Elena Labajo González

Decisiones al final de la vida: resultados del cuestionario validado por expertos

OBJECTIVE To assess the attitudes and knowledge in the lifes end about palliative care, advance directives, psychological-physical care, medically assisted suicide and spiritual accompaniment. METHOD A cross-sectional study performed in the population at primary health care center of the Autonomous Region of Madrid (Spain). It participated 425 selected people that a simple random was applied in the consultation sheets of health professionals. They analyzed 42 variables of self-administered questionnaire. RESULTS The surveyed population of Madrid displayed the following characteristics: university studies 58%, 51-70 years 47%, married 60%, and women 61%. 91% would like to decide about their care at lifes end. 58% of respondents are aware of palliative care and 53% would request spiritual accompaniment. They know advance directives (50%) but have not made the document. 54% are in favor of legalizing the euthanasia and 42% the assisted suicide. CONCLUSION Madrids people state they would like to decide what care they will receive at lifes end and request spiritual accompaniment. Outstanding advocates of euthanasia against assisted suicide. They would like to receive palliative care and complete advance directives documents. To draw comparisons within the population, thereby increasing awareness about social health care resources in Autonomous Region of Madrid, surveys should be conducted in different primary health care centers areas of Madrid.

Determining sex with the clavicle in a contemporary Spanish reference collection: A study on 3D images

Sexual dimorphism of the clavicle based on metric studies has been determined among different populations from different eras. Due to the need to know about sexual dimorphism in the Spanish population in order to apply the results to the field of Forensic Anthropology, a study has been carried out on a sample in the contemporary Spanish population, made up of the right and left clavicles of 50 males and 50 females. A metric, volumetric and curvature study was performed. To do so, 3D scanning was completed on the entire sample using the Picza 3D Laser Scanner, and the study was performed using reproductions. There were taken 6 metric measurements and 4 volumetric measurements using the Geomagic software, and for the study of curves, an index was calculated which related the direct length of the clavicle and its length as cast onto a surface. The data are presented for all of the variables, distinguishing between the right and left side, and there were processed using the statistical program PASW Statistics 18. The results show that the classification functions which best categorize the sample with an unique variable are volumetric, which classify the sample correctly in 94% of cases based on diaphysis volume, followed by total volume, which provides an accurate classification in 92% of all cases. The sagittal diameter at midshaft provides an accurate classification in 90% of cases and the maximum length in 88% of cases. The curvature index shows that there are no statistically significant differences by side and the only curvature index that shows significant differences by sex is the total anterior curve of the left clavicle being the males curve more pronounced. The validation study performed on a sample of 20 individuals confirms the high discriminatory power of the volume obtaining an accurate classification rate of 85-100% depending on the variable studied.

Contribution of dental tissues to sex determination in modern human populations

OBJECTIVES Accurate sex estimation is an essential step for the reconstruction of the biological profile of human remains. Earlier studies have shown that elements of the human permanent dentition are sexually dimorphic. The aims of this study are to determine the degree of sexual dimorphism in the dental tissue volumes and surface areas of mandibular canines and to explore its potential for reliable sex determination. METHOD The teeth included in this study (n = 69) were selected from anthropological collections from Spain, South Africa and Sudan. In all cases, the sex of the individuals was known. The teeth were scanned and three-dimensional (3D) measurements (volumes and surfaces areas) were obtained. Finally, a dsicriminant function analysis was applied. RESULTS Our results showed that sexual dimorphism in canine size is due to males having greater amounts of dentine, whereas enamel volume does not contribute significantly to overall tooth size dimorphism. Classification accuracy of the multivariable equations tested on slightly worn teeth ranged from 78 to 90.2% for the crossvalidation, and from 71.43 to 84.62% for the hold-out sample validation. When all functions were applied together, the sex was correctly assigned 92.30% of the time. CONCLUSIONS Our results suggest that the 3D variables from mandibular canine dental tissues are useful for sex determination as they present a high degree of dimorphism. The results obtained show the importance of 3D dental tissue measurements as a methodology in sex determination, which application should be considered as a supplemental method to others.