Cilliní: lugares para el enterramiento de individuos infantiles en Irlanda

Los cilliní, o lugares para el enterramiento de niños, son un tipo de monumento arqueológico que se encuentra a lo largo de toda Irlanda. Estos lugares se usaban frecuentemente para enterrar a niños no bautizados, aunque otros miembros de la sociedad irlandesa que eran considerados por parte de la Iglesia Católica Romana como inadecuados para ser enterrados en suelo consagrado, también fueron inhumados en estos lugares. Tal grupo incluía a los discapacitados, muertos en naufragios, criminales y víctimas de las hambrunas. Las localizaciones de estos cilliní son diversas e incluyen iglesias y cementerios abandonados, monumentos antiguos y lugares naturales conspicuos. Aunque desde la arqueología se ha prestado considerable atención a estos monumentos, aún son bastante desconocidos. Este texto revisará la investigación previa sobre estos lugares antes de avanzar en una teoría que explique su origen. También intentaremos explorar el impacto emocional que el entierro de un bebé en un cillín pudo tener sobre su familia y cuestionar investigaciones recientes que señalan a éstos lugares como sitios liminares en el paisaje irlandés.Cilliní, or children’s burial grounds, are a recognized class of archaeological monument found throughout Ireland. The sites were most frequently used for the burial of unbaptised babies, although other members of Irish society who were considered unsuitable for burial in consecrated ground by the Roman Catholic Church could also be buried there. Such individuals included the mentally disabled, shipwrecked sailors, criminals and famine victims. Locations for cilliní were diverse and included deserted churches and graveyards; ancient monuments and natural landmarks. Although a considerable amount of archaeological interest has been shown towards cilliní they remain a poorly understood class of monument. As such, the paper will review the previous research that has been undertaken on these burial grounds before advancing a theory to explain their origin. The paper also explores the emotional impact that the burial of a child within a cillín would have had on its family, and questions recent research which has suggested that these were liminal sites on the Irish landscape

Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016: a systematic analysis for the Global Burden of Disease Study 2016

BACKGROUND: Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) estimated age-specific and sex-specific all-cause mortality between 1970 and 2016 for 195 countries and territories and at the subnational level for the five countries with a population greater than 200 million in 2016. METHODS: We have evaluated how well civil registration systems captured deaths using a set of demographic methods called death distribution methods for adults and from consideration of survey and census data for children younger than 5 years. We generated an overall assessment of completeness of registration of deaths by dividing registered deaths in each location-year by our estimate of all-age deaths generated from our overall estimation process. For 163 locations, including subnational units in countries with a population greater than 200 million with complete vital registration (VR) systems, our estimates were largely driven by the observed data, with corrections for small fluctuations in numbers and estimation for recent years where there were lags in data reporting (lags were variable by location, generally between 1 year and 6 years). For other locations, we took advantage of different data sources available to measure under-5 mortality rates (U5MR) using complete birth histories, summary birth histories, and incomplete VR with adjustments; we measured adult mortality rate (the probability of death in individuals aged 15-60 years) using adjusted incomplete VR, sibling histories, and household death recall. We used the U5MR and adult mortality rate, together with crude death rate due to HIV in the GBD model life table system, to estimate age-specific and sex-specific death rates for each location-year. Using various international databases, we identified fatal discontinuities, which we defined as increases in the death rate of more than one death per million, resulting from conflict and terrorism, natural disasters, major transport or technological accidents, and a subset of epidemic infectious diseases; these were added to estimates in the relevant years. In 47 countries with an identified peak adult prevalence for HIV/AIDS of more than 0·5% and where VR systems were less than 65% complete, we informed our estimates of age-sex-specific mortality using the Estimation and Projection Package (EPP)-Spectrum model fitted to national HIV/AIDS prevalence surveys and antenatal clinic serosurveillance systems. We estimated stillbirths, early neonatal, late neonatal, and childhood mortality using both survey and VR data in spatiotemporal Gaussian process regression models. We estimated abridged life tables for all location-years using age-specific death rates. We grouped locations into development quintiles based on the Socio-demographic Index (SDI) and analysed mortality trends by quintile. Using spline regression, we estimated the expected mortality rate for each age-sex group as a function of SDI. We identified countries with higher life expectancy than expected by comparing observed life expectancy to anticipated life expectancy on the basis of development status alone. FINDINGS: Completeness in the registration of deaths increased from 28% in 1970 to a peak of 45% in 2013; completeness was lower after 2013 because of lags in reporting. Total deaths in children younger than 5 years decreased from 1970 to 2016, and slower decreases occurred at ages 5-24 years. By contrast, numbers of adult deaths increased in each 5-year age bracket above the age of 25 years. The distribution of annualised rates of change in age-specific mortality rate differed over the period 2000 to 2016 compared with earlier decades: increasing annualised rates of change were less frequent, although rising annualised rates of change still occurred in some locations, particularly for adolescent and younger adult age groups. Rates of stillbirths and under-5 mortality both decreased globally from 1970. Evidence for global convergence of death rates was mixed; although the absolute difference between age-standardised death rates narrowed between countries at the lowest and highest levels of SDI, the ratio of these death rates-a measure of relative inequality-increased slightly. There was a strong shift between 1970 and 2016 toward higher life expectancy, most noticeably at higher levels of SDI. Among countries with populations greater than 1 million in 2016, life expectancy at birth was highest for women in Japan, at 86·9 years (95% UI 86·7-87·2), and for men in Singapore, at 81·3 years (78·8-83·7) in 2016. Male life expectancy was generally lower than female life expectancy between 1970 and 2016, an

Genomic Dissection of Bipolar Disorder and Schizophrenia, Including 28 Subphenotypes

publisher: Elsevier articletitle: Genomic Dissection of Bipolar Disorder and Schizophrenia, Including 28 Subphenotypes journaltitle: Cell articlelink: https://doi.org/10.1016/j.cell.2018.05.046 content_type: article copyright: © 2018 Elsevier Inc

Diet in Medieval Gaelic Ireland: A multiproxy study of the human remains from Ballyhanna, Co. Donegal

This study investigates the nature of diet in a predominantly Late Medieval Gaelic Irish skeletal population and explores whether any sex-based and/or age differences were evident in the population. A smaller sub-sample was also examined to determine whether there was any evidence for dietary change over time between the Early Medieval (c.700–c.1200) and Late Medieval periods (c.1200–c.1600). The dietary evidence was derived using a multiproxy approach that combined information from dental palaeopathology (n = 356 adults) and analysis of carbon (δ13C) and nitrogen (δ15N) stable isotope compositions (n = 72 individuals). A higher proportion of females were affected by carious lesions when compared to males. This is possibly suggestive of differing levels of carbohydrate consumption between the sexes, although other factors such as eating habits, and genetic and physiological differences may also have influenced the patterns in the data. The isotopic values indicated that both sexes were consuming similar amounts and types (marine vs. terrestrial) of dietary protein. Elevated δ15N indicated breastfeeding among the youngest in society but, once children had been weaned, the dietary protein was isotopically similar across the different age categories. Among a smaller radiocarbon-dated sub-sample (n = 37), there was an increase in both the percentage of individuals affected by dental caries and the percentage of teeth affected by dental caries between the Early Medieval and Late Medieval periods. This increase may indicate a greater inclusion of plant-based carbohydrates, such as cereals, in the diet over time, although it may also reflect the younger age distribution of the Early Medieval sample. Interpretations for each of these patterns are discussed with reference to the historical and archaeological evidence. Multiproxy palaeodietary studies for Medieval Ireland are limited and this is the first substantial study of evidence derived from both dental palaeopathology and stable isotope analysis.<br