Otitis media, commonly known as middle ear inflammation, demonstrated a high prevalence rate in history. This trend also persists today. This condition is influenced by a combination of...Show moreOtitis media, commonly known as middle ear inflammation, demonstrated a high prevalence rate in history. This trend also persists today. This condition is influenced by a combination of environmental and genetic factors, of which the most important for the context of this thesis are urbanization and air pollution, joined by overcrowding. Mastoiditis is closely associated with otitis media, as it often arises as a consequence of untreated otitis media. In the field of osteology, various diagnostic methods are used to identify otitis media, leading to a problem in comparison and verification of results obtained through different methods. So, what is the interrelationship of these methods? Do they produce similar results? The main aim of this thesis was to answer this question. To investigate the interrelationship of these diagnostic methods, a sample of 97 individuals from post-medieval Arnhem, the Netherlands, was analyzed. The methods selected for the analysis were chosen from diverse case-studies, with each method focusing on the analysis of a specific skeletal element. These elements included auditory ossicles, the temporal bone around the external auditory meatus, and the mastoid process. The method focusing on the mastoid process is utilized for diagnosing mastoiditis, rather than otitis media. In addition to the three primary methods, two other diagnostic approaches were included in the analysis. These methods involved the utilization of computed tomography (CT) scans to assess mastoid air cells pneumatization and endoscopic examination of the cochlear promontory. Dataset collected by Casna et al. (2023a) was used, as they were the ones utilizing these two methods. The findings of this study revealed relatively low concurrence rates among the three primary diagnostic methods, and even lower rates when all five methods were compared. The presence of such results called for an exploration of explanatory models that would aim to explain such low concurrence rates. Additionally, factors possibly influencing the results were also considered. This research underscores the need for developing a universal and standardized method for diagnosing otitis media. The lack of agreement among the diagnostic methods suggests not all of them are linked to the same underlying cause, therefore signifying the need for a better approach. While this research provided valuable insight into the interrelationship of some of the diagnostic methods, further research that would compare other methods that have not been compared here is necessary for better understanding of the complexity of situation surrounding otitis media diagnosis in osteoarchaeology.Show less
This study concerns the Christian cemetery surrounding the Romanesque and earliest Gothic churches in the village of Reusel. This cemetery dating to the 10th to 14th centuries was almost completely...Show moreThis study concerns the Christian cemetery surrounding the Romanesque and earliest Gothic churches in the village of Reusel. This cemetery dating to the 10th to 14th centuries was almost completely excavated. The aim of this study is twofold: to determine the composition of the sample of excavated graves, and to assess patterns in the ways the individuals were buried. In particular, it was examined if differentiation in grave morphologies and distribution could be related to social differences. In order to do this, different grave morphologies, the orientation of the graves and their location, and the skeletons from the graves were examined. Furthermore, characteristics were compared to each other to see if patterns emerged. The composition of the sample suggests that most adult community members were buried at the Reusel cemetery. Most children however, and especially the infants, may not have been buried within the cemetery grounds. The ones that were, were all buried in the eastern part of the cemetery, except for one infant that was buried together with an adult. Males were slightly overrepresented in the sample, but this is likely to be due to sample size. Remarkably, intramural burial was rare. Burial took place on all sides of the successive churches, but particularly directly to the east of it. Different grave morphologies appeared all over the cemetery, apart from the ladder coffin, which was restricted to the eastern part of the churchyard. This type of coffin may be related to a specific status of the deceased be it in terms of wealth or piety. Furthermore, as far as could be determined, only males were buried in such coffins. Other observed grave morphologies include anthropomorphic graves, log coffins, coffins with and without protrusions and containers of unknown type. Coffins with and without nails were encountered, a difference that could be attributed to different periods. Most graves were oriented roughly from east to west, except three graves that were oriented west to east. Within the Christian tradition, such burials are often interpreted as priests, but the fact that at least one of these individuals was a woman, suggests traditions in Reusel may have been deviant. This study sheds more light on burial practices during the Central and Late Middle Ages. It shows that in the Reusel community, some practices were in accordance with those in other medieval communities, although others were clearly different. It confirms the existence of local variation in burial practices in this period. Apparently, people from local communities could, to a certain extent, give their own interpretation to Christian rituals. In future cemetery studies, such local variations have to be taken into account. Future research in these areas will help to acquire a better picture of medieval burial ritual and its social meaning in the southern Netherlands. This study is under embargo because the author prepares a more comprehensive report on this exceptional site.Show less
