Evaluation of the forAge Age-at-Death Estimation Program Using Pubic Symphyseal Surface in a Korean Population.

The forAge program estimates the age-at-death of human pubic symphysis using 3-dimensional scans. It was developed by Dennis E. Slice and Bridget F. B. Algee-Hewitt, and utilizes three distinct scores: the Slice and Algee-Hewitt (SAH) score, bending energy (BE), and ventral curvature (VC). However, these scores and age estimation regression equation were obtained through European American pubic symphysis. Changes in the pubic symphysis surface are evaluated as one of the most reliable indicators for estimating age, but in connection with this, using Korean materials, changes in the pubic symphysis surface and the actual changes are evaluated. There is no bar where the relationship between ages is grasped, and there are cases where a methodology developed for a specific group is applied to a Korean group. Changing the pubic symphysis surface by aging was evaluated as one of the most reliable indicators for estimating age. However, there is no study conducted on the relationship between changes in the pubic symphysis and actual age and applied the age estimation method for a specific population among Korean population. The purpose of this study is to compare the difference between the actual age and the estimated age in Korean to see if the forAge program is applicable to other population of different ancestral origin. One hundred and four modern Korean pubic symphyseal surfaces (47 to 96 years old) were used in this study. Through the pubic symphyseal surface 3-dimensional images, age-at-death was estimated via prediction equation and new regression lines using SAH, VC, and BE scores. Firstly, the estimated age via prediction equation using the first version of SAH score was lower than the actual age according to all pubic symphyseal surfaces for those older than 56. With aging, the difference between the actual age and estimated age became markedly larger. Secondly, the estimated ages via the new regression lines using VC, the second version of SAH score, and BE were shown a similar pattern to the previous prediction equation. The current study explored the applicability of a quantitative method using pubic symphyseal surface for age estimation in a modern Korean population. This study showed the forAge program cannot be applied to a modern Korean population, as they present relatively low correlations with the actual age-at-death.

Trotter and Gleser's (1958) equations outperform Trotter and Gleser's (1952) equations in stature estimation of the US White males.

Trotter and Gleser presented two sets of stature estimation equations for the US White males in their 1952 and 1958 studies. Following Trotter's suggestion favouring the 1952 equations simply due to the smaller standard errors, the 1958 equations have been seldom used and have gone without additional systematic validation tests. This study aims to assess the performance of the Trotter and Gleser 1952, Trotter and Gleser 1958, and FORDISC equations for the White males in a quantitative and systematic way, particularly when applied to the WWII and Korean War casualties. In sum, 27 equations (7 from the 1952 study, 10 from the 1958 study, and 10 from FORDISC) were applied to the osteometric data of 240 accounted-for White male casualties of the WWII and Korean War. Then, the bias, accuracy, and Bayes factor for each set of stature estimates were calculated. The results show that, overall, Trotter and Gleser's 1958 equations outperform the 1952 and FORDISC equations in terms of all three measures. Particularly, the equations with higher Bayes factors produced stature estimates where distributions were closer to that of the reported statures than those with lower Bayes factors. When considering Bayes factors, the best performing equation was the "Radius" equation from the 1958 study (BF = 15.34) followed by the "Humerus+Radius" equation from FORDISC (BF = 14.42) and the "Fibula" equation from the 1958 study (BF = 13.82). The results of this study will provide researchers and practitioners applying the Trotter and Gleser stature estimation method with a practical guide for equation selection. Key Points: The performance of three stature estimation methods was compared quantitatively.Trotter and Gleser's (1952, 1958) and FORDISC White male equations were included.Overall, Trotter and Gleser's 1958 method outperformed the other methods.This study provides a practical guide for stature estimation equation selection.

A comparative analysis of Bayesian age-at-death estimations using three different priors and Suchey-Brooks standards.

This study addresses issues associated with limited access to reference skeletal collections and how it hampers regional methodological development. The study also investigates the effects of three different priors on age-at-death estimations of Koreans and quantifies the accuracy of Bayesian estimation compared to a non-Bayesian approach. CT scan images of pubic symphyses were scored following the Suchey-Brooks standards. We specifically examine Bayesian age-at-death estimations under an optimal scenario where both the likelihood and prior probability are derived from a target population of Korean origin. Three different priors (population, forensic, and uniform priors) are evaluated for their age estimation accuracy levels. The results showed that Korean males and females had discrepancies in skeletal aging rates only in certain phases. A similar trend was observed in the comparison of the original Suchey-Brooks and Korean sample aging rates. However, when final age estimates were computed based on an inadequate choice of a prior, the between-group differences may be minimized or even obscured. The uniform and forensic priors produced the most reasonable and unbiased estimates, while the uniform prior consistently provided open-ended estimates for the last phase. The population prior produced consistently higher estimates due to the high survivorship of Koreans. In addition, the original Suchey-Brooks standards persistently under-estimated ages for Korean males and females. Overall, when Bayesian age estimation is based on an informed prior that best matches the context of the case (forensic deaths in this study), there was increased accuracy of final age estimates compared to age estimates of other priors and the original Suchey-Brooks method.

Quantitative and qualitative evaluation on the accuracy of three intraoral scanners for human identification in forensic odontology.

The purpose of this study was to analyze the accuracy of intra oral scanner (IOS) to confirm the applicability of IOS for the recording and analysis of tooth morphology in forensics. The less damaged mandible specimen with many teeth remaining was scanned three times using three types of intraoral scanners (CS3600, i500, and Trios3). For quantitative comparisons of the scanned images produced by these intraoral scanners, root mean square (RMS) values were computed using a three-dimensional analysis program and a one-way ANOVA was conducted with Tukey HSD (honestly significant difference) as a post-hoc analysis (α=0.05). The repeatability of the full scan data was highest with the i500 (0.14±0.03 mm), and the post-hoc analysis confirmed significant differences between the CS3600 and the i500 outcomes (P-value=0.003). The repeatability of the partial scan data for the teeth in the mandible was highest with the i500 (0.08±0.02 mm), and the post-hoc analysis confirmed significant differences between the CS3600 and the i500 (P-value=0.016). The precision of the full scan data was highest with the i500 (0.16±0.01 mm) but the differences were not statistically significant (P-value=0.091). Meanwhile, the precision of the partial scan data for the teeth in the mandible was highest with the Trios3 (0.22±0.02 mm), but the differences were not statistically significant (P-value=0.762). Considering that the scanning of other areas of the oral cavity in addition to the teeth is important in forensic odontology, the i500 scanner appears to be the most appropriate intraoral scanner for human identification. However, as the scope of oral scanning is generally limited to teeth in the practice of dentistry, additional discussions of how to apply the IOS in forensic odontology are needed. Ultimately, the results here can contribute to the overall discussion of the forensic applicability dental data produced by intraoral scanners.

Outcomes of reused transplanted kidneys using cases from the Korean Network for Organ Sharing database.

Due to organ shortages, the reuse of transplanted organs may be a good option for potential organ recipients. However, reports on the reuse of transplanted organs are rare. We retrospectively investigated cases of kidney donation since 2000 using the Korean Network for Organ Sharing database. Three cases of retransplanted kidneys were identified between 2000 and 2019. Of these three cases of kidney reuse, two involved reuse after a living-donor kidney transplant, and one case involved reuse after a deceased-donor kidney transplant. Another patient required a graftectomy due to bacterial infection immediately after transplantation. In two cases, the transplants were successful, and the kidneys have been functioning well for over 7 years. We believe that this case report highlights the opportunities for organ reuse among potential organ recipients and alleviates concerns about reused transplanted kidneys.

Craniofacial reconstruction of the Indus Valley Civilization individuals found at 4500-year-old Rakhigarhi cemetery.

Despite academic efforts to study the Indus Valley Civilization (IVC), there have as yet been no successful attempts to unveil the IVC people's craniofacial appearance. We investigated the IVC cemetery area of Rakhigarhi site, which was estimated to be of 2273 ± 38 and 2616 ± 73 years BCE. By craniofacial reconstruction (CFR) procedure using computed tomography (CT) data of two Rakhigarhi skulls (A1 BR02 and A2 BR36), we successfully reconstructed the faces of the IVC individuals who were buried about 4500 years ago. This is the first attempt to unveil scientifically accurate representations of IVC people's actual facial morphology.

A historical approach to syphilis infection in Korea

From the end of the 15th century, syphilis spread worldwide, posing a serious threat to public health. Venereal syphilis has been a major research topic, not only in clinical medicine but also in paleopathology, especially because it is a disease of questionable origin and of high prevalence until the discovery of antibiotics. Syphilis in history has been studied extensively in Europe and the Americas, though less so in Asia. In this review, based on extant historical documents and available paleopathological data, we pinpoint the introduction and trace the spread of venereal syphilis in Korea to the end of the 19th century. This review provides fundamental information that will be a great help in future researches on pre-20th century syphilis in Korea.

Cranial index in a modern people of Thai ancestry.

The present research aims to examine the cranial index in a modern people of Thai ancestry. Ultimately, this study will help to create a databank containing a cranial index for the classifications of the people from Asia. In this study, 185 modern crania of people of supposed Thai ancestry were examined. They were collected from the Department of Anatomy at Chulalongkorn University in Bangkok, Thailand. The maximum cranial length and breadth were measured using standard anthropometric instruments based on Martin's methods. The cranial index was calculated using the equation ([maximum cranial breadth/maximum cranial length]×100). The mean cranial indices for the male and female skulls examined were 81.81±4.23 and 82.99±4.37, respectively. The most common type of skull in the modern Thai people in this study was the brachycranic type with a frequency of 42.7%, followed by the mesocranic (27.03%) and hyperbrachycranic types (25.59%). The rarest type observed in this study was the dolichocranic type (4.32%). The present study provides valuable data pertaining to the cranial index in a modern Thai population and reveals that modern Thai males and females belong to the brachycranic group. The results of this study will be of forensic anthropological importance to populations in close proximity to the location where the skulls studied here were sourced.

Horse-riding accidents and injuries in historical records of Joseon Dynasty, Korea.

Only a few osteological reports describe bone injuries thought to have been caused by falls from horses. Nevertheless, anthropological study alone is insufficient for establishing the correlates of such equestrian accidents. We therefore reviewed the records in Seungjeongwon ilgi (Diaries of the Royal Secretariat) and Joseon wangjo silrok (Annals of the Joseon Dynasty) of the Korea's Joseon period (1392-1910 CE). Although the mechanisms of trauma were diverse, the Joseon documents recorded many injuries caused by horse-riding accidents. During 1625-1872 CE, equestrian-related accidents occurred almost every year, overwhelming other causes of trauma. In all horse-riding accidents (n=142), 37.77% of the records offer detailed data about the traumatic mechanism. Injuries occurred most frequently to the extremities (79.58%), which were followed by the trunk (34.5%) and head (4.92%). Although we do not think that this attempt can explain every paleopathological case, our historical review shows that equestrian-related injuries could be considered as one of the major causes for the bone trauma observed among ancient equestrian people.

Archaeological and anthropological studies on the Harappan cemetery of Rakhigarhi, India.

An insufficient number of archaeological surveys has been carried out to date on Harappan Civilization cemeteries. One case in point is the necropolis at Rakhigarhi site (Haryana, India), one of the largest cities of the Harappan Civilization, where most burials within the cemetery remained uninvestigated. Over the course of the past three seasons (2013 to 2016), we therefore conducted excavations in an attempt to remedy this data shortfall. In brief, we found different kinds of graves co-existing within the Rakhigarhi cemetery in varying proportions. Primary interment was most common, followed by the use of secondary, symbolic, and unused (empty) graves. Within the first category, the atypical burials appear to have been elaborately prepared. Prone-positioned internments also attracted our attention. Since those individuals are not likely to have been social deviants, it is necessary to reconsider our pre-conceptions about such prone-position burials in archaeology, at least in the context of the Harappan Civilization. The data presented in this report, albeit insufficient to provide a complete understanding of Harappan Civilization cemeteries, nevertheless does present new and significant information on the mortuary practices and anthropological features at that time. Indeed, the range of different kinds of burials at the Rakhigarhi cemetery do appear indicative of the differences in mortuary rituals seen within Harappan societies, therefore providing a vivid glimpse of how these people respected their dead.

Evaluation of Mastoid Process as Sex Indicator in Modern White Americans using Geometric Morphometrics.

Conventional methods for evaluating the mastoid as a sex indicator cannot determine whether mastoid shape is an independent and reliable sex indicator. Here, shape differences between the mastoids of 100 male and 100 female modern white Americans were statistically analyzed and visualized using the geometric morphometric method. Discriminant analysis was performed on mastoid size and shape. The relation between size and shape was analyzed to examine the effect of size on shape. In the results, mastoid size and shape were statistically significant sex indicators, while size factor explained 87.3% of the total variance of the shape variables. Nevertheless, females had relatively broader and shorter mastoid shape than males regardless of size, reflecting 12.7% of the total variance of the shape variables. In conclusion, mastoid size and shape were statistically significant sex indicators, while size may matter more in the mastoid than in other cranial parts in terms of sexual dimorphism.

Bio-Anthropological Studies on Human Skeletons from the 6th Century Tomb of Ancient Silla Kingdom in South Korea.

In November and December 2013, unidentified human skeletal remains buried in a mokgwakmyo (a traditional wooden coffin) were unearthed while conducting an archaeological investigation near Gyeongju, which was the capital of the Silla Kingdom (57 BCE- 660 CE) of ancient Korea. The human skeletal remains were preserved in relatively intact condition. In an attempt to obtain biological information on the skeleton, physical anthropological, mitochondrial DNA, stable isotope and craniofacial analyses were carried out. The results indicated that the individual was a female from the Silla period, of 155 ± 5 cm height, who died in her late thirties. The maternal lineage belonged to the haplogroup F1b1a, typical for East Asia, and the diet had been more C3- (wheat, rice and potatoes) than C4-based (maize, millet and other tropical grains). Finally, the face of the individual was reconstructed utilizing the skull (restored from osseous fragments) and three-dimensional computerized modeling system. This study, applying multi-dimensional approaches within an overall bio-anthropological analysis, was the first attempt to collect holistic biological information on human skeletal remains dating to the Silla Kingdom period of ancient Korea.

A comparison of cranial fluctuating asymmetry between the two sexes in a Joseon Dynasty population of Korea.

SUMMARY: Cranial fluctuating asymmetry (FA) has been used to examine developmental stress levels in various populations. In bioarchaeological studies, developmental stress can be an important factor for inferring standard of living in a population. However, the crania of a Joseon Dynasty population have only been studied in terms of its morphological characteristics. In this regard, the cranial FA of the two sexes from a Joseon Dynasty population of Korea were compared here for examining their aspects of living conditions in relation to developmental stress and socio-cultural factors. In this study, 77 individuals (39 males and 38 females) who belong to the 15th to the early-20th centuries from Seoul and Gyeonggi province in Korea were investigated. Nineteen three-dimensional landmarks on the vault and basicranium were collected using MicroScribe G2X. The coordinate data were aligned into a common coordinate plane by Procrustes least-squares superimposition. Procrustes ANOVA was adopted to evaluate FA at a population level. The FA of males and females were compared with t-test using SPSS 18. There was statistically insignificant difference in FA between the two sexes in the Joseon Dynasty population. The result was interpreted to reflect both relatively high developmental stress and sex-related discrimination in the population. It was postulated that relatively high developmental stress could increase difference in FA between the two sexes in the prenatal term compared to the postnatal term because sex-related discrimination cannot be practiced before birth and males have lower stress resistance than females. Then, the difference between the two sexes in the cranial FA could be decreased during postnatal development related to sex-related discrimination, resulting in insignificant FA difference of the two sexes in spite of high developmental stress of the Joseon Dynasty population. The results will be useful for comparing and reconstructing living conditions of ancient Korean populations.

Paleopathological Study of Dwarfism-Related Skeletal Dysplasia in a Late Joseon Dynasty (South Korean) Population.

Skeletal dysplasias related to genetic etiologies have rarely been reported for past populations. This report presents the skeletal characteristics of an individual with dwarfism-related skeletal dysplasia from South Korea. To assess abnormal deformities, morphological features, metric data, and computed tomography scans are analyzed. Differential diagnoses include achondroplasia or hypochondroplasia, chondrodysplasia, multiple epiphyseal dysplasia, thalassemia-related hemolytic anemia, and lysosomal storage disease. The diffused deformities in the upper-limb bones and several coarsened features of the craniofacial bones indicate the most likely diagnosis to have been a certain type of lysosomal storage disease. The skeletal remains of EP-III-4-No.107 from the Eunpyeong site, although incomplete and fragmented, provide important clues to the paleopathological diagnosis of skeletal dysplasias.

Harris lines observed in human skeletons of Joseon Dynasty, Korea.

The Harris line (HL), caused by bone-growth arrest and manifesting on X-rays as a radiopaque transverse line in the metaphysis of the long bones, is an indicator reflecting stress conditions such as disease or malnutrition. HL frequency has been assumed to differ between pre-modern and modern societies, as reflective of increased caloric intake and overall nutritional improvements attendant on industrialization. To determine if such a change occurred in Korea, in the present study we compared the respective HL statuses in medieval Joseon and modern Korean population samples. HLs were found in 39.4% (28/71) of the Joseon Koreans. Whereas only 27.5% (11/40) of the males showed an HL, fully 54.8% (17/31) of the females exhibited it. Notably, HLs were observed in only 16.4% (35/213) of the modern Koreans; more remarkably still, the HL rate was almost the same between the sexes, 16.7% (20/120) for the males and 16.1% (15/93) for the females. The HL frequency was much higher in the Joseon Koreans than in their modern counterparts, reflecting the improvement of nutritional status that had been achieved in the course of South Korea's modernization. This HL-frequency decrease was much more obvious in the female populations. The higher HL frequency among the Joseon females might reflect the relatively poor nutritional condition of females in pre-modern Korean society.

No significant difference in the levels of dental fluctuating asymmetry between hypoplastic and non-hypoplastic skeletal groups from the Joseon Dynasty (mid 15th-early 20th century), South Korea.

OBJECTIVES: As part of efforts to explore the relationship between linear enamel hypoplasia (LEH) and dental fluctuating asymmetry (DFA), DFA levels were compared between a hypoplastic group and a non-hypoplastic group. Since both LEH and DFA are pathological indicators of environmental stress which are represented by teeth, it was hypothesized that the hypoplastic group would exhibit higher levels of DFA than the non-hypoplastic group. DESIGN: Total of 136 sets of Korean skeletal remains from the Joseon Dynasty (mid 15th-early 20th century, South Korea) were used. To test the hypothesis, DFA levels of both groups were compared by two-way ANOVA after examining some issues related to FA research such as measurement error, type of asymmetry, and size dependence. RESULT: Contrary to the anticipations of many relavant studies, the hypothesis of this study was not supported (F=3.469, p=0.063). That is, the DFA levels of the two groups did not differ significantly, which implies that LEH and DFA do not occur concordantly. CONCLUSION: As to the reason for the result of the present study, it was speculated that (1) different kinds and/or degrees of stressors may influence the occurrence of LEH and DFA, or (2) traditional measuring methods used for DFA research may not reflect true DFA levels. Based on this study, it is recommended that both LEH and DFA should be utilized and reported independently in future research on the environmental stress and nutritional status of human populations.

Degenerative joint diseases and enthesopathies in a Joseon Dynasty population from Korea.

The purpose of this research is to examine whether degenerative joint diseases (DJD) and enthesopathies can be used in conjunction in research that aims to understand the activity levels of past populations. To examine this, the relationship between DJD and enthesopathies needs to be explored while taking different peripheral joints and types of entheses into account. In addition, the present research aims to examine the frequency of DJD and enthesopathies in the Joseon Dynasty population of Korea with comparisons with data in other skeletal series of similar dates. In this research, 173 individuals who had been interred in Eunpyeong Cemetery (Seoul, Korea, mid-15th-early 20th centuries) were analyzed. The occurrence of DJD and enthesopathies at six peripheral joints - the shoulder, elbow, wrist, hip, knee, and ankle - were compared. The results presented in this study suggest that DJD and enthesopathies are positively correlated in specific joints. The overall pattern of DJD and enthesopathies by sex was not found to be aligned with each other. While both markers were strongly associated with age in similar joints and bone elements, differences by sex showed a significant association in only some enthesopathies. This result suggests that DJD and enthesopathies react in different ways to variable etiological factors because they have different levels of vulnerability to various causes. Therefore, the distribution and pattern of DJD and enthesopathies should be discussed with caution when they are used together as activity markers. In addition, the population from Eunpyeong Cemetery seems not to have experienced a great deal of habitual stress.