Jacek Szczurowski

Analysis of interaction between nutritional and developmental instability in mediaeval population in Wrocław

Abstract In this paper, we test the hypothesis that indices of nutritional stress from enamel hypoplasia increase the incidence of indicators of developmental instability in fluctuating asymmetry, even in high social status individuals. The studied material consisted of a medieval sample of 58 skulls from the Wrocław area. Radiographs were taken in postero-anterior (P-A) and base projections. Images were scanned and calibrated by means of MicroStation 95 Academic Edition software, and measurements of the skull images were used to estimate fluctuating asymmetry. The presence of hypoplasia and caries was assessed using standard anthropological methods and all data was statistically analysed. The highest levels of fluctuating asymmetry were observed in the skull base region. Hypoplasia was observed in 40% and caries in 55.5%. Differences were noted in the level of fluctuating asymmetry in relationship to the presence or absence of hypoplasia, where a higher level predisposes individuals to enamel hypoplasia and a decline in buffering capacity, regardless of their socio-economic status.

Respiratory diseases in the late middle ages

Respiratory diseases have beset humanity from the earliest times. The aim of this study was to evaluate the prevalence of respiratory diseases in the inhabitants of a large medieval city. We analyzed 110 skeletons, coming from 12 to 17th century of individuals of either gender. In order to assess pneumatisation of paranasal sinuses and nasal septum curvature, radiographs were performed in the PA projection. Nasal septum deviation was found in 50% of individuals, asymmetry of the frontal sinuses and their aplasia in 11% of individuals. There was no significant relationship between the curvature of the nasal septum and frontal sinus aplasia. One case of tuberculosis and one case of periradicular abscess causing perforation of the maxillary sinus were noted. Developmental variation of the sternum was present in two individuals. In another two individuals, rib fractures with bone union were observed. Analysis of the presence of respiratory disease in bone material is particularly difficult, but the use of modern methods: X-rays, CT scans and endoscopy significantly extends the capability to unravel the underlying causes of bygone diseases.

Topography of the mental foramen in human skulls originating from different time periods.

The location of the mental foramen is used in a number of maxillofacial surgical procedures and in anthropological examinations. The position of the mental foramen has been reported to vary in different ethnic groups and in different historical populations. The aim of this work was to analyse the topography of the mental foramen in mandibles from selected historical populations from the Pomeranian region in Poland. The material consisted of three groups: 92 skulls from the beginning of the 20th century from Szczecin (earlier name Stettin), and two Mediaeval groups -31 skulls from Rurka (historic Rörchen), 18th-19th centuries, and 50 skulls from Sypniewo (historic Zyppnow), 11th-13th centuries. Distances of the mental foramen in relation to the midline, and to the second corresponding point were measured. Additionally, non-metric traits of the mental foramen were recorded. No significant differences in average diameters of the mental foramina measured on the right and the left sides were observed between historical populations. On both sides, in all groups, the foramen was mainly located between positions of the lower first and lower second premolars. In all three groups the direction of the opening of the mental foramen was superoposterior. The similar level of epigenetic variation was observed in all groups. The position and the direction of the exit were similar to other previously studied European populations.

Influence of physiological stress on the presence of hypoplasia and fluctuating asymmetry in a medieval population from the village of Sypniewo

This study aims to estimate the levels of physiological stress in the medieval rural population of Sypniewo by evaluating patterns of fluctuating asymmetry (FA) and enamel hypoplasia (EH), and provide information on the influence of physiological stress during the prenatal and perinatal period on early childhood development. Stress is defined as any external or internal condition that challenges homeostasis of an organism. FA is associated with physiological stress occurring mainly during prenatal development and early childhood. The level of FA is thought to reflect the intensity of the stressor(s). EH is caused by physiological stress such as nutritional instability during the first years of life. The studied material consisted of 126 skulls from the village of Sypniewo (Poland). Cranial radiographs were taken in postero-anterior (P-A) and basal views. The images were scanned and calibrated. Measurements of the cranium were used to estimate FA. The presence of EH was assessed using standard anthropological methods The highest levels of FA were observed in the region of the cranial base. EH was observed in 29% of individuals from the rural skeletal series. There was no statistically significant correlation between FA and EH occurrence or between sex and the studied stress indicators.

OCENA NAWYKÓW ŻYWIENIOWYCH STUDENTÓW POLSKICH PIERWSZEGO ROKU MEDYCYNY

SUMMARY Introduction: One of the most important factors involved in normal growth, maturation, physical activity and mental state is nutrition. Correct patterns formed in youth are necessary to maintain a healthy lifestyle. The aim of the study was the evaluation of the dietary habits of medical students. Material and methods: The material consisted of data col- lected from an anonymous survey distributed among first year students of the Faculty of Medicine and Dentistry (66 men and 177 women). The study used a questionnaire of our own design, consisting of open and multi-choice questions concerning the anthropometric data of subjects and nutritional habits. The questionnaire was developed based on the HBSC international standard questionnaire survey on health behaviour in adoles- cents. Data were analyzed statistically. Results: The prevalence of obesity was generally not observed in the group of examined students. In most cases body mass index was in the range 18.5-24.99%. Obesity was observed only in men. There were no significant diff erences between the groups of men and women in terms of the frequency of regular meals during the week. Only about 50% of the study population declared regular consumption of the three main meals. Significantly more women than men used slimming diets, and significantly more men took action to control weight. Analysis of the results showed abnormal patterns in the struc- ture of meals. Conclusions: It is extremely important to educate future doc- tors in healthy lifestyle, including correct nutrition, through educational programmes during studies.

Two cases of osteoid osteoma in skulls dating from the 13–14th centuries from St. Elisabeth’s Church in Wrocław, Poland

Abstract In the study two human skulls recovered from archaeological excavations at St. Elizabeth’s Church in Wrocław, dating from the 13-14th centuries were assessed. Direct measurements of each skull were recorded, and X-ray images in P-A, lateral and basal projections were taken. The skulls represented adult males. Large, bony, lobular tumours were found on the palatine bones of both skulls. X-ray examination identified these tumours as osteoid osteomas, which are benign bone tumours that may originate in the periosteum or may be located inside the bone, distorting the maxilla or mandible. However, osteoid osteoma of the palatine is very rare. This study extends our knowledge regarding the health and diseases of historical populations.

Concha Bullosa in Paleoanthropological Material

Concha bullosa is a variant of the sinonasal anatomy in which the middle nasal turbinate contains pneumatized cells, which leads to turbinate enlargement. The reason for concha bullosa formation is unclear, but the variant is seen in up to half the modern population and it may predispose to paranasal sinusitis. The variant has hitherto featured little in paleopathology. Therefore, in the present study we seek to determine the presence of concha bullosa, with the coexisting hypertrophy of the middle turbinate and signs of sinusitis or other pathology of the paranasal complex, in a population living in Tomersdorf-Toporow in the Upper Lausatia, a historical region in Germany and Poland, presently Zgorzelec County in the Lower Silesian voivodeship, at the turn of the nineteenth and twentieth century. The material consisted of 32 skeletons (24 males, 8 females). The gender, age, and stress indicators and the presence of pathological signs were assessed, followed by CT of the skulls. We found 2 skulls (6.3 %) with concha bullosa. In one case septal nasal deviation was present. We conclude that the incidence of concha bullosa could be lower in the past times than at present. Wider research is necessary to settle whether concha bullosa is indeed a rare respiratory paleopathology or a missed, and thus underreported observation.

Variation in foramina transversaria of human cervical vertebrae in the medieval population from Sypniewo (Poland)

Abstract Since the foramina provide important reference points to radiologists and surgeons, and because their shape and size may affect the blood supply to the cerebellum and the brainstem, the knowledge of the variation of foramina transversaria is essential from the medical point of view. The variation in the number, size and shape of foramina transversaria was studied based on 129 skeletons (68 male, 61 female, total of 1065 foramina) from the environs of Sypniewo. In both sexes single foramina were the most frequent (ca. 70%); in females no double foramina were observed, while triple foramina appeared only twice. In males double foramina formed ca. 40% and triple foramina were very rare. The shape and size of foramina depended to the same extent on the position of the vertebra and on the body side.