International Journal of Paleopathology最新文献

{"title":"Calcified uterine leiomyoma from an 18th-century nunnery in North Italy","authors":"Roberta Fusco ,&nbsp;Chiara Tesi ,&nbsp;Paolo Spina ,&nbsp;Ezio Fulcheri ,&nbsp;Marta Licata","doi":"10.1016/j.ijpp.2024.01.005","DOIUrl":"https://doi.org/10.1016/j.ijpp.2024.01.005","url":null,"abstract":"<div><h3>Objective</h3><p>To develop a differential diagnosis of a mass retrieved alongside skeletal remains in the crypt of the church of Santissima Annunziata of Valenza (Province of Alessandria, Northern Italy).</p></div><div><h3>Material</h3><p>A calcified mass measuring 40 × 39 mm and 17.62 × 16.3817.62 × 16.38 mm.</p></div><div><h3>Method</h3><p>The analysis utilized macroscopic assessment and histologic examination (including histochemical and immunohistochemical analyses).</p></div><div><h3>Results</h3><p>Morphological traits include an irregular and spongy external surface. Holes of different sizes lead toward the inner part of the object. A section of the mass shows an “intertwined bundle” pattern, confirmed by microscopic examination.</p></div><div><h3>Conclusions</h3><p>Differential diagnosis determined the mass to be consistent with calcified leiomyoma.</p></div><div><h3>Significance</h3><p>Identifying uterine leiomyoma adds to the paucity of paleopathological literature on the condition and to calcified tumors more broadly. It also allows for an important discussion of women’s gynecological health in the past and potentially among nulliparous women.</p></div><div><h3>Limitations</h3><p>Neither histochemical staining nor immunohistochemical analysis demonstrated the certain muscular nature of the specimens due to the rehydration and decalcification processes, for which there are no gold standards.</p></div><div><h3>Suggestions for further research</h3><p>Calcified masses are common in the clinical literature but remain rare in paleopathological literature. Careful excavation and improved recognition of apparently calcified masses are necessary to improve recognition, diagnosis, and interpretation.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"45 ","pages":"Pages 1-6"},"PeriodicalIF":1.2,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981724000056/pdfft?md5=a9d2f2b48ec42206481b342def699fee&pid=1-s2.0-S1879981724000056-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139908032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Animal disease evidenced in the bone assemblage of a Late Neolithic settlement in Greece: Implications for animal management","authors":"Eleni K. Samartzidou","doi":"10.1016/j.ijpp.2024.01.003","DOIUrl":"https://doi.org/10.1016/j.ijpp.2024.01.003","url":null,"abstract":"<div><h3>Objectives</h3><p>The objective of the paper is to interpret pathologies on faunal remains in an effort to evaluate the presence of husbandry practices.</p></div><div><h3>Materials</h3><p>Bones and bone fragments from the Neolithic site of Dispilio, Greece. Those of domestic species were further studied.</p></div><div><h3>Methods</h3><p>The pathological cases were examined macroscopically, the lesions were described, images were taken, and differential diagnoses were undertaken using published literature.</p></div><div><h3>Results</h3><p>77 out of the 13,026 bones and bone fragments recovered displayed pathological conditions including oral disease, joint disease, trauma and congenital conditions. Most pathologies were found in the axial skeleton of caprines.</p></div><div><h3>Conclusions</h3><p>Pathological conditions in caprines are possibly related to the use of overgrazed pastures and fattening of females and castrates. These cases indicate specific husbandry practices used at the site.</p></div><div><h3>Significance</h3><p>Reconstructing husbandry practices is complex, especially in extremely old sites with fragmentary remains. This study provides one of the very few studies of a large Neolithic animal bone assemblage providing insight into early human-animal interactions in Greece.</p></div><div><h3>Limitations</h3><p>The research is based on the bone material of the two later occupation phases of the site. It includes material from one site.</p></div><div><h3>Suggestions for further research</h3><p>The bone assemblage of the earlier occupation phase should be studied for a diachronic investigation of husbandry practices at the site. Investigation of pathological cases in more settlements would provide a larger database for the evaluation of husbandry practices in Neolithic Greece.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"44 ","pages":"Pages 126-139"},"PeriodicalIF":1.2,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981724000032/pdfft?md5=84ea6672f96d7a1c171e368d3c1d67ae&pid=1-s2.0-S1879981724000032-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139699701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability and care in Western Europe during Medieval times: A bioarchaeological perspective","authors":"Ileana Micarelli ,&nbsp;Mary Anne Tafuri ,&nbsp;Lorna Tilley","doi":"10.1016/j.ijpp.2024.01.004","DOIUrl":"https://doi.org/10.1016/j.ijpp.2024.01.004","url":null,"abstract":"<div><p>This Special Issue has its foundation in presentations delivered in the symposium <em>Disability and Care in Medieval Times: a Bioarchaeological Perspective into Health-related Practices</em> held at the 2019 European Association of Archaeologists conference in Switzerland. It comprises 12 papers, all relevant to aspects of pathology experience and/or care provision in Western Europe during the Early to Late Middle Ages (500 – 1500 CE). Reflecting the 1000 year timespan involved, these papers are characterised by diversity in subject matter and in the lifeways in which they are located, but all contribute to the symposium’s primary aim: to demonstrate that our understanding of the Medieval period is enhanced by cross-disciplinary, bioarchaeological research into individual and collective experiences of disability and care. This Introduction provides the background to the 2019 symposium, and briefly discusses the papers contained in the Special Issue which emerged from this.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"44 ","pages":"Pages 119-125"},"PeriodicalIF":1.2,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981724000044/pdfft?md5=fa58b0c54ad3dd0b4824791e62b1c47a&pid=1-s2.0-S1879981724000044-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139694767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgery under siege: A case study of leg amputation in 18th century Louisbourg, Nova Scotia, Canada","authors":"N. Hughes ,&nbsp;A.B Scott ,&nbsp;D. Pitcher","doi":"10.1016/j.ijpp.2024.01.002","DOIUrl":"https://doi.org/10.1016/j.ijpp.2024.01.002","url":null,"abstract":"<div><h3>Objective</h3><p>Paleopathological analysis of a below-knee amputation was conducted to explore the sociocultural reasons why the amputation took place.</p></div><div><h3>Materials</h3><p>Older adolescent male (18–21 years) from the New Englander mass burial at the 18th century Fortress of Louisbourg.</p></div><div><h3>Methods</h3><p>Macroscopic assessment and archival data.</p></div><div><h3>Results</h3><p>A surgical amputation of the right tibia and fibula, distal to the knee was identified. The cross-sectional diaphysis of the leg has kerf marks and a splinter (breakaway point) at the posterior-lateral border of the tibia suggesting the leg gave way from its own weight or was manually removed once most of the sawing was complete.</p></div><div><h3>Conclusions</h3><p>Archival records suggest frostbite from prolonged exposure to freezing temperatures and trauma from unsafe working conditions at the Fortress were the main causes that led to amputation.</p></div><div><h3>Significance</h3><p>This case study highlights the importance of contextualizing cases of amputation to understand factors leading to the amputation procedure and techniques used in the past, and the social and living conditions of the individual.</p></div><div><h3>Limitations</h3><p>Observations were restricted to skeletal material as soft tissue decomposed and there was no material evidence suggestive of amputation associated with this individual in their grave.</p></div><div><h3>Suggestions for future research</h3><p>Full trauma assessment of the Fortress of Louisbourg skeletal collection to provide additional insight into injury sustained at Louisbourg and 18th century surgical practices.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"44 ","pages":"Pages 112-118"},"PeriodicalIF":1.2,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981724000020/pdfft?md5=dc8c699940d58945d6f674e3c3ecef95&pid=1-s2.0-S1879981724000020-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic algorithm allows for a scientifically robust and reliable retrospective diagnosis using textual evidence from mid-19th century Basel, Switzerland","authors":"Wolfgang Krüger","doi":"10.1016/j.ijpp.2024.01.001","DOIUrl":"https://doi.org/10.1016/j.ijpp.2024.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>Diagnosing disease from the past using historic textual sources can be controversial as to its accuracy. To overcome these objections, an empirical approach to the historical clinical data was developed. The approach follows a standardised, objective, and systematic evaluation, satisfying the requirements of the philosophy of science.</p></div><div><h3>Material</h3><p>Physician-managed medical records of mid-19th century patients reported to have suffered from tuberculosis.</p></div><div><h3>Method</h3><p>A diagnostic algorithm, quantifying clinical data into a scoring system, was developed based on criteria recorded in the medical sources. The findings were compared to the autopsy results using the Receiver Operating Characteristics method.</p></div><div><h3>Results</h3><p>The generated scoring system correctly predicted the diagnosis of tuberculosis in 86% of patients in the study. 6% false negatives and 8% false positives were predicted.</p></div><div><h3>Conclusions</h3><p>It is possible to retrospectively diagnose in a reliable and scientifically robust manner under certain conditions. It is important to embed the clinical data into the historical context. A general rejection of retrospective diagnosis is unsubstantiated. Well-designed, disease-specific, and source adapted medical scoring systems are new approaches and overcome criticism raised against retrospective diagnosis.</p></div><div><h3>Significance</h3><p>This new approach utilises diverse historic sources and potentially leads to reliable retrospective diagnosis of most common diseases of the past.</p></div><div><h3>Limitations</h3><p>Selection bias of the records allocated. Quality of the historic sources utilized. Restricted statistical assessment potential of historic sources.</p></div><div><h3>Suggestions for further research</h3><p>Development of disease- and epoch-specific medical score systems.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"44 ","pages":"Pages 105-111"},"PeriodicalIF":1.2,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981724000019/pdfft?md5=9339e55fcbff1ddd61a739059b6d3534&pid=1-s2.0-S1879981724000019-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on anemia: Factors confounding understanding of past occurrence","authors":"Megan B. Brickley","doi":"10.1016/j.ijpp.2023.12.001","DOIUrl":"https://doi.org/10.1016/j.ijpp.2023.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>This paper reviews factors confounding the understanding of the past occurrence of anemia. Using the evidence gathered, a framework is presented of ways forward to enable greater confidence in diagnosing acquired anemia in paleopathology, facilitating insights into longer-term perspectives on this globally relevant condition.</p></div><div><h3>Results</h3><p>To date, porotic lesions have been central to paleopathological investigations of anemia. The fact that porotic bone lesions are omnipresent and have multiple causes but are likely to have a relatively low, age-related frequency in individuals with anemia, a condition that will have been common in past communities, is confounding.</p></div><div><h3>Methods</h3><p>Establishing frameworks that move away from porotic lesions is proposed to facilitate higher levels of more accurate anemia diagnoses in paleopathology.</p></div><div><h3>Significance</h3><p>Acceptance of the fundamental principle that anemia may be better considered as a condition requiring metric evaluation of bone structures, supplemented by careful consideration of lesions, will advance understanding of acquired anemia in past communities. Such an approach would provide a clear basis for further consideration of congenital conditions causing anemia, such as sickle-cell disease and thalassemia.</p></div><div><h3>Limitations</h3><p>This paper simply opens the conversation on the better diagnosis of anemia in paleopathology; it starts the iterative process of achieving some consensus and progress on diagnosing anemia in paleopathology.</p></div><div><h3>Suggestions for further research</h3><p>Engagement with ideas presented, sharing data and development of metric parameters will assist in identifying the effects of marrow hyperplasia on bone, enabling more robust work on the important topic of anemia.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"44 ","pages":"Pages 90-104"},"PeriodicalIF":1.2,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981723000761/pdfft?md5=9ad49c89bed1d28fc836198254146fbb&pid=1-s2.0-S1879981723000761-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139100517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elemental analysis using portable X-ray fluorescence: Guidelines for the study of dry human bone","authors":"Ricardo A.M.P. Gomes ,&nbsp;Ana Luisa Santos ,&nbsp;Lidia Catarino","doi":"10.1016/j.ijpp.2023.12.004","DOIUrl":"10.1016/j.ijpp.2023.12.004","url":null,"abstract":"<div><h3>Objective</h3><p>X-ray fluorescence (XRF) is a non-destructive technique that measures the elemental concentration of different materials, including human bone. Recently, it began to be applied to paleopathological studies due to the development of portable devices and their relative ease of use. However, the lack of uniform procedures hampers comparability and reproducibility. This paper aims to provide guidelines for an efficient and standardized evaluation of bone elemental composition with a portable XRF (pXRF) device.</p></div><div><h3>Materials</h3><p>This technical note is based on the application of the Thermo Scientific Niton XL3t 900 GOLDD+.</p></div><div><h3>Methods</h3><p>This work includes suggestions for the choice and preparation of human bone samples, both from archaeological context and documented collections, and methodological procedures in pXRF setup, such as choice of calibration, assessment of accuracy, and analysis run time. Additionally, recommendations for data validation and statistical analysis are also included.</p></div><div><h3>Conclusions</h3><p>This technique has great potential in paleopathology since bone chemical variations may be associated with different pathological conditions, environmental contamination (e.g., lead), and/or administered treatments, such as mercury. Following an expected increase in the number of studies, it is essential to establish good practices that allow results from different researchers to be comparable.</p></div><div><h3>Significance</h3><p>X-ray fluorescence is a non-destructive technique that measures small concentrations (ppm) of elements from magnesium (12Mg) through bismuth (83Bi).</p></div><div><h3>Limitations</h3><p>pXRF does not detect elements lighter than Mg, and its lower energy excitation penetrates less than other techniques.</p></div><div><h3>Suggestions for further research</h3><p>Other research groups should test these guidelines and comment on their usefulness and replicability.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"44 ","pages":"Pages 85-89"},"PeriodicalIF":1.2,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981723000797/pdfft?md5=0734257cc4e04834e72eaa1c8e4f7658&pid=1-s2.0-S1879981723000797-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139099428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of rheumatoid arthritis in a Nubian woman from the site of Sheikh Mohamed, near Aswan, Egypt","authors":"Madeleine Mant ,&nbsp;Mindy C. Pitre ,&nbsp;Sarah Dancer ,&nbsp;Maria Carmela Gatto","doi":"10.1016/j.ijpp.2023.12.003","DOIUrl":"10.1016/j.ijpp.2023.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>To differentially diagnose and contextualize pathological lesions suggestive of rheumatoid arthritis.</p></div><div><h3>Materials</h3><p>The skeletal remains of a 25–30-year-old female dated to c. 1750–1550 BCE from a Nubian Pan-Grave cemetery at the site of Sheik Mohamed, near Aswan, Egypt.</p></div><div><h3>Methods</h3><p>The skeletal remains were examined macroscopically and a differential diagnosis was conducted following established protocols in the palaeopathological literature.</p></div><div><h3>Results</h3><p>Symmetrical, bilateral, erosive periarticular lesions with smooth edges were observed in multiple joints (especially in the hands and feet).</p></div><div><h3>Conclusions</h3><p>Differential diagnosis suggests this individual had rheumatoid arthritis.</p></div><div><h3>Significance</h3><p>This case suggests the presence of rheumatoid arthritis in ancient Egypt, contributing to a more finely grained understanding of the antiquity and geographical distribution of the condition.</p></div><div><h3>Limitations</h3><p>It was not possible to radiograph the skeletal remains.</p></div><div><h3>Suggestions for further research</h3><p>Researchers are encouraged to re-examine any archaeological examples of erosive polyarthropathy using current palaeopathological protocols and to explore the manifestation of rheumatoid arthritis on the African continent.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"44 ","pages":"Pages 78-84"},"PeriodicalIF":1.2,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981723000785/pdfft?md5=3eb0ee4d417829d7b8731d5165974a55&pid=1-s2.0-S1879981723000785-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139089753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guidance for the identification of bony lesions related to smallpox","authors":"Rosie R. Crawford ,&nbsp;Claire M. Hodson ,&nbsp;David Errickson","doi":"10.1016/j.ijpp.2023.12.002","DOIUrl":"10.1016/j.ijpp.2023.12.002","url":null,"abstract":"<div><h3>Objective</h3><p>This research aimed to address the underrepresentation of smallpox (osteomyelitis variolosa) in palaeopathology, providing a synthesis of published literature and presenting guidance for the identification of osteomyelitis variolosa in non-adult and adult skeletal remains.</p></div><div><h3>Materials and methods</h3><p>Literature regarding smallpox and published reports of individuals with osteomyelitis variolosa were synthesised and critiqued to produce clear diagnostic criteria for the identification of smallpox osteologically.</p></div><div><h3>Results</h3><p>Associated osteological changes begin in non-adults, where skeletal morphology is rapidly changing. Characteristic lesions associated with non-adult osteomyelitis variolosa include inflammation and destructive remodelling of long-bone joints and metaphyses. Where childhood infection was survived, residual osteomyelitis variolosa lesions should also be visible in adults in the osteoarchaeological record.</p></div><div><h3>Conclusions</h3><p>Despite long-term clinical recognition, only limited osteological and archaeological evidence of osteomyelitis variolosa has yet emerged. With improved diagnostic criteria, osteomyelitis variolosa may be more frequently identified.</p></div><div><h3>Significance</h3><p>This is the first synthesis of osteomyelitis variolosa encompassing both clinical and palaeopathological literature, providing detailed guidance for the identification of osteomyelitis variolosa in skeletal remains. It will lead to the increased identification of smallpox osteologically.</p></div><div><h3>Limitations</h3><p>Differential diagnoses should always be considered. The archaeological longevity of smallpox, and the potential for archaeological VARV to cause clinically recognised smallpox, is currently unknown. Characteristic bone changes in the archaeological record may be other, extinct human-infecting-orthopoxviruses.</p></div><div><h3>Suggestions for further research</h3><p>Further consideration of the implications of age of smallpox contraction on bony pathology: whether epiphyses are affected differently due to state of fusion. Reassessment of individuals previously identified with smallpox-consistent lesions, but otherwise diagnosed.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"44 ","pages":"Pages 65-77"},"PeriodicalIF":1.2,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981723000773/pdfft?md5=bbea4a8c336455083a70b851b2329dd4&pid=1-s2.0-S1879981723000773-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139076441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic maxillary sinusitis in palaeopathology: A review of methods","authors":"Matthew James Lee ,&nbsp;Thomas J. Siek ,&nbsp;Cara Stella Hirst","doi":"10.1016/j.ijpp.2023.11.005","DOIUrl":"10.1016/j.ijpp.2023.11.005","url":null,"abstract":"<div><h3>Objective</h3><p>This study reviews the palaeopathological literature discussing maxillary sinusitis to examine current trends and issues within the study of this condition, and to make recommendations for future research in this area.</p></div><div><h3>Materials</h3><p>Seventy-five studies were identified through a literature search of digital and physical sources.</p></div><div><h3>Methods</h3><p>Information regarding study metadata, the populations investigated, sinusitis diagnostic criteria, and sinusitis prevalence was examined.</p></div><div><h3>Results</h3><p>Populations from the UK and Europe were the most studied, reflecting both palaeopathology’s systemic colonialism and academic legacies. Most studies used diagnostic criteria published in the mid‐1990s, with some subsequent studies modifying these criteria.</p></div><div><h3>Conclusions</h3><p>The diagnostic criteria from 1995 are widely used but do not include all possible bone changes seen within sinusitis. There is also a need for researchers to engage in issues of data reductionism when using descriptive categories for archaeological sites and populations.</p></div><div><h3>Significance</h3><p>This paper provides considerations as to how the 1995 diagnostic criteria may be revised by future researchers and synthesises much of the published sinusitis prevalence data to assist researchers interested in the palaeopathology of respiratory disease.</p></div><div><h3>Limitations</h3><p>More general osteological research, which includes palaeopathological information, was likely missed from this review due to the choice of key terms and languages used in the literature search.</p></div><div><h3>Suggestions for Further Research</h3><p>Additional research into sinusitis in archaeological populations outside of Western Europe is required. Further work examining the ability to compare pathological data from macroscopic observation and medical imaging would be advantageous to palaeopathology as a whole.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"44 ","pages":"Pages 51-64"},"PeriodicalIF":1.2,"publicationDate":"2023-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981723000748/pdfft?md5=6ba9b205198cd81e79fff5eb30fb62cb&pid=1-s2.0-S1879981723000748-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139041141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}