Periodontal disease in a Portuguese identified skeletal sample from the late nineteenth and early twentieth centuries

Periodontal status was investigated in 600 adult dentitions belonging to the identified osteological collections curated at the University of Coimbra, Portugal. These collections date to a point temporally intermediate between the large epidemiological studies of the 20th century and archaeological collections that antedate the 19th century. The aim of this study is to compare periodontal data derived from contemporary samples with statistics compiled from epidemiological studies to determine if factors such as age-at-death, sex, and tooth type are essential or not to account for in future archaeological studies of periodontitis. Periodontal disease status was assessed based on the textural and architectural variations of the interdental septum and the extent of bone loss. Overall, the frequency of periodontitis within the Coimbra collections is 73.8%. Men were more susceptible to periodontal disease than women. Gingivitis was widespread in the younger age groups. Destructive periodontitis was observed early in adulthood, rising steadily with age. The most susceptible sites to periodontal breakdown were located in the posterior region of the upper jaw. Some variation in reported frequencies of periodontitis was found in epidemiological reports, which might result from variation in methods for identifying the pathology, differences in the age composition of the samples examined, variation in oral hygiene and/or diet, or some other factors. Regarding the pattern of distribution of periodontal disease, Coimbra results were similar to comparable modern epidemiological surveys, making clear the importance of considering sex, age, and oral distribution of periodontitis in future archaeological studies.     

Broken ribs: Paleopathological analysis of costal fractures in the human identified skeletal collection from the Museu Bocage,Lisbon, Portugal (late 19th to middle 20th centuries)

Although rarely reported in the anthropological literature, rib fractures are commonly found during the analysis of human skeletal remains of past and modern populations. This lack of published data precludes comparison between studies and restricts an accurate understanding either of the mechanisms involved in thoracic injuries or their impact on past societies. The present study aimed: 1) to report rib fracture prevalence in 197 individuals, 109 males, and 88 females, with ages at death ranging from 13 to 88 years old, from the Human Identified Skeletal Collection, Museu Bocage, Portugal (late 19th‐middle 20th centuries); 2) to test the hypothesis that a higher prevalence of rib stress fractures existed in the 133 individuals who died from respiratory diseases, in a period before antibiotics. The macroscopic analysis revealed 23.9% (n = 47) of individuals with broken ribs. 2.6% (n = 124) out of 4,726 ribs observed were affected. Males presented more rib fractures, and a significantly higher prevalence was noted for older individuals. Fractures were more frequently unilateral (n = 34), left sided (n = 19) and mainly located on the shaft of ribs from the middle thoracic wall. Nineteen individuals presented adjacent fractured ribs. Individuals who died from pulmonary diseases were not preferentially affected. However, a higher mean rate of fractures was found in those who died from pneumonia, a scenario still common nowadays. Since rib involvement in chest wall injury and its related outcomes are important issues both for paleopathology and forensic anthropology, further investigations are warranted. Am J Phys Anthropol 2009. © 2009 Wiley‐Liss, Inc.     

Dental health of elderly confederate veterans: evidence from the Texas State Cemetery

Analysis of the skeletal remains of 50 Confederate veterans provided a unique opportunity to explore the dental health of a geriatric sample. These men, who died between 1907-1932, had an average age at death of 76.7 years. Ninety percent were institutionalized at the Confederate Home for Men (Austin, TX) prior to their deaths. This elderly sample was assessed in terms of caries, antemortem tooth loss (AMTL), abscesses, and linear enamel hypoplasias. On a per tooth basis, the AMTL rate was 57.2%. Of 39 dentate men, 33 (84.6%) had dental caries, and 24.4% (121 of 496) of teeth were carious. Ten (25.0%) of the dentate men had hypoplastic teeth. At least one abscess was seen in 14 (28%) of 50 individuals. Results from this geriatric institutionalized sample are compared to contemporaneous historical samples. Disparities in dental health among these groups may be due to differences in average age at death, and these comparisons allow a better understanding of dental changes that occur with age. The sample is also compared to modern elderly samples: modern groups have higher caries rates, possibly because they retained more teeth. This finding may be due in part to diets in the United States becoming increasingly cariogenic over time. In addition, dental care has moved from the reactive practices seen in the nineteenth and early twentieth centuries (such as tooth extractions) to modern proactive solutions dedicated to preserving and restoring teeth (such as tooth brushing, fluoride treatments, and dental fillings).     

Beijerinck and the bioluminescent bacteria: microbiological experiments in the late 19th and early 20th centuries

Microbiological research in the days before specialized equipment, or even electricity, required a great deal of ingenuity. The revival of 90-year-old bioluminescent bacteria from Beijerinck's laboratory in Delft prompted a review of his work with these microorganisms and revealed their use in simple techniques for the investigation of, among other things, sugar metabolism in yeasts, oxygen generation and uptake and even the survival of microorganisms in liquid hydrogen. He used variant strains of bioluminescent bacteria in an attempt to study heredity and variation in biological systems and described one of the earliest examples of enzyme induction.     

A picture of tuberculosis in young Portuguese people in the early 20th century: a multidisciplinary study of the skeletal and historical evidence

The aim of this study was to examine the evidence, and consider the differential diagnosis, for tuberculosis (TB) in juvenile individuals from early 20th century documented skeletons. There are 66 male and female juvenile individuals in the Coimbra Identified Skeletal Collection (CISC) with an age at death ranging from 7-21 years. The individuals died between 1904-1936 in different areas of Coimbra, Portugal. Eighteen of these individuals died from TB affecting different parts of the body. Thirteen (72.2%) showed skeletal lesions that may be related to this infection. Of the 48 individuals with a non-tuberculous cause of death, only 2 (4.2%) had skeletal changes that could be attributed to TB. The distribution of skeletal manifestations caused by the types of TB under study, based on macroscopic and radiological findings, is described and discussed. In addition, the medical records from 6 tuberculous individuals who died in Coimbra University Hospital (CUH) were analysed, and the information, including their diet and access to treatment, is presented. This work, based on data arising before antibiotics became available for treatment, can contribute to the future diagnosis of TB in non-documented skeletal material, and will facilitate a more reliable diagnosis of TB in juvenile individuals.     

Infant mortality decline in the late 19th and early 20th centuries: the role of market milk

Starting in the late 19th and early 20th centuries, a precipitous decline in infant mortality was observed in the United States. Economic growth, improved nutrition, new sanitary measures, and advances in knowledge about infant care all contributed to this decline in infant mortality. Little is known, however, about how these individual factors affected disease-specific components of infant mortality over time. Systematic review of historical data suggests that cleaning the market milk supply was the single most important contributor to this decline in both diarrheal and overall infant mortality, and that this development played a far more important role than family income, other sanitary measures, or medical intervention.     

Natural disturbances in the European forests in the 19th and 20th centuries

This paper, based on a literature review, presents a quantitative overview of the role of natural disturbances in European forests from 1850 to 2000. Such an overview provides a basis for modelling the possible impacts of climate change and enables one to assess trends in disturbance regimes in different countries and/or periods. Over the period 1950–2000, an annual average of 35 million m³ wood was damaged by disturbances; there was much variation between years. Storms were responsible for 53% of the total damage, fire for 16%, snow for 3% and other abiotic causes for 5%. Biotic factors caused 16% of the damage, and half of this was caused by bark beetles. For 7% of the damage, no cause was given or there was a combination of causes. The 35 million m³ of damage is about 8.1% of the total fellings in Europe and about 0.15% of the total volume of growing stock. Over the period 1961–2000, the average annual area of forest fires was 213 000 ha, which is 0.15% of the total forest area in Europe. Most types of damage seem to be increasing. This is partly an artefact of the improved availability of information. The most likely explanations for an increase in damage from disturbances are changes in forest management and resulting changes in the condition of the forest. Forest area, average volume of growing stock and average stand age have increased considerably, making the forest more vulnerable and increasing the resources that can be damaged. Since forest resources are expected to continue to increase, it is likely that damage from disturbances will also increase in future.     

Dental status and dental caries in 85-year-old Danes

Objectives: This study reports findings on the dental status and the prevalence of dental caries among a group of 85‐year‐old Danes from the Glostrup 1914 Cohort, Denmark. The purpose of the study was to analyse whether caries experience was related to number of teeth and to indicators of functional ability and cognitive function. Methods: A total of 191 individuals (78 men and 113 women) participated in a cross‐sectional population study conducted in 2000. Using mobile dental equipment, a clinical oral examination and an interview were administered to all participants in their homes. Functional ability was measured by the Mob‐H scale and cognitive function was assessed by the Mini‐Mental State Examination. Results: Fifty‐nine per cent of the participants had their own natural teeth and for the dentate participants, the mean number of teeth was 13 (range 1–27). A high prevalence of active caries on coronal and root surfaces was observed. Older adults with few natural teeth had a higher prevalence of active coronal and root caries and a higher unmet treatment need than older adults with many teeth. Further, the study showed that 85‐year‐old persons with reduced functional ability and cognitive impairment tended to have more active caries than 85‐year‐olds with no impairment. Conclusions: A substantial proportion of 85‐year‐old individuals had retained a natural dentition; however, active dental caries is a problem of concern among the most elderly.     

Dental health indicators of hunter-gatherer adaptation and cultural change in Siberia's Cis-Baikal

This investigation of the Cis-Baikal dental record focuses on health and lifestyle reconstruction of the region's mid-Holocene foragers, with particular interest in an apparent fifth millennium BC biocultural hiatus. The four cemetery populations considered represent two distinct biological and cultural groups separated by an apparent 700-year hiatus: the late Mesolithic-early Neolithic Kitoi culture (6800-4900 BC) and the middle Neolithic-early Bronze Age Serovo-Glaskovo cultural complex (4200-1000 BC). Research focuses on the frequency and severity of seven dental health indicators: enamel hypoplasia, caries, alveolar defects, periodontitis, antemortem tooth loss, dental calculus, and dental attrition. Together, these seven indicators provide a basis not only for better understanding mid-Holocene lifeways in the Cis-Baikal but also for independently assessing the relative effectiveness of the different adaptive strategies employed by pre- and posthiatus peoples. Results reveal some discrepancies between the Kitoi and Serovo-Glaskovo, specifically in their relative vulnerability to physiological stress, providing evidence to support previous interpretations of their distinct adaptive regimes (namely the narrower resource base and decreased mobility of the former). Results also suggest that some of the differences observed among the four sites may reflect geographical or environmental factors rather than simply cultural ones. However, despite these distinctions, the overriding trend appears to be one of general continuity, social equality, and good health among all mid-Holocene occupants of the Cis-Baikal, pre- and posthiatus alike.     

Relative contribution of caries and periodontal disease in adult tooth loss among patients reporting to the Institute of Dental Sciences,Belgaum, India

Objectives: To examine the reasons for tooth loss in an adult population. Methods: Patients who reported to the department of prosthodontics in Institute of Dental Sciences, Belgaum, located in the north‐western part of the state of Karnataka, in the southern region of India over a period of 2 months, with at least one missing tooth (excluding third molars) constituted the sample size. There were a total of 365 patients (185 females and 180 males) within the age group of 16–84 years (mean age 51.06 ± 16.47 years) who fulfilled this criterion. Socio‐demographic profile was recorded along with a clinical examination for assessing the number and pattern of tooth loss. The reasons for tooth loss were recorded according to the history reported by the patient. Results: In the present study of 365 patients, 58.9% of the patients were completely edentulous, 41% were partially dentate, of which 20.8% had lost their teeth from caries, 11% from periodontal disease and 9.3% from a combination of reasons. More females had lost their teeth because of dental caries whereas more males had lost their teeth because of periodontal disease, this being statistically significant. (χ² = 16.53, p = 0.001). Highly significant results were obtained for age and reasons for tooth loss. (χ² = 150.39, p < 0.001). Irrespective of the socio‐economic status, dental caries was the most common cause for tooth loss in partially dentate patients though it was not statistically significant (χ² = 13.62, p = 0.325). Mandibular first molars were the teeth most frequently lost due to dental caries. The maxillary left central incisor was most frequently lost due to periodontal disease, followed by the maxillary right central incisor. Conclusions: Since both dental caries and periodontal disease contributed to tooth loss at different ages, risk indicators need to be identified.     

Loss of molar occlusion and mandibular morphology in adults in an ancient human population consuming a coarse diet

The purpose of the study is to investigate the link between number of molar teeth retained in occlusion and mandibular morphology in adults in an ancient, high dental wear human population. The study material comprises skeletons from Mediaeval Wharram Percy, England (N = 50 female, 69 male adults). It was hypothesized that adults retaining fewer occluding molars would show reduction in mandibular dimensions, particularly in the ascending ramus and gonial regions where the main muscles of mastication have their insertions. Molar occlusal status is assessed using the concept of functional units. Mandibular morphology is assessed using a suite of ten linear measurements plus the mandibular angle. Results show no evidence for any association between number of molars retained in occlusion and mandibular angle. There was an association between mandibular size and number of molars retained in occlusion, with smaller mandibular dimensions in those retaining fewer occluding molars. Some measurements were affected more than others so that there was also some shape alteration. Alteration of mandibular dimensions was more clearly demonstrable in females than in males. Only in females could significant reduction in the ascending ramus and gonial regions be demonstrated. Reasons for the apparent difference in response to loss of molar occlusion between male and female mandibles are unclear, but sex differences in bony metabolism mediated by hormonal factors may be implicated. Results suggest that care should be exercised when including mandibles from individuals showing loss of molar occlusion in morphological studies. Am J Phys Anthropol 152:383–392, 2013. © 2013 Wiley Periodicals, Inc.     

The influence of inequality on the standard of living: Worldwide anthropometric evidence from the 19th and 20th centuries

We provide empirical evidence on the existence of the Pigou–Dalton principle. The latter indicates that aggregate welfare is – ceteris paribus – maximized when incomes of all individuals are equalized (and therefore marginal utility from income is as well). Using anthropometric panel data on 101 countries during the 19th and 20th centuries, we determine that there is a systematic negative and concave relationship between height inequality and average height. The robustness of this relationship is tested by means of several robustness checks, including two instrument variable regressions. These findings help to elucidate the impact of economic inequality on welfare.     

Water level fluctuations in Lake Baringo,Kenya, during the 19th and 20th centuries: Evidence from lake sediments

This article presents a fossil diatom-based, semi-quantitative reconstruction of water level fluctuations for Lake Baringo over the past 200 years as a consequence of climatic variations. A 285 cm long sediment core sample was collected using a Rod-Operated Single-drive Stationary Piston corer. Lake level was inferred using indices based on the proportion of planktonic to benthic diatom taxa (P/B ratio). The sediment archive presented distinct zones dominated by planktonic and benthic diatom flora. An initial transgression in the early 19th century was characterised as a shallow water environment dominated by planktonic Aulacoseira spp. This was a response to extreme drought during the late 18th to early 19th century. Mid-19th century was defined by a high lake stand. The late 19th to early 20th centuries experienced low water level following the widely documented aridity at the time. The mid-20th century was marked by a spectacular rise in water level that coincided with remarkably wet years during the early 1960s and late 1970s. The first decade of the 21st century witnessed widespread changes in water level. The proxy records show that lake ramping and drawdown over the years follow approximately 50-year climatic cycles.     

Dendrochronological studies of indigenous and creole archeological remains in the Argentinean Pampas (19th and 20th centuries)

The Pampas is a natural flat region that covers 750 000 km² in Brazil, Uruguay and Argentina. The driest part of the Argentinean Pampas is occupied by thorny forests dominated by Fabaceae species, mainly by caldén (Prosopis caldenia Burkart). The caldén's area was affected by large human immigration processes that started in the 18th century up to the last century. Semiarid climate in caldén's area has made water a critical source for the development of biotic communities and human settlements. Native people dug wells, lined by wooden poles, commonly named jagüeles, in order to have access to drinkable groundwater. Such poles, preserved in the subsoil, were submitted to wood anatomical and dendrochronological analysis, and 18 were collected from three archeological sites. Because the poles were undated, they were compared with two master chronologies of P. caldenia that belong to the area. Anatomical studies determined that the poles belonged to P. caldenia and Prosopis flexuosa. Poles of one of the sampling sites had their last tree rings between 1799 and 1838, which coincided with indigenous occupation period. On the contrary, the samples from the other two sites were placed chronologically between 1885 and 1918, which coincided with the first creole and European occupation. These results show the use of native people's traditional building strategies by other cultural groups such as the creole and European settlers since the strategies were useful in the semiarid environments.     

From the creation of the Veterinary Schools to the evolution of the notion of contagion in the 19th and 20th centuries

The creation of the Veterinary Schools in the 18th century would reveal a plethora of scientists, some of whom would be the precursors of Pasteur, some rivals, others followers collaborators or friends of the Master. Among the precursors let us name Chabbert, Huzard, Girard, Delafond, Renault, Toussaint, Galtier ; among the rivals: Chauveau, Arloing, Cornevin and Thomas; among the followers, collaborators or friends of Pasteur: Bouley, at first a resolute spontaneist, then the most fervent in defense of Pasteur (President of the Academy of Medicine and of the Academy of Sciences) and Nocard, Director of the School in Alfort, an important collaborator of Pasteur. Later, there was Leclainche, who created the International Office of Epizootics, and who was President of the Academy of Sciences; Guérin, who with Calmette developed the BCG vaccination; Ramon, the father of anatoxins (vaccines against diphtheria, and tetanus, combined vaccines, adjuvants to immunity). Thus, the creation of the Veterinary Schools contributed not only to the evolution of the notion of contagion, to the amelioration of animal health and the economics of agricultural production, but also to serious advances in human care, and to the protection of public health.