I resti umani del sito epipaleolitico SHM-1 (Hergla – Tunisia)

Analisi antropologica dei resti ossei provenienti dal sito Epipaleolitico di SHM-1 (Hergla, Tunisia

Dental twinning in the primary dentition: new archaeological cases from Italy

Dental twinning (or “double teeth”) is a rare developmental condition that implies the fusion of two or more adjacent teeth. Clinical literature reports individual cases and extensive population studies to clarify causation, distribution, heritability and differential diagnosis of the different types of dental twinning (i.e. fusion, gemination, and accretion) whereas, documentation for past populations is still scarce. Aims: the present study documents four new archaeological cases of dental twinning of deciduous teeth from four different Italian archeological sites and positions them within the framework of the known literature.Materials and methods: the observed cases include five deciduous teeth from four subadults from Sardinia (Monte Sirai, 7th-4th cent. BCE and Santa Filitica, 7th cent. CE), Campania (Velia, 1st-2nd cent. CE) and Latium (Villamagna, 13th-15th cent. CE). The identification, descriptions and differential diagnoses of the anomalies were performed with the use of morphological analyses and, in one case, radiographic means.Results: all cases fall within the category of double teeth; each involving a different set of processes (gemination and dental fusion), teeth (deciduous central incisors, lateral incisors and canines), locations (upper and lower) and occurrence (unilateral and bilateral). Conclusion: to this day, cases reported in literature of dental twinning in archaeological samples are sparse and limited to specific geographical areas. This study adds four more cases from Italy suggesting such anomalies should be recorded in dental analyses in order to, one day, obtain a more reliable modelling of the frequencies and distributions in past populations

Dental twinning in the primary dentition: new archaeological cases from Italy

Dental twinning (or “double teeth”) is a rare developmental condition that implies the fusion of two or more adjacent teeth. Clinical literature reports individual cases and extensive population studies to clarify causation, distribution, heritability and differential diagnosis of the different types of dental twinning (i.e. fusion, gemination, and accretion) whereas, documentation for past populations is still scarce. Aims: the present study documents four new archaeological cases of dental twinning of deciduous teeth from four different Italian archeological sites and positions them within the framework of the known literature.Materials and methods: the observed cases include five deciduous teeth from four subadults from Sardinia (Monte Sirai, 7th-4th cent. BCE and Santa Filitica, 7th cent. CE), Campania (Velia, 1st-2nd cent. CE) and Latium (Villamagna, 13th-15th cent. CE). The identification, descriptions and differential diagnoses of the anomalies were performed with the use of morphological analyses and, in one case, radiographic means.Results: all cases fall within the category of double teeth; each involving a different set of processes (gemination and dental fusion), teeth (deciduous central incisors, lateral incisors and canines), locations (upper and lower) and occurrence (unilateral and bilateral). Conclusion: to this day, cases reported in literature of dental twinning in archaeological samples are sparse and limited to specific geographical areas. This study adds four more cases from Italy suggesting such anomalies should be recorded in dental analyses in order to, one day, obtain a more reliable modelling of the frequencies and distributions in past populations

The use-life of ancestors. Neolithic cranial retention, caching and disposal at Masseria Candelaro, Apulia, Italy

When archaeologists discuss ‘ancestor cults’ or ‘ancestor veneration’, what this might entail in practice usually remains vague, leading to charges that the concept of ‘ancestors’ is often applied generically. In this article, the authors combine bioarchaeological, taphonomic, radiocarbon, and isotopic studies to explore the ritual practice of the selective retention, curation, and deposition of a group of human crania and mandibles. Between 5500–5400 bc, Neolithic people at Masseria Candelaro (Puglia, Italy) deposited broken crania and mandibles from about fifteen individuals in a heap in the centre of the village. These individuals were mostly probable males, collected over the course of two centuries and actively used, with their deposition marking the final disposal of a ritual collection. The motivations for the curation of cranial bone are investigated through comparison with archaeological and ethnographic examples, advancing an interpretation of ritual practice directed towards ancestors

Acute diverticulitis management: evolving trends among Italian surgeons. A survey of the Italian Society of Colorectal Surgery (SICCR)

Acute diverticulitis (AD) is associated with relevant morbidity/mortality and is increasing worldwide, thus becoming a major issue for national health systems. AD may be challenging, as clinical relevance varies widely, ranging from asymptomatic picture to life-threatening conditions, with continuously evolving diagnostic tools, classifications, and management. A 33-item-questionnaire was administered to residents and surgeons to analyze the actual clinical practice and to verify the real spread of recent recommendations, also by stratifying surgeons by experience. CT-scan remains the mainstay of AD assessment, including cases presenting with recurrent mild episodes or women of child-bearing age. Outpatient management of mild AD is slowly gaining acceptance. A conservative management is preferred in non-severe cases with extradigestive air or small/non-radiologically drainable abscesses. In severe cases, a laparoscopic approach is preferred, with a non-negligible number of surgeons confident in performing emergency complex procedures. Surgeons are seemingly aware of several options during emergency surgery for AD, since the rate of Hartmann procedures does not exceed 50% in most environments and damage control surgery is spreading in life-threatening cases. Quality of life and history of complicated AD are the main indications for delayed colectomy, which is mostly performed avoiding the proximal vessel ligation, mobilizing the splenic flexure and performing a colorectal anastomosis. ICG is spreading to check anastomotic stumps' vascularization. Differences between the two experience groups were found about the type of investigation to exclude colon cancer (considering the experience only in terms of number of colectomies performed), the size of the peritoneal abscess to be drained, practice of damage control surgery and the attitude towards colovesical fistula

The Beaker phenomenon and the genomic transformation of northwest Europe

From around 2750 to 2500 bc, Bell Beaker pottery became widespread across western and central Europe, before it disappeared between 2200 and 1800 bc. The forces that propelled its expansion are a matter of long-standing debate, and there is support for both cultural diffusion and migration having a role in this process. Here we present genome-wide data from 400 Neolithic, Copper Age and Bronze Age Europeans, including 226 individuals associated with Beaker-complex artefacts. We detected limited genetic affinity between Beaker-complex-associated individuals from Iberia and central Europe, and thus exclude migration as an important mechanism of spread between these two regions. However, migration had a key role in the further dissemination of the Beaker complex. We document this phenomenon most clearly in Britain, where the spread of the Beaker complex introduced high levels of steppe-related ancestry and was associated with the replacement of approximately 90% of Britain’s gene pool within a few hundred years, continuing the east-to-west expansion that had brought steppe-related ancestry into central and northern Europe over the previous centuries

Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI

A genetic history of the pre-contact Caribbean

Humans settled the Caribbean about 6,000 years ago, and ceramic use and intensified agriculture mark a shift from the Archaic to the Ceramic Age at around 2,500 years ago1,2,3. Here we report genome-wide data from 174 ancient individuals from The Bahamas, Haiti and the Dominican Republic (collectively, Hispaniola), Puerto Rico, Curaçao and Venezuela, which we co-analysed with 89 previously published ancient individuals. Stone-tool-using Caribbean people, who first entered the Caribbean during the Archaic Age, derive from a deeply divergent population that is closest to Central and northern South American individuals; contrary to previous work4, we find no support for ancestry contributed by a population related to North American individuals. Archaic-related lineages were >98% replaced by a genetically homogeneous ceramic-using population related to speakers of languages in the Arawak family from northeast South America; these people moved through the Lesser Antilles and into the Greater Antilles at least 1,700 years ago, introducing ancestry that is still present. Ancient Caribbean people avoided close kin unions despite limited mate pools that reflect small effective population sizes, which we estimate to be a minimum of 500–1,500 and a maximum of 1,530–8,150 individuals on the combined islands of Puerto Rico and Hispaniola in the dozens of generations before the individuals who we analysed lived. Census sizes are unlikely to be more than tenfold larger than effective population sizes, so previous pan-Caribbean estimates of hundreds of thousands of people are too large5,6. Confirming a small and interconnected Ceramic Age population7, we detect 19 pairs of cross-island cousins, close relatives buried around 75 km apart in Hispaniola and low genetic differentiation across islands. Genetic continuity across transitions in pottery styles reveals that cultural changes during the Ceramic Age were not driven by migration of genetically differentiated groups from the mainland, but instead reflected interactions within an interconnected Caribbean world1,8.This work was supported by a grant from the National Geographic Society to M. Pateman to facilitate analysis of skeletal material from The Bahamas and by a grant from the Italian ‘Ministry of Foreign Affairs and International Cooperation’ (Italian archaeological, anthropological and ethnological missions abroad, DGPSP Ufficio VI). D.R. was funded by NSF HOMINID grant BCS-1032255, NIH (NIGMS) grant GM100233, the Paul Allen Foundation, the John Templeton Foundation grant 61220 and the Howard Hughes Medical Institute.Peer reviewe

A genetic history of the Balkans from Roman frontier to Slavic migrations

[Summary] The rise and fall of the Roman Empire was a socio-political process with enormous ramifications for human history. The Middle Danube was a crucial frontier and a crossroads for population and cultural movement. Here, we present genome-wide data from 136 Balkan individuals dated to the 1st millennium CE. Despite extensive militarization and cultural influence, we find little ancestry contribution from peoples of Italic descent. However, we trace a large-scale influx of people of Anatolian ancestry during the Imperial period. Between ∼250 and 550 CE, we detect migrants with ancestry from Central/Northern Europe and the Steppe, confirming that “barbarian” migrations were propelled by ethnically diverse confederations. Following the end of Roman control, we detect the large-scale arrival of individuals who were genetically similar to modern Eastern European Slavic-speaking populations, who contributed 30%–60% of the ancestry of Balkan people, representing one of the largest permanent demographic changes anywhere in Europe during the Migration Period.We thank the funding agencies for this study: PGC2018-0955931-B-100 grant (MCIU/AEI/FEDER, UE) of the Spanish Ministry of Science of Innovation (C.L.-F.), PID2021-124590NB-100 grant of the Spanish Ministry of Science of Innovation (C.L.-F.), fellowship from “la Caixa” Foundation (ID 100010434), code LCF/BQ-ES11/10000073 (I.O.), grant “Ayudas para contratos Ramón y Cajal” funded by MCIN/AEI/10.13039/501100011033 and by “ESF Investing in your future” (I.O.), FPI-2019 (Spanish Ministry of Science of Innovation, BDNS ID: 476421) (P.C.), NSERC Discovery grant (Canada) RGPIN-2018-05989 (M.G.), Ministry of Science and Education of the Republic of Croatia (grant 533-03-19-0002) (M.N.), National Institutes of Health funding (HG012287) (D.R.), John Templeton Foundation (grant 61220) (D.R.), gifts from J.-F. Clin (D.R. and I.O.), the Allen Discovery Center, a Paul G. Allen Frontiers Group advised program of the Paul G. Allen Family Foundation (D.R.), and the Howard Hughes Medical Institute (D.R.).Peer reviewe