Endocranial lesions in non‐adult skeletons: understanding their aetiology

Reactive new bone on the endocranial surface of the skull in non‐adults has recently received a lot of attention in the palaeopathological literature. These features appear as layers of new bone on the original cortical surface, expanding around meningeal vessels, as isolated plaques, ‘hair‐on‐end’ extensions of the diploë or, as ‘capillary’ impressions extending into the inner lamina of the cranium. These lesions are commonly found on the occipital bone, outlining the cruciate eminence, but have also been recorded on the parietal and frontal bones, and appear to follow the areas of venous drainage. Although recognized as resulting from haemorrhage or inflammation, their precise aetiology is still a matter of controversy. This paper outlines their possible causes and examines their nature and distribution in a group of non‐adults from four archaeological sites in England. It is recommended that, when recording these lesions in the future, additional skeletal pathologies, the age of the child, and nature and distribution of the lesions also be taken into account. Copyright © 2004 John Wiley & Sons, Ltd.     

The Australian mining tax and the political power of business

This article provides a detailed analysis of the Australian Labor government's mining tax, building on recent debates that critique Lindblom's Politics and markets. We argued that the case illustrates the power of big business, in particular the importance of the relative flexibility of large companies, especially in the form of ‘investment strikes’, although such a strategy is more constrained in the resource sector. We also explore two other key factors. First, we analyse Lindblom's argument that government has resources which big business needs, and suggest that this argument depends on governments being competent in negotiations with large companies. We find that the claim did not apply to the case of the mining tax. Second, we analyse his view that business power owes a great deal to the manipulation of citizens' ‘volitions’. We find some evidence to support this claim, but again suggest that the failure of the government to effectively make the case for a mining tax helped business.

本文就最近有关林德·布罗姆《政治与市场》一书的辩论,对澳大利亚工党政府的矿业税做了详尽的分析。笔者指出,矿业税说明了大企业的力量,尤其是大公司的相对灵活性,特别是他们的“投资罢工”,尽管在资源部门这种策略受到了扼制。笔者还探讨了另外两个关键因素。第一个是林德·布罗姆观点,即政府有大企业所需的资源。此论的根据是政府有能力与大公司讨价还价。笔者认为,这种说法并不适用于矿业税。第二个是,林德·布罗姆认为企业力量很大程度要受公民“意志”的左右。此说有一定根据,但政府未能搞定矿业税则帮了企业。     

Did J. Marion Sims deliberately addict his first fistula patients to opium?

American surgeon J. Marion Sims (1813-83) is regarded by many modern authors as a controversial figure because he carried out a series of experimental surgeries on enslaved African American women between 1846 and 1849 in an attempt to cure them of vesicovaginal fistulas, which they had all developed as a result of prolonged obstructed labor. He operated on one woman, Anarcha Westcott, thirty times before he successfully closed her fistula. Sims performed these fistula repair operations without benefit of anesthesia but gave these women substantial doses of opium afterwards. Several modern writers have alleged that Sims did this in order to addict them to the drug and thereby to enhance his control over them. This article examines the controversy surrounding Sims' use of postoperative opium in these enslaved surgical patients. The evidence suggests that although these women were probably tolerant to the doses of opium that he used, there is no evidence that he deliberately tried to addict them to this drug. Sims' use of postoperative opium appears to have been well supported by the therapeutic practices of his day, and the regimen that he used was enthusiastically supported by many contemporary surgeons.