The Pursuit of Coordination: The Organizational Dimension in the Response to Homelessness

The pursuit of "coordination" has been a prominent theme both in local responses to homelessness and in the current incentives in federal housing policy. This article reviews some of the conditions that make coordination important yet difficult to achieve in the homeless area. A variety of approaches for achieving coordination at the local level are reviewed, ranging from point-of-service coordination to system-design. The local examples are drawn from the cities participating in the evaluation of The Robert Wood Johnson and the Department of Housing and Urban Development Homeless Families Program. The questions of effectiveness and future prospects for homeless service coordination are raised.     

The oldest human remains from the Beagle Channel region,Tierra del Fuego

The biohistory of the human peopling of the Fuegian Archipelago and the processes of biocultural adaptation and microdifferentiation of the ethnohistorical ‘canoe’ (‘sea nomad’) and ‘foot’ natives are poorly known. Here we report the oldest human remains of a ‘sea nomad’ native discovered so far in the Beagle Channel region. The specimen consists of a deciduous molar from the site of Imiwaia I, dated to 5870 ± 145 years BP. The microwear pattern indicates the consumption of hard food processed by long chewing cycles. The histomorphometric analysis shows the presence of at least three episodes of stress between 8 and 10.5 months after birth, and an unusually thin neonatal line, suggesting a mechanically non‐stressing birth event. Copyright © 2006 John Wiley & Sons, Ltd.     

Determination of warfare and interpersonal conflict in the protohistoric period: a case study from Mississippi

Analysis of a bundle burial of a young male recovered from 22OK905, a late prehistoric/protohistoric site located near Starkville, Mississippi, is discussed. AMS dating of the burial places it between AD 1640 and AD 1814, a time when Native American and European conflicts are well documented. One interesting finding is the presence of cut marks on the frontal bone of this individual. These marks were determined to be the result of scalping rather than defleshing marks associated with secondary burial treatment. Comparisons of bone element frequency among several bundle burials suggest that this individual died away from his village and the body was later collected for burial. A second study indicates that a stone tool may have been used to scalp the victim. Copyright © 2005 John Wiley & Sons, Ltd.     

Skeletal evidence for hyperparathyroidism in a 19th century child with rickets

The skeletal remains of a child aged 2.5–3.5 years, recovered during archaeological excavations at the churchyard of St Martin's Church, Birmingham, UK, were examined using gross observation, radiography and scanning electron microscopy. Lesions suggestive of the presence of rickets and of secondary hyperparathyroidism were found. This appears to be a first report of secondary hyperparathyroidism in response to rickets in a palaeopathological specimen. The potential of microscopic examination of bone for interpreting disease processes is emphasised. Copyright © 2006 John Wiley & Sons, Ltd.     

Lysis at the anterior vertebral body margin: evidence for brucellar spondylitis?

Recently, palaeopathologists have begun to diagnose brucellosis in skeletal remains from minor lytic lesions located on the anterior margins of one or some few vertebral bodies, taking these lesions to represent brucellar epiphysitis. However, review of the literature indicates that these lesions have been sporadically noted for some time by palaeopathologists and various different interpretations have been placed upon them. In view of this, a study of these vertebral marginal lesions (VML) was undertaken in a large series of archaeological skeletons from England, with the aim of characterising their morphology and frequency and shedding light upon their causes. In the study material, VML were found only in the lumbar spine, where they occurred with a prevalence of approximately 4%. It was argued that VML are consistent with two principal alternative diagnoses: brucellosis and traumatic anterior disc herniation. Differentiating these possibilities for the VML in the study material was difficult, but the balance of the evidence seemed to favour traumatic anterior disc herniation as the more likely cause. It is concluded that VML should not be used to identify the presence of brucellosis in skeletal remains unless there is further evidence, in the form of additional skeletal lesions or biomolecular evidence for residual brucella bacterial DNA, to support such a diagnosis. Copyright © 2007 John Wiley & Sons, Ltd.     

Thalassemia: macroscopic and radiological study of a case

Differentiation of the genetic and the acquired anaemias, particularly in areas of the world where they may co‐exist, has been a challenge for palaeopathologists for over 100 years. In this paper we present macroscopic and radiographic skeletal lesions that are associated with the thalassemias in a 14‐year‐old girl from a modern reference collection of the University of Athens. This individual is of known sex, age, cause of death, place and dates of birth and death. The case is examined in terms of epidemiology, growth, distribution and severity of lesions and differential diagnosis. The entire skeleton is affected by marrow hyperplasia: lesions of the axial skeleton are extreme, and the appendicular skeleton is severely affected as well. The odontofacial manifestations that are diagnostic of thalassemia and differentiate it from other anaemias are present and include: maxillary and mandibular hyperplasia, reduced sinuses, displacement of maxillary dental structures, overbite, and generalised osteopenia. The development of extreme bone lesions and the ‘advanced’ age‐at‐death of this individual is explained as either the result of thalassemia major under a low transfusion regimen that was the norm during her lifetime, or to a form of thalassemia intermedia that allows survival to later life at the expense of gross skeletal alterations. The present status of skeletal studies in Greece does not support the identification of a genetic anaemia in past populations. The potential contribution of the current analysis in differentiating the anaemias in antiquity is evaluated. Copyright © 2006 John Wiley & Sons, Ltd.