Fossil Homo femur from Berg Aukas,northern Namibia

The proximal half of a hominid femur was recovered from deep within a paleokarst feature at the Berg Aukas mine, northern Namibia. The femur is fully mineralized, but it is not possible to place it in geochrono logical context. It has a very large head, an exceptionally thick diaphyseal cortex, and a very low collodiaphyseal angle, which serve to differentiate it from Holocene homologues. The femur is not attributable to Australopithecus, Paranthropus, or early Homo (i.e., H. habilis sensu lato). Homo erectus femora have a relatively longer and AP flatter neck, and a shaft that exhibits less pilaster than the Berg Aukas specimen. Berg Aukas also differs from early modern femora in several features, including diaphyseal cortical thickness and the degree of subtrochanteric AP flattening. The massive diaphyseal cortex of Berg Aukas finds its closest similarity within archaic H. sapiens (e.g., Castel di Guido) and H. erectus (e.g., KNM-ER 736) samples. It has more cortical bone at midshaft than any other specimen, although relative cortical thickness and the asymmetry of its cross-sectional disposition at this level are comparable with those of other Pleistocene fem ora. The closest morphological comparisons with Berg Aukas are in archaic (i.e., Middle Pleistocene) H. sapiens and Neandertal samples. © 1995 Wiley-Liss, Inc.     

Pathological alterations in the archaic Homo sapiens cranium from Eliye Springs,Kenya

This paper reports on the results of a first computerized tomography (CT)-based study of the Middle Pleistocene matrix-filled skull KNM-ES 11693 from Eliye Springs at Lake Turkana. Ectocranially, the hominid cranium exhibits a remarkable enlargement of the vault symmetrical to the sagittal suture and a porotic surface covering most of the vault. CT analysis further revealed a strong thickening of the cranial vault as well as other relevant aspects. Differential diagnosis suggests that the changes of the Eliye Springs cranium were probably caused by chronic anemia in the childhood or youth of this individual.     

Sex assessment of the femur: a test of a new method.

Simple and multiple discriminant functions using mid-shaft femoral circumference for the determination of sex were used to test a sexing method recently proposed by Black. The method was able to correctly assign sex for 82% of the sample, which consisted of 115 North American White femora of verified age and sex. Circumference proved as accurate as any other criteria that have been used in sexing the femur. This suggests a usefulness beyond the limited archaelogical scope originally proposed by Black.     

The fixion proximal femur nailing system: biomechanical properties of the nail and a cadaveric study

The treatment of choice for early mobilization of hip fracture is surgery, which traditionally employs side plates and screws or intramedullary nails. We examined the biomechanical properties of a new proximal femoral nail system. The new expandable Fixion proximal femur nailing (PFN) system, made of stainless-steel alloy, consists of a nail, a peg and an anti-rotation pin. Upon positioning, the nail and peg are expanded to their maximal diameter. The current biomechanical study investigated: nail bending strength and stiffness, fatigue properties and hip peg strength. A cadaveric study that determined the effect of the expandable peg on the femoral head included subsidence testing, pull and torsion testing and intra-osseous pressure (IOP) measurements before and after expansion. Biomechanical properties of the new nail met ASTM F384 guideline requirements. The cadaver study yielded equivalent results for the pullout test between the peg and the hip screw, but found the peg superior in the torsion strength test. IOP during peg insertion and expansion was substantially lower than the threshold pressure that causes avascular necrosis. The biomechanical tests found the new system to be safe and able to provide good abutment of the nail to the bone. We conclude that the Fixion PFN system proved to be an effective proximal femur fracture fixation device.     

The stem species of our species: a place for the archaic human cranium from Ceprano, Italy

One of the present challenges in the study of human evolution is to recognize the hominin taxon that was ancestral to Homo sapiens. Some researchers regard H. heidelbergensis as the stem species involved in the evolutionary divergence leading to the emergence of H. sapiens in Africa, and to the evolution of the Neandertals in Europe. Nevertheless, the diagnosis and hypodigm of H. heidelbergensis still remain to be clarified. Here we evaluate the morphology of the incomplete cranium (calvarium) known as Ceprano whose age has been recently revised to the mid of the Middle Pleistocene, so as to test whether this specimen may be included in H. heidelbergensis. The analyses were performed according to a phenetic routine including geometric morphometrics and the evaluation of diagnostic discrete traits. The results strongly support the uniqueness of H. heidelbergensis on a wide geographical horizon, including both Eurasia and Africa. In this framework, the Ceprano calvarium--with its peculiar combination of archaic and derived traits--may represent, better than other penecontemporaneous specimens, an appropriate ancestral stock of this species, preceding the appearance of regional autapomorphic features.     

Cupping: from a biomechanical perspective

The effectiveness of the cupping technique, a treatment modality in Traditional Chinese Medicine, in stimulating acupuncture points for pain relief was examined in this paper from a biomechanical perspective. Parametric studies including the effects of vacuum pressure, loading rate, friction coefficient at the cup-skin interface, and size and shape of the cup were carried out using a model based on the finite-element method. The anatomical structures of skin, fat, and muscle were modelled. All the soft-tissue layers were assumed to be nonlinearly elastic and viscoelastic. The rim of the cup was also modelled to study the interaction between cup and skin; the cup rim was assumed to be rigid. The simulation results showed that the stresses in the soft tissue were increased for increasing applied vacuum pressures and that the effects of cupping were mostly limited to the region enclosed by the cup. The simulations also indicated that the magnitude of the applied vacuum may have had direct implications for the severity of bruising of the skin following cupping treatment. Most significantly, the simulation results contradicted the established practice of cup size selection according to the depth of the disorder. Experimental verification of the proposed multi-layered finite-element model is presented. The nature of the bruising inherent to the cupping treatment is also explained by the proposed model.     

Loosening of cementless femoral stems: a biomechanical analysis of immediate fixation with loading vertical, femur horizontal

Large joint implants must have immediate fixation to be successful. Unfortunately, the magnitude and consistency of achieving this remains largely unknown. For cementless femoral components it is being increasingly appreciated that torsional loading as occurs during stair climbing or rising from a chair leads to loosening and thigh pain in some cases. A biomechanical test was developed to evaluate fixation in this position. Twelve pairs of human cadaveric femora were press-fit with an AML stem. Each femur was secured in a horizontal position, and the prosthetic head cyclically loaded in a vertically downward direction. The offset of the prosthetic head resulted in a combined torsional and compressive load being applied to the stem within the proximal femur. Loosening was found to consistently occur and rapidly accelerate when the head subsided more than 0.2 mm during 100 cycles. For the AML stem, loosening developed at loads from 62 to 171% of body weight and after as few as 800 cycles. This is within the physiologic range of normal daily activities as measured by others with instrumented prostheses. This poses a challenge to the ability of press-fit stems to tolerate torsional loads in vivo. Patients with a cementless prosthesis should be protected from torsional loading until porous ingrowth and/or bone remodelling have had time to occur. Testing the same stem in paired femora demonstrated no right vs left difference (p greater than 0.6).     

A morphometric and taxonomic assessment of a hominine femur from the lower member,Koobi Fora,Lake Turkana

Previous research by this author and others has indicated that species-level differentiation within the hominines can be detected in the femur. The femoral shaft of Homo erectus, relative to H. sapiens, demonstrates small anteroposterior diameters, a distally placed point of minimum shaft breadth, and increased cortical thickness resulting in medullary stenosis. This pattern has been identified in specimens from Choukoutien (I and IV), Olduvai (OH 28), and Lake Turkana (KNM ER 737). Findings reported here include anatomical comparisons and univariate and multivariate analyses based on external and internal shaft morphology. These results indicate that the femoral pattern characteristic of H. erectus can be identified in KNM ER 1481a recovered at Lake Turkana below the KBS tuff. Recent dating of that tuff indicates a date of ca. 1.8 mya, thereby yielding a date for KNM ER 1481a of ? 2.0 mya. Known H. erectus femora extend over a broad span and yet show very low, variability; this pronounced stasis would strongly suggest that, at least in this portion of the postcranium, H. erectus was in a period of profound morphological stasis.     

New evidence of the genus Homo from East Rudolf, Kenya. I

Three new fossil hominid specimens that were recovered in 1970 from the Plio-Pleistocene sediments to the east of Lake Rudolf are described. They include the left side of the body and the symphyseal region of an adult mandible that contains three molar teeth (KNM-ER 730), an edentulous left-sided mandibular fragment (KNM-ER 731) and the shaft of a left femur (KNM-ER 737). The specimens are described in anatomical detail, illustrated and selected measurements given. It is concluded that they should be attributed to the genus Homo sp. indet. Detailed comparative studies will be published in due course.     

Cryptosporidium hominis n. sp. (Apicomplexa: Cryptosporidiidae) from Homo sapiens

The structure and infectivity of the oocysts of a new species of Cryptosporidium from the feces of humans are described. Oocysts are structurally indistinguishable from those of Cryptosporidium parvum. Oocysts of the new species are passed fully sporulated, lack sporocysts. and measure 4.4-5.4 microm (mean = 4.86) x 4.4-5.9 microm (mean = 5.2 microm) with a length to width ratio 1.0-1.09 (mean 1.07) (n = 100). Oocysts were not infectious for ARC Swiss mice, nude mice. Wistar rat pups, puppies, kittens or calves, but were infectious to neonatal gnotobiotic pigs. Pathogenicity studies in the gnotobiotic pig model revealed significant differences in parasite-associated lesion distribution (P = 0.005 to P = 0.02) and intensity of infection (P = 0.04) between C. parvum and this newly described species from humans. In vitro cultivation studies have also revealed growth differences between the two species. Multi-locus analysis of numerous unlinked loci, including a preliminary sequence scan of the entire genome demonstrated this species to be distinct from C. parvum and also demonstrated a lack of recombination, providing further support for its species status. Based on biological and molecular data, this Cryptosporidium infecting the intestine of humans is proposed to be a new species Cryptosporidium hominis n. sp.     

Tooth components of mandibular deciduous molars of Homo sapiens sapiens and Homo sapiens neanderthalensis: a radiographic study.

Tooth components of deciduous molars were measured from standardized radiographs of Homo sapiens sapiens and Homo sapiens neanderthalensis. Enamel height and width were greater in deciduous teeth of Homo sapiens sapiens than in Homo sapiens neanderthalensis and the differences were statistically significant (p less than 0.01). Dentin height showed no significant differences between the two groups, but enamel to floor of pulp chamber and pulp height and width dimensions were significantly greater in Homo sapiens neanderthalensis. Discriminant analysis carried out between groups, using deciduous tooth components, showed an accuracy of 98-100% for identification of Homo sapiens sapiens and 83-92% for identification of Homo sapiens neanderthalensis. The results obtained in this study on dental dimensions support the hypothesis of a distinct evolutionary line for Neanderthals.