A whiter shade of pale: powerful relationships between Neolithic communities and the underworld at Monkton Up Wimborne, Dorset

The enclosed pit circle at Monkton Up Wimborne in Dorset, situated within the complex of Neolithic monuments in the Upper Allen Valley, was excavated by Martin Green in 1997 (Green 2000, 2007). Although not directly related to the extraction of stone, a careful examination of this unusual monument and its landscape context has the potential to tell us much about how the acquisition of flint fitted into wider social relations that Neolithic people may have had with the underworld

Patient Follow-Up After Participating in a Beach-Based Skin Cancer Screening Program

Many skin cancer screenings occur in non-traditional community settings, with the beach being an important setting due to beachgoers being at high risk for skin cancer. This study is a secondary analysis of data from a randomized trial of a skin cancer intervention in which participants (n = 312) had a full-body skin examination by a clinician and received a presumptive diagnosis (abnormal finding, no abnormal finding). Participants’ pursuit of follow-up was assessed post-intervention (n = 283). Analyses examined: (1) participant’s recall of screening results; and (2) whether cognitive and behavioral variables were associated with follow-up being as advised. Just 12% of participants (36/312) did not correctly recall the results of their skin examination. One-third (33%, 93/283) of participants’ follow-up was classified as being not as advised (recommend follow-up not pursued, unadvised follow-up pursued). Among participants whose follow-up was not as advised, 71% (66/93) did not seek recommended care. None of the measured behavioral and cognitive variables were significantly associated with recall of screening examination results or whether follow-up was as advised. Research is needed to determine what factors are associated with follow-up being as advised and to develop messages that increase receipt of advised follow-up care

Using scale modelling to assess the prehistoric acoustics of stonehenge

With social rituals usually involving sound, an archaeological understanding of a site requires the acoustics to be assessed. This paper demonstrates how this can be done with acoustic scale models. Scale modelling is an established method in architectural acoustics, but it has not previously been applied to prehistoric monuments. The Stonehenge model described here allows the acoustics in the Late Neolithic and early Bronze Age to be quantified and the effects on musical sounds and speech to be inferred. It was found that the stone reflections create an average mid-frequency reverberation time of (0.64 ± 0.03) seconds and an amplification of (4.3 ± 0.9) dB for speech. The model has a more accurate representation of the prehistoric geometry, giving a reverberation time that is significantly greater than that measured in the current ruin and a full-size concrete replica at Maryhill, USA. The amplification could have aided speech communication and the reverberation improved musical sounds. How Stonehenge was used is much debated, but these results show that sounds were improved within the circle compared to outside. Stonehenge had different configurations, especially in terms of the positions of the bluestones. However, this made inaudible changes to the acoustics, suggesting sound is unlikely to be the underlying motivation for the various arrangements

Petrological and geochemical characterisation of the sarsen stones at Stonehenge.

Little is known of the properties of the sarsen stones (or silcretes) that comprise the main architecture of Stonehenge. The only studies of rock struck from the monument date from the 19th century, while 20th century investigations have focussed on excavated debris without demonstrating a link to specific megaliths. Here, we present the first comprehensive analysis of sarsen samples taken directly from a Stonehenge megalith (Stone 58, in the centrally placed trilithon horseshoe). We apply state-of-the-art petrographic, mineralogical and geochemical techniques to two cores drilled from the stone during conservation work in 1958. Petrographic analyses demonstrate that Stone 58 is a highly indurated, grain-supported, structureless and texturally mature groundwater silcrete, comprising fine-to-medium grained quartz sand cemented by optically-continuous syntaxial quartz overgrowths. In addition to detrital quartz, trace quantities of silica-rich rock fragments, Fe-oxides/hydroxides and other minerals are present. Cathodoluminescence analyses show that the quartz cement developed as an initial <10 μm thick zone of non-luminescing quartz followed by ~16 separate quartz cement growth zones. Late-stage Fe-oxides/hydroxides and Ti-oxides line and/or infill some pores. Automated mineralogical analyses indicate that the sarsen preserves 7.2 to 9.2 area % porosity as a moderately-connected intergranular network. Geochemical data show that the sarsen is chemically pure, comprising 99.7 wt. % SiO2. The major and trace element chemistry is highly consistent within the stone, with the only magnitude variations being observed in Fe content. Non-quartz accessory minerals within the silcrete host sediments impart a trace element signature distinct from standard sedimentary and other crustal materials. 143Nd/144Nd isotope analyses suggest that these host sediments were likely derived from eroded Mesozoic rocks, and that these Mesozoic rocks incorporated much older Mesoproterozoic material. The chemistry of Stone 58 has been identified recently as representative of 50 of the 52 remaining sarsens at Stonehenge. These results are therefore representative of the main stone type used to build what is arguably the most important Late Neolithic monument in Europe

Activity pacing for osteoarthritis symptom management: study design and methodology of a randomized trial testing a tailored clinical approach using accelerometers for veterans and non-veterans

<p>Abstract</p> <p>Background</p> <p>Osteoarthritis (OA) is a prevalent chronic disease and a leading cause of disability in adults. For people with knee and hip OA, symptoms (e.g., pain and fatigue) can interfere with mobility and physical activity. Whereas symptom management is a cornerstone of treatment for knee and hip OA, limited evidence exists for behavioral interventions delivered by rehabilitation professionals within the context of clinical care that address how symptoms affect participation in daily activities. Activity pacing, a strategy in which people learn to preplan rest breaks to avoid symptom exacerbations, has been effective as part of multi-component interventions, but hasn't been tested as a stand-alone intervention in OA or as a tailored treatment using accelerometers. In a pilot study, we found that participants who underwent a tailored activity pacing intervention had reduced fatigue interference with daily activities. We are now conducting a full-scale trial.</p> <p>Methods/Design</p> <p>This paper provides a description of our methods and rationale for a trial that evaluates a tailored activity pacing intervention led by occupational therapists for adults with knee and hip OA. The intervention uses a wrist accelerometer worn during the baseline home monitoring period to glean recent symptom and physical activity patterns and to tailor activity pacing instruction based on how symptoms relate to physical activity. At 10 weeks and 6 months post baseline, we will examine the effectiveness of a tailored activity pacing intervention on fatigue, pain, and physical function compared to general activity pacing and usual care groups. We will also evaluate the effect of tailored activity pacing on physical activity (PA).</p> <p>Discussion</p> <p>Managing OA symptoms during daily life activity performance can be challenging to people with knee and hip OA, yet few clinical interventions address this issue. The activity pacing intervention tested in this trial is designed to help people modulate their activity levels and reduce symptom flares caused by too much or too little activity. As a result of this trial, we will be able to determine if activity pacing is more effective than usual care, and among the intervention groups, if an individually tailored approach improves fatigue and pain more than a general activity pacing approach.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov: <a href="http://www.clinicaltrials.gov/ct2/show/NCT01192516">NCT01192516</a></p

The archaeology of power: understanding the emergence and development of neolithic monument complexes in Britain and Ireland

Neolithic monument complexes in Britain and Ireland were places where dispersed non-human and human powers were gathered and drawn upon by people, creating new political, religious and social configurations. This thesis investigates the circulation of power within Neolithic societies by examining the evidence from these ceremonial complexes, focusing particularly on five case studies (Stonehenge, Avebury, Dorchester, Brú na Bóinne and Stenness-Brodgar). Approaches derived from relational, new materialist and assemblage thinking are used to explore the interconnectedness of people, places and things at monument complexes. By considering and including non-human aspects of the world, including rivers, topography, landforms, directionality, alignments and concepts of past, present and future, it is shown how these places were appropriate for the construction of monuments, and how complexes emerged and developed over time. This includes a detailed interpretation of the chronology of the Dorchester complex, derived from new radiocarbon dates and Bayesian analysis. A focus on unequal power relations is retained throughout, with a particular emphasis on how human relations were mediated through things and places, in order to move forward discussions of power within archaeology. Monument complexes emerge as places where relations of power with other beings or things, as well as other people, could be negotiated and worked through

Tempo of a mega-henge: A new chronology for mount pleasant, dorchester, dorset

Radiocarbon dating and Bayesian chronological modelling have provided precise new dating for the henge monument of Mount Pleasant in Dorset, excavated in 1970–1. A total of 59 radiocarbon dates are now available for the site and modelling of these has provided a revised sequence for the henge enclosure and its various constituent parts: the timber palisaded enclosure, the Conquer Barrow, and the ditch surrounding Site IV, a concentric timber and stone monument. This suggests that the henge was probably built in the 26th century cal bc, shortly followed by the timber palisade and Site IV ditch. These major construction events took place in the late Neolithic over a relatively short timespan, probably lasting 35–125 years. The principal results are discussed for each element of the site, including comparison with similar monument types elsewhere in Britain and Ireland, and wider implications for late Neolithic connections and later activity at the site associated with Beaker pottery are explored