It's getting hot in here – Microcontextual study of a potential pit hearth at the Middle Paleolithic site of El Salt, Spain

By studying combustion structures, which conceal information about anthropogenic activity, we might learn about their makers. This is especially important for remote time periods like the Middle Paleolithic, whose archaeological record comprises numerous combustion structures. The majority of these are simple, flat, open hearths, although a small number of features situated in pit-like depressions have been recorded. Given that hearths built on a flat surface can result in pit-like color alteration of the underlying sediment, accurate identification of pit hearths is a crucial step prior to behavioral interpretation. Here we present a comprehensive study of a possible pit hearth from the Middle Paleolithic site of El Salt, Spain, using a microcontextual approach combining micromorphology, lipid biomarker analysis, archaeomagnetism and zooarchaeology. This pit hearth involves a true depression containing a thick plant ash deposit. It reached very high temperatures, possibly multiple burning events and long combustion times. Morphologically distinct combustion structures in a single archaeological context may indicate different functions and thus a diverse fire technology, pointing to Neanderthal behavioral variability.ERC Consolidator Grant project PALEOCHAR – 648871 https://erc.europa.eu/funding/consolidator-grants, I + D Project HAR2008-06117/HIST, HAR2015-68321-P (MINECO-FEDER/UE), and the Cultural Heritage Department of the Valencia Government and the Archaeological Museum Camil Visedo of Alcoy, under the direction of Professor Bertila Galván of Universidad de La Laguna, Junta de Castilla y León (project BU235P18), the European Fund for Economic and Regional Development (EFRD) and the project PID2019-105796 GB-I00 of the Agencia Estatal de Investigación (AEI/10.13039/501100011033

Reconstructing the Deep Population History of Central and South America

We report genome-wide ancient DNA from 49 individuals forming four parallel time transects in Belize, Brazil, the Central Andes, and the Southern Cone, each dating to at least 9,000 years ago. The common ancestral population radiated rapidly from just one of the two early branches that contributed to Native Americans today. We document two previously unappreciated streams of gene flow between North and South America. One affected the Central Andes by 4,200 years ago, while the other explains an affinity between the oldest North American genome associated with the Clovis culture and the oldest Central and South Americans from Chile, Brazil, and Belize. However, this was not the primary source for later South Americans, as the other ancient individuals derive from lineages without specific affinity to the Clovis-associated genome, suggesting a population replacement that began at least 9,000 years ago and was followed by substantial population continuity in multiple regions

Mortality after surgery in Europe: a 7 day cohort study

Background: Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non-cardiac surgery in Europe.Methods: We did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ² and Fisher’s exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries.Findings: We included 46 539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9–3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0–3·0] for Iceland to 21·5% [16·9–26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19 1·05; p=0·06] for Finland to 6·92 [2·37–20·27; p=0·0004] for Poland).Interpretation: The mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.Funding: European Society of Intensive Care Medicine, European Society of Anaesthesiology