Older critically ill trauma patients exhibited an equivalent net protein response as younger patients during hypocaloric, high-protein nutrition therapy. Older patients are at greater risk for developing azotemia. Close monitoring is warranted.

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Since the mid-1990s, osteometrics have been a major aspect in forensic anthropology. However, recent evidence has shown that practitioners have been using differing points to establish certain measurements; namely those involving the clavicle, scapula, ulna, femur, and tibia. Engaging 61 practitioners, this study examined and confirmed how extensive this discord is. The highest consistency rate among practitioners was the scapular breadth (62.3%), followed by the femoral anteroposterior subtrochanteric diameter (55%). All other levels fell below these, particularly the physiological length of the ulna which was the most inconsistently measured bone. Furthermore, these low consistency rates yielded percent mean differences between two and 20% of the measurement length, with ranges averaging 14 mm. In light of these results, it is recommended that the field take steps to improve the standardization of such problematic measurements, including reexamining all measurements currently listed in osteometric texts, reassessing the utility of each, and reissuing a comprehensive guide.