Periostitis and osteolysis in a medieval skeleton from South‐West Hungary: (Leprosy,treponematosis, tuberculosis or hypertrophic osteoarthropathy) A diagnostic challenge!

This paper uses macroscopic and radiological examinations to provide differential diagnoses of pathological lesions in the well‐preserved skeleton of a young male from the medieval site of Zalavár in South‐West Hungary. Macroscopic inspection of the skeleton revealed conspicuous thickening of the tibiae and fibulae with ‘tree bark’ appearance of the cortex. Periosteal proliferations are also found on the calcanea and on the posterior part of the femora. The metatarsals showed bony proliferation and bone dissolution. No alteration of the axial skeleton or the skull was noted. Radiographs showed thickening of the cortex of tubular bones due to a multilayered type of periosteal apposition. The likelihood of these symptoms being the result of melorheostosis, hypervitaminosis A, fluorosis, thyroid acropachy, endosteal hyperostosis, tuberculosis (TB), hypertrophic osteoarthropathy (HOA), treponematosis and leprosy is reviewed. None completely explains the entire spectrum of pathological lesions in the current individual, but the individual may have suffered from two co‐existent diseases. As a clinical entity, the changes in the metatarsals are compatible with leprosy, whereas the periosteal proliferations of the lower limbs point to a diagnosis of HOA as a secondary syndrome. Thus, a combination of leprosy and TB is suggested as a potential diagnosis. Although not definitive, our differential diagnosis was able to exclude a number of conditions producing periosteal apposition. Copyright © 2011 John Wiley & Sons, Ltd.     

Severe vertebral collapse in a juvenile from the graveyard (13th/14th–19th centuries) of the São Miguel church (Castelo Branco,Portugal): differential palaeopathological diagnosis

Diseases that culminate into vertebral collapse are of intricate diagnosis both in palaeopathology and modern clinical practice. When analysing human skeletal remains from the archaeological record this difficulty is amplified due to the absence of complementary medical diagnostic information. This is especially evident when the distinction between tuberculous and pyogenic spondylitis is intended. Taking into consideration this challenging task and based on the macroscopic and radiological study of the skeleton number 8, a specimen exhumed from the East necropolis (13th/14th to 19th centuries) of the São Miguel church, at the Portuguese city of Castelo Branco, the aims of the work here presented are to discuss the range of possible aetiological factors, especially infectious ones, ascribable to the striking pathological changes noticed on this 12‐year‐old individual. These included alterations on the axial skeleton, namely extensive vertebral destruction, presenting as a gibbus deformity, and correlated thoracic deformities. Consubstantiated on palaeopathological and clinical research, tuberculous spondylitis seems to be the most probable cause for the reported lesions. However, the scrutiny between this condition and other pyogenic spinal infections is of extreme complexity when analysing ancient human remains and deserves in‐depth future investigations. Within the framework of the Portuguese archaeological record, the specimen here presented is of major relevance since the pattern and severity of the spinal osseous changes observed were not previously reported. Further, if tuberculous spondylitis is assumed as the most probable diagnosis, the case here presented represents one of the earliest skeletal evidence of this condition in Portugal. Copyright © 2009 John Wiley & Sons, Ltd.     

Using an awakening narrative to leave behind a former national‐identity: an investigation of the conversion of national‐identity in Taiwan

National‐identity has become a civil religion and a major source of how people define themselves. Changing one's nationality thus is a salient event/social process in today's society; therefore, people's nationality conversion deserves more academic attention. Treating the convert as a social type and regarding people's self‐reports (or converts' accounts) as topics for analysis, this article examines the Taiwan case to illuminate how people tell their stories of converting nationality. ‘Converts’ usually employed an awakening narrative to leave their former national‐identity behind: For example, the ‘awakening’ plot is readily apparent, a huge contrast between a previous ‘wrong’ self and a current ‘correct’ self is mentioned, and the ‘awakening’ is delineated as an achievement. The symbolic awakening is harnessed as a strategic tool to create discontinuity autobiographically, to justify one's major change, to ensure that one's cognitive security remains intact, and to call for more awakenings. This article further notes that, since narrative itself is a practice, people always have ‘a self in the making’ which determines (and is determined by) how people (re)tell their life stories. Moreover, in Taiwan's case, we see that ‘awakeners’ usually admired early awakeners but blamed late awakeners (which constitutes an interesting triadic group relationship); people may also describe their experience of having multiple awakenings before the ‘grand’ awakening (‘Awakening’). © The author(s) 2015. Nations and Nationalism © ASEN/John Wiley & Sons Ltd 2015     

The Armoured Cruiser HMS Defence: a case‐study in assessing the Royal Navy shipwrecks of the Battle of Jutland (1916) as an archaeological resource

This paper presents the findings from a survey of one of the shipwrecks of the Battle of Jutland, and is extracted from a longer currently unpublished report which examines the six known Royal Navy wrecks. While all of the wrecks yielded unique insights into the battle, Defence was a particularly surprising case. The extant remains of this wreck showed for the first time how the ship was destroyed and explains what some eyewitnesses reported at the time. Intact and unsalvaged, it is a source of much valuable archaeological and historical data. © 2012 The Author     

Using toponymy to reconstruct past land use: a case study of ‘brüsáda’ (burn) in southern Switzerland

Toponyms are frequently the outcome of a creative process, a subjective interpretation by the local inhabitants at the time of naming. They often survive changes in the local landscape, thus becoming historical documents of landscape dynamics or changes in land use. In this contribution we provide a systematic synchronic analysis of the toponym brüsáda (burn) in Canton Ticino. In total, 182 instances of place names containing brüsáda were recorded, of which 102 cases (56.0%) were localised. Based on oral information provided by the local people or on archival documents, it was possible to group the selected toponyms into different meaning classes such as burnt building, exposed sites, pasture-land and others without any indication (classified here as generic). On the basis of etymological, topographic, documentary, bibliographic, and historic evidence, as well as proxy-archives (such as charcoal in lake sediments), we hypothesise that most of the toponyms associated with pasture-land – and probably also a large portion of the generic toponyms – are directly or indirectly related to the habit of using fire to clear brushwood to improve pasture-land or to eliminate trees. In the study area, the practice of pasture-fires appears to have been a very well controlled and targeted activity in medieval times. In contrast, pasture-fires became very frequent and uncontrolled in the second half of the nineteenth century up until the Second World War. Our study confirms the usefulness and suitability of toponymy, in combination with other disciplines, for ecohistorical reconstructions of past environmental and land-use changes.