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We implemented universal SARS-CoV-2 testing of patients undergoing surgical procedures as a means to conserve personal protective equipment (PPE). The rate of asymptomatic SARS-CoV-2 infection was <0.5%, and suggests that early local public health interventions were successful. While our protocol was resource-intensive, it prevented exposures to healthcare team members.
A single radiocarbon date derived from the Buhl burial in south-central Idaho has frequently been used as a data point for the interpretation of the Western Stemmed Tradition (WST) chronology and technology because of the stemmed biface found in situ with the human remains. AMS dating of bone collagen in 1991 produced an age of 10,675 ± 95 14C BP, immediately postdating the most widely accepted age range for Clovis. The Buhl burial has been cited as evidence that stemmed point technology may have overlapped with Clovis technology in the Intermountain West. We discuss concerns about the radiocarbon date, arguing that even at face value, the calibrated date has minimal overlap with Clovis at the 95.4% range. Furthermore, the C:N ratio of 3.69 in the analyzed collagen is outside of the typical range for well-preserved samples, indicating a postdepositional change in carbon composition, which may make the date erroneously older or younger than the age of the skeleton. Finally, the potential dietary incorporation of small amounts of anadromous fish may indicate that the burial is younger than traditionally accepted. For these reasons, we argue that the Buhl burial cannot be used as evidence of overlap between WST and Clovis.
Vertebrates may be born highly dependent (altricial) or may rapidly gain independence (precocial). Primates are generally considered somatically precocial. However, all are at least initially helpless, and many primates have a prolonged phase of juvenility. In this chapter, we discuss how selection may influence the relative timing of appearance of morphological features (heterochrony). Newborn primate morphology offers unique insights into the roles of prenatal and postnatal growth processes, primarily because metabolic costs for growth commence a transition from the mother to the infant at this point in time. With this in mind, primates vary remarkably at birth in dental eruption and mineralization status as well as limb skeleton ossification (e.g., wrists and ankles). We also discuss evidence, still relatively scant, that at birth primates vary greatly in the degree to which neural organs (e.g., brains, eyes) have achieved adult size and proportions. In preparation for morphological descriptions to follow, the reader is introduced to the concept of modularity of growth: different parts of the skeleton or even parts of regions have different rates of growth and development.
Skeletal Anatomy of the Newborn Primate was written to broaden our knowledge of non-human primates from a comparative and developmental perspective. This chapter explains that the main focus of our book is on the inherently risky neonatal period. The “neonate,” or newborn, is considered here to be a perinatal primate of up to seven days postnatal age. However, there is no simple way to physically identify primate newborns, not in the same many have defined “infants,” based on dental maturity. This is precisely what makes the neonatal stage so interesting: primates, like most other groups of mammals, vary in how rapidly they attain physical maturity. This introductory chapter discusses terminology and methodological challenges in studying newborns.
Feeding ontogeny in primates has three stages. In utero, nutrition is gained maternally. After birth, primates suckle. We know little about functional variation in these stages. The transition to adult feeding – highlighted by weaning – varies across species. Variation is tied to many socioecological and morphological influences across primates. Primate feeding apparatus ontogeny is affected by many factors. Diet exhibits a complex relationship with the clearest signal marked by rapid dental mineralization and eruption in folivorous strepsirrhines. Mineralization varies across primates. Emergence and eruption of postcanine teeth tends to follow size in both suborders with smaller taxa showing earlier emergence, the exception being rapid eruption in some folivores. Compared to teeth, less is known about the musculoskeletal ontogeny of the feeding apparatus. Most studies compare closely related species and link musculoskeletal robustness to challenging diets. Looking forward, better understanding of primate feeding apparatus growth will require improved samples (a challenge for long-lived species) and emphasis on the evolutionary significance of feeding throughout ontogeny.
In this chapter we introduce concepts in dental development, microanatomy of the tooth germ and mineralizing crowns, and terminology relating to dental morphology. Subsequently, tooth morphology in newborn hominoids (apes and humans) is discussed based on the literature, followed by accounts of the extent of crown mineralization at birth in a newly described sample of tarsiers, Old World monkeys, New World monkeys, and strepsirrhines (lemurs and lorises). Morphology of crowns is described in all species in which the crown is completely formed at birth. The chapter ends with a brief discussion of the “perinatal” trajectory of dental development in selected primate species based on a comparison of species at different stages (fetal, neonatal, and older infant), including some at similar known ages.
Life-history theory pertains to the entirety of prenatal and postnatal ontogeny, and therefore morphology of the newborn offers an important perspective on how primates invest in their young. Generally, longer gestations yield larger neonates that are weaned later, become sexually mature later, and have larger brain masses. But can the variations in skeletal maturity are birth explained by life-history traits? Here, we examine new somatic data on 47 species of primates in light of life-history traits and modularity of growth among body regions. “Snout” length is uniformly diminutive in newborns compared to adults, although some scaling differences are already apparent at birth (relatively longer palates in strepsirrhines and tarsiers). Correlations of life-history characteristics indicate gestational length has a significant influence on facial functional matrices, with a positive correlation with permanent tooth and eye size, and a negative correlation with deciduous tooth germ size. We may as yet lack a broad enough perspective on brain size at birth, but some existing observations suggest primates preferentially prioritize prenatal brain growth over general somatic growth.
Primate locomotor development is a protracted process. We summarize the time course of locomotor development in approximately 50 primates distributed across the extant radiation. Despite substantial variance, we identify several broad trends. Primates are somewhat precocial at birth – born with their eyes open and able to strongly grasp. Locomotor onset age generally increases with body mass, although certain taxonomic groups (e.g., lemurids and cercopithecids) develop early for their size whereas others (e.g., indriids and hominids) develop relatively late. Initial locomotor movements are similar across primates and dominated by quadrupedal crawling. Only later do more specialized forms of locomotion emerge (e.g., leaping and brachiation), often in concert with functional changes in musculoskeletal anatomy (e.g., maturation of intermembral indices, center of mass position, and bony muscle leverage). We advocate viewing locomotor development as a fundamental life-history parameter, responding to the same evolutionary pressures shown to be fundamental to other aspects of primate life history (e.g., predation, resource access, body size, encephalization).
In this chapter we discuss the vertebral column, ribs, and sternum from a developmental perspective. The axial skeleton of newborn hominoids (apes and humans) is discussed based on the literature, followed by accounts of osteology in a newly described sample of newborn tarsiers, Old World monkeys, New World monkeys, and strepsirrhines (lemurs and lorises). The neonatal vertebral column is fragmented in skeletonized specimens, because in most vertebrae, actively growing synchondroses connect the right and left neural arches and connect the centrum to the arches. Transverse processes, portions of the articular facets, and the ventral arch of C1 are also cartilaginous in most primates. However, tarsiers and most monkeys have an ossified C1 ventral arch. The chapter ends with a brief discussion of the early postnatal trajectory of axial skeleton ossification in selected primate species based on a comparison of species at different stages (neonatal and older infant), including some at similar known ages.
Birth represents a transitional point in time – a static moment that borders a time of complete dependency and the march toward independence. This chapter reviews some basic concepts of vertebrate development and histology. Of particular relevance are tissue changes that reflect differentiation of mineralized tissues: skeletogenesis and odontogenesis, beginning with changes to the primitive connective tissue (mesenchyme). Viewed by microscopy, mesenchyme condenses prior to differentiation into cartilage, bone or tooth germs. Most mesenchymal condensations for the skeleton form during the embryonic period, but they continue to appear during the fetal period or postnatally for some structures (e.g., successional teeth). Most growth of the skeleton occurs during the fetal and postnatal periods. Mineralized connective tissues have different available growth processes. The contributions of appositional growth (new matrix is added to existing matrix), interstitial growth (cell replication and matrix production within existing tissue), and bone modeling (selective osteoclastic and osteoblastic activity) are discussed according to types of bones and skeletal regions.
In this chapter we discuss the osteology of the primate hindlimb and pelvic girdle of the newborn. This region in newborn hominoids (apes and humans) is discussed based on the literature and illustrated based on museum specimens. Subsequently, the hindlimb skeleton of newborn tarsiers, Old World monkeys, New World monkeys, and strepsirrhines (lemurs and lorises) are described. At birth, the os coxa of all primates is represented by three ossified elements (ilium, pubs, ischium), which are connected at synchondroses centered at the acetabulum. Generally, cercopithecoids, tarsiers, and galagids more frequently have ossified femoral and tibial epiphyses at birth than other primates. In all newborn primates, the talus and calcaneus has commenced ossification. Naviculars have commenced ossification in many strepsirrhines, tarsiers and all known cercopithecoids (but few other anthropoids). Many primate species vary in the number of tarsals ossified at birth. This chapter also includes preliminary histological observations on variations in epiphyseal growth plates of newborn, and on differing rates of early postnatal ossification of the tarsus.
In this chapter we discuss parts of the primate skull (cranium and mandible) according to embryology and the evolutionary history (neurocranium and viscerocranium) and according to their mode of ossification (chondrocranium and dermatocranium). Subsequently, the osteology of the skull in newborn hominoids (apes and humans) is discussed based on the literature, followed by regional accounts of skull anatomy in a newly described sample of tarsiers, Old World monkeys, New World monkeys, and strepsirrhines (lemurs and lorises). The chapter ends with a brief discussion of the early postnatal trajectory of skull ossification and growth in selected primate species based on a comparison of species at similar known ages during infancy.
In this chapter we discuss the osteology of the primate forelimb and pectoral girdle from a developmental perspective. The embryonic period of limb development is briefly described. This region in newborn hominoids (apes and humans) is discussed based on the literature and illustrated based on museum specimens. Subsequently, the forelimb skeleton of newborn tarsiers, Old World monkeys, New World monkeys, and strepsirrhines (lemurs and lorises) is described. At birth, the acromion process remains unossified in all primates but the primary center of the corocoid process is ossified in most primates. Haplorrhines generally exhibit better ossified forelimbs (especially at the wrist) than strepsirrhines. Ossification of the forelimb skeleton is most advanced in Old World monkeys and Hylobates compared to all other extant primates except Tarsius. However, ossification rapidly picks up pace postnatally in at least some strepsirrhines (e.g., galagids).
Classical stewardship efforts have targeted immunocompetent patients; however, appropriate use of antimicrobials in the immunocompromised host has become a target of interest. Cytomegalovirus (CMV) infection is one of the most common and significant complications after solid-organ transplant (SOT). The treatment of CMV requires a dual approach of antiviral drug therapy and reduction of immunosuppression for optimal outcomes. This dual approach to CMV management increases complexity and requires individualization of therapy to balance antiviral efficacy with the risk of allograft rejection. In this review, we focus on the development and implementation of CMV stewardship initiatives, as a component of antimicrobial stewardship in the immunocompromised host, to optimize the management of prevention and treatment of CMV in SOT recipients. These initiatives have the potential not only to improve judicious use of antivirals and prevent resistance but also to improve patient and graft survival given the interconnection between CMV infection and allograft function.