Discovering the invisible Puerto Rican slave family: demographic evidence from the eighteenth century.

Traditional notions that family life among slaves during the pre-plantation period in the non-Hispanic Caribbean was necessarily unstable are fading in light of new research. Although marriage among this segment of the population in Caguas, Cayey, San Germán, and Yauco--rural parishes in Puerto Rico--involved only a fraction of the overall number of marriages in these communities, the marriage of slaves was much more frequent than previously assumed. Family life among the eighteenth-century Puerto Rican slave population appears to have been quite stable, as shown by the reconstruction of birth intervals for both married and unmarried mothers. Married and unmarried mothers exhibited similar reproductive behavior. These results strongly suggest that a majority of the unmarried slave mothers lived in unions that were not institutionally recognized, but that were nevertheless stable, as indicated by the high percentage of their children born at intervals comparable to those of married mothers. If unmarried mothers were living in stable consensual unions, then our understanding of these slave family units during the colonial period must be reassessed not only for Puerto Rico but possibly for the rest of the Caribbean and Latin America.

Hepatic cirrhosis and hepatitis: MR imaging enhanced with superparamagnetic iron oxide.

Superparamagnetic iron oxide was applied as a reticuloendothelial contrast agent in the diagnosis of cirrhosis and hepatitis in seven patients. Three patients had compensated cirrhosis, and four had active hepatitis. T1- and T2-weighted spin-echo magnetic resonance images were obtained before and 1 hour after the administration of iron oxide. Eight patients without diffuse liver disease served as a control group. Normal liver tissue showed a 75% +/- 9% reduction in signal intensity after the administration of iron oxide, and the liver appeared homogeneously hypointense. Cirrhotic liver tissue showed a smaller response (P less than .05) to iron oxide, with a 52% +/- 13% reduction in liver signal intensity. Inhomogeneous structures could be observed in enhanced images and are thought to represent fibrous bands or regenerating nodules. Liver tissue with active hepatitis showed a markedly reduced response to iron oxide (11% +/- 2%) (P less than .05), and the parenchyma appeared homogeneous. The authors conclude that the uptake of iron oxide particles is inhomogeneously altered in cirrhosis because of structural changes and homogeneously decreased in hepatitis because of functional changes of hepatic parenchyma.

Amebic liver abscess: diagnosis and treatment evaluation with MR imaging.

Magnetic resonance images were obtained before and after treatment in 17 patients with 29 amebic liver abscesses. Pretreatment T1-weighted images showed a sharply circumscribed, heterogeneous, low-signal-intensity mass, devoid of normal hepatic tissue and corresponding to the abscess cavity as measured sonographically. T2-weighted images showed the abscess cavity as a hyperintense region and also showed a larger region of hyperintensity extending from the cavity margins to the liver surface, corresponding to edematous but morphologically normal liver tissue. After treatment, the abscess cavity became homogeneously hypointense on T1-weighted images, corresponding to liquefaction of the abscess center. With successful treatment, concentric rings corresponding to (a) an inner margin of inflamed granulation tissue, (b) bands of type I collagen, and (c) the outer margin of atrophic and/or mildly inflamed liver tissue became prominent on T1- and T2-weighted images. T2-weighted images showed rapid resolution of the perifocal hepatic edema.