Lipid residue analysis on Swifterbant pottery (c. 5000-3800 cal BC) in the Lower Rhine-Meuse area (the Netherlands) and its implications for human-animal interactions in relation to the Neolithisation process

This paper focuses on the functional analysis of Swifterbant pottery (c. 5000–3800 cal BC) in the Lower Rhine-Meuse area (the Netherlands). It examines pottery use across the transition to agriculture and aims to assess temporal changes in human-animal relations during the 5th millennium BC in the Lower Rhine-Meuse area through lipid residue analysis. We conducted lipid residue analysis of 49 samples from four Swifterbant sites: Hardinxveld-Giessendam Polderweg, Hardinxveld-Giessendam De Bruin, Brandwijk-het Kerkhof, and Hazendonk. A combined approach using both GC-MS and GC-C-IRMS of residues absorbed into the ceramic was employed to identify their context. Their context was then compared to published faunal datasets to present the relative abundance of taxa detected in the lipid residues. Evidence of processing freshwater fish was found in all sites, presenting that it was a continuous and primary function of Swifterbant pottery in the Lower Rhine-Meuse area starting from its first appearance at c. 5000 cal BC till the end of 5th millennium BC regardless of vessel form, size, decoration or temper. The results of our analysis also present temporal changes in the exploitation of food resources from the early to the late 5th millennium BC. From the mid 5th millennium BC onwards, vessels were also used to process different ranges of foodstuffs such as terrestrial resources and dairy products. The identification of dairy residue is the first direct evidence so far from Swifterbant pottery. We tentatively explain these results as an indication of presence of different culinary practices that had developed through the 5th millennium in the Lower Rhine-Meuse area and that the use of Swifterbant pottery is a direct reflection of changing cultural preferences on food preparation and consumption

Timing and Pace of Neolithisation in the Dutch Wetlands (c. 5000–3500 cal. BC)

This article presents an overview of the current evidence on the process of Neolithisation in the Dutch wetlands. Over the years, several models have been proposed with different perspectives on the timing and pace of the process: a long transition, an early short transition, and a late short transition. The applicability of any of these models is, of course, dependent of the evidence. In this article, we briefly discuss recently obtained data from the Netherlands on vegetation disturbance (woodland clearing), soil disturbance (tillage), cereal cultivation, animal husbandry, and the use of ceramics. The data discussed involve palynological, sedimentary, micromorphological, archaeobotanical, zooarchaeological, as well as lipid analyses. Hence, it is concluded that from the mid fifth millennium cal. BC onwards, various aspects of a more “Neolithic lifestyle” become apparent in the archaeological record, including cereal cultivation on a structural, but small-scale basis in wetland environments. However, despite the “gradual” tendency that can be observed, the evidence is as yet inconclusive with regard to any of the models, due to persisting limitations of the datasets, potential regional variability, and aspects of scale. A new project, the Emergence of Domestic Animals in the Netherlands (EDAN), aims at a better understanding of animal husbandry through aDNA and isotope analyses, within a framework of statistical chronological modelling. We expect this project to enhance the debate greatly

Volumetric evaluation of temporal bone structures in the cases with bilateral tinnitus: clinical and morphometrical study

Background: Tinnitus is the recognition of sound in the absence of any external auditory stimulus to the noise of ringing in the ears. Middle ear aeration carries important role for ossicular coupling and normal hearing. There is restricted morphometric data on the cases with bilateral tinnitus. Materials and methods: In this study we evaluated hearing findings of 18 cases with subjective nonpulsatile bilateral tinnitus and also morphometry and volumetry of temporal bone substructures on the computed tomography images using stereological method compared with the gender and age matched 12 healthy subjects. Duration of tinnitus, exposing acoustic trauma or/and high level noise levels, evaluation of middle ear volume, jugular bulb levels, distances between jugular bulb and both oval window and middle ear were evaluated. Results: Both males and females with tinnitus showed worse hearing thresholds through bone and air conductions than healthy subjects but it was not statistically significant. Pure tone thresholds through bone and air conductions were not statistically different in both sexes with bilateral tinnitus. Right middle ear volume of the cases with bilateral tinnitus was mean 5.57 cm3 for males and 5.64 cm3 for females; and also the left middle ear volume of the cases with bilateral tinnitus was mean 5.87 cm3 for males and 5.65 cm3 for females. There were no significant differences between the cases with bilateral tinnitus and the control subjects according to the side of the body. < strong > Conclusions: The data on the hearing findings and morphometrical evaluation of the cases with bilateral tinnitus may be important for anatomists and clinicians. (Folia Morphol 2018; 77, 1: 57–64)

Do patients with diabetes use the insulin pen properly?

Aim: This study was conducted to evaluate the insulin pen application knowledge and skills of patients with diabetes. Methods: In our descriptive study, 200 patients with diabetes were asked to present the insulin pen injection technique on a mannequin and the steps of the pen injection implementation were noted on the data collection form as correct/incorrect by researchers. Results: More than 3 out of 4 (79.5%) of the participants were using the insulin pen or the cartridge after the expiry date, 70.5% were not rotating the injection site, and 63.0% were massaging the skin after injection. Injection sites complications were significantly more in those who were using the insulin pen or the cartridge after the expiry date, those who don\u2019t know the proper length of the needle and the possible body injection sites, those who don\u2019t rotate the injection sites, those who massage after injection, and those who don\u2019t use a new needle at each injection (p<0.05). Conclusion: This study put into light some failures in the knowledge and skills of patients with diabetes regarding insulin pen use. Nurses should provide patients with diabetes an effective and repetitive training concerning insulin pen use. DOI: https://dx.doi.org/10.4314/ahs.v19i1.38 Cite as: Tosun B, Cinar FI, Topcu Z, Masatoglu B, Ozen N, Bagcivan G, et al. Do patients with diabetes use the insulin pen properly? Afri Health Sci. 2019;19(1). 1628-1637. https://dx.doi.org/10.4314/ahs.v19i1.3

Internet addiction, fatigue, and sleep problems among adolescent students: a large-scale study

Aim: The aim of the present study was to examine the association between Internet Addiction (IA), fatigue, and sleep problems among university students. Methods: A total of 3,000 Turkish students aged 18 to 25 years were approached and 2,350 students (78.3%) participated in this cross-sectional study from April 2017 to September 2017 in public and private universities in Istanbul. Data were collected via a structured questionnaire including socio-demographic details, lifestyle and dietary habits, Internet Addiction Test (IAT), Fatigue Scale, and Epworth Sleepiness Scale [ESS]. Descriptive statistics, multivariate and factorial analyses were performed. Results: The overall prevalence of IA among the studied population was 17.7%. There were significant differences between gender, family income, father’s occupation, school performance, frequency and duration of watching television, physical activity, internet use duration, and sleep duration (all p<0.001). Significant differences were also found between participants with IA and those without IA in having headaches, blurred vision, double vision, hurting eyes, hearing problems, and eating fast food frequently (all p<0.001). Using multivariate regression analysis, the duration of internet use, physical and mental symptoms, headache, hurting eyes, tired eyes, hearing problems and ESS scores were significantly associated with (and primary predictors of) IA. Conclusion: The present study demonstrated that IA was associated with poor dietary habits, sleep problems, and fatigue symptoms

Investigation of Granulomatous Inflammations in Terms of Tuberculosis Diagnosis: A 5-Year Multi-center Laboratory Study

OBJECTIVE: Granulomatous inflammation showing "caseification necrosis" is considered pathognomonic for tuberculosis. This study aimed to evaluate patients with granulomatous inflammation and some characteristics to diagnose tuberculosis