Preliminary observations on the Levantine Aurignacian sequence of Manot Cave: Cultural affiliations and regional perspectives.

A well-preserved sequence of Early Upper Paleolithic (EUP) occupations has been revealed in the past decade in Manot Cave, the studies of which shed light on the cultural dynamics and subsistence patterns and paleoenvironment. Most intriguing is the series of overlying Levantine Aurignacian occupation layers, exposed near the entrance to the cave. Area E is considered the inner part of the main activity area in Manot Cave. Remains of intact combustion features, as well as numerous flint artifacts and faunal remains, were found, indicating a high level of preservation. Within a 2.5 m sequence, nine distinct occupation layers were defined. The presence of characteristic flint and osseous industries alongside a rich mollusk assemblage led to the initial association of the sequence as a whole to the Levantine Aurignacian. However, as research advanced and variability in the material culture became apparent, it became clear that a division of the sequence into two phases, early and late, is required. A preliminary study of the assemblage variability implies distinct changes in human behavior between the two phases. Most prominently, these are indicated by a change in bladelet production method and morphology alongside an increase in the significance of the bladelet component within the flint assemblage, the disappearance of composite osseous industries, and a steep decrease in mollusk shell representation in the late occupation phase. Radiocarbon dating indicates a short time span between the two phases. The earlier phase defined as, Levantine Aurignacian, was ascribed an age range of 38-34 ka cal BP with a more constrained age range of 37-35 ka cal BP suggested based on Bayesian models. In the late phase, which is temporarily referred to as "post-Levantine Aurignacian," an age range of 36-33 ka cal BP is suggested.

Site formation processes at Manot Cave, Israel: Interplay between strata accumulation in the occupation area and the talus.

Manot Cave contains important human fossils and archaeological assemblages related to the origin and dispersal of anatomically modern humans and the Upper Paleolithic period. This record is divided between an elevated in situ occupation area and a connecting talus. We, thus, investigated the interplay between the accumulation of the sediments and their associated artifacts in the occupation areas and the translocation of part of these sediments and artifacts down the talus. We examined the lithostratigraphy of two excavation locations in the occupation area (areas E and I), and two in the talus (areas C and D). We also assessed the diagenetic processes that have affected all these areas. A linear array of stalagmites and stalactites separates the occupation area from the talus, demarcating a major topographic barrier between the two. We infer that during human occupation, sediment accumulation of soil, wood ash, and bone was rapid and that some sediments with their associated artifacts overflowed the barrier and translocated down the talus. During periods of nonoccupation, the ash in the occupation area partially dissolved owing to the release of acid from the degrading bat and bird guano, and the layer thicknesses decreased. The south side of the talus (area C) has a normally stratified archaeological record, with the older archaeological materials underlying the younger materials. This suggests that the barrier between the occupation area and area C was relatively shallow and allowed a fairly continuous sediment accumulation in the talus. In the central part of the talus (area D), the stratigraphy is complex and shows mixing, presumably owing to the steep underlying bedrock topography and the mixing that occurs when sediments move down a steep slope. Finally, the distribution of secondary phosphates is consistent with the location of a main cave entrance to the south of the Paleolithic occupation area.

Personal ornaments from Hayonim and Manot caves (Israel) hint at symbolic ties between the Levantine and the European Aurignacian.

Situated at the crossroads of Africa and Eurasia, the Levant is a crucial region for understanding the origins and spread of Upper Paleolithic (UP) traditions associated with the spread of modern humans. Of the two local Early Upper Paleolithic technocomplexes, the Ahmarian and the Levantine Aurignacian, the latter appears to be unique in the endemic UP sequence, exhibiting greater similarity to the West European 'classic' Aurignacian than to the local preceding and proceeding UP entities. Previous publications have mostly focused on the similarities between the two lithic industries and less on studies conducted on Levantine Aurignacian bone tools and ornaments. Here, we present an archaeozoological, technological and use-wear study of ornaments on animal teeth from the Levantine Aurignacian layers at Manot and Hayonim caves (the Galilee, Israel). The selection of taxa, the choice of teeth, the mode of modification, and the use-wear analysis exhibit clear similarities with the European Aurignacian. This, with the technology of the osseous raw material exploitation, the presence of antler simple-base points, and some lithic typotechnological features, suggest a link between the symbolic spheres of the Levantine and the European Aurignacian cultural entities. Such similarity also supports some contribution of European Aurignacians groups to the local cultural entities, intermingling with the local material culture features.

Treatment of Peritoneal Surface Malignancies with Cytoreductive Surgery and Hyperthermic Intra-peritoneal Chemotherapy (HIPEC): Experience in Israel.

The treatment of peritoneal surface malignancies, either primary or secondary (peritoneal metastasis), has evolved over the past two decades. A nihilistic approach of incurable "carcinomatosis" is changing into treatment of peritoneal metastasis with curative intent. The aim of the present study is to review the current practice, past history, and future of peritoneal surface oncology in Israel. A systematic review of all patients treated in institutions performing cytoreductive surgery (CRS) and hyperthermic intra-peritoneal chemotherapy (HIPEC) for the treatment of peritoneal surface malignancies. Each center provided the following data: start year, number of total cases, number of cases performed in 2017, and the method used (open vs. closed technique). Between 1990 and 2018, there were 1462 patients treated by CRS/HIPEC in Israel by eight different surgical groups in six medical centers. Currently, there are seven surgical groups in six medical centers routinely performing CRS/HIPEC. The annual rate of CRS/HIPEC was 171 cases in 2017 with a range of (4-69 cases/center). This is the first step of establishing an Israeli Peritoneal Surface Oncology Group that will have joined database and perform clinical trials in this challenging field of surgical oncology.

Radiocarbon chronology of Manot Cave, Israel and Upper Paleolithic dispersals.

The timing of archeological industries in the Levant is central for understanding the spread of modern humans with Upper Paleolithic traditions. We report a high-resolution radiocarbon chronology for Early Upper Paleolithic industries (Early Ahmarian and Levantine Aurignacian) from the newly excavated site of Manot Cave, Israel. The dates confirm that the Early Ahmarian industry was present by 46,000 calibrated years before the present (cal BP), and the Levantine Aurignacian occurred at least between 38,000 and 34,000 cal BP. This timing is consistent with proposed migrations or technological diffusions between the Near East and Europe. Specifically, the Ahmarian could have led to the development of the Protoaurignacian in Europe, and the Aurignacian in Europe could have spread back to the Near East as the Levantine Aurignacian.

Levantine cranium from Manot Cave (Israel) foreshadows the first European modern humans.

A key event in human evolution is the expansion of modern humans of African origin across Eurasia between 60 and 40 thousand years (kyr) before present (bp), replacing all other forms of hominins. Owing to the scarcity of human fossils from this period, these ancestors of all present-day non-African modern populations remain largely enigmatic. Here we describe a partial calvaria, recently discovered at Manot Cave (Western Galilee, Israel) and dated to 54.7 ± 5.5 kyr bp (arithmetic mean ± 2 standard deviations) by uranium-thorium dating, that sheds light on this crucial event. The overall shape and discrete morphological features of the Manot 1 calvaria demonstrate that this partial skull is unequivocally modern. It is similar in shape to recent African skulls as well as to European skulls from the Upper Palaeolithic period, but different from most other early anatomically modern humans in the Levant. This suggests that the Manot people could be closely related to the first modern humans who later successfully colonized Europe. Thus, the anatomical features used to support the 'assimilation model' in Europe might not have been inherited from European Neanderthals, but rather from earlier Levantine populations. Moreover, at present, Manot 1 is the only modern human specimen to provide evidence that during the Middle to Upper Palaeolithic interface, both modern humans and Neanderthals contemporaneously inhabited the southern Levant, close in time to the likely interbreeding event with Neanderthals.