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Thoracic trauma: Clinical and paleopathological perspectives 胸部创伤:临床和古病理学观点
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.09.003
Brianne Morgan , Karanvir Prakash , John C. Mayberry , Megan B. Brickley

Objectives

Although trauma is one of the most significant areas of study in paleopathology, most studies focus on fractures of single anatomical elements. Paleopathological research on regional trauma, such as of the thorax, is rare. This paper explores the causes, complications, and consequences of adult thoracic trauma using clinical data in order to inform paleopathological research.

Materials and methods

Trends in paleopathological thoracic trauma literature were assessed by evaluating publications from Bioarchaeology International, International Journal of Osteoarchaeology, International Journal of Paleopathology, and American Journal of Biological Anthropology. Clinical publications on thoracic trauma throughout time were also assessed through a PubMed search, and modern prevalence data was found through trauma databases such as the National Trauma Databank.

Results

Consideration of thoracic trauma involving concomitant injuries is a recent trend in clinical literature and patient care, but paleopathological research on thoracic trauma has been limited. Since thoracic fractures tend to occur in conjunction with other injuries, assessing them together is critical to the interpretation of trauma in the past.

Conclusions

Clinical research into thoracic fractures and concomitant injuries provides valuable data for paleopathological research. Evaluating the likelihood and consequences of concomitant injury in skeletal remains provides a more robust understanding of trauma in the past and its impact on past lifeways.

Significance

This paper provides a review of current clinical and paleopathological literature on thoracic trauma and demonstrates the importance of moving beyond the analysis of fractures or trauma of single anatomical elements.

Limitations

Thoracic bones are often taphonomically altered and differentially preserved leading to difficulty in identifying and interpreting fractures.

Suggestions for Further Research

Practical application of the data presented here to archaeological samples will help to advance paleopathological understandings of thoracic trauma.

虽然创伤是古病理学中最重要的研究领域之一,但大多数研究都集中在单一解剖元件的骨折上。区域性创伤的古病理学研究,如胸部,是罕见的。本文利用临床资料探讨成人胸外伤的原因、并发症和后果,以便为古病理学研究提供信息。材料与方法通过评价《国际生物考古学》、《国际骨考古学杂志》、《国际古病理学杂志》和《美国生物人类学杂志》的出版物,对古病理胸椎创伤文献的发展趋势进行评估。我们还通过PubMed检索对各时期关于胸部创伤的临床出版物进行了评估,并通过国家创伤数据库等创伤数据库找到了现代患病率数据。结果考虑胸外伤并发损伤是临床文献和患者护理的最新趋势,但关于胸外伤的古病理学研究有限。由于胸椎骨折往往与其他损伤同时发生,在过去,将它们一起评估对于解释创伤是至关重要的。结论胸椎骨折及伴发损伤的临床研究为古生物病理学研究提供了有价值的资料。评估骨骼遗骸中伴随损伤的可能性和后果,可以更有力地了解过去的创伤及其对过去生活方式的影响。本文回顾了当前关于胸部创伤的临床和古病理学文献,并论证了超越单一解剖因素的骨折或创伤分析的重要性。局限性胸椎骨常在地理上发生改变,且保存有差异,导致骨折的识别和解释困难。对进一步研究的建议本文提出的数据在考古样本中的实际应用将有助于推进对胸外伤的古病理学认识。
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引用次数: 1
Intestinal parasite infection in the Augustinian friars and general population of medieval Cambridge, UK 英国中世纪剑桥奥古斯丁修士和一般人群的肠道寄生虫感染
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.06.001
Tianyi Wang , Craig Cessford , Jenna M. Dittmar , Sarah Inskip , Peter M. Jones , Piers D. Mitchell

Objective

To investigate how lifestyle may have impacted the risk of contracting intestinal parasites in medieval England . Regular clergy (such as those living in monasteries) and the lay population form interesting groups for comparison as diet and lifestyle varied significantly. Monasteries were built with latrine blocks and hand washing facilities, unlike houses of the poor.

Materials

Sediment samples from the pelvis, along with control samples from feet and skull, of 19 burials of Augustinian Friars (13th-16th century), and 25 burials from All Saints by the Castle parish cemetery (10th-14th century), Cambridge.

Methods

We analysed the sediment using micro-sieving and digital light microscopy to identify the eggs of intestinal parasites.

Results

Parasite prevalence (roundworm and whipworm) in the Augustinian friars was 58%, and in the All Saints by the Castle parishioners just 32% (Barnards Test score statistic 1.7176, p-value 0.092).

Conclusions

It is interesting that the friars had nearly double the infection rate of parasites spread by poor hygiene, compared with the general population. We consider options that might explain this difference, and discuss descriptions and treatment of intestinal worms in medical texts circulating in Cambridge during the medieval period.

Significance

This is the first study to compare prevalence of parasite infection between groups with different socioeconomic status from the same location.

Limitations

Quality of egg preservation was suboptimal, so our data may under-represent the true prevalence.

Suggestions for further research

Larger studies with greater statistical power, covering different time periods and regions.

目的探讨中世纪英格兰生活方式对肠道寄生虫感染风险的影响。由于饮食和生活方式的显著差异,普通神职人员(比如那些住在修道院的人)和普通人形成了有趣的比较群体。与穷人的房子不同,修道院建有厕所和洗手设施。材料:剑桥19个奥古斯丁修士(13 -16世纪)墓葬和25个城堡教区墓地众圣徒(10 -14世纪)墓葬的骨盆沉积物样本,以及脚和头骨的对照样本。方法采用微筛法和数码光镜对沉积物进行分析,鉴定肠道寄生虫卵。结果奥古斯丁会修士的蛔虫和鞭虫患病率为58%,城堡堂区众圣徒的患病率为32%(巴纳德测验得分统计值为1.7176,p值为0.092)。结论修士因卫生不良传播寄生虫的感染率是一般人群的近两倍。我们考虑了可能解释这种差异的选择,并讨论了中世纪在剑桥流传的医学文献中对肠道蠕虫的描述和治疗。意义本研究首次比较了同一地区不同社会经济地位人群的寄生虫感染流行情况。鸡蛋保存的质量是次优的,因此我们的数据可能不足以代表真实的患病率。进一步研究的建议更大的研究,更大的统计力,涵盖不同的时间和地区。
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引用次数: 3
Generalized dermatitis in the natural mummy of the Roman Catholic nun Marie-Léonie Martin (France, 1863–1941) 罗马天主教修女玛丽-莱姆萨尼·马丁(法国,1863-1941)天然木乃伊的全身皮炎
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.09.001
Ruggero D’Anastasio, Francesca Monza, Jacopo Cilli, Luigi Capasso

Objective

To document skin lesions on a mummified individual from the XIX century and to diagnose the pathology based historical documentation and physical examination.

Materials

Marie Leonie Martin (1863–1941) was a Roman Catholic nun. Her naturally mummified body is currently preserved in the Monastery of the Visitation in Caen (France). On the occasion of her beatification, the body was exhumed, studied and restored for conservation purposes.

Methods

The mummy was analyzed histologically and with CT imaging.

Results

The examination of the body noted areas of skin discoloration of reddish color; the paleopathological investigations revealed the presence of skin lesions (pustules) distributed throughout the body, with the exception of the face, abdomen and palms. The histological analyses of the pustules showed the presence of a central duct for the leakage of exudate, hyperkeratosis of the stratum corneum and a proliferation of cells in the spinous layer (acanthosis) of the epidermis.

Conclusions

The red discoloration of the skin is typical of extensive erythema.

Significance

Our understanding of skin conditions in the past is extremely limited. This study provides the first paleopathological case of diagnosed unclassified endogenous eczema and provides insight into the antiquity and effects of the disease.

Limitations

It was not possible to carry out a genetic analysis due to DNA contamination of the mummy.

目的记录19世纪木乃伊的皮肤病变,并根据历史文献和体格检查进行病理诊断。玛丽·莱奥尼·马丁(1863-1941)是一位罗马天主教修女。她自然制成的木乃伊目前保存在法国卡昂的探访修道院。在她的宣福礼上,尸体被挖掘出来,研究和修复,以保护目的。方法对木乃伊进行组织学和CT成像分析。结果身体检查发现皮肤有红色变色的区域;古病理学调查显示,除了面部、腹部和手掌外,全身都有皮肤病变(脓疱)。脓疱的组织学分析显示有渗出液渗漏的中央导管,角质层角化过度,表皮棘层(棘层)细胞增生。结论皮肤变红是广泛性红斑的典型表现。过去,我们对皮肤状况的了解非常有限。本研究提供了确诊的未分类内源性湿疹的第一个古病理病例,并提供了深入了解的古代和影响的疾病。限制由于木乃伊的DNA污染,无法进行基因分析。
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引用次数: 0
Examining pathogen DNA recovery across the remains of a 14th century Italian friar (Blessed Sante) infected with Brucella melitensis 在一名14世纪意大利修士(圣福)感染布鲁氏菌的遗骸上检测病原体DNA恢复
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.08.002
Jessica Hider , Ana T. Duggan , Jennifer Klunk , Katherine Eaton , George S. Long , Emil Karpinski , Valentina Giuffra , Luca Ventura , Antonio Fornaciari , Gino Fornaciari , G. Brian Golding , Tracy L. Prowse , Hendrik N. Poinar

Objective

To investigate variation in ancient DNA recovery of Brucella melitensis, the causative agent of brucellosis, from multiple tissues belonging to one individual

Materials

14 samples were analyzed from the mummified remains of the Blessed Sante, a 14 th century Franciscan friar from central Italy, with macroscopic diagnosis of probable brucellosis.

Methods

Shotgun sequencing data from was examined to determine the presence of Brucella DNA.

Results

Three of the 14 samples contained authentic ancient DNA, identified as belonging to B. melitensis. A genome (23.81X depth coverage, 0.98 breadth coverage) was recovered from a kidney stone. Nine of the samples contained reads classified as B. melitensis (7−169), but for many the data quality was insufficient to withstand our identification and authentication criteria.

Conclusions

We identified significant variation in the preservation and abundance of B. melitensis DNA present across multiple tissues, with calcified nodules yielding the highest number of authenticated reads. This shows how greatly sample selection can impact pathogen identification.

Significance

Our results demonstrate variation in the preservation and recovery of pathogen DNA across tissues. This study highlights the importance of sample selection in the reconstruction of infectious disease burden and highlights the importance of a holistic approach to identifying disease.

Limitations

Study focuses on pathogen recovery in a single individual.

Suggestions for further research

Further analysis of how sampling impacts aDNA recovery will improve pathogen aDNA recovery and advance our understanding of disease in past peoples

目的探讨布鲁氏菌(Brucella melitensis)在同一个体的多个组织中DNA恢复的差异。资料分析了14世纪意大利中部方济会修士the Blessed Sante干尸的14个样本,并对可能的布鲁氏菌病进行了宏观诊断。方法采用散弹枪测序法检测布鲁氏菌DNA的存在。结果14份样本中有3份含有真实的古代DNA,鉴定属于B. melitensis。从肾结石中恢复了基因组(23.81倍深度覆盖,0.98倍宽度覆盖)。其中9份样本的reads被归类为B. melitensis(7−169),但对许多样本来说,数据质量不足以通过我们的鉴定和认证标准。结论:我们发现,在多种组织中,melitensis DNA的保存和丰度存在显著差异,钙化结节产生的鉴定reads数量最多。这显示了样本选择对病原体鉴定的影响有多大。意义:我们的研究结果表明,在不同组织中,病原体DNA的保存和恢复存在差异。本研究强调了传染病负担重建中样本选择的重要性,并强调了识别疾病的整体方法的重要性。研究局限于单个个体的病原体恢复。进一步研究的建议进一步分析采样对aDNA恢复的影响将提高病原体aDNA的恢复,并提高我们对过去人类疾病的认识
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引用次数: 1
A paleoepidemiological approach to the challenging differential diagnosis of an isolated 1500-year-old anomalous molar from Panamá 古流行病学方法对来自巴拿马<e:1>的一颗1500年前的异常臼齿进行具有挑战性的鉴别诊断
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.07.002
Nicole E. Smith-Guzmán

Objective

This study seeks to quantify the presence and prevalence of specific genetic and infectious diseases in the pre-Colombian Panamanian population and uses these data to consider the plausibility of these diseases as causative factors in the development of an abnormal supernumerary cusp morphology in a 1500-year-old isolated molar recovered from Cerro Juan Díaz (Los Santos, Panama).

Materials

267 individuals from pre-Columbian sites throughout Panama.

Methods

The anomalous tooth was analyzed through macroscopic, odontometric, and radiographic means. Tentative differential diagnosis was performed using inferences from paleopathological features of the broader regional population.

Results

The regional sample showed evidence of treponemal infection and developmental anomalies in 10.1% and 10.9% of individuals, respectively.

Conclusions

While not able to rule out three potential genetic conditions, more evidence was found to support the differential diagnosis of congenital syphilis as the causative agent leading to the development of abnormal supernumerary cusps in the isolated molar.

Significance

This study demonstrates how characterizing disease experience in the population can assist in differential diagnoses at the individual level and cautions against the assumption that any one lesion in isolation is unique to only one specific pathological condition.

Limitations

The timing discrepancy between clinical descriptions of congenital syphilis and genetic disorders, lack of knowledge on pathophysiological mechanisms of the former, poor preservation of Treponema pathogen ancient DNA, and deficiencies in modern public health data from Panama limit the differential diagnosis.

Suggestions for further research

Inclusion and serious contemplation of genetic diseases in paleopathological differential diagnoses is necessary.

本研究旨在量化前哥伦比亚巴拿马人口中特定遗传和传染病的存在和流行,并利用这些数据考虑这些疾病作为在Cerro Juan Díaz (Los Santos, Panama)中发现的1500年前的分离臼齿异常多尖形态发展的致病因素的合理性。资料:来自巴拿马前哥伦布时代遗址的267个人。方法采用肉眼、牙镜、x线摄影等方法对异常牙进行分析。根据更广泛地区人群的古病理特征推断进行初步鉴别诊断。结果区域样本中分别有10.1%和10.9%的个体存在密螺旋体感染和发育异常。结论虽然不能排除三种潜在的遗传条件,但更多的证据支持先天性梅毒作为导致离体磨牙出现异常多尖的病原体的鉴别诊断。意义:本研究证明了在人群中描述疾病经历如何有助于在个体水平上进行鉴别诊断,并提醒人们不要假设任何一种单独的病变只针对一种特定的病理状况。局限性先天性梅毒的临床描述与遗传疾病的时间差异、对前者病理生理机制的了解不足、梅毒原体古代DNA保存不佳以及巴拿马现代公共卫生数据的不足,限制了鉴别诊断。在古病理鉴别诊断中,有必要对遗传病进行结论和认真思考。
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引用次数: 0
The dark satanic mills: Evaluating patterns of health in England during the industrial revolution 黑暗的魔鬼工厂:工业革命期间英国健康模式的评估
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.10.002
Jo Buckberry , Gillian Crane-Kramer

Objective

this research seeks to investigate the impact the industrial revolution had on the population of England.

Materials

Pre-existing skeletal data from 1154 pre-Industrial (1066–1700 CE) and 4157 industrial (1700–1905) skeletons from 21 cemeteries (N = 5411).

Methods

Context number, sex, age-at-death, stature and presence/absence of selected pathological conditions were collated. The data were compared using chi square, Kolmogorov-Smirnov, t-tests and logistic regression (α = 0.01).

Results

There was a statistically significant increase in cribra orbitalia, periosteal reactions, rib lesions, fractures, rickets, osteoporosis, osteoarthritis, enamel hypoplasia, dental caries and periapical lesions in the industrial period. Osteomyelitis decreased from the pre-industrial to industrial period.

Conclusion

Our results confirm the industrial revolution had a significant negative impact on human health, however the prevalence of TB, treponemal disease, maxillary sinusitis, osteomalacia, scurvy, gout and DISH did not change, suggesting these diseases were not impacted by the change in environmental conditions.

Significance

This is the largest study of health in the industrial revolution that includes non-adults and adults and considers age-at-death alongside disease status to date. This data supports the hypothesis that the rise of industry was associated with a significant decline in general health, but not an increase in all pathological conditions.

目的本研究旨在调查工业革命对英国人口的影响。材料来自21个墓地(N = 5411)的1154具工业前(公元1066-1700年)和4157具工业前(1700-1905年)骨骼的现存骨骼数据。方法对研究对象的背景、性别、死亡年龄、身高、有无病理情况进行统计。采用卡方检验、Kolmogorov-Smirnov检验、t检验和logistic回归进行比较(α = 0.01)。结果工业时期眶缘、骨膜反应、肋骨病变、骨折、佝偻病、骨质疏松症、骨关节炎、牙釉质发育不全、龋齿、根尖周病变发生率较工业时期明显增高。骨髓炎从前工业时期到工业时期减少了。结论工业革命对人类健康产生了显著的负面影响,但结核病、螺旋体病、上颌窦炎、骨软化症、坏血病、痛风和DISH的患病率没有变化,表明这些疾病没有受到环境条件变化的影响。这是工业革命中规模最大的健康研究,包括非成年人和成年人,并考虑了迄今为止的死亡年龄和疾病状况。这一数据支持了一种假设,即工业的兴起与总体健康状况的显著下降有关,但并非与所有病理状况的增加有关。
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引用次数: 6
Compounding vulnerabilities: Syndemics and the social determinants of disease in the past 加剧脆弱性:过去疾病的流行病和社会决定因素
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.09.002
Megan A. Perry , Rebecca L. Gowland

Objective

This article explores the theory and utility of a syndemic approach for the study of disease in the past. Syndemic principles are examined alongside other theoretical developments within bioarchaeology. Two case studies are provided to illustrate the efficacy of this approach: Tuberculosis and vitamin D deficiency in 18th and 19th century England, and malaria and helminth infections in Early Medieval England.

Materials

Public health studies of present syndemics, in addition to published bioarchaeological, clinical and social information relating to the chosen case studies.

Methods

The data from these two historical examples are revisited within a syndemic framework to draw deeper conclusions about disease clustering and heterogeneity in the past.

Results

A syndemic framework can be applied to past contexts using clinical studies of diseases in a modern context and relevant paleopathological, archaeological, and historical data.

Conclusions

This approach provides a means for providing a deeper, contextualised understanding ancient diseases, and integrates well with extant theoretical tools in bioarchaeology

Significance

Syndemics provides scholars a deep-time perspective on diseases that still impact modern populations.

Limitations

Many of the variables essential for a truly syndemic approach cannot be obtained from current archaeological, bioarchaeological, or historical methods.

Suggestions for further research

More detailed and in-depth analysis of specific disease clusters within the past and the present, which draws on a comprehensive analysis of the social determinants of health.

目的探讨以往疾病研究的循证方法的理论和应用。Syndemic原则与生物考古学中的其他理论发展一起进行了检查。提供了两个案例研究来说明这种方法的有效性:18世纪和19世纪英国的结核病和维生素D缺乏症,以及中世纪早期英国的疟疾和寄生虫感染。材料:当前疾病的公共卫生研究,以及与选定案例研究有关的已发表的生物考古、临床和社会信息。方法对这两个历史病例的数据进行综合分析,得出关于过去疾病聚类和异质性的更深层次的结论。结果综合运用现代疾病的临床研究和相关的古病理、考古和历史资料,可以将综合征框架应用到过去的情境中。结论该方法为深入了解古代疾病提供了一种方法,并与现有的生物考古学理论工具很好地结合在一起。重要意义:该方法为学者提供了一个深入的时间视角来研究仍然影响现代人的疾病。局限性对于一个真正的综合方法来说,许多重要的变量不能从当前的考古学、生物考古学或历史方法中获得。进一步研究建议对过去和现在的特定疾病群进行更详细和深入的分析,对健康的社会决定因素进行全面分析。
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引用次数: 4
Osteoma of the zygomatic bone from 16th century Sardinia (Italy) in the framework of a paleoepidemiological study 16世纪撒丁岛(意大利)古流行病学研究框架下的颧骨骨瘤
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.10.003
Giuffra Valentina , Rubino Luigi , Buzic Ileana , Milanese Marco

Objective

The aim of this paper is to evaluate a case of osteoma of the zygomatic bone in a post-medieval individual in the context of a paleoepidemiological approach.

Materials

Forty-five skulls from the plague cemetery of Alghero (Sardinia, Italy), dating back to the end of the 16th century, were evaluated for the presence of osteomata on the outer surface of the cranial vault and facial bones.

Methods

Macroscopic examination was performed using standard anthropological methods. The bone presenting the lesion was submitted to radiological examination through cone beam; a 3D reconstruction was obtained with a surface 3D scanner.

Results

Only one case of osteoma was observed in an adolescent aged 13–15 years, located on the right zygomatic bone. The lesion consisted of a rounded mass of 0.5 cm in diameter composed of compact bone, as also the radiographic study demonstrates. The prevalence of osteoma on the outer surface of the cranial vault and facial bones in the population of Alghero was 2.2 %.

Conclusions

This case offers the opportunity to enrich the knowledge about the presence of benign tumors among past populations and to evaluate this lesion in dry bone.

Significance

This study provides paleoepidemiological data on the scarce area of benign tumors in paleo-oncology and presents the first documented osteoma of the zygomatic bone in paleopathology.

Limitation

Histological study was not performed for conservative issues.

Suggestions for future research

Increasing the attention to benign tumors is essential to deepen our knowledge about paleoepidemiology of neoplastic lesions.

目的:本文的目的是在古流行病学方法的背景下评估一个后中世纪个体颧骨骨瘤的病例。材料研究人员对来自意大利撒丁岛阿尔盖罗瘟疫墓地的45个头骨进行了评估,发现其颅顶和面部骨骼的外表面存在骨瘤。这些头骨的历史可以追溯到16世纪末。方法采用标准人类学方法进行显微检查。表现病变的骨通过锥形束进行放射检查;用表面三维扫描仪进行三维重建。结果13-15岁青少年骨瘤1例,位于右颧骨。病变包括一个直径0.5 cm的圆形肿块,由致密骨组成,x线片也显示了这一点。阿尔盖罗人口颅顶和面骨外表面骨瘤的患病率为2.2%。结论本病例为丰富过去人群中良性肿瘤存在的知识和评估干骨病变提供了机会。意义本研究提供了古肿瘤学中良性肿瘤稀少区域的古流行病学资料,并提出了古病理学中首次记载的颧骨骨瘤。局限性:未对保守问题进行组织学研究。对未来研究的建议:增加对良性肿瘤的关注对于加深我们对肿瘤病变古流行病学的认识至关重要。
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引用次数: 0
The madness they endured: A biocultural examination of women's experiences of structural violence within 20th-century Missouri state mental hospitals 她们忍受的疯狂:对20世纪密苏里州精神病院女性结构性暴力经历的生物文化研究
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.05.001
Madeline M. Atwell

Objective

This study employs feminist disability theory and the concept of structural violence to interpret the results of skeletal and documentary analysis of fracture and disease presence (i.e., syphilis and tuberculosis) among a group of institutionalized women who lived and died within 20th-century Missouri state mental hospitals.

Materials

The skeletal remains and corresponding death certificates of 52 adult Euro-American women housed in the Robert J. Terry Anatomical Collection at the Smithsonian Museum Support Center. Archival and historical literature concerning state mental hospitals were also utilized.

Methods

Macroscopic skeletal analysis of fracture and disease combined with archival research (i.e., associated death certificates and historical documentation).

Results

Approximately 15% of patients demonstrated evidence of perimortem hip fractures with no surgical intervention, most of whom were labeled "psychotic". Death certificates revealed the presence of syphilis (n = 4) and death from TB (n = 5).

Conclusions

Nineteenth and 20th-century patriarchal conditions contributed to the institutionalization of women. Women who were impoverished, spouseless, and perceived as mentally or physically disabled were particularly vulnerable to institutionalization. Once hospitalized, patients were exposed to structurally violent conditions including neglect and abuse that resulted in avoidable harm.

Significance

Historical and documentary data associated with osteological collections is underutilized and can serve to both humanize these individuals and advance our understanding of their intersectional experiences. The implementation of theoretical frameworks within bioarchaeology can also assist in more holistically interpreting the complexities of past life.

Limitations

Small, homogenous sample size limited by macroscopic analysis.

Further Research

Future work should increase sample size, heterogeneity, and conduct other relevant skeletal and documentary analyses.

目的:本研究采用女性主义残疾理论和结构性暴力的概念来解释对20世纪密苏里州精神病院住院和死亡的一组妇女的骨折和疾病(即梅毒和结核病)的骨骼和文献分析的结果。材料52名成年欧美女性的骨骼残骸和相应的死亡证明存放在史密森尼博物馆支持中心的罗伯特·j·特里解剖收藏中。还利用了有关国家精神病院的档案和历史文献。方法骨折和疾病的显微骨骼分析结合档案研究(即相关死亡证明和历史文献)。结果大约15%的患者在没有手术干预的情况下表现出死前髋部骨折的证据,其中大多数被标记为“精神病性”。死亡证明显示梅毒(n = 4)和结核病死亡(n = 5)。结论19世纪和20世纪的父权制条件促成了妇女的制度化。贫困、无配偶和被认为有精神或身体残疾的妇女特别容易被收容。一旦住院,病人就会暴露在结构性暴力条件下,包括忽视和虐待,导致本可避免的伤害。意义与骨学收藏相关的历史和文献数据未得到充分利用,可以帮助这些个体人性化,并促进我们对其交叉经历的理解。在生物考古学中实施理论框架也有助于更全面地解释过去生活的复杂性。局限性:样本量小,均匀,受宏观分析的限制。进一步的研究未来的工作应该增加样本量,异质性,并进行其他相关的骨骼和文献分析。
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引用次数: 1
A case of bilateral humerus varus from the late antiquity Catacomb of Santa Mustiola (Chiusi, Italy) 意大利古晚期圣穆斯蒂奥拉地下墓穴双侧肱骨内翻一例
IF 1.2 3区 地球科学 Q3 PALEONTOLOGY Pub Date : 2022-12-01 DOI: 10.1016/j.ijpp.2022.08.001
Alessandra Sperduti , Matteo Braconi , Claudio Di Biasi , Giulia Facchin , Giovanna Ferri , Stella Interlando , Ferdinando Spanò , Francesca Candilio

Objective

To report a case of bilateral humerus varus from a late antiquity archeological context in central Italy.

Materials

The individual is a 25–40-year-old female, dated to the 4th cent. CE, from the catacomb of Santa Mustiola in Chiusi, Italy.

Methods

The bones were examined macroscopically and through CT scan imaging.

Results

Both humeri show evident alterations in shape, including elongated, flattened and distally dislocated humeral heads, shortened anatomical necks, angulated upper diaphyseal shafts, and reduced overall lengths. The scapulae appear to have been mildly affected by this condition and show some bone loss and slight retroversion of the glenoid cavity.

Conclusions

Observations are consistent with a diagnosis of humerus varus deformity likely caused by a traumatic event early in the individual's life.

Significance

Varus deformity of the proximal humerus is seldom reported in bioarcheological literature. The case presented provides insight into the etiology and effects of this condition and may serve as comparison for future studies.

Limitations

Even though the absence of other skeletal deformities renders a systemic condition improbable, the traumatic etiology of the condition cannot be confirmed with certainty.

Suggestions for further research

Future publications of new cases may give a broader perspective of the etiology of this condition in the past.

目的报道意大利中部古代考古发现的一例双侧肱骨内翻。这具尸体是一名25 - 40岁的女性,年代为公元4世纪,出土于意大利Chiusi的Santa Mustiola地下墓穴。方法对骨进行宏观检查和CT扫描成像。结果两组肱骨均表现出明显的形状改变,包括肱骨头拉长、扁平和远端脱位,解剖颈缩短,骨干骨干上轴成角,总长度减少。肩胛骨似乎受到这种情况的轻微影响,表现出一些骨质流失和轻微的关节盂后移。结论观察结果与肱骨内翻畸形的诊断一致,该畸形可能是由个体生命早期的创伤事件引起的。生物考古文献很少报道肱骨近端外翻畸形。所提出的病例提供了对这种情况的病因和影响的见解,并可作为未来研究的比较。限制:虽然没有其他骨骼畸形使得系统性疾病不太可能发生,但这种疾病的创伤病因不能确定。对进一步研究的建议未来新病例的发表可能会给过去这种情况的病因学提供更广阔的视角。
{"title":"A case of bilateral humerus varus from the late antiquity Catacomb of Santa Mustiola (Chiusi, Italy)","authors":"Alessandra Sperduti ,&nbsp;Matteo Braconi ,&nbsp;Claudio Di Biasi ,&nbsp;Giulia Facchin ,&nbsp;Giovanna Ferri ,&nbsp;Stella Interlando ,&nbsp;Ferdinando Spanò ,&nbsp;Francesca Candilio","doi":"10.1016/j.ijpp.2022.08.001","DOIUrl":"10.1016/j.ijpp.2022.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>To report a case of bilateral humerus varus from a late antiquity archeological context in central Italy.</p></div><div><h3>Materials</h3><p>The individual is a 25–40-year-old female, dated to the 4th cent. CE, from the catacomb of Santa Mustiola in Chiusi, Italy.</p></div><div><h3>Methods</h3><p>The bones were examined macroscopically and through CT scan imaging.</p></div><div><h3>Results</h3><p>Both humeri show evident alterations in shape, including elongated, flattened and distally dislocated humeral heads, shortened anatomical necks, angulated upper diaphyseal shafts, and reduced overall lengths. The scapulae appear to have been mildly affected by this condition and show some bone loss and slight retroversion of the glenoid cavity.</p></div><div><h3>Conclusions</h3><p>Observations are consistent with a diagnosis of humerus varus deformity likely caused by a traumatic event early in the individual's life.</p></div><div><h3>Significance</h3><p>Varus deformity of the proximal humerus is seldom reported in bioarcheological literature. The case presented provides insight into the etiology and effects of this condition and may serve as comparison for future studies.</p></div><div><h3>Limitations</h3><p>Even though the absence of other skeletal deformities renders a systemic condition improbable, the traumatic etiology of the condition cannot be confirmed with certainty.</p></div><div><h3>Suggestions for further research</h3><p>Future publications of new cases may give a broader perspective of the etiology of this condition in the past.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"39 ","pages":"Pages 14-19"},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10387865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Paleopathology
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