2.Lip Prints in Sex and Race Determination
Neo Xiao Xu ; Khairul Osman ; Sri Pawita Albakri Amir Hamzah ; Noor Hazfalinda Hamzah
Malaysian Journal of Health Sciences 2012;10(1):29-33
Individual identification is an important and challenging task in forensic investigation. Lip print on drinking glass or cigarette butt found at crime scenes may link to a suspect. The aim of this study was to determine the differences in lip print between sexes or races, differences in lip measurement between sexes or races and determine a way to estimate sex and race by using lip print or lip measurements for main races in Malaysia. A total of 134 subjects (67 males and 67 females) of Malay, Chinese and India were recruited from Universiti Kebangsaan Malaysia Campus Kuala Lumpur (UKMKKL), Malaysia. Lip prints were taken by using a lipstick and a transparent cellophane tape. Lip measurements were taken by using electronic digital callipers. Lip prints were classified according to Tsuchihashi classification. Statistical analysis indicated that there was a significant difference in lip print between sexes (p < 0.001) but not in races (p > 0.05). Width of oral opening and the height of lower lip both indicated significant differences between sexes (p < 0.001) while the height of upper lip and lower lip each indicated significant differences between races (p < 0.05). However, there was no significant interaction between sexes and races for all lip measurements. Formulae for sex and race determination were calculated with Classification Tree when there was significant difference between every comparison. Tables of accuracy percentage and performance evaluation for method in categorizing sex or race by using lip print or lip measurement were made. For validation of method in sex determination based on the formulae formed, accuracy in females is 90% and 65% in males. Therefore, overall percentage of accuracy in sex determination was 77.5%. This study can provide a preliminary idea about the use of lip prints in sex or race determination among Malaysian population.
3.Blunt force trauma to skull with various instruments
Nur Amirah Sulaiman ; Khairul Osman ; Noor Hazfalinda Hamzah ; Sri Pawita Albakri Amir Hamzah
The Malaysian Journal of Pathology 2014;36(1):33-39
Deaths due to blunt force trauma to the head as a result of assault are some of the most common
cases encountered by the practicing forensic pathologist. Previous studies have shown inflicting
injury to the head region is one of the most effective methods of murder. The important factors
that determine severity of trauma include the type of weapon used, type and site of skull fracture,
intracranial haemorrhage and severity of brain injury. The aim of this study was to determine the
characteristics of blunt force trauma to the skull produced by different instruments. Nine adult
monkeys (Macaca fascicularis) skulls were used as models. Commonly found blunt objects
comprising of Warrington hammer, hockey stick and open face helmet were used in this study. A
machine calibrated force generator was used to hold the blunt object in place and to hit the skulls
at forces of 12.5N and 25N. Resultant traumatic effects and fractures (linear, depressed, basilar,
comminuted, and distastic) were analyzed according to type of blunt object used; surface area of
contact and absolute force (N/cm2) delivered. Results showed that all investigated instruments were
capable of producing similar injuries. The severity of trauma was not related to the surface area of
contact with the blunt objects. However, only high absolute forces produced comminuted fractures.
These findings were observational, as the samples were too small for statistical conclusions.
4.Post mortem changes in relation to different types of clothing
Chee HauTeo ; Sri Pawita Amir Hamzah ; Khairul Osman ; Atiah Ayunni Abdul Ghani ; Noor Hazfalinda Hamzah
The Malaysian Journal of Pathology 2013;35(1):77-85
Post mortem changes are important in estimating post mortem interval (PMI). This project’s aim
was to study the effect of burial and type of clothing on rate of decomposition, which can contribute
to estimating PMI for victims. 12 rabbits (Oryctolagus cuniculus) carcasses were separated into
3 groups: no clothing, light clothing and heavy clothing. Control subjects were placed on the
ground surface while test subjects were buried at 30 cm depth graves. Soil samples prior and after
decomposition were collected for soil pH and moisture analysis. Post mortem change was assessed
using a Total Body Score system. The head, neck and limb regions were found to decay faster than
the body trunk region. Mummifi cation occurred on body parts that were exposed directly to the
atmosphere while adipocere formed on some buried subjects. Burial delayed decomposition due
to lower insect activity and lower soil temperature. The soil layer also blocked the accessibility of
majority of the arthropods, causing further delay in decomposition. Clothing enhanced decay for
bodies on ground surface because it provided protection for maggots and retained moisture on tissues.
However, clothing delayed decomposition in buried bodies because it physically separated the bodies
from soil and arthropods. Higher sun exposure and repetitive exhumation showed acceleration of
decomposition. The decomposition process increased soil pH and moisture percentage values. Soil
pH initially increased until pH 8.0-8.4 followed by a slight decrease while soil moisture percentage
changed inconsistently. Burial was signifi cant in affecting post mortem change, F(1,11)=12.991,
p<0.05 while type of clothing was not signifi cant, F(2,9)=0.022, p=0.978 and combination of both
type of clothing and burial factors were also not signifi cant, F(2,3)=0.429, p=0.686. For validation,
an accuracy of 83.33% was achieved based on soil pH and soil moisture percentage analysis.
5.Incidence Of Firearm-Related Deaths And Epidemiology In Klang Valley, Malaysia From 2006 To 2016: A Retrospective Study
Rabiatul Adawiyah, ; Noor Hazfalinda Hamzah ; Sri Pawita Albakri Amir Hamzah ; Nur Hamizah Md Udin
Malaysian Journal of Public Health Medicine 2018;18(Special Volume (1)):51-61
Death due to firearm is more common in countries with higher gun ownership such as United States of America compared to countries with restrictive gun ownership such as European countries and Malaysia. However, the increasing number of shooting cases in Malaysia recently should not be overlooked. This study was carried out to investigate the incidence of firearm-related deaths and epidemiology in Klang Valley for 11-year period. The demographic data on the incidence of firearm-related deaths from 2006 to 2016 was collected retrospectively from four government hospitals in Klang Valley. 204 cases of firearm-related deaths were reported with irregular trend of the incidence throughout the 11-year period. The results revealed that most victims were male, aged between 30 to 34 years old and Malaysian citizen. Firearms fatalities were higher among Malaysian specifically Indian, as compared to non-Malaysian. Most firearms fatalities were homicides and took place during late night between 12.00 am to 5.59 am. The highest cause of death was head injury due to gunshot wound. It is hoped that this study will raise awareness to Malaysian citizen regarding firearm-related cases and to develop strategies to overcome the issue of gun violence in Malaysia with appropriate authorities.
firearm fatalities
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firearms epidemiology
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firearms demographic data
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gun violence Klang Valley
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gunshot wound
6.Stature Approximation of Malays, Chinese and Indian in Malaysia Using Radiographs of Femur, Tibia and Fibula
Amal Hayati Zainal Abidin ; Khairul Osman ; Sri Pawita Albakri Amir Hamzah ; Noor Hazfalinda Hamzah ; Ab Halim Mansar ; Normaizatul Afizah Ismail
Malaysian Journal of Health Sciences 2011;9(1):45-50
The study was conducted to create specific formulae for stature estimation of adult male population in Malaysia based on measurements of femur, tibia and fibula lengths using radiographic method. A number of thirty two Malaysians from hospitals involved as subjects in this study. The subjects were Malays (14), Chinese (8) and Indians (10) from 25-45 years old. The standing height of the subject was recorded before femur, tibia and fibula were scanned with an x-ray machine. The bones length was measured on the x-ray film in centimetres (cm) and analysed using Statistical Package for Social Sciences (SPSS) version 19.0 for Windows. The results showed a significant relationship (p < 0.05) between
stature and measurements of length of femur, tibia and fibula. Stature of Malays and Indians were significant (p < 0.05)with measurements of length of femur, tibia and fibula but insignificant in Chinese. Simple Linear Regression Analysis was used to derive regression equation for single bone and Multiple Linear Regression Analysis was used to derive regression equation for combination of femur, tibia and fibula. Six formulae for stature estimation of adult male population in Malaysia were derived. The formulae consist of three formulae for single bone, a formulae for combination bones with unknown race, a formulae for combination bones of Malays population and a formulae for combination bones of Indians population. Formulae for combination bones had the highest correlation coefficient compared to the formula using a single bone. Standard error was found to be high in all the formulae due to small sample size. Extension for this study is essential to provide Malaysia with accurate formulae.
7.Stature and Sex Estimation Using Foot Measurements for Malays and Chinese in Malaysia
Phang Sook Fun ; Khairul Osman ; Sri Pawita Albakri Amir Hamzah ; Noor Hazfalinda Hamzah ; Ab Halim Mansar ; Normaizatul Afizah Ismail
Malaysian Journal of Health Sciences 2011;9(2):23-28
The aim of this study was to develop formulae for stature and sex estimation using foot length and foot width. A total of 150 subjects ranging in age from 20 to 30 years were recruited from Universiti Kebangsaan Malaysia Kampus Kuala Lumpur (UKMKKL). The subjects were Malays (45 males and 45 females) and Chinese (30 males and 30 females). Stature, foot length and foot width were measured using anthropometric instruments in millimetres. Statistical analysis indicated that bilateral variation of various lengths was insignificant for all the foot measurements (Foot length/FL: t(298) = -0.235, p = 0.815; Foot width/FW: t(298) = 0.932, p = 0.352). Sex differences were found to be highly significant for all the measurements (Stature/S: t(148) = 12.550, p < 0.05; FL:t(148) = 11.692, p < 0.05; FW:t(148) = 8.321, p < 0.05). Stature was highly significant in Chinese rather than Malay (t(148) = -3.103, p < 0.05) but no significant differences were found in all the foot measurements (FL: t(148) = 0.002, p = 0.999; FW:t(148) = 1.362, p = 0.175). The highest correlation was found between stature and foot length in all groups. Linear and Multiple Regression Analysis were used to
develop formulae for stature estimation. However, the latter was found to be more accurate as the correlation coefficient was highest in the combination of foot length and foot width in all the formulae (S = 585.298+(4.898xFL)-(1.453xFW), F(2,149 = 149.324, p < 0.01, R2 = 0.670). Formulae for sex estimation were obtained by using the Classification Tree Analysis. Result had indicated that sex estimation formulae can help to determine the sex with 86.3-87.5% accuracy in females and 85.2-85.7% accuracy in males by using foot length while the accuracy is 68.4-76.8% in females and 77.8-81.0% in males by using foot width.
8.Incidence of Suicide by Hanging in Klang Valley from 2007 to 2016
Siti Rahmah Abd Karim ; Sri Pawita Albakri Amir Hamzah ; Noor Hazfalinda HAMZAH
Malaysian Journal of Health Sciences 2018;16(2):77-84
Malaysia was ranked at 148 by World Health Organization (WHO) in suicide statistic for 2012, where males had a highertendency to commit suicide, recording a 4.7 per 100,000 in comparison to female (1.5 per 100,000). As hanging is one ofthe most common methods to commit suicide, this retrospective study was conducted to observe the incidence of suicideby hanging in Klang Valley from four different hospitals. The current study is conducted to provide local database ofsuicide occurrence by hanging in Klang Valley. A total of 893 suicide cases by hanging from 2007 to 2016 were recordedfrom post mortem records and analysed. Suicide rates in Klang Valley showed a rising trend from 2007 to 2016. Malesfrom age group 30 to 34 years old and females from 20 to 24 years old have the highest number of suicide fatalitiescompared to other age groups. Meanwhile, fatalities from the age group of 10 to 14 years old and 80 years old and aboveshowed similar result which is only 7%. 78% of the fatalities were recognized as Malaysian and half of them were Indian.Majority of the victims/cases (45%) who committed suicide by hanging are of Hindu religious denomination. Non-citizenin Malaysia that have the highest suicide rates were from Nepal, Indonesia and Myanmar. Victims also committed suicidemore during the day and the peak hours being at 12.00 pm to 5.59 pm.