Skeletal manifestations of rickets in infants and young children in a historic population from England

Gross and radiographic changes characteristic of inadequate bone mineralization due to rickets are described in 21 immature skeletons from a 19th century urban population from Birmingham, England. The aims of the study are as follows: to evaluate and if possible augment existing dry-bone criteria for the recognition of rickets in immature skeletal remains; to investigate the value of radiography for the paleopathological diagnosis of rickets; and to compare and contrast the expression of rickets in this group with that previously documented for a rural agrarian population from Wharram Percy, England. Some gross skeletal signs of rickets which were not previously well-documented in paleopathological studies are noted. The worth of radiography for evaluating structural changes to both cortical and trabecular bone in the disease is demonstrated, and features useful for the interpretation of vitamin D deficiency are discussed. The pattern of skeletal elements affected and the severity of changes differs in the Birmingham group from that seen in the comparative rural population. It is emphasized that a variety of factors may influence the expression of rickets in paleopathological material, including rate of skeletal growth, age cohort affected, and intensity of vitamin D deficiency. Nevertheless, careful analysis, not only of the frequency of rickets but also of the degree of severity of lesions and the patterning with respect to skeletal elements affected, may enable more nuanced understanding of the biocultural context of the disease in earlier populations.     

燃煤污染型氟中毒患者氟暴露、骨相损伤程度与骨形成标志物的关系

慢性氟暴露是世界范围内的公共卫生问题之一.为研究燃煤污染型氟中毒患者中氟暴露、骨相损伤程度与骨形成标志物血清碱性磷酸酶(ALP)、骨钙素(BGP)之间的相关关系,以贵州省织金县荷花村(燃煤污染型地方性氟中毒病区)和安顺市张官村(非氟暴露村)为调查点,采集环境样品,采用氟离子选择电极法测定环境介质及食物中的氟含量.在知情同意的原则下,对295例氟暴露和85例非氟暴露调查对象进行氟斑牙、氟骨症诊断;收集其尿液及外周血,测定尿氟(UF)浓度、ALP活性和BGP含量.结果表明: 病区环境中大米、辣椒、玉米、饮水、黏土、菜土、煤以及室内外空气氟含量均明显高于对照区,但较以往报道数据降低;随着尿氟浓度的升高,ALP活性、BGP含量显著升高,氟骨症病情差异有统计学意义,氟斑牙病情差异无统计学意义;氟骨症病情与ALP活性、BGP含量呈正相关.表明燃煤污染型低氟暴露可引起人群的骨相损害,且ALP、BGP可用于评估氟骨症患者骨转换情况,在氟骨症的辅助诊断、疗效评估中有着一定的应用价值.     

山西洪洞西冯堡清代墓地缠足女性的骨骼损伤和关节疾病

女性缠足是山西洪洞西冯堡墓地埋葬人群中一处值得关注的文化现象,相关人骨遗存为研究山西地区明清时期的缠足习俗提供了珍贵的考古资料。本文主要对山西洪洞西冯堡清代墓地出土的93例女性人骨标本中与缠足行为关系较为密切的骨骼损伤和关节疾病现象进行统计与分析,以窥探缠足与未缠足女性的健康状况。统计结果显示： 1)在膝关节和足部骨关节上,缠足女性有更高的骨性关节炎发生率;2)在肘关节和左侧腕关节的患病程度上,缠足女性与未缠足女性群体基本相当;在右侧和双侧腕关节以及手部关节的患病等级上,缠足女性略大于未缠足女性;3)西冯堡墓地各椎段椎体周缘骨赘患病率上,缠足女性均高于未缠足女性,颈椎和腰椎是所有女性患病最严重的部位;4)两个群体的骨骼损伤和骨性关节炎的患病率和患病程度均未表现出显著差异,这可能是与下层平民家庭对女性经济价值追求的背景下缠足与未缠足女性均需承担体力劳动有关。     

Anomoeodus pauciseriale n. sp. (Neopterygii, Pycnodontiformes) from the White Chalk Formation (Upper Cretaceous) of Sussex, South England

The new pycnodont fishAnomoeodus pauciseriale is described. The single specimen consists of associated but disarticulated skeletal remains including the paired prearticulars, some skull elements, remains of the pectoral girdle and the vertebral column. It comes from the White Chalk Formation (Upper Cretaceous) of East Sussex near Lewes, England. The precise stratigraphic age and locality are not known. The specific identification is based on characters of the prearticular dentitions because the other skeletal remains are not diagnostic. In contrast to other species ofAnomoeodus, the new species is characterised by a combination of rather short prearticular dentitions with only four tooth rows, a comparable low number of medial teeth, and the absence of intercalated teeth between tooth rows.      

Changes in osteoarthritis associated with the development of a maritime economy among southern California Indians

The severity of osteoarthritis was studied in human skeletal remains from archaeological sites in the Santa Barbara Channel area of southern California. These remains were analyzed to better understand changes in activity patterns associated with the economic shift from hunting and gathering to intensive fishing and craft specialization that occurred in this area. The joints of 967 burials from seven archaeological sites occupied between 3500 B.C. and the time of European contact were scored for osteoarthritis. These data show that the rate at which people developed osteoarthritis increased through time. This suggests that the adaptive shift toward more intensive exploitation of the marine environment resulted in an increase in the time people spent in strenuous physical activity. The increase in osteoarthritis affected males to a greater extent than females. One interpretation of this is that the work load of men increased with the economic importance of fishing.     

A health assessment of high status Christian burials recovered from the Roman-Byzantine archeological site of Elaiussa Sebaste, Turkey.

The purpose of this study is to assess the state of health of 116 individuals whose remains were excavated from Byzantine period burials underneath the floor of an important Christian basilica from the site of Elaiussa Sebaste, Turkey. Elaiussa Sebaste was a Mediterranean coastal community, which began as a Roman town and continued as an early Christian Byzantine community until the end of the 7th century AD. The burials date from the middle of the 6th through the middle of the 7th centuries AD. We attempt to determine how high social status has influenced the type and frequency of skeletal lesions exhibited in this sample. All strata of this population show a number of chronic and acute health problems as indicated by skeletal lesions. Yet, only the frequency of degenerative joint disease (DJD) differs by sex, with males exhibiting a higher rate of DJD than females, p=0.09. There is no difference in the frequency of trauma among adult males and females. Non-specific skeletal lesions (cribra orbitalia, porotic hyperostosis, and periostitis) often associated with dietary and general stressors, but also with specific systemic diseases, are common in both sexes. The sub-adults primarily exhibit periostitis of the long bones and do not show skeletal lesions specific to malaria. It seems that high social ranking did not prevent serious ailments from affecting the health of individuals living in the Elaiussa Sebaste community.     

Human dietary change.

The transition from hunting and gathering to agriculture and animal husbandry in the Near East and Mediterranean Region began some 12,000 years ago. The ecological changes associated with this change are known to have been related to higher levels of stress from undernutrition and infectious disease. Certain pathologies found in human skeletal remains from this time are indicative of anaemia and osteoporosis, although it is not clear whether they had clear nutritional aetiologies. In this paper, dietary changes associated with changes in subsistence practices in this region are described. In addition, quantitative modelling of possible patterns of dietary and nutrient intakes of adult males before, and soon after, the establishment of agrarian economies is used to examine the proposition that the skeletal pathologies porotic hyperostosis, cribra orbitalia and porotic hyperostosis may have been due to nutritional deficiencies. The results suggest that protein deficiency was only likely if subjects were suffering from chronic energy deficiency (CED) and their diet contained no meat. Dietary calcium deficiency was possible after the transition to cultivation and animal husbandry, in the presence of moderate or severe CED. Anaemias, although present after the transition, were unlikely to have had dietary aetiologies, regardless of the severity of CED.     

Skeletal manifestations of hypothyroidism from Switzerland

Hypothyroidism is caused by a deficiency in the synthesis of thyroid hormone. Dwarfism is the most obvious skeletal manifestation, but most people with hypothyroidism do not have any skeletal evidence of the disease. When the skeleton is affected, the severity of this manifestation depends on the degree of the deficiency and age of onset. Endemic hypothyroidism typically is linked to specific ecological settings such as the high mountains where iodine is absent, or else it occurs with very low concentrations in water and soil. In these areas, the prevalence may be as high as 8%. The disease can be expected to occur in archaeological human skeletal samples from endemic regions. Sporadic hypothyroidism is caused by a deficiency in the thyroid gland itself, and is not linked to any specific environmental context. The disease may be the result of a genetic defect, but can also be caused by other pathological conditions that may affect the thyroid gland, including infection and cancer. The skeletal abnormalities of the two variants will be indistinguishable in archaeological human remains. In order to identify hypothyroidism in archaeological skeletal samples, one must be aware of the differences in pathological skeletal changes seen in hypothyroidism in comparison with other diseases, such as achondroplasia, that can cause similar abnormalities. Twelve clinically documented cases of hypothyroidism provide data for understanding the skeletal abnormalities associated with this disease. All 12 are modern documented cases from Switzerland, where endemic hypothyroidism occurred in the iodine-deficient Alpine regions. However, at least one case in the sample was caused by a defect in the thyroid gland itself.     

The effect of age, sex, and physical activity on entheseal morphology in a contemporary Italian skeletal collection

Entheseal changes are traditionally included in a large array of skeletal features commonly referred to as "skeletal markers of activity." However, medical studies and recent anthropological analyses of identified skeletal series suggest a complex combination of physiological and biomechanical factors underlying the variability of such "markers." The aim of this study is to examine the relationship between age, sex, physical activity, and entheseal variability. To this end, 23 postcranial entheses are examined in a large (N = 484) Italian contemporary skeletal series using standardized scoring methods. The sample comprises subjects of known age, sex and, mostly, occupation. Results show a strong relationship between age and entheseal changes. Differences between sexes are also highlighted, while the effects of physical activity appear moderate. Altogether, our study indicates that entheseal morphology primarily reflects the age of an individual, while correlation with lifetime activity remains ambiguous.     

Rib lesions in chronic pulmonary tuberculosis

The diagnosis of skeletal tuberculosis in human remains has traditionally been based upon the detection of secondary skeletal lesions which result from hemotogenous dissemination of tubercle bacilli (e.g., Pott's disease). Since such lesions develop in less than 7% of cases of human tuberculosis, the paleodemography and paleoepidemiology of this disease have been difficult to assess from skeletal remains. This study presents a new diagnostic approach to tuberculosis, focusing on the skeletal manifestations of chronic pulmonary disease (which comprises approximately 90% of human-form tuberculosis). Four hundred forty-five skeletal remains from persons dying of tuberculosis during the first half of the 20th century were examined. A total of 70/445 (16%) exhibited skeletal lesions in one or more locations as a response to infection. Of these 70, 39 (56%) were found to display a specific set of lesions restricted to the internal aspect of the ribs. These lesions take one of two forms: (1) diffuse periostitis or (2) localized abscess, and appear to correspond to areas of chronic pulmonary infection. The diffuse type of rib lesion is more commonly observed than the localized type. In our observations (and according to the natural history of tuberculosis) the occurrence of chronic pulmonary tuberculosis is usually mutually exclusive with hematogenous dissemination to secondary bone locations. Thus, the detection of rib lesions in cases of chronic pulmonary disease increases the absolute sample size of skeletal tuberculosis by a factor of two in this study.     

周口店第一地点西剖面2009-2010年发掘报告

周口店第一地点再次发掘的主要目的在于提升遗址西剖面的保护状态与水平,同时也为东亚直立人演化方面某些焦点问题的研究与解决提供机遇与可能。2009-2010年,在西剖面最顶部堆积(即第三层)的野外发掘中共计出土大中型动物化石材料约800件。埋藏学研究表明,西剖面第三层中葛氏斑鹿(Cervus(Sika)grayi)等动物属种的骨骼富集并非古人类生存行为的结果;石制品以及古人类化石材料的缺失也在一定程度上印证了这一结论。结合发掘过程中揭露出来的一系列洞穴坍塌事件的证据,我们初步认为,至少在第三层堆积形成时期,第一地点西剖面位置处的洞穴形态并不适合于古人类的栖居活动;葛氏斑鹿等骨骼材料则是当时在遗址附近活动的各种动物因意外因素陷落于其中而得以聚集的。     

Sex determination using the scapula in medieval skeletons from East Anatolia

Sex determination from skeletal human remains by discriminant function analysis is one of the methods utilized in the forensic and osteoarcheological sciences. The purpose of the present study is to establish metric standards for sex determination for medieval Anatolian populations using scapular measurements. The database for this research consisted of 93 adult skeletal remains (47 males and 46 females) from the Dilkaya medieval collection. Four measurements were taken: maximum scapular height, maximum scapular breadth, glenoid cavity height, glenoid cavity breadth, and subjected to discriminant function analysis. All measurements demonstrated some degree of sexual dimorphism, with the highest accuracy of sex determination (94.8%) obtained using maximum scapular breadth. Overall accuracies of the functions ranged from 82.9% to 95.0%, with a higher accuracy rate obtained for female skeletons than for males. Population specific discriminant formulas were developed using combinations of measurements, which can be used in ancient Anatolian populations.     

FGFR3 intracellular mutations induce tyrosine phosphorylation in the Golgi and defective glycosylation

Mutations of the Fibroblast Growth Factor Receptor 3 (FGFR3) gene have been implicated in a series of skeletal dysplasias including hypochondroplasia, achondroplasia and thanatophoric dysplasia. The severity of these diseases ranges from mild dwarfism to severe dwarfism and to perinatal lethality, respectively. Although it is considered that the mutations give rise to constitutively active receptors, it remains unclear how the different mutations are functionally linked to the severity of the different pathologies. By examining various FGFR3 mutations in a HEK cell culture model, including the uncharacterized X807R mutation, it was found that only the mutations affecting the intracellular domain, induced premature receptor phosphorylation and inhibited receptor glycosylation, suggesting that premature receptor tyrosine phosphorylation of the native receptor inhibits its glycosylation. Moreover, these mutations appeared to be associated with elevated receptor signaling in the Golgi apparatus. In conclusion, although pathological severity could not be correlated with a single factor arising from FGFR3 mutations, these results suggest that intracellular domain mutations define a distinct means by which mutated FGFR3 could disrupt bone development.     

Pathological lesions attributable to vitamin deficiency in skeletal remains from Puy St. Pierre (Briançon, France)

The aim of the present study was to evaluate the presence of pathological alterations attributable to vitamin deficiency in osteological remains from the church of St. Pierre in Puy de St. Pierre, Briançon, France. We recorded alterations referable to scurvy, an acquired osteodystrophy due to vitamin C deficiency, which causes both skeletal and vascular lesions in humans. Scurvy presents a different clinical picture in children and adults: in the latter, in leaves skeletal signs on the palate and teeth. The recording of osteodystrophies attributable to vitamin deficiency allowed us to make general inferences about the nutritional profile of the group under study. The study of this pathology, as well as that of nutritional stresses, can be related to the geographical-environmental conditions of the population to which the sample belongs. This is important from the anthropological point of view, especially in order to examine alimentary habits within the context of the man-environments relationship.     

Bone mineral density, osteopenia, and osteoporosis in the rhesus macaques of Cayo Santiago

This cross-sectional study investigates metabolic bone disease and the relationship between age and bone mineral density (BMD) in males and females of a large, well-documented skeletal population of free-ranging rhesus monkeys (Macaca mulatta), from the Caribbean Primate Research Center Museum collection from Cayo Santiago, Puerto Rico. The sample consists of 254 individuals aged 1.0-20+ years. The data consist of measurements of bone mineral content and bone mineral density, obtained from dual-energy X-ray absorptiometry (DEXA), of the last lumbar vertebra from each monkey. The pattern of BMD differs between male and female rhesus macaques. Females exhibit an initial increase in BMD with age, with peak bone density occurring around age 9.5 years, and remaining constant until 17.2 years, after which there is a steady decline in BMD. Males acquire bone mass at a faster rate, and attain a higher peak BMD at an earlier age than do females, at around 7 years of age, and BMD remains relatively constant between ages 7-18.5 years. After age 7 there is no apparent effect of age on BMD in the males of this sample; males older than 18.5 years were excluded due to the presence of vertebral osteophytosis, which interferes with DEXA. The combined frequency of osteopenia and osteoporosis in this population is 12.4%. BMD values of monkeys with vertebral wedge fractures are generally higher than those of virtually all of the nonfractured osteopenic/osteoporotic individuals, thus supporting the view that BMD as measured by DEXA is a useful but imperfect predictor of fracture risk, and that low BMD may not always precede fractures in vertebral bones. Other factors such as bone quality (i.e., trabecular connectivity) should also be considered. The skeletal integrity of a vertebra may be compromised by the loss of key trabeculae, resulting in structural failure, but the spine may still show a BMD value within normal limits, or within the range of osteopenia.     

On the prevalence of external auditory exostoses among the proto-neolithicHomo sapiens population of Shanidar Cave, Iraq

The purpose of this paper is to report on the incidence of external auditory exostoses among the Proto-NeolithicHomo sapiens population from Shanidar Cave, in northern Iraq. Out of 31 individuals comprising the skeletal collection, seven individuals preserved pertinent temporal bone loci. Of these, four of five adult individuals presented exostoses, yielding an 80% observation ratio of this manifestation. Based on the association of external auditory exostoses with cold aquatic exposures, the observed presence of these growths among cranial remains may provide further insight as to aspects of life conditions among this population.     

A tooth,a toe,and a vertebra: The genetic dimensions of complex morphological traits

Most readers probably share with me the profoundly affecting experience of wandering through a natural history museum and being surrounded by the skeletal remains of our vertebrate predecessors. Who does not stand in awe before these scaffolds of the great dinosaurs or ponder the groping stages through which our primate ancestors explored the skeletal and dental opportunities of forest life (Fig. 1)? How did this proliferation of limbs, teeth, and vertebrae, not to mention the complexity we can infer about the overlying anatomy and physiology, arise from the simple early forms of animal life? How did DNA evolve to contain the program for such complexity?     

Middle Palaeolithic burial is not a dead issue: the view from Qafzeh, Saint-Césaire, Kebara, Amud, and Dederiyeh.

Inferences of purposeful Middle Palaeolithic (MP) burial are almost universally accepted, despite published arguments that the pre-1960s discoveries are equally well explained by natural processes. In the modern human origins debate (perhaps the most hotly disputed question in palaeoanthropology) inferences of MP burial are crucial in arguments for an early Upper Pleistocene emergence of modern humans. The present paper contributed to that debate by re-examining a number of post-1960s excavations of MP hominid remains. Because these were excavated with meticulous attention to depositional circumstances and stratigraphic context, most palaeoanthropologists consider these inferences of purposeful burial to be based on irrefutable evidence. This paper focuses on the reasoning behind such claims, especially the assumption that articulated sketetal material is prima facie evidence for deliberate burial. First it reviews a range of processes operating in caves and rockshelters that condition the probability of articulated skeletal material preserving without hominid intervention. Processes such as deposition, decomposition, and disturbance are inherently more variable in caves and rockshelters than is usually acknowledged. The first section concludes that purposeful protection is not necessary to account for the preservation of articulated skeletal remains. The second part of the paper examines the published record from Qafzeh, Saint-Césaire, Kebara, Amud and Dederiyeh, where the majority of the remains claimed to have been buried are fragmented, incomplete, and disarticulated. This re-examination suggests that in all of the post-1960s cases of putative burial, the hominid remains occur in special depositional circumstances, which by themselves are sufficient to account for the preservation in evidence at these sites. This conclusion severely weakens arguments for purposeful burial at the five sites. Moreover, the equivocal nature of the evidence in the more recent cases renders even less secure the similar claims made for discoveries of hominid skeletal remains at La Chapelle-aux-Saints, Le Mousterier, La Ferrassie, Teshik-Tash, La Grotte du Régourdou, Shanidar, and several others. Finally, by highlighting the equivocal nature of the evidence, this paper underscores the ongoing need for palaeoanthropologists to specify as wide a range of taphonomic processes as possible when interpreting the archaeological record. This will aid in producing robust inferences, and will bring about increasingly accurate knowledge of when hominids became human.