The AL 333-160 fourth metatarsal from Hadar compared to that of humans, great apes, baboons and proboscis monkeys: non-conclusive evidence for pedal arches or obligate bipedality in Hadar hominins.

Based on comparisons to non-statistically representative samples of humans and two great ape species (i.e. common chimpanzees Pan troglodytes and lowland gorillas Gorilla gorilla), Ward et al. (2011) concluded that a complete hominin fourth metatarsal (4th MT) from Hadar, AL 333-160, belonged to a committed terrestrial biped with fixed transverse and longitudinal pedal arches, which was no longer under selection favoring substantial arboreal behaviors. According to Ward et al., the Hadar 4th MT had (1) a torsion value indicating a transverse arch, (2) sagittal plane angles between the diaphyseal long axis and the planes of the articular surfaces indicating a longitudinal arch, and (3) a narrow mediolateral to dorsoplantar base ratio, an ectocuneiform facet, and tarsal articular surface contours all indicating a rigid foot without an ape-like mid-tarsal break. Comparisons of the Hadar 4th MT characters to those of statistically representative samples of humans, all five great ape species, baboons and proboscis monkeys show that none of the correlations Ward et al. make to localized foot function were supported by this analysis. The Hadar 4th MT characters are common to catarrhines that have a midtarsal break and lack fixed transverse or longitudinal arches. Further comparison of the AL 333-160 4th MT length, and base, midshaft and head circumferences to those of catarrhines with field collected body weights show that this bone is uniquely short with a large base. Its length suggests the AL 333-160 individual was a poor leaper with limited arboreal behaviors and lacked a longitudinal arch, i.e. its 4th MT long axis was usually held perpendicular to gravity. Its large base implies cuboid-4th MT joint mobility. A relatively short 4th MT head circumference indicates AL 333-160 had small proximal phalanges with a restricted range of mobility. Overall, AL 333-160 is most similar to the 4th MT of eastern gorillas, a slow moving quadruped that sacrifices arboreal behaviors for terrestrial ones. This study highlights evolutionary misconceptions underlying the practice of using localized anatomy and/or a single bony element to reconstruct overall locomotor behaviors and of summarizing great ape structure and behavior based on non-statistically representative samples of only a few living great ape species.

The Jinniushan hominin pedal skeleton from the late Middle Pleistocene of China.

Bipedalism has long been recognized as the seminal adaptation of the hominin radiation and thus used to distinguish hominins from great ape fossils. Notwithstanding preconceptions and varied interpretations, the distinctive features of the modern human foot and accompanying striding gait, appear to be recent innovations that are largely absent in the earliest facultative bipeds. These distinctive features are mainly components of fixed longitudinal and transverse pedal arches, and of a uniquely derived hallucal metatarsophalangeal joint. They enhance ankle joint plantar flexor function and accommodate localized peak plantar pressures at the medial ball during terminal stance. To date, the paleontological record has yielded very little of the hominin foot, especially of the Middle Pleistocene hominins. New specimens from this time interval should help provide insights into the timing and pattern of what appears to be a mosaic pattern of evolution of the modern human foot features. Here we describe the fossil hominin foot skeleton recovered from the Jinniushan site, Liaoning Province, People's Republic of China. It affords a singular glimpse of the pedal morphology of a late Middle Pleistocene hominin (c.f. Homo heidlebergensis). Dated to 200ka or older, this foot offers the earliest evidence for increased stability of the medial longitudinal arch, while retaining a number of primitive features apparently characteristic of robust premodern hominins, including lower arches and a less stable hallucal metatarsophalangeal joint (medial ball) than in modern humans. These features reflect different foot capabilities and suggest the bipedal stride of the Jinniushan hominin differed subtlety from that of modern humans.

Behavioral and phylogenetic implications of a narrow allometric study of Ardipithecus ramidus.

Narrow allometry is used to compare Ardipithecus ramidus molar and body segment lengths and proportions to those of living primates, with the goal of reconstructing fossil behavior and exploring how lengths and proportions bear on phylogeny. Comparatively short hands and upper limbs suggest Ardipithecus was less adept at forelimb suspension and vertical climbing than are great apes. Its tibial and tarsal lengths, suggest bonobo-like leaping ability. Its short lower limbs, but long toes relative to humans, are not conducive to habitual bipedality. When terrestrial, Ardipithecus would have engaged in palmigrade quadrupedality. Compared to the semi-digitigrade baboon its long fingers and toes suggest a less marked terrestrial commitment and agree with carpal anatomy reflecting full palmigrady. Molar dimensions and surface areas are similar to those of baboons and drills, but greater than in chimpanzees, indicating a diet with less fruit and more roughage than that of chimpanzees. Ardipithecus dimensions reflect a generalized ape, able to move in trees and on the ground, and exploit food sources in woodlands, grasslands and/or flooded terrain. These abilities are well-suited to the mosaic habitats that characterize Africa at 11°N. Parsimonious reconstruction of the common human/African ape ancestor suggests the short upper limbs and metacarpals of Ardipithecus are too derived to belong to an exclusive human ancestor. Because parsimony is a theoretical construct and not an evolutionary reality, derived segment lengths alone do not prove conclusively Ardipithecus is not such an ancestor. Description in Ardipithecus of complex anatomy uniquely shared by humans and African apes, that leaves a record of reversals or parallelisms, would be a first step in showing whether this fossil qualifies as such an ancestor.

Childhood obesity: a challenge for the anaesthetist?

The definition of childhood obesity has not been standardized in the past, making studies difficult to compare. In spite of this, the increase in the incidence of childhood obesity is evident and has now reached epidemic proportions. Obese children experience few of the medical complications seen in obese adults. Respiratory physiology appears to be most affected, the degree of which is determined by the level of obesity. Although there is a considerable amount of information on the anaesthetic management of the obese adult, very little has been written concerning the obese child. There is less pathology in the obese child when compared with the adult but some evidence shows a higher likelihood of a critical incident occurring when anaesthetizing such children. This shows that we need to be as worried about anaesthetizing the obese child as we are for the obese adult. This concern should increase with increasing body mass index.

Spinal anaesthesia and dysfibrinogenaemia.

We report the case of a 34-year-old woman who presented to the delivery unit at 36 weeks' gestation with spontaneous rupture of membranes. She had a triplet pregnancy following in vitro fertilisation. An elective caesarean section was performed under spinal anaesthesia 4h after admission. The patient had a massive postpartum haemorrhage in the recovery area at which time she mentioned that she was known to have 'low fibrinogen'. Further investigation showed that she suffered from dysfibrinogenaemia, as did several members of her family. We can find no reported cases of the use of central neural blockade in a patient with untreated dysfibrinogenaemia. Central neural blockade is often considered contraindicated in patients with disorders of fibrinogen; there were fortunately no neurological sequelae following spinal anaesthesia in this patient.

Gallstones and isoflurane hepatitis.

This report is of a case of a previously fit 65-year-old woman who developed postoperative liver dysfunction following an anaesthetic involving isoflurane. Biliary ultrasound demonstrated gallstones. However, serum antibodies to trifluoroacetylated proteins were detected, suggesting that immune sensitisation to the anaesthetic could have contributed to the impaired liver function.

A new pitheciin primate from the middle Miocene of Argentina.

We report here a new fossil primate from the middle Miocene of Argentina. The material consists of isolated teeth, mandibular fragments, and a talus. The fossils were collected in the Collón Cura formation at Cañadón del Tordillo in Neuquén Province. An age of 15.71 +/- 0.07 Ma has been reported for the Pilcaniyeu Ignimbrite, which lies just below the paleosols in which the fossils were found. This material is thus the youngest occurrence of fossil primates in Argentina (hitherto documented in the Santacrucian and older land mammal ages) but still is older than the middle Miocene platyrrhine primates from La Venta, Colombia, in particular the pitheciins Nuciruptor and Cebupithecia. The material is recognized as a new genus and species of Pitheciinae, Propithecia neuquenensis. The mesiodistally compressed, high-crowned incisors are specialized and similar to species in the tribe Pithecini and to the nonpitheciin Soriacebus (early Miocene, Patagonia). We rule out a phylogenetic relationship to the latter because of differences in molar morphology. Propithecia does, however, fit well into the pattern of pitheciin evolution, being more derived than the middle Miocene pitheciin Nuciruptor but not as much as another middle Miocene taxon, Cebupithecia. As such, this makes Propithecia the oldest taxon that can be confidently placed within this modern New World monkey subfamily. By analogy with the molar structures and diets of extant platyrrhines, Propithecia has a molar structure consistent with a variety of low-fiber diets ranging from fruit and gum to seeds. Its incisors suggest seed-eating in much the same way as extant pitheciins, like Pithecia. The talus resembles that of Callicebus, suggesting arboreal quadrupedal locomotion.

Hindlimb suspension and hind foot reversal in Varecia variegata and other arboreal mammals.

The foot, perhaps more than any other region of the primate body reflects the interaction of positional behaviors with the geometric properties of available supports. The ability to reverse the hind foot during hindlimb suspension while hanging from a horizontal support or descending a large diameter vertical trunk has been noted in many arboreal mammals, including primates. Observations of Varecia variegata in the wild and under seminatural conditions document hindlimb suspension in this lemurid primate. The kinematics and skeletal correlates of this behavior are examined. Analogy is made with the form and function exhibited by nonprimate mammalian taxa employing this behavior. Examples of carnivores and rodents display very similar adaptations of the tarsals while other mammals, such as the xenarthrans, accomplish a similar end by means of different morphologies. However, a suite of features is identified that is shared by mammals capable of hind foot reversal. Hindlimb suspension effectively increases the potential feeding space available to a foraging mammal and represents a significant, and often unrecognized, alternative adaptive strategy to forelimb suspension and prehensile-tail suspension in primates.

Nuciruptor rubricae, a new pitheciin seed predator from the Miocene of Colombia.

A new genus and species of platyrrhine primate, Nuciruptor rubricae, are added to the increasingly diverse primate fauna from the middle Miocene of La Venta, Columbia. This species displays a number of dental and gnathic features indicating that it is related to living and extinct Pitheciinae (extant Callicebus, Pithecia, Chiropotes, Cacajao, and the Colombian middle Miocene Cebupithecia sarmientoi). Nuciruptor is markedly more derived than Callicebus but possesses a less derived mandibular form and incisor-canine complex than extant and extinct pitheciins (Cebupithecia, Pithecia, Chiropotes, and Cacajao), suggesting that it is a primitive member of the tribe Pitheciini within the larger monophyletic Pitheciinae. Nuciruptor has procumbent and moderately elongate lower incisors and low-crowned molars, suggesting that is was a seed predator, as are living pitheciins. Its estimated body size of approximately 2.0 kg places it within the size range of extant pitheciines. The dental and gnathic morphology of Nuciruptor clarifies several aspects of dental character evolution in Pitheciinae and makes it less likely that the enigmatic Mohanamico hershkovitzi (m. Miocene, Columbia) is a pitheciin.

Kinematics of the cercopithecine foot on arboreal and terrestrial substrates with implications for the interpretation of hominid terrestrial adaptations.

The stereotyped characterizations of quadrupedal foot postures were tested by examining the kinematics of the cercopithecine foot on arboreal and terrestrial supports. Strictly arboreal species were compared with semi-terrestrial species for Cercopithecus, Cercocebus, Lophocebus, and Papio, in semi-natural or experimental settings. Results indicate that the kinematics of the cercopithecine arboreal quadruped differ in degree from stereotypical expectations for an arboreal quadruped. The relatively extended, adducted limb movements of the cercopithecines and the emphasis on the central digit as the functional axis of the foot suggest convergence with terrestrial mammalian cursors, and differ from the platyrrhine or colobine arboreal quadruped. The characteristics of the quadrupedal terrestrial primate foot contrast with the very unique pattern seen in the hominid foot. These contrasts provide a new perspective from which to interpret the hominid adaptation, in which the functional axis has remained fixed between the first and second digits. This pattern differs from virtually all other terrestrial mammals. The influence of bipedalism on this functional pattern is examined.

Partial humeri of two Miocene Colombian primates.

Distal portions of humeri from two Miocene Colombian primates were recovered during field work in 1986. The larger IGM 183420 is very similar in size and morphology to the humerus included in the type specimen of Cebupithecia sarmientoi, recovered from La Venta in 1945 (Stirton and Savage: Serv. Geol. Nac. Bogata 7:345-356, 1951) and is assigned to this taxon. IGM 183420 presents a number of features of the humerus associated with clinging postural behaviors in living platyrrhines, including a medial epicondyle with very little dorsal angulation, a cylindrical trochlea, and a contact facet for the coronoid process of the ulna. In these and other features Cebupithecia most closely resembles the extant genus Pithecia. IGM 183512 is approximately the size of Saimiri sciureus and is very similar in morphology to the humerus of this small arboreal quadruped. The medial epicondyle is more dorsally angled, the medial lip of the trochlea is more pronounced and the capitulum is less spherical as compared to Cebupithecia. This fossil is assigned to the taxon Neosaimiri fieldsi.