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.     

Experimental archaeology and boats

Experimental archaeology has now a definite place in research and the late Paul Johnstone was a pioneer in organizing such experiments especially with boats. In our February issue we published a reconsideration of his experiment, in collaboration with Professor Marstrander, on building a hide boat. We now welcome a discussion by Mr Christensen and Dr Morrison on the recent publication The building and trials of the replica of an ancient boat: the Gokstad faering Part 1. Building the replica by Sean McGrail. 59 pp. 50 figs. Part 2. The sea trials by Eric McKee. 38 pp. 25 figs. National Maritime Museum. Maritime monographs and reports no. 11, 1974. London. Ed .     

Going unscripted: A call to critically engage storytelling methods and methodologies in geography and the medical‐health sciences

Geography and the medical‐health sciences have long histories of engaging the humanities. The last decade has seen for both disciplines a significant growth in theoretical frameworks, pedagogic strategies, and research methods that draw upon visual and literary arts, critical self‐reflection, creative tools and expressions, and even direct engagement or partnership with artists, curators, authors, theatre‐practitioners, and other professionals in the arts. Both geographers and medical‐health professionals, then, are increasingly (re)making and understanding various worlds through the humanities. In this paper we explore the histories of humanities in both geography and the medical‐health sciences, especially medicine: we argue the two disciplines have much to learn from each other's engagement and work with the humanities. Focusing on the increasing use of narrative and storytelling in both disciplines, we argue that deployment of humanities‐based frameworks and impulses must not be taken up without careful and critical analytical reflection. Finally, we ground our theoretical explorations with empirical examples from recent community‐based work about the risks and benefits of storytelling and visual arts when looking at the health geographies of Indigenous and settler peoples in Northern British Columbia.

De manière impromptue : vers une démarche critique sur les méthodes de mise en récit et les méthodologies en géographie et en sciences médicales et de la santé

L'intérêt pour les sciences humaines par la géographie et les sciences médicales et de la santé s'inscrit dans une longue tradition. Au cours de la dernière décennie, les deux disciplines ont connu une importante croissance de cadres théoriques, de stratégies pédagogiques et de méthodes de recherche qui font appel aux arts visuels et à la littérature, à l'autoréflexion critique, à des outils et modes d'expression novateurs, voire même à une participation directe ou à des partenariats avec des artistes, conservateurs, auteurs, praticiens de l'art dramatique et d'autres professionnels du domaine des arts. Autant les géographes que les professionnels de la médecine et de la santé contribuent de plus en plus à (re)constituer et comprendre divers mondes à travers les sciences humaines. Cet article brosse un tableau historique des sciences humaines tant en géographie qu'en sciences médicales et de la santé, en particulier la médecine : nous soutenons que les deux disciplines ont beaucoup à apprendre l'une de l'autre sur l'intérêt que chacune porte aux sciences humaines. En mettant l'accent sur le recours grandissant par les deux disciplines à la narration et à la mise en récit, nous faisons valoir l'idée que le déploiement des cadres et des impulsions fondés sur les sciences humaines ne peut pas être envisagé sans mener au préalable une réflexion analytique minutieuse et critique. Enfin, nous fondons cette étude du champ théorique sur des exemples empiriques tirés de travaux réalisés à l'échelle communautaire sur les risques et les avantages de la mise en récit et des arts visuels quand on se penche sur les aspects géographiques de la santé des peuples autochtones et colonisateurs dans le nord de la Colombie‐Britannique.     

‘Our home,our way of life’: spiritual homelessness and the sociocultural dimensions of Indigenous homelessness in the Northwest Territories (NWT), Canada

In this article, I examine the sociocultural dimensions of Indigenous home and homelessness through a case study of increasing visible homelessness in two northern Canadian communities. Drawing on five years of ethnographic research on Indigenous homelessness in Yellowknife and Inuvik, two regional centres in the Northwest Territories (NWT), Canada, I suggest that Indigenous experiences of homelessness are at once collective and immediate. In particular, I draw on the concept of ‘spiritual homelessness’ (Keys Young 1998) to examine the multiple scales of homelessness experienced among northern Indigenous people. Research participants highlight several key elements of rapid sociocultural change that have an enduring impact on a collective sense of home and belonging, and play integral roles in shaping the experiences of homeless Indigenous people. Social and material exclusion, breakdowns in family and community, detachment from cultural identity, intergenerational trauma and institutionalisation are all woven throughout the personal narratives of homelessness articulated by research participants. I argue that the alleviation of Indigenous homelessness in the NWT depends on a decolonising agenda that specifically addresses contemporary colonial geographies and their expressions in the key institutions in Indigenous peoples' lives.