Palaeopathological Study of the Mompaderno Cranium (Croatian Istria) Reveals Interpersonal Violence during Early Bronze Age

The Mompaderno cranium was found in 1883 at Baderna/Mompaderno in Croatian Istria. It was suspected to date from the Mesolithic or Neolithic period, but radiocarbon analyses, performed by accelerator mass spectrometry (AMS) on collagen extracted from two teeth, have provided an age range of 2,202–1928 cal. BC, which corresponds to the Early Bronze Age in the investigated region. Macroscopic observations and X-ray micro-tomography (micro-CT) of the cranium have shown antemortem sharp force trauma on the frontal bones, probably caused by a bronze axe, and a related osteomyelitis likely caused by an infection of the wound. The study has also revealed a previous depressed fracture and an osteolytic area interpreted as intradiploic meningioma. Results provide rare and earliest evidence of interpersonal violence in the northern Adriatic region

Long tree-ring chronologies provide evidence of recent tree growth decrease in a central african tropical forest

It is still unclear whether the exponential rise of atmospheric CO2 concentration has produced a fertilization effect on tropical forests, thus incrementing their growth rate, in the last two centuries. As many factors affect tree growth patterns, short -term studies might be influenced by the confounding effect of several interacting environmental variables on plant growth. Long-term analyses of tree growth can elucidate long-term trends of plant growth response to dominant drivers. The study of annual rings, applied to long tree-ring chronologies in tropical forest trees enables such analysis. Long-term tree-ring chronologies of three widespread African species were measured in Central Africa to analyze the growth of trees over the last two centuries. Growth trends were correlated to changes in global atmospheric CO2 concentration and local variations in the main climatic drivers, temperature and rainfall. Our results provided no evidence for a fertilization effect of CO2 on tree growth. On the contrary, an overall growth decline was observed for all three species in the last century, which appears to be significantly correlated to the increase in local temperature. These findings provide additional support to the global observations of a slowing down of C sequestration in the trunks of forest trees in recent decades. Data indicate that the CO2 increase alone has not been sufficient to obtain a tree growth increase in tropical trees. The effect of other changing environmental factors, like temperature, may have overridden the fertilization effect of CO2

Isotopic techniques for environmental monitoring and nuclear waste management at CIRCE

CIRCE (Center for Isotopic Research on Environmental and Cultural heritage) was founded in 2005 as a research center dedicated to the application of isotopic methodologies in environmental and cultural heritage research. Later the spectrum of activities expanded and CIRCE became part of the laboratory hub of the Department of Mathematics and Physics, University of Campania L. Vanvitelli (formerly Second University of Naples), Caserta, Italy. In this context, an environmental monitoring program of the areas surrounding the Garigliano nuclear power plant (NPP) and of the building materials of the NPP was developed. The activities were carried out by involving undergraduate and doctoral students and taking care of communication with local administrations. In this framework, a survey among high school students was conducted to provide an insight into the public’s perception of risk connected to NPP. Alongside environmental radioactivity monitoring and material characterization techniques available at CIRCE are discussed. The activities presented here could find interesting applications in the framework of the Italian National Repository for Radioactive Waste and the annexed Technopark

Critical range of soil organic carbon in southern Europe lands under desertification risk

Soil quality is fundamental for ecosystem long term functionality, productivity and resilience to current climatic changes. Despite its importance, soil is lost and degraded at dramatic rates worldwide. In Europe, the Mediterranean areas are a hotspot for soil erosion and land degradation due to a combination of climatic conditions, soils, geomorphology and anthropic pressure. Soil organic carbon (SOC) is considered a key indicator of soil quality as it relates to other fundamental soil functions supporting crucial ecosystem services. In the present study, the functional relationships among SOC and other important soil properties were investigated in the topsoil of 38 sites under different land cover and management, distributed over three Mediterranean regions under strong desertification risk, with the final aim to define critical SOC ranges for fast loss of important soil functionalities. The study sites belonged to private and public landowners seeking to adopt sustainable land management practices to support ecosystem sustainability and productivity of their land. Data showed a very clear relationship between SOC concentrations and the other analyzed soil properties: total nitrogen, bulk density, cation exchange capacity, available water capacity, microbial biomass, C fractions associated to particulate organic matter and to the mineral soil component and indirectly with net N mineralization. Below 20 g SOC kg−1, additional changes of SOC concentrations resulted in a steep variation of all the analyzed soil indicators, an order of magnitude higher than the changes occurring between 50 and 100 g SOC kg−1 and 3–4 times the changes observed at 20–50 g SOC kg−1. About half of the study sites showed average SOC concentration of the topsoil centimetres <20 g SOC kg−1. For these areas the level of SOC might hence be considered critical and immediate and effective recovery management plans are needed to avoid complete land degradation in the next future

Chronological characterization of medieval villages in Northern Iberia: A multi-integrated approach

Defining the occupation sequence of medieval rural farming sites in Northern Iberia is complicated, since they feature low density of stratigraphic relationships and few finds and because of the intensive agricultural activities developed there during the last few decades. This paper presents the chronological characterization of the medieval village of Zornoztegi, located in the Basque Country, in the province of Alava. At this site, dwellings extend over an area of approximately two hectares and consist mainly of negative structures excavated in the bedrock. Radiocarbon dating measurements carried out on 32 samples, together with mortar optical microscopic analyses and other information obtained from stratigraphic relationships, changes in the settlement organization and the study of material culture, allowed structuring and characterizing the occupation sequence of the site of Zornoztegi. Furthermore, Bayesian statistics was used to reduce the range of the calibrated dates and to refine the chronology of the sequence

d13C values in archaeological 14C-AMS dated charcoals: assessing mid-Holocene climate fluctuations and human response from a high-resolution isotope record (Arslantepe, Turkey)

RATIONALE: Past climate has always influenced human adaptation to the environment. In order to reconstruct palaeoclimate fluctuations and their role in the evolution of Near Eastern societies during the mid-Holocene, high-resolution Δ13C records from fossil wood remains at the archaeological site of Arslantepe (eastern Turkey) have been developed. METHODS: After chemical treatment, 13C values were measured by sample combustion flow using a FLASH EA-CHNS instrument interfaced with a Delta V isotope ratio mass spectrometer via a CONFLO III. Two replicates per sample were analysed. The measurement precision was evaluated by propagating variations of the 13C values of samples and V-PDB standards, whereas the accuracy was checked by a quality control sample. To account for changes in atmospheric CO2, Δ13C values were calculated. In addition, 14C/12C ratios were measured by means of ann AMS system (3 MV tandem accelerator). RESULTS: Mean Δ13C curves of deciduous Quercus and Juniperus from archaeological levels between 4700 and 2000 BC (Arslantepe periods VIII-VI D) were produced, where the isotope values were ordered by the available RC ages. Interspecific variations of evergreen vs deciduous plants were postulated for the juniper Δ13C values being higher than 3‰. The seasonal rainfall amount was recorded by the juniper remains, while the water table levels were obtained from the oak samples. CONCLUSIONS: The local climate experienced times of enhanced/reduced precipitation in concert with regional trends. Anomalies in the air mass circulation from the Mediterranean basin also produced oscillations of rainfall amount. In such a frame the Rapid Climate Change dry events had a consistent signature in the Arslantepe Δ13C record, thus potentially contributing to social or organisational changes at the site

Biological/Biomedical Accelerator Mass Spectrometry Targets. 1. Optimizing the CO2 Reduction Step Using Zinc Dust

Biological and biomedical applications of accelerator mass spectrometry (AMS) use isotope ratio mass spectrometry to quantify minute amounts of long-lived radioisotopes such as 14C. AMS target preparation involves first the oxidation of carbon (in sample of interest) to CO2 and second the reduction of CO2 to filamentous, fluffy, fuzzy, or firm graphite-like substances that coat a −400-mesh spherical iron powder (−400MSIP) catalyst. Until now, the quality of AMS targets has been variable; consequently, they often failed to produce robust ion currents that are required for reliable, accurate, precise, and high-throughput AMS for biological/biomedical applications. Therefore, we described our optimized method for reduction of CO2 to high-quality uniform AMS targets whose morphology we visualized using scanning electron microscope pictures. Key features of our optimized method were to reduce CO2 (from a sample of interest that provided 1 mg of C) using 100 ± 1.3 mg of Zn dust, 5 ± 0.4 mg of −400MSIP, and a reduction temperature of 500 °C for 3 h. The thermodynamics of our optimized method were more favorable for production of graphite-coated iron powders (GCIP) than those of previous methods. All AMS targets from our optimized method were of 100% GCIP, the graphitization yield exceeded 90%, and δ13C was −17.9 ± 0.3‰. The GCIP reliably produced strong 12C− currents and accurate and precise Fm values. The observed Fm value for oxalic acid II NIST SRM deviated from its accepted Fm value of 1.3407 by only 0.0003 ± 0.0027 (mean ± SE, n = 32), limit of detection of 14C was 0.04 amol, and limit of quantification was 0.07 amol, and a skilled analyst can prepare as many as 270 AMS targets per day. More information on the physical (hardness/color), morphological (SEMs), and structural (FT-IR, Raman, XRD spectra) characteristics of our AMS targets that determine accurate, precise, and high-hroughput AMS measurement are in the companion paper

Metabolic Syndrome (MetS), Systemic Inflammatory Response Syndrome (SIRS), and Frailty: Is There any Room for Good Outcome in the Elderly Undergoing Emergency Surgery?

Background: Patients with MetS or SIRS experience higher rates of mortality and morbidity, across both cardiac and noncardiac surgery. Frailty assessment has acquired increasing importance in recent years as it predisposes elderly patients to a worse outcome. The aim of our study was to investigate the influence of MetS, SIRS, and with or without frailty on elderly patients undergoing emergency surgical procedures. Methods: We analyzed data of all patients with nonmalignant diseases requiring an emergency surgical procedure from January 2017 to December 2020. The occurrence of MetS was identified using modified definition criteria used by the NCEP-ATP III Expert Panel: obesity, hypertension, diabetes, or if medication for high triglycerides or for low HDL cholesterol was taken. Systemic inflammatory response syndrome (SIRS) was evaluated according to the original consensus study (Sepsis-1). The frailty profile was investigated by the 5-modified Frailty Index (5-mFI) and the Emergency Surgery Frailty Index (EmSFI). Postoperative complications have been reported and categorized according to the Clavien–Dindo (C–D) classification system. Morbidity and mortality have been mainly considered as the 30-day standard period definition. Results: Of the 2,318 patients included in this study, 1,010 (43.6%) fulfilled the criteria for MetS (MetsG group). Both 5-Items score and EmsFI showed greater fragility in patients with MetS. All patients with MetS showed more frequently a CACI index greater than 6. The occurrence of SIRS was higher in MetSG. LOS was longer in patients with MetS (MetSG 11.4 ± 12 days vs. n-MetSG 10.5 ± 10.2 days, p = 0.046). MetSG has a significantly higher rate of morbidity (353 (35.%) vs. 385 (29.4%), p = 0.005). The mortality rate in patients with MetS (98/1010, 10%) was similar to that in patients without it (129/1308, 10%). Considering patients with MetS who developed SIRS and those who had frailty or both, the occurrence of these conditions was associated with a higher rate of morbidity and mortality. Conclusion: Impact of MetS and SIRS on elderly surgical patient outcomes has yet to be fully elucidated. The present study showed a 43.6% incidence of MetS in the elderly population. In conclusion, age per se should be not considered anymore as the main variable to estimate patient outcomes, while MetS and Frailty should have always a pivotal role

Perforated peptic ulcer (PPU) treatment: an Italian nationwide propensity score-matched cohort study investigating laparoscopic vs open approach

BackgroundPerforated peptic ulcer (PPU) remain a surgical emergency accounting for 37% of all peptic ulcer-related deaths. Surgery remains the standard of care. The benefits of laparoscopic approach have been well-established even in the elderly. However, because of inconsistent results with specific regard to some technical aspects of such technique surgeons questioned the adoption of laparoscopic approach. This leads to choose the type of approach based on personal experience. The aim of our study was to critically appraise the use of the laparoscopic approach in PPU treatment comparing it with open procedure.MethodsA retrospective study with propensity score matching analysis of patients underwent surgical procedure for PPU was performed. Patients undergoing PPU repair were divided into: Laparoscopic approach (LapA) and Open approach (OpenA) groups and clinical-pathological features of patients in the both groups were compared.ResultsA total of 453 patients underwent PPU simple repair. Among these, a LapA was adopted in 49% (222/453 patients). After propensity score matching, 172 patients were included in each group (the LapA and the OpenA). Analysis demonstrated increased operative times in the OpenA [OpenA: 96.4 +/- 37.2 vs LapA 88.47 +/- 33 min, p = 0.035], with shorter overall length of stay in the LapA group [OpenA 13 +/- 12 vs LapA 10.3 +/- 11.4 days p = 0.038]. There was no statistically significant difference in mortality [OpenA 26 (15.1%) vs LapA 18 (10.5%), p = 0.258]. Focusing on morbidity, the overall rate of 30-day postoperative morbidity was significantly lower in the LapA group [OpenA 67 patients (39.0%) vs LapA 37 patients (21.5%) p = 0.002]. When stratified using the Clavien-Dindo classification, the severity of postoperative complications was statistically different only for C-D 1-2.ConclusionsBased on the present study, we can support that laparoscopic suturing of perforated peptic ulcers, apart from being a safe technique, could provide significant advantages in terms of postoperative complications and hospital stay

Emergency hernia repair in the elderly. multivariate analysis of morbidity and mortality from an Italian registry

Purpose The incidence of inguinal hernia is higher in elderly because of aging-related diseases like prostatism, bronchitis, collagen laxity. A conservative management is common in elderly to reduce surgery-related risks, however watchful waiting can expose to obstruction and strangulation. The aim of the present study was to assess the impact of emergency surgery in a large series of elderly with complicated groin hernia and to identify the independent risk factors for postoperative morbidity and mortality. The predictive performance of prognostic risk scores has been also assessed. Methods This is a prospective observational study carried out between January 2017 and June 2018 in elderly patients who underwent emergency surgery for complicated hernia in 38 Italian hospitals. Pre-operative, surgical and postoperative data were recorded for each patient. ASA score, Charlson's comorbidity index, P-POSSUM and CR-POSSUM were assessed. Results 259 patients were recruited, mean age was 80 years. A direct repair without mesh was performed in 62 (23.9%) patients. Explorative laparotomy was performed in 56 (21.6%) patients and bowel resection was necessary in 44 (17%). Mortality occurred in seven (2.8%) patients. Fifty-five (21.2%) patients developed complications, 12 of whom had a major one. At univariate and multivariate analyses, Charlson's comorbidity index >= 6, altered mental status, and need for laparotomy were associated with major complications and mortality Conclusion Emergency surgery for complicated hernia is burdened by high morbidity and mortality in elderly patients. Preoperative comorbidity played a pivotal role in predicting complications and mortality and therefore Charlson's comorbidity index could be adopted to select patients for elective operation