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Erschienen in: Anatomical Science International 1-2/2009

01.04.2009 | Original Article

Reliability of metric determination of sex based on long-bone circumferences: perspectives from Yuigahama-minami, Japan

verfasst von: Tomohito Nagaoka, Kazuaki Hirata

Erschienen in: Anatomical Science International | Ausgabe 1-2/2009

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Abstract

The purpose of this study is to develop new standards to determine the sex of fragmentary human skeletal remains from archaeological sites in Japan. In order to accomplish this, we measured the long-bone circumferences of Japanese skeletons from the medieval period and provided metric diagnosis of sex using discriminant function analysis. We discuss whether the osteometric approach provides the criterion for sex assessment of human skeletal remains. The materials comprised human skeletal remains from the Yuigahama-minami site, Kamakura, Japan. The sample size used in this study was 68 males and 62 females excavated from individual burial graves. The accuracy of sex classification is more than 80% for discriminant functions with only one variable and reaches 90% for those with a combination of multiple variables. The multivariate functions provide better results than the univariate functions. Another improvement in sex diagnosis which this study contributes to is that new standards enabling reliable diagnosis with small numbers of variables are developed from well-preserved parts of the skeletons. This paper provides new standards, focusing on the diaphysial circumferences of limb bones from a medieval population, and will contribute to the advancement of medieval studies of skeletal remains from archaeological sites in Japan.
Literatur
Zurück zum Zitat Bidmos MA, Asala SA (2004) Sexual dimorphism of the calcaneus of South African Blacks. J Forensic Sci 49:1–5 Bidmos MA, Asala SA (2004) Sexual dimorphism of the calcaneus of South African Blacks. J Forensic Sci 49:1–5
Zurück zum Zitat Black TK (1978) A new method for assessing the sex of fragmentary skeletal remains: femoral shaft circumference. Am J Phys Anthropol 48:227–232PubMedCrossRef Black TK (1978) A new method for assessing the sex of fragmentary skeletal remains: femoral shaft circumference. Am J Phys Anthropol 48:227–232PubMedCrossRef
Zurück zum Zitat Brothwell DR (1981) Digging up bones. Cornel University Press, Ithaca Brothwell DR (1981) Digging up bones. Cornel University Press, Ithaca
Zurück zum Zitat Bruzek J (2002) A method for visual determination of sex using the human hip bone. Am J Phys Anthropol 117:157–168PubMedCrossRef Bruzek J (2002) A method for visual determination of sex using the human hip bone. Am J Phys Anthropol 117:157–168PubMedCrossRef
Zurück zum Zitat Chamberlain A (2006) Demography in archaeology. Cambridge University Press, Cambridge Chamberlain A (2006) Demography in archaeology. Cambridge University Press, Cambridge
Zurück zum Zitat Floud R, Harris B (1997) Health, height, and welfare: Britain, 1700–1980. In: Steckel RH, Floud R (eds) Health and welfare during industrialization. Chicago University Press, Chicago, pp 91–126 Floud R, Harris B (1997) Health, height, and welfare: Britain, 1700–1980. In: Steckel RH, Floud R (eds) Health and welfare during industrialization. Chicago University Press, Chicago, pp 91–126
Zurück zum Zitat Fukumine T, Hanihara T, Nishime A, Ishida H (2006) Nonmetric cranial variation of the early modern human skeletal remains from the Kumejima, Okinawa and peopling of the Ryukyu Islands. Anthropol Sci 114:141–151CrossRef Fukumine T, Hanihara T, Nishime A, Ishida H (2006) Nonmetric cranial variation of the early modern human skeletal remains from the Kumejima, Okinawa and peopling of the Ryukyu Islands. Anthropol Sci 114:141–151CrossRef
Zurück zum Zitat Genovés S (1959) L’estimation des differences sexuelles dans l’os coxal: differences metriques et differences morphologiques. Bull Mem Soc Anthropol Paris 10:3–95CrossRef Genovés S (1959) L’estimation des differences sexuelles dans l’os coxal: differences metriques et differences morphologiques. Bull Mem Soc Anthropol Paris 10:3–95CrossRef
Zurück zum Zitat Giles E, Elliot O (1963) Sex determination by discriminant function analysis of crania. Am J Phys Anthropol 21:53–58PubMedCrossRef Giles E, Elliot O (1963) Sex determination by discriminant function analysis of crania. Am J Phys Anthropol 21:53–58PubMedCrossRef
Zurück zum Zitat Haneji K, Hanihara T, Sunakawa H, Toma T, Ishida H (2007) Nonmetric dental variation of Sakishima Islanders, Okinawa, Japan: a comparative study among Sakishima and neighboring populations. Anthropol Sci 115:35–45CrossRef Haneji K, Hanihara T, Sunakawa H, Toma T, Ishida H (2007) Nonmetric dental variation of Sakishima Islanders, Okinawa, Japan: a comparative study among Sakishima and neighboring populations. Anthropol Sci 115:35–45CrossRef
Zurück zum Zitat Hanihara K (1958) Sexual diagnosis of Japanese long bones by means of discriminant function. J Anthropol Soc Nippon 66:187–196 (in Japanese with English summary) Hanihara K (1958) Sexual diagnosis of Japanese long bones by means of discriminant function. J Anthropol Soc Nippon 66:187–196 (in Japanese with English summary)
Zurück zum Zitat Hanihara K (1959) Sex diagnosis of Japanese skulls and scapulae by means of discriminant function. J Anthropol Soc Nippon 67:191–197 (in Japanese with English summary) Hanihara K (1959) Sex diagnosis of Japanese skulls and scapulae by means of discriminant function. J Anthropol Soc Nippon 67:191–197 (in Japanese with English summary)
Zurück zum Zitat Hirata K, Oku C, Hoshino K, Tomo S, Takahashi S (2002) Yuigahama-minami iseki no tantai maiso iko jinkotsu ni tsuite. In: Yuigahama-minami iseki hakkutsu chosa dan (ed) Yuigahama-minami iseki 2. Yuigahama-minami iseki hakkutsu chosa dan, Kamakura, 1–240 (in Japanese) Hirata K, Oku C, Hoshino K, Tomo S, Takahashi S (2002) Yuigahama-minami iseki no tantai maiso iko jinkotsu ni tsuite. In: Yuigahama-minami iseki hakkutsu chosa dan (ed) Yuigahama-minami iseki 2. Yuigahama-minami iseki hakkutsu chosa dan, Kamakura, 1–240 (in Japanese)
Zurück zum Zitat Hirata K, Nagaoka T, Hoshino K (2004) Analysis of injuries by swords in medieval Japanese skeletons from Yuigahama, Kamakura. Anthropol Sci (J Ser) 112:19–26 (in Japanese with English summary) Hirata K, Nagaoka T, Hoshino K (2004) Analysis of injuries by swords in medieval Japanese skeletons from Yuigahama, Kamakura. Anthropol Sci (J Ser) 112:19–26 (in Japanese with English summary)
Zurück zum Zitat Honda G (1997) Differential structure, differential health: industrialization in Japan, 1868–1940. In: Steckel RH, Floud R (eds) Health and welfare during industrialization. Chicago University Press, Chicago, pp 251–284 Honda G (1997) Differential structure, differential health: industrialization in Japan, 1868–1940. In: Steckel RH, Floud R (eds) Health and welfare during industrialization. Chicago University Press, Chicago, pp 251–284
Zurück zum Zitat Houghton P (1974) The relationship of the pre-auricular groove of the ilium to pregnancy. Am J Phys Anthropol 41:381–390PubMedCrossRef Houghton P (1974) The relationship of the pre-auricular groove of the ilium to pregnancy. Am J Phys Anthropol 41:381–390PubMedCrossRef
Zurück zum Zitat Howell N (1979) Demography of the Dobe !Kung. Academic Press, New York Howell N (1979) Demography of the Dobe !Kung. Academic Press, New York
Zurück zum Zitat Irei K, Doi N, Fukumine T, Nishime A, Hanihara T, Yoneda M, Ishida H (2008) Dental diseases of human skeletal remains from the early-modern period of Kumejima Island, Okinawa, Japan. Anthropol Sci. doi: 10.1537/ase.070727 Irei K, Doi N, Fukumine T, Nishime A, Hanihara T, Yoneda M, Ishida H (2008) Dental diseases of human skeletal remains from the early-modern period of Kumejima Island, Okinawa, Japan. Anthropol Sci. doi: 10.​1537/​ase.​070727
Zurück zum Zitat Iscan MY, Yoshino M, Kato S (1994) Sex determination from the tibia: standards for contemporary Japan. J Forensic Sci 39:785–792PubMed Iscan MY, Yoshino M, Kato S (1994) Sex determination from the tibia: standards for contemporary Japan. J Forensic Sci 39:785–792PubMed
Zurück zum Zitat Iscan MY, Loth SR, King CA, Shihai D, Yoshino M (1998) Sexual dimorphism in the humerus: a comparative analysis of Chinese, Japanese and Thais. Forensic Sci Int 98:17–29PubMedCrossRef Iscan MY, Loth SR, King CA, Shihai D, Yoshino M (1998) Sexual dimorphism in the humerus: a comparative analysis of Chinese, Japanese and Thais. Forensic Sci Int 98:17–29PubMedCrossRef
Zurück zum Zitat Kajanoja P (1966) Sex determination of Finnish crania by discriminant function analysis. Am J Phys Anthropol 24:29–34PubMedCrossRef Kajanoja P (1966) Sex determination of Finnish crania by discriminant function analysis. Am J Phys Anthropol 24:29–34PubMedCrossRef
Zurück zum Zitat Kimura T (1971) Sex determination on the cross-section of human lower leg bones. Jpn J Legal Med 25:431–438 (in Japanese with English summary) Kimura T (1971) Sex determination on the cross-section of human lower leg bones. Jpn J Legal Med 25:431–438 (in Japanese with English summary)
Zurück zum Zitat Kobayashi K (1967) Trend in the length of life based on human skeletons from prehistoric to modern times in Japan. J Fac Sci Univ Tokyo Sect V 3:107–162 Kobayashi K (1967) Trend in the length of life based on human skeletons from prehistoric to modern times in Japan. J Fac Sci Univ Tokyo Sect V 3:107–162
Zurück zum Zitat Komesu A, Hanihara T, Amano T, Ono H, Yoneda M, Dodo Y, Fukumine T, Ishida H (2008) Diversity of prehistoric Okhotsk cultural population along Okhotsk Sea coast as viewed from nonmetric cranial variation. Anthropol Sci 116:33–47CrossRef Komesu A, Hanihara T, Amano T, Ono H, Yoneda M, Dodo Y, Fukumine T, Ishida H (2008) Diversity of prehistoric Okhotsk cultural population along Okhotsk Sea coast as viewed from nonmetric cranial variation. Anthropol Sci 116:33–47CrossRef
Zurück zum Zitat Krogman WH, Iscan MY (1986) The human skeleton in forensic medicine. Charles C Thomas, Springfield Krogman WH, Iscan MY (1986) The human skeleton in forensic medicine. Charles C Thomas, Springfield
Zurück zum Zitat Lewis ME (2002) Impact on industrialization: comparative study of child health in four sites from medieval and postmedieval England (AD 850–1869). Am J Phys Anthropol 119:211–223PubMedCrossRef Lewis ME (2002) Impact on industrialization: comparative study of child health in four sites from medieval and postmedieval England (AD 850–1869). Am J Phys Anthropol 119:211–223PubMedCrossRef
Zurück zum Zitat Liu W (1989) Sex discriminant analysis of long bones of upper limb. Acta Anthropol Sin 8:231–239 (in Chinese with English summary) Liu W (1989) Sex discriminant analysis of long bones of upper limb. Acta Anthropol Sin 8:231–239 (in Chinese with English summary)
Zurück zum Zitat Liu W, Yang M, Tai F (1989) Sex discriminant analysis of long bones of lower limb. Acta Anthropol Sin 8:147–154 (in Chinese with English summary) Liu W, Yang M, Tai F (1989) Sex discriminant analysis of long bones of lower limb. Acta Anthropol Sin 8:147–154 (in Chinese with English summary)
Zurück zum Zitat Lovejoy CO, Meindl RS, Pryzbeck TR, Barton TS, Kotting D, Heiple KG (1977) The palaeodemography of the Libben site, Ottowa County, Ohio. Science 198:291–293PubMedCrossRef Lovejoy CO, Meindl RS, Pryzbeck TR, Barton TS, Kotting D, Heiple KG (1977) The palaeodemography of the Libben site, Ottowa County, Ohio. Science 198:291–293PubMedCrossRef
Zurück zum Zitat MacLaughlin SM, Bruce MF (1985) A simple univariate technique for determining sex from fragmentary femora: its application to a Scottish short cist population. Am J Phys Anthropol 67:413–417PubMedCrossRef MacLaughlin SM, Bruce MF (1985) A simple univariate technique for determining sex from fragmentary femora: its application to a Scottish short cist population. Am J Phys Anthropol 67:413–417PubMedCrossRef
Zurück zum Zitat Martin R, Knussmann R (1988) Anthropologie. Band. Gustav Fischer Verlag, Stuttgart Martin R, Knussmann R (1988) Anthropologie. Band. Gustav Fischer Verlag, Stuttgart
Zurück zum Zitat Matsushita T (2002) Kamakurashi Yuigahama-minami iseki shukotsubo shutsudo chusei jinkotsu no maiso to kotaisu oyobi jusho jinkotsu. In: Yuigahama-minami iseki hakkutsu chosa dan (ed) Yuigahama-minami iseki 3. Yuigahama-minami iseki hakkutsu chosa dan, Kamakura, 101–134 (in Japanese) Matsushita T (2002) Kamakurashi Yuigahama-minami iseki shukotsubo shutsudo chusei jinkotsu no maiso to kotaisu oyobi jusho jinkotsu. In: Yuigahama-minami iseki hakkutsu chosa dan (ed) Yuigahama-minami iseki 3. Yuigahama-minami iseki hakkutsu chosa dan, Kamakura, 101–134 (in Japanese)
Zurück zum Zitat Minami M, Nakamura T, Hirata K, Nagaoka T, Hoshino K (2007) Geochemical study on human and animal bones excavated from the Yuigahama site, Kamakura. Summaries of Researchers using AMS at Nagoya University 18:134–142 (in Japanese with English summary) Minami M, Nakamura T, Hirata K, Nagaoka T, Hoshino K (2007) Geochemical study on human and animal bones excavated from the Yuigahama site, Kamakura. Summaries of Researchers using AMS at Nagoya University 18:134–142 (in Japanese with English summary)
Zurück zum Zitat Moromizato K, Fukumine T, Doi N, Hanihara T, Nishime A, Yoneda M, Ishida H (2007) Degenerative diseases of the spines of early modern human remains from Kumejima, Okinawa. Anthropol Sci (J Ser) 115:25–36 (in Japanese with English summary) Moromizato K, Fukumine T, Doi N, Hanihara T, Nishime A, Yoneda M, Ishida H (2007) Degenerative diseases of the spines of early modern human remains from Kumejima, Okinawa. Anthropol Sci (J Ser) 115:25–36 (in Japanese with English summary)
Zurück zum Zitat Nagaoka T, Abe M (2007) Human skeletal remains from the Osaka castle site in Japan: metrics and weapon injuries. Anthropol Sci 115:163–168CrossRef Nagaoka T, Abe M (2007) Human skeletal remains from the Osaka castle site in Japan: metrics and weapon injuries. Anthropol Sci 115:163–168CrossRef
Zurück zum Zitat Nagaoka T, Hirata K (2006) Tooth size of the medieval period people of Japan. Anthropol Sci 114:117–126CrossRef Nagaoka T, Hirata K (2006) Tooth size of the medieval period people of Japan. Anthropol Sci 114:117–126CrossRef
Zurück zum Zitat Nagaoka T, Hirata K (2007) Reconstruction of paleodemographic characteristics from skeletal age at death distributions: perspectives from Hitotsubashi, Japan. Am J Phys Anthropol 134:301–311PubMedCrossRef Nagaoka T, Hirata K (2007) Reconstruction of paleodemographic characteristics from skeletal age at death distributions: perspectives from Hitotsubashi, Japan. Am J Phys Anthropol 134:301–311PubMedCrossRef
Zurück zum Zitat Nagaoka T, Hirata K (2008) Demographic structure of skeletal populations in historic Japan: a new estimation of adult age-at-death distributions based on the auricular surface of the ilium. J Archaeol Sci 135:1370–1377CrossRef Nagaoka T, Hirata K (2008) Demographic structure of skeletal populations in historic Japan: a new estimation of adult age-at-death distributions based on the auricular surface of the ilium. J Archaeol Sci 135:1370–1377CrossRef
Zurück zum Zitat Nagaoka T, Hirata K, Yokota E, Matsu’ura S (2006a) Paleodemography of a medieval population in Japan: analysis of human skeletal remains from the Yuigahama-minami site. Am J Phys Anthropol 131:1–14PubMedCrossRef Nagaoka T, Hirata K, Yokota E, Matsu’ura S (2006a) Paleodemography of a medieval population in Japan: analysis of human skeletal remains from the Yuigahama-minami site. Am J Phys Anthropol 131:1–14PubMedCrossRef
Zurück zum Zitat Nagaoka T, Shizushima A, Sawada J, Hirata K (2006b) Morphological variation of crania of the medieval period Japanese. Anthropol Sci (J Ser) 114:139–150 (in Japanese with English summary) Nagaoka T, Shizushima A, Sawada J, Hirata K (2006b) Morphological variation of crania of the medieval period Japanese. Anthropol Sci (J Ser) 114:139–150 (in Japanese with English summary)
Zurück zum Zitat Nagaoka T, Sawada J, Hirata K (2008) Did the Jomon people have a short lifespan? Evidence from the adult age-at-death estimation based on the auricular surface of the ilium. Anthropol Sci. doi: 10.1537/ase.070724 Nagaoka T, Sawada J, Hirata K (2008) Did the Jomon people have a short lifespan? Evidence from the adult age-at-death estimation based on the auricular surface of the ilium. Anthropol Sci. doi: 10.​1537/​ase.​070724
Zurück zum Zitat Nakahashi T, Nagai M (1986) Sex assessment of fragmentary skeletal remains. J Anthropol Soc Nippon 94:289–305 Nakahashi T, Nagai M (1986) Sex assessment of fragmentary skeletal remains. J Anthropol Soc Nippon 94:289–305
Zurück zum Zitat Phenice TW (1969) A newly developed visual method of sexing the os pubis. Am J Phys Anthropol 30:297–301PubMedCrossRef Phenice TW (1969) A newly developed visual method of sexing the os pubis. Am J Phys Anthropol 30:297–301PubMedCrossRef
Zurück zum Zitat Ruff CB, Hayes WC (1982) Subperiosteal expansion and cortical remodeling of the human femur and tibia with aging. Science 217:945–948PubMedCrossRef Ruff CB, Hayes WC (1982) Subperiosteal expansion and cortical remodeling of the human femur and tibia with aging. Science 217:945–948PubMedCrossRef
Zurück zum Zitat Sacragi A, Ikeda T (1995) Sex identification from the distal fibula. Int J Osteoarchaeol 5:139–143CrossRef Sacragi A, Ikeda T (1995) Sex identification from the distal fibula. Int J Osteoarchaeol 5:139–143CrossRef
Zurück zum Zitat Safont S, Malgosa A, Subira ME (2000) Sex assessment on the basis of long-bone circumference. Am J Phys Anthropol 113:317–328PubMedCrossRef Safont S, Malgosa A, Subira ME (2000) Sex assessment on the basis of long-bone circumference. Am J Phys Anthropol 113:317–328PubMedCrossRef
Zurück zum Zitat Sakaue K (2004) Sexual determination of long bones in recent Japanese. Anthropol Sci 112:75–81CrossRef Sakaue K (2004) Sexual determination of long bones in recent Japanese. Anthropol Sci 112:75–81CrossRef
Zurück zum Zitat Seidemann RM, Stojanowski CM, Doran GH (1998) The use of the supero-inferior femoral neck diameter as a sex assessor. Am J Phys Anthropol 107:305–313PubMedCrossRef Seidemann RM, Stojanowski CM, Doran GH (1998) The use of the supero-inferior femoral neck diameter as a sex assessor. Am J Phys Anthropol 107:305–313PubMedCrossRef
Zurück zum Zitat Shizushima A (2007) Palaeopathological study of maxillary sinus of the medieval Japanese. Anthropol Sci (J Ser) 115:15–23 (in Japanese with English summary) Shizushima A (2007) Palaeopathological study of maxillary sinus of the medieval Japanese. Anthropol Sci (J Ser) 115:15–23 (in Japanese with English summary)
Zurück zum Zitat SPSS Inc (2005) SPSS for Windows. 13.0J. Chicago, Illinois SPSS Inc (2005) SPSS for Windows. 13.0J. Chicago, Illinois
Zurück zum Zitat Steyn M, Iscan MY (1997) Sex determination from the femur and tibia in South Africa whites. Forensic Sci Int 90:111–119PubMedCrossRef Steyn M, Iscan MY (1997) Sex determination from the femur and tibia in South Africa whites. Forensic Sci Int 90:111–119PubMedCrossRef
Zurück zum Zitat Storey R (2007) An elusive paleodemography? A comparison of two methods for estimating the adult age distribution of deaths at late Classic Copan, Honduras. Am J Phys Anthropol 132:40–47PubMedCrossRef Storey R (2007) An elusive paleodemography? A comparison of two methods for estimating the adult age distribution of deaths at late Classic Copan, Honduras. Am J Phys Anthropol 132:40–47PubMedCrossRef
Zurück zum Zitat Suzuki H (1956) Burial states of the skeletal remains in the site. In: The Anthropological Society of Nippon (ed) Medieval Japanese skeletons from the burial site at Zaimokuza, Kamakura city. Iwanami Shoten, Tokyo, pp 16–24 (in Japanese with English summary) Suzuki H (1956) Burial states of the skeletal remains in the site. In: The Anthropological Society of Nippon (ed) Medieval Japanese skeletons from the burial site at Zaimokuza, Kamakura city. Iwanami Shoten, Tokyo, pp 16–24 (in Japanese with English summary)
Zurück zum Zitat Tanaka T, Hanihara K, Koizumi K (1979) Sex determination of the modern Japanese skulls by means of discriminant function. Sapporo Med J 48:582–593 (in Japanese with English summary) Tanaka T, Hanihara K, Koizumi K (1979) Sex determination of the modern Japanese skulls by means of discriminant function. Sapporo Med J 48:582–593 (in Japanese with English summary)
Zurück zum Zitat Toma T, Hanihara T, Sunakawa H, Haneji K, Ishida H (2007) Metric dental diversity of Ryukyu Islanders: a comparative study among Ryukyu and other Asian populations. Anthropol Sci 115:119–131CrossRef Toma T, Hanihara T, Sunakawa H, Haneji K, Ishida H (2007) Metric dental diversity of Ryukyu Islanders: a comparative study among Ryukyu and other Asian populations. Anthropol Sci 115:119–131CrossRef
Zurück zum Zitat White TD, Folkens PA (2000) Human osteology, 2nd edn. Academic Press, London White TD, Folkens PA (2000) Human osteology, 2nd edn. Academic Press, London
Zurück zum Zitat Whitwell G, Souza C, Nicholas S (1997) Height, health, and economic growth in Australia, 1860–1940. In: Steckel RH, Floud R (eds) Health and welfare during industrialization. Chicago University Press, Chicago, pp 379–422 Whitwell G, Souza C, Nicholas S (1997) Height, health, and economic growth in Australia, 1860–1940. In: Steckel RH, Floud R (eds) Health and welfare during industrialization. Chicago University Press, Chicago, pp 379–422
Zurück zum Zitat Workshop of European Anthropologists (1980) Recommendation for age and sex diagnoses of skeletons. J Hum Evol 9:517–549CrossRef Workshop of European Anthropologists (1980) Recommendation for age and sex diagnoses of skeletons. J Hum Evol 9:517–549CrossRef
Zurück zum Zitat Zheng T, Pang T (1988) Determination of sex from the tibia by the stepwise discriminatory analysis. Acta Anthropol Sin 7:154–159 (in Chinese with English summary) Zheng T, Pang T (1988) Determination of sex from the tibia by the stepwise discriminatory analysis. Acta Anthropol Sin 7:154–159 (in Chinese with English summary)
Metadaten
Titel
Reliability of metric determination of sex based on long-bone circumferences: perspectives from Yuigahama-minami, Japan
verfasst von
Tomohito Nagaoka
Kazuaki Hirata
Publikationsdatum
01.04.2009
Verlag
Springer Japan
Erschienen in
Anatomical Science International / Ausgabe 1-2/2009
Print ISSN: 1447-6959
Elektronische ISSN: 1447-073X
DOI
https://doi.org/10.1007/s12565-008-0003-0

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