The Pelves of Sunghir 1, 2, and 3

Author(s):  
Erik Trinkaus ◽  
Alexandra P. Buzhilova ◽  
Maria B. Mednikova ◽  
Maria V. Dobrovolskaya

The pelvis forms the interface between the trunk and the lower limb, as well as supporting the pelvic viscera, and as such its size and morphology reflect a diversity of biological pressures. Aspects of the Sunghir pelvic remains relating to the assessment of sex (pubic morphology, greater sciatic notch shape) and age (auricular surface, epiphyses) are presented in chapter 6, and the features of the sacrum (and coccyx) that are more strictly axial are discussed in chapter 10. The discussion here is concerned with the overall configurations of the Sunghir pelvic remains and more detailed aspects related to function. Given the male sex of Sunghir 1 and the prepubescent ages of Sunghir 2 and 3, reproductive issues beyond those related to sex assessment are not relevant to these remains. Unfortunately, the pelvis for which comparative data and biomechanical models of function exist, that of the adult male Sunghir 1, is the least complete, sufficiently so as to prevent the articulation of the elements. In contrast, the two immature pelves are quite complete, despite problems with reassembly given their immature status. Yet assessing their proportions is inhibited by issues of growth and development. The pelvis of Sunghir 1, as with most of its trunk (chapter 10), suffered extensively from vertical compres­sion in situ. The pubic bones are absent, and the ilia and ischia sustained considerable damage, much of which has been restored in wax. For example, the left acetabular rim is largely intact, but the lunate surface and acetabular notch are blended together with wax, obscuring details. The sacrum retains neither of its alae intact to the auricular surface. The Sunghir 2 and 3 pelves, in contrast, are largely present, with varying degrees of edge damage and loss of the thinner cortical bone, especially within the iliac fossae of Sunghir 3. However, both pelves retain their more cranial sacra, at least one intact sacroiliac articulation, and variable portions of the ischia and pubic bones. The primary difficulties in assessing the Sunghir 2 and 3 pelves derive from their immature status.

2015 ◽  
Vol 89 (4) ◽  
pp. 665-694 ◽  
Author(s):  
Rachel H. Dunn ◽  
Kenneth D. Rose

AbstractSpecies-level diversity and evolution of Palaeosinopa from the Willwood Formation of the Bighorn Basin is reassessed based on substantial new material from the Bighorn, Powder River, and Wind River basins. We recognize three species of Palaeosinopa in the Willwood Formation of the Bighorn Basin: P. lutreola, P. incerta, and P. veterrima. The late Wasatchian species P. didelphoides is not present in the Bighorn Basin. The Willwood species can be differentiated based only on size. P. veterrima is the most common and wide-ranging species and is the most variable in size and morphology: the stratigraphically lowest individuals are smaller, with narrower, more crestiform lower molars; whereas the highest are larger, with wider, more bunodont teeth. Although it could be argued that these represent distinct species, we demonstrate that this morphological evolution occurred as the gradual and mosaic accumulation of features, suggesting in situ anagenetic evolution. The two smaller species are present only low in the section (biochrons Wa0–Wa4) and show no discernable evolution in size or morphology. A new skeleton of Palaeosinopa veterrima from the Willwood Formation is described, and other new postcrania are reported. The skeleton is the oldest associated skeleton of Palaeosinopa known, yet it is remarkably similar to those of younger, more derived pantolestids, the primary disparities being minor differences in proportions of the innominate, femur, and tibia, and co-ossification of the distal tibia and fibula. Either P. incerta or P. lutreola was likely the ancestral population that gave rise to the other Wasatchian Palaeosinopa. Alternatively, P. veterrima may have migrated into the Bighorn Basin from the Powder River Basin.


Nanoscale ◽  
2016 ◽  
Vol 8 (4) ◽  
pp. 1849-1853 ◽  
Author(s):  
S. E. R. Tay ◽  
A. E. Goode ◽  
J. Nelson Weker ◽  
A. A. Cruickshank ◽  
S. Heutz ◽  
...  

The nucleation and growth of a nanostructure controls its size and morphology, and ultimately its functional properties.


Author(s):  
Francy L. Sinatra ◽  
Stephanie L. Carey ◽  
Rajiv Dubey

Previous studies have been conducted to develop a biomechanical model for a human’s lower limb. Amongst them, there have been several studies trying to quantify the kinetics and kinematics of lower-limb amputees through motion analysis [5, 10, 11]. Currently, there are various designs for lower-limb prosthetic feet such as the Solid Ankle Cushion Heel (SACH) from Otto Bock (Minneapolis) or the Flex Foot from Ossur (California). The latter is a prosthetic foot that allows for flexibility while walking and running. Special interest has been placed in recording the capabilities of these energy-storing prosthetic feet. This has been done through the creation of biomechanical models with motion analysis. In these previous studies the foot has been modeled as a single rigid-body segment, creating difficulties when trying to calculate the power dissipated by the foot [5, 20, 21]. This project studies prosthetic feet with energy-storing capabilities. The purpose is to develop an effective way of calculating power by using a biomechanical model. This was accomplished by collecting biomechanical data using an eight camera VICON (Colorado) motion analysis system including two AMTI (BP-400600, Massachusetts) force plates. The marker set that was used, models the foot using several segments, hence mimicking the motion the foot undergoes and potentially leading to greater accuracy. By developing this new marker set, it will be possible to combine the kinematic and kinetic profile gathered from it with previous studies that determined metabolic information. This information will allow for the better quantification and comparison of the energy storage and return (ES AR) feet and perhaps the development of new designs.


Iproceedings ◽  
10.2196/35401 ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. e35401
Author(s):  
Novell Shu Chyng Teoh ◽  
Amanda Oakley

Background A teledermoscopy service was established in January 2010, where patients attended nurse-led clinics for imaging of lesions of concern and remote diagnosis by a dermatologist. Objective The study aimed to review the number of visits, patient characteristics, the efficiency of the service, and the diagnoses made. Methods We evaluated the waiting time and diagnosis of skin lesions for all patient visits from January 1, 2010, to May 31, 2019. The relationships between patient characteristics and the diagnosis of melanoma were specifically analyzed. Results The teledermoscopy clinic was attended by 6479 patients for 11,005 skin lesions on 8805 occasions. Statistically significant risk factors for the diagnosis of melanoma/melanoma in situ were male sex, European ethnicity, and Fitzpatrick skin type 2. Attendance was maximal during 2015 and 2016. The seasonal variation in visits 2011-2018 revealed a consistent peak at the end of summer and a dip at the end of winter. In the year 2010, 306 patients attended; 76% (233/306) of these were discharged to primary care and 24% (73/306) were referred to hospital for specialist assessment. For patients diagnosed by the dermatologist with suspected melanoma from January 1, 2010, to May 31, 2019, the median waiting time for an imaging appointment was 44.5 days (average 57.9 days, range 8-218 days). The most common lesions diagnosed were benign naevus (2933/11,005, 27%), benign keratosis (2576/11,005, 23%), and keratinocytic cancer (1707/11,005, 15%); melanoma was suspected in 5% (507/11,005) of referred lesions (Multimedia Appendix 1). The positive predictive value of melanoma/melanoma in situ was 61.1% (320 true positives and 203 false positives). The number needed to treat (ie, the ratio of the total number of excisions to the number with a histological diagnosis of melanoma/melanoma in situ) was 2.02. Conclusions Diagnoses were comparable to the experience of other teledermoscopy services. Teledermoscopy using a nurse-led imaging clinic can provide efficient and convenient access to dermatology by streamlining referrals to secondary care and prioritizing patients with skin cancer for treatment. Conflicts of Interest None declared.


Author(s):  
Luke Farrow ◽  
Stacey Smillie ◽  
Joseph Duncumb ◽  
Brian Chan ◽  
Karen Cranfield ◽  
...  

Abstract Purpose Recent research has outlined the increasing incidence of acute kidney injury (AKI) and its effect on morbidity/mortality. There is evidence that current rates are significantly under-reported nationally, with uncertainty about pre-operative factors that might influence AKI reduction and the impact on other healthcare outcomes such as mortality and later Chronic Kidney Disease (CKD) development. We set out to help address these current deficiencies in the literature. Methods A retrospective cohort study was undertaken using data collected from patients undergoing elective primary lower limb arthroplasty within our institution from 01/10/16–31/09/17 with a 2-year follow-up. Results 53/782 (6.8%) patients had an AKI during the study time period. This was associated with a longer inpatient stay (p < 0.001). There was no significant difference in 30-day mortality (p = 0.134), 30-day readmission (p = 1.00) or later CKD development (p = 0.63). Independent predictors of AKI were as follows: Diabetes (OR 2.49; 95%CI 1.15–5.38; p = 0.021), CKD (OR 4.59; 95%CI 2.37–8.92; p < 0.001) and Male sex (OR 2.61; 95%CI 1.42–4.78; p = 0.002). Conclusions AKI in those undergoing hip and knee arthroplasty remains under-reported at a national level. AKI development was associated with an increased length of stay, but not long-term healthcare outcomes. This may be due to the mechanism of AKI development or the low absolute numbers of AKI suffered. We have identified three pre-operative factors (Diabetes, CKD & Male Sex) that were independently predictive of AKI. Targeted interventions may reduce the risk of AKI after lower limb arthroplasty.


2021 ◽  
Vol 14 (3) ◽  
pp. 281-284
Author(s):  
Andrzej Wojtak

Occlusive atherosclerosis of the lower limbs in the initial stage is characterized by symptoms of intermittent claudication with a variable distance depending on the severity of its changes. As a progressive disease, it may lead to the obstruction of the arteries of the lower extremities and the formation of a collateral circulation network in the form of natural by-passes of obstructed sections of the arteries. Disease development is accelerated by: older age, male sex, smoking, diabetes, dyslipidemic disorders and arterial hypertension. One of the effective forms of treatment of chronic lower limb ischemia in the course of atherosclerosis is pharmacotherapy with cilostazol.


Sign in / Sign up

Export Citation Format

Share Document