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Mays SA. The palaeopathology of industry, a perspective from Britain. INTERNATIONAL JOURNAL OF PALEOPATHOLOGY 2023; 43:85-92. [PMID: 37890438 DOI: 10.1016/j.ijpp.2023.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 09/19/2023] [Accepted: 10/09/2023] [Indexed: 10/29/2023]
Abstract
OBJECTIVES This article considers the position of palaeopathology of ca. 1750AD onward within the subdiscipline of Industrial Archaeology, and reflects upon the relationship between skeletal palaeopathology and textual sources on disease prevalences. METHODS It draws upon the author's experience in engaging with threat-led archaeology. It synthesises key elements of palaeopathological literature, emphasising contributions to the IJPP VSI 'Changes in Health with the Rise of Industry', and also the broader literature regarding Industrial Archaeology. RESULTS Industrial Archaeology has seen a recent refocus to include not only a concentration upon technological aspects of industry but also increased emphasis the social context of industrialisation. This movement toward a placement of people as well as machines centre stage has resulted in an environment conducive for paleopathology to make a greater impact upon studies of the period. CONCLUSIONS Palaeopathologists need to ensure that their biocultural work is orientated toward research goals of broader relevance if the impact of their work is to be maximised. We cannot directly align prevalence data generated from skeletal and and written sources; roles played by these two sources of evidence will depend, inter alia, upon the problems being investigated. SIGNIFICANCE The success of 'Industrial Palaeopathology' will be measured by the extent to which human remains studies move toward centre stage within the broader discipline of Industrial Archaeology. LIMITATIONS Multiple perspectives on disciplinary development are possible. Academic traditions, relationships between university- and threat led-sectors, and the opportunities and challenges engendered by working with human remains, differ in different countries.
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Affiliation(s)
- S A Mays
- Investigative Science, Historic England, UK; Department of Archaeology, University of Southampton, UK; School of History, Classics and Archaeology, University of Edinburgh, UK.
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Castells Navarro L, Buckberry J. The prevalence of diffuse idiopathic skeletal hyperostosis in England and Catalonia from the Roman to the post-medieval periods. INTERNATIONAL JOURNAL OF PALEOPATHOLOGY 2022; 37:9-22. [PMID: 35279001 DOI: 10.1016/j.ijpp.2022.02.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 02/21/2022] [Accepted: 02/21/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Evaluate the prevalence of DISH through time from the Roman to the post-Medieval period in England and Catalonia. MATERIAL 281 individuals from England and 247 from Catalonia were analyzed. METHODS Adult individuals with at least three well-preserved lower thoracic vertebral bodies were analyzed. DISH was assessed considering the early stages of development. Diachronic and geographical dietary shifts were investigated using reported light isotope data, archaeological reports and historical documentation. RESULTS Males and older individuals showed consistently higher prevalence of DISH, however, only the English sample showed a significant difference between males and females in the prevalence of DISH. No significant difference was found in the prevalence of DISH though time (from Roman to post medieval periods) nor across regions (England and Catalonia). CONCLUSION The development of DISH is probably influenced by a combination of factors including increasing age and sex. SIGNIFICANCE This is the first exhaustive analysis of DISH in ancient Catalan populations and the first that considers the early stages of DISH. LIMITATIONS Reduced sample size, particularly in post-medieval samples, as a result of the available excavated samples and the inclusion criteria adopted. FUTURE RESEARCH Include rural, religious and high-status samples in the analysis of DISH. Re-assess the prevalence of DISH in post-medieval populations.
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Affiliation(s)
- Laura Castells Navarro
- School of Archaeological and Forensic Sciences, University of Bradford, Bradford BD7 1DP, UK; Archaeology Department, University of Exeter, Exeter EX4 4QJ, UK.
| | - Jo Buckberry
- School of Archaeological and Forensic Sciences, University of Bradford, Bradford BD7 1DP, UK
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Littlejohn GO. Historical bioarcheological aspects of diffuse idiopathic skeletal hyperostosis in humans. Semin Arthritis Rheum 2021; 52:151942. [PMID: 34998578 DOI: 10.1016/j.semarthrit.2021.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 12/04/2021] [Accepted: 12/20/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To identify diffuse idiopathic skeletal hyperostosis (DISH) in the human bioarcheological record to seek out temporal, geographic and dietary information to enhance better understanding of this common condition. MATERIALS AND METHODS A review of available literature was conducted. RESULTS DISH has been identified in hominin populations over millions of years, including several different human species. The distribution of DISH in ancient populations is diverse, both temporally and geographically. Where available, dietary intake of subjects with DISH, in contrast to those without DISH, suggests that metabolic factors associate with DISH. CONCLUSION DISH is a ubiquitous human disorder over the ages. Metabolic factors appear important in ancient populations of those with DISH.
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Affiliation(s)
- Geoffrey O Littlejohn
- Emeritus Director Monash Health Rheumatology, Adjunct Clinical Professor, Monash University, Melbourne, Victoria, Australia.
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Castells Navarro L, Buckberry J. Back to the beginning: Identifying lesions of diffuse idiopathic skeletal hyperostosis prior to vertebral ankylosis. INTERNATIONAL JOURNAL OF PALEOPATHOLOGY 2020; 28:59-68. [PMID: 31951851 DOI: 10.1016/j.ijpp.2019.12.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 11/29/2019] [Accepted: 12/07/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To better understand the pathogenesis of DISH, identifying early or pre-DISH lesions in the spine and investigating the relationship between spinal and extra-spinal manifestations of DISH. MATERIAL 44 skeletonized individuals with DISH from the WM Bass Donated Skeletal Collection. METHODS For each vertebra, location, extension, point of origin and appearance of vertebral outgrowths were recorded. The size of the enthesophytes at the olecranon process, patella and calcaneal tuberosity was measured with digital callipers. RESULTS At either end of the DISH-ankylosed segment, isolated vertical outgrowths arising from the central third of the anterior aspect of the vertebral body can usually be observed. These bone outgrowths show a well-organized external cortical layer, an internal structure of trabecular bone and usually are unaccompanied by or show minimal associated endplate degeneration. Analysis of the relationship between spinal and extra-spinal manifestations (ESM) suggests great inter-individual variability. No correlation between any ESM and the stage of spinal DISH was found. CONCLUSIONS Small isolated outgrowths represent the earliest stages of the spinal manifestations of DISH. The use of ESM as an indicator of DISH should be undertaken with great caution until the relationship between these two features is understood. SIGNIFICANCE Improved accuracy of paleopathological diagnostic criteria of DISH. LIMITATIONS Small sample comprised of only individuals with DISH. FUTURE RESEARCH: micro-CT analysis to investigate the internal structure of the spinal lesions. Analysis of extra-spinal enthesophytes in individuals with and without DISH to understand their pathogenesis and association with the spinal lesions in individuals with DISH.
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Affiliation(s)
- Laura Castells Navarro
- School of Archaeological and Forensic Sciences, University of Bradford, Bradford, BD7 1DP, UK.
| | - Jo Buckberry
- School of Archaeological and Forensic Sciences, University of Bradford, Bradford, BD7 1DP, UK
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Milner GR, Boldsen JL, Ousley SD, Getz SM, Weise S, Tarp P, Steadman DW. Selective mortality in middle-aged American women with Diffuse Idiopathic Skeletal Hyperostosis (DISH). PLoS One 2018; 13:e0202283. [PMID: 30153267 PMCID: PMC6112637 DOI: 10.1371/journal.pone.0202283] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 07/31/2018] [Indexed: 02/06/2023] Open
Abstract
OBJECTIVE A mortality sample of white American male and female skeletons was examined to illustrate a simple means of identifying skeletal conditions associated with an increased risk of dying relatively early in adulthood and to determine if males and females with Diffuse Idiopathic Skeletal Hyperostosis (DISH) displayed the same general age-specific pattern of mortality. METHODS Age-specific probability distributions for DISH were generated from 416 white Americans who died from the 1980s to the present, and whose remains were donated to the University of Tennessee Forensic Anthropology Center. The age-specific frequency of DISH is analyzed using an empirical smoothing algorithm. Doing so allows for the identification of deviations (i.e., local maxima) from monotonically increasing age-specific probabilities. RESULTS In females (N = 199), there is a peak in the frequency of individuals with DISH around 60 years of age where 37.0% of the individuals have DISH. It is matched only by the frequency (38.7%) in the oldest females, those over 85 years old. In contrast, DISH frequencies for males (N = 217) increase monotonically with advancing age, reaching 62.5% in the ≥86 years age group. There was an association between DISH and high body weight in women, particularly those who died before they reached the age of 75. CONCLUSIONS Early-onset DISH in white American women is associated with an increased risk of dying indicated by a local maximum in the probability curve. Should this finding be replicated in additional mortality samples and the reason DISH is associated with early death is established, beyond being heavy, this radiologically visible ossification of the spine could be a potential component of health-monitoring programs for middle-aged women.
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Affiliation(s)
- George R. Milner
- Department of Anthropology, Pennsylvania State University, University Park, Pennsylvania, United States of America
| | - Jesper L. Boldsen
- Unit of Anthropology, ADBOU, Department of Forensic Medicine, University of Southern Denmark, Odense, Denmark
| | - Stephen D. Ousley
- Department of Mathematics and Information Science, Mercyhurst University, Erie, Pennsylvania, United States of America
| | - Sara M. Getz
- Department of Anthropology, Idaho State University, Pocatello, Idaho, United States of America
| | - Svenja Weise
- Unit of Anthropology, ADBOU, Department of Forensic Medicine, University of Southern Denmark, Odense, Denmark
| | - Peter Tarp
- Unit of Anthropology, ADBOU, Department of Forensic Medicine, University of Southern Denmark, Odense, Denmark
| | - Dawnie W. Steadman
- Forensic Anthropology Center, Department of Anthropology, University of Tennessee, Knoxville, Tennessee, United States of America
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Kuperus JS, Samsour L, Buckens CF, Oner FC, de Jong PA, Verlaan JJ. Bone mineral density changes over time in diffuse idiopathic skeletal hyperostosis of the thoracic spine. Bone 2018; 112:90-96. [PMID: 29649655 DOI: 10.1016/j.bone.2018.04.005] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Revised: 02/12/2018] [Accepted: 04/06/2018] [Indexed: 12/19/2022]
Abstract
Diffuse idiopathic skeletal hyperostosis (DISH) is an increasingly prevalent ankylosing condition. Patients with DISH have an increased risk of spinal fractures, hypothetically the result of biomechanical changes in the spine. The aim of this study was to analyze the occurrence of biomechanical stress shielding in patients with DISH. To do this, bone mineral density (BMD) was measured longitudinally in the vertebral bodies of subjects with and without DISH and in the newly formed bone of subjects with DISH. The presence of DISH was evaluated using Resnick criteria on two chest computed tomography (CT) scans taken at least 2.5 years apart from subjects over 50 years of age. Three groups were identified: pre-DISH (individuals who developed DISH after the first CT scan), definite DISH (individuals who had DISH on both CT scans), and controls (individuals with no DISH). Hounsfield units (HU) were measured in the newly formed bone and in predefined anterior and posterior portions of the involved vertebral bodies. Mean BMD of the newly formed bone increased significantly (mean ΔHU 137.5; p < 0.01) during a mean interval of 5 years in the cranial, middle, and caudally involved vertebral segments of both DISH groups. Mean BMD of the vertebral bodies in the ankylotic segments in the DISH groups did not significantly differ from that of the non-ankylotic vertebral bodies of the same subject. In contrast to our hypothesis, the HU value of the vertebral body decreased more in the control group than in the DISH groups; however, statistical significance was only reached at the cranial level in the anterior part of the vertebral body (p = 0.048). Our data suggest that 1) vertebral BMD is not influenced by the presence of DISH and 2) increased spinal stiffness may play a more important role than vertebral BMD in the increased fracture risk of and the typical fracture patterns observed in individuals with DISH.
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Affiliation(s)
- Jonneke S Kuperus
- Department of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Lima Samsour
- Department of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
| | | | - F Cumhur Oner
- Department of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Pim A de Jong
- Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Jorrit-Jan Verlaan
- Department of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
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Calce SE, Kurki HK, Weston DA, Gould L. Effects of osteoarthritis on age-at-death estimates from the human pelvis. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2018; 167:3-19. [DOI: 10.1002/ajpa.23595] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Revised: 03/13/2018] [Accepted: 04/08/2018] [Indexed: 11/10/2022]
Affiliation(s)
- Stephanie E. Calce
- Department of Anthropology; University of Victoria; Victoria British Columbia, V8W 2Y2 Canada
| | - Helen K. Kurki
- Department of Anthropology; University of Victoria; Victoria British Columbia, V8W 2Y2 Canada
| | - Darlene A. Weston
- Department of Anthropology; University of British Columbia; British Columbia V6T 1Z1 Canada
| | - Lisa Gould
- Department of Anthropology; University of Victoria; Victoria British Columbia, V8W 2Y2 Canada
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Mays S. How should we diagnose disease in palaeopathology? Some epistemological considerations. INTERNATIONAL JOURNAL OF PALEOPATHOLOGY 2018; 20:12-19. [PMID: 29496211 DOI: 10.1016/j.ijpp.2017.10.006] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Revised: 10/20/2017] [Accepted: 10/22/2017] [Indexed: 06/08/2023]
Abstract
This paper analyses some of the epistemological frameworks that underpin diagnosis in palaeopathology. Currently, the dominant approach is comparative: relationships between skeletal lesions and disease in a reference group in which there is independent evidence of the diseases present in individuals are used to identify disease in unknown archaeological skeletons on the basis of the lesions present. This is essentially a reference sample - target sample approach, analogous to that used to develop methodology in other areas of biological anthropology (e.g. age estimation in palaeodemography). As well as considerable strengths, this approach also has significant weaknesses. Many of these arise from the nature of the reference material (mainly pathology museum and other skeletal collections, and published collations of medical imaging data) used to develop diagnostic criteria. There may also be a tendency toward over-emphasis on pattern-matching between reference and target material, and an under-emphasis on developing our understanding of the biology of bone lesions. Despite its shortcomings, the comparative approach is likely to remain the foundation of most palaeopathological work, but we should increasingly augment it with other diagnostic approaches, especially those grounded in the pathophysiology of bony responses to disease.
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Liu R, Yue Y, Jiang H, Lu J, Wu A, Geng D, Wang J, Lu J, Li S, Tang H, Lu X, Zhang K, Liu T, Yuan Y, Wang Q. A risk prediction model for post-stroke depression in Chinese stroke survivors based on clinical and socio-psychological features. Oncotarget 2017; 8:62891-62899. [PMID: 28968957 PMCID: PMC5609889 DOI: 10.18632/oncotarget.16907] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Accepted: 03/14/2017] [Indexed: 01/22/2023] Open
Abstract
Background Post-stroke depression (PSD) is a frequent complication that worsens rehabilitation outcomes and patient quality of life. This study developed a risk prediction model for PSD based on patient clinical and socio-psychology features for the early detection of high risk PSD patients. Results Risk predictors included a history of brain cerebral infarction (odds ratio [OR], 3.84; 95% confidence interval [CI], 2.22-6.70; P < 0.0001) and four socio-psychological factors including Eysenck Personality Questionnaire with Neuroticism/Stability (OR, 1.18; 95% CI, 1.12-1.20; P < 0.0001), life event scale (OR, 0.99; 95% CI, 0.98-0.99; P = 0.0007), 20 items Toronto Alexithymia Scale (OR, 1.06; 95% CI, 1.02-1.10; P = 0.002) and Social Support Rating Scale (OR, 0.91; 95% CI, 0.87-0.90; P < 0.001) in the logistic model. In addition, 11 rules were generated in the tree model. The areas under the curve of the ROC and the accuracy for the tree model were 0.85 and 0.86, respectively. Methods This study recruited 562 stroke patients in China who were assessed for demographic data, medical history, vascular risk factors, functional status post-stroke, and socio-psychological factors. Multivariate backward logistic regression was used to extract risk factors for depression in 1-month after stroke. We converted the logistic model to a visible tree model using the decision tree method. Receiver operating characteristic (ROC) was used to evaluate the performance of the model. Conclusion This study provided an effective risk model for PSD and indicated that the socio-psychological factors were important risk factors of PSD.
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Affiliation(s)
- Rui Liu
- School of Information Science and Engineering, Southeast University, Nanjing, China
| | - Yingying Yue
- Department of Psychosomatics and Psychiatry, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China
| | - Haitang Jiang
- Department of Psychosomatics and Psychiatry, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China
| | - Jian Lu
- School of Information Science and Engineering, Southeast University, Nanjing, China
| | - Aiqin Wu
- Department of Psychosomatics, The Affiliated First Hospital of Suzhou University, Suzhou, China
| | - Deqin Geng
- Department of Neurology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, China
| | - Jun Wang
- Department of Neurology, Nanjing First Hospital, Nanjing, China
| | - Jianxin Lu
- Department of Neurology, Gaochun People's Hospital, Nanjing, China
| | - Shenghua Li
- Department of Neurology, Jiangning Nanjing Hospital, Nanjing, China
| | - Hua Tang
- Department of Psychiatry, Huai'an No.3 People's Hospital, Huai'an, China
| | - Xuesong Lu
- Department of Rehabilitation, Affiliated Zhongda Hospital of Southeast University, Nanjing, China
| | - Kezhong Zhang
- Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Tian Liu
- The Key Laboratory of Biomedical Information Engineering of Ministry of Education, Institute of Biomedical Engineering, School of Life Science and Technology, Xi'an Jiaotong Univerisity, Xi'an, China
| | - Yonggui Yuan
- Department of Psychosomatics and Psychiatry, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China
| | - Qiao Wang
- School of Information Science and Engineering, Southeast University, Nanjing, China
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Mays S. A test of a skeletal ageing method based on resorption of the alveolar crest following tooth loss using a skeletal population of documented age at death. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2017; 163:242-251. [DOI: 10.1002/ajpa.23202] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Revised: 02/06/2017] [Accepted: 02/20/2017] [Indexed: 12/19/2022]
Affiliation(s)
- Simon Mays
- Research Department; Historic England; Portsmouth PO4 9LD United Kingdom
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Kacar E, Unlu E, Beker-Acay M, Balcik C, Gultekin MA, Kocak U, Eroglu S, Yucel A. Age estimation by assessing the vertebral osteophytes with the aid of 3D CT imaging. AUST J FORENSIC SCI 2016. [DOI: 10.1080/00450618.2016.1167241] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Emre Kacar
- Department of Radiology, Afyon Kocatepe University, School of Medicine, Afyonkarahisar, Turkey
| | - Ebru Unlu
- Department of Radiology, Afyon Kocatepe University, School of Medicine, Afyonkarahisar, Turkey
| | - Mehtap Beker-Acay
- Department of Radiology, Afyon Kocatepe University, School of Medicine, Afyonkarahisar, Turkey
| | - Cinar Balcik
- Department of Radiology, Afyon Kocatepe University, School of Medicine, Afyonkarahisar, Turkey
| | | | - Ugur Kocak
- Department of Forensic Medicine, Afyon Kocatepe University, School of Medicine, Afyonkarahisar, Turkey
| | - Selma Eroglu
- Department of Physical Medicine and Rehabilitation, Afyon Kocatepe University, School of Medicine, Afyonkarahisar, Turkey
| | - Aylin Yucel
- Department of Radiology, Afyon Kocatepe University, School of Medicine, Afyonkarahisar, Turkey
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