Spatial variation in cervical cancer screening participation and outcomes among Indigenous and non‐Indigenous Australians in Queensland

Indigenous women continue to experience a disproportionately higher burden of cervical cancer than non‐Indigenous women in Australia. The National Indigenous Cervical Screening Project used probabilistic record linkage to combine population‐based administrative databases and identify Indigenous women on Pap Smear Registers. This study aimed to quantify the spatial variation by local government areas (LGAs) for Indigenous and non‐Indigenous women in Queensland in cervical screening participation rates and related outcomes. Empirical Bayes local geostatistical smoothing was performed to reduce the likelihood of spurious variation between small areas. The cohort included 1,091,260 women (2 per cent Indigenous) aged 20 to 69 with 2,393,708 Pap smears between 2006 and 2011. Indigenous women had smoothed LGA‐specific 5‐year participation rates (interquartile range (IQR) 38.9–53.3 per 100 eligible women) consistently lower than non‐Indigenous women (IQR 80.7–85.3). The non‐overlapping confidence intervals of these rates suggest that the Indigenous differential was significant. Compared with Indigenous women, non‐Indigenous women had consistently lower and more stable prevalence rates of histologically confirmed high grade abnormalities (IQR 8.0–10.1 versus 15.0–21.3 per 1,000 screened women). Although the LGA‐specific rates also suggest that a higher proportion of non‐Indigenous women were followed‐up within two months of an abnormal screening result, the wide confidence intervals for these estimates limit our ability to draw definitive conclusions about spatial patterns for this outcome. These findings highlight the importance of continued monitoring and ongoing efforts to identify drivers of these patterns and develop effective strategies to improve participation and potentially reduce the cervical cancer burden among Indigenous women.     

Metrical discrimination between mandibular first and second molars in domestic cattle

The difficulty of distinguishing between loose first and second mandibular molars of domestic cattle (BOS taurus) from archaeological sites is well known. This paper proposes cervical length as a discriminatory measurement. The possibility that cervical measurements of first and second mandibular molars may be sexually dimorphic is also explored.     

A Correction and Comment on ‘Sacrifice of the Social Outcasts’

C. L. Kieffer incorrectly identified a fused pair of cervical vertebrae in an article published online in May of 2015. This is a correction of the misidentification and a comment on the implications for the author's larger point that the individuals involved may have been physically handicapped and therefore selected by the ancient Maya as victims of human sacrifice. Copyright © 2015 John Wiley & Sons, Ltd.     

Perspectives on the Rise and Fall of Swedish Cardiac Epidemics

Morbidity and mortality in cardiovascular diseases (CVD) can be described as an ongoing epidemic, although a very protracted one, lasting more than 100 years. Cardiovascular diseasesstill top mortality rates in the world today, accounting for about 30% of all deaths around the globe. But it is in the industrialized world that CVD dominate, although differences are great among various regions. Myocardial infarctions are significantly more common in Sweden than in southern Europe, but less common than in Eastern Europe. The overall question concerns the consequences for health in areas on the road to a post-industrial society. Over the years a clearer link has become visible between lifestyle and health. In Sweden, infectious diseases diminished as result of rising living standards. At the same time cardiovascular diseases were beginning their upward phase, reaching a peak in the 1960s. Deaths due to CVD bring to light significant discrepancies related to socio-economic and cultural factors. A comparison of the Swedish twin cities Linköping and Norrköping show considerable differences in death rates in favour of Linköping, amounting to about 30% fewer in the 1920s with a tendency toward rising differences thereafter. A preliminary investigation of diagnoses has shown that links commonly made between health and socio-economic patterns need revision. The differences in cardiovascular morbidity show another pattern than was expected. It is obvious that the neighbourhood environments themselves have significance, and that the inequalities need additional research based on complementary explanatory models.     

The Ontogenetic Development of the Cervical Rib

This paper describes a case of cervical rib that was observed in a skeleton from the St Bride's documented skeletal collection. The ontogenetic development of this phenomenon is discussed with reference to potential clinical symptoms including cyanosis, paraesthesia, muscular atrophy and even digital gangrene. © 1997 by John Wiley & Sons, Ltd.     

Vincenc Alexandr Bohdálek (1801–1883): Czech anatomist and neuroscientist of the nineteenth century

Vincenc Alexandr Bohdálek (Vincenz Alexander Bochdalek) was a well-known anatomist and pathologist in the nineteenth century. Today, however, his name is all but forgotten. Bohdálek described a number of anatomical structures; some of them became eponyms. Unfortunately, his findings concerning the innervation of the eye, upper jaw, hard palate, auditory system, and meninges are little known today. This current overview is based on available archival sources and provides an insight into his results in the field of nervous system research, which account for almost half his work. Bohdálek can clearly be considered a pioneer in the field we now call functional anatomy, as he tried to find a physiological explanation for the anatomical and pathological findings he observed. The work and results of this truly outstanding neuroscientist of his time are thus again available to current and future generations of neuroscientists and neuroanatomists.     

The Many Sexes of Risk: Gender,Disease, and Identity in the Asia-Pacific Region and Elsewhere

That potential pathogens transit to and through body parts and fluids of densely connected individuals belonging to highly mobile ethnic groups shows how relevant to health is the study of sexual networking. Five recent books show sexual networking has quickened owing to labor migration, poverty, religious double standards, militarism, tourism, and nation building. Gender conventions and sexual practice in Brazil, Thailand, Indonesia, and Papua New Guinea have hardened in some contexts and destabilized in others. HIV, HPV, AIDS, and cervical cancer are expressed in gendered and sexed bodies, behaviors, technologies, and ideas that are often situated in violent interpersonal and structural contexts.