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1.
Proc Natl Acad Sci U S A ; 119(15): e2106743119, 2022 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-35389750

RESUMO

Human culture, biology, and health were shaped dramatically by the onset of agriculture ∼12,000 y B.P. This shift is hypothesized to have resulted in increased individual fitness and population growth as evidenced by archaeological and population genomic data alongside a decline in physiological health as inferred from skeletal remains. Here, we consider osteological and ancient DNA data from the same prehistoric individuals to study human stature variation as a proxy for health across a transition to agriculture. Specifically, we compared "predicted" genetic contributions to height from paleogenomic data and "achieved" adult osteological height estimated from long bone measurements for 167 individuals across Europe spanning the Upper Paleolithic to Iron Age (∼38,000 to 2,400 B.P.). We found that individuals from the Neolithic were shorter than expected (given their individual polygenic height scores) by an average of −3.82 cm relative to individuals from the Upper Paleolithic and Mesolithic (P = 0.040) and −2.21 cm shorter relative to post-Neolithic individuals (P = 0.068), with osteological vs. expected stature steadily increasing across the Copper (+1.95 cm relative to the Neolithic), Bronze (+2.70 cm), and Iron (+3.27 cm) Ages. These results were attenuated when we additionally accounted for genome-wide genetic ancestry variation: for example, with Neolithic individuals −2.82 cm shorter than expected on average relative to pre-Neolithic individuals (P = 0.120). We also incorporated observations of paleopathological indicators of nonspecific stress that can persist from childhood to adulthood in skeletal remains into our model. Overall, our work highlights the potential of integrating disparate datasets to explore proxies of health in prehistory.


Assuntos
Agricultura , Estatura , Fazendeiros , Saúde , Esqueleto , Adulto , Agricultura/história , Estatura/genética , Criança , DNA Antigo , Europa (Continente) , Fazendeiros/história , Variação Genética , Genômica , Saúde/história , História Antiga , Humanos , Paleopatologia , Esqueleto/anatomia & histologia
2.
Am J Phys Anthropol ; 168(3): 595-605, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30715727

RESUMO

OBJECTIVES: Previous work by Vercellotti et al. in 2011 found significant status-related differences in body size in males but not in females from the Italian bioarchaeological assemblage of San Michele di Trino (8th-14th centuries CE). The purpose of the present work is twofold: (a) to determine if status-related body size differences could be observed in the nearby collection of San Lorenzo di Alba (7th-15th centuries CE) and (b) to add to the emerging narrative of medieval Italians. MATERIALS AND METHODS: Osteometric data (maximum length for the humerus, radius, ulna, femur, tibia, and fibula; bicondylar length of the femur, condylo-malleolar length of the tibia, foot height, maximum vertebral heights, and basion-bregma height) were collected for 50 (20 female, 30 male) individuals from Alba, and Monte Carlo analysis was used to assess differences in skeletal element size, skeletal height, living stature, and body mass across sex and status. RESULTS: Significant differences were detected between high status and low status males in Alba for radial maximum length (p = 0.013), tibial maximum length (p = 0.011), tibial condylo-malleolar length (p = 0.012), skeletal height estimated from condylo-malleolar tibial length (p = 0.002), and stature estimated from condyle-malleolar tibial length with the age component (p = 0.003). In contrast, no significant status-based differences were observed between female subsamples (p > 0.05). DISCUSSION: The patterns of intrapopulation variation observed at Alba are similar but not as pronounced as those observed at Trino, suggesting that overall life conditions experienced by the two groups were comparable.


Assuntos
Estatura/fisiologia , Classe Social/história , Antropometria , Arqueologia , Tamanho Corporal/fisiologia , Osso e Ossos/anatomia & histologia , Sepultamento/história , Feminino , História do Século XV , História Medieval , Humanos , Itália , Masculino
3.
Am J Phys Anthropol ; 164(1): 11-29, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28542797

RESUMO

OBJECTIVES: Socioeconomic status differences in skeletal populations are often inferred from skeletal indicators of stress and burial location. However, to date, the association between osteometric parameters and spatial location in relation to socioeconomic status in medieval Italy has not been explicitly tested. MATERIALS AND METHODS: This study examined the spatial distribution of osteometric data in the medieval (8th-13th c.) cemetery of San Michele di Trino (Trino Vercellese, VC, Italy) to determine whether skeletal correlates of socioeconomic status correspond with privileged burial locations. Specifically, we tested the hypothesis that greater growth outcomes are associated with privileged burials located inside the church by examining osteometric data (femoral bicondylar length [N = 74], maximum tibial length [N = 62], and the sum of the two measurements [N = 59]) in a geographic information system (GIS) of the cemetery. RESULTS: Getis-Ord G Hot Spot analysis identified significant (90% CI) spatial clustering of high osteometric values within the church, while low values clustered in areas of the cemetery farther from the church. These results, supported by the results of interpolation analyses, became more pronounced when z-scores were calculated to combine the male and female samples and the analyses were repeated. DISCUSSION: Overall, the findings corroborate the observation that the spatial distribution of osteometric data reflects socioeconomic status differences within the population. This research exemplifies the advantages of integrating bioarchaeology and spatial analysis to examine mortuary behavior and health outcomes in highly stratified societies where access to resources is demarcated in both life and in death.


Assuntos
Sepultamento/história , Cemitérios/história , Antropometria , Arqueologia , Feminino , Fêmur/anatomia & histologia , História Medieval , Humanos , Itália/etnologia , Masculino , Classe Social , Análise Espacial , Tíbia/anatomia & histologia
4.
Am J Phys Anthropol ; 160(4): 653-64, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27100777

RESUMO

OBJECTIVES: Early-life nutrition is a predisposing factor for later-life outcomes. This study tests the hypothesis that subadults from medieval Trino Vercellese, Italy, who lived to adulthood consumed isotopically different diets compared with subadults who died before reaching adulthood. We have previously used a life history approach, comparing dentine and bone of the same adult individuals ("subadults who lived"), to elucidate dietary variation across the life span. Here, we examine diets of "subadults who died" from the same population, estimated from subadult rib collagen, to explore whether dietary behaviors of subadults who lived differed from those of subadults who died. METHODS: Forty-one subadults aged six months to 14.5 years were studied through stable carbon and nitrogen isotope analysis of collagen. RESULTS: Individuals were weaned by age 4 years, with considerable variation in weaning ages overall. Post-weaning, diets of subadults who died comprised significantly less animal protein than diets of subadults who lived. Isotopic values of the two oldest individuals, 13.5 and 14.5 years, show the same status-based variation in diet as do adults from the population. CONCLUSIONS: Our results suggest that incorporating animal protein in diet during growth and development supported medieval subadults' ability to survive to adulthood. Isotopic similarities between adults and older subadults suggest "adult" dietary behaviors were adopted in adolescence. Stable isotope evidence from subadults bridges a disparity between ontogenetic age categories and socioculturally meaningful age categories in the past, and sheds light on the underpinnings of health, mortality, growth, and disease in the bioarchaeological record. Am J Phys Anthropol 160:653-664, 2016. © 2016 Wiley Periodicals, Inc.


Assuntos
Mortalidade da Criança/história , Dieta/história , Adolescente , Antropologia Física , Osso e Ossos/química , Isótopos de Carbono/análise , Criança , Pré-Escolar , Colágeno/química , Dentina/química , Feminino , História Medieval , Humanos , Lactente , Masculino , Isótopos de Nitrogênio/análise , Estatísticas não Paramétricas
5.
Am J Phys Anthropol ; 155(2): 229-42, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24894916

RESUMO

Adult stature variation is commonly attributed to differential stress-levels during development. However, due to selective mortality and heterogeneous frailty, a population's tall stature may be more indicative of high selective pressures than of positive life conditions. This article examines stature in a biocultural context and draws parallels between bioarchaeological and living populations to explore the multidimensionality of stature variation in the past. This study investigates: 1) stature differences between archaeological populations exposed to low or high stress (inferred from skeletal indicators); 2) similarities in growth retardation patterns between archaeological and living groups; and 3) the apportionment of variance in growth outcomes at the regional level in archaeological and living populations. Anatomical stature estimates were examined in relation to skeletal stress indicators (cribra orbitalia, porotic hyperostosis, linear enamel hypoplasia) in two medieval bioarchaeological populations. Stature and biocultural information were gathered for comparative living samples from South America. Results indicate 1) significant (P < 0.01) differences in stature between groups exposed to different levels of skeletal stress; 2) greater prevalence of stunting among living groups, with similar patterns in socially stratified archaeological and modern groups; and 3) a degree of regional variance in growth outcomes consistent with that observed for highly selected traits. The relationship between early stress and growth is confounded by several factors-including catch-up growth, cultural buffering, and social inequality. The interpretations of early life conditions based on the relationship between stress and stature should be advanced with caution.


Assuntos
Antropologia Física , Arqueologia , Estatura/fisiologia , Adolescente , Adulto , Idoso , Feminino , História Medieval , Humanos , Indígenas Sul-Americanos/estatística & dados numéricos , Itália , Masculino , Pessoa de Meia-Idade , Polônia , Valores de Referência , Classe Social , América do Sul , Estresse Fisiológico , População Branca/estatística & dados numéricos , Adulto Jovem
6.
Cranio ; 31(1): 61-5, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23461264

RESUMO

Eagle's syndrome is a rare condition associated with the temporal styloid process hypertrophy (Eagle, 1937). It is in most cases asymptomatic, but may be accompanied by dysphagia, pharyngeal or head and neck pain due to neurovascular structure compression. The current study aims to present and discuss the etiology of a possible case of Eagle's syndrome from an Italian ossuary. Skull OC 002/08 shows a unilateral hypertrophic styloid process (48 mm long; 5-7 mm thick). Areas of remodel-ed periosteal swelling are visible at the stylohyoid and stylopharyngeus muscles' insertion, along with evidence of healed trauma to both nasal bones and a depressed fracture on the upper left portion of the frontal. Several factors have been proposed as possible causes of styloid elongation, including anatomical variation, aging and trauma. Evidence of unilateral styloid hypertrophy in association with healed cranial trauma in OC 002/08 suggests a traumatic etiology for the condition.


Assuntos
Ossificação Heterotópica/história , Traumatismos Craniocerebrais/complicações , Feminino , História do Século XIX , História do Século XX , Humanos , Itália , Osso Nasal/lesões , Ossificação Heterotópica/etiologia , Ossificação Heterotópica/patologia , Osso Temporal/anormalidades , Osso Temporal/patologia
7.
Am J Phys Anthropol ; 147(1): 113-27, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22120650

RESUMO

Variation in height and body proportions is relatively well-understood at the inter-population level, but less is known about intra-population variation. This study explores intra-population variation in body proportions among 172 (88 female; 84 male) adult rural Amazonians. We test the hypotheses that: (1) stunting is associated with changes in proportions and fatness; (2) the sexes express different proportions in response to similar environmental stress; and (3) female growth is negatively affected by the costs of reproduction. We examined height, sitting height, and total leg length in subsamples based on sex and nutritional status (stunted/nonstunted) in relation to biocultural factors including access to food and healthcare and female reproductive history parameters. Differences in proportions were examined using the Quick-Test (Tsutakawa and Hewett: Biometrics 33 (1977) 215-219); correlation analyses were used to detect associations between anthropometric data and body fatness, and female reproductive history parameters. We found significantly higher rates of stunting among females (X(2) = 5.31; P = 0.02; RR = 1.4). Stunted individuals exhibited relatively shorter legs than nonstunted individuals (P = 0.02), although this was not found in within-sex analyses. A significant negative correlation was found between leg length index and fatness (P < 0.01). Lastly, females exhibited relatively shorter legs than males (P = 0.0003) and, among females, height and leg length were significantly positively correlated with age-at-first-birth (P < 0.02) suggesting that adolescent pregnancy may negatively affect growth in this population. Our findings provide insights for the study of intra-population variation in body proportions and highlight the importance of biocultural data in interpreting the pattern of variation observed in living and past populations.


Assuntos
Antropometria/métodos , Composição Corporal , População Rural/estatística & dados numéricos , Caracteres Sexuais , Tecido Adiposo , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estatura , Brasil , Distribuição de Qui-Quadrado , Criança , Feminino , Transtornos do Crescimento , Humanos , Perna (Membro) , Masculino , Menarca , Pessoa de Meia-Idade , Estado Nutricional , Gravidez , Gravidez na Adolescência/estatística & dados numéricos , Estatísticas não Paramétricas
8.
Am J Phys Anthropol ; 148(4): 589-600, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22553011

RESUMO

The medieval period in Europe was a time of unprecedented social complexity that affected human diet. The diets of certain subgroups-for example, children, women, and the poor-are chronically underrepresented in historical sources from the medieval period. To better understand diet and the distribution of foods during the medieval period, we investigated stable carbon and nitrogen isotope ratios of 30 individuals from Trino Vercellese, Northern Italy (8th-13th c.). Specifically, we examined diet differences between subgroups (males and females, and high- and low-status individuals), and diet change throughout the life course among these groups by comparing dentine and bone collagen. Our results show a diet based on terrestrial resources with input from C(4) plants, which could include proso and/or foxtail millet. Diets of low-status males differ from those of females (both status groups) and of high-status males. These differences develop in adulthood. Childhood diets are similar among the subgroups, but sex- and status-based differences appear in adulthood. We discuss the possibility of cultural buffering and dietary selectivity of females and high-status individuals.


Assuntos
Isótopos de Carbono/análise , Dieta/história , Isótopos de Nitrogênio/análise , Adulto , Antropologia Física , Colágeno/química , Feminino , História Medieval , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Dente Molar/química , Costelas/química , Fatores Socioeconômicos , Estatísticas não Paramétricas
9.
Front Biosci (Landmark Ed) ; 27(1): 22, 2022 01 17.
Artigo em Inglês | MEDLINE | ID: mdl-35090327

RESUMO

BACKGROUND: A fundamental step in the race to design a rapid diagnostic test for antimicrobial resistance is the separation of bacteria from their matrix. Many recent studies have been focused on the development of systems capable of separating and capturing bacteria from liquid environments. METHODS: Herein, we introduce a new approach to this issue by using the natural bacteria tendency to accumulate at naturally-occurring interfaces, such as liquid-gas and liquid-solid interfaces, where also organic molecules like lipids, proteins, and polysaccharides accumulate. This bacterial behavior leads to the formation of a superficial layer close to the interface rich in bacteria, from which it is possible to capture a consistent amount of bacteria by means of surfaces with high chemical affinity to the outer bacteria surface. RESULTS: This paper demonstrates how to capture bacteria from contaminated urine samples, by means of commercial microscope slides coated with positively charged biomolecules, without the utilization of the bacterial culture step for multiplying the bacteria. CONCLUSIONS: This approach is an easy, quick and economical method to concentrate living bacteria in a well-defined position onto a microscope slide, thus making them easily available for further diagnostic investigations.


Assuntos
Bactérias
10.
Am J Phys Anthropol ; 145(2): 203-14, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21312185

RESUMO

The phenotypic expression of adult body size and shape results from synergistic interactions between hereditary factors and environmental conditions experienced during growth. Variation in body size and shape occurs even in genetically relatively homogeneous groups, due to different occurrence, duration, and timing of growth insults. Understanding the causes and patterns of intrapopulation variation can foster meaningful information on early life conditions in living and past populations. This study assesses the pattern of biological variation in body size and shape attributable to sex and social status in a medieval Italian population. The sample includes 52 (20 female, 32 male) adult individuals from the medieval population of Trino Vercellese, Italy. Differences in element size and overall body size (skeletal height and body mass) were assessed through Monte Carlo methods, while univariate non-parametric tests and Principal Component Analysis (PCA) were employed to examine segmental and overall body proportions. Discriminant Analysis was employed to determine the predictive value of individual skeletal elements for social status in the population. Our results highlight a distinct pattern in body size and shape variation in relation to status and sex. Male subsamples exhibit significant postcranial variation in body size, while female subsamples express smaller, nonsignificant differences. The analysis of segmental proportions highlighted differences in trunk/lower limb proportions between different status samples, and PCA indicated that in terms of purely morphological variation high status males were distinct from all other groups. The pattern observed likely resulted from a combination of biological factors and cultural practices.


Assuntos
Antropologia Física , Estatura , Genética Populacional , Classe Social/história , Osso e Ossos/anatomia & histologia , Feminino , História Medieval , Humanos , Itália , Masculino , Análise de Componente Principal , Análise de Regressão , Fatores Sexuais , Estatísticas não Paramétricas
11.
Am J Phys Anthropol ; 140(1): 135-42, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19373843

RESUMO

Accurate stature estimation from skeletal remains can foster useful information on health and microevolutionary trends in past human populations. Stature can be estimated through the anatomical method and regression equations. The anatomical method (Fully: Ann Med Leg 36 [1956] 266-273; Raxter et al.: Am J Phys Anthropol 130 [2006] 374-384) is preferable because it takes into account total skeletal height and thus provides more accurate estimates, but it cannot be applied to incomplete remains. In such circumstances, regression equations allow estimates of living stature from the length of one or few skeletal elements. However, the accuracy of stature estimates from regression equations depends on similarity in body proportions between the population under examination and those used to calibrate the equations. Since genetic affinity and body proportions similarity are not always clearly known in bioarcheological populations, the criteria for selection of appropriate formulae are not always straightforward. This may lead to inaccurate stature estimates and imprecise accounts of past life conditions. Prompted by such practical and theoretical concerns this study aimed at (1) estimating living stature in an early medieval (XI-XII c.) Polish sample (40 male; 20 female) through the anatomical method and developing population-specific regression formulae; and (2) evaluating the accuracy of estimates obtained with regression methods commonly employed in European populations. Results indicate that when applied to the skeletal remains from Giecz, our formulae provide accurate estimates, with non-age-corrected formulae performing better than age-corrected ones. Our formulae provide better estimates than those calibrated on recent populations and their use in medieval Polish populations is preferable.


Assuntos
Antropologia Física/métodos , Tamanho Corporal , Osso e Ossos/anatomia & histologia , Feminino , Humanos , Masculino , Polônia , Análise de Regressão
12.
Genes (Basel) ; 10(4)2019 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-31013797

RESUMO

The concept of the human oral microbiome was applied to understand health and disease, lifestyles, and dietary habits throughout part of human history. In the present study, we augment the understanding of ancient oral microbiomes by characterizing human dental calculus samples recovered from the ancient Abbey of Badia Pozzeveri (central Italy), with differences in socioeconomic status, time period, burial type, and sex. Samples dating from the Middle Ages (11th century) to the Industrial Revolution era (19th century) were characterized using high-throughput sequencing of the 16S ribosomal RNA (rRNA) gene V4 region. Consistent with previous studies, individuals from Badia Pozzeveri possessed commensal oral bacteria that resembled modern oral microbiomes. These results suggest that members of the oral microbiome are ubiquitous despite differences in geographical regions, time period, sex, and socioeconomic status. The presence of fecal bacteria could be in agreement with poor hygiene practices, consistent with the time period. Respiratory tract, nosocomial, and other rare pathogens detected in the dental calculus samples are intriguing and could suggest subject-specific comorbidities that could be reflected in the oral microbiome.


Assuntos
Bactérias/classificação , Cálculos Dentários/microbiologia , Sequenciamento de Nucleotídeos em Larga Escala/métodos , RNA Ribossômico 16S/genética , Adulto , Arqueologia , Bactérias/genética , Bactérias/isolamento & purificação , Cálculos Dentários/história , Fezes/microbiologia , Feminino , História do Século XV , História do Século XVI , História do Século XVII , História do Século XVIII , História do Século XIX , História Medieval , Humanos , Itália , Masculino , Microbiota , Pessoa de Meia-Idade , Filogenia , Análise de Sequência de RNA/métodos , Simbiose , Adulto Jovem
13.
Int J Paleopathol ; 18: 9-20, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28888397

RESUMO

Stature is a sensitive indicator of overall environmental quality experienced during growth and development, and can provide insights on a population's 'well-being'. This study investigated changes in estimated adult stature in a large (N=568) sample of Samnite Iron Age (800-27 BCE) people from central Italy, during a period of increasing sociopolitical complexity. Stature was analyzed diachronically, between sexes, and across social strata inferred using the 'Status Index' based on funerary treatment. It was expected: 1) a decrease in stature from the Orientalizing-Archaic period (O-A) to the fifth century BC (V SEC) and the following Hellenistic period (ELL), due to population increase and urbanization; 2) social status to positively influence the attainment of the full stature potential; 3) sexual dimorphism to be higher in more stratified groups. Results revealed no significant diachronic changes in stature (females: O-A: 154.2cm,V SEC: 154.2cm, and ELL: 153.6cm; males: O-A: 165.0cm,V SEC: 165.2cm, and ELL: 165.0cm) or sexual dimorphism. High-status males were taller than low-status (p=0.021), possibly due to a better diet, but only in the Orientalizing-Archaic period. Nonsignificant changes in females suggest either differential access to resources in women, or a better buffering from environmental optima or crises. The results of this study highlight the complex interrelation between social factors and human growth, and stress the importance of understanding the specific mechanisms leading to variation in adult stature.


Assuntos
Estatura/fisiologia , Exposição Ambiental/história , Estilo de Vida/história , Antropologia Cultural , Antropologia Física , Antropometria/métodos , História Antiga , Humanos , Itália , Caracteres Sexuais
14.
J Forensic Sci ; 58(5): 1279-1283, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23866056

RESUMO

Estimating stature in human skeletal remains of Asian ancestry is problematic for forensic anthropologists due to the paucity and uncertain suitability of regression formulae. To address this issue, our study analyzed 64 individuals from a modern skeletal collection of South-East Asian origin and developed population-specific ordinary least squares regression formulae to estimate skeletal height from each of the long bones of the upper and lower limbs, as well as from trunk length. Results indicate that the most accurate estimates of skeletal height from a single bone (as measured by standard error of the estimate-SEE) are from tibial length in males (SEE = 2.40 cm) and from humeral length in females (SEE = 2.59 cm), followed by femoral length (SEE = 2.84 cm). When multiple elements are considered, the combination of femoral and tibial length yields the best estimates in both sexes as well as combined sex samples (male SEE = 2.40 cm; female SEE = 2.77 cm; combined sex SEE = 2.54 cm).


Assuntos
Povo Asiático , Estatura , Osso e Ossos/anatomia & histologia , Análise de Regressão , Sudeste Asiático , Feminino , Antropologia Forense , Humanos , Masculino , Pessoa de Meia-Idade
15.
J Anthropol Sci ; 86: 143-63, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-19934473

RESUMO

The Late Upper Paleolithic burial Villabruna 1 (Val Cismon, Belluno, Italy), directly dated to about 14,000 years ago (calibrated chronology), includes a well preserved skeleton accompanied by grave goods and covered with painted stones. The skeleton belongs to an adult male, about twenty-five years old, characterized by a relatively tall stature for the time period, short trunk and more linear body proportions than its contemporaries, similar to those of recent North-African populations. Multivariate statistical analysis of craniofacial characteristics place Villabruna 1 close to Le Bichon 1, a geographically and chronologically nearby specimen, suggesting genetic affinity among the last hunter and gatherers from the alpine region. Observations on dental wear and microwear indicate that the anterior dentition was involved in non-alimentary activities such as the mastication of fibrous materials including large abrasive contaminants. Whereas the information on dietary habits drawn from dental wear is not conclusive, stable isotopes analysis points to a terrestrially based diet rich in animal proteins. Biomechanical study of major long bones indicates heightened overall robusticity and marked humeral asymmetry. These results suggest intense unimanual activity, possibly linked to repeated throwing movements in hunting, and the combined effect of mobile lifestyle and mountainous terrain, as far as the femur is concerned. Paleopathological analysis did not reveal signs of any major event which might help identify a possible cause of death. However, macroscopic and radiographic examination of the skull reveals traces of porotic hyperostosis, indicative of a healed anemic condition. Finally, localized tibial periostitis, probably of traumatic origin, and lumbar hyperlordosis associated with deformations of vertebral bodies and L5 spondylolysis provide evidence of additional, minor, pathological changes.

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