Aegicetus gehennae, a new late Eocene protocetid (Cetacea, Archaeoceti) from Wadi Al Hitan, Egypt, and the transition to tail-powered swimming in whales.

Aegicetus gehennae is a new African protocetid whale based on a partial skull with much of an associated postcranial skeleton. The type specimen, Egyptian Geological Museum, Cairo [CGM] 60584, was found near the base of the early-Priabonian-age (earliest late Eocene) Gehannam Formation of the Wadi Al Hitan World Heritage Site in Egypt. The cranium is distinctive in having ventrally-deflected exoccipitals. The vertebral column is complete from cervical C1 through caudal Ca9, with a vertebral formula of 7:15:4:4:9+, representing, respectively, the number of cervical, thoracic, lumbar, sacral, and caudal vertebrae. CGM 60584 has two more rib-bearing thoracic vertebrae than other known protocetids, and two fewer lumbars. Sacral centra are unfused, and there is no defined auricular surface on the ilium. Thus there was no weight-bearing sacroiliac joint. The sternum is distinctive in being exceptionally broad and flat. The body weight of CGM 60584, a putative male, is estimated to have been about 890 kg in life. Long bones of the fore and hind limbs are shorter than expected for a protocetid of this size. Bones of the manus are similar in length and more robust compared to those of the pes. A log vertebral length profile for CGM 60584 parallels that of middle Eocene Maiacetus inuus through the anterior and middle thorax, but more posterior vertebrae are proportionally longer. Vertebral elongation, loss of a sacroiliac articulation, and hind limb reduction indicate that Aegicetus gehennae was more fully aquatic and less specialized as a foot-powered swimmer than earlier protocetids. It is doubtful that A. gehennae had a tail fluke, and the caudal flattening known for basilosaurids is shorter relative to vertebral column length than flattening associated with a fluke in any modern whale. Late protocetids and basilosaurids had relatively long skeletons, longer than those known earlier and later, and the middle-to-late Eocene transition from foot-powered to tail-powered swimming seemingly involved some form of mid-body-and-tail undulation

Stomach contents of the archaeocete Basilosaurus isis: Apex predator in oceans of the late Eocene.

Apex predators live at the top of an ecological pyramid, preying on animals in the pyramid below and normally immune from predation themselves. Apex predators are often, but not always, the largest animals of their kind. The living killer whale Orcinus orca is an apex predator in modern world oceans. Here we focus on an earlier apex predator, the late Eocene archaeocete Basilosaurus isis from Wadi Al Hitan in Egypt, and show from stomach contents that it fed on smaller whales (juvenile Dorudon atrox) and large fishes (Pycnodus mokattamensis). Our observations, the first direct evidence of diet in Basilosaurus isis, confirm a predator-prey relationship of the two most frequently found fossil whales in Wadi Al-Hitan, B. isis and D. atrox. This extends our understanding of their paleoecology. Late Eocene Basilosaurus isis, late Miocene Livyatan melvillei, and modern Orcinus orca are three marine apex predators known from relatively short intervals of time. Little is known about whales as apex predators through much of the Cenozoic era, and whales as apex predators deserve more attention than they have received

New Specimens of the Late Eocene Turtle Cordichelys (Pleurodira: Podocnemididae) From Wadi Al Hitan and Qasr El-Sagha in the Fayum Province of Eqypt

http://deepblue.lib.umich.edu/bitstream/2027.42/163364/2/ContributionsVol33No2_High_Res.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/163364/1/ContributionsVol33No2_Lo_Res.pd

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially