Improvement of late life depression after therapeutic enoxaparin: two case reports.

OBJECTIVE: Late life depression (LLD) may have a significant vascular component. While this organic basis remains controversial it would explain the refractory nature of LLD. Moreover, depression is a risk factor for venous thrombus embolism (VTE). This paper aims to describe two elderly patients with LLD who developed and were treated for pulmonary embolism (PE). METHODS: Two cases of elderly patients who developed PE while they were undergoing inpatient treatment for depression are presented. This is discussed using the vascular and the cytokine hypotheses of depression as an explanatory framework. RESULTS: Both patients showed significant clinical improvement in their mental state following therapeutic enoxaparin despite no other changes to their management of depression. This observed benefit of enoxaparin can be explained by the vascular hypothesis of LLD, and possibly the cytokine hypothesis of major depression. CONCLUSION: Enoxaparin may be a novel adjunct to the treatment of depression in elderly patients. The possible benefit of enoxaparin would require further study to exclude a coincidence in these clinical cases.

Paleolithic eyed needles and the evolution of dress.

Eyed needles are among the most iconic of Paleolithic artifacts, traditionally seen as rare indicators of prehistoric clothing, particularly tailoring. However, recent finds across Africa and Eurasia show that other technologies like bone awls also facilitated the creation of fitted garments. Nonetheless, the advent of delicate eyed needles suggests a demand for more refined, efficient sewing. This refinement may signify two major developments: the emergence of underwear in layered garment assemblages, and/or a transition in adornment from body modification to decorating clothes, as humans covered themselves more completely for thermal protection. Archaeological evidence for underwear is limited, but the Upper Paleolithic saw an increase in personal ornaments, some sewn onto clothing. Eyed needles may mark a pivotal shift as clothes acquired the social functions of dress, decoupling clothing from climate and ensuring its enduring presence.

Femoral neck-shaft angle in humans: variation relating to climate, clothing, lifestyle, sex, age and side.

The femoral neck-shaft angle (NSA) varies among modern humans but measurement problems and sampling limitations have precluded the identification of factors contributing to its variation at the population level. Potential sources of variation include sex, age, side (left or right), regional differences in body shape due to climatic adaptation, and the effects of habitual activity patterns (e.g. mobile and sedentary lifestyles and foraging, agricultural, and urban economies). In this study we addressed these issues, using consistent methods to assemble a global NSA database comprising over 8000 femora representing 100 human groups. Results from the analyses show an average NSA for modern humans of 127° (markedly lower than the accepted value of 135°); there is no sex difference, no age-related change in adults, but possibly a small lateral difference which could be due to right leg dominance. Climatic trends consistent with principles based on Bergmann's rule are evident at the global and continental levels, with the NSA varying in relation to other body shape indices: median NSA, for instance, is higher in warmer regions, notably in the Pacific (130°), whereas lower values (associated with a more stocky body build) are found in regions where ancestral populations were exposed to colder conditions, in Europe (126°) and the Americas (125°). There is a modest trend towards increasing NSA with the economic transitions from forager to agricultural and urban lifestyles and, to a lesser extent, from a mobile to a sedentary existence. However, the main trend associated with these transitions is a progressive narrowing in the range of variation in the NSA, which may be attributable to thermal insulation provided by improved cultural buffering from climate, particularly clothing.

Environment and morphology in Australian Aborigines: a re-analysis of the Birdsell database.

Pursuant to his major research interest in the cultural ecology of hunter-gatherers, Birdsell collected an unparalleled body of phenotypic data on Aboriginal Australians during the mid twentieth century. Birdsell did not explicitly relate the geographic patterning in his data to Australia's climatic variation, instead arguing that the observable differences between groups reflect multiple origins of Australian Aborigines. In this article, bivariate correlation and multivariate analyses demonstrate statistically significant associations between climatic variables and the body build of Australians that are consistent with the theoretical expectations of Bergmann's and Allen's rules. While Australian Aborigines in comparison to Eurasian and New World populations can be generally described as long-headed, linear in build, and characterized by elongated distal limbs, the variation in this morphological pattern across the continent evidently reflects biological adaptation to local Holocene climates. These results add to a growing body of evidence for the role of environmental selection in the development of modern human variation.