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Functional morphologists have long noted that skeletal adaptations in primate phalanges reflect locomotor behavior. While most studies have successfully used two-dimensional measurements to quantify general features of phalanx shape, a whole-bone three-dimensional analysis may better capture more subtle aspects of phalanx morphology that have not been quantifiable but are functionally meaningful. Here, we compare linear measurement (LM) and weighted spherical harmonic/sliding semilandmark (SPHARM-sliding) analyses of the manual third proximal phalanx (PP3) in extant hominoids (Homo, Pan, Gorilla, Pongo, Symphalangus, Hylobates; n = 292) and specimens attributed to Australopithecus afarensis (n = 2) and Homo neanderthalensis (n = 2). Morphological variation was summarized using principal component (PC) analysis. Differences between extant taxa were tested for using non-parametric MANOVAs (LM) and Procrustes distance resampling (SPHARM-sliding). Linear discriminant analyses (LDA) were performed using PC scores to assess whether the SPHARM-sliding or LM analysis better predicts group memberships of extant and fossil specimens. In both analyses, PC1 separates taxa along a locomotor gradient, and all extant genera are significantly different from one another (p ≤ 0.01) aside from Pongo versus Symphalangus in the LM analysis (p = 0.053). Only the SPHARM-sliding analysis found significant differences between taxa within each genus (p ≤ 0.04), and differences were even significant among Gorilla subspecies (p < 0.001). LDAs indicated that accuracy, separation effectiveness, and confidence were greater for the SPHARM-sliding analysis in predicting group membership among extant specimens, as well as fossil memberships to an extant group. Overall, results demonstrate that whole-bone, high-density landmark analyses can highlight nuanced features of PP3 morphology and may serve better for making inferences about fossils.
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http://dx.doi.org/10.1002/ar.25674 | DOI Listing |
Head Neck
September 2025
Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario, Canada.
Background: Salvage surgery (SS) is one of the best treatment options for recurrent oropharyngeal squamous cell carcinoma (OPSCC) after prior definitive radiation.
Methods: A Medline literature search of articles on open (OSS) and transoral robotic surgery (TORS) for the treatment of recurrent OPSCC was performed. Surgical, functional, and oncological outcomes were analyzed and compared.
Front Digit Health
August 2025
Department of Ophthalmology, Stanford University, Palo Alto, CA, United States.
Introduction: Vision language models (VLMs) combine image analysis capabilities with large language models (LLMs). Because of their multimodal capabilities, VLMs offer a clinical advantage over image classification models for the diagnosis of optic disc swelling by allowing a consideration of clinical context. In this study, we compare the performance of non-specialty-trained VLMs with different prompts in the classification of optic disc swelling on fundus photographs.
View Article and Find Full Text PDFNeurotrauma Rep
August 2025
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing, China.
Accurate differentiation between persistent vegetative state (PVS) and minimally conscious state and estimation of recovery likelihood in patients in PVS are crucial. This study analyzed electroencephalography (EEG) metrics to investigate their relationship with consciousness improvements in patients in PVS and developed a machine learning prediction model. We retrospectively evaluated 19 patients in PVS, categorizing them into two groups: those with improved consciousness ( = 7) and those without improvement ( = 12).
View Article and Find Full Text PDFFront Rehabil Sci
August 2025
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, CA, United States.
Introduction: Spinal cord injury (SCI) presents a significant burden to patients, families, and the healthcare system. The ability to accurately predict functional outcomes for SCI patients is essential for optimizing rehabilitation strategies, guiding patient and family decision making, and improving patient care.
Methods: We conducted a retrospective analysis of 589 SCI patients admitted to a single acute rehabilitation facility and used the dataset to train advanced machine learning algorithms to predict patients' rehabilitation outcomes.
Front Immunol
September 2025
Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Introduction: Anti-N-methyl-D-aspartate receptor (NMDA-R) encephalitis is a neuropsychiatric disorder with additional psychiatric features caused by NMDA-R immunoglobulin G (IgG) antibodies in cerebrospinal fluid (CSF). This report presents the follow-up of a patient in whom we assumed mild NMDA-R encephalitis in the first psychotic episode.
Case Study: A patient with a prior episode of an acute polymorphic psychotic syndrome relapsed five and a half years later following a severe COVID-19 infection.