Sex determination using proximal hand phalanges

Sex determination is among the most important biological data to be obtained from human skeletal remains. In anthropological sciences, the applied methodology involves the analysis of the quantitative and qualitative characteristics of skeletal parts. Measurements of proximal hand phalanges have been shown to exhibit prominent sexual dimorphism, in different populations examined. The aim of this study is to assess the utility of proximal hand phalanges for the sex diagnosis and develop a discriminant formula to be applied to Modern Greek populations. The material utilized consists of 661 proximal hand phalanges (left and right) from the Athens Collection, corresponding to 160 adult individuals (86 males and 74 females). Classification accuracies ranged between 94.6% and 100% for left and between 87.7% and 100% for right proximal phalanges. The results of this study indicate that proximal hand phalanges can be used for accurate sex diagnosis

Relapsed clubfoot correction with soft-tissue release and selective application of Ilizarov technique

The Ilizarov technique is an alternative for the treatment of complex foot deformities in children. The authors retrospectively reviewed children with relapsed clubfoot deformity, treated with soft tissue procedures and additional correction with an Ilizarov frame. Twelve consecutive patients (13 feet) with relapsed clubfoot deformity after previous surgical correction were reviewed. Treatment included open releases. An Ilizarov frame was applied as an adjunct in seven patients (mean age of 7.8 years) with severe deformity where complete intraoperative correction was not achieved. Clinical and radiographic assessment was undertaken. The mean Laaveg–Ponseti score, for the 7 feet treated with the Ilizarov frame, was 85.1 after minimum 4 years follow-up. One recurrence of forefoot deformity required metatarsal osteotomies. Postoperative radiographic measurements revealed values that can be considered as normal. Complications included pin tract infections (12% of inserted wires). Flat-topped talus was observed in 3 feet. Deformity correction was possible when soft tissue procedures were combined with the use of Ilizarov technique, in order to support and gradually improve surgical correction

Local development and cultural landscapes: getting to know the inaccessible villages of the greek war of independence

The cultural landscapes have a dual, material and intangible nature being the result of interactions between people and nature through time. Considering that its understanding requires integrated analysis techniques we experimented a mapping method in «Revolutionary Palimpsests», a research project investigating the cultural landscapes of settlements that played an important role in the Greek War of Independence. Combining design, cartography and visual arts and focusing on socio-spatial complexities, our researchers produced maps of both artistic and informative nature revealing the mnemonic traces of such a historical event on those settlements. Maps’ exhibition in a visual art event is expected to sensitize the public to that local heritage. We argue that the protection and promotion of the cultural landscape plays a significant role in development, strengthening the local identity and commitment, also enhancing the attractiveness, that is essential especially for inaccessible settlements that are facing development deficiencies, such as many mountainous and island settlements in Greece. From about 150 mapped «revolutionary settlements» we will refer below to the example of two inaccessible areas, Souli in Epirus and Mani (Maina) in Peloponnese, exploring the question of whether the protection and promotion of their cultural landscape could contribute to development

Mediastinal silicone lymphadenopathy revealed after thymectomy for autoimmune myasthenia gravis

Breast reconstruction is a very popular surgical intervention performed either for cosmetic reasons or after oncological resections. Even though silicone is considered to be an inert material, there are side effects that have been reported, such as silicone lymphadenopathy. In the case reported herein, a silicone lymphadenopathy of the internal mammary and the anterior mediastinal lymph nodes were revealed after a thymectomy for autoimmune myasthenia gravis. Silicone lymphadenopathy should always be part of the differential diagnosis of enlarged lymph nodes, in patients with previous cosmetic or oncoplastic surgery with the use of silicone gel breast implants. Special attention should be paid in case of previous breast cancer in order to rule out metastasis

Occurrence of thymic pathology in two families. Is familial screening justified?

The familial occurrence of thymic pathology, even though rare, is widely reported in the literature and mainly concerns cases of familial autoimmune myasthenia gravis. Other less frequent cases of familial occurrence of thymoma, thymic carcinoid and thymic hyperplasia have been described. It seems that the familial occurrence is poorly recorded and thus its prevalence is underestimated. We report two families whose members presented different forms of thymic pathology and discuss the necessity of screening programs in family members of patients presenting a thymic lesion

Estimation of Age-at-Death Using Cortical Bone Histomorphometry of the Rib and Femur: A Validation Study on a British Population

Histomorphometry constitutes a valuable tool for age estimation. Histological interpopulation variability has been shown to affect the accuracy of age estimation techniques and therefore validation studies are required to test the accuracy of the pre-existing methodologies. The present research constitutes a validation study of widely known histological methods on the sixth rib and the femoral midshaft of a 19th century British population originating from Blackburn, England. An evaluation of the histomorphometric features of eleven ribs and five femora was performed and used to test the accuracy of selected methods. Results indicated that osteon area and circularity were the only histomorphometric variables that presented significant interpopulation variability. Cho et al.’s method for the ribs and the average value produced using Kerley and Ubelaker’s method for intact osteon and percentage of lamellar bone equations for femur were considered the only reliable markers for estimating the age on the Blackburn sample. In the case of old individuals, Goliath et al.’s method provided more satisfactory results. Overall, the present study provides evidence on the applicability of the aging histomorphometric methods on a British sample and highlights the limitations of applying histomorphometric methods developed on different reference populations than the one under investigation

New insights into the manual activities of individuals from the Phaleron cemetery (Archaic Athens, Greece)

Until the early 5th century BC, Phaleron Bay was the main port of ancient Athens (Greece). On its shore, archaeologists have discovered one of the largest known cemeteries in ancient Greece, including a range of burial forms, simple pits, cremations, larnaces (clay tubs), and series of burials of male individuals who appear to have died violent deaths, referred to here as “atypical burials”. Reconstructing the osteobiographies of these individuals will help create a deeper understanding of the socio-political conditions preceding the rise of Classical Athens. Here, we assess the habitual manual behavior of the people of Archaic Phaleron (ca. 7th – 6th cent. BC), relying on a new and precise three-dimensional method for reconstructing physical activity based on hand muscle attachment sites. This approach has been recently validated on laboratory animal samples as well as on recent human skeletons with a detailed level of long-term occupational documentation (i.e., the mid-19th century Basel Spitalfriedhof sample). Our Phaleron sample consists of 48 adequately preserved hand skeletons, of which 14 correspond to atypical burials. Our results identified consistent differences in habitual manual behaviors between atypical burials and the rest. The former present a distinctive power-grasping tendency in most skeletons, which was significantly less represented in the latter (p-values of <0.01 and 0.03). Based on a comparison with the uniquely documented Basel sample (45 individuals), this entheseal pattern of the atypical burials was exclusively found in long-term heavy manual laborers. These findings reveal an important activity difference between burials typical for the Phaleron cemetery and atypical burials, suggesting that the latter were likely involved in distinctive, strenuous manual activities. The results of this pilot study comprise an important first step towards reconstructing the identity of these human skeletal remains. Future research can further elucidate the occupational profiles of these individuals through the discovery of additional well-preserved hand skeletons and by extending our analyses to other anatomical regions

Endovascular covered stenting for the management of post-percutaneous nephrolithotomy renal pseudoaneurysm: a case report

<p>Abstract</p> <p>Introduction</p> <p>Intrarenal pseudoaneurysm is a rare, yet clinically significant, complication of percutaneous nephrolithotomy. A high index of clinical suspicion is necessary in order to recognize pseudoaneurysm as the cause of delayed bleeding after percutaneous nephrolithotomy and angiography confirms the diagnosis which allows endovascular management.</p> <p>Case presentation</p> <p>We present a case of a 65-year old Caucasian woman who underwent percutaneous nephrolithotomy in the supine position for a two centimetre renal calculus. The postoperative course was complicated by persistent bleeding due to a renal pseudoaneurysm. The vascular lesion was successfully managed by endovascular exclusion through the use of a covered stent graft. We report the first successful use of this method for the management of iatrogenic pseudoaneurysm in a branch of the left renal artery and we focus on the imaging findings, technical details, advantages and limitations of this technique.</p> <p>Conclusion</p> <p>As a result of its high efficacy, interventional radiology has largely replaced open surgery for the management of renal pseudoaneurysm related to percutaneous nephrolithotomy. Recent technical advancements have allowed the use of covered stent grafts as an alternative to embolisation for the angiographic management of visceral artery pseudoaneurysm located in other organs. This novel technique allows the endovascular exclusion of the pseudoaneurysm, without compromising arterial supply to the end-structures - an advantage of critical importance in organs supplied by segmental arteries - in the absence of collateral vasculature, such as the kidney.</p

Technical note: Development of regression equations to reassociate upper limb bones from commingled contexts

The major upper limb skeletal elements (scapulae, humeri, ulnae and radii) are frequently utilized for sex determination and stature estimation. Consequently, in forensic cases that involve commingled remains, it is crucial to reassociate the aforementioned bones and attribute them to the right individual. The aim of the present study is to develop simple and multiple regression equations for sorting commingled human skeletal elements of the upper limb. In that context, ten common anthropological linear measurements of the articular surfaces of scapulae, humeri, ulnae, and radii were performed on 222 adult skeletons from the Athens Collection. The functions developed for sorting adjoining bones presented a strong positive linear relationship (r = 0.69–0.93, p < 0.05). The values of the determination coefficient statistics (r2 = 0.47–0.86) were found to be high and those of the standard errors of the estimate were found to be low (SEE = 0.88–1.61). Blind tests indicated that when metric and morphoscopic sorting techniques are combined, a reliable sorting of the skeletal elements of the upper limbs is possible