences, Kuntikana, Mangalore, am working on my MD dissertation

titled “CEPHALO-FACIAL MORPHOMETRY: A TOOL FOR STATURE

DETERMINATION IN A SOUTH INDIAN POPULATION”

I am going to give you information and invite you to be part of this research. Before you decide,

you can talk to anyone you feel comfortable with about the research.

There may be some words that you do not understand. Please ask me to stop as we go through the

information and I will take time to explain. If you have questions later, you can ask them and get

yourself clarified.

Purpose of the research

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The present study has been attempted to determine stature from cephalo-facial dimensions and

formulate adequate gender-wise regression analysis from South Indian victims autopsied at the

mortuary of A. J. Institute of Medical Sciences, Mangalore, Karnataka .

Type of Research Intervention

The various dimensions of head and face using standard anthrometric instruments.

Participant selection

Materials for the present study consists of one hundred and fifty South Indian origin victims

autopsied at the mortuary of A. J. Institute of Medical Sciences, Mangalore, Karnataka between

November 2013 and May 2015. The victims comprising of both the genders in the age group of

18-60 years belonging to various parts of South India (Karnataka, Kerala, Tamil Nadu, Andhra

Pradesh & Union territories of Lakshadweep & Pondicherry).

Procedures and Protocol

The various measurements of head and face were taken using standard anthrometric instruments

and are recorded on a presturctured proforma.

Duration: 15 minutes.

Voluntary Participation

Your participation in this research is entirely voluntary. It is your choice whether to participate or

not.

Benefits

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Personally you may or may not be benefited in any way directly from the research. But by taking

part in this research, you will be helping the scientific community to collect population specific

data which will go a long way in stature from dimensions of head and face.

Reimbursements

You won’t be given any monetary incentives or gifts for being a part of this research.

Confidentiality

The information that we collect from this research project will be kept confidential. Information

about the subject that will be collected during the research will be put away and no-one but the

researchers will be able to see it. Any information about the patient will have a number on it

instead of your name.

Sharing the Results

The knowledge that we get from doing this research will be shared with you. Confidential

information will not be shared. We will publish the results in order that other interested people

may learn from our research.

Right to Refuse or Withdraw

You do not have to take part in this research if you do not wish to do so. You may also stop

participating in the research at any time you choose. It is your choice and all of your rights will

still be respected.

Who to Contact

This proposal has been reviewed and approved by the Research and Ethical committee of A J

institute of Medical Science, Kuntikana Mangalore, which is a committee whose task it is to make

sure that research participants are protected from harm. You may contact the following member of

the Institute Ethics committee for more details

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Dr. Sparshdeep E.M., Asst. Prof. of Pharmacology & Member Secretary, Institutional Ethics

Committee, A.J. Institute of Medical Sciences, Kuntikana, Mangalore.

You can ask me any more questions about any part of the research study, if you wish to. Do you

have any questions?

PART II: Certificate of Consent

I have read the foregoing information, or it has been read to me. I have had the opportunity to ask

questions about it and any questions that I have asked have been answered to my satisfaction. I

consent voluntarily to participate as a participant in this research.

Name of Legal heir of the deceased victim_________________________

Relation to the victim_________________________

Signature ___________________

Date __________________________________

Day/month/year

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If illiterate a literate witness must sign (if possible, this person should be selected by the

participant and should have no connection to the research team). Participants who are illiterate

should include their thumb-print as well.

I have witnessed the accurate reading of the consent form to the potential participant, and the

individual has had the opportunity to ask questions. I confirm that the individual has given

consent freely.

Name of witness_________________ Thumb print of participant

Signature of witness _____________

Date ________________________

Day/month/year

Statement by the researcher/person taking consent

I have accurately read out the information sheet to the potential participant, and to the best of my

ability made sure that the participant understands that the following will be done:

1. Measurements of head and face dimensions.

2. Measurements are taken using standard anthropometric instruments.

I confirm that the participant was given an opportunity to ask questions about the study, and all

the questions asked by the participant have been answered correctly and to the best of my ability. I

confirm that the individual has not been coerced into giving consent, and the consent has been

given freely and voluntarily.

  

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 A copy of this informed consent from has been provided to the participant.

Name of Researcher/person taking the consent________________________

Signature of Researcher /person taking the consent_____________________

Date ___________________________

Day/month/year