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PubMed2001

Commodified kin: death, mourning, and competing claims on the bodies of organ donors in the United States.

A pronounced disjunction characterizes symbolic constructions of the cadaveric donor body in the United States, where procurement professionals and surviving donor kin vie with one another in their desires to honor this unusual category of the dead. Of special concern is the medicalized commodification of donor bodies, a process that shapes both their social worth and emotional value. Among professionals, metaphorical thinking is key: death and body fragmentation are cloaked in ecological imagery that stresses renewal and rebirth. Such objectification also obscures the origins of transplantable organs, renders individual donors anonymous, and silences kin who mourn their dead. In response, donor kin have grown increasingly assertive, generating alternative public mortuary forms that exclude professional mediators. In so doing, they challenge the medical assumption that anonymity is central to transplantation's continued success. Through donor quilts and Web cemeteries, they proclaim the personal identities of donors who, at times, may speak beyond the grave, offering critiques of donation as socio-medical process in the United States.

Anthropology, Cultural↗
PubMed1996

[Longitudinal study of the mother and child population in an urban region of southern Brazil, 1993: methodological aspects and preliminary results].

All babies born in the hospitals of the city of Pelotas, Brazil, in 1982 were studied soon after delivery and followed up prospectively during the first years of their lives. In 1993, this study was repeated with a similar methodology, with the aim of assessing eventual changes in the level of maternal and child health. All five maternity hospitals in the city were visited daily and the 5,304 babies born included in the study. They were weighed and measured, and their gestational age was assessed using the Dubowitz method. Their mothers were examined and interviewed regarding a large number of risk factors. The mortality of these children was studied through the surveillance of all hospitals, cemeteries and death registries, and all hospital admissions were also recorded. Two nested case-control studies were carried out to assess risk factors for mortality and hospital morbidity. A systematic sample of 655 children were examined at home at one and three months of age, and these infants, as well as another sample of 805 children including all low-birthweight babies were also examined at the ages of six and twelve months. Their psychomotor development was also assessed. Losses to follow-up were only 6.6% at twelve months. Relative to the 1982 indicators, perinatal mortality fell by about 30% and infant mortality by almost 50%. The median duration of breastfeeding increased from 3.1 to 4.0 months. On the other hand, there was little change in the prevalences of low birthweight or of length for age at twelve months. The article that refers this abstract describes the methodology of the study and forthcoming publications will present detailed results.

Birth Weight↗
PubMed2001

[Exhumations procedures for investigating the genetic link in bones].

OBJECTIVE: To identify technical problems in exhumations performed for DNA detection in bones and to propose solutions through a protocol. METHODS: A prospective and qualitative study of exhumations was carried out according to the methods proposed in the medical legal literature. From 1995 to 1998, were performed 10 exhumations to collect human remains for DNA extraction. Of them, seven cases were of civil interest and three of criminal. Alternatives were sought to overcome technical difficulties found during the execution of these procedures. RESULTS: For all cases, there was scarcity of useful information to identify the human remains. In half of them, identification was based on the individual's morphological characteristics, given by their relatives. Individual morphological characteristics contributed to identification in 50% of cases. In three cases, it was possible to determine only the sex, and in one of them, only the age. Lack of infrastructure and police security in the cemeteries impaired the examination. CONCLUSIONS: To assure the reliability of the DNA molecular examination, it is necessary to identify the individual to whom the exhumed mortal remains belonged. To an efficacious investigation, it is paramount to have a working protocol that will cover, among other issues, those concerning identification, infrastructure and staff safety at the site of examination.

Adolescent↗
PubMedDate not supplied

Current advances on the study of snail-snail interactions, with special emphasis on competition process.

Field work research on population dynamic of snails from the regions of Belo Horizonte and Lagoa Santa give much information about interactions among two or more species of mollusks: Pomacea haustrum, Biomphalaria glabrata, B. tenagophila, B. straminea and Melanoides tuberculata. Data ranging from two years to several decades ago suggest that the Pampulha reservoir is like a cemetery of B. glabrata and B. straminea, species that coexist for more than 14 years in a small part of a stream, whereas only B. glabrata lives in all the streams of the basin. In the last ten to twenty years B. tenagophila has coexisted with P. haustrum and M. tuberculata in the Serra Verde ponds and in the Pampulha dam. However these species have not settled in any of the brooks, except temporarily. The data suggest that the kind of biotope and the habitat conditions are decisive factors for the permanence of each species in its preferencial biotope. B. glabrata, natural from streams and riverheads, quickly disappears from the reservoirs and ponds where it coexists with other species for a short time, independently of the competitive process. Competition needs to be better studied, since in Central America and Caribean islands this kind of study has favored the biological control of planorbid species.

Animals↗
PubMedDate not supplied

[Electric power generation and transmission: the impact on indigenous peoples in Brazil].

This paper presents an overview of the effects of electric power generation and transmission on indigenous communities in Brazil. According to data from FUNAI (the Brazilian government's Board of Indian Affairs), there are 156 cases of direct impact, present or future, of the electric power sector on Indian settlements geographically distributed throughout Brazil, 65% of which are located in the Northern Region of the country. The principal complaints by indigenous communities relate to the direct effects of flooding following construction of hydroelectric dams, destruction of sacred sites like cemeteries, mosquito proliferation, and health-related hazards such as malaria and other infectious diseases, decrease in game for hunting, crowding out of farm land, and increased invasion of indigenous lands. Future perspectives include a scenario with further construction of hydroelectric dams, especially in the Amazon region, with possible similar effects on indigenous communities.

Brazil↗
PubMedDate not supplied

[São Pedro de Alcântara Charity Hospital: assistance and healthcare in Goiás during the nineteenth century].

A lay institution founded in the city of Goiás in 1825, the São Pedro de Alcântara Charity Hospital was fruit of an initiative by an influential local group that recognized a social evil: the lack of assistance for the destitute and ill. Within the realm of social assistance, the hospital adopted charitable Christian roles and principles, providing aid to the mentally ill, the imprisoned, and the infirm and needy in general. After inauguration of the public cemetery, it also buried indigents at no cost.

Brazil↗
PubMed2004

Infectious disease risks from dead bodies following natural disasters.

OBJECTIVE: To review existing literature to assess the risks of infection from dead bodies after a natural disaster occurs, including who is most at risk, what precautions should be taken, and how to safely dispose of the bodies. METHODS: Disease transmission requires the presence of an infectious agent, exposure to that agent, and a susceptible host. These elements were considered to characterize the infectious disease risk from dead bodies. Using the PubMed on-line databases of the National Library of Medicine of the United States of America, searching was done for relevant literature on the infection risks for public safety workers and funeral workers as well as for guidelines for the management of the dead and prevention of infection. A small but significant literature was also reviewed regarding the disposal of the dead and the contamination of groundwater by cemeteries. RESULTS: Victims of natural disasters usually die from trauma and are unlikely to have acute or "epidemic-causing" infections. This indicates that the risk that dead bodies pose for the public is extremely small. However, persons who are involved in close contact with the dead-such as military personnel, rescue workers, volunteers, and others-may be exposed to chronic infectious hazards, including hepatitis B virus, hepatitis C virus, HIV, enteric pathogens, and Mycobacterium tuberculosis. Suitable precautions for these persons include training, use of body bags and disposable gloves, good hygiene practice, and vaccination for hepatitis B and tuberculosis. Disposal of bodies should respect local custom and practice where possible. When there are large numbers of victims, burial is likely to be the most appropriate method of disposal. There is little evidence of microbiological contamination of groundwater from burial. CONCLUSIONS: Concern that dead bodies are infectious can be considered a "natural" reaction by persons wanting to protect themselves from disease. However, clear information about the risks is needed so that responsible local authorities ensure that the bodies of disaster victims are handled appropriately and with due respect. This paper provides a source of information for those who are in the unfortunate position of managing those bodies.

Cadaver↗
PubMed2005

Infant mortality in Pelotas, Brazil: a comparison of risk factors in two birth cohorts.

OBJECTIVES: To compare two population-based birth cohorts to assess trends in infant mortality rates and the distribution of relevant risk factors, and how these changed after an 11-year period. METHODS: Data from two population-based prospective birth cohorts (1982 and 1993) were analyzed. Both studies included all children born in a hospital (> 99% of all births) in the city of Pelotas, Southern Brazil. Infant mortality was monitored through surveillance of all maternity hospitals, mortality registries and cemeteries. RESULTS: There were 5,914 live-born children in 1982 and 5,249 in 1993. The infant mortality rate decreased by 41%, from 36.0 per 1,000 live births in 1982 to 21.1 per 1,000 in 1993. Socioeconomic and maternal factors tended to become more favorable during the study period, but there were unfavorable changes in birthweight and gestational age. Poverty, high parity, low birthweight, preterm delivery, and intrauterine growth restriction were the main risk factors for infant mortality in both cohorts. The 41% reduction in infant mortality between 1982 and 1993 would have been even greater had the prevalence of risk factors remained constant during the period studied here. CONCLUSIONS: There were impressive declines in infant mortality which were not due to changes in the risk factors we studied. Because no reduction was seen in the large social inequalities documented in the 1982 cohort, it is likely that the reduction in infant mortality resulted largely from improvements in health care.

Birth Weight↗
PubMed1994

Medieval example of cleft lip and palate from St. Gregory's Priory, Canterbury.

An archaeologically retrieved skeleton from medieval Canterbury possibly of the late eleventh or twelfth century, displays clear evidence of cleft lip and palate. A case of cleft palate dating from the seventh century, is known from an Anglo-Saxon cemetery at Burwell. This is the first evidence for both cleft lip and palate in British archaeological material. The individual had survived into adulthood. Apart from an odontome, there was no osseous evidence of any other abnormalities. Artistic evidence of cleft lip dates to the fourth century B.C. and surgical intervention (A.D. 390) is known from China.

Adult↗
PubMedDate not supplied

[Populational study of investigation of perinatal and infant deaths: methodology, validity of diagnosis and under-registration].

OBJECTIVE: The main objectives of the present study were to evaluate the percentage of under-registration of infant mortality in 1993 and compare it with the ones found 1982; to analyze the agreement between the official death certificates and the ones made by the referees. METHODS: The infant mortality of all children born in Pelotas, in 1993, was monitored through daily visits to hospitals, as it was done in 1982; monthly, cemeteries and public registration offices were visited to detect any deaths outside the hospitals. Besides the official death certificates, two independent referees established the underlying cause of death based on information from pediatricians, case-notes, autopsies and through a home visit to the parents of the children. RESULTS: The percentage of under-registration fell substantially from 24%, in 1982, to 5.4%, in 1993. The agreement between the official death certificates and the ones made by the referees showed satisfactory Kappas, unless for ill defined diseases such as sudden infant death, where the agreement was null. CONCLUSIONS: The authors conclude that there was a significant fell of the under-registration for infant death in Pelotas, and the ill defined causes such as sudden infant death have been hidden by the diagnosis of pneumonia.

English Abstract↗
PubMed1995

Place attachment, isolation, and the power of a window in a hospital environment: a case study.

This paper describes the relevance of the literature on environmental psychology to the coping strategies a leukemia patient used in adapting to psychological and physical isolation on a hospital bone marrow transplant unit and oncology unit. The case study describes the difficulty of place attachment on the isolation unit and its evolution on the oncology unit. The power of a window with a natural view--including a view of a cemetery--was especially evident even as the disease became terminal.

Adult↗
PubMed1998

Longevity in age-heterogamous marriages.

A post facto analysis was conducted to study the relationship between longevity and age-heterogamous marriages with data from 776 cemetery records. A significant positive linear relationship was found between age difference and age at death of men. No significant relationship was found for women.

Age Factors↗
PubMed2007

A historical case of beaten-copper cranium.

The authors present the oldest historical case of a so-called beaten-copper cranium. The typical pattern was identified on a skull from a child, probably a boy, who died at approximately 6 years of age and was buried in a provisional cemetery used during the siege of Hanau, Germany, in 1635 and 1636. Morphological and radiological analyses of the severe digitate impressions ubiquitous on the child's endocranium support the diagnosis of chronically elevated intracranial pressure due to hydrocephalus.

Child↗
PubMedDate not supplied

Risk factors associated with sexual assault in Calabar south eastern Nigeria.

BACKGROUND: Sexual assault inflicts significant physical and psychological trauma in the victims. Interventions to prevent this violent crime against women are a major public health concern. The aim of this study is to identify the risk factors for sexual assault as seen in victims presenting in our hospital. METHOD: Twenty-two case records of sexual assault victims treated at the University of Calabar Teaching hospital were reviewed for this study. RESULTS: The incidence of reported sexual assault in this study was 2.1% with a rising trend observed. Age range was from 4 to 23 years. Six (27.3%) victims were primary school pupils. Twelve (54.5%) victims had not attained menarche, and 20 (90.9%) cases were single. Recorded place of assault was commonly along a bush track (36.4%) and a nearby cemetery (22.7%). Time of assault was mainly in the evening (50.0%). Identity of the assailant was known in 7 (31.8%) cases. Commonest weapon used by the assailant was a knife (36.4%). CONCLUSION: Concerted effort is required to curb the rising trend of reported sexual assault. Interventions aimed at creating public awareness of the possible risk factors may reduce the incidence of this detestable event in the community.

Adolescent↗
PubMed1999

[Carl Adolph von Basedow--on the 200th anniversary of his birth].

Carl Adolph von Basedow was the son of an aristocratic family and was born 1799 in Dessau. He was the grandson of the famous pedagogue Johann Bernhard Basedow. He studied medicine at the university of Halle and spent two years in the surgical service of Paris hospitals--the Charité and the Hôtel Dieu. In 1822, he settled in Merseburg as a physician. He was soon acclaimed as a genial and skilled helper in all branches of medical practice. He performed his own post-mortem examinations and published findings on a number of different diseases. His famous contribution in the thyroid field appeared in 1840 entitled "Exophthalmos due to hypertrophy of the cellular tissue in the orbit". Exophthalmos, goiter and palpitation of the heart have become known as the Merseburg Triad. In 1848, he published the autopsy findings on a patient who died from "exophthalmic cachexia". In Germany and some other countries, the disease was named as Morbus Basedow since 1858. In 1854 he pricked in his finger in the postmortem room when examining a patient who had died of typhus and he succumbed to septicemia at the early age of fifty-five. The date of his death was April 11, 1854. On April 14, he was laid in the Sixtus Cemetery in Merseburg. Basedow postulated that a wrong mixing of the blood manifested in cell tissue congestion and glandular vegetation cause the manifestations of disease. If we abstract our modern knowledge and accept circulating antibodies and disturbance of the immune balance as a dyscrasia as well as the proliferation of lymphocytic clones and local cellulary infiltration in terms of immune thyroiditis and autoimmune orbitopathy as cell tissue congestion and glandular vegetations, then doubt arise whether we have indeed made much progress in the last 150 years. At least, respect for the genius of the general physician Carl Adolph von Basedow is becoming greater. We may all hope that in the contributions and the discussions, we shall learn where we stand at the end of the century and what new avenues of research are appearing on the horizon.

Germany↗
PubMed1999

Manure-related accidents: the historical perspective.

Liquid manure is an important element in modern intensive agriculture. However, its handling and storage present acute risks in the form of toxic or explosive gases and large storage containers, access to which is often inadequately secured. In recent years occupational medicine and accident prevention experts have begun the task of systematically identifying the sources of risk and formulating safety guidelines. The present paper, a byproduct of research into the epidemiology of manure-related accidents in eastern Switzerland, explores the history of this type of accident. The historical record shows that in centuries past such events were an urban rather than a rural phenomenon. The main sources of risk were the cesspits in which domestic, hospital and prison waste was collected, cemeteries and church crypts where the dead were laid to rest and even the holds of ships transporting cargos of dried excrement intended for use as agricultural fertiliser. Historical accounts indicate that then, as now, there was often inadequate awareness of the dangers of such installations, despite the many (often dramatic) contemporary reports of accidents and fatalities caused by failure to institute and observe basic safety rules.

Accidents, Occupational↗
PubMed2000

Dentistry in ancient mesopotamia.

Sumer, an empire in ancient Mesopotamia (southern Iraq), is well known as the cradle of our modern civilization and the home of biblical Abraham. An analysis of skeletal remains from cemeteries at the ancient cities of Ur and Kish (circa 2000 B.C.), show a genetically homogeneous, diseased, and short-lived population. These ancient Mesopotamians suffered severe dental attrition (95 percent), periodontal disease (42 percent), and caries (2 percent). Many oral congenital and neoplastic lesions were noted. During this period, the "local dentists" knew only a few modern dental techniques. Skeletal (dental) evidence indicates that the population suffered from chronic malnutrition. Malnutrition was probably caused by famine, which is substantiated in historic cuneiform and biblical writings, geologic strata samples, and analysis of skeletal and forensic dental pathology. These people had modern dentition but relatively poor dental health. The population's lack of malocclusions, caries, and TMJ problems appear to be due to flat plane occlusion.

History of Dentistry↗
PubMed2001

Dental paleopathology in a Serbian Medieval population.

Analysis of the pattern of dental disease in two Late Medieval populations from cemeteries excavated at archaeological sites in western Serbia was based on the study of tooth wear, ante-mortem tooth loss, caries, dental enamel hypoplasia, alveolar resorption, abscesses and calculus. The findings reported here show a high prevalence of attrition, alveolar resorption and caries, which suggest an abrasive diet and poor oral hygiene.

Adult↗