Early fetal maturity assessed from patterns of ossification in the hand and foot

The assessment of fetal age at death is fraught with many complications and often the determination of the maturity of the fetus is a more realistic solution to the question of fetal viability. This study examines the pattern of appearance of primary centres of ossification in the fetal hand and foot, in an attempt to construct a maturity continuum. The results show that completion of ossification in the hand precedes that in the foot and generally occurs in a more regular pattern. The method proves useful at assessing fetal maturity between the third and tenth months of intra-uterine life. In addition, the relationship to other major centres of ossification is considered.     

Phantom Penis: Historical Dimensions

Interest in sensations from removed body parts other than limbs has increased with modern surgical techniques. This applies particularly to operations (e.g., gender-changing surgeries) that have resulted in phantom genitalia. The impression given in modern accounts, especially those dealing with phantoms associated with penis amputation, is that this is a recently discovered phenomenon. Yet the historical record reveals several cases of phantom penises dating from the late-eighteenth century and the early-nineteenth century. These cases, recorded by some of the leading medical and surgical figures of the era, are of considerable historical and theoretical significance. This is partly because these phantoms were associated with pleasurable sensations, in contrast to the loss of a limb, which for centuries had been associated with painful phantoms. We here present several early reports on phantom penile sensations, with the intent of showing what had been described and why more than 200 years ago.     

A Grand-Guignol legacy: Martin McDonagh's A Behanding in Spokane

This article examines Martin McDonagh's most recent play, A Behanding in Spokane (2010), through the lens of Théâtre du Grand-Guignol, deploying the scholarship of Richard J. Hand and Michael Wilson on this specific theatrical style. The article links discussions of Grand-Guignol with the amputation suffered by the drama's main character, Carmichael, played by Christopher Walken in the play's first production, and with the case of hands he brings with him on his journey around America. I draw on V.S. Ramachandran's work on consciousness, phantom limbs, and apotemnophilia in order to consider Carmichael's amputation in relation to self-defining narratives, loss, lack, excess and difference, with particular emphasis given to issues of race.