Gender Determination of Adult Individuals by Three‐Dimensional Modeling of Canines

Gender determination is a fundamental issue in forensic anthropology. Many techniques based on bone and dental remains have been proposed. It is not always possible to implement the techniques using bones, but teeth are often perfectly preserved. It has been demonstrated that the canine has the greatest sexual dimorphism, and the aim of this work was to provide an easy and accurate dental technique for determining the gender in the absence of other skeletal elements. The sample was composed of 210 CT scans with four healthy canines. The 840 canines were modeled using MIMICS^® 10.01 software. The total volume of each tooth was determined. Seven mathematical models were determined by binary logistic regressions and ranked in order of relative performance. The seven proposed predictive models thus performed (0.910 ≤ AUC ≤ 0.938), with overall rates of correct predictions between 82.38 and 85.24%. The 4‐canine model is the most powerful for predicting the gender.     

Off-Label Prescribing by Psychiatrists: What is the Practitioner's Liability?

In psychiatry, the molecules available and the dosages recommended when a drug receives marketing authorization are not always adequate to treat patients with major behavioral disturbances. Off-label prescribing is frequent in this context, with regard to the indications and the dosages given as well as to the drug combinations used. However, if complications or death occur, the practitioner's liability may be engaged. The authors report three deaths attributed to off-label prescribing in psychiatry and which led to charges against the physicians. They review the precautions to be taken when prescribing in such conditions (no other possible treatment, existence of sound scientific evidence, consent obtained from the patient, or their legal representatives except in cases of force majeure) and the physician's liability if adverse events occur that could be attributed to off-label prescribing.     

Suicide of an adolescent girl with sodium nitrite ordered on the internet

Nitrites are commonly used in the chemical, pharmaceutical, and food industries. Recently, they have been identified in cases of voluntary intoxication. We report the case of a 13-year-old girl who was found lifeless on her bed next to a glass containing a white powder and a bottle containing a white powder with a moistened appearance. External examination and autopsy revealed a nonspecific asphyxia syndrome, which was confirmed by the pathological analysis. Analysis of the samples revealed metoclopramide in the peripheral blood at a concentration of 0.402 mg/L (LC–HRMS). An analysis of the gastric contents was carried out after sodium nitrite was detected in the powders found near the body (Raman spectrometry). Nitrites were found in the gastric fluid at a concentration of 30.9 mg/L. Death occurred secondary to anoxia, following ingestion of nitrites; suicide kits are available on the web and nitrites are relatively easy to source and inexpensive. Nitrites are delivered in powder form to be dissolved in liquid, which may then be consumed with metoclopramide (or an alternative anti-emetic drug) to maximize absorption and reduce emesis. The toxic effect of nitrites lies in their oxidizing power, causing the transformation of hemoglobin into methemoglobin, which, when it accumulates, induces tissue anoxia resulting in death. There has been an alarming increase in the number of cases linked to suicide using nitrites or a nitrite suicide kit. The fact that nitrites are readily available online underscores the importance of establishing effective preventive measures such as limiting the access and use of this chemical.     

Bidimensional Data Allow for Better Age Estimation on Immature Specimens than Unidimensional Data: A Preliminary Study on the Ilium

Most biometric age estimation methods used in anthropological and forensic science for juveniles are based on unidimensional measurements (length or width). Here, a new method using bidimensional data was tested. A 3D morphometric analysis was performed on 108 CT scans of ilium bone of juveniles (from 20 gestational weeks to 12 years old). The sample was divided into training and validation groups. Best predictors were determined by comparing the efficiency of each variable (length, width, area, and module: a product of length and width). We established linear and polynomial regressions for each parameter for both sides. Applying the equations to the validation sample showed no significant difference between real and predicted ages. For age estimation, the area and module parameters yielded better results than unidimensional measurements. The results from this preliminary study were highly conclusive, and it would be interesting to extend the work, covering larger samples, and other bones.     

Participatory democracy and ethnic minorities: opening inclusive new spaces or reproducing inequalities?

In the past decade, Latin America has emerged as the epicentre of participatory democracy innovations. Proponents argue that participation should lead to more equitable access to public goods and a greater sense of political efficacy. There has been considerable debate in the academic literature and in the public sphere over the extent to which participation can produce these benefits. Yet, while Latin America has witnessed an explosion of participatory mechanisms and related academic attention, the literature has focused on socioeconomic dimensions. There has been little attention paid to the experiences of racialized groups, such as indigenous peoples and Latin Americans of African descent. Research suggests that in order for participatory mechanisms to produce positive outcomes, they must be inclusive and offer participants a forum for real deliberation, but how do groups that have faced barriers related to racism and discrimination engage in these initiatives? Drawing on evidence from indigenous Ecuadorian and Afro-Venezuelan citizen participants, this article argues that participatory mechanisms may reproduce the very types of inequalities that representative institutions are criticized for. Comparing cases across and within different jurisdictions reveals that certain conditions enhance the ability of ethnic minorities to benefit from involvement in participatory mechanisms.