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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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Description
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
In anthropological models of social organization, kinship is perceived to be fundamental to social structure. This project aimed to understand how individuals buried in neighborhoods or patio groups were affiliated, by considering multiple possibilities of fictive and biological kinship, short or long-term co-residence, and long-distance kin affiliation. The social organization

In anthropological models of social organization, kinship is perceived to be fundamental to social structure. This project aimed to understand how individuals buried in neighborhoods or patio groups were affiliated, by considering multiple possibilities of fictive and biological kinship, short or long-term co-residence, and long-distance kin affiliation. The social organization of the ancient Maya urban center of Copan, Honduras during the Late Classic (AD 600-822) period was evaluated through analysis of the human skeletal remains drawn from the largest collection yet recovered in Mesoamerica (n=1200). The research question was: What are the roles that kinship (biological or fictive) and co-residence play in the internal social organization of a lineage-based and/or house society? Biodistance and radiogenic strontium isotope analysis were combined to identify the degree to which individuals buried within 22 patio groups and eight neighborhoods, were (1) related to one another and (2) of local or non-local origin. Copan was an ideal place to evaluate the nuances of migration and kinship as the site is situated at the frontier of the Maya region and the edge of culturally diverse Honduras.

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.
ContributorsMiller, Katherine Anne (Author) / Buikstra, Jane E. (Thesis advisor) / Bell, Ellen E. (Committee member) / Stojanowski, Christopher M (Committee member) / Knudson, Kelly J. (Committee member) / Arizona State University (Publisher)
Created2015
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Description
This dissertation focuses on the diversity inherent to the process of social community construction. Building upon previous archaeological and bioarchaeological studies of community identities, the current project emphasizes the need for consideration of the impact of diversity on community identity formation in the past and illustrates the utility of a

This dissertation focuses on the diversity inherent to the process of social community construction. Building upon previous archaeological and bioarchaeological studies of community identities, the current project emphasizes the need for consideration of the impact of diversity on community identity formation in the past and illustrates the utility of a bioarchaeological approach for undertaking this task. Three specific aspects of community formation are addressed: (1) the relationship between symbolic community boundaries and geographic space, (2) the influence of diverse discourses of intra-community sub-groups on community formation, and (3) the negotiation of community boundaries by outsiders. To investigate these aspects of community construction in the past, dietary practices and mortuary rituals of the Late Intermediate Period (c. AD 900-1470) Ychsma society of the central Peruvian coast are examined as a case study. Previous anthropological and sociological studies demonstrate that diet and burial customs are common mechanisms used in processes of group identification around the world, including the Andes. In the current study, analyses of materials from Armatambo and Rinconada Alta in the Rimac Valley are used to examine the ways in which isotopic and dental indicators of diet and archaeological contextual indicators of mortuary rituals correspond with or crosscut spatial burial patterns and additional groups based on sex, age at death, and biogeochemically reconstructed residential origins. Observed patterns are interpreted using a theoretical framework that incorporates sociocultural theory of identity with pre-Columbian Andean ideology of the body, self, and social environment. Results reveal differences in large-scale trends in diet and mortuary practices associated with burial at each site that are interpreted as evidence of symbolic community boundaries between sites. Complexities within larger trends reveal evidence of internal diversity as well as fluidity across community boundaries. Specifically, evidence is presented for intra-community dietary differences, intra-community differences associated with age and sex, and finally evidence of external relationships. This consideration of diversity in community identity construction is concluded to profoundly refine current understandings of Ychsma social interactions. Consequently, this study demonstrates empirical investigation of social diversity is necessary for understanding the complex nature of the social construction of communities in the past.
ContributorsMarsteller, Sara Jane (Author) / Knudson, Kelly J. (Thesis advisor) / Buikstra, Jane E. (Committee member) / Scott, Rachel E. (Committee member) / Arizona State University (Publisher)
Created2015
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Description
This project investigates social mobility in premodern states through a contextualized program of isotopic research at the archaeological site of Teotihuacan, Mexico. Due to the lack of a concrete methodology that can be used to recover information concerning rates of social mobility from archaeological remains, many traditional archaeological models either

This project investigates social mobility in premodern states through a contextualized program of isotopic research at the archaeological site of Teotihuacan, Mexico. Due to the lack of a concrete methodology that can be used to recover information concerning rates of social mobility from archaeological remains, many traditional archaeological models either ignore social mobility or assume that boundaries between socioeconomic strata within archaic states were largely impermeable. In this research, I develop a new methodological approach to the identification of socially mobile individuals in the archaeological record based on changes in the diet across the lifecourse that can be detected through isotopic paleodietary indicators. Drawing upon cross-cultural research surrounding the relationship between diet and socioeconomic status and established methodologies in the biogeochemical analysis of human remains, this methodological approach provides a basis for broader comparative studies evaluating the nature of social mobility within archaic states.

I then test the practical application of this methodology by applying it to a mortuary sample including individuals from distinctive socioeconomic groups from the pre-Hispanic city of Teotihuacan, Mexico. The study recovers and uses the dietary isotope ratios within bone and tooth samples from 81 individuals buried throughout the city 1) to define the dietary correlates of wealth and status at Teotihuacan and 2) to identify individuals displaying lifetime dietary changes consistent with changes in socioeconomic status. In addition to supplementing our current understanding of Teotihuacan foodways and processes of geographic migration into the city, I identify an adult male individual from the La Ventilla B apartment compound who displays dietary changes throughout his life that are consistent with downward socioeconomic mobility from a high status socioeconomic group in early adolescence to an intermediate status group later in adulthood. I conclude by identifying ways to move forward with the comparative archaeology of socioeconomic mobility in premodern contexts and highlight the applicability of archaeological information to our understanding of present-day processes of social mobility.
ContributorsNado, Kristin Lynn (Author) / Buikstra, Jane E. (Thesis advisor) / Knudson, Kelly J. (Committee member) / Smith, Michael E. (Committee member) / Robertson, Ian G (Committee member) / Arizona State University (Publisher)
Created2017
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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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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

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
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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 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