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Facial reconstruction is a technique that aims to reproduce the individual facial characteristics based on interpretation of the skull, with the objective of recognition leading to identification. The aim of this paper was to evaluate the accuracy and recognition level of three-dimensional (3D) computerized forensic craniofacial reconstruction (CCFR) performed in a blind test on open-source software using computed tomography (CT) data from live subjects. Four CCFRs were produced by one of the researchers, who was provided with information concerning the age, sex, and ethnic group of each subject. The CCFRs were produced using Blender® with 3D models obtained from the CT data and templates from the MakeHuman® program. The evaluation of accuracy was carried out in CloudCompare, by geometric comparison of the CCFR to the subject 3D face model (obtained from the CT data). A recognition level was performed using the Picasa® recognition tool with a frontal standardized photography, images of the subject CT face model and the CCFR. Soft-tissue depth and nose, ears and mouth were based on published data, observing Brazilian facial parameters. The results were presented from all the points that form the CCFR model, with an average for each comparison between 63% and 74% with a distance -2.5 ≤ x ≤ 2.5 mm from the skin surface. The average distances were 1.66 to 0.33 mm and greater distances were observed around the eyes, cheeks, mental and zygomatic regions. Two of the four CCFRs were correctly matched by the Picasa® tool. Free software programs are capable of producing 3D CCFRs with plausible levels of accuracy and recognition and therefore indicate their value for use in forensic applications.

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Background/Aim Orofacial trauma and traumatic dental injuries (TDI) are serious public health problems due to their high prevalence, severe morbidity, high costs of treatment, and long‐term sequelae. However, the extent of the problem may be underestimated since trauma analysis, from a forensic odontology perspective, is not widely represented in the scientific literature. The aim of this study was to investigate the occurrence of traumatic orofacial injuries (TOI) and TDI in unidentified bodies and their association with the cause of death. Materials and methods A retrospective analysis was conducted of dental and autopsy reports of unidentified bodies admitted to the Institute of Forensic Medicine of Belo Horizonte (IFM‐BH), Brazil, between 2015 and 2016. The final sample was made up of 536 bodies. Demographic data, the location where the body was found, cause of death, and the presence and type of orofacial trauma were collected. Results The mean of the estimated age of the bodies was 38 years and the median was 35 years. Most of the bodies were from males (87.5%) and were found downtown in the city of Belo Horizonte (60.4%). Violence was the most common cause of death (64%), generally by gunshot (48.7%). Bodies with an estimated age ≤35 years were eight times more likely to have died from violent causes. TOI was registered in 50.9% of the reports. TDI was observed in 10.8% of the bodies. Victims of violent death were seven times more likely to present TOI. Such association was not observed when the presence of TDI was considered. Conclusions There is a positive association between TOI and violent death in unidentified bodies.

Objetivo: verificar a frequência de glosa total e dos procedimentos odontológicos realizados pela rede credenciada de uma operadora de plano de saúde. Materiais e método: trata-se de um trabalho observacional transversal no qual foi realizado um levantamento retrosO Estado fiscaliza e monitora a solvência das operadoras de planos de saúde (OPS). Manter o setor estável é uma grande preocupação do Governo, pois atualmente as OPS arcam com a assistência em saúde de uma parte significativa da população. A regulação da saúde suplementar ocorre em dois espaços distintos: no campo da macrorregulação e no da microrregulação. A macrorregulação é constituída pela legislação e regulamentação da ANS. A microrregulação ocorre na auditoria por meio dos protocolos estipulados pelas operadoras para os prestadores de serviços 3 .A auditoria em saúde tem papel primordial de garantir a qualidade da assistência prestada e o respeito às normas técnicas, éticas e administrativas, previamente estabelecidas nos contratos entre prestadores de serviços e operadoras. A auditoria deve, também, manter a relação custo-benefício da assistência compatível e equacionada aos recursos

The oral cavity’s importance in defining the facial region makes it a primary feature for forensic facial reconstruction (FFR). The aim of this study is to construct a pattern of reference for dimensions and proportions of the lips and establish parameters that may help estimate the vermilion borders’ height dimensions and the mouth’s width. By means of cone beam computed tomography, divided into two samples: sample 1 (n = 322; 137 male, 185 female) verified the linear distances delimited by anatomical landmarks in soft tissue. The sample 2 (n = 108; 40 male, 68 female), verified the proportions among the height of the vermilion borders, width of the mouth, and linear distances between craniometric landmarks in hard tissues, both from a Brazilian database. The measurements were completed using OsiriX, and the results were analyzed by means of descriptive statistics at a level of significance of 5%. The height of the vermilion borders corresponded to approximately 26% of the width of the mouth. The width of the mouth increased over the course of time in men and remained stable in women. In men, a mean intercanine distance of 75% of the total mouth’s width was found; for women, it was 80%. The parameters of the relations between soft and hard tissues in the oral cavity region presented that the distance between landmarks ID-SM (Infradentale-Supramentale) corresponded to 55% of the height of the vermilion borders of the mouth for both sexes, while the distance between landmarks PM-SD (Philtrum medium-Supradentale) corresponded to 85% in men and 88% in women. Mean values of 97% of the width of the mouth in women and 93% in men were attributed to the distance between the mentonian foramina. It was not possible to estimate the height of the labial vermilion borders by the bone measurements, FIs-Fli (Foramen incisivus superius-inferius) and NS-GN (Nasospinale-Gnathion). Profound knowledge of the anatomy and morphology of the oral cavity may contribute to increasing the precision of FFRs and help with human identification.

O luminol é um teste presuntivo para detecção de manchas de sangue, muito sensível, efetivo e seletivo. O objetivo deste trabalho é avaliar a eficácia do luminol na detecção de sangue após o entintamento das paredes em um local onde ocorreu um homicídio. Os peritos se dirigiram para a casa do suspeito e com o uso de uma espátula metálica retiraram parte do revestimento da parede do quarto e após nova aplicação do luminol observaram a mancha branco-azulada, intensa e de duração típica de sangue latente. Os fragmentos retirados da parede foram enviados para o laboratório de DNA que confirmou tratar-se de sangue da vítima. A aplicação dessa técnica no caso em questão encontrando manchas de sangue sob a pintura ajudou a perícia a traçar a dinâmica do evento, ficando mais clara a posição da vítima quando foi alvejada com tiros pelo seu agressor além de ligar aquele local à vítima. O luminol não é capaz de detectar sangue que está sob a tinta da parede. A deteção do sangue latente somente ocorre quando a camada de tinta é retirada.

Contribuindo de forma direta ou indireta, pessoas especiais participaram e apoiaram este trabalho, as quais muito agradeço: À minha esposa, Elida Rejane Lima de Moura, e seus amados pais, Maria Aparecida e José Pereira de Moura pelo companheirismo, compreensão, carinho e apoio e por entenderem as minhas ausências. À minha querida avó Leonor Fabiano Baccarin, a meus pais e irmãos, tias, tios, primos e primas, por apoiarem e estimularem a realização deste curso.