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Studies of ancient pathogens are moving beyond simple confirmatory analysis of diseased bone; bioarchaeologists and ancient geneticists are posing nuanced questions and utilizing novel methods capable of confronting the debates surrounding pathogen origins and evolution, and the relationships between humans and disease in the past. This dissertation examines two ancient human diseases through molecular and bioarchaeological lines of evidence, relying on techniques in paleogenetics and phylogenetics to detect, isolate, sequence and analyze ancient and modern pathogen DNA within an evolutionary framework. Specifically this research addresses outstanding issues regarding a) the evolution, origin and phylogenetic placement of the pathogen causing skeletal tuberculosis in New World prior to European contact, and b) the phylogeny and origins of the parasite causing the human leishmaniasis disease complex. An additional chapter presents a review of the major technological and theoretical advances in ancient pathogen genomics to frame the contributions of this work within a rapidly developing field. This overview emphasizes that understanding the evolution of human disease is critical to contextualizing relationships between humans and pathogens, and the epidemiological shifts observed both in the past and in the present era of (re)emerging infectious diseases. These questions continue to be at the forefront of not only pathogen research, but also
bioarchaeological and paleopathological scholarship.
bioarchaeological and paleopathological scholarship.
ContributorsHarkins, Kelly M (Author) / Buikstra, Jane E. (Thesis advisor) / Stone, Anne C (Thesis advisor) / Knudson, Kelly (Committee member) / Kumar, Sudhir (Committee member) / Krause, Johannes (Committee member) / Arizona State University (Publisher)
Created2014
Description
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.
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
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 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
Description
Skin and soft tissue infections (SSTIs) occur at higher rates within correctional facilities due to the increased risks that are inherent in this population. These infections present at various stages, requiring different treatment modalities and sometimes require complex treatment. Prompt and accurate recognition of SSTIs is crucial in selecting appropriate treatment to decrease the possibility of treatment failure. Literature shows a correlation between diagnosis delay and increased time and overall cost of care related to delayed diagnosis of SSTIs. These findings support the implementation of an evidence-based project which aims to determine whether the utilization of an algorithm for SSTIs can be amplified through increased accessibility.
ContributorsResendiz-Casas, Adalivia (Author) / Baker, Laurie (Thesis advisor)
Created2019-04-29
Description
The transition from Late Antiquity to Early Medieval Europe (ca. AD 400-900) is often characterized as a period of ethnogenesis for a number of peoples, such as the Franks. Arising during protracted contact with the Roman Empire, the Franks would eventually form an enduring kingdom in Western Europe. However, there is little consensus about the processes by which they formed an ethnic group. This study takes a fresh look at the question of Frankish ethnogenesis by employing a number of theoretical and methodological subdisciplines, including population genetics and ethnogenetic theory. The goals of this work were 1) to validate the continued use of biological data in questions of historical and archaeological significance; and 2) to elucidate how Frankish population structure changed over time.
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.
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.
ContributorsCarver, Charisse (Author) / Stojanowski, Christopher M (Thesis advisor) / Scott, Rachel E. (Thesis advisor) / Buikstra, Jane E. (Committee member) / Arizona State University (Publisher)
Created2015
Description
The topic of elder abuse is relatively unknown and not talked about among the general public. Traditionally, society values one’s life the younger that person is on the grounds that the younger person has most likely not experienced life to the fullest extent as much as the older person has. The point of bringing up this way of thinking is not to refute it but to point out that a product of this societal mindset is that the elderly population is often forgotten about or placed on a lower priority level when considering medical and safety issues. This is a major factor that contributes to the vulnerability of older persons, who often must give up their autonomy due to the aging process and learn to live while being dependent on a caretaker. Elders are often in situations where they are isolated from the rest of the world and place their trust in their caretakers to help them live out the rest of their lives. Unfortunately, the process of aging and becoming dependent opens up the opportunity for this vulnerable age group to be taken advantage of and abused. The National Council on Aging reported that about 1 in 10 elderly Americans that are 60 years old or older have been abused in some capacity, and only about 1 in 14 of these cases are reported (NCOA, 2020). As the world population ages, these statistics face the risk of getting worse and exposing more elders to abuse while less and less abuse cases are reported to authorities. This presents the opportunity for elder abuse research to guide healthcare institutions that are related to caring for the elderly on how to care for and prevent elder abuse from occurring; however, this research is quite limited in comparison to the research, treatments, and prevention programs developed for other types of domestic abuse. The aim of this paper is to create an overall understanding of elder abuse as a whole and get a sense of the state of elder abuse so recommendations can be made on how to proceed in bettering the current issues elder abuse faces.
ContributorsCampbell, Alexander Daza (Author) / Kobojek, Kimberly (Thesis director) / Bolhofner, Katelyn (Committee member) / School of Mathematical and Natural Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05