A palaeopathological case of a right maxilla's cemento‐ossifying fibroma

Cemento‐ossifying fibromas (COFs) are rare benign tumours affecting the maxilla and the mandible. The COF, of nonodontogenic origin, consists of a heterogeneous mixture of bone tissues and cementum. The skeleton of burial 154 excavated from the site of Magnicourt‐ en‐Comté (Pas‐de‐Calais) has been studied palaeopathologically. The cemetery is dated from the Merovingian period (6^th–7th century AD) and included 262 burials. In this study, we focus on the differential diagnosis of cemento‐ossifying fibroma and other dyplastic and cystic lesions. Various macroscopic, radiological and histological aspects enable us to make a positive diagnosis of COF. Copyright © 2007 John Wiley & Sons, Ltd.     

Benign mandibular tumours: Two case studies from the Maya lowland site of Tikal,Guatemala

This study presents a differential diagnosis of benign mandibular tumours identified in two adult burials from the precontact Maya city of Tikal, Guatemala. Both individuals were recovered from domestic structures that date to the Late Classic Period (AD 550–850). The osseous growths were interpreted as probable benign tumours based on evidence of localised growth, a circumscribed border, a dense texture and a lack of osteolytic activity or spiculate bone formation. Burial PTP‐026A is a middle adult (35–50 years) of indeterminate sex with evidence of a small dense, circular mass extending laterally from the right mandibular corpus. Macroscopic and radiographic assessment of this lesion provided a diagnosis of osteoma, a true neoplasm, or alternately, hyperplasia (e.g. exostosis) or hamartoma, which are not true neoplasms. Burial PTP‐017 is a probable young adult female (20–35 years) with a large osteoblastic lesion on the right anterior mandibular corpus. This dense, bony mass extends from the anterior margin of the mental canal, and shows a distinct boundary from the adjacent trabecular and cortical bone. The growth of the osseous mass displaced the right first premolar anteriorly. Radiographic assessment showed the presence of dense, radiopaque material, indicating significant calcification. This suggested a likely fibro‐osseous origin for this lesion, with a probable diagnosis of ossifying fibroma, or possibly osseous dysplasia. Although not definitive, our differential diagnosis was able to exclude a number of neoplastic and non‐neoplastic conditions that affect the jaws. This study provides the first reported cases of possible benign mandibular tumours in the ancient Maya. Copyright © 2009 John Wiley & Sons, Ltd.     

Stafne's defects in two mandibles from archaeological sites in Croatia

Salivary gland inclusions in the mandible are relatively uncommon in recent as well as archaeological populations. This condition is well known to oral surgeons, but less so to anthropologists, osteologists and skeletal biologists. At present a limited number of reports pertaining to this condition in ancient populations are available in anthropological and palaeopathological literature, although scattered reports of cases in recent populations are found in dental journals. This paper analyses the prevalence of Stafne's bone defect in a large composite Croatian archaeological series (n = 4250 mandibles), and reports on two cases in which computerised tomography was performed, in order to draw the attention of anthropologists, osteologists and skeletal biologists to this condition when faced with differential diagnosis of odontogenic lesions, cysts and neoplasms in the area of the angle of the mandible. Copyright © 2009 John Wiley & Sons, Ltd.     

The frequency of os acromiale in the Robert J. Terry Collection

Normal fusion of the acromion process in humans begins at about age 15 and should complete ossification by age 22–25. Os acromiale occurs when fusion of the acromial epiphysis does not follow its normal ossification pattern, resulting in the retention of a separate epiphyseal end to the acromial process. Depending on how the metaphyseal junctures fuse, differential size and shape of the unattached acromial segment is produced. As a result of shoulder anatomy and the mobile epiphysis, os acromiale is associated with shoulder impingement and rotator cuff problems. The purpose of this study is to document the frequency of os acromiale in the Robert J. Terry Collection and gain a perspective on the occurrence of os acromiale in this specific US population. The overall frequency of os acromiale in the sample of 1594 skeletons was 8.34%. This study also evaluates the prevalence of os acromiale between sexes and ancestral groups in the Terry Collection. Significant frequency differences in the expression of os acromiale were found between both ancestry and sex; the black male sample has the highest frequency (12.47%), with a lower occurrence in the black female sample (9.22%). The white sample exhibited observably lower frequencies, with the white males at 6.8%, and white females at 3.2%. Size and shape and side expression (laterality) showed no significant differences between the sexes. However, significant differences in laterality by ancestry were observed; black males exhibited 48.3% bilateral expression, while white males exhibited bilateral expression only 29% of the time and 54.8% had a right lateral expression. Based on the results presented in this study, it is suggested that there is a genetic causation for os acromiale, which may or may not be exacerbated by physical activity. The use of this anomaly as an additional non‐metric feature in inferring familial relationships and personal identification is discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

Sclerosing Bone Dysplasia from 16th Century Sardinia (Italy): A Possible Case of Camurati–Engelmann Disease

The skeletal remains of a male aged 45–55 years displaying several bone anomalies were unearthed from the Alghero (Sardinia) plague cemetery ‘lo Quarter’, a burial site dating back to the 1582–1583 AD outbreak. The skeleton, whose stature is about 165 cm, presents a bilateral hyperostosis with increased diameter of the diaphyses of all the long bones of the upper and lower limbs; the metaphyses appear to be involved, while the epiphyses are spared. Marked thickening of the cranial vault is also evident. Radiological study showed irregular cortical thickening and massive endoperiosteal bone apposition; sclerotic changes are observed in the diaphysis of some metacarpals. Computed tomography (CT) cross sections of the long bones displayed a thickening of the cortical portion and endoperiosteal bone apposition. The individual was affected by a sclerosing bone dysplasia, a genetic disease characterized by increased bone density. In differential diagnosis, several sclerosing bone dysplasia, such as hyperostosis corticalis generalisata, craniodiaphyseal dysplasia, craniometadiaphyseal dysplasia, pachydermoperiostosis and Camurati–Engelmann disease, as well as other disorders characterized by sclerosing manifestations, such as Erdheim–Chester disease, mehloreostosis and skeletal fluorosis, need to be considered. The anomalies observed in skeleton 2179 fit with the features of Camurati–Engelmann disease, which is the most likely candidate for final diagnosis. It is highly challenging to evaluate how such a condition may have influenced the individual's lifestyle in terms of development, mobility and quality of life. This individual was probably symptomatic and must have experienced common clinical symptoms, such as pain in the limbs and fatigability. However, the strong development of the muscular insertions and the degenerative changes in the upper limbs suggest that the mobility problems should not have prevented him from reaching a mature age and from performing essential daily activities. The presented case is the unique paleopathological evidence of Camurati–Engelmann disease so far diagnosed. Copyright © 2015 John Wiley & Sons, Ltd.     

Expanding the ‘language’ of planning: A meditation on planning education for the twenty‐first century

What kinds of knowledge do planners need in a post‐modern age in which cities and regions are characterized by fragmentation, polarization, and ‘difference’ in its many guises? This paper identifies four dilemmas of traditional planning education: the reduction of ‘knowledge’ to a set of measurable skills; the ossifying of programmes around a core which reinforces an outdated modernist paradigm; the loss of focus on questions of meaning, of value, of the spirit, which has resulted from a divorce between planning and design education; and the tendency to draw tight boundaries around professional identity, which prevents a truly interdisciplinary practice from emerging.

Preparing planners for the challenges of the twenty‐first century might involve the following: identifying the specificity of the domain of planning in a more dynamic way so that the core does not become redundant every decade; articulating planning programmes with environmental and design programmes; shifting from an emphasis on skills to key literacies (five are identified); approaching planning as an ethical inquiry.     

Differential diagnosis of cartilaginous dysplasia and probable Osgood–Schlatter's disease in a Mississippian individual from East Tennessee

This paper details the differential diagnosis of an adult female skeleton displaying features consistent with a cartilaginous dysplasia and Osgood–Schlatter's disease. This burial was excavated in 1940 from a Mississippian platform mound at the DeArmond site (40RE12) in Roane County, Tennessee as part of the Works Progress Administration (WPA) and Tennessee Valley Authority (TVA) archaeological investigations. The right humerus and left femur of this individual display traits consistent with achondroplasia, such as shortened length and normal width. However, the rest of the long bones display typical morphology. The affected humerus and femur are 82 mm and 58 mm shorter than their counterparts, respectively. This makes for obvious asymmetry. A review of the various cartilaginous dysplasias was undertaken to identify those conditions concordant with the differential manifestation of the long bone asymmetry. Morphological and radiographic analyses were used to rule out possible diagnoses. The most likely candidate is enchondromatosis out of the presented conditions, as it most commonly affects the long bones, does not affect every bone in the skeleton, and is asymmetrical in its manifestation. In addition to the cartilaginous dysplasia, both anterior proximal tibial metaphyses of this individual display defects that are roughly triangular with pitted, irregular floors. Osgood–Schlatter's disease is caused by repeated trauma to the tibial tuberosity during childhood. This individual would have walked with an obvious limp, and perhaps the added biomechanical stress on both quadriceps muscles as a result caused the injuries and resultant defects to its attachment points. Evidence of these conditions in an adult indicates that the Mississippian people in this community offered some sort of social support to differently‐abled individuals. Copyright © 2009 John Wiley & Sons, Ltd.     

Evidence of Stress Fracture in a Homo antecessor Metatarsal from Gran Dolina Site (Atapuerca,Spain)

We present the palaeopathological analysis of a right fourth metatarsal (ATD6‐124) recovered from the Atapuerca–Gran Dolina site (Spain). This fossil, ca. 1 Ma, belongs to Homo antecessor, the earliest known European hominin species. The metatarsal exhibits a proliferative lesion on its medial periosteal surface. Periosteal reaction can be the bone response to a wide number of injurious processes. We describe a lesion on the basis of macroscopic and microscopic analyses, including microtomography and scanning electron microscopy. Externally, the osteoblastic lesion presents a highly porotic and disorganised morphology. Internally, we observe a series of micro‐fractures on the compact bone that do not affect the medullary canal. We provide a differential diagnosis and suggest that the ATD6‐124 lesion could correspond to a pedal stress fracture, also known as fatigue or march fracture. Stress fractures have been related to a load increase and muscular fatigue. This type of fracture has been widely reported in the foot of soldiers and athletes, which are usually engaged in strenuous, excessive or prolonged locomotive activities. Despite its high frequency in these groups, stress fractures have not been reported as such in fossil collections, with the exception of a metatarsal belonging to the Sima de los Huesos site (Atapuerca). Copyright © 2013 John Wiley & Sons, Ltd.     

A Mediaeval Case of Lepromatous Leprosy from 13–14th Century Orkney, Scotland

Erosion in the 1960s resulted in exposure of human skeletal remains from a Norse Christian cemetery at Newark Bay, Orkney, Scotland. One set of remains showed osteological evidence of advanced lepromatous leprosy, but the absence of bones from the lower limbs precluded definitive diagnosis. The aim of the present study was to determine whether Mycobacterium leprae could be detected in bone extracts, as a means of confirming the diagnosis of leprosy. Bone samples were examined from the suspected leprosy case and from a second contemporary burial thought to be free of disease. DNA was amplified by polymerase chain reaction (PCR) using primers specific for a repetitive element (RLEP) characteristic of M. leprae. Additional PCR tests specific for Mycobacterium tuberculosis and for amelogenin (a human gene suitable for sex determination) were also applied to the samples. M. leprae DNA was detected only in the skull sample from the suspected leprosy case. The DNA sequence was identical to that found in present day isolates of M. leprae. Positive results were obtained only using a PCR reaction designed to amplify relatively short stretches of DNA (<175 bp), suggesting the microbial DNA had undergone extensive fragmentation. There was no evidence of M. tuberculosis DNA in bones from the leprosy suspect or control individual. The ability to recover ancient samples of DNA provides an opportunity to study long-term evolutionary changes that may affect the epidemiology of microbial pathogens.     

Several Infra‐cranial Non‐metric Variations in a Single Neolithic individual: A Common Genetic Underlying Predisposition?

Non‐metric variations have been the subject of anatomical and anthropological studies for more than a century. In this study, we present an individual from Sion (Canton of Valais, Southern Switzerland) dated from the Middle Neolithic who shows evidence for four non‐metric variations. This young adult male presents an os acromiale, spondylolysis, a bipartite patella, and bilateral calcaneus secundarius. These non‐metric variations have a low frequency in most populations (less than 10%), and for each of them the origin is usually considered to be genetic, environmental, or a combination of both. This case is of interest for understanding the potential genetic origin of these non‐metric variations as well as for demonstrating their usefulness in bioarcheological analysis. Copyright © 2016 John Wiley & Sons, Ltd.     

The Diagnosis and Context of a Facial Deformity from an Anglo‐Saxon Cemetery at Spofforth,North Yorkshire

An individual aged between 6 and 7 years at death from a 7th to 9th century cemetery at Village Farm, Spofforth, North Yorkshire, presented significant pathological swelling to the left facial bones. The ectocranial surface was bulbous and uneven, and the expanded diploë was densely packed with a mass of thick trabeculae. Radiographic and histological analysis, in combination with the macroscopically observed pathological changes, supported the differential diagnosis of fibrous dysplasia. The skeletal changes to the left face and jaw would have resulted in a significant facial deformity. Examples of individuals with physical impairments or disfigurements from Anglo‐Saxon cemeteries are rare. Nevertheless, it seems that a significant proportion are afforded unusual burial practices more often associated with deviancy, for example, at the edge of cemeteries or on a reversed orientation, seemingly indicating that their diminished physical capabilities or altered physical appearance had a detrimental effect on their social status. The child from Spofforth was, however, buried in a normative manner, extended, supine and in a plain earth‐cut grave, with no indication that their facial deformity had prompted unusual funerary provision. This example of facial disfigurement contributes to a growing corpus of potentially disabled individuals from early medieval England. Copyright © 2011 John Wiley & Sons, Ltd.     

Nation‐building policies in the Balkans: an Ottoman or a manufactured legacy?

Are post‐Ottoman nation‐building policies in the Balkans a legacy of the millet system? Some contend that the discriminatory nation‐building policies along religious lines employed by Balkan nations ruling elites are a legacy of the Ottoman era millet system (administration by religious affiliation); others argue that the Ottoman legacy is palpable in the millet‐like features preserved in the minority rights protection system resulting from World War I, and yet other scholars see the millet system as a critical antecedent. Studying closely the policies towards non‐core groups in the post‐Ottoman Balkans, one finds that the ‘Ottoman legacy’ is much more differentiated than is commonly assumed and that effects vary widely from place to place. Moreover, I argue that the persistence of certain features from one period to another may be an actual legacy in some cases, but there is also a possibility that we are dealing with a manufactured legacy, where elites choose to intervene and perpetuate an institution or a particular feature of it. I empirically demonstrate this distinction in a crucial case using archival sources.     

THE DISCOVERY OF ANOMALOUSLY HIGH SILVER ABUNDANCES IN POTTERY FROM EARLY ROMAN EXCAVATION CONTEXTS IN JERUSALEM*

This is the first study on the differential distribution and concentrations of silver in ceramics recovered from archaeological excavations. The chemical compositions of 1174 pottery vessels from 38 Roman‐period sites in Israel have been determined. Unusually high and variable abundances of silver were discovered in pottery samples of all vessel types and chemical compositions from four distinct archaeological contexts dating to late first century bce to 70 ce Jerusalem. The large majority of the Jerusalem vessels could be distinguished by their silver abundances from all analysed pottery pieces recovered at rural sites outside Jerusalem, even when the pottery types and chemical compositions, except for silver, of pottery found within and outside Jerusalem were indistinguishable. The evidence is suggestive of a human origin for the high and variable silver abundances, and dispersion of the silver by aqueous transport. The differential silver concentrations found in excavated pottery from Jerusalem and other urban and rural sites suggest that attention to the distribution of silver in pottery from excavated contexts may be helpful for evaluating the nature and function of archaeological remains and patterns of urban contamination.     

The upper mills quarter of Bamberg: Innovative,adaptive reuse

The Bavarian town of Bamberg had a complex of old mills which had become an eyesore to its citizens. In the late 1970s, work was undertaken to rehabilitate the structures. The end result has been a successful case of adaptive reuse. This is not just another case of adaptive reuse to the extent that it has been innovative. This case is examined in the context of a theory of urban renewal which had been popular and prevalent during the period when Bamberg's most distinctive and distinguished section, Die Altstadt (Oldtown), had to face change.     

Neurology and Literature, 1860–1920 by Anne Stiles (ed.)

Abstract

Research from many perspectives has been made on the work of the French neurologist, J.‐M. Charcot (1825–1893) with particular reference to his fame for his studies and “construction”; of hysteria. What has not been demonstrated so far is the extent to which Charcot's construction can be explained by the perceived relationship between hysteria and epilepsy and Charcot's access to epileptic patients at La Salpêtrière. From the confusion that reigned concerning hysteria and epilepsy, both separately and in relation to each other, Charcot claimed to have isolated hysteria as a distinctive and universal pathology. This claim was partly based on the “grande attaque”;, representing the most intense degree of hysteria. A comparison with Gowers, the contemporary English neurologist suggests that diagnosis was the function of the practitioners’ preferences; and a linguistic analysis pinpoints Charcot's problems in describing an isolated pathology in terms of its relation to its neighbour, epilepsy.     

Reframing Bi‐nationalism in Palestine‐Israel as a Process of Settler Decolonisation

This paper examines some of the emerging critical civil society debates in relation to the one‐state solution being the most appropriate geo‐political arrangement for the articulation of freedom, justice and equality in Palestine‐Israel. This is done with reference to the Israeli Committee Against House Demolitions’ 2012 statement in support of a bi‐national state and the ensuing critiques it attracted from Palestinian supporters of the one‐state position. Drawing on these debates which have largely revolved around Jewish Israeli rights to political self‐determination in Palestine‐Israel, this paper proposes that alternative versions of self‐determination as cultural rights for the established Hebrew‐speaking national community represent a more inclusive form of self‐determination in the eventuality of decolonisation.     

Engaging geographies of public art: indwellers,the ‘Butt Plug Gnome’ and their locale

This paper focuses on particularities of indwellers' perceptions of public art and its locale by drawing on the epistemology of ‘situated knowledges’ (Haraway 1991, Simians, Cyborgs, and Women: The Reinvention of Women. New York: Routledge) and the notion of ‘geographies of engagement’ (Zebracki, Van Der Vaart and Van Aalst 2010, Geoforum 41(5): 786–795). We employ the case of Paul McCarthy's internationally acclaimed public artwork Santa Claus in Rotterdam to illustrate the sundry outlooks on its spatialities, aesthetics and moralities, and its functionalities in relation to place. Santa Claus's alleged sexual nature is highly disputed among local politicians and the local population. This dispute is narratively covered by media sources and inscribed by its popular renaming as the ‘Butt Plug Gnome’. We empirically situate documented media views within the way indwellers perceive Santa Claus and its experienced locale in interrelation with themselves. We try to open up differential vistas on public-art narration in relation to people, time and space, whereby we elaborate on the reflexive idea of ‘social relationality’ (Massey and Rose 2003, Personal Views: Public Art Research Project. Milton Keynes: The Open University) by revealing how socio-spatial differences in public-art narration are negotiated. As such, we examine how public art is geographically reconstituted through the publics, namely those for whom public art is essentially intended yet who have been neglected actors of analysis in public-art research.     

John Marshall,McCulloch v. Maryland,and the Concept of Constitutional Sovereignty

Scholars have long debated John Marshall's intent in his famous opinion in the case of McCulloch v. Maryland (1819). Despite long-standing disagreement concerning the character of Marshall's nationalism and federalism, interpretations of the opinion typically rely on an incomplete picture of the case. This analysis revisits McCulloch to illustrate his support for national and state sovereignty as defined in the Constitution. It then moves beyond the opinion itself to examine Marshall's defense of McCulloch in a series of newspaper essays he authored in the aftermath of the case. Situated alongside the McCulloch opinion, these essays show that Marshall was as much concerned with defending the sovereignty of the Constitution as he was with adjudicating political authority between national and state governments.