Medical Illustration in Anatomy

Genetic and anatomical evidence suggests that Homo sapiens arose in Africa between 200 and 100 thousand years (kyr) ago, and recent evidence indicates symbolic behaviour may have appeared approximately 135-75 kyr ago. From 195-130 kyr ago, the world was in a fluctuating but predominantly glacial stage (marine isotope stage MIS6); much of Africa was cooler and drier, and dated archaeological sites are rare. Here we show that by approximately 164 kyr ago (+/-12 kyr) at Pinnacle Point (on the south coast of South Africa) humans expanded their diet to include marine resources, perhaps as a response to these harsh environmental conditions. The earliest previous evidence for human use of marine resources and coastal habitats was dated to approximately 125 kyr ago. Coincident with this diet and habitat expansion is an early use and modification of pigment, probably for symbolic behaviour, as well as the production of bladelet stone tool technology, previously dated to post-70 kyr ago. Shellfish may have been crucial to the survival of these early humans as they expanded their home ranges to include coastlines and followed the shifting position of the coast when sea level fluctuated over the length of MIS6.

Although cadavers constitute the gold standard for teaching anatomy to medical and health science students, there are substantial financial, ethical, and supervisory constraints on their use. In addition, although anatomy remains one of the fundamental areas of medical education, universities have decreased the hours allocated to teaching gross anatomy in favor of applied clinical work. The release of virtual (VR) and augmented reality (AR) devices allows learning to occur through hands-on immersive experiences. The aim of this research was to assess whether learning structural anatomy utilizing VR or AR is as effective as tablet-based (TB) applications, and whether these modes allowed enhanced student learning, engagement and performance. Participants (n = 59) were randomly allocated to one of the three learning modes: VR, AR, or TB and completed a lesson on skull anatomy, after which they completed an anatomical knowledge assessment. Student perceptions of each learning mode and any adverse effects experienced were recorded. No significant differences were found between mean assessment scores in VR, AR, or TB. During the lessons however, VR participants were more likely to exhibit adverse effects such as headaches (25% in VR P < 0.05), dizziness (40% in VR, P < 0.001), or blurred vision (35% in VR, P < 0.01). Both VR and AR are as valuable for teaching anatomy as tablet devices, but also promote intrinsic benefits such as increased learner immersion and engagement. These outcomes show great promise for the effective use of virtual and augmented reality as means to supplement lesson content in anatomical education. Anat Sci Educ 10: 549-559. © 2017 American Association of Anatomists.

Few Middle Stone Age sites have yielded convincing evidence for a complex bone technology, a behavior often associated with the emergence of modern cultures. Here, we review the published evidence for Middle Stone Age bone tools from southern Africa, analyze an additional nine bone artifacts recently recovered from Middle Stone Age levels at Blombos Cave, describe an unpublished bone tool from probable Middle Stone Age levels at Peers Cave, examine a single bone awl found at Blombosch Sands (an open site near Blombos Cave), and reappraise marked bone artifacts and a bone point recovered from Klasies River. To determine the chronological and cultural attribution of these artifacts, document bone-manufacturing techniques associated with the southern African MSA, and discuss the symbolic significance of the markings present on some of these objects we use (1) available contextual information; (2) morphometric comparison of Later Stone Age, Modern San, and purported Middle Stone Age projectile points; (3) analysis of the carbon/nitrogen content of bone tools and faunal remains from Peers and Blombos caves; and (4) microscopic analysis of traces of manufacture and use. Previously undescribed bone artifacts from Blombos Cave include a massive point manufactured on weathered bone, two complete awls and two awl tips manufactured on small-sized mammal and bird bone, a probable projectile point with a tang manufactured by knapping and scraping, a shaft fragment modified by percussion, used as retoucher and bearing a set of incised lines on the middle of the periosteal surface, and two fragments with possible engravings. The point from Peers Cave can be assigned to the Middle Stone Age and bears tiny markings reminiscent of those recorded on projectile points from Blombos and used as marks of ownership on San arrow points. The awl from Blombosch Sands and the bone point from Klasies River can be attributed to the Later Stone Age. Two notched objects from Klasies are attributed to the Middle Stone Age and interpreted as tools used on soft material; a third object bears possible deliberate symbolic engravings. Although low in number, the instances of bone artifacts attributable to the Middle Stone Age is increasing and demonstrates that the bone tools from Blombos Cave are not isolated instances. New discoveries of bone tools dating to this time period can be expected.