This study investigates three topics: (1) interobserver measurement error in craniometry, (2) the effects of humidity on craniometric measurements, and (3) the current status of estimators of measurement precision in craniometry and anthropometry. The results of the three-observer error analysis based on 24 linear measurements taken on 47 crania indicate that minor idiosyncratic variations in measurement technique can lead to high levels of statistical discrimination among the data produced by the different observers. The results of the humidity experiment substantiate the contention that increasing levels of relative humidity are associated with cranial expansion. The results of the comparison of 11 univariate precision estimators suggest that the combination of percentage agreement, the mean absolute difference, and Fisher's nonparametric sign test can give an instructive picture of the frequency, magnitude, and directionality of measurement imprecision. Information on the comparability of technique and measurement precision can then be used in the variable selection process prior to the application of multivariate statistical procedures to strengthen the substantive interpretation of craniometric data.

Documentation of the antiquity and tracking of the derivation of human treponemal diseases have been complicated by an inability to distinguish among these diseases biochemically, histologically, and immunologically. Skeletal impact, as a population phenomenon, has been suspected to vary sufficiently among the treponemal disorders to allow their differentiation. As yaws was the only treponemal infection present in pre-Spanish Guam, definitive characterization of this disease in terms of its skeletal impact has been possible. In the studies described herein, skeletons from a 500-year-before-present archaeological site at Gognga-Gun Beach were examined. Yaws-related periostitis was noted in 19% of skeletons, achieving full population "penetrance" by the second decade of life. While the cortical-surface striations were often quite subtle, general osseous expansion and saber shin deformity were noted in one-fourth of skeletons. Gummatous destruction was found in 15% of individuals and draining cloacae in 10%. Invariably, the presence of irregular/striated cortical-surface markings (along with saber shin deformity) and the absence of epiphyseal separation or dental abnormalities distinguished the lesions of yaws from those of syphilis.

Characterization of the nature and skeletal distribution of gout was accomplished in a Chamoru (Chamorros) population with predilection to the disease. Uniform excavation by the gouty diathesis produces a punched-out appearance to these predominantly monarticular lesions. The lesion is distinct from that seen in rheumatoid arthritis, spondyloarthropathy, or infection. Reactive new bone formation in some gouty lesions also has an apparently unique, ivory-like discoloration (contrasted with the adjacent bone), which facilitates diagnosis.

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The safety and tolerability of primaquine (PQ) administered as a short higher-dose (30mg twice daily for 7 days) regimen in 203 Australian Defence Force personnel was evaluated in an open-label presumptive anti-relapse therapy study. No clinically significant differences were measured in the subjects' haematological and biochemical indices before and after PQ treatment. The most common adverse events were nausea, abdominal pain, headache and insomnia, many of which were mild in severity (30%; 60/203) and transient; 19% of subjects (39/203) experienced moderate (with some interference with daily duties requiring no or minimal medical therapy) adverse events. Two subjects (1%) had severe gastrointestinal adverse events requiring cessation of medication, but neither was seriously ill. Ten subjects (5%) had peripheral cyanosis (blueness of the lips), but none reported any respiratory compromise. These findings suggest that the short higher-dose PQ regimen is safe and well tolerated, which could improve PQ compliance and effectiveness.

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This study focuses on the gross anatomy, anatomic relations, microanatomy, and meaning of three enigmatic, geographically-patterned, quasi-continuous superstructures of the posterior cranium. Collectively known as occipital superstructures (OSS), these traits are the occipital torus tubercle (TOT), retromastoid process (PR), and posterior supramastoid tubercle (TSP). When present, TOT, PR and TSP develop at posterior cranial attachment sites of the upper trapezius, superior oblique and sternocleidomastoid muscles, respectively. Marked expression and co-occurrence of these OSS are virtually circumscribed within Oceania and reach highest recorded frequencies in proto-historic Chamorros (CHamoru) of the Mariana Islands. Prior to undertaking scanning electron microscopy (SEM) work, our working multifactorial model for OSS development was that early-onset, long-term, chronic activity-related microtrauma at enthesis sites led to exuberant reactive or reparative responses in a substantial minority of genetically predisposed (and mostly male) individuals. SEM imaging, however, reveals topographic patterning that questions, but does not negate, activity-induction of these superstructures. While OSS appear macroscopically as relatively large and discrete phenomena, SEM findings reveal a unique, widespread and seemingly systemic distribution of structures over the occipital surface that have the appearance of OSS microforms. Nevertheless, apparent genetic underpinnings, anatomic relationships with muscle entheses, and positive correlation of OSS development with humeral robusticity continue to suggest that these superstructures have potential to at once bear witness to Chamorro population history and inform osteobiographical constructions of chronic activity patterns in individuals bearing them. Further work is outlined that would illuminate the proximate and ultimate meanings of OSS.