Characterization of Foot-and-Mouth Disease Viruses Collected in Nigeria Between 2007 and 2014: Evidence for Epidemiological Links Between West and East Africa

This study describes the molecular characterization of 47 foot-and-mouth disease (FMD) viruses recovered from field outbreaks in Nigeria between 2007 and 2014. Antigen ELISA of viral isolates was used to identify FMD virus serotypes O, A and SAT 2. Phylogenetic analyses of VP1 nucleotide sequences provide evidence for the presence of multiple sublineages of serotype SAT 2, and O/EAST AFRICA 3 (EA-3) and O/WEST AFRICA topotypes in the country. In contrast, for serotype A, a single monophyletic cluster of viruses has persisted within Nigeria (2009-2013). These results demonstrate the close genetic relatedness of viruses in Nigeria to those from other African countries, including the first formal characterization of serotype O/EA-3 viruses in Nigeria. The introductions and persistence of certain viral lineages in Nigeria may reflect transmission patterns via nomadic pastoralism and animal trade. Continuous monitoring of field outbreaks is necessary to dissect the complexity of FMD epidemiology in sub-Saharan Africa.

Motivational Interviewing Improves Medication Adherence: a Systematic Review and Meta-analysis

BACKGROUND

Randomized clinical trials (RCTs), mostly conducted among minority populations, have reported that motivational interviewing (MI) can improve medication adherence.

OBJECTIVES

To evaluate the impact of MI and of the MI delivery format, fidelity assessment, fidelity-based feedback, counselors' background and MI exposure time on adherence.

DATA SOURCES

We searched the MEDLINE database for studies published from 1966 until February 2015.

STUDY ELIGIBILITY CRITERIA

We included RCTs that compared MI to a control group and reported a numerical measure of medication adherence.

DATA SYNTHESIS

The main outcome was medication adherence defined as any subjective or objective measure reported as the proportion of subjects with adequate adherence or mean adherence and standard deviation. For categorical variables we calculated the relative risk (RR) of medication adherence, and for continuous variables we calculated the standardized mean difference (SMD) between the MI and control groups.

RESULTS

We included 17 RCTs. Ten targeted adherence to HAART. For studies reporting a categorical measure (n = 11), the pooled RR for medication adherence was higher for MI compared with control (1.17; 95 % CI 1.05- 1.31; p < 0.01). For studies reporting a continuous measure (n = 11), the pooled SMD for medication adherence was positive (0.70; 95 % CI 0.15-1.25; p < 0.01) for MI compared with control. The characteristics that were significantly (p < 0.05) associated with medication adherence were telephonic MI and fidelity-based feedback among studies reporting categorical measures, group MI and fidelity assessment among studies reporting continuous measures and delivery by nurses or research assistants. Effect sizes differed in magnitude, creating high heterogeneity.

CONCLUSION

MI improves medication adherence at different exposure times and counselors' educational level. However, the evaluation of MI characteristics associated with success had inconsistent results. Larger studies targeting diverse populations with a variety of chronic conditions are needed to clarify the effect of different MI delivery modes, fidelity assessment and provision of fidelity based-feedback.

Notch-induced transcription factors are predictive of survival and 5-fluorouracil response in colorectal cancer patients

Background:

The purpose of this study was to evaluate the expression of Notch-induced transcription factors (NTFs) HEY1, HES1 and SOX9 in colorectal cancer (CRC) patients to determine their clinicopathologic and prognostic significance.

Methods:

Levels of HEY1, HES1 and SOX9 protein were measured by immunohistochemistry in a nonmalignant and malignant tissue microarray of 441 CRC patients, and the findings correlated with pathologic, molecular and clinical variables.

Results:

The NTFs HEY1, HES1 and SOX9 were overexpressed in tumours relative to colonic mucosa (OR=3.44, P<0.0001; OR=7.40, P<0.0001; OR=4.08 P<0.0001, respectively). HEY1 overexpression was a negative prognostic factor for all CRC patients (HR=1.29, P=0.023) and strongly correlated with perineural and vascular invasion and lymph node (LN) metastasis. In 5-fluorouracil (5-FU)-treated patients, the tumour overexpression of SOX9 correlated with markedly poorer survival (HR=8.72, P=0.034), but had no predictive effect in untreated patients (HR=0.70, P=0.29). When HEY1, HES1 and SOX9 expression were combined to predict survival with chemotherapy, in treated patients there was an additive increase in the risk of death with each NTF overexpressed (HR=2.09, P=0.01), but no prognostic import in the untreated patient group (HR=0.74, P=0.19).

Conclusion:

The present study is the first to discover that HEY1 overexpression correlates with poorer outcome in CRC, and NTF expression is predictive of CRC patient survival with 5-FU chemotherapy. If confirmed in future studies, testing of NTF expression has the potential to enter routine pathological practice for the selection of patients to undergo chemotherapy alone or in combination with Notch inhibitors.

From fish to modern humans--comparative anatomy, homologies and evolution of the pectoral and forelimb musculature

In a recent study Diogo & Abdala [(2007) J Morphol 268, 504-517] reported the results of the first part of a research project on the comparative anatomy, homologies and evolution of the pectoral muscles of osteichthyans (bony fish and tetrapods). That report mainly focused on actinopterygian fish but also compared these fish with certain non-mammalian sarcopterygians. This study, which reports the second part of the research project, focuses mainly on sarcopterygians and particularly on how the pectoral and forelimb muscles have evolved during the transitions from sarcopterygian fish and non-mammalian tetrapods to monotreme and therian mammals and humans. The data obtained by our own dissections of all the pectoral and forelimb muscles of representative members of groups as diverse as sarcopterygian fish, amphibians, reptiles, monotremes and therian mammals such as rodents, tree-shrews, colugos and primates, including humans, are compared with the information available in the literature. Our observations and comparisons clearly stress that, with regard to the number of pectoral and forelimb muscles, the most striking transition within sarcopterygian evolutionary history was that leading to the origin of tetrapods. Whereas extant sarcopterygian fish have an abductor and adductor of the fin and a largely undifferentiated hypaxial and epaxial musculature, extant salamanders such as Ambystoma have more than 40 pectoral and forelimb muscles. There is no clear increase in the number of pectoral and forelimb muscles within the evolutionary transition that led to the origin of mammals and surely not to that leading to the origin of primates and humans.

On the origin, homologies and evolution of primate facial muscles, with a particular focus on hominoids and a suggested unifying nomenclature for the facial muscles of the Mammalia

The mammalian facial muscles are a subgroup of hyoid muscles (i.e. muscles innervated by cranial nerve VII). They are usually attached to freely movable skin and are responsible for facial expressions. In this study we provide an account of the origin, homologies and evolution of the primate facial muscles, based on dissections of various primate and non-primate taxa and a review of the literature. We provide data not previously reported, including photographs showing in detail the facial muscles of primates such as gibbons and orangutans. We show that the facial muscles usually present in strepsirhines are basically the same muscles that are present in non-primate mammals such as tree-shrews. The exceptions are that strepsirhines often have a muscle that is usually not differentiated in tree-shrews, the depressor supercilii, and lack two muscles that are usually differentiated in these mammals, the zygomatico-orbicularis and sphincter colli superficialis. Monkeys such as macaques usually lack two muscles that are often present in strepsirhines, the sphincter colli profundus and mandibulo-auricularis, but have some muscles that are usually absent as distinct structures in non-anthropoid primates, e.g. the levator labii superioris alaeque nasi, levator labii superioris, nasalis, depressor septi nasi, depressor anguli oris and depressor labii inferioris. In turn, macaques typically lack a risorius, auricularis anterior and temporoparietalis, which are found in hominoids such as humans, but have muscles that are usually not differentiated in members of some hominoid taxa, e.g. the platysma cervicale (usually not differentiated in orangutans, panins and humans) and auricularis posterior (usually not differentiated in orangutans). Based on our observations, comparisons and review of the literature, we propose a unifying, coherent nomenclature for the facial muscles of the Mammalia as a whole and provide a list of more than 300 synonyms that have been used in the literature to designate the facial muscles of primates and other mammals. A main advantage of this nomenclature is that it combines, and thus creates a bridge between, those names used by human anatomists and the names often employed in the literature dealing with non-human primates and non-primate mammals.

From fish to modern humans--comparative anatomy, homologies and evolution of the head and neck musculature

In a recent paper Diogo (2008) reported the results of the first part of an investigation of the comparative anatomy, homologies and evolution of the head and neck muscles of osteichthyans (bony fish + tetrapods). That report mainly focused on actinopterygian fish, but also compared these fish with certain non-mammalian sarcopterygians. The present paper focuses mainly on sarcopterygians, and particularly on how the head and neck muscles have evolved during the transitions from sarcopterygian fish and non-mammalian tetrapods to monotreme and therian mammals, including modern humans. The data obtained from our dissections of the head and neck muscles of representative members of sarcopterygian fish, amphibians, reptiles, monotremes and therian mammals, such as rodents, tree-shrews, colugos and primates, including modern humans, are compared with the information available in the literature. Our observations and comparisons indicate that the number of mandibular and true branchial muscles (sensu this work) present in modern humans is smaller than that found in mammals such as tree-shrews, rats and monotremes, as well as in reptiles such as lizards. Regarding the pharyngeal musculature, there is an increase in the number of muscles at the time of the evolutionary transition leading to therian mammals, but there was no significant increase during the transition leading to the emergence of higher primates and modern humans. The number of hypobranchial muscles is relatively constant within the therian mammals we examined, although in this case modern humans have more muscles than other mammals. The number of laryngeal and facial muscles in modern humans is greater than that found in most other therian taxa. Interestingly, modern humans possess peculiar laryngeal and facial muscles that are not present in the majority of the other mammalian taxa; this seems to corroborate the crucial role played by vocal communication and by facial expressions in primate and especially in human evolution. It is hoped that by compiling, in one paper, data about the head and neck muscles of a wide range of sarcopterygians, the present work could be useful to comparative anatomists, evolutionary biologists and functional morphologists and to researchers working in other fields such as developmental biology, genetics and/or evolutionary developmental biology.

Trends in cancer therapy: role of monoclonal antibodies

OBJECTIVES

To discuss the scientific rationale for the use of monoclonal antibodies in cancer treatment and distinguish the unique characteristics of selected monoclonal antibodies.

DATA SOURCES

Published scientific papers, abstracts, review articles, and book chapters.

CONCLUSION

The continued discovery of intrinsic antigens/epitopes specific to malignant cells and the science of immune cell activation demonstrates the durability of monoclonal antibodies as mainstream immunotherapy.

IMPLICATIONS FOR NURSING PRACTICE

With the success of monoclonal antibodies used in clinical practice, oncology nurses need to continue to increase their knowledge and competency. Monoclonal antibodies target tumor-associated antigens in both solid and hematologic tumors. It is imperative that nurses be familiar with specific aspects of each antibody infusion they administer.

Early hominid biogeography

We examined the biogeographic patterns implied by early hominid phylogenies and compared them to the known dispersal patterns of Plio-Pleistocene African mammals. All recent published phylogenies require between four and seven hominid dispersal events between southern Africa, eastern Africa, and the Malawi Rift, a greater number of dispersals than has previously been supposed. Most hominid species dispersed at the same time and in the same direction as other African mammals. However, depending on the ages of critical hominid specimens, many phylogenies identify at least one hominid species that dispersed in the direction opposite that of contemporaneous mammals. This suggests that those hominids may have possessed adaptations that allowed them to depart from continental patterns of mammalian dispersal.

Evolution of the gibbon subgenera inferred from cytochrome b DNA sequence data

DNA sequences for the mitochondrial cytochrome b gene from the four extant gibbon subgenera are described. The data confirm that the gibbon subgenera evolved from a common hylobatid ancestor and suggest that they diverged from each other after the divergence of the extant African great ape species. The cytochrome b gene does not resolve the evolutionary relationships between the gibbon subgenera themselves.

Comparison of medical-grade ultrahigh molecular weight polyethylene microstructure by atomic force microscopy and transmission electron microscopy

Atomic force microscopy is used to image the topography of surfaces of bulk medical-grade ultrahigh molecular weight polyethylene (UHMWPE). Comparison with transmission electron microscopy images demonstrates that the AFM can resolve the plate-like stacks of crystalline lamellae characteristic of UHMWPE without aggressive surface treatment. Surface preparation for the AFM must be carried out by cryomicrotomy at extremely low temperatures to prevent smearing of surface features. Chemically-etched surfaces of UHMWPE require substantially less surface preparation for AFM imaging.

Cranial variables as predictors of hominine body mass

Body mass is a key variable in investigating the evolutionary biology of the hominines (Australopithecus, Paranthropus, and Homo). It is not only closely related to life-history parameters but also provides a necessary baseline for studies of encephalization or megadonty. Body mass estimates are normally based on the postcranial skeleton. However, the majority of hominid fossils are cranio-dental remains that are unassociated with post-cranial material. Only rarely can postcranial material be linked with cranio-dentally defined hominid taxa. This study responds to this problem by evaluating body mass estimates based on 15 cranial variables to determine whether they compare in reliability with estimates determined from postcranial variables. Results establish that some cranial variables, and particularly orbital area, orbital height, and biporionic breadth, are nearly as good mass predictors for hominoids as are some of the best postcranial predictors. For the hominines in particular, orbital height is the cranial variable which produces body mass estimates that are most in line with postcranially generated estimates. Both orbital area and biporionic breadth scale differently in the hominines than they do in the other hominoids. This difference in scaling results in unusually large estimates of body mass based on these variables for the larger-sized hominines, although the three cranial variables produce equivalent predicted masses for the smaller-bodied hominines.

Further analysis of mandibular molar crown and cusp areas in Pliocene and early Pleistocene hominids

Crown and cusp areas of mandibular molars were measured and analyzed on a sample of 249 specimens attributed to Australopithecus afarensis, A. africanus, A. (Paranthropus) robustus, A. (P.) boisei, and early Homo. In addition to intertaxon comparisons, we compared data that had been collected independently by two of the authors using methods that differ slightly in technique of measurement. Interobserver differences were evaluated by the t-test of paired comparisons, method error statistic, percent differences, and principal component analysis. Results suggest that between-technique error of measurement of overall crown area is small. Error estimates for individual cusp area measurements were of larger relative magnitude. However, these were not sufficient to detract from the conclusions derived from comparative analyses. Our results are in general agreement with previous assessments of early hominid dental size. Crown areas of A. africanus, however, exhibit a mosaic pattern, with M1 similar in size to that of A. afarensis and early Homo, and M2 and M3 similar in size to that of A. robustus. Intertaxon comparisons of relative cusp area were undertaken by univariate statistics and principal component analysis. These analyses revealed that while A. (P.) robustus and A. (P.) boisei both possess mandibular molars with cusp proportions significantly different from the 'non-robust' taxa, these differences are substantially greater in A. (P.) boisei.

Character phylogeny of the primate forelimb superficial venous system

The ontogeny and comparative anatomy of the forelimb superficial veins were investigated in humans, non-human primates and other mammals. Adult humans and the orangutan (Pongo) possess two autonomous forelimb veins, one on the lateral (preaxial) margin of the limb, the other on the medial (postaxial) margin. All other adult primates and mammals examined possess a lateral vein alone. In African apes (Pan and Gorilla) and in 24% of human forelimbs the lateral vein is short, being essentially confined to the antebrachial region, whereas in other mammals and in 76% of human limbs the lateral vein runs from the carpus to the clavicular region. In humans the medial vein develops before the lateral vein, whereas in the rabbit and the pig the medial vein is present in early embryos but is subsequently lost. We propose that in humans, and probably also in the orangutan, the possession of a medial vein is a neotenic retention of a primitive tetrapod condition. These animals, which retain their medial vein, are united by losing a late stage in their ontogeny. Other animals subsequently pass through a stage in which the medial vein is lost, but Pongo and Homo retain this vein to adulthood. The loss of an ontogenetic stage can arise independently, and the presence of a medial vein therefore affords only weak evidence for a close phylogenetic relationship between humans and the orangutan. The polymorphic lateral vein of humans may be a character state that is intermediate between the derived (short) lateral vein of the African apes and the primitive long lateral vein of other non-human primates and mammals.

Intraspecific variation and sexual dimorphism in cranial and dental variables among higher primates and their bearing on the hominid fossil record

The extent and nature of dental and cranial sexual dimorphisms in extant hominoids have been investigated using reliably sexed samples of Homo sapiens (n = 75), Pan troglodytes (n = 51), Gorilla gorilla (n = 64) and Pongo pygmaeus (n = 43). Seventy nine measurements (35 dental, 16 mandibular and 28 cranial) formed the basis of the study. The patterns of mean differences and dispersions between the taxa were compared across the anatomical regions and the group structures of the separate sex samples were analysed using multivariate (PCA and CVA) analysis. Within and between group variations were compared across the taxa to investigate whether any variables were consistently effective sex or taxonomic discriminators. The study confirmed that there were differences in degree and pattern of sexual dimorphism between the extant higher primates, but the results did not substantiate the distribution of patterns as suggested by Oxnard et al. (1985); in particular there was no evidence of the dispersion differences noted by those authors. There were sufficient consistencies in the behaviour of variables across the four taxa to suggest that all canine dimensions, postcanine crown buccolingual dimensions and mandibular and cranial breadths are generally good sex discriminators, whereas some incisor dimensions, postcanine crown mesiodistal dimensions and facial heights are more effective at discriminating between the four extant taxa included in this study.

Position and orientation of the foramen magnum in higher primates

The location of the foramen magnum, with respect to the longitudinal axis of the cranium, and its orientation with respect to the Frankfurt Horizontal, have been studied in a total of 328 modern human and Pan crania. The samples were chosen in order to examine the effect of overall size difference on foramen magnum disposition. Foramen position (expressed as three indices) and inclination are relatively invariant among the modern human samples, but the foramen magnum is consistently, and statistically significantly, more anteriorly located in Pan paniscus than in Pan troglodytes. Sexual dimorphism is virtually non-existent. There is an apparent allometric effect on foramen position, but not on inclination, so that larger crania in the modern human and Pan paniscus samples tend to have more posteriorly situated foramina. The disposition of the foramen is unrelated to cranial base angle or facial prognathism, except that in Pan paniscus its relative anterior location is linked with the more flexed cranial base in that species. These results provide a comparative context for the examination of differences in foramen magnum disposition in fossil hominids. Differences in foramen magnum position and orientation between KNM-ER 1813 and A. africanus are most unlikely to be due to within-taxon variability.

The comparative anatomy of the forelimb veins of primates

One hundred and thirteen forelimbs taken from 62 individuals belonging to 17 primate genera were dissected to reveal the entire course of the superficial venous system. The course of the deep venous system was also documented in at least one forelimb of each primate genus, and the number and location of perforating veins was recorded in 18 human and 45 non-human primate limbs. In Pan, Gorilla and in about 25% of human specimens the lateral superficial vein was confined to the forearm, while in all other primates, and in the majority of humans, this vein extended from the carpus to the clavicular region. Only Pongo and humans exhibited a second main superficial vein on the medial side of the forearm. In all primates the deep veins of the forelimb usually accompanied the arteries. Thus variation in the deep venous system reflected the different arterial patterns exhibited by these primates. The number of perforating veins in the forelimb was related to the length of the limb. Primate genera with longer forelimbs had more perforators, though not as many as would be expected if the number of perforators scaled linearly with limb length.

Analysis of the dental morphology of Plio-Pleistocene hominids. V. Maxillary postcanine tooth morphology

A total of 139 maxillary molar crowns and 79 maxillary premolar crowns, from at least 98 individual East and Southern African Plio-Pleistocene hominids, has been subjected to detailed morphometric analysis. All but 16 of the 98 specimens were assigned to taxonomic categories identified as EAFROB, EAFHOM, SAFGRA, SAFROB and EAFHER. The analysis was based on whole crowns and the component cusps. While there was variable overlap between the ranges of measured crown base area of the two Southern African taxa, there was little, or no, overlap between the two major East African taxonomic categories. Crown shape distinguished EAFHOM from the three other australopithecine taxa, especially for P3, P4 and M1. Of the non-metrical traits, the expression of Carabelli's complex and the incidence of a distal cuspule discriminate best between the categories. Analysis of the absolute and relative cusp area data shows that the major taxonomic distinction in relative cusp area is in the premolars, in which it is apparent that EAFROB are distinguished by their larger buccal cusps. The principal conclusions of the assessment of the specimens in the 'unknown' category is that the postcanine dentitions of a skull, KNM-ER 1805, and a cranium, KNM-ER 1813, are closest in size and shape to EAFHOM. There is no dental evidence to suggest that these specimens should be assigned to A. africanus, the formal taxon making up the SAFGRA category.

Cranial morphometry of early hominids: facial region

We report here on early hominid facial diversity, as part of a more extensive morphometric survey of cranial variability in Pliocene and early Pleistocene Hominidae. Univariate and multivariate techniques are used to summarise variation in facial proportions in South and East African hominids, and later Quaternary groups are included as comparators in order to scale the variation displayed. The results indicate that "robust" australopithecines have longer, broader faces than the "gracile" form, but that all australopithecine species show comparable degrees of facial projection. "Robust" crania are characterised by anteriorly situated, deep malar processes that slope forwards and downwards. Smaller hominid specimens, formally or informally assigned to Homo (H. habilis, KNM-ER 1813, etc.), have individual facial dimensions that usually fall within the range of Australopithecus africanus, but which in combination reveal a significantly different morphological pattern; SK 847 shows similarly hominine facial proportions, which differ significantly from those of A. robustus specimens from Swartkrans. KNM-ER 1470 possesses a facial pattern that is basically hominine, but which in some respects mimics that of "robust" australopithecines. Early specimens referred to H. erectus possess facial proportions that contrast markedly with those of other Villafranchian hominids and which suggest differing masticatory forces, possibly reflecting a shift in dietary niche. Overall the results indicate two broad patterns of facial proportions in Hominidae: one is characteristic of Pliocene/basal Pleistocene forms with opposite polarities represented by A. boisei and H. habilis; the other pattern, which typifies hominids from the later Lower Pleistocene onwards, is first found in specimens widely regarded as early representatives of H. erectus, but which differ in which certain respects from the face of later members of that species.

Analysis of the dental morphology of Plio-Pleistocene hominids. IV. Mandibular postcanine root morphology

The subocclusal morphology of 168 permanent mandibular premolars (N = 77) and molars (N = 91) of Plio-Pleistocene hominids has been investigated. The taxonomic allocation of the teeth, which represent at least 46 individuals, was based on nondental evidence. Specimens were allocated to one of two major taxonomic categories, (EAFROB or EAFHOM), East African Homo erectus (EAFHER), or their taxonomic affinity was regarded as 'unknown' (N = 17). Information about the root system was derived from radiography and direct observation. Morphometric data were in the form of nine linear and two angular measurements based on eighteen reference points. Root form was also assessed using a scheme which recognised four classes of root morphology. Data were compared using both univariate and multivariate techniques, including Principal Component and Canonical Variate analysis. Posterior probabilities derived from the latter were used (in a two-taxon design model) to assess the affinities of the 'unknown' specimens. The variation in hominid mandibular premolar root form was interpreted as two morphoclines, based on the presumed primitive condition of the P3 (with mesiobuccal and distal roots, 2R: MB and D) and P4 (with mesial and distal root, 2R: M and D) root systems. One trend apparently leads towards root reduction (i.e. P3 = 1 R; P4 = 1 R), and the other to root elaboration (i.e. P3 and P4 = 2R: M and D). The extreme form of the latter is the 'molarisation' of the premolar roots seen in EAFROB. Despite major differences in root form there was relatively little taxonomic variation in root metrics, except for a more robust distal root system in EAFROB. Molar root form showed little interspecific variation except for M2 in which the roots in EAFROB were larger and more robust, with differences in root height being greater for the distal than for the mesial roots. Root form and metrics enable four of the 'unknown' specimens (KMN-ER 819, 1482, 1483 and 1801) to be tentatively allocated to EAFHOM, and a single specimen, KMN-ER 3731, to EAFROB. Published assessments of the root morphology of the 'robust' australopithecines from Swartkrans suggest that the premolar root form of Australopithecus (Paranthropus) robustus is not obviously intermediate between the presumed ancestral condition, and the 'molarised' mandibular premolar root systems of Australopithecus (Paranthropus) boisei.

Analysis of the dental morphology of Plio-Pleistocene hominids. III. Mandibular premolar crowns

Accurate measurements were made of the overall size of both the crown and its components of 91 mandibular premolar teeth of early hominids. The shape of the crown outline and the fissure pattern, and the expression of four morphological traits, were also recorded. Non-dental criteria were used to allocate the specimens into four major taxonomic categories (EAFROB, EAFHOM, SAFROB and SAFGRA), approximating to the hypodigms of, respectively, A. boisei, H. habilis and Homo sp., A. robustus and A. africanus. Those specimens that could not be so allocated were regarded as 'unknown'. Intertaxonomic overall size differences were established for both the P3 and P4, with the latter showing little overlap in crown size between the three taxonomic categories usually associated with East African sites (i.e. EAFROB, EAFHOM and SAFGRA). Crown shape is a better discriminator between taxonomic groups for P3 than for P4, with the P3s of EAFHOM showing less buccolingual expansion than the other taxonomic categories. Cusp number, the location of the lingual cusp and the expression of the median longitudinal fissure, show systematic variation between the main taxonomic categories, with the 'robust' taxa being distinguished by additional distal cusps, and a more deeply incised median longitudinal fissure, and EAFHOM being peculiar in having a distally situated lingual cusp. Marginal grooves show more overlap in their incidence and expression between taxonomic categories. Both the 'robust' australopithecine taxonomic categories have relatively large talonids, apparently at the expense of the size of the buccal cusp. The relative talonid enlargement was greater for P3 than for P4, a conclusion which is at variance with previous published assessments. Investigation of the allometric relationships between relative talonid size and overall crown size in the pooled 'non-robust' taxonomic categories did not suggest that talonid enlargement was a simple consequence of a larger-size crown. The results of multivariate analysis demonstrate that the absolute areas of the main cusps and the talonid provide marginally the more effective discrimination between the main taxonomic categories than do the relative areas of the cusp components. The removal of the simpler effects of overall size reduces the differences between taxa, but does not eliminate them. The data for the four taxonomic categories were used as a reference framework for the investigation of the affinities of those teeth in the unknown category for which detailed data were available.(ABSTRACT TRUNCATED AT 400 WORDS)

Patterns and rates of enamel growth in the molar teeth of early hominids

A recent study of the surface manifestation of incremental lines associated with enamel formation suggested that the crowns of early hominid incisor teeth were formed more rapidly than those of modern humans. In the absence of comparative data, the authors were forced to assume that enamel increments in fossil teeth were similar to those in modern humans. We have used evidence from the fractured surfaces of molar teeth to deduce estimates for both long- and short-period incremental growth markers within enamel in east African 'robust' australopithecine and early Homo teeth. We conclude that in these early hominids, crown formation times in posterior teeth, particularly in the large thick enamelled molar teeth of the east African 'robust' australopithecines, were shorter than those of modern humans. This evidence, considered together with data on crown and root formation times in modern apes, suggests that the posterior teeth in these hominids both formed and erupted more rapidly than those of modern man. These results have implications for attempts to assess dental and skeletal maturity in hominids.

Pharmacokinetics and metabolism of 14C-tinidazole in humans

Following intravenous infusion of 800 mg of 14C-tinidazole during 30 min to two human subjects, a mean of 44% of the dose was excreted in urine during the first 24 h, increasing to 63% of the dose during five days: 12% of the dose was excreted in the faeces, indicating the possible involvement of biliary excretion and other secretory processes in the disposition of tinidazole. At 6 min after the end of the infusion, the mean plasma tinidazole concentration was 12 mg/l. Tinidazole was a major component in 0-120 h urine (about 32% of urinary 14C): the major metabolite in the 0-12 h urine examined was ethyl 2-(5-hydroxy-2-methyl-4-nitro-1-imidazolyl)ethyl sulphone (about 30% urinary 14C), the product of hydroxylation and nitro-group migration. These compounds were also present in the faeces. A minor urinary metabolite was 2-hydroxymethyltinidazole (about 9% urinary 14C), which was also present in plasma. The mean pharmacokinetic parameters obtained for tinidazole were similar to those reported in the literature; total clearance 51 ml/min, renal clearance 10 ml/min, volume of distribution 501 and half-life 11.6 h.

Variations in enamel thickness and structure in East African hominids

Tooth fragments are an appreciable but neglected proportion of fossil hominid specimens. The present study on 47 naturally fractured enamel surfaces of premolar and molar teeth of Plio-Pleistocene East African hominids measured enamel thickness, slope of incremental lines (striae of Retzius), and the morphology of Hunter Schreger bands (HSBs). Specimens allocated to three categories--"robust" australopithecines (EAFROB), "early Homo" (EAFHOM), and "unknown"--were photographed in ethanol with polarised light. Enamel thickness was measured on the occlusal (OT), cuspal (CT), and lateral (LT) aspects. The angle of intersection of striae of Retzius (D) with the enamel-dentine junction (EDJ) was recorded, together with the degree of curvature and width of Hunter-Schreger bands (HSB). Absolute measurements of enamel thickness were scaled by using two allometry correction factors. Absolute thicknesses of all enamel measurements were significantly greater in the EAFROB (OT 3.1 mm; CT 3.3 mm; LT 2.4 mm) compared with EAFHOM (OT 1.4 mm; CT 1.6 mm; LT 1.6 mm) categories. Correction for size reduces the mean difference between the two taxa, but CT and OT thickness remain significantly different (P less than 0.05). HSBs in EAFROB were relatively straight and narrower (means = 52.8 micron) than in EAFHOM, which are more curved and wider (means = 62.0 micron), suggesting greater enamel prism decussation in early Homo. The slope of striae was less in EAFROB permanent molars (means = 23 degrees) compared with EAFHOM (means = 31 degrees), indicating faster rates of coverage during crown formation in "robust" australopithecines. We conclude that the study of fractured enamel surfaces can contribute to our understanding of the systematic relationships and patterns of enamel growth of early hominids.

Preliminary observations on the BK 8518 mandible from Baringo, Kenya

A newly discovered adult hominid mandible (BK 8518) from Baringo, Kenya, is described and assessed. The corpus, many of the tooth crowns, and most of the left ascending ramus are preserved. The teeth are heavily and asymmetrically worn. Compared with BK 67 (the 1966 mandible) the body of BK 8518 is more robust; the internal symphyseal buttressing is more pronounced; the M3s have seven cusps and exceed the M2s in size. There are no compelling reasons, however, to attribute the two mandibles to different taxa and, in view of the lack of any comprehensive taxonomic diagnosis for Homo erectus, "erectus-like," and habiline mandibular remains, the new specimen is also best regarded as Homo sp. indet. (aff. erectus).

Effects of apalcillin on platelet function in normal volunteers

We investigated the effects of apalcillin on blood coagulation and platelet function. The drug was administered to 21 human volunteers in daily intravenous doses of 75, 150, and 225 mg/kg. These doses evoked abnormalities in platelet aggregation similar to those found with piperacillin and mezlocillin and less striking than those produced by carbenicillin and ticarcillin. Plasma coagulation as measured by prothrombin time, activated partial thromboplastin time, thrombin time, and fibrinogen concentration was not affected. There were consistent and major reductions in plasma antithrombin III activity, particularly at the two higher dose levels. Of 21 patients, 7 (33%) also manifested maculopapular skin rashes which resolved after discontinuation of the drug.

Phylogeny, neoteny and growth of the cranial base in hominoids

This study tests the hypothesis that there is a general pattern in the growth of the cranial base of Homo sapiens that is 'essentially neotenous' [Gould, 1977]. Juvenile and adult crania of Homo sapiens, Gorilla gorilla, Pan troglodytes and Pongo pygmaeus were studied and the cross-sectional growth curves for 10 measurements made on the cranial base (as viewed in norma basilaris) were compared. The results of this study suggest that relatively simple modifications to the timing or pattern of growth are insufficient to explain the observed morphological differences between the cranial base of modern Homo sapiens and the great apes.

The allometry of relative cusp size in hominoid mandibular molars

The crown area (MCBA) and cusp areas of mandibular molars of Homo sapiens (M-1 = 131; M-2 = 71), Gorilla (M-1 = 25) and Pongo (M-1 = 24) were studied to determine whether the relative size of the mesial and distal cusps are related to overall crown size. Allometric trends were assessed by examining the correlation between relative cusp areas and MCBA and by calculating the slope of the regression line of log cusp area and log MCBA. With the exception of the metaconid in the Homo sapiens M-2S, the results of the intraspecific analyses provide little evidence of an allometric trend for relative reduction of the mesial cusps with increasing crown size. None of the samples provide consistent or reliable evidence of such a trend for the protoconid, nor do the M-1 samples provide evidence for such a trend for the metaconid. The evidence from the distal cusps is also mixed: positive allometry for the entoconid for the Homo sapiens M-2S and for the hypoconulid for the Homo sapiens M-1S, with no departure from isometry in either Gorilla or Pongo. The interspecific data provide no evidence of any trend for the mesial cusps to decrease or the distal cusps to increase in importance in larger teeth. If one accepts the proposition that the static allometric trends observed in this study are reasonable analogues for any allometric relationships within, or between, fossil hominid taxa, then the evidence presented above does not support the hypothesis that the reduction of the trigonid, which is observed in the "robust" australopithecines, is an allometric phenomenon.

Analysis of the dental morphology of Plio-Pleistocene hominids. II. Mandibular molars--study of cusp areas, fissure pattern and cross sectional shape of the crown

Accurate measurements of the absolute and relative size of individual cusps, the arrangement of the primary fissure system and the shape of coronal cross sections of the tooth crown have been used to investigate the pattern of variation in Plio-Pleistocene hominid mandibular molar teeth. Teeth were either grouped into one of six taxonomic categories or considered as individual cases. Univariate analysis of relative cusp areas shows that the two taxonomic categories of 'robust' hominids from East and Southern Africa have relatively small mesial cusps, but a relatively large entoconid and hypoconulid and Principal Component plots of the data show that the 'robust' categories can be distinguished on the basis of relative cusp size. Other evidence suggests that these differences are not likely to be the result of allometric phenomena. Fissure pattern was analysed using the X/Y coordinates of defined reference points. Patterns were compared by Procrustes analysis and the relationships between teeth contained in the resulting similarity matrix were portrayed using Principal Coordinates plots and a nearest neighbours table. The positions of the posterior fovea and the mesial longitudinal fissure were important for distinguishing taxonomic categories. The shape of the coronal profiles proved difficult to quantify, but there were consistent and distinct differences between the South African 'robust' sample and teeth included within the East African Homo category. When these results are combined with those of a previous study of overall crown size and the distribution of extra cusps, they allow the affinities of isolated teeth or contentious specimens to be assessed. For example, our results show that KNM-ER 1506 and 1802 are more similar to the East African Homo group than any other category, and they indicate that though SK 1587 and 1588 are small teeth, they nonetheless are closest to the South African 'robust' category in terms of relative cusp size, fissure pattern and crown profile shape. The closest affinities of the Taung First mandibular molars are also with the South African 'robust' sample.

Analysis of the dental morphology of Plio-pleistocene hominids. I. Mandibular molars: crown area measurements and morphological traits

This study has used accurate measurements of crown area and precise assessments of the morphological traits of mandibular molars in an attempt to define the metrical and morphological characteristics of early hominid taxa. A total of 196 Plio-Pleistocene hominid molars were either allocated to one of six informal taxonomic groups or considered as individual cases. Accurate measurements of crown base area made from occlusal photographs have enabled us to estimate the effects of interproximal wear on crown areas. The average correction factor over the three molar types is around 2-4% with a maximum of 6%. The patterns of distribution of extra cusps show interesting differences between taxa. None of the M-1S in the two groups of 'gracile' hominids from East and South Africa bears a C6, but it is common in the two 'robust' taxa. The distribution of a C7 is the reverse of this, it being rare in the robust' taxa, and more common in the 'gracile' groups. There is thus no simple relationship between cusp number and tooth size. Our observations on the protostylid suggest that though it is more common in the 'robust' australopithecines than the 'graciles', when it does occur it is more strongly expressed in the 'gracile' group. The combination of simple metrical data, and the assessment of morphological traits, can help in the classification of enigmatic or incomplete specimens. Some isolated teeth from the collection at Koobi Fora can confidently be assigned to Australopithecus boisei, and useful guides have been provided for taxonomic assessment of the skull KNM-ER 1805, and the mandibles KNM-ER 1506 and 1820.

Rapid attenuation of response to nifedipine in primary pulmonary hypertension

In a 22-year-old woman with primary pulmonary hypertension resistant to all previous attempts to reduce the pulmonary vascular resistance, there was dramatic improvement after the first dose of nifedipine, 20 mg po, which was not sustained with subsequent doses. While there was a persistent reduction in systemic vascular resistance, the initial drug-related reduction in pulmonary vascular resistance was progressively attenuated with the subsequent four doses of nifedipine, 20 mg.

Basicranial anatomy of Plio-Pleistocene hominids from East and South Africa

The results of a metrical analysis of the basicranium of 19 Plio-Pleistocene fossil hominid crania are presented. The sample includes crania attributed to Australopithecus africanus, Australopithecus boisei, and robustus, and Homo erectus as well as crania whose attribution is still under discussion. These results confirm significant differences between the cranial base patterns of the "gracile" and "robust" australopithecines and the three crania attributed to Homo erectus have a pattern which resembles that of modern humans. None of the crania examined from East Africa sites have base patterns which resemble that of the "gracile" australopithecines. The crania KNM-ER 407 and 732 have patterns which are compatible with them being smaller-bodied females of Australopithecus boisei; KNM-ER 1470 and 1813 have base patterns which most closely resemble that of Homo erectus. The cranial base pattern of KNM-ER 1805 is compatible with its inclusion in either Australopithecus boisei or Homo. When account is taken of the immaturity of Taung, the evidence of its cranial base pattern suggests that if it had reached adulthood it would have resembled the "gracile" australopithecine crania from Sterkfontein and Makapansgat.

Randomized comparative study of moxalactam and cefazolin in the treatment of acute urinary tract infections in adults

Eighty-nine patients with clinical and laboratory evidence of acute urinary tract infection were randomized to therapy with either moxalactam (500 mg) or cefazolin (1 g) every 12 h. Escherichia coli was the predominant pathogen in both groups (92.6 versus 90.2%). Therapy was continued for 3 days after the patient defervesced. The minimum hospital stay was 5 days. Sequential urine cultures were obtained on day 3, at discharge, and 5 to 10 days after the cessation of therapy. THe average duration of hospital stay was 5.6 days for both groups of patients. THe incidence of recurrent infection was similar in uncomplicated patients (9.1 versus 10%) and in complicated patients with a condition predisposing them to urinary tract infections (43 versus 42%). Moxalactam-treated patients had a higher incidence of reversible hepatic enzyme elevation (36%) and Streptococcus faecalis superinfections (12.2%). Moxalactam is as effective as cefazolin for the elimination of gram-negative pathogens from the urine of patients with acute urinary tract infections, but it is associated with a higher incidence of reversible side effects.