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- All Subjects: Human remains (Archaeology)
- All Subjects: Elderly
- Creators: Buikstra, Jane E.
- Creators: Baker, Laurie
To address the paucity of deciduous-focused validation research, phenotypic distances generated from the dental data are subjected to performance analyses (biodistance simulations) and compared to genetic distances between individuals. While family-specific results vary, crown morphology performs moderately well in distinguishing relatives from non-relatives. Comparisons between deciduous and permanent results (i.e., Euclidean distances, Mantel tests, multidimensional scaling output) indicate that deciduous crown variation provides a more direct reflection of the underlying genetic structure of pedigreed samples. The morphology data are then analyzed within a quantitative genetic framework using maximum likelihood variance components analysis. Novel narrow-sense heritability and pleiotropy estimates are generated for the complete suite of deciduous and permanent crown characters, which facilitates comparisons between samples, traits, dentitions, arcades, antimeres, metameres, scoring standards, and dichotomization breakpoints. Results indicate wide-ranging but moderate heritability estimates for morphological traits, as well as low to moderate integration for characters within (deciduous-deciduous; permanent-permanent) and between (deciduous-permanent) dentitions. On average, deciduous and permanent homologues are more strongly genetically correlated than characters within the same tooth row. Results are interpreted with respect to dental development and biodistance methodology. Ultimately, the dissertation empirically validates the use of dental morphology as a proxy for underlying genetic information, including deciduous characters.
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.
Drawing on osteological and mortuary data derived from a sample of Adena mounds located in northern Kentucky, this dissertation adopts a place-based approach in order to evaluate the archaeological association between monumentality and territoriality. The relative amounts of skeletal and phenotypic variability present at various spatial scales are quantified and compared and the degree to which mortuary and phenotypic data exhibit spatial structure consistent with the expectations of an isolation-by-distance model is assessed.
Results indicate that, while burial samples derived from some mounds exhibit amounts of phenotypic variability that are consistent with the expectations of a territorial model, data from other mounds suggest that multiple groups participated in their construction. Further, the general absence of spatial structure within the phenotypic data suggests that the individuals interred in these mounds are perhaps better characterized as representing an integrated regional population rather than localized groups. Untested archaeological inferences of territoriality may therefore mischaracterize regional population dynamics. In addition, these results suggest that the prioritization criteria for the repatriation of culturally unidentifiable human remains may merit revision.
The results highlight the complexity of Copan’s social structure within the lineage and house models proposed for ancient Maya social organization. The radiogenic strontium data are diverse; the percentage of potential non-local individuals varied by neighborhood, some with only 10% in-migration while others approached 40%. The biodistance results are statistically significant with differences between neighborhoods, patios, and even patios within one neighborhood. The high level of in-migration and biological heterogeneity are unique to Copan. Overall, these results highlight that the Copan community was created within a complex system that was influenced by multiple factors where neither a lineage nor house model is appropriate. It was a dynamic urban environment where genealogy, affiliation, and migration all affected the social structure.
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.
Toward this end, measurements from the human dentition and crania were subjected to rigorous analytical techniques and interpreted within a theoretical framework of ethnogenetic life cycles. Results validate existing interpretations of intra-regional biological continuity over time. However, they also reveal that 1) there are clear biological and geographical differences between communities, and 2) there are hints of diachronic shifts, whereby some communities became more similar to each other over time. These conclusions complement current ethnohistoric work arguing for the increasing struggle of the Frankish kingdom to unify itself when confronted by strong regionally-based politics.