Browsing by Author "Curate, Francisco"
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- A 1000-year-old case of Klinefelter's syndrome diagnosed by integrating morphology, osteology, and geneticsPublication . Roca-Rada, Xavier; Tereso, Sofia; Rohrlach, Adam B.; Brito, Andre; Williams, Matthew P.; Umbelino, Cláudia; Curate, Francisco; Deveson, Ira W.; Souilmi, Yassine; Amorim, Antonio; Carvalho, Pedro C.; Llamas, Bastien; Teixeira, Joao C.The skeleton of a human being buried over 1000 years ago, in the medieval archaeological site of Torre Velha, in north-eastern Portugal, was referred to us for analysis and investigation
- A method for estimating gestational age of fetal remains based on long bone lengthsPublication . Carneiro, Cristiana; Curate, Francisco; Cunha, EugéniaThe estimation of gestational age (GA) in fetal human remains is important in forensic settings, particularly to assess fetal viability, in addition to often being the only biological profile parameter that can be assessed with some accuracy for non-adults. The length of long bone diaphysis is one of the most frequently used methods for fetal age estimation. The main objective of this study was to present a simple and objective method for estimating GA based on the measurements of the diaphysis of the femur, tibia, fibula, humerus, ulna, and radius. Conventional least squares regression equations (classical and inverse calibration approaches) and quick reference tables were generated. A supplementary objective was to compare the performance of the new formulae against previously published models. The sample comprised 257 fetuses (136 females and 121 males) with known GA (between 12 and 40 weeks) and was selected based on clinical and pathological information. All measurements were performed on radiographic images acquired in anonymous clinical autopsy records from spontaneous and therapeutic abortions in two Portuguese hospitals. The proposed technique is straightforward and reproducible. The models for the GA estimation are exceedingly accurate and unbiased. Comparisons between inverse and classical calibration show that both perform exceptionally well, with high accuracy and low bias. Also, the newly developed equations generally outperform earlier methods of GA estimation in forensic contexts. Quick reference tables for each long bone are now available. The obtained models for the estimation of gestational age are of great applicability in forensic contexts.
- A method for sex estimation using the proximal femurPublication . Curate, Francisco; Coelho, João; Gonçalves, David; Coelho, Catarina; Ferreira, Maria Teresa; Navega, David; Cunha, EugéniaThe assessment of sex is crucial to the establishment of a biological profile of an unidentified skeletal individual. The best methods currently available for the sexual diagnosis of human skeletal remains generally rely on the presence of well-preserved pelvic bones, which is not always the case. Postcranial elements, including the femur, have been used to accurately estimate sex in skeletal remains from forensic and bioarcheological settings. In this study, we present an approach to estimate sex using two measurements (femoral neck width [FNW] and femoral neck axis length [FNAL]) of the proximal femur. FNW and FNAL were obtained in a training sample (114 females and 138 males) from the Luis Lopes Collection (National History Museum of Lisbon). Logistic regression and the C4.5 algorithm were used to develop models to predict sex in unknown individuals. Proposed cross-validated models correctly predicted sex in 82.5-85.7% of the cases. The models were also evaluated in a test sample (96 females and 96 males) from the Coimbra Identified Skeletal Collection (University of Coimbra), resulting in a sex allocation accuracy of 80.1-86.2%. This study supports the relative value of the proximal femur to estimate sex in skeletal remains, especially when other exceedingly dimorphic skeletal elements are not accessible for analysis. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
- Cortical bone loss in a sample of human skeletons from the Muge Shell middensPublication . Umbelino, Cláudia; Curate, Francisco; Perinha, Andreia; Ferreira, Teresa; Cunha, Eugenia; Bicho, NunoThe Muge shell middens of Cabeco da Arruda, Cabeco da Amoreira and Moita do Sebastiao (central Portugal) have been key sites of archaeological research for 150 years, possibly working as residential sites occupied by semi-sedentary communities during the final Mesolithic. The purposes of this article include the biocultural assessment of metacarpal cortical bone fragility and its associations with age at death, sex and osteoporotic fractures in the Portuguese Mesolithic, as well as a diachronic comparison of cortical bone health in Mesolithic (N = 34) and modern reference (N = 219) samples. Cortical bone at the Muge shell middens displays age and sex-specific trajectories of periosteal apposition and endosteal bone loss, most likely associated with hormonal and behavioural/cultural influences. Metacarpal endocortical bone loss seems to increase with age at death in females, with a simultaneous expansion of the diaphysis. The overall pattern of cortical bone health is similar to the pattern observed in a reference skeletal collection, but elderly women from Muge seem to lose less cortical bone than late twentieth century counterparts from Coimbra. Two older males exhibited vertebral compression fractures, but only one is possibly related with bone fragility.
- Femoral cortical bone in a Portuguese reference skeletal collectionPublication . Curate, Francisco; Cunha, EugeniaThis study aims to investigate patterns of femoral cortical bone fragility with age (at death) and to evaluate its associations with sex and bone mineral density. Radiogrammetric parameters of the femur and bone mineral density at the proximal femur were assessed in an adult sample (N=98) from the Coimbra Identified Skeletal Collection (Portugal). Diaphysis total width (DTW), femoral cortical index (FEMCI) and bone mineral density (BMD) are significantly higher in males, while medullary width (MW) is not statistically different between sexes. Cortical bone parameters of the femoral diaphysis are associated with age only in women, whereas BMD decreases with age in both sexes. The evaluation of femoral cortical bone reveals sex-specific trajectories of endosteal bone loss and periosteal apposition, stemming from sexual differences in the rate and pattern of bone loss, and in bone size. In females, endocortical bone loss rises with age, particularly in peri- and postmenopausal years, decelerating later in life. Concomitantly, accretion of bone in the subperiosteal surface persists throughout adulthood - partially offsetting bone fragility in women. Strength in the femoral mid diaphysis appears to be pre served throughout most of the life course in both sexes.
- Metacarpal cortical bone loss and osteoporotic fractures in the Coimbra Identified Skeletal CollectionPublication . Curate, Francisco; Perinha, Andreia; Silva, Ana Maria; Cunha, Eugenia; Umbelino, Cláudia; Nogueira, CatarinaThere has been considerable progress in recent years in our understanding of the patterns of cortical bone loss in the second metacarpal in archeological skeletal samples. Nevertheless, cortical data from reference skeletal collections are insufficient, and the possible connection of metacarpal cortical parameters with osteoporotic fractures has not been thoroughly addressed. As such, this article aims to identify and explain sex-specific and age-associated metacarpal cortical bone loss in a large sample (N = 302
- One for all and all for one: Linear regression from the mass of individual bones to assess human skeletal mass completenessPublication . Gonçalves, David; Coelho, João d'Oliveira; Acosta, Maria A.; Coelho, Catarina; Curate, Francisco; Ferreira, Maria Teresa; Gouveia, Márcia; Makhoul, Calil; Pinto, Débora; Oliveira-Santos, Inês; Vassalo, Ana R.; Navega, David; Cunha, EugéniaObjectivesComplete and accurate human skeletal inventory is seldom possible in archaeological and forensic cases involving severe fragmentation. In such cases, skeletal mass comparisons with published references may be used as an alternative to assess skeletal completeness but they are too general for a case-by-case routine analysis. The objective is to solve this issue by creating linear regression equations to estimate the total mass of a skeleton based on the mass of individual bones.Materials and MethodsTotal adult skeletal mass and individual mass of the clavicle, humerus, femur, patella, carpal, metacarpal, tarsal, and metatarsal bones were recorded in a sample of 60 skeletons from the 21st century identified skeletal collection (University of Coimbra). The sample included 32 females and 28 males with ages ranging from 31 to 96 years (mean=76.4; sd=14.8). Skeletal mass linear regression equations were calculated based on this sample.ResultsThe mass of individual bones was successfully used to predict the approximate total mass of the adult skeleton. The femur, humerus, and second metacarpal were the best predictors of total skeletal mass with root mean squared errors ranging from 292.9 to 346.1 g.DiscussionLinear regression was relatively successful at estimating adult skeletal mass. The non-normal distribution of the sample in terms of mass may have reduced the predictive power of the equations. These results have clear impact for bioanthropology, especially forensic anthropology, since this method may provide better estimates of the completeness of the skeleton or the minimum number of individuals. Am J Phys Anthropol 160:427-432, 2016. (c) 2016 Wiley Periodicals, Inc.
- Pediatric chronic osteomyelitis in the outskirts of Al-Ushbuna (Carnide, Lisboa, Portugal)Publication . Tavares, Ana; Makhoul, Calil; Monteiro, Mario; Curate, FranciscoThe skeletal remains of seven individuals (five non-adults and two adults) were recovered during an archeological intervention in the township of Carnide (Lisbon, Portugal). Funerary anthropology strongly suggests that the sample is from the Medieval Islamic period (8th -12th centuries AD). This report presents a case of chronic osteomyelitis in a non-adult individual. The diagnostic is substantiated by the presence of pathognomonic signs of osteomyelitis, including the presence of cloacae and a sequestrum in the left tibia. The bone infection is discussed in the context of inadequate socioeconomic conditions. This case from a relatively unfamiliar chronology and cultural context supplements the uncommon paleopathological descriptions of osteomyelitis in non-adults from historical populations.
- Quantitative determinations and imaging in different structures of buried human bones from the XVIII-XIXth centuries by energy dispersive X-ray fluorescence - Postmortem evaluationPublication . Guimarães, D.; Dias, A. A.; Carvalho, M.; Carvalho, M. L.; Santos, J. P.; Henriques, F. R.; Curate, Francisco; Pessanha, S.In this work, a non-commercial triaxial geometry energy dispersive X-ray Fluorescence (EDXRF) setup and a benchtop mu-XRF system were used to identify postmortem contamination in buried bones. For two of the individuals, unusually high concentrations of Cu and Pb, but also Zn (in one individual) were observed. The pigments of the burial shroud coverings have been identified as the source of contamination.Accurate and precise quantitative results were obtained by nondestructive process using fundamental parameters method taking into account the matrix absorption effects.A total of 30 bones from 13 individuals, buried between the mid-XVlllth to early XIXth centuries, were analyzed to study the elemental composition and elemental distribution. The bones were collected from a church in Almada (Portugal), called Ermida do Espirito Santo, located near the Tagus River and at the sea neighbourhood.The triaxial geometry setup was used to quantify Ca, Fe, Cu, Zn, Br, Sr and Pb of powder pressed bone pellets (n=9 for each bone). Cluster analysis was performed considering the elemental concentrations for the different bones. There was a clear association between some bones regarding Fe, Cu, Zn, Br and Pb content but not a categorization between cortical and trabecular bones. The elemental distribution of Cu, Zn and Pb were assessed by the benchtop p.-analysis, the M4 Tornado, based on a polycapillary system which provides multi-elemental 2D maps. The results showed that contamination was mostly on the surface of the bone confirming that it was related to the burial shroud covering the individuals.
- Sex determination from the femur in Portuguese populations with classical and machine-learning classifiersPublication . Curate, Francisco; Umbelino, Cláudia; Perinha, A.; Nogueira, C.; Silva, A. M.; Cunha, E.The assessment of sex is of paramount importance in the establishment of the biological profile of a skeletal individual. Femoral relevance for sex estimation is indisputable, particularly when other exceedingly dimorphic skeletal regions are missing. As such, this study intended to generate population-specific osteometric models for the estimation of sex with the femur and to compare the accuracy of the models obtained through classical and machine-learning classifiers. A set of 15 standard femoral measurements was acquired in a training sample (100 females; 100 males) from the Coimbra Identified Skeletal Collection (University of Coimbra, Portugal) and models for sex classification were produced with logistic regression (LR), linear discriminant analysis (LDA), support vector machines (SVM), and reduce error pruning trees (REPTree). Under cross-validation, univariable sectioning points generated with REPTree correctly estimated sex in 60.0e87.5% of cases (systematic error ranging from 0.0 to 37.0%), while multivariable models correctly classified sex in 84.0-92.5% of cases (bias from 0.0 to 7.0%). All models were assessed in a holdout sample (24 females; 34 males) from the 21st Century Identified Skeletal Collection (University of Coimbra, Portugal), with an allocation accuracy ranging from 56.9 to 86.2% (bias from 4.4 to 67.0%) in the univariable models, and from 84.5 to 89.7% (bias from 3.7 to 23.3%) in the multivariable models. This study makes available a detailed description of sexual dimorphism in femoral linear dimensions in two Portuguese identified skeletal samples, emphasizing the relevance of the femur for the estimation of sex in skeletal remains in diverse conditions of completeness and preservation. (C) 2017 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.