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Histomorphometric determination of formation rates of archaeological bone.

Archaeological rib samples were subjected to quantitative histologic analysis to determine rates of cortical bone formation. Histologic features are usually well enough preserved to permit the determination of mean annual Haversian bone formation rate averaged over the life span of the individual. Moreover, gross estimates of aging archaeological bone correlate well with histologic parameters expected for particular ages. Age-associated changes in bone histomorphology in extinct populations have remained essentially unchanged for at least 1,600 years. Bone formation rates determined for these populations agree with age-matched values determined for extant Homo sapiens. A relatively high frequency of pathologic conditions reported by others for the Ledders population may be reflected by the wide range of histomorphometric parameters present in the ribs of these individuals. On the basis of morphophysiologic relationships in extant populations, it can be assumed that mean annual osteonal creation frequency, and mean annual Haversian bone formation rate can be reliably determined in extinct populations. To our knowledge, this is the first time a dynamic physiologic parameter has been measured in an extinct population of H. sapiens.

Adolescent↗

Finding of a bladder stone from the Avar period in southeast Hungary.

In the course of a disinterment of an ancient Avar burial place at Székkutas-Kápolna near Hódmezövásárhely, Hungary, the archaeologist conducting the excavations, Miss Katalin B. Nagy, noticed a lithoid body of oval shape in the pelvis of a skeleton. The find was identified on morphological and chemo-analytical grounds as a bladder stone. In view of its rarity and its palaeopathological interest, it is described in detail. It is also expected to draw the attention of archaeologists to the possibility of similar findings. A brief review of the pertinent literature is given.

Adult↗

Persistence of bone collagen cross-links in skeletons of the Nuraghi population living in Sardinia 1500-1200 B.C.

Bone collagen has a specific molecular ultrastructure which can be proved by birefringence. This protein, forming the main organic component of bone tissue, is known to survive millennia in paleontological bones and teeth. Birefringence of bone collagen obtained from the skeletons of the Nuraghi population living in Sardinia c-ca 1500 years B.C. was found previously by the use of polarizing microscopy [1]. In this paper, using high pressure liquid chromatography (HPLC) techniques, we show the existence of bone collagen cross-links preserved in Nuraghi skeletons after more than 3000 years.

Amino Acids↗

[3D computer-assisted ENT biopsies of the Iceman].

The University of Innsbruck possesses a unique prehistoric, completely conserved 5300-year-old human cadaver. We report our experiences during which ENT specialists collected samples from various cavities inside the Iceman. Guidance of biopsy instruments was accomplished with computer-assisted navigation based on Interventional Video Tomography. This technology allows surgical guidance by interlinking currently available imaging modalities with live endoscopic video. The system operates without patient fixation and is practically free of external contact. Apart from sterility, special precautionary measures were necessary to avoid contamination with heavy metals or microorganisms. Visual inspection of the samples of mucosa from the nose, maxillary sinus and larynx revealed the typical patterns of a human cadaver without overt pathology.

Animals↗

Hyperdisease in the late Pleistocene: validation of an early 20th century hypothesis.

The hypothesis of disease-related large mammal extinction has new support. A unique pathologic zone of resorption was first noticed in a Hiscock Mammut americanum metacarpal. The pathognomonic zone of resorption was present in fifty-nine (52%) of 113 skeletons with feet available for examination. Metacarpals and metatarsals were most commonly affected. Associated rib periosteal reaction is highly suggestive of tuberculosis and the foot lesions were identical to that documented in Bison as pathognomonic for tuberculosis. Recognizing that only a portion of animals infected by infectious tuberculosis develop bone involvement, the high frequency of the pathology in M. americanum suggests that tuberculosis was not simply endemic, but actually pandemic, a hyperdisease. Pandemic tuberculosis was one of several probable factors contributing to mastodon extinction.

Animal Diseases↗

Measurements of bone mineral density of the radius in a medieval population.

The current morbidity in the elderly as a result of osteoporotic fractures has led to interest in the incidence of this condition in past populations. The purpose of this study was to evaluate the technique of scanning of the distal radius with DXA in archaeological bone. The radius is often better preserved in archaeological contexts than bone with higher trabecular content such as the femoral neck or vertebrae. Adult radii (101) from the deserted medieval village site of Wharram Percy were scanned. These skeletal remains represent an homogenous rural population. The scanned individuals were divided into 3 age groups; 18-29, 30-49, and 50+. In both males and females bone loss was statistically significant in the highly trabecular ultra-distal region and the more cortical mid-region after age 50. Only females lost bone in the largely cortical one-third site before age 50. This is in accordance with modern clinical studies in which this loss is attributed to the effects of menopause. In order to assess whether there were differences in bone loss between weight and non-weight-bearing bones, the results were also compared with those from an earlier study of the femoral neck. In both sexes trabecular bone was lost at both anatomical sites after age 50. However, scanning the radius also had the advantage of assessing cortical bone loss. Additionally, despite demonstrable bone loss, there were no Colles or hip fractures in this paleopopulation, suggesting that although an active lifestyle such as that spent in agricultural activity, does not prevent bone loss, it may protect against osteoporotic fracture.

Absorptiometry, Photon↗

Cancellous bone structure in the growing and aging lumbar spine in a historic Nubian population.

There is abundant data on cancellous bone in the aging human spine, but little relating to the growing vertebral cancellous bone in childhood an adolescence. The purpose of this study was to map vertebral cancellous bone in a growth and age series of historic skeletal samples and to make comparisons with data published on recent material. Lumbar vertebral bodies were collected from 65 skeletons (0-60 years) from a medieval Nubian population. Ethnohistoric information was collected to interpret conditions that might have influenced bone structure and metabolism. The cancellous bone was studied three dimensionally, using stereophotography and scanning electron microscopy and morphometrically by performing a semiautomatic structural analysis on digitized backscattered electron images of polymethacrylate-embedded material. The cancellous bone structure in the children consisted mainly of a densely packed, uniform network of small rodlike trabeculae. The greatest bone volume fraction with small, more platelike trabeculae was observed during adolescence. In young adults, larger platelike trabeculae were present in the central zone and smaller trabeculae in the superior and inferior zones, as described for modern skeletal material. Structural changes associated with aging were observed much sooner than in modern man. by the estimated age of approximately 50-60 years, the predominant architectural elements were slender rarified rods in both sexes. The ethnohistorical data suggest that this was essentially a black African population of physically active peasants, not likely to suffer Vitamin D insufficiency or deficient calcium intake. Thus an earlier onset of the biological age changes in cancellous bone found in modern populations was probably relevant.

Adult↗

Harris lines of the tibia across centuries: a comparison of two populations, medieval and contemporary in Central Europe.

OBJECTIVE: To determine the incidence of Harris lines in two medieval populations which inhabited the Canton of Berne, in Central Switzerland, and to compare the results with those of a contemporary population living in the same geographical area. A simplified method is described for measuring the age of the individual at the time of formation of Harris lines, with possible future applications. DESIGN AND PATIENTS: Radiographs of 112 well-preserved tibiae of skeletons of two medieval populations from the eighth to fifteenth centuries were reviewed for the incidence of Harris lines. The results were compared with those of 138 current patients living in the same geographic location in Central Switzerland. Age and gender of the medieval individual were determined using known anthropological methods. Age of bone at the time of formation of Harris lines was estimated according to the method of Maat. RESULTS: Harris lines were found in 88 of 112 (80%) of the examined medieval skeletons and in 28 of 138 (20%) of the living individuals. Higher incidences of Harris lines were found at the age of 2 years and at ages between 8 and 12 years in both populations. No gender difference was found regarding the incidence of Harris lines. In both populations the occurrence of Harris lines was associated with certain diseases such as degenerative bone disease, trauma, osteoporosis, rheumatoid arthritis, peripheral vascular diseases, rickets and bony deformities. CONCLUSION: A high incidence of Harris lines was found in the medieval population, perhaps reflecting difficult living and hygienic conditions, but also the poor care and neglect of the children population. Measuring the age of the individual at the time of formation of Harris lines is simple and may have future clinical applications in the paediatric population for medico-legal purposes. The application of Harris lines as a marker in follow-up of osteoporosis may need further evaluation.

Adolescent↗

Paleolithic vs. modern diets--selected pathophysiological implications.

The nutritional patterns of Paleolithic humans influenced genetic evolution during the time segment within which defining characteristics of contemporary humans were selected. Our genome can have changed little since the beginnings of agriculture, so, genetically, humans remain Stone Agers--adapted for a Paleolithic dietary regimen. Such diets were based chiefly on wild game, fish and uncultivated plant foods. They provided abundant protein; a fat profile much different from that of affluent Western nations; high fibre; carbohydrate from fruits and vegetables (and some honey) but not from cereals, refined sugars and dairy products; high levels of micronutrients and probably of phytochemicals as well. Differences between contemporary and ancestral diets have many pathophysiological implications. This review addresses phytochemicals and cancer; calcium, physical exertion, bone mineral density and bone structural geometry; dietary protein, potassium, renal acid secretion and urinary calcium loss; and finally sarcopenia, adiposity, insulin receptors and insulin resistance. While not, yet, a basis for formal recommendations, awareness of Paleolithic nutritional patterns should generate novel, testable hypotheses grounded in evolutionary theory and it should dispel complacency regarding currently accepted nutritional tenets.

Adaptation, Biological↗

Juvenile cirrhosis in a 16th century Italian mummy. Current technologies in pathology and ancient human tissues.

The natural headless mummy of a young man from the Basilica of Saint Domenico Maggiore in Naples (16th century) showed at autopsy a well-preserved fibrous liver with a nodular surface, suggesting a case of cirrhosis. Stereo and light microscope study confirmed this diagnosis. To identify the possible etiology of this cirrhosis, additional techniques currently used in pathology were performed. Hemochromatosis and alpha1-antitrypsin deficiency were investigated without results. Investigation regarding Wilson's disease gave positive results, since the use of rhodamine staining, which is specific to detect the presence of copper in tissues, resulted in red-brown grains at light microscopy. The positive rhodamine test was invalidated by atomic absorption spectroscopy (AAS), which revealed normal copper levels in the tissues. These negative results and the clear and diffuse macronodularity of the liver suggest a case of post-necrotic cirrhosis.

Humans↗