The study describes the pathological findings recorded on the human remains of a 3 to 4-year-old child found in the burial site of Trutmanice (Czech Republic), dated to the 13th-15th century. The human remains were examined using standard macroscopic osteological and paleopathological methods, supplemented by radiographic examination. Although the preservation of the bones limited the analysis, multiple pathological changes were observed mainly on the skull: cribra orbitalia, small pores and fine deposits of newly formed bone tissue, hypertrophic diploë, grooves indicating rich branching of meningeal arteries on the intracranial surface of the cranial vault. A very fine periostotic deposition of newly formed bone tissue was also observed at the distal end of the diaphysis of the right tibia and both distal ends of the femora. The radiographs of the femora showed white lines of Frankel, scurvy lines, and Wimberger's rings. The observed pathological changes were possibly consistent with scurvy based on differential diagnosis. Reports about cases of juvenile scurvy from rural areas within the context of landlocked countries of Central Europe are rare. While scurvy is now more frequently reported in the paleopathological literature, evidence for scurvy within one of the most natural agricultural areas in the Czech lands remains rare. We recommend using radiographic examination to complement the diagnosis of scurvy in future paleopathological and epidemiological studies of past populations.
- MeSH
- kurděje * patologie MeSH
- lebka patologie MeSH
- lidé MeSH
- pohřeb MeSH
- předškolní dítě MeSH
- tělesné pozůstatky patologie MeSH
- Check Tag
- lidé MeSH
- předškolní dítě MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
With the onset of the COVID-19 pandemic, a problem arose with classic body donation programmes for obtaining cadavers for anatomical dissections, science and research. The question has emerged whether bodies of individuals who died of COVID-19 or were infected by SARS-CoV-2 could be admitted to Departments of Anatomy. To determine the risk of SARS-CoV-2 transmission to employees or students, the presence and stability of SARS-CoV-2 RNA in cadavers after fixation agents' application and subsequent post-fixation baths over time were examined. The presence of viral RNA in swabs from selected tissues was assessed by the standardized routine RNA isolation protocol and subsequent real-time PCR analysis. To support the results obtained from the tissue swabs, samples of RNA were exposed in vitro to short and long-term exposure to the components of the injection and fixation solutions used for the bodies' conservation. Substantial removal of SARS-CoV-2 RNA was observed in post-mortem tissue following perfusion with 3.5% phenol, 2.2% formaldehyde, 11.8% glycerol and 55% ethanol, and subsequent post-fixation in an ethanol bath. In vitro experiments showed significant effects of formaldehyde on SARS-CoV-2 RNA, while phenol and ethanol showed only negligible effects. We conclude that cadavers subjected to fixation protocols as described here should not pose a considerable risk of SARS-CoV-2 infection while being handled by students and staff and are, therefore, suitable for routine anatomical dissections and teaching.
- MeSH
- COVID-19 * MeSH
- ethanol MeSH
- fenoly MeSH
- formaldehyd MeSH
- lidé MeSH
- mrtvola MeSH
- pandemie MeSH
- RNA virová MeSH
- SARS-CoV-2 * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- MeSH
- lidé MeSH
- nemoci slinivky břišní MeSH
- pankreas * anatomie a histologie fyziologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
OBJECTIVE: Documented cases of actinomycosis in archaeological skeletons are very rare, especially from Central Europe. Our contribution will help facilitate the differential diagnosis of this disease for other paleopathologists. MATERIAL: This paper describes a pathological finding of the skeleton of a 40-year-old male from a burial ground in Sady-Špitálky (Czech Republic) dated to the 10th-12th century. METHODS: The affected skeleton was evaluated as a probable case of actinomycosis on the basis of a detailed macroscopic, X-ray and histological examination. The osteolytic foci examined were compared with similar changes caused by tuberculosis, syphilis and mycoses. RESULTS: The character and location of the defect on the mandible is indicative of organ actinomycosis and is also reflected by the lytic lesion observed on a lumbar vertebra. CONCLUSIONS: The described case can be considered one of the very rare paleopathological findings of possible actinomycosis in humans in Central Europe. SIGNIFICANCE: Good evidence of bone actinomycosis findings may be beneficial for further paleopathological and epidemiological studies, especially for research focused on the diachronic development of actinomycosis in Europe. In doing so, all available factors, such as hygiene habits, nutrition, social structure and overall health of the population that could be causally related to its origin, course and treatment, can be taken into account. LIMITATIONS: The mandible of the studied individual was damaged, especially in the area affected by the lesion, so the paleopathological analysis was difficult to perform. SUGGESTION FOR THE FUTURE RESEARCH: In future, actinomycosis in this skeleton may be confirmed by bio-molecular analysis.
- MeSH
- aktinomykóza * diagnóza dějiny patologie MeSH
- dějiny středověku MeSH
- dospělí MeSH
- lidé MeSH
- mandibula patologie MeSH
- paleopatologie MeSH
- Check Tag
- dějiny středověku MeSH
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- historické články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
Prezentovaná práce je součástí komplexní studie zaměřené na sledování původu a vývoje pediatrické péče na Moravě, jedné ze zemí dřívější Rakouské monarchie. Studie také bere v potaz sociální podmínky jako změny moravského zdravotnictví ve studovaném období v souvislosti s tereziánskými a josefínskými reformami. Novorozenecká úmrtnost byla v té době velmi vysoká, což souviselo i s nedostatkem péče o těhotné ženy. Studie sleduje zdravotní stav a příčiny úmrtí dětí od 13. do 19. století, na základě studia dostupných literárních zdrojů v kontextu paleopatologické analýzy dětských kosterních pozůstatků. Analýza koster dospělých jedinců sledované populace poskytuje dů- kaz vysoké úmrtnosti žen ve věku 20–30 let. Pozornost byla zaměřena na vrozené malformace, metabolická a hematologická onemocnění. Z vrozených malformací potvrdila paleopatologická analýza u dětské populace vývojovou dysplázii kyčelního kloubu a předčasnou obliteraci lebečních švů. Z hematologických a metabolických chorob byla nejčastěji zaznamenány známky anemie ve formě cribra orbitalia a stopy po kurdějích a křivici. Tyto choroby se nejčastěji vyskytovaly u dětí v chudobincích a sirotčincích. Podle literárních zdrojů jejich výskyt vý- znamně vzrůstal v závislosti na válečných událostech provázených hladomorem. Výsledky studie poskytují přímý důkaz výskytu sledovaných dětských nemocí na Moravě v období novověku
The presented study is a part of a complex study focused on monitoring the origin and development of paediatric care in Moravia, one of the countries of the former Austrian monarchy. The work also takes into account the social conditions, as changes in the Moravian healthcare sector occurred in the period under review in connection with the Theresian and Josephine reforms. Neonatal mortality was very high at the time, including, among other things, the lack of care for mothers-to-be. The study observes the state of health and the causes of paediatric mortality from the 13th to the 19th centuries, on the basis of the study of available literary sources within the context of palaeopathological analyses of children‘s skeletal remains. The analysis of adult skeletons of the study population provides evidence of high female mortality between 20-30 years of age. The attention was focused on congenital malformations, metabolic and hematogenic diseases. From congenital malformations, palaeopathological analysis confirmed the developmental dysplasia of the hip and the premature obliteration of cranial sutures in the examined child population. From the haematologic and metabolic diseases, the manifestations of anemia in the form of cribra orbitalia, signs of scurvy and rickets were most frequently reported. These diseases were reported mainly in children in foundling homes and orphanages. According to literary sources, their numbers grew significantly in connection with famine-related war incidents. Therefore, the results of the study provide direct evidence of the occurrence of observed childhood illnesses in Moravia during the period of modern times.
- Klíčová slova
- Morava,
- MeSH
- antropologie MeSH
- dítě MeSH
- krevní nemoci dějiny diagnóza MeSH
- lidé MeSH
- metabolické nemoci dějiny diagnóza MeSH
- paleopatologie MeSH
- pediatrie * dějiny MeSH
- příčina smrti MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- MeSH
- ankylóza etiologie patologie MeSH
- asymetrie obličeje * etiologie patologie MeSH
- dospělí MeSH
- fraktury lebky etiologie komplikace patologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- obličejové kosti * patologie zranění MeSH
- paleopatologie MeSH
- rány a poranění komplikace patologie MeSH
- tělesné pozůstatky patologie zranění MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
The purpose of the study was to discover a way to study the internal structure and evolution of human embryos noninvasively. The human embryo was stained with phosphotungstic acid solution (PTA) in ethanol (EPTA) and scanned using a micro computed tomography (micro-CT) scanner. Using appropriate software, a three-dimensional image of the embryo was created, which could be further exploited. The methodology described could be used for the non-destructive examination of the internal structure of the human embryo, and the resulting data can be used as a resource for medical students, gynaecologists, and paediatricians.
- MeSH
- lidé MeSH
- plod diagnostické zobrazování MeSH
- rentgenová mikrotomografie metody MeSH
- zobrazování trojrozměrné * metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Tuberculosis currently remains a serious medical problem, therefore increased attention is being paid to this disease. Paleopathological studies focused on the monitoring of morbid changes in skeletal remains of historical populations facilitate a detailed study of the development of this disease. They provide direct evidence of the existence of tuberculosis and its past forms. In addition to literary and iconographic sources, the present study is focused on recording the findings of bone tuberculosis in historical osteological sets from the Czech Lands and is the starting point for their detailed review. Approximately 76 cases of bone tuberculosis from the Czech Lands have been published and more or less reliably documented from 20 archeological sites dated back from the Eneolithic to the modern period.
- MeSH
- bakteriologické techniky MeSH
- dějiny 15. století MeSH
- dějiny 16. století MeSH
- dějiny 17. století MeSH
- dějiny 18. století MeSH
- dějiny 19. století MeSH
- dějiny 20. století MeSH
- dějiny 21. století MeSH
- dějiny starověku MeSH
- dějiny středověku MeSH
- lidé MeSH
- Mycobacterium tuberculosis izolace a purifikace patogenita MeSH
- paleopatologie MeSH
- prevalence MeSH
- tuberkulóza osteoartikulární epidemiologie dějiny mikrobiologie prevence a kontrola MeSH
- vakcíny proti tuberkulóze dějiny MeSH
- Check Tag
- dějiny 15. století MeSH
- dějiny 16. století MeSH
- dějiny 17. století MeSH
- dějiny 18. století MeSH
- dějiny 19. století MeSH
- dějiny 20. století MeSH
- dějiny 21. století MeSH
- dějiny starověku MeSH
- dějiny středověku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- historické články MeSH
- přehledy MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
- Československo epidemiologie MeSH
While investigating the cause of entrapment syndrome of the peripheral nerves in the elbow region, we observed variability of the pronator teres muscle and the relationship of this muscle to the median nerve and the surrounding vessels. Attention was also paid to the occurrence of the supracondylar process of the humerus and Struthers' ligament with regard to their ontogenetic and phylogenetic development. For this purpose, a classical anatomical dissection of the upper limbs of 68 adults, three fetuses and a phylogenetic assessment of five mammalian species was performed. In terms of variability in the anatomical structures of the elbow region, we found the most serious clinical condition to be where the median nerve ran through the pronator canal together with the ulnar vessels (1.5%), or when it passed through the ulnar head of the pronator teres (5.9%). The pronator teres examined by us in fetuses showed the same arrangement as in adult individuals, including the created ulnar head. The occurrence of a supracondylar process and Struthers' ligament was not observed in our collection. The presence of these structures was not confirmed during the fetal period, either. The phylogenetic part of the study re-opened the question of the meaning and function of the entepicondylar foramen, because we noted differences in the occurrence of this structure in two related genera with a very similar way of life (Djungarian hamster and golden hamster).
- MeSH
- arteria ulnaris anatomie a histologie MeSH
- dospělí MeSH
- humerus anatomie a histologie MeSH
- kosterní svaly anatomie a histologie inervace MeSH
- lidé středního věku MeSH
- lidé MeSH
- nervus medianus anatomie a histologie MeSH
- plod anatomie a histologie MeSH
- zvířata MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH