Tuberculosis remains a major health problem in many areas of the world. Previous research suggested that the frequency of bone lesions has decreased in the modern (but pre-antibiotic) period, and that the predominantly spinal involvement have changed to affect other parts of the skeleton, in particular ribs. The purpose of this study was to investigate whether bone lesions associated with TB became more or less common in the post-antibiotic period, and if the pattern of skeletal involvement has changed. The skeletons of 147 individuals from South Africa who died from TB were assessed. These were divided into three groups -those dying before 1950 and presumed to have had no antibiotic intervention (n=52); those dying between 1950 and 1985 presumed to have been treated with antibiotics (n=34); and those dying after 1985 where co-infection with 2 HIV and drug-resistant disease emerged (n=61). Overall, 33.3% of all individuals showed signs that could be associated with TB, with corresponding figures in each of the three groups being 21.1%, 38.2% and 41.0%. The increase from group 1 to 3 was statistically significant. Rib lesions are becoming more common, while spinal lesions are decreasing.It may be suggested that patients are surviving for longer due to antibiotic treatment, allowing more time for the development of lesions.
The prevalence of cribra orbitalia (CO) is often used as an indicator of the general health status of past populations. Although debates as to its exact etiology are still ongoing, cribra is generally accepted to be the result of an anemic condition. Cribra has been reported to be declining in modern populations or even to be absent. The aim of this study was to compare modern, historic, and prehistoric prevalences of CO to assess whether it has changed through time and if it still occurs in contemporary populations. CO in skeletons (n = 844) from two widely different regions, the northeastern US and the central Gauteng area of South Africa, were compared in order to evaluate temporal trends. The sample comprised 245 prehistoric, 381 historic, and 218 modern skeletons. In adult skeletons the prevalence was found to be lower in historic South Africans (2.23%) than in historic North Americans (6.25%). It was lower in modern North Americans than in modern South Africans (12.35 and 16.8%, respectively). Its prevalence in prehistoric North Americans (11.86%) was also not much different from that of modern North Americans (12.35%). The frequency of CO in historic South African juveniles was higher (10.71%) than in historic North American juveniles (1.35%). Modern South African children had a lower frequency (25.14%) than modern American juveniles (40%), although the sample in the North American group was small. It seems that CO is still present in modern populations, and that health may indeed have declined for some groups in recent times. Clin. Anat. 29:823-830, 2016. © 2016 Wiley Periodicals, Inc.
Historically, population differences were quantified using cranial indices. Even though the application of indices is associated with numerous statistical and methodological problems, the use of cranial indices to estimate ancestry persists as demonstrated by its inclusion in several recent papers and conference presentations. The purpose of this study was to classify 207 South African crania and compare the results of five standard cranial indices to linear discriminant analysis (LDA). New sectioning points were created to contend with low classification accuracies (40% -79%) and possible secular trends. Although the accuracies of the new sectioning points increased (66% -87%), the accuracies associated with the stepwise LDA were higher (84%) and could classify the crania into one of the three South African groups. The results of the study demonstrate that indices cannot compete with multivariate techniques and should not be used in forensic anthropological analyses for ancestry estimation.
This paper presents the results of the dental analysis performed on a Khoesan skeletal sample representing the late 19 th and early 20 th century Cape Colony in southern Africa.Skeletal material from two European collections (Vienna and Paris) was selected to compile a total sample of 116 specimens. Dental pathology frequencies were calculated for caries (28.4%), antemortem tooth loss (37.9%), periapical abscesses (29.3%), periodontal disease (26.7%), calculus (44.0%) and impacted canines (4.3%). Attrition scores indicated that the group under study had an average rate of attrition compared to other southern African populations. Frequency and intensity data were compared to several other samples from both the pre-contact and contact phases by means of chi-squared analysis. The outcome of the study suggested that the group under study was most likely in a state of transition between a diet and lifestyle of hunting-and-gathering and agriculture. Results were also consistent with those of groups from a low socio-economic status.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.