10 research outputs found

    A probable case of metastatic carcinoma in the medieval Netherlands

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    Despite recent considerable gains, our knowledge of cancer in antiquity is still limited. This paper discusses an adult individual from a Dutch medieval hospital site who demonstrates osteoblastic and osteolytic lesions on the ribs, scapula, clavicle, and vertebrae. The morphology, radiographic appearance, and distribution of the skeletal lesions suggest that this individual was affected by metastatic carcinoma. This case increases the number of publications that present an osteoblastic and osteolytic response to cancer and contributes to the body of evidence for archaeological neoplastic disease. For the Netherlands, this individual presents the first published case of probable metastatic carcinoma with mixed skeletal lesions.BioarchaeologyRoman Provinces, Middle Ages and Modern Perio

    A Comparison of Two Methods for Recording Entheseal Change on a Post‐Medieval Urban Skeletal Collection from Aalst (Belgium)

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    This research compares two current methods for recording bony changes at muscle attachment sites, called entheseal changes (EC); the Mariotti method and the Coimbra method, to evaluate the concordance and comparability of results in a post‐medieval skeletal collection from Aalst, Belgium (n = 116). For both methods, the EC scores produce broadly similar patterns, are symmetrical and differ between age groups. Statistical differences between the upper and lower limb and the lower limb of males and females only occur in the Mariotti method. With careful consideration of the influence of different EC score ranges, the results from the two methods can generally be compared.Bioarchaeolog

    Diet and urbanisation in medieval Holland.: Studying dietary change through carious lesions and stable isotope analysis

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    In the late medieval period, Holland experienced substantial socio-economic change. While the region was largely undeveloped prior to 1200 CE, the period after was characterised by extensive urbanisation and flourishing international trade, changes that would have impacted many aspects of life. This paper investigates the effect of these changes on diet by comparing skeletal collections from the early/central medieval rural village of Blokhuizen (800–1200 CE) to the late medieval urban town of Alkmaar (1448–1572 CE) using a combination of the prevalence and location of carious lesions (nteeth = 3475) and stable carbon and nitrogen isotope data (n = 50). Results show that the urban Alkmaar population had a significantly higher caries frequency (7.4% vs. 16.1%), starting at a younger age. Moreover, Alkmaar had significantly more approximal caries. These results point to increased consumption of cariogenic products, such as sugars and starches, by the urban citizens. Dietary differences are also demonstrated by the stable isotope data. Alkmaar individuals have significantly enriched δ15N ratios and more variable δ13C ratios compared with rural Blokhuizen. The elevated δ15N values may be due to increased consumption of fish or animals such as omnivorous pigs and chickens. The combination of caries and isotopic data points to clear changes in diet suggesting that urban individuals in the late medieval period had a substantially different diet compared with early rural inhabitants from the same area. Specifically, an increase in market dependence, availability of international trade products, and the growth of commercial fishing in the late medieval period may have contributed to this dietary shift. Future research should include a late medieval rural population to better understand the effects of late medieval socio-economic developments outside of the urban environment. This study demonstrates that the integration of palaeopathology and stable isotopic research provides a more complete understanding of dietary changes in medieval Holland.Stichting Nederlands Museum voor Anthropologie en PraehistorieBioarchaeolog

    Habitual Activity in Pre-industrial Rural and Urban Dutch Populations: A Study of Lower Limb Cross-sectional Geometry

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    This study combines historical data and the principles of bone functional adaptation to examine variation in terrestrial mobility in men and women from pre-industrial urban (Alkmaar 7M, 9F) and rural (Klaaskinderkerke 12M, 8F; Middenbeemster 21M, 22F) Dutch populations. Cross-sectional properties of the femoral and tibial midshaft are determined to investigate variation in lower limb mechanical loading. All populations had comparable age ranges. Rural Middenbeemster males had significantly more elliptically shaped tibiae compared to the other populations. Rural males from Klaaskinderkerke had significantly greater femoral cross-sectional area and torsional rigidity compared to females. In the tibia, the males from both rural populations had greater torsional rigidity and cross-sectional area compared to females. In the rural Middenbeemster population the males also had significantly more elliptically shaped tibiae compared to females. While no sexual dimorphism was found in the urban Alkmaar, significantly greater variation in lower limb cross-sectional properties was found for both males and females relative to the rural populations. These results conform to predictions based on the historical literature of greater lower limb loading in rural males compared to females as well as a greater variety of tasks performed in urban environments. The lack of significant differences in lower limb torsional rigidity or shape between populations in either sex suggests that rural life was not necessarily more physically strenuous than urban life in pre-industrial Dutch populations. However, variation in sexual dimorphism suggests that labor between males and females was differently organized in the rural and urban samples.BioarchaeologyRoman Provinces, Middle Ages and Modern Perio

    Intranasal Papilloma: A Suspected Case of Inverted Schneiderian Papilloma in the Choana of Adult Male from Post-Medieval Europe.

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    During the routine assessment of skeletal material unearthed from Middenbeemster, a post-Medieval (AD 17–19th century) cemetery in Northern Holland, an adult male with an unidentified choanal lesion was discovered. The affected individual was analysed macroscopically and via computer tomography. Based on the phenotypic and radiographic characteristics of the lesion, and after a comprehensive review of clinical literature, it was determined that the lesion was likely caused by an inverted Schneiderian papilloma (ISP), a benign but locally aggressive endophytic neoplasm histopathologically characterized by the inversion of the epithelium into the lamina propria (Schneiderian membrane) of the respiratory nasal mucosa. This study presents a detailed description of the pathophysiology and aetiology of ISPs, using both bioarchaeological and biomedical frameworks. Several differential diagnoses are discussed, with emphasis on the reasons for their rejection as the primary pathogenic mechanism(s). To the best of the authors’ knowledge, this research is the first reported case of ISP within palaeopathology, which highlights the need to consider ISPs whenever slow-growing sinonasal neoplasms are suspected, as well as in cases that exhibit focal rhinitis.Osteoarchaeology and funerary archaeolog
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