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Biomedical subjects

I A Pretty

Publications and source records attributed to I A Pretty.

5 recordsLinked to original sources

A look at forensic dentistry--Part 1: The role of teeth in the determination of human identity.

Forensic dentistry can be defined in many ways. One of the more elegant definitions is simply that forensic dentistry represents the overlap between the dental and the legal professions. This two-part series presents the field of forensic dentistry by outlining two of the major aspects of the profession: human identification and bite marks. This first paper examines the use of the human dentition and surrounding structures to enable the identification of found human remains. Conventional and novel techniques are presented.

DNA Fingerprinting↗

The design and assessment of mock mass disasters for dental personnel.

Mass disasters represent a significant challenge for dental personnel who are frequently called upon to provide identifications. Recently-published materials have highlighted the need to prepare such groups for the disaster challenge and to report inadequacies in existing preparation methods with an emphasis on team integration, organization, and the psychological and emotional effects of such work. Many studies have retrospectively reported errors that have been made in disaster situations, but few have addressed the issues proactively. In an effort to provide a prepared team of dental members, a mock disaster exercise (Operation: DENT-ID) is conducted annually in Vancouver, Canada. The present study analyzes the effectiveness of this exercise in relation to team organization, assessment of preparedness, and the emotional and psychological issues. An index of preparedness is developed and described. This index, in the form of a questionnaire, can be given to participants in mock disasters to assess the effectiveness of such exercises. While the focus of this paper is on the assessment of dental personnel, the indices and methods used can be applied to any group working within the disaster team. Results indicate that the increase in preparedness as a result of the exercise was highly significant.

Adaptation, Psychological↗

Anatomical location of bitemarks and associated findings in 101 cases from the United States.

The purpose of this paper is to update and confirm previous studies that examined the anatomical location of human bitemarks. This information is useful to forensic odontologists and pathologists, physicians, and coroners who must be familiar with the most likely locations of bitemarks. The data are also useful for those involved in bitemark research. Using the legal database "Lexis," 101 bitemark cases were identified from the United States Courts of Appeal. Cases were included in the study if they provided details concerning the bitemark, such as anatomical location, number of injuries, and information concerning the victim. Information on 148 bites was collated. These data are presented in tabular and graphical form to allow comparisons between males and females, victims and perpetrators, adults and children, and the crime types associated with human bites.

Adolescent↗

Human bites and the risk of human immunodeficiency virus transmission.

The risk of human immunodeficiency virus (HIV) transmission following a bite injury is important to many groups of people. The first are those who are likely to be bitten as an occupational risk, such as police officers and institutional staff. Another group are represented by the victims and perpetrators of crimes involving biting, both in attack and defense situations. The possibility of these bites transmitting a potentially fatal disease is of interest to the physicians who treat such patients and the legal system which may have to deal with the repercussions of such a transmission. Bite injuries represent 1% of all emergency department admissions in the United States, and human bites are the third most common following those of dogs and cats. The worldwide epidemic of HIV and acquired immunodeficiency syndrome (AIDS) continues, with >5 million new cases last year and affecting 1 in 100 sexually active adults. A review of the literature concerning human bites, HIV and AIDS, HIV in saliva, and case examples was performed to examine the current opinion regarding the transmission of HIV via this route. A bite from an HIV-seropositive individual that breaks the skin or is associated with a previous injury carries a risk of infection for the bitten individual.

Adult↗