Zuzana Obertová

Facial soft tissue thicknesses of the mid-face for Slovak population

Forensic facial approximation is used as a tool for recreating the antemortem appearance of unknown dead and thus facilitates their identification. Several approaches to facial approximation are based on data on facial soft tissue thicknesses (FSTTs). The availability of sex-, age- and population-specific data contributes to the accuracy of the resulting facial approximation model. In this paper, first data set on FSTTs for a Central European population are presented. Soft tissue thicknesses of the mid-face were measured on 160 head CT-scans of 80 males and 80 females aged from 18 to 87 years. These CT-scans were made available after being a part of the diagnostic procedure concerning the paranasal sinuses of the patients. Basic descriptive statistics (i.e. mean, SD, median, range) for the FSTTs at 14 facial landmarks is reported separately by sex and age. Such information allows the forensic artist to choose the most suitable values for the FSTT considering the previous physiological and osteological analysis of the human remains.

Estimation of stature using hand and foot dimensions in Slovak adults.

Hand and foot dimensions used for stature estimation help to formulate a biological profile in the process of personal identification. Morphological variability of hands and feet shows the importance of generating population-specific equations to estimate stature. The stature, hand length, hand breadth, foot length and foot breadth of 250 young Slovak males and females, aged 18-24 years, were measured according to standard anthropometric procedures. The data were statistically analyzed using independent t-test for sex and bilateral differences. Pearson correlation coefficient was used for assessing relationship between stature and hand/foot parameters, and subsequently linear regression analysis was used to estimate stature. The results revealed significant sex differences in hand and foot dimensions as well as in stature (p<0.05). There was a positive and statistically significant correlation between stature and all measurements in both sexes (p<0.01). The highest correlation coefficient was found for foot length in males (r=0.71) as well as in females (r=0.63). Regression equations were computed separately for each sex. The accuracy of stature prediction ranged from ±4.6 to ±6.1cm. The results of this study indicate that hand and foot dimension can be used to estimate stature for Slovak for the purpose of forensic field. The regression equations can be of use for stature estimation particularly in cases of dismembered bodies.

Antipsychotic prescribing and its correlates in New Zealand

Objectives: Antipsychotics are the cornerstone of schizophrenia management. There is substantial literature on their efficacy and optimal use. Doubts remain, however, regarding the translation of this knowledge into day-to-day practice. This study aimed to investigate antipsychotic prescribing in three New Zealand regions and its relationship to clinical guidelines and patient characteristics. Methods: We studied 451 patients discharged from inpatient units with a diagnosis of schizophrenia or a related disorder (International Classification of Disease, version 10) between July 2009 and December 2011. Available information included patient demography, legal status, prescribed medications, duration of index admission and prescriber’s country of postgraduate training and years of postgraduate experience. Results: There was a high rate (33.7%) of multiple antipsychotic prescription, and lower than expected clozapine use (20%); Maori were prescribed clozapine more frequently than non-Maori (24% vs. 13%, respectively). Compulsory treatment was associated with more use of injectable medication and increased length of stay in hospital. Clinician characteristics did not significantly influence prescribing. Conclusions: Observed prescribing practice aligned with existing guidelines except for antipsychotic polypharmacy and clozapine under-utilisation.

The costs of identifying undiagnosed prostate cancer in asymptomatic men in New Zealand general practice

BACKGROUND Screening for prostate cancer (PCa) using the prostate-specific antigen (PSA) test is widespread in New Zealand. Aim. This study estimates the costs of identifying a new case of PCa by screening asymptomatic men. METHODS Men aged 40+, who had PSA tests in 31 general practices in the Midland Cancer Network region during 2010, were identified. Asymptomatic men without a history of PCa were eligible for this study. A decision tree was constructed to estimate the screening costs. We assumed GPs spent 3 minutes of the initial consultation on informed consent of PCa screening. RESULTS About 70.7% of the estimated costs were incurred in general practice. The screening costs per cancer detected were NZ

Demographic, temporal and environmental effects on the frequency of cribra orbitalia in three Early Medieval populations from western Slovakia

10 777 (€5820; £4817). The estimated costs for men aged 60-69 were NZ

Rural‐Urban Differences in Prostate‐Specific Antigen (PSA) Screening and Its Outcomes in New Zealand

6268 compared to NZ

Gunshot residue preservation in seawater

24 290 for men aged 40-49, NZ

Survival disparities between Māori and non-Māori men with prostate cancer in New Zealand.

30 022 for 50-59 and NZ

Prostate-specific antigen (PSA) screening and follow-up investigations in Māori and non-Māori men in New Zealand

10 957 for those aged 70+. The costs for Māori were NZ

Correlates of rehospitalisation in schizophrenia

7685 compared to NZ