Grave Form Research Articles

New Evidence from the Early Bronze Age Cemetery at Manika, Chalkis

Excavation of a further part of the EH cemetery at Manika, Chalkis, has revealed eight chamber tombs. Contents suggest influence from the Cycladic islands, though the form of graves is more local, or mainland. Secondary burials suggest the graves were used for a long period, perhaps as much as a century. The significance of the evidence from these tombs for the relationship between the Cyclades and the mainland in the Early Bronze Age is considered.

Rodziny wieloproblemowe – charakterystyka 222 rodzin z dzielnicy Praga-Północ

Rodziny wieloproblemowe – charakterystyka 222 rodzin z dzielnicy Praga-Północ

"Submycenaean" and LH IIIC Domestic Deposits in Athens

by an overlapping of diagnostic shapes and decoration. Although few graves provide similar evidence for the contemporary use of old and new types, the hundreds of grave groups from the Agora, the Kerameikos, and elsewhere in Athens may for the most part be equated with one or another of the major phases seen in the wells: there is no phase, Protogeometric through Geometric, when the garbage of the living and the graves of the recently dead did not exist side-by-side. Proceeding backward, the number of Submycenaean graves in or near Athens approaches 150. Some of these appear to be the immediate predecessors of the earliest Protogeometric graves, still others may have been furnished by conservative members of the early Protogeometric community. The earliest Protogeometric wells in the Agora, too, contain enough Submycenaean types to suggest that some, e.g. monochrome skyphoi, were still in current production. But in general, the distinction between grave, or ritual, and domestic forms permits minimal comparison between the graves and wells. This is even truer when one examines still earlier domestic deposits in an attempt to isolate and define a phase parallel with the bulk of the Submycenaean graves. Three deposits from the American Excavations are chronologically intermediate between the earliest Protogeometric wells and the latest published LH IIIC deposits in Athens (Agora XIII, 261-62). Two are small, probably from wells, one near the Classical Tholos, the other on the east side of the Agora by the Antonine Monopteros; they are the earliest of the post-LH IIIB wells in this area. The third, a very large deposit that unfortunately contains earlier material going back to the Neolithic period, lay high on the Acropolis northwest slopes just east of the Paved Court behind the Klepsydra; it is the latest of the wells on the North Slope prior to the sixth century B.C. This last has already been mar halled as evidence for the history of Athens in the tw lfth century B.C. (e.g. Sp. Iakovides, 'H

Grave med teltformet overbygning fra tidlig-neolitisk tid

Grave med teltformet overbygning fra tidlig-neolitisk tid

Attempt to Code Grave Descriptions

The reasons for attempting a code description of graves and their contents is explained. The method of coding the grave forms is described, and a short comment on the definitions follows.

Infiltrative Ophthalmopathy and Primary Hypothyroidism

Case Studies1 August 1967Infiltrative Ophthalmopathy and Primary HypothyroidismROBERT A. FOX, M.D., THEODORE B. SCHWARTZ, M.D., F.A.C.P.ROBERT A. FOX, M.D.Search for more papers by this author, THEODORE B. SCHWARTZ, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-2-377 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptExophthalmos and associated eye changes are classically linked with hyperthyroidism in the form of Graves' disease, and the ophthalmopathy may persist or progress in severity even though the euthyroid state is restored or hypothyroidism supervenes. In recent years it has become evident that infiltrative ophthalmopathy may occur in euthyroid individuals in whom there is no evidence of prior hyperthyroidism (1-4). This report is presented primarily to draw attention to the fact that infiltrative ophthalmopathy may also appear in hypothyroid individuals without a previous history of hyperthyroidism.CASE REPORTPatient B. T. (PSLH 795904) is a 40-year-old white housewife who was...

Hereditary Epidermolysis Bullosa

Case reports, with histochemical and biochemical studies of biopsy material, are presented of epidermolysis bullosa simplex (EBS), an epidermal disease with cleavage through the basal cell layer; epidermolysis bullosa dystrophic dominant (EBDD), a junctional disease with cleavage through the PAS-positive membrane; and epidermolysis bullosa dystrophic recessive (EBDR), a dermal disease with cleavage below the PAS-positive basement membrane and characteristic dermal abnormalities. With the biopsy technique employed and a few histochemical stains, these diseases can be distinguished histopathologically, even on fresh autopsy material, allowing the term epidermolysis bullosa letalis to be abandoned, and aiding in decisions about prognosis. For cases of epidermolysis with early lethal outcome or particular severity, and the histopathologic picture of EBDR, the term EBDR, grave form, is suggested.

THERAPEUTIC VALUE OF ALCOHOL IN CHILDREN

Doctor Abraham Jacobi's influence upon American pediatrics was greater than any other physician's of the present or past. It may surprise the younger pediatrician to read the following two quotations from Jacobi's writings concerning the esteem in which he held alcohol as a therapeutic agent for children. But practical observation shows us that there is at the present time no antiseptic which can be administered internally of equal value with alcoholic beverages. The worst forms of typhoid infection die without them; the septic forms of diphtheria which are inaccessible to antitoxin may still be reached by whiskey or brandy. In this seemingly hopeless condition it may be life-saving. Theoretical objections, ethical opposition should not count. A child of three or four years may be saved by 100 or 200 ccm. of whiskey given daily, if by nothing else and escape the undertaker. There is no better antiseptic than alcohol beverages. I claim as one of the most meritorious facts in my professional life, if there be any, to have proclaimed long before the time of most of you the necessity of giving large doses of alcoholic dilutions in the grave forms of diphtheria; indeed every case may be or become grave. There is almost no dose that is not well tolerated. What I have observed, and written these forty years, still holds good. Septic cases, with high fevers (also others so septic as to exhibit collapse), that will not improve after 100 or 200 centimetres of whiskey daily, are apt to do well with two or three times the dose, which, however, will cease to be tolerated as soon as the septic fever has passed by. Indeed I have seen such septic children of three or four years take 500.0 [ccm.] of whiskey a day, which had no bad influence on the brain while the sepsis lasted, but would cause alcoholic delirium as soon as convalescence began. For a marked antipyretic effect rather large doses of alcohol are required; that is why it should not be given except in sepsis when the reduction of temperature—while necessary—can be obtained in other ways. There is no reason, for instance, why the first stages of pneumonia should be treated with alcohol. At that time inanition is not threatening, and therefore the indication fulfilled by alcohol in moderate doses, viz., to avoid the disintegration of albuminoids and of fat, does not yet exist. It is only in later stages, and in chronic diseases, when starvation is threatening, that diluted alcohol, which is readily absorbed in the stomach and therefore quicker in its action, is of the greatest value.

MITRAL VALVE PROSTHESIS IN CHILDHOOD.

Congenital insufficiency is a rare but grave form of cardiac disease which may occur in various pathological forms. 1-3 It is most frequently encountered as part of a more complex malformation as with ostium primum atrial defect or with a persistent common atrioventricular canal. One of the most unusual forms of congenital insufficiency is that encountered with so-called functionally totally corrected transposition. Recently, at Vanderbilt Medical Center, we had the opportunity to study and to treat surgically by the use of valve prosthesis a child with mitral insufficiency associated with corrected transposition but without intracardiac defects that cause shunts. Report of a Case The child was first admitted to Vanderbilt University Hospital as an infant of 5 months in congestive heart failure. The patient was a small underdeveloped female infant in acute respiratory distress. A blowing apical systolic murmur, a short mid-diastolic murmur, a gallop rhythm, and

Plain film diagnosis of fulminating ulcerative colitis.

Fulminating ulcerative colitis is a grave form of idiopathic ulcerative colitis, and its management is invariably an extremely difficult problem, demanding skillful application of medical and surgical technics. We have recently examined 26 cases of colitis of this type in which a striking and frequently specific appearance of the colon was observed on plain radiographs of the abdomen. The value of the plain film in this condition, apart from its demonstration of colonic distention, has received virtually no attention in the literature, despite the other gross alterations which may be visible in the gas-filled bowel. Because the severity of the illness and the likelihood of perforation often preclude any more elaborate radiological procedures, it seems pertinent to discuss these radiographic changes and relate them to the clinical and pathological aspects of the disease. Large series at this hospital and elsewhere have shown that about one in twenty cases of ulcerative colitis will be of the fulminating variety, either initially or as an exacerbation of pre-existing chronic colonic disease. In our group of 26 cases, more than one-third appeared with the fulminating episode as the initial manifestation. The term fulminating is used by Bockus (1) to describe those cases of acute ulcerative colitis in which “the onset is relatively abrupt and the severity of the attack may reach its peak in two or three weeks. The attack may continue for weeks or months and terminate fatally, pass into a chronic stage, or into a remission.” The clinical picture is striking, with cardinal symptoms of abdominal pain, bloody diarrhea, vomiting, high fever, and prostration, which may develop within a few weeks or occasionally in a few days. Abdominal distention with localized or diffuse tenderness is present, and peristalsis is diminished. Proctoscopy and sigmoidoscopy almost invariably reveal an active ulcerating disease process. The diagnosis, therefore, is usually established on the basis of clinical findings. However, the presence of abdominal pain and distention usually prompts a plain film study and this affords the radiologist an opportunity to make the definitive diagnosis. In any case, it enables him to give valuable confirmatory information. The plain film may also uncover possible complications and additional disease processes, and occasionally, when diarrhea has not been a feature of the illness, clinically unsuspected colitis may be recognized. Pathology Following total colectomy in cases of fulminating colitis, a striking feature frequently found on examination of surgical specimens is irregular thickening of the bowel wall throughout its entire length, or width, or both. The wall is friable and the thickening is due to inflammatory infiltration, primarily of the mucosa, often also of the muscular layer, and even of the serosa.

Dorset kulturen. Den Dansk-amerikanske ekspedition til Arktisk Canada 1954

Dorset kulturen. Den Dansk-amerikanske ekspedition til Arktisk Canada 1954

Evaluation of surgical treatment for disturbances of the thyroid gland.

DURING the past 30 years, many changes have occurred in the character and treatment of the disturbances of the thyroid gland. The changes in the treatment have been concerned mainly in the management of the patient with hyperthyroidism. However, it is a strange paradox that during the development of the antithyroid drugs the number of cases as well as the severity of the toxic goiter has gradually subsided. Now that we have the valuable antithyroid drugs, we rarely see the severely hyperthyroid patient. In fact, in our experience, the hyperthyroidism we have encountered has been so relatively mild that we have found a decreasing need for the thiourates. In our series of 1,473 cases, 861 patients, some of whom were adolescents, had variable degrees of hyperthyrodism in the form of true Graves's disease, exophthalmic goiter, and nodular goiter. Of the 861 patients, 21 were children under 16 years of age,

HYPEROPHTHALMOPATHIC GRAVES'S DISEASE

THE PURPOSE of this report is to describe the clinical course of 19 patients with hyperophthalmopathic Graves's disease followed for periods varying from ½ to 20 years. The classification and relation to thyroid dysfunction are considered in the light of this experience. The ocular manifestations which we have chosen to call the hyperophthalmopathic phenomena of Graves's disease are also known by several other names: malignant, progressive, or postoperative exophthalmos; exophthalmic ophthalmoplegia; the ophthalmopathic form of Graves's disease, and thyrotropic exophthalmos. The current concept of Graves's disease has been aptly summarized by Means 1 as follows: Graves' disease, therefore, may be defined as a constitutional disturbance of unknown origin, characterized in its full-blown classic form by hyperplasia of the thyroid, hyperthyroidism or thyrotoxicosis, and an utterly unique type of ophthalmopathy, together with widespread changes in other systems of the body. Many cases fulfill all these requirements; some only a portion of

Lesions of the central nervous system in disseminated lupus erythematosus.

THERE have been numerous reports of the manifestations of acute disseminated lupus erythematosus in the various organs of the body since Kaposi 1 first formulated the concept of the grave form with systemic disturbances. Neurologic signs and symptoms have been reported to occur in the course of the disease, but it has been indicated that the involvement of the central nervous system is not well understood and that the morbid anatomy of the nervous system in this illness requires much further investigation. 2 Since 1930, autopsy has been performed in 18 cases of acute lupus erythematosus at the Presbyterian Hospital. The central nervous system was examined in six cases, and in three of these widespread lesions were found. It is the purpose of the present paper to report these cases in detail and to review the pertinent literature. REPORT OF CASES Case 1.— L. C., an unmarried white woman aged

Retrobulbar neuritis associated with hyperthyroidism.

IN RECENT years, the intensive study of thyroid function by a number of newly developed technics and drugs brought about a gradual reassessment of the classic concept of Graves's disease. While the common hypermetabolic and/or exophthalmic forms of Graves's disease present little diagnostic difficulty, these new methods have made it possible to evaluate peculiar cases in which the symptoms were primarily cardiotoxic or myopathic, or even simulated hyperparathyroidism.1We wish to present two cases in which a neuropathic syndrome was outstanding. It may be of interest to note in passing that these two cases were studied in different institutions at different times by different workers, and only a chance hallway conversation served to bring them together. It was not until the case reports were actually written and compared that the remarkable similarities became fully appreciated. REPORT OF CASES Case 1. —F. J., a schoolgirl, was first seen by one

Prof. Pierre Marie

PROF. PIERRE MARIE, the celebrated French neurologist, whose death took place recently, was born on September 9, 1853, in Paris, where he received his medical education and qualified in 1883 with a thesis on the incomplete forms of Graves' disease, which afterwards became a classic. After serving as Charcot's chief assistant at La Salpetriere he was elected physician in 1885 to the Bicetre Infirmary, where he set up a rich collection of interesting records of cases, specimens and photographs of various diseases of the nervous system and attracted a large number of practitioners and students, many of whom have become distinguished neurologists. In 1907 he was elected professor of morbid anatomy in the Paris faculty of medicine in succession to Victor Cornil.

A case of basid disease cured by removal of 2 lower parathyroid glands

A 38-year-old woman with a severe form of Graves' disease (large goiter, exophthalmos, tremor, tachycardia-pulse 140, nervousness, and severe emaciation) is indicated for emergency surgery.

Annals of the Pickett-Thomson Research Laboratory

ALL pathologists will agree that our present knowledge of the streptococci, the roundcelled bacteria which form chains by successive division, is in great confusion, and that the reason for this is the lack of proper means of identification of the numerous streptococcal species. Yet the importance of the streptococci in both human and veterinary pathology is known to be very great and suspected to be still greater than has been actually established. Scarlet fever, puerperal fever, erysipelas, and the gravest forms of wound infection are accepted examples of streptococcal invasion, while acute and chronic rheumatism, in its many manifestations, heart disease, the enlarged tonsils and adenoids of youth, and the premature decay of teeth, are all diseases of possible streptococcal origin which, for elucidation of their cause, wait upon the identification of the infecting streptococcus by the bacteriologist. Annals of the Pickett-Thomson Research Laboratory. Vol. 3 (containing a Historical Survey of Researches on the Streptococci). Published for the Pickett-Thomson Research Laboratory, St.Paul's Hospital, 24 Endell Street, London, W.C.2. Pp. vi + 316 + 57 plates. (London: Bailliere, Tindall and Cox; Baltimore, Md.: Williams and Wilkins Co., 1927.) 42s. net.

Ptosis

HomeRadiologyVol. 7, No. 1 PreviousNext EditorialPtosisPublished Online:Jul 1 1926https://doi.org/10.1148/7.1.67MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractAccording to the dictionary, ptosis means the prolapse of an organ or part.To-day, the radiologist, to do justice to his patient and to the branch of medicine which he serves, must be well acquainted with current medical knowledge and must keep in touch not only with his colleagues, but must have a liaison with other branches of medicine and surgery.The influence of radiological investigations upon our knowledge of the anatomical relations and upon the motor functions of the hollow viscera in health and disease, has been revolutionary. Physiology and pathology owe much to these investigations; indeed, it is scarcely an exaggeration to say that the greater portion of our present conception of the neuro-muscular mechanism of the alimentary canal is the result of X-ray revelations.When we remember the notions we were taught concerning the physiology of the stomach movements and what we know today as the result of studying the X-ray screen, the recollections cause us to blush. To-day we stand upon much firmer ground.The position of the stomach and transverse colon, the relative position of the cecum, the appendix and flexures are now, and have been for a few years, matters of common knowledge.Radiologists are well aware of this; however, an occasional reiteration of accepted facts is necessary because in some quarters great emphasis is still laid upon position alone.The variations, too, in the positions of these organs—variations which are not incompatible with good health—have been relatively recognized as normalities, because the physiology was unimpaired and the patients were symptomless.The variability of individuals is quite as pronounced internally as externally. We are passing through the stage of incrimination on the score of disease to that of tolerance on the score of variability in individuals. Consequently our conception of what constitutes a normal standard is subject to wide latitudes.In other words, the same thing is happening with regard to our ideas about the hollow viscera as has happened with regard to our ideas about the kidneys. At one time even a moderate degree of nephroptosis was regarded as a sign of morbidity, capable of explaining most of the functional disabilities met with in the neurasthenic, and not excluding, in the opinion of some, even grave forms of psychosis. The poor dropped organ was supported by pads, was “stitched up,” was even removed. To-day none of these treatments is considered necessary.Ptosis of the alimentary tract has gone through the same phases and great caution must be exercised in using this term, distinction being made between a pathologic entity and a normal variation, or much unnecessary surgery may be performed.It is true that a colon or stomach that is low may be potentially pathologic; however, other signs, such as stasis, dilatation, atony, or symptoms of auto-intoxication, must be associated with this, otherwise so-called ptosis per se is a negligible factor.Article HistoryPublished in print: July 1926 FiguresReferencesRelatedDetailsRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 7, No. 1 Metrics Altmetric Score PDF download

LUPUS ERYTHEMATOSUS AS A SYSTEMIC DISEASE

The clinical picture of localized or discoid lupus erythematosus, with which I wish to contrast the disseminate form with constitutional manifestations, is familiar to most practitioners. The conception of a grave form of lupus erythematosus with severe systemic disturbances and with the extension of the local process originated with Kaposi. In 1872 he first called attention to the presence of toxic symptoms, and was evidently familiar with the hyperpyrexial attacks occasionally seen when discoid lesions are present. Very little has been added to an understanding of the disease since his time. Boeck 1 temporarily confused the problem when he designated lesions on the fingers, which can now probably be classified with Darier's folliclis, as lesions of disseminate lupus erythematosus. The whole matter was probably still more obscured by the French tendency to enumerate a large number of subclasses of lupus erythematosus which essentially are only different degrees of the same