Cone-shaped epiphyses in Japanese children

Cone-shaped epiphyses (CSE) are reported in left-hand radiographs of a sample of 1,399 otherwise normal Japanese children aged 5–11 years. CSE occurred in only three centers: distal thumb, mid-index finger, and mid-fifth finger. The overall frequency of 23% shows a female bias (32% to 16%), which disappears when mid-5 cones are excluded. Chi-squared analyses show significant gender bias for mid-5 cones alone or in combination with the other phalanges, and show significant center associations: CSE in distal-1 and/or mid-2 are more common in association with mid-5 cones than they are without mid-5 cones. The CSE female bias in mid-5 is essentially unchanged across age-cohorts when bone-age is controlled for precocity, and no significant trends in CSE frequency with age are noted for either gender.     

The timing of eruption of the primary dentition in Nigerian children

The objectives of this study were to clarify the eruption time and sequence for primary teeth in Nigerian children. It also investigated the effect of sex and socioeconomic status on the timing and sequence of eruption. A random sample of 1,657 children from ages of 3-40 months were examined--921 (55.6%) males and 736 (44.4%) females. The age of eruption of the teeth was estimated using probit regression. The results show that there was no effect of sex, socioeconomic status or breastfeeding status on the timing of eruption and pattern of teeth eruption in Nigerian children. Left and right teeth had similar eruption times. Eruption times of the lateral incisor, canine, and molars were similar for upper and lower teeth. Interpopulation studies however showed that though the sequence of eruption of primary teeth in Nigerian population is similar to that of their peers in other compared populations, there are observable sex differences in the timing of tooth eruption.     

Penicillinase-producing Neisseria gonorrhoeae conjunctivitis on some Nigerian children.

During 21 month study of bacterial conjunctivitis among 121 children in two health care centres in Calabar, Nigeria, a total of 90 (74.4%) cases were culturally confirmed. Neonates had the highest age-specific attack rates with 48 (53.3%) cases. Neisseria gonorrhoeae, the predominant pathogen, was recovered from 32 (35.6%) infections; 21 (65.6%) of them from neonates. Cultures of genital swabs of consenting parents of infected neonates as well as those of three female children aged 2-12 years with concurrent vulvo-vaginitis yielded N. gonorrhoeae. Younger women, mostly primi-gravidae were more frequently found to have benefited from peri-natal health care services than older multi-gravidae. Nevertheless, such access to health care services did not appear to influence the frequency of gonococcal conjunctivitis in neonates from the two maternal groups (P < 0.01). Sexual abuse and contaminated fomites were the possible modes of gonococcal infection transmission to older children. Overall, 22 (68.8%) strains of gonococci were resistant to penicillin; 19 (59.4%) were penicillinase-producing Neisseria gonorrhoeae (PPNG), while 5 (15.6%) had chromosomally-mediated resistance. All isolates were sensitive to erythromycin. This study recommends a review of gonorrhoea surveillance in pregnancy to include routine examination of cervical swabs just before delivery.     

Bone and ivory points in the Lower and Middle Paleolithic of Europe.

The existence of shaped bone and ivory points, to be used as awls or with wooden hafts, has been suggested for the Lower Paleolithic sites of Torralba and Ambrona and for several Middle Paleolithic sites, such as Vaufrey, Combe Grenal, Pech de l'Azé I and Camiac. The use of hafted bone and ivory points would imply a spear armature technology similar to that well documented in the Upper Paleolithic, often considered an innovation introduced to Europe by anatomically modern humans.The controversial ivory points from the two Spanish sites, whose fracture morphology is considered natural by G. Haynes (1991), have been reanalyzed, checking for putative traces of human manufacture and utilization as described by Howell & Freeman (1983), i.e., polish, flaking of stem, ground edges, striations from manufacture and contact with a haft or binding. We have been able to study 19 new proboscidean tusk tips from the ongoing Ambrona excavations by a Spanish team. For these and nine other Middle Paleolithic bone and antler points we use optical and SEM microscope analysis, taphonomic analysis, comparative observations of Upper Paleolithic bone points, experimental observations of manufacturing traces, modern tusk samples, and data on several bone and antler pseudo-points from carnivore accumulations.We show that none of the objects we have studied can be interpreted as an intentionally shaped point. The absence of hafted bone points in the Middle Paleolithic of Europe is contrasted with evidence of the use of hafted stone points since OIS 5 or earlier in Eurasia and Africa. We suggest that the absence of organic spear armatures in the Middle Paleolithic is not due to a deficiency in the technology of Neandertals but may be tied to the organizational strategies of the hunters and to patterns of game choice and capture.     

Conjunctival impression cytology with transfer in the assessment of vitamin A status in Nigerian children.

OBJECTIVE: To determine vitamin A status by conjunctival impression cytology with transfer (CIC-T) and assess its ability to predict low and deficient serum retinol concentrations. STUDY DESIGN: CIC-T was performed on 128 healthy, well-nourished and 230 malnourished children aged under 6 years by a 3-5-second application of cellulose acetate paper to each bulbar conjunctiva followed by transfer of the adhered cells onto glass slides. The slides were stained with Alcian green 2GX, and smears were classified as normal, borderline normal, borderline abnormal and deficient. Corresponding serum retinol levels were determined in each subject. RESULTS: The results showed that CIC-T is a simple procedure with a failure rate of 7.3% caused by tearing and agitation. The power of CIC-T to predict vitamin A status varied with both the CIC-T smear classification used and serum retinol concentration threshold. CIC-T smear classification as abnormal and normal appears to be the most robust and predictive of serum retinol, < 10 and > 10 < 20 micrograms/dL, respectively. CONCLUSION: The simplicity, sensitivity and specificity of CIC-T suggest that this procedure is a good screening tool for epidemiologic survey of vitamin A status.     

The "beggar's" hand and the "unshakable" hand in children with total obstetric brachial plexus palsy

A total 12 consecutive children with secondary deformities following total obstetric brachial plexus palsy were included in this retrospective study. In all patients, the main complaints were two socially disabling hand postures: the "beggar's" hand and/or the "unshakable" hand. All children had a supinated forearm with no active pronation and were teased by their friends, who called them "beggars." When the impairment was severe and involved the right hand and wrist, children also complained that they were not able to shake hands. The management approach to these children was described, with the main aim of surgery being the correction of the abnormal posture. Other simultaneous tendon transfers were also performed to improve hand function if there were suitable musculotendinous units. Successful reconstruction was accomplished in all patients. Preoperatively, some children refused to go to school because of teasing, and most did not want to interact socially. After surgery, all children attended school regularly, and parents reported much better social interaction. However, the functional gain was never enough to dramatically improve the daily use of the limb. The contralateral normal limb remained the dominant one for all daily activities, including writing and eating.     

The articular disc of the hand.

The carpal articular disc have been studied in serial sectioned embryonal and fetal hands. It can be concluded that the articular disc is an extensive fibrous system that comes from the ulnar edge of the distal end of the radius and reaches, bordered by the deep layer of the antebrachial fascia, the base of metacarpal V. In this course, insertions take place into the ulnar aspect of the head of the ulna, into the ulnar styloid process and into the ulnar carpals. Emphasis has been laid upon the fact that the sheath of the m. extensor carpi ulnaris tendon is part of the fibrous system of the disc. The positions of the dorsal tendons seen with respect to the fascial implicate a mutual shift during pronation and supination of the hand. The relations between the so-called ligamentum subcruentum and prestyloid recess have been established, the presence of cartilaginous primordia in the developing dis has been discussed. We come to the conclusion that the evidence for drawing a parallel between phylogenetic and human embryological phenomena is still insufficient. In this connection we have stressed the modus of development of the pisotriquetral joint space.     

Age of first breeding and incidence of dystocia and losses at parturition and post-partum in the indigenous Nigerian pig

Studies were carried out on the prevalence of dystocia and losses at parturition and post-partum following early mating and first breeding in 15 Nigerian indigenous pigs. Six were 8 months old at the time of their first farrowing, while nine were 11 or 12 months at the time of their first farrowing. Forty-six piglets were born, of which 11 died at birth (24%) and a further 18 during the next 7 days (total loss 63.0%). The six pigs that farrowed at 8 months of age had smaller mean litters and birth weights, a higher incidence of dystocia and higher piglet mortality at birth than those that farrowed later (32 with 91% survival). However, increased age at first farrowing did not reduce the high death rate during the first week (50% of piglets which survived at birth in both groups). This was attributed to starvation due to poor mothering ability following first farrowing since there was no agalactia or mastitis.     

Genetics of nephroblastoma. II. The incidence of developmental defects and dysplastic and asymmetrical traits in children with nephroblastoma

The frequency of developmental defects and displasticity characters in children with nephroblastoma was determined in two groups--with early, up to 2 years manifestation of the tumor (ENB), in 40 patients, and with advanced nephroblastoma (ANB), in 59 patients (manifestation of the disease after 2 years). The data were correlated with control groups adequate for age (130 children). The frequency of serious developmental defects was higher in ANB group (20%) than in ENB group (7%). Over a half of developmental defects were hemihypertrophy and doubling of organs. One case of a child with the combination of nephroblastoma and Smith-Lemli-Opitz syndrome was defined. In ANB group an increased frequency of asymmetry in the conjugate organs (foot, hand, middle finger, ears) was found. Its direction is correlated with tumor localization (tumor site). In ENB group no analogous effect was shown. The data obtained present phenotype characteristics of groups with early and late manifestation of the disease which are probably different in their genesis and thus, their identification is necessary for the adequate medicogenetic consultation (examination).     

The vegetable ivory industry: Surviving and doing well in Ecuador

Buttons made of vegetable ivory were once in great demand in industrial parts of the world. Vegetable ivory is the hard white seed endosperm from palms of the genusPhytelephas (Arecaceae). After World War II, ivory nuts were largely replaced by plastics. Recently the authors visited a factory on the coast of Ecuador that was founded in 1926 and still produces buttons of vegetable ivory on a large scale. Eighty employees produce about 5000 lb of buttons a month; these are exported to Japan, West Germany, and Italy. The production is described step by step and the future of vegetable ivory is discussed briefly.