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Social identities are fundamental to the way individuals and groups define themselves. Archaeological approaches to social identities in the Andes emphasize the importance of group identities such as ethnicity and community identity, but studies of gender and age identities are still uncommon. In this dissertation, I build on these earlier

Social identities are fundamental to the way individuals and groups define themselves. Archaeological approaches to social identities in the Andes emphasize the importance of group identities such as ethnicity and community identity, but studies of gender and age identities are still uncommon. In this dissertation, I build on these earlier approaches to Andean social identities and consider community, gender, and age identities at the site of Chiribaya Alta using case studies.

The coastal Ilo Chiribaya polity is associated with the Andean Late Intermediate Period in the lower Osmore drainage of southern Peru. Previous analyses indicate that Chiribaya sites in this area formed a señorío, an Andean chiefdom with separate occupational groups of fishers and farmers. The most complex excavated Chiribaya site in this region is Chiribaya Alta. At this time, excavations have sampled nine of the cemeteries present at the site. Two of these cemeteries, four and seven, have the most elaborate burials at the site and are each associated with different occupational communities.

This dissertation examines community, gender, and age identities at Chiribaya Alta through the use of three case studies. The first case study argues that the iconographic designs on coca bags interred with the dead signified occupational community identities. Coca bags buried in cemetery four have designs relating to mountains and farming, whereas those from cemetery seven have symbols associated with water. These designs correspond to the occupational community groups associated with each of these cemeteries. The second case study uses grave good presence and absence to examine the nature of gender roles and identity at Chiribaya Alta. Multiple correspondence analysis indicates that normative gender roles are reflected in grave good assemblages, but that gender identity was flexible at the individual level. The final case study presents newly generated age-at-death estimations using transition analysis combined with mortuary analyses to explore the manner in which gender and age intersect for older individuals at Chiribaya Alta. This final paper argues that there is an elderly identity present amongst individuals at Chiribaya Alta and that gender and age intersect to impact the lives of older men and women differently.
ContributorsSchach, Emily Ann (Author) / Buikstra, Jane E. (Thesis advisor) / Knudson, Kelly J. (Committee member) / Geller, Pamela L. (Committee member) / Arizona State University (Publisher)
Created2019
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Migrations, past and present, fundamentally influence human interaction, community building, and social evolution. Studies of contemporary migrations demonstrate that the form and intensity of interaction migrants maintain between homeland and host communities shape social dynamics, innovations, and identities. This dissertation applies a contemporary theoretical framework and biogeochemical analyses to elucidate

Migrations, past and present, fundamentally influence human interaction, community building, and social evolution. Studies of contemporary migrations demonstrate that the form and intensity of interaction migrants maintain between homeland and host communities shape social dynamics, innovations, and identities. This dissertation applies a contemporary theoretical framework and biogeochemical analyses to elucidate the scale, processes, and impacts of migration in the hinterland of the pre-Hispanic Tiwanaku polity (ca. AD 500-1100). Social diversity is examined by reconstructing the migration histories and dietary choices of individuals interred at the Tiwanaku-affiliated site of Omo M10 in the Moquegua Valley of southern Peru.

Radiogenic strontium and stable oxygen isotope data from human dental and skeletal elements are used to characterize intra- and inter-individual paleomobility patterns at Omo M10. When contextualized with archaeological evidence, these data reveal multigenerational interaction through migration between communities in the highland Tiwanaku heartland and at Omo M10. The observed greater mobility of females and juveniles at Omo M10 indicates that women and families played an essential role in maintaining social relationships and persistent cultural continuity in Moquegua Tiwanaku life. Contact with the highlands waned over time as disruption in the urban highland centers likely weakened ties to peripheral lowland communities.

Stable carbon and nitrogen data from human dental and skeletal elements are employed to estimate intra- and inter-individual paleodietary patterns. Results indicate diet at Omo M10 varied depending on an individual’s community affiliation, sex, age, and level of mobility; diet broadly changed over time with shifting levels of interaction with highland Tiwanaku communities. Intra-individual biogeochemical analyses of migration and diet at Omo M10 contribute a nuanced perspective on the diverse experiences of multigenerational colonists on the periphery of the Tiwanaku polity.
ContributorsDahlstedt, Allisen Cecelia (Author) / Knudson, Kelly J. (Thesis advisor) / Buikstra, Jane E. (Committee member) / Goldstein, Paul S (Committee member) / Arizona State University (Publisher)
Created2019
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Description

Ineffective transitional care programs for ensuring the continuation of care from acute settings to the home settings post discharge can result in rehospitalization of elderly patients with chronic diseases. Usually, transitional care should be time-sensitive, patient-centered services intended to ensure continuity of care and an efficient transition between health care

Ineffective transitional care programs for ensuring the continuation of care from acute settings to the home settings post discharge can result in rehospitalization of elderly patients with chronic diseases. Usually, transitional care should be time-sensitive, patient-centered services intended to ensure continuity of care and an efficient transition between health care settings or home. A patient centered transitional care program was implemented at an outpatient primary care facility to reduce readmission rates. Institutional Review Board approval was obtained.

Twenty adult patients with chronic diseases discharged from an acute setting were identified. A follow up phone call and/or a home visit within 24-72 hours post discharge was employed. The Care Transitions Measure (CTM®) and Medication Discrepancy Tool (MDT®) were utilized to identify quality of care of transition and medication discrepancies. A chart audit collected data on the age of participant, diagnosis for initial hospitalization, CTM score, home visit, and ED visits or re-hospitalizations after 30 days of discharge. The outcome indicated that transitional care within primary care utilizing evidence-based practices is beneficial in reducing readmission rates. A logistic regression showed model significance, p = .002, suggesting that the CTM score was effective for both telephone support (TS) and home visit (HV).

A correlation analysis showed that as age of participants increased, the CTM score decreased, indicating that older adults required more support. A significance p <.001, of a proportional test indicated that readmission rates after the intervention was lower. It is evident that providing a timely and effective transitional care intervention in a primary care setting can reduce hospital readmissions, improve symptom management and quality of life of adult patients with chronic diseases.

ContributorsAnnor, Wilhelmina Sagoe (Author) / Baker, Laurie (Thesis advisor)
Created2020-05-05
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Archaeologists have long contended that large-scale human migrations played an essential role in the cultural development of pre-Hispanic central Mexico. During the Epiclassic period (600-900 CE), migration is implicated in the appearance of new forms of material culture, sociopolitical disruptions, and the emergence of new regional polities. Sweeping social changes

Archaeologists have long contended that large-scale human migrations played an essential role in the cultural development of pre-Hispanic central Mexico. During the Epiclassic period (600-900 CE), migration is implicated in the appearance of new forms of material culture, sociopolitical disruptions, and the emergence of new regional polities. Sweeping social changes accompanied these developments, including demographic reorganization and increased levels of violence. Research across the social sciences finds that violence directed at individuals perceived as categorically distinct also typically increases during such periods of socio-political upheaval. This dissertation investigates identity-based violence in the Epiclassic Basin of Mexico to consider how diverse social identities contributed to the selection of victims of ritual violence.

This research examines the skeletal remains from a sacrificial deposit at the Epiclassic shrine site of Non-Grid 4 in the Basin of Mexico, where a minimum of 180 human crania were interred as ritual offerings. The project reconstructs patterns of paleomobility and biological relatedness to determine whether individuals with distinct categorical social identities were more likely to become victims of human sacrifice. It answers the questions: (1) Were the sacrificed individuals predominantly locals who lived in the Basin of Mexico throughout their lives?; (2) Were the sacrificed individuals comprised of a single kin-group biologically continuous with pre-extant populations in the Basin of Mexico?; and (3) If victims were migrants biologically discontinuous with antecedent populations, from where in ancient Mesoamerica did they originate?

Results indicate that a majority of sacrificial victims were immigrants originating north and south of the Basin of Mexico. Biogeochemical analyses of sacrificed individuals find that 80% are non-local migrants into the Basin, suggesting that they were likely targeted for violence based on their divergent residential histories. Multi-scalar biodistance analyses of Non-Grid 4 sacrificial victims demonstrate that they represent two biologically distinct groups. There was evidence, however, for both biological continuity among victims and pre-extant central Mexican populations, as well as for migration from northern and southern Mexico. This project therefore not only improves knowledge of migration during the central Mexican Epiclassic, but also contributes to broader anthropological understandings of the social context of violence.
ContributorsPacheco-Forés, Sofía Isabel (Author) / Buikstra, Jane E. (Thesis advisor) / Knudson, Kelly J. (Committee member) / Morehart, Christopher T. (Committee member) / Stojanowski, Christopher M. (Committee member) / Arizona State University (Publisher)
Created2020