Previous analysis of cribra orbitalia in the medieval populations of Kulubnarti focused only on the presence or absence of the lesion relative to age, sex, and cultural period. Demographic consideration of the lesion was limited to a gross comparison of lesion frequencies and probabilities of dying by age group. The scope of the earlier work has been expanded in the present research to include the consideration of cribra orbitalia from a developmental, demographic, and diachronic perspective. The sample consisted of the same 334 crania analyzed by Van Gerven et al. ([1981] J. Hum. Evol. 10:395-408). All skulls showing the lesion were dichotomized as active or healing, and separate life tables were constructed for those with lesions and those without. The results demonstrate that active lesions are confined entirely to infancy and childhood with formation beginning as early as six months and ending by the twelfth year. This childhood pattern is consistent with the iron deficiency anemia hypothesis proposed by Carlson et al. ([1974] J. Hum. Evol. 3:405-410). Among young adults (16-40), healing lesions occur more frequently in males than females. In the older age categories, however, females exhibit a higher frequency of partially healed lesions than males. A life table comparison of those with and those without cribra orbitalia reveals a dramatic reduction in mean life expectancy for those with the lesion across the formative childhood years (birth-16). This reduction peaks at age 5 where 78% of the children exhibit lesions and where they, as a group, have a mean life expectancy 15.5 years below those without the lesion.

The determination of sex in subadult skeletons remains a problem for several areas of biological anthropology. To date, univariate and multivariate assessments of sex in the young using adult indicators have failed to produce reliable results. However, research in this area continues. In 1980, Weaver proposed a modification of adult differences in auricular surface morphology as an effective means for sex determination in subadult remains. His method was indirectly evaluated by Hunt through a comparison of the sex ratios produced by this technique and the expected 1:1 ratio. The present investigation expands upon both studies by using a sample of subadults of known sex, and by evaluating Weaver's method from two perspectives: 1) what percentage of individuals can be correctly sexed using Weaver's criteria? and 2) what is the probability that an individual case will be correctly sexed based on the presence or absence of auricular surface elevation? The first is of interest to those reconstructing population patterns, while the second is critical to the forensic investigator faced with the diagnosis of an individual case. The sample used in this study consisted of 58 ilia from subadults of known sex ranging in age from birth through 18. In each case, sufficient soft tissues were present to allow absolute sex diagnosis. Each ilium was subjected to a blind examination using Weaver's criteria for auricular surface elevation. Weaver's technique proved most effective on the males in our sample, with an overall accuracy of 85.3%; however, accuracy in sexing females was only slightly better than chance at 58.3%. Our results corresponded closely to Weaver's own values of 85.4 and 57.7% respectively. Although not significant, the effectiveness of the method improved with age among subadults of both sexes at the population level. The present results suggest that during infancy and early childhood, auricular surface morphology for most individuals conforms to the male pattern. From the perspective of forensic science, auricular surface morphology proved an effective predictor of sex only among a subset of children older than age nine. All subadults beyond age nine with an elevated surface were female and were therefore diagnosable. However, 26% of our female sample failed to develop an elevated surface thus making the attribute of nonelevation less indicative of male status.

An analysis of the relationship between oral pathology and degenerative change at the temporomandibular joint (TMJ) was undertaken on an archaeological sample of 122 adult crania from the Medieval site of Kulubnarti in Sudanese Nubia. The crania were sorted into 2 groups: those demonstrating clearly visible bony changes at the joint (TMJ+) and those without visible change (TMJ-). These groups were compared according to 1) age; 2) sex; 3) active dental pathologies (abscesses, caries, partial socket resorption); 4) tooth loss with complete socket resorption; and 5) dental attrition. No statistically significant association was evident between degenerative change at the TMJ and age, active dental pathologies, or dental attrition; however, sex differences and posterior tooth loss with complete socket resorption revealed a significant correspondence to degenerative TMJ changes. Both of these factors agree with the clinical literature and with biomechanical models (most notably that of Hylander) based upon modern populations. Furthermore, the results support the contention that paleopathological conditions can be analyzed from a clinical and functional biomechanical perspective.