The Changing Disease-Scape in the Third Epidemiological Transition

The epidemiological transition model describes the changing relationship between humans and their diseases. The first transition occurred with the shift to agriculture about 10,000 YBP, resulting in a pattern of infectious and nutritional diseases still evident today. In the last two centuries, some populations have undergone a second transition, characterized by a decline in infectious disease and rise in degenerative disease. We are now in the throes of a third epidemiological transition, in which a resurgence of familiar infections is accompanied by an array of novel diseases, all of which have the potential to spread rapidly due to globalization

Paleoepidemiology of Infectious Disease in the Dickson Mounds Population

The major focus of paleopathology has been the delimiting of disease in time and space. Information about the history of specific diseases is the objective of many of these studies. While the chronological and geographical dimensions of paleopathology contribute significantly to our knowledge of disease, there are limits to this approach, which often fails to consider the interaction of biology and culture in the disease of prehistoric populations

Leukodepletion for acute lymphocytic leukemia in a three-week-old infant

We report the smallest infant (4.5 kg) to receive leukapheresis as an immediate treatment for Infantile Acute Lymphocytic Leukemia. Leukodepletion helps prevent the risks of hyperviscosity and cerebrovascular and pulmonary leukostasis. In addition, it is a desirable precursor to chemotherapy to potentially reduce metabolic and renal complications associated with rapid cell lysis. Because of this infant's small size, she presented us with multiple concerns, including hypocalcemia from citrate anticoagulation, extracorporeal volume and fluid balance, inlet flow rates. and establishment of adequate interface. Our positive experience in performing this procedure suggests that cytapheresis is a feasible treatment even for very young infants. J. Clin. Apheresis. 16:31-32, 2001. © 2001 Wiley-Liss, Inc.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/34908/1/1006_ftp.pd

On the Origin of the Treponematoses: A Phylogenetic Approach

For 500 years, controversy has raged around the origin of T. pallidum subsp. pallidum, the bacterium responsible for syphilis. Did Christopher Columbus and his men introduce this pathogen into Renaissance Europe, after contracting it during their voyage to the New World? Or does syphilis have a much older history in the Old World? This paper represents the first attempt to use a phylogenetic approach to solve this question. In addition, it clarifies the evolutionary relationships between the pathogen that causes syphilis and the other T. pallidum subspecies, which cause the neglected tropical diseases yaws and endemic syphilis. Using a collection of pathogenic Treponema strains that is unprecedented in size, we show that yaws appears to be an ancient infection in humans while venereal syphilis arose relatively recently in human history. In addition, the closest relatives of syphilis-causing strains identified in this study were found in South America, providing support for the Columbian theory of syphilis's origin

Bone growth and development in prehistoric populations from Sudanese Nubia,

The analysis of a large sample of skeletons from a number of Sudanese Nubian cemeteries demonstrates the usefulness of this material in the study of bone growth and development. A skeletal series from the Meroitic (B.C. 350-A.D. 350), X-Group (A.D. 350-550), and Christian (A.D. 550-1400) period were utilized in determining the rate of bone development and age related changes in the internal structure of the femur. Specifically, we have been able to demonstrate the following: 1. (i) The growth velocity determined from the long bones in the Nubian sample was similar but somewhat more irregular than the growth velocity of long bones in American boys studied longitudinally.2. (2) Growth symmetry of long bones determined by the ratio of lengths shows a greater stability than that which occurs in American boys.3. (3) Decrease in femoral cortical thickness with age was significant in Nubian females (P 4. (4) The density of femoral head trabecular bone organ volume decreases with age at similar rates in both males and females, but the females lose a larger percentage of density since they enter the age period (17 years) with a lower density.5. (5) The average thickness of femoral head trabeculae decrease with age in males, while in females there is an increase in thickness. It appears that as cross-members decrease in thickness with age, struts increase in thickness.6. (6) Microradiographic analysis of archeological material may provide an additional dimension to the study of bone turnover rates.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/34191/1/0000480.pd