30th September, 2013

From,

Dr. Nagabhushan T.,

Postgraduate cum Tutor,

Department of Forensic Medicine & Toxicology,

A.J. Institute of Medical Sciences,

Kuntikana, Mangalore.

To, Through,

The Chairman/ Member Secretary, The Head of the Department,

Institutional Ethics Committee, Dept. of Forensic Medicine & Toxicology

A.J.Institute of Medical Sciences, A.J.Institute of Medical Sciences,

Mangalore. Mangalore.

Sir,

Subject: Submission of Synopsis to Ethical Committee-reg.

I am herewith submitting my MD dissertation synopsis titled “Cephalo-facial Morphometry: A tool for stature determination in a South Indian population”for the consideration of the Institutional Ethics committee. I have also enclosed the proforma for the ethics committee, data collection proforma, consent form and curriculum vitae. I request you to kindly do the needful and oblige.

Thanking You,

Yours Sincerely

(Dr. Nagabhushan T.)

Proforma to be filled by the Principal Investigator (PI) for submission to Institutional Ethics Committee (IEC)

(For attachment to each copy of the proposal)

Serial No of IEC Management Office:

Proposal Title: “CEPHALO-FACIAL MORPHOMETRY: A TOOL FOR STATURE DETERMINATION IN A SOUTH INDIAN POPULATION”

Name, Designation
Qualifications / Address
Tel & Fax Nos.
Email ID / Signature
Principal Investigator
Guide / Dr. Nagabhushan T.
Postgraduate cum Tutor
Department of Forensic Medicine & Toxicology
Dr. Jayaprakash K.
Professor & H.O.D.,
Dept. of Forensic Medicine &
Toxicology / A.J. Institute of Medical Sciences
Kuntikana, Mangalore: 575004.
Ph: 8147840386
E-mail:
A.J. Institute of Medical Sciences
Kuntikana, Mangalore: 575004.
Ph: +91 9880219930
E-mail:
Curriculum Vitae of principal investigator and the guide (with subject specific publications limited to previous 5 years) – attached
  1. Type of Study: Forensic Medicine

Brief description of the proposal: During legal investigations, especially in crimes resulting in fatalities or when unknown human remains are recovered by investigating agencies, the forensic pathologist is often required to give an opinion regarding personal identification of the deceased. Stature is considered as one of the parameters for personal identification and one of the ‘big fours’ of forensic anthropology. Stature has a definite and proportional biological relationship with each and every part of the human body, i.e. head, face, trunk, extremities. Looking at the paucity of studies pertaining to estimation of stature from cephalo-facial dimensions and the usefulness of these studies in medico-legal and forensic investigations, the present study provides morphometric correlation of cephalo-facial dimensions with stature and also devises regression formulae for reconstruction of stature from these dimensions.
  1. Subject selection:
  1. Number of Subjects: Materials for the present study consists of one hundred and fifty South Indian origin victims autopsied at the mortuary of A. J. Institute of Medical Sciences, Mangalore, Karnataka between November 2013 and May 2015. The victims comprising of both the genders in the age group of 18-60 years belonging to various parts of South India (Karnataka, Kerala, Tamil Nadu, Andhra Pradesh & Union territories of Lakshadweep & Pondicherry).

  1. Duration of study: 11/2 years (between November 2013 and April 2015)

  1. Will subjects from both sexes be recruited:
/ YES
  1. Inclusion / exclusion criteria given:
/ YES
  1. Type of subjects: Materials for the present study consists of one hundred and fifty South Indian origin victims autopsied at the mortuary of A. J. Institute of Medical Sciences, Mangalore, Karnataka between November 2013 and May 2015.

  1. Privacy and confidentiality
Confidential handling of data : YES
  1. Consent : Please find it attached written informed consent
i. Consent form : (included elements)
  1. Understandable language
  2. Statement that study involves research
  3. Statement that consent is voluntary
  4. Purpose and procedures
  5. Risks & Discomforts
  6. Benefits
  7. Confidentiality of records
  8. Right to withdraw
  9. Contact information

ii. Who will obtain consent – Principal investigator
  1. Will any advertising be done for recruitment of Subjects?
(posters, flyers, brochure, websites – if so kindly attach a copy) / No
  1. Risks & Benefits: No risks to the study population since it involves deceased victim autopsied, but contributes to the academic advancement in the field of Forensic Medicine.

  1. Is there compensation for participation?
/ No
Checklistforattacheddocuments:
  1. Project proposal – 3Copies (2 hard copies + 1 soft copy on a CD)
  2. Curriculum Vitae of Investigators
  3. Curriculum Vitae of Guide
  4. Informed Consent form
  5. Copy of data collection Proforma

Place: Mangalore.

Date: 30th September, 2013. Signature & Designation of Principal Investigator

Curriculum Vitae of Dr. Jayaprakasha K.

Official Address: Professor and H.O.D. of Forensic Medicine & Toxicology

A.J Institute of Medical Sciences

Mangalore: 575004

Karnataka, India

Mobile : +919880219930

Email:

Fax : 0824 - 2222802

Work Experience:

* Total Teaching experience: 23 years.

Experience as Professor & Head : 10 years

Position / College / Year
Tutor / Kasturba Medical College, Manipal / Jan 1992 – Dec 1994
Assistant Professor / Kasturba Medical College, Mangalore / Jan 1995 – Jan 2000
Associate Professor / K.S. Hegde Medical Academy, Mangalore / Jan 2000 – Oct 2002
Associate Professor / A.J. Institute of Medical Sciences, Mangalore / Nov 2002 – Dec 2003
Professor & H.O.D. / A.J. Institute of Medical Sciences, Mangalore / Jan 2004 – Till date
Associate Dean / A.J. Institute of Medical Sciences, Mangalore / May 2011 – Oct 2011

Professional Education:

  1. MBBS, 1983 – 1988, Government Medical College, Mysore, Mysore University.
  2. MD (Forensic Medicine), 1992 – 1994, Kasturba Medical College, Manipal, MAHE (Manipal University).

Research publications:

Research publications:

  1. Jayaprakash K., Pillay VV. Absence of spinal injury in attempted hanging involving cervical spine: A case report. Journal of Forensic Medicine & Toxicology 1999; 15(1): 38-39.
  2. Shetty U, Jayaprakash K, Deepak C. Patil, Karen Prajwal Castelino. Intentional self poisoning: Scenario at a tertiary health care hospital in Mangalore, India, International Journal of A J Institute of Medical Sciences 2013;2:17-24.
  3. Rajesh S., Sricharan KN, Jayaprakash K.,Monteiro FNP. Cardiac involvement in patients with pulmonary tuberculosis. Journal of clinical and diagnostic Research, 2011; 5(3):440-442.
  4. Ilanthodi S., Pallipady S., Jayaprakash K., Monteiro FNP. Secondary cardiac pleomorphic rhabdomyosarcoma - A case report and review of literature, 2011; 5(2): 364-366. .
  5. Rajesh S, Jayaprakash K., Pai V, Monteiro FNP., Bhagavat P. Deliberate self harm: Socio Demographic Profile. Medico-legal Update, 2011.
  6. Kumar KPK, Jayaprakash K, Monteiro FNP, Bhagavath P. Psychiatric Morbidity in Industrial Workers of South India. Journal of clinical and diagnostic Research 2011; 5(5): 921-925.
  7. D’Souza K, Monteiro FNP, Jayaprakash K, Bhagavath P, Krishnan S. Spectrum of Grand Multiparity. Journal of clinical and diagnostic Research 2011; 5(6): 1247-1250.
  8. D’Souza K, Kumar KPK, Monteiro FNP, Jayaprakash K, Bhagavath P, Krishnan S, D'Souza HN. A study of maternal mortality at a tertiary health care centre in Mangalore, Karnataka. Medico-Legal Update 2011.
  9. Vinayachandra PH, Monteiro FNP, Jayaprakash K, Bhagavath P, Viveka S, D’Souza HL, A study on Stapes Morphometry from Mangalore Karnataka, Medico-Legal Update 2013; 13(1):69-73.
  10. Vinayachandra PH, Monteiro FNP, Jayaprakash K, Bhagavath P, Viveka S, Estimating stature from percutaneous length of ulna in South India population-Medico-Legal Update 2013; 13(1):74-77.
  11. Kanchan T, Monteiro FNP, Sukesh, Jayaprakash K. Pathology of Snakebite envenomation. International Journal of A J Institute of Medical Sciences 2012; 1:59-66.

Seminars/ workshops/symposiums attended:

  1. Attended a workshop on Practical & Emergency Medical Toxicology, organized by the All India Institute of Medical Sciences, New Delhi on 26th February 1998.
  2. Attended a workshop on Medical Writing organized by MAHE, Manipal and the British Medical Journal, U.K. on 2nd & 3rd March 1998.
  3. Attended the Medical Education Workshop organized by Medical Education unit of K.S. Hegde Medical Academy on 16th March 2000.
  4. Participated in the Second Police Officers Orientation Programme in their Investigation of Crime, organized by Manipal College of Medical Sciences and Manipal Teaching Hospital, Pokara, Nepal on 25th March 2002.
  5. Delivered the lecture at the workshop on “Critical Care Management” at M.V. Shetty Institute of Health Sciences, Mangalore on 3rd October, 2002 to 05th October, 2002.
  6. Attended a National workshop on Forensic Odontology & Medicine organized by A.B. Shetty memorial Institute of Dental Sciences, and K.S. Hegde Medical Academy on 18th to 20th June, 2004.
  7. Attended a symposium on Radiation Biology and Cancer, organized by the British Council & MAHE, Manipal on 8th February 2005 to 8th February 2005
  8. Attended a workshop on Research Methodology and Biostatics organized by the department of Community Medicine, K.M.C Manipal, on 23rd and 24th March 2005.
  9. Attended and presented a paper titled “Ethical & Legal Issues” during the workshop on Emergency Nursing (State Level) organized by K. Pandyarajah Ballal Nursing Institute, on 25th May 2005.
  10. Attended a workshop on Sexual assault-evidence collection, organized by the Department of Forensic Medicine and Centre for enquiry into Health and allied themes (CEHAT), Mumbai on 26TH June 2006.
  11. Attended a Basic GCP workshop organized by A.J.Hospital and Research Centre, Mangalore on 24th September, 2009.
  12. Attended a Forensic Anthropology Hands-on training workshop organized by the Department of Forensic Medicine & Toxicology, Yenepoya Medical College, Mangalore on 30th September 2009.
  13. Participated as a Delegate in Workshop on Good Clinical Practice, organized by the Department of Pharmacology, A.J.Institute of Medical Sciences, Mangalore, on 2nd & 3rd August 2013.

Conferences:

  1. Attended the 12th Annual Conference of Karnataka Medico-legal Society & First South India Medico-legal Association Meet, ‘Summons-2003’, organized by the Department of Forensic Medicine, Kasturba Medical College, Mangalore, on 13th & 14th Dec, 2003.
  2. Attended XIIIth Annual State Conference of Karnataka Medico-Legal Society [KAMLS]:‘FORENSICON-2005’, organized by the Department of Forensic Medicine, Fr. Muller’s Medical College, Mangalore.
  3. Attended XIVth Annual State Conference of Karnataka Medico-Legal Society [KAMLS]:‘FORENSICON-2006’, organized by the Department of Forensic Medicine, Karnataka Institute of Medical Sciences, Hubli on 1st & 2nd July 2006.
  4. Attended XXIX National Level Conference of Indian Academy of Forensic Medicine “FORENSICMEDICON 2008” Held at Bombay Stock Exchange, Mumbai on 13th, 14th & 15th February 2008
  5. Attended XVII State Level Conference of Karnataka Medico-legal society “FORENSICON 2009” organized by Vydehi Institute of Medical Sciences & Research Centre, Bangalore on 13th, 14th & 15th November 2009.
  6. Attended FORENSICON 2011 – XIX Annual conference of Karnataka Medico-legal Society at K.S. Hegde Medical Academy on 25th, 26th & 27th November 2011
  7. Attended FORENSICON 2012 – XX Annual conference of Karnataka Medico-legal Society at Kempe Gowda Institute of Medical Sciences, Bangalore on 23rd, 24th & 25th November 2012.
  8. Attended XXXIX Annual National Conference of Indian Academy of Forensic Medicine “FORENSIC MEDICON 2013” Held at Kasturba Medical College, Manipal on 1st, 2nd & 3rd February.

Continuing Medical Education Programme attended:

  1. Attended the CME in Forensic Medicine for South India, ‘Sifcom-2003’, organized by the Department of Forensic Medicine, Kasturba Medical College, Manipal, on 27th & 28th Sep, 2003.
  2. Attended the 12th Annual Conference of Karnataka Medico-legal Society & First South India Medico-legal Association Meet, ‘Summons-2003’, organized by the Department of Forensic Medicine, Kasturba Medical College, Mangalore, on 13th & 14th Dec, 2003.
  3. Attended the CME programme conducted as part of KMC Gold Alumni Reunion & Golden Jubilee Celebration at Kasturba Medical College, Manipal & Kasturba Medical College, Mangalore, held between 17th & 21st Dec, 2003.
  4. Attended a continuing medical education programme in Forensic Medicine, organized by the Yenepoya Medical & Dental College on 12th June, 2004.
  5. Attended a continuing medical education programme on Forensic Medicine Update, organized by the Department of Forensic Medicine & Toxicology, JNMC Scientific Society, Belgaum & Karnataka Medico-legal Society on 22nd October 2005.
  6. Attended “FITCON-09”: CME & Medico-legal workshop organized by the Department of Forensic Medicine, JSS Medical College, Mysore in association with Karnataka Medico-legal Society, on 27th June, 2009.
  7. Participated as a Resource person in the In-Service Nursing Education on “Ethical & Legal Aspects in Nursing” organized by Laxmi Memorial College of Nursing, Mangalore on 21st July, 2009.
  8. Participated as a Resource person for the Continuing Nursing Education on “Wellness at Work Place” organized by Laxmi Memorial College of Nursing, Mangalore on 4th December, 2009.
  9. Attended “SIFCOM-2”, a Continuing Medical Education (CME) Programme in Forensic Medicine for South India, on 27th September 2009, at Interact Hall, Manipal University, Manipal conducted by Department of Forensic Medicine
  10. Participated in the First Indo-German International CME on Clinical Ethics Consultation, organized by the Department of Forensic Medicine & Toxicology, Yenepoya Medical College, Yenepoya University & University of Medicine, Germany on 15th February 2011.
  11. Attended in the continuing medical education programme “Ethical & Legal Issues in Medical Pratice” organized by Department of Forensic Medicine & Toxicology, K.S. Hegde Medical Academy on 25th November 2011.
  12. Participated in the Second Indo-German International CME on “Inter Professional Education in Clinical Ethics” organized by Centre for Ethics, Yenepoya University, Mangalore on 18th February, 2012.
  13. Participated as a Panelist in the continuing medical education programme on Forensic Odontology “Tooth do Tell Tales” – an aid in forensic investigation, organized by the Department of Forensic Medicine, Kasturba Medical College, Mangalore on 03rdMarch, 2012.
  14. Attended the continuing medical education programme organized by Kempe Gowda Institute of Medical Sciences, Bangalore on 23rd, 24th & 25th November 2012.
  15. Participated as a Moderator in the continuing medical education programme on “Brain & Behavior” organized by the Department of Physiology, A.J.Institute of Medical Sciences, Mangalore, on 31st July, 2013.
  16. Attended as Delegate in continuing medical education programme on “Intimacy Matters” organized by the Department of Psychiatry, A.J.Institute of Medical Sciences, Mangalore, on 31st August, 2013.

Curriculum Vitae of Dr. Nagabhushan T.

Date of Birth & Age: July 20th, 1975 – 38years

Present Designation: PG cum Tutor

Department: Forensic Medicine & Toxicology

College: A. J. Institute of Medical Sciences, Mangalore

Residential Address: Siddapura Village, Aralihalli,

Bhadravathi Taluk

Shimoga District.

Phone & fax number with Code: Office : 0824- 2225533

Mobile No.: +91 8147840386

E-mail address:

Qualification:

Qualification / College / University / Year / Registration
No. of UG &
PG with date / Name of the State
Medical Council
M.B.,B.S / J.J.M. Medical College, Davangere / Kuvempu University / 2000 / 60239
7thAugust 2001 / Karnataka Medical Council

Previous Experience:

Designation / Department / Name of Institution / From DD/MM/YY
To DD/MM/YY / Total Experience in years & months
Medical Officer / P.H.C. / Tumari P.H.C., Sagar Taluk, Shimoga / December 2002 to June 2013 / 10 years 6 months

SYNOPSIS

Submission for ethical clearance to Ethical Committee of AJIMS

“CEPHALO-FACIAL MORPHOMETRY: A TOOL FOR STATURE DETERMINATION IN A SOUTH INDIAN POPULATION”

Name of the Candidate: DR. NAGABHUSHAN T.

Guide :DR. JAYAPRAKASHA K.

Course and Subject :M.D. FORENSIC MEDICINE & TOXICOLOGY

Department of Forensic Medicine & Toxicology

A.J. INSTITUTE OF MEDICAL SCIENCES

Kuntikana, Mangalore – 575004.

2013

1. Name of the candidate

address:

(In block letters)

2. Name of the Institute: A.J.INSTITUTE OF MEDICAL SCIENCES,

NH-66, KUNTIKANA,

MANGALORE- 575004.

3. Course of study and Subject:M.D.FORENSIC MEDICINE &

TOXICOLOGY

4. Date of admission to course:17th June, 2013

5. Title of the Topic:“CEPHALO-FACIAL MORPHOMETRY: A TOOL FOR STATURE DETERMINATION IN A SOUTH INDIAN POPULATION”

BRIEF RESUME OF THE INTENDED WORK:

6.1 Need for the Study:

During legal investigations, especially in crimes resulting in fatalities or when unknown human remains are recovered by investigating agencies, the forensic pathologist is often required to give an opinion regarding personal identification of the deceased. Stature is considered as one of the parameters for personal identification and one of the ‘big fours’ of forensic anthropology. Stature has a definite and proportional biological relationship with each and every part of the human body, i.e. head, face, trunk, extremities. This relationship helps a forensic scientist to calculate stature from dismembered and mutilated body parts in forensic examinations. For such a calculation, two methods, i.e. regression method and multiplication method have been extensively used by the scientists all over the world, and it has been universallyconcluded that the regression analysis provides best estimates for stature reconstruction. 1-3Many studies have been conducted on the determination of stature from percutaneous measurements of various body parts including arms, legs, feet, hands, etc.4-20

There are few studies for stature estimation from the skull alone. Sarangi el al.did not find any significant correlation between the stature and the skull but Introna el al.and Chiba and Terazawa reported a significant relationship between the stature and the skull.21-23 However, the studies concerning stature estimation from cephalo-facial dimensions by combination of skeletal and percutaneous measurements are scanty. Jibonkumar and Lilinchandra have studied the co-relation between stature and different facial measurements among the Indian population by using regression equation and multiplication factor.24 Krishna and Kumar and Krishna successfully derived equations for estimating stature from sixteen cephalo-facial measurements in north Indian population. 25,26

Looking at the paucity of studies pertaining to estimation of stature from cephalo-facial dimensions and the usefulness of these studies in medico-legal and forensic investigations, the present study provides morphometric correlation of cephalo-facial dimensions with stature and also devises regression formulae for reconstruction of stature from these dimensions.

6.2Review of Literature:

Sarangi et al. performed somatometry on maximum anterior–posterior length, maximum transverse length, and circumference of skull in 220 autopsied cases, and reported that the correlation coefficient of stature for those parameters was insignificant for estimation of stature (P.0.5).21Introna et al. performed somatometry on maximum anterior–posterior and lateral diameter of skull in 358 young males ranging in age from between 17 to 27 years old, and reported the feasibility of obtaining estimation of stature from the skull through calculating correlation coefficients by multiple linear regression.22Chiba and Terazawa successfully estimated stature from anthropometry of skull in 124 Japanese cadavers and calculated regression formulae.23Patil and Mody in their lateral cephalometric study on 150 healthy adults (75 males and 75 females) found that all linear measurements were significantly greater in males as compared to females.27 The formulae of stature estimation showed high degree reliability which may be due to the fact that the growth of skull (cephalo-facial) is mainly genetically determined through local epigenetic factors such as growth of brain.28 Jibonkumar and Lilinchandra studied stature estimation on 199 male (18-45 years) by using facial measurements and found the highest correlation of stature with bigonial breadth.24Krishna and Kumar conducted a study on 252 male adolescents for the determination of stature from cephalo-facial measurements and observed that the cephalic measurements such as horizontal head circumference, maximum head length and maximum head breadth give better prediction of stature.25Ryan and Bidmos took several measurements on skulls taken from 99complete skeletons of indigenous South Africans from Raymond A. Dart collection, and successfully derived regression formulae for estimation of total skeletal height from these skull measurements.29 They also explained the utility of these measurements in estimation of stature with certain precautions.

6.3 Aims & Objectives of the Study:

The present study has been attempted to determine stature from cephalo-facial dimensions and formulate adequate gender-wise regression analysis.

7. Material and methods:

7.1 Source of data

Materials for the present study consists of one hundred and fifty South Indian origin victims autopsied at the mortuary of A. J. Institute of Medical Sciences, Mangalore, Karnataka between November 2013 and May 2015. The victims comprising of both the genders in the age group of 18-60 years belonging to various parts of South India (Karnataka, Kerala, Tamil Nadu, Andhra Pradesh & Union territories of Lakshadweep & Pondicherry).