Age estimation for two Mediterranean populations:rib histomorphometry applied to forensic identification and bone remodelling research

Numerous intrinsic and extrinsic factors influence bone remodelling rates and have shown to affect the accuracy of histological aging methods. The present study investigates the rib cortex from two Mediterranean skeletal collections exploring the development of population-specific standards for histomorphometric age-at-death estimation. Eighty-eight standard ribs from two samples, Cretans and Greek-Cypriots, were processed histologically. Thirteen raw and composite histomorphometric parameters were assessed and observer error tested. The correlation between age and the parameters and the differences between sex and population subsamples were explored through group comparisons and analysis of covariance. General linear models assessed through data fit indicators and cross-validation were generated from the total dataset, and by sex and population subsamples. Most of the histological variables showed a statistically significant correlation with age with some differences observed by sex and by sample. From the twelve models generated, the optimal model for the whole sample included osteon population density (OPD), osteon perimeter, and osteon circularity producing an error of 10.71 years. When sex and samples were separated, the best model selected included OPD and osteon perimeter producing an error of 8.07 years for Greek-Cypriots. This research demonstrates the feasibility of quantitative bone histology to estimate age, obtaining errors rates in accordance with macroscopic ageing techniques. Sex and sample population differences need further investigation and inter-population variation in remodelling rates is suggested. Moreover, this study contributes to the creation of population-specific standards for Cretans and Greek-Cypriots

Conservation and Reassessment of an Overlooked Skeletal Collection Preserved Since 1901 at the Museum of Anthropology “G. Sergi”, Rome

The osteological investigation of archived and historic skeletal collections can often provide clues to how they were organised and managed, offering key osteobiographical insight into past populations. A small, yet significant, collection of skulls housed at the Museum “Giuseppe Sergi” of the Sapienza University of Rome, remained anonymous prior to a recent reassessment protocol started in 2018. This collection was excavated from a funerary area discovered during the 19th century from the site of Castel Trosino (Ascoli Piceno, Italy). The cemetery was part of an important community during the Longobard domination of Italy, as testified by the richness of the cultural artefacts reported with the burials. The 19 skulls presented in this paper are the only ones available for assessment; all the others were lost shortly after the first excavation. Their importance is related to providing a better understanding of biological evidence of a community that lived in Italy during the Early Middle Ages.Attraverso la chiave di lettura osteobiografica, l'indagine di collezioni scheletriche storiche custodite presso Musei e Soprintendenze può fornire nuovi indizi per la loro storia degli studi. Una piccola ma significativa collezione di crani, ospitata presso il Museo "Giuseppe Sergi" della Sapienza Università di Roma, è rimasta anonima fino ad un recente protocollo di indagine iniziato nel 2018. Questa collezione fu recuperata dall'area funeraria scoperta nel corso del XIX secolo nel sito di Castel Trosino (Ascoli Piceno, Italia). Questo cimitero faceva parte di un’importante comunità durante il periodo della dominazione longobarda d'Italia, come testimoniato dalla ricchezza dei corredi recuperati. I 19 crani presentati in questo lavoro sono gli unici disponibili per lo studio, tutti gli altri sono andati persi poco dopo il primo scavo. La loro importanza è legata alla ricerca di una maggiore comprensione delle testimonianze osteologiche della comunità altomedievale di Castel Trosino

Bone histomorphometry of the clavicle in a forensic sample from Albania

Forensic assessment of skeletal material includes age estimation of unknown individuals. When dealing with extremely fragmented human remains that lack macro-features used in age estimation, histological assessment of the skeletal elements can be employed. Historically, microscopic methods for age assessment used by forensic anthropologists have been available since 1965. Several skeletal elements have been used for this purpose. Among them, the clavicle has garnered very little attention. The purpose of this study is to explore the validity of clavicular histomorphometry as an age marker in a modern Balkan sample. This study examined a modern clavicular autopsy sample from Albania. The sample consisted of 33 individuals of known age and cause of death. Data were collected for micro-anatomical features including osteon population density (OPD) and cortical area. Intra- and inter-observer errors were assessed through technical error of measurement (TEM) and R coefficient. A validation study was performed in order to test the accuracy of existing histological formulae. Regression analysis was run to developed age prediction models with the best models tested through cross-validation and the comparison between OPD for the Albanian sample and a European-American sample examined. Intra- and inter-observer error TEM results demonstrated values falling within the limits of acceptance. The existing histological methods did not perform accurately on the sample under study. Regression equations for Albanians produced age estimations deviating 8 and 11 years from known age. Cross-validation on the most accurate regression formula which includes OPD as a single variable demonstrated similar mean errors. Statistically significant differences were observed between the Albanian and the European-American population when the two samples were compared. The research presented is the fifth article published and the fifth population explored on clavicular microstructure. The potential of histology to estimate age on the Albanian population is shown here; however, population effect, diet and health status might be considered. Further inclusion of individuals will corroborate our preliminary findings

Stabbed to death. An osteobiography example of violence among Longobards (Povegliano Veronese, Italy, 6th-8th c CE)

Here we report the reconstruction of the osteobiography of an adult male buried in the Longobard cemetery of Povegliano Veronese (Northern Italy, late 6th – early 8th century CE), who shows signs of interpersonal violence. The palaeopathological investigation reveals sharp force traumas on the body of the fourth lumbar vertebra and on two right ribs. The absence of signs of healing or bone remodelling indicates that the defects were perimortem. The injuries probably afected vital organs, leading to death. Further macroscopic observations of the skeleton suggest horseback-riding activity. Strontium isotope data from tooth enamel indicate a non-local origin of the individual. X ray and CT scan acquisition and Scanning Electron Microscopy analyses were performed to investigate the bone defects. His osteobiography was interpreted and contextualised in the complex socio-political scenario of post classical Italy. The results document that he spent his childhood outside the Povegliano Veronese area, that during his life he was likely a horseback rider active in battle, but that his violent death did not happen during warfare/battle. This multi-layered approach, supported by archaeological information, osteological investigation, biomolecular analysis, and virtual imagery, allowed for the extensive reconstruction of an individual's life history

Mass drug administration and beyond : how can we strengthen health systems to deliver complex interventions to eliminate neglected tropical diseases?

Achieving the 2020 goals for Neglected Tropical Diseases (NTDs) requires scale-up of Mass Drug Administration (MDA) which will require long-term commitment of national and global financing partners, strengthening national capacity and, at the community level, systems to monitor and evaluate activities and impact. For some settings and diseases, MDA is not appropriate and alternative interventions are required. Operational research is necessary to identify how existing MDA networks can deliver this more complex range of interventions equitably. The final stages of the different global programmes to eliminate NTDs require eliminating foci of transmission which are likely to persist in complex and remote rural settings. Operational research is required to identify how current tools and practices might be adapted to locate and eliminate these hard-to-reach foci. Chronic disabilities caused by NTDs will persist after transmission of pathogens ceases. Development and delivery of sustainable services to reduce the NTD-related disability is an urgent public health priority. LSTM and its partners are world leaders in developing and delivering interventions to control vector-borne NTDs and malaria, particularly in hard-to-reach settings in Africa. Our experience, partnerships and research capacity allows us to serve as a hub for developing, supporting, monitoring and evaluating global programmes to eliminate NTDs

Bioengineered constructs combined with exercise enhance stem cell-mediated treatment of volumetric muscle loss

Volumetric muscle loss (VML) is associated with loss of skeletal muscle function, and current treatments show limited efficacy. Here we show that bioconstructs suffused with genetically-labelled muscle stem cells (MuSCs) and other muscle resident cells (MRCs) are effective to treat VML injuries in mice. Imaging of bioconstructs implanted in damaged muscles indicates MuSCs survival and growth, and ex vivo analyses show force restoration of treated muscles. Histological analysis highlights myofibre formation, neovascularisation, but insufficient innervation. Both innervation and in vivo force production are enhanced when implantation of bioconstructs is followed by an exercise regimen. Significant improvements are also observed when bioconstructs are used to treat chronic VML injury models. Finally, we demonstrate that bioconstructs made with human MuSCs and MRCs can generate functional muscle tissue in our VML model. These data suggest that stem cell-based therapies aimed to engineer tissue in vivo may be effective to treat acute and chronic VML

Clinical Significance of Bronchodilator Responsiveness Evaluated by Forced Vital Capacity in COPD: SPIROMICS Cohort Analysis.

ObjectiveBronchodilator responsiveness (BDR) is prevalent in COPD, but its clinical implications remain unclear. We explored the significance of BDR, defined by post-bronchodilator change in FEV1 (BDRFEV1) as a measure reflecting the change in flow and in FVC (BDRFVC) reflecting the change in volume.MethodsWe analyzed 2974 participants from a multicenter observational study designed to identify varying COPD phenotypes (SPIROMICS). We evaluated the association of BDR with baseline clinical characteristics, rate of prospective exacerbations and mortality using negative binomial regression and Cox proportional hazards models.ResultsA majority of COPD participants exhibited BDR (52.7%). BDRFEV1 occurred more often in earlier stages of COPD, while BDRFVC occurred more frequently in more advanced disease. When defined by increases in either FEV1 or FVC, BDR was associated with a self-reported history of asthma, but not with blood eosinophil counts. BDRFVC was more prevalent in subjects with greater emphysema and small airway disease on CT. In a univariate analysis, BDRFVC was associated with increased exacerbations and mortality, although no significance was found in a model adjusted for post-bronchodilator FEV1.ConclusionWith advanced airflow obstruction in COPD, BDRFVC is more prevalent in comparison to BDRFEV1 and correlates with the extent of emphysema and degree of small airway disease. Since these associations appear to be related to the impairment of FEV1, BDRFVC itself does not define a distinct phenotype nor can it be more predictive of outcomes, but it can offer additional insights into the pathophysiologic mechanism in advanced COPD.Clinical trials registrationClinicalTrials.gov: NCT01969344T4