印加时代的残疾和护理案例

IF 1.3 3区地球科学 Q3 PALEONTOLOGY

International Journal of Paleopathology Pub Date : 2025-03-03 DOI:10.1016/j.ijpp.2025.02.007

Catalina Morales, Francisco Garrido

{"title":"印加时代的残疾和护理案例","authors":"Catalina Morales, Francisco Garrido","doi":"10.1016/j.ijpp.2025.02.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate pathological lesions observed in an individual and use them as a means to explore cultural patterns of caregiving.</div></div><div><h3>Materials</h3><div>A well-preserved female skeleton aged 45 years or older exhibiting an unusual distribution and severity of alterations on joints. The individual comes from a Late Horizon cemetery (1400–1550 CE) in the Copiapó Valley, northern Chile.</div></div><div><h3>Methods</h3><div>Visual analysis was utilized to estimate sex and age, followed by a paleopathological differential diagnosis. Additionally, a model of disability and care was applied.</div></div><div><h3>Results</h3><div>Our examination suggests the presence of a polyarticular arthritic condition. The differential diagnosis pointed to spondyloarthritis, affecting the spine, sacrum, hands, knees and feet. The individual was buried without any discernible distinction from others within their local group.</div></div><div><h3>Conclusions</h3><div>This case presents new evidence of the presence of spondyloarthritis in populations of South America before Spanish colonization, which probably produced mobility limitations. Additionally, it provides evidence of caregiving practices in the Copiapó society during the Late Horizon.</div></div><div><h3>Significance</h3><div>Our study contributes to the understanding of spondyloarthritis during the Inca period in northern Chile and indicates that despite living in a time of political transformation, labor demands, and social pressures related to Inca territorial expansion, caregivers appeared to have possessed adequate resources and time to offer aid and secure survival for individuals impacted by chronic disease.</div></div><div><h3>Limitations</h3><div>Molecular indicators of arthritis were not included in our analysis.</div></div><div><h3>Suggestions for further research</h3><div>A comparative study involving other instances of arthropathies associated with inflammatory disorders in the Andes region could offer valuable insights.</div></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"49 ","pages":"Pages 50-57"},"PeriodicalIF":1.3000,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A case of disability and care during Inca times\",\"authors\":\"Catalina Morales, Francisco Garrido\",\"doi\":\"10.1016/j.ijpp.2025.02.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To evaluate pathological lesions observed in an individual and use them as a means to explore cultural patterns of caregiving.</div></div><div><h3>Materials</h3><div>A well-preserved female skeleton aged 45 years or older exhibiting an unusual distribution and severity of alterations on joints. The individual comes from a Late Horizon cemetery (1400–1550 CE) in the Copiapó Valley, northern Chile.</div></div><div><h3>Methods</h3><div>Visual analysis was utilized to estimate sex and age, followed by a paleopathological differential diagnosis. Additionally, a model of disability and care was applied.</div></div><div><h3>Results</h3><div>Our examination suggests the presence of a polyarticular arthritic condition. The differential diagnosis pointed to spondyloarthritis, affecting the spine, sacrum, hands, knees and feet. The individual was buried without any discernible distinction from others within their local group.</div></div><div><h3>Conclusions</h3><div>This case presents new evidence of the presence of spondyloarthritis in populations of South America before Spanish colonization, which probably produced mobility limitations. Additionally, it provides evidence of caregiving practices in the Copiapó society during the Late Horizon.</div></div><div><h3>Significance</h3><div>Our study contributes to the understanding of spondyloarthritis during the Inca period in northern Chile and indicates that despite living in a time of political transformation, labor demands, and social pressures related to Inca territorial expansion, caregivers appeared to have possessed adequate resources and time to offer aid and secure survival for individuals impacted by chronic disease.</div></div><div><h3>Limitations</h3><div>Molecular indicators of arthritis were not included in our analysis.</div></div><div><h3>Suggestions for further research</h3><div>A comparative study involving other instances of arthropathies associated with inflammatory disorders in the Andes region could offer valuable insights.</div></div>\",\"PeriodicalId\":48817,\"journal\":{\"name\":\"International Journal of Paleopathology\",\"volume\":\"49 \",\"pages\":\"Pages 50-57\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-03-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Paleopathology\",\"FirstCategoryId\":\"89\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1879981725000142\",\"RegionNum\":3,\"RegionCategory\":\"地球科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PALEONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Paleopathology","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1879981725000142","RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PALEONTOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

目的评价在个体中观察到的病理病变，并将其作为探索护理文化模式的手段。一具保存完好的女性骨骼，年龄在45岁或以上，表现出不寻常的关节分布和严重的变化。这个人来自智利北部Copiapó山谷的一个晚地平线墓地（公元1400-1550年）。方法采用目视分析估计性别和年龄，然后进行古病理鉴别诊断。此外，还应用了残疾和护理模型。结果我们的检查提示多关节关节炎的存在。鉴别诊断指向脊椎关节炎，影响脊柱、骶骨、手、膝和脚。这个人被埋葬时，与当地群体中的其他人没有任何明显的区别。结论：本病例提供了新的证据，证明在西班牙殖民统治之前，南美洲人群中存在脊椎关节炎，这可能导致活动受限。此外，它还提供了Copiapó社会在晚地平线时期护理实践的证据。我们的研究有助于理解智利北部印加时期的脊柱炎，并表明尽管生活在一个政治转型、劳动力需求和印加领土扩张相关的社会压力的时代，照顾者似乎拥有足够的资源和时间来为受慢性疾病影响的个体提供援助并确保生存。局限性：关节炎的分子指标未包括在我们的分析中。一项涉及安第斯地区与炎症性疾病相关的其他关节病病例的比较研究可能会提供有价值的见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

A case of disability and care during Inca times

Objective

To evaluate pathological lesions observed in an individual and use them as a means to explore cultural patterns of caregiving.

Materials

A well-preserved female skeleton aged 45 years or older exhibiting an unusual distribution and severity of alterations on joints. The individual comes from a Late Horizon cemetery (1400–1550 CE) in the Copiapó Valley, northern Chile.

Methods

Visual analysis was utilized to estimate sex and age, followed by a paleopathological differential diagnosis. Additionally, a model of disability and care was applied.

Results

Our examination suggests the presence of a polyarticular arthritic condition. The differential diagnosis pointed to spondyloarthritis, affecting the spine, sacrum, hands, knees and feet. The individual was buried without any discernible distinction from others within their local group.

Conclusions

This case presents new evidence of the presence of spondyloarthritis in populations of South America before Spanish colonization, which probably produced mobility limitations. Additionally, it provides evidence of caregiving practices in the Copiapó society during the Late Horizon.

Significance

Our study contributes to the understanding of spondyloarthritis during the Inca period in northern Chile and indicates that despite living in a time of political transformation, labor demands, and social pressures related to Inca territorial expansion, caregivers appeared to have possessed adequate resources and time to offer aid and secure survival for individuals impacted by chronic disease.

Limitations

Molecular indicators of arthritis were not included in our analysis.

Suggestions for further research

A comparative study involving other instances of arthropathies associated with inflammatory disorders in the Andes region could offer valuable insights.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

International Journal of Paleopathology PALEONTOLOGY-PATHOLOGY

CiteScore

2.90

自引率

25.00%

发文量

期刊介绍： Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.