RESUMO
Rapa Nui (also known as Easter Island) is one of the most isolated inhabited places in the world. It has captured the imagination of many owing to its archaeological record, which includes iconic megalithic statues called moai1. Two prominent contentions have arisen from the extensive study of Rapa Nui. First, the history of the Rapanui has been presented as a warning tale of resource overexploitation that would have culminated in a major population collapse-the 'ecocide' theory2-4. Second, the possibility of trans-Pacific voyages to the Americas pre-dating European contact is still debated5-7. Here, to address these questions, we reconstructed the genomic history of the Rapanui on the basis of 15 ancient Rapanui individuals that we radiocarbon dated (1670-1950 CE) and whole-genome sequenced (0.4-25.6×). We find that these individuals are Polynesian in origin and most closely related to present-day Rapanui, a finding that will contribute to repatriation efforts. Through effective population size reconstructions and extensive population genetics simulations, we reject a scenario involving a severe population bottleneck during the 1600s, as proposed by the ecocide theory. Furthermore, the ancient and present-day Rapanui carry similar proportions of Native American admixture (about 10%). Using a Bayesian approach integrating genetic and radiocarbon dates, we estimate that this admixture event occurred about 1250-1430 CE.
Assuntos
Indígena Americano ou Nativo do Alasca , DNA Antigo , População Europeia , Genética Populacional , Genoma Humano , Migração Humana , Havaiano Nativo ou Outro Ilhéu do Pacífico , Feminino , Humanos , Masculino , Indígena Americano ou Nativo do Alasca/genética , Indígena Americano ou Nativo do Alasca/história , América/etnologia , Teorema de Bayes , DNA Antigo/análise , Europa (Continente)/etnologia , População Europeia/genética , População Europeia/história , Genoma Humano/genética , História do Século XVII , História do Século XVIII , História do Século XIX , História do Século XX , História Antiga , História Medieval , Migração Humana/história , Havaiano Nativo ou Outro Ilhéu do Pacífico/genética , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Filogenia , Polinésia/etnologia , Densidade Demográfica , Datação Radiométrica , Sequenciamento Completo do GenomaRESUMO
New Zealand was among the last habitable places on earth to be colonized by humans1. Charcoal records indicate that wildfires were rare prior to colonization and widespread following the 13th- to 14th-century Maori settlement2, but the precise timing and magnitude of associated biomass-burning emissions are unknown1,3, as are effects on light-absorbing black carbon aerosol concentrations over the pristine Southern Ocean and Antarctica4. Here we used an array of well-dated Antarctic ice-core records to show that while black carbon deposition rates were stable over continental Antarctica during the past two millennia, they were approximately threefold higher over the northern Antarctic Peninsula during the past 700 years. Aerosol modelling5 demonstrates that the observed deposition could result only from increased emissions poleward of 40° S-implicating fires in Tasmania, New Zealand and Patagonia-but only New Zealand palaeofire records indicate coincident increases. Rapid deposition increases started in 1297 (±30 s.d.) in the northern Antarctic Peninsula, consistent with the late 13th-century Maori settlement and New Zealand black carbon emissions of 36 (±21 2 s.d.) Gg y-1 during peak deposition in the 16th century. While charcoal and pollen records suggest earlier, climate-modulated burning in Tasmania and southern Patagonia6,7, deposition in Antarctica shows that black carbon emissions from burning in New Zealand dwarfed other preindustrial emissions in these regions during the past 2,000 years, providing clear evidence of large-scale environmental effects associated with early human activities across the remote Southern Hemisphere.
Assuntos
Incêndios/história , Atividades Humanas/história , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Fuligem/análise , Atmosfera/química , Biomassa , História do Século XV , História do Século XVI , História Medieval , Humanos , Nova Zelândia , TasmâniaRESUMO
There has been much interest in analyzing genome-scale DNA sequence data to infer population histories, but inference methods developed hitherto are limited in model complexity and computational scalability. Here we present an efficient, flexible statistical method, diCal2, that can use whole-genome sequence data from multiple populations to infer complex demographic models involving population size changes, population splits, admixture, and migration. Applying our method to data from Australian, East Asian, European, and Papuan populations, we find that the population ancestral to Australians and Papuans started separating from East Asians and Europeans about 100,000 y ago, and that the separation of East Asians and Europeans started about 50,000 y ago, with pervasive gene flow between all pairs of populations.
Assuntos
Fluxo Gênico , Estudo de Associação Genômica Ampla , Migração Humana , Modelos Genéticos , Havaiano Nativo ou Outro Ilhéu do Pacífico/genética , Sequenciamento Completo do Genoma , Austrália , Genética Populacional , História Antiga , Humanos , Havaiano Nativo ou Outro Ilhéu do Pacífico/históriaRESUMO
BACKGROUND: Cam morphology is thought to originate near puberty and reflects a response of the peripheral aspect of the proximal femoral physis to increased local load. Participation in particular sports activities has been associated with cam morphology in contemporary patient populations; however, it is unclear whether cam is a recent phenomenon. There are limited data regarding the frequency of its occurrence and the general deviations in femoral anatomy in different historical populations. Such information may help to understand the possible influence of lifestyle and diet on cam morphology. QUESTIONS/PURPOSES: The purpose of this study was to evaluate femoral morphology in three historical populations. We asked: (1) Was cam morphology present in the three study populations, did those populations differ, and were there differences between sexes? (2) Were there differences in neck-shaft angle, version, or inclination between and among the examined populations? METHODS: We examined 204 adult femurs from the Neolithic population from Iran (n = 37, 3000 BC to 1631 BC), medieval population from Poland (n = 135, 10th to 13th centuries), and contemporary Australian aborigines (n = 32, early 20th century), provided by the Open Research Scan Archive, Museum of the First Piasts at Lednica and the University of Wroclaw, respectively. All three human populations represent different chronologic periods and lifestyles. All bones were scanned using CT and then measured on their three-dimensional (3-D) reconstructions in selected planes. Cam impingement was defined as an alpha angle > 55° measured on the inclination view. To evaluate the differences in anatomy between populations, we measured the true neck-shaft angle on the true AP view, apparent neck-shaft angle on the apparent AP view, the version angle on the version view, and the inclination angle on the inclination view. The prevalence of cam morphology and other anatomic parameters were compared among groups using chi-square test, one-way ANOVA with post hoc Tukey test, and paired t-test. RESULTS: Cam morphology was present in 5% of the Neolithic population from Iran, in 7% of the medieval population from Poland, and 3% of the contemporary Australian aborigine femurs (OR Neolithic population from Iran/the medieval population from Poland 0.7 [95% CI 0.2 to 3.4]; p = 0.67; OR Neolithic population from Iran/contemporary Australian aborigines 1.8 [95% CI 0.2 to 20.5]; p = 0.65; OR the medieval population from Poland/contemporary Australian aborigines 2.5 [95% CI 0.3 to 20.1]; p = 0.40). There were differences in the presence of cam morphology between the sexes in the medieval population from Poland with both femurs (females: 1% [1 of 76]; males: 15% [9 of 59]; p = 0.002). There was a difference in true neck-shaft angle between the Neolithic population from Iran (121° ± 6°) and contemporary Australian aborigines (131° ± 5°; mean difference 10° [95% CI 7° to 13°]; p < 0.001) and between the medieval population from Poland (124° ± 5°) and the contemporary Australian aborigines (mean difference 7° [95% CI 5° to 9°]; p < 0.001). Apparent neck-shaft angle differed between the Neolithic population from Iran (126° ± 6°) and the contemporary Australian aborigines (134° ± 5°; mean difference 8° [95% CI 6° to 11°]; p < 0.001), and between the medieval population from Poland (126° ± 6°) and the contemporary Australian aborigines (mean difference 9° [95% CI 7° to 11°]; p < 0.001). Moreover, we observed a difference in the version angle between the Neolithic population from Iran (19° ± 7°) and the medieval population from Poland (12° ± 9°; mean difference 7° [95% CI 4° to 10°]; p < 0.001] and in the inclination angle between aforementioned groups (18° ± 7° versus 11° ± 8°; mean difference 7° [95% CI 5° to 10°]; p < 0.001). CONCLUSION: This study found that cam morphology existed in historical populations at rates comparable with a contemporary population. CLINICAL RELEVANCE: The presence of cam morphology in historical populations suggests that cam morphology can develop outside of the intense sports activity seen in modern adolescents. Further study will help elucidate the etiology of cam morphology, which may be useful in the development of preventive strategies.
Assuntos
Doenças do Desenvolvimento Ósseo/epidemiologia , Doenças do Desenvolvimento Ósseo/história , Colo do Fêmur/patologia , Fêmur/patologia , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Adulto , Austrália/epidemiologia , Austrália/etnologia , Doenças do Desenvolvimento Ósseo/etnologia , Feminino , História do Século XX , História Antiga , História Medieval , Humanos , Incidência , Irã (Geográfico)/epidemiologia , Irã (Geográfico)/etnologia , Masculino , Polônia/epidemiologia , Polônia/etnologiaAssuntos
Aculturação , Características da Família/etnologia , Trauma Histórico/epidemiologia , Trauma Histórico/psicologia , Havaiano Nativo ou Outro Ilhéu do Pacífico/psicologia , Absenteísmo , Aculturação/história , Austrália/epidemiologia , Austrália/etnologia , Criança , Características da Família/história , Trauma Histórico/história , História do Século XX , História do Século XXI , Humanos , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Classe SocialRESUMO
OBJECTIVES: This study examines long bone diaphyseal rigidity and shape of hunter-gatherers at Roonka to make inferences about subsistence strategies and mobility of inhabitants of semi-arid southeastern Australia. Roonka is a cemetery site adjacent to the Lower Murray River, which contains over 200 individuals buried throughout the Holocene. Archaeological evidence indicates that populations living near this river corridor employed mobile, risk averse foraging strategies. METHODS: This prediction of lifestyle was tested by comparing the cross-sectional geometric properties of the humerus, radius, ulna, femur, tibia, and fibula of individuals from Roonka to samples of varying subsistence strategies. Bilateral asymmetry of the upper limb bones was also examined. RESULTS: Roonka males and females have moderately high lower limb diaphyseal rigidity and shape. In the upper limb, females have low rigidity and bilateral asymmetry while males have moderately high rigidity and bilateral asymmetry. This pattern is similar to other foraging groups from Australia and southern Africa that have behaviorally adapted to arid and semi-arid environments. DISCUSSION: Lower limb results suggest that populations in the Lower Murray River Valley had relatively elevated foraging mobility. Upper limb rigidity and bilateral asymmetry indicate a sexual division of labor at Roonka. Females resemble other samples that had mixed subsistence strategies that involved hunting, gathering, and processing tasks. Males display a pattern similar to groups that preferentially hunted large game, but that supplemented this source with smaller game and riverine resources.
Assuntos
Osso e Ossos/anatomia & histologia , Diáfises/anatomia & histologia , Havaiano Nativo ou Outro Ilhéu do Pacífico/estatística & dados numéricos , Anatomia Transversal , Antropologia Física , Comportamento Apetitivo , Fenômenos Biomecânicos/fisiologia , População Negra/estatística & dados numéricos , Feminino , História Antiga , Humanos , Masculino , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Austrália do SulRESUMO
OBJECTIVES: Stable isotope ratio analysis of bulk bone collagen dominates research into past diet; however, bone carbonate and compound specific isotope analyses (CSIA) of amino acids provide alternative, yet complementary, lines of evidence toward that same research goal. Together they inform on different aspects of diet, allowing greater certainty in reconstructions. Here we present new data on carbonate isotopes for Rapa Nui and reevaluate prehistoric diet in the context of these new and previously published bulk collagen and CSIA data. MATERIALS AND METHODS: We analyzed carbon isotopes in bone carbonate from 28 prehistoric human teeth from Rapa Nui. These represent a subset of material examined previously for carbon and nitrogen isotope ratios in bulk collagen. We then reevaluate prehistoric diet in light of these and other published data. In addition, we analyzed carbon and nitrogen isotope ratios in 28 modern plant specimens from Rapa Nui to better approximate the isotopic value of the terrestrial endmember. RESULTS: Bulk data suggest a predominantly terrestrial diet, with the amount of marine sources incorporated varying though time. While previously argued to reveal greater amounts of marine consumption, reanalysis of recently published CSIA data suggests this result may relate to the proportion of carbon assimilated rather than consumed. Utilizing models incorporating concentration dependence for estimating dietary proportions results in much lower estimates of marine consumption, in line with findings of the bulk data. DISCUSSION: While these data indicate a larger focus on terrestrial resources, limitations in all forms of analysis make it difficult to determine exact dietary contributions in this mixed system. Better understanding of the complex physiological processes governing isotopic routing and fractionation, and knowledge of appropriate isotopic endmember values are needed to advance this research.
Assuntos
Aminoácidos/análise , Carbonatos/análise , Dieta/história , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Antropologia Física , Osso e Ossos/química , Isótopos de Carbono/análise , Colágeno/química , História do Século XVII , História do Século XIX , História do Século XX , História Medieval , Humanos , Isótopos de Nitrogênio/análise , Plantas/química , Polinésia , Dente/químicaRESUMO
Colonialist views of Indigenous bodies and sexualities continue to affect Indigenous peoples worldwide. For Indigenous Australians, this burden has resulted in repression and oppression of power, sex and desire. Focusing on the sexual intimacies of Indigenous Australian women, this paper provides an account of the dominant Australian historical discourses, finding that Indigenous women were viewed as exotic, erotic, something to be desired, yet simultaneously something to be feared. Our sexualities were described as savage, promiscuous and primitive and we were often viewed as prostitutes with our voices and views constrained by patriarchal and imperial regimes of power. But within this context, Indigenous women fought back through both individual and collective acts of agency. This paper demonstrates how Indigenous Australian women's agency not as a new phenomenon but rather as a position that disrupts the popular discourses of exploitation and victimhood that have been persistently perpetrated against Indigenous women.
Assuntos
Colonialismo , Havaiano Nativo ou Outro Ilhéu do Pacífico/psicologia , Comportamento Sexual/etnologia , Mulheres , Austrália , Feminino , História do Século XIX , História do Século XX , Humanos , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Trabalho Sexual/etnologia , Trabalho Sexual/história , Comportamento Sexual/psicologia , Mulheres/psicologiaRESUMO
Aboriginal Australians are one of the more poorly studied populations from the standpoint of human evolution and genetic diversity. Thus, to investigate their genetic diversity, the possible date of their ancestors' arrival and their relationships with neighboring populations, we analyzed mitochondrial DNA (mtDNA) diversity in a large sample of Aboriginal Australians. Selected mtDNA single-nucleotide polymorphisms and the hypervariable segment haplotypes were analyzed in 594 Aboriginal Australians drawn from locations across the continent, chiefly from regions not previously sampled. Most (~78%) samples could be assigned to mtDNA haplogroups indigenous to Australia. The indigenous haplogroups were all ancient (with estimated ages >40 000 years) and geographically widespread across the continent. The most common haplogroup was P (44%) followed by S (23%) and M42a (9%). There was some geographic structure at the haplotype level. The estimated ages of the indigenous haplogroups range from 39 000 to 55 000 years, dates that fit well with the estimated date of colonization of Australia based on archeological evidence (~47 000 years ago). The distribution of mtDNA haplogroups in Australia and New Guinea supports the hypothesis that the ancestors of Aboriginal Australians entered Sahul through at least two entry points. The mtDNA data give no support to the hypothesis of secondary gene flow into Australia during the Holocene, but instead suggest long-term isolation of the continent.
Assuntos
DNA Mitocondrial/genética , Variação Genética , Havaiano Nativo ou Outro Ilhéu do Pacífico/genética , Filogenia , Evolução Biológica , DNA Mitocondrial/história , Feminino , Fluxo Gênico , Haplótipos , História do Século XXI , História Antiga , Humanos , Masculino , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Oceania , Paleontologia , Filogeografia , Polimorfismo de Nucleotídeo Único , Isolamento ReprodutivoRESUMO
BACKGROUND AND OBJECTIVES: During the First World War, 10% of New Zealand's population served in the armed forces, and around one in five of those were killed. In commemoration of 100 years since WW1, this study uses retrospective data to report on the oral health of NZ service personnel. METHODS: 325 Pakeha, 165 Maori and 150 Samoan male recruits who served in the NZ Expeditionary Force between 1914 and 1918 were randomly selected and their personnel files accessed through Archives New Zealand. RESULTS: The oral health of recruits was described as 'good' for 44%, 'pass' for 38%, 'pass with false teeth' for 5% and 'poor' for 13%. Dental health was documented at enlistment for a decreasing proportion of soldiers as the war progressed, dropping from 96% during 1914-15, to 54% in 1916 and 22% in 1917-18 (p < 0.001). Significantly more soldiers who enlisted in 1917-18 had poor dental health (44%) than those who enlisted during 1916 (20%) and 1914-15 (8%) (p < 0.001). By ethnicity, Maori had the best dental health, followed by Samoan and Pakeha recruits (p < 0.001). On average, dental health was poorer among the lower ranks and among recruits of low socio-economic status; and soldiers from major cities had better oral health than those from rural areas; however, these differences were not statistically significant in this sample. CONCLUSIONS: Enlistment criteria appear to have been loosened as the war progressed, perhaps to accept more soldiers into service. Poor oral health was reported for approximately 1 in 7 accepted recruits. Maori appear to have had better oral health.
Assuntos
Militares/história , Saúde Bucal/história , I Guerra Mundial , Adulto , Etnicidade/história , História do Século XX , Humanos , Masculino , Pessoa de Meia-Idade , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Nova Zelândia , Samoa/etnologia , Classe Social , Adulto JovemAssuntos
Infecções por Coronavirus/etnologia , Disparidades em Assistência à Saúde/história , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Pneumonia Viral/etnologia , Mudança Social/história , Betacoronavirus , COVID-19 , Feminino , Disparidades em Assistência à Saúde/etnologia , História do Século XXI , Humanos , Pandemias , SARS-CoV-2 , Marginalização SocialRESUMO
We identified 244 relevant articles pertinent to indigenous health (4% of the total) with a steady increase in number since 1995. Most Australian publications in the journal (with a small Indigenous population) have focussed on conditions such as malnutrition, diarrhoeal disease, iron deficiency, rheumatic fever, acute glomerulonephritis and respiratory and ear infections, and in settings where nearly all affected children are Indigenous. In contrast, New Zealand publications (with a large Maori and Pacific Islander population) have addressed important health issues affecting all children but emphasised the over-representation of Maori and Pacific Islanders. Publications in the journal are largely descriptive studies with relatively few systematic reviews and randomised trials. Our review attempts to cover the important Indigenous health issues in our region as represented by articles published in the Journal. The studies do document definite improvements in indigenous child health over the last 50 years.
Assuntos
Proteção da Criança/história , Disparidades nos Níveis de Saúde , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Austrália/epidemiologia , Bibliometria , Criança , Proteção da Criança/estatística & dados numéricos , Proteção da Criança/tendências , História do Século XX , História do Século XXI , Humanos , Nova Zelândia/epidemiologiaRESUMO
The aim of this study was to explore the influences, processes and environments that shaped the practice of European nurses for indigenous New Zealand (NZ) Maori communities who were being overwhelmed by introduced infectious diseases. Historical data were accessed from multiple archival sources and analysed through the lens of colonial theory. Through their work early last century, NZ nurses actively gained professional status and territory through their work with Maori. By living and working alongside Maori, they learned to practise in new ways that influenced Maori health. By developing a new role in new professional territory, nurses extended their practice to include health promotion as well as disease prevention. Maori survival from epidemics improved, and the population grew over that period. For Maori, however, Eurocentric care alleviated their immediate health problems, but the detrimental impact of the mechanisms of colonisation overall has continued to the present day.
Assuntos
Características Culturais/história , Serviços de Saúde do Indígena/história , História da Enfermagem , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , História do Século XIX , Humanos , Nova ZelândiaRESUMO
Evidence suggests that indigenous populations have suffered disproportionately from past influenza pandemics. To examine any such patterns for Maori in New Zealand, we searched the literature and performed new analyses by using additional datasets. The Maori death rate in the 1918 pandemic (4,230/100,000 population) was 7.3× the European rate. In the 1957 pandemic, the Maori death rate (40/100,000) was 6.2× the European rate. In the 2009 pandemic, the Maori rate was higher than the European rate (rate ratio 2.6, 95% confidence interval 1.3-5.3). These findings suggest some decline in pandemic-related ethnic inequalities in death rates over the past century. Nevertheless, the persistent excess in adverse outcomes for Maori, and for Pacific persons residing in New Zealand, highlights the need for improved public health responses.
Assuntos
Influenza Humana/história , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Pandemias/história , História do Século XX , História do Século XXI , Humanos , Influenza Humana/etnologia , Influenza Humana/mortalidade , Nova Zelândia/epidemiologiaRESUMO
This article examines Maori patients at the Auckland Mental Hospital between 1860 and 1900.We argue that the patient case notes reveal 'European' categories in which Maori were situated, and demonstrate the extent to which the authorities at the hospital grappled with their appearance, their language and their culture, all of which were elements of their ethnicity. We argue that the use of institutional case records is highly suggestive of some of the historical meanings of insanity for Maori, including the lack of detailed or sustained collection of information about patients' tribal affiliations, the interest shown in their rights to land in maintenance payment inquiries, the experiences of cultural alienation or mate Maori, and the sad outcomes for Maori.
Assuntos
Internação Compulsória de Doente Mental/história , Hospitais Psiquiátricos/história , Transtornos Mentais/história , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , História do Século XIX , História do Século XX , Humanos , Masculino , Pessoa de Meia-Idade , Nova ZelândiaRESUMO
This essay begins to tell the neglected history of the projective test movement in the U.S. behavioral sciences from approximately 1941 to 1968. This cross-disciplinary enterprise attempted to use projective techniques as "X-ray" machines to see into the psyches of subjects tested around the world. The aim was to gather subjective materials en masse, pursuing data on a scope, scale, and manner rarely hazarded before in any science. In particular, the targeted data included the traces of the inner life and elusive aspects of subjective experience including dreams, life stories, and myriad test results from a battery of tests. This essay explores how the movement and the experimental data bank that resulted were unlikely yet telling sites for the practice and pursuit of the Cold War human sciences. To look closely at the encounters that resulted is to show how the most out-of-the-way places and seemingly insignificant moments played a role in heady scientific ambitions and global geopolitical projects. At times, the projective test movement became a mirror of Cold War rationality itself, as tests were employed at the very limits of their possible extension. The essay argues for an off-kilter centrality in the movement itself, shedding light on the would-be unified social sciences after World War II and the "subjective turn" they took.
Assuntos
Antropologia Cultural/história , Ciências do Comportamento/história , Havaiano Nativo ou Outro Ilhéu do Pacífico/psicologia , Técnicas Projetivas/história , II Guerra Mundial , Antropologia Cultural/métodos , Ciências do Comportamento/métodos , Características Culturais , História do Século XX , Humanos , Micronésia , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Testes Neuropsicológicos/história , Observação , Estados UnidosRESUMO
In the early twentieth century, patients with infectious fevers represented a danger to the health of others including their nurses. This research describes the training New Zealand nurses received in fever nursing during the period 1903-1923, and considers how they applied hospital cross-infection principles in emergency tent fever camps in remote rural areas. It examines the reaction of nurses, hospital boards, and physicians to nurses who succumbed with their patients' fevers. It therefore reveals attitudes to nurses, prevailing ideas about responsibility for nurses' health, and elements in the emerging professional culture of nursing. Although some measures protected them against epidemic fevers, nurses were held responsible for their own health. A complex anatomy of blame is evident against those who sickened; the nature of the blame shifted, depending on the observer, disease, and practice setting. Physicians blamed nurses, especially when they sickened with typhoid fever. The country's chief nurse and other nurses blamed those who jeopardized their health through ill-spent leisure time. Sick nurses could be absolved from blame for the lax discipline evident through their failure to observe cross-infection principles if their practice setting was the fever camp. Willingness to work in difficult circumstances showed they embodied the ideal of sacrifice that, like discipline, was part of the emerging nursing culture.
Assuntos
Doenças Transmissíveis/história , Febre/história , Transmissão de Doença Infecciosa do Paciente para o Profissional/história , Papel do Profissional de Enfermagem/história , Saúde Ocupacional/história , Acampamento/história , Programas de Graduação em Enfermagem/história , História do Século XX , Humanos , Controle de Infecções/história , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Nova Zelândia , Saúde da População Rural/históriaRESUMO
In 1991, the Philippines joined a growing list of countries that reformed health planning through decentralization. Reformers viewed decentralization as a tool that would solve multiple problems, leading to more meaningful democracy and more effective health planning. Today, nearly two decades after the passage of decentralization legislation, questions about the effectiveness of the reforms persist. Inadequate financing, inequity, and a lack of meaningful participation remain challenges, in many ways mirroring broader weaknesses of Philippine democracy. These concerns pose questions regarding the nature of contemporary decentralization, democratization, and health planning and whether these three strategies are indeed mutually enforcing.
Assuntos
Planejamento em Saúde , Política de Saúde , Havaiano Nativo ou Outro Ilhéu do Pacífico , Sistemas Políticos , Saúde Pública , Planejamento em Saúde/economia , Planejamento em Saúde/história , Planejamento em Saúde/legislação & jurisprudência , Política de Saúde/economia , Política de Saúde/história , Política de Saúde/legislação & jurisprudência , História do Século XX , História do Século XXI , Humanos , Havaiano Nativo ou Outro Ilhéu do Pacífico/educação , Havaiano Nativo ou Outro Ilhéu do Pacífico/etnologia , Havaiano Nativo ou Outro Ilhéu do Pacífico/história , Havaiano Nativo ou Outro Ilhéu do Pacífico/legislação & jurisprudência , Havaiano Nativo ou Outro Ilhéu do Pacífico/psicologia , Filipinas/etnologia , Sistemas Políticos/história , Saúde Pública/economia , Saúde Pública/educação , Saúde Pública/história , Saúde Pública/legislação & jurisprudência , Problemas Sociais/economia , Problemas Sociais/etnologia , Problemas Sociais/história , Problemas Sociais/legislação & jurisprudência , Problemas Sociais/psicologia , Responsabilidade SocialRESUMO
Remote Oceania, which largely consists of islands covered in tropical forests, was the last region on earth to be successfully colonized by humans, beginning 3,000 years ago. We examined human dental calculus from burials in an ancient Lapita culture cemetery to gain insight into the early settlement of this previously untouched tropical environment, specifically on the island of Efate in Vanuatu. Dental calculus is an ideal material to analyse questions of human and plant interactions due to the ingestion of plant-derived microparticles that become incorporated into the calculus as it forms throughout a person's life. Most of the microparticles identified here are from tree and shrub resources, including a ~2,900 calibrated (cal) BP example of banana in Remote Oceania, providing direct evidence for the importance of forests and arboriculture during the settlement of Remote Oceania.