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      Creating communities of care: Sex estimation and mobility histories of adolescents buried in the cemetery of St. Mary Magdalen leprosarium (Winchester, England)

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          Abstract

          Objectives

          This study examines the biological sex and geographical origins of adolescents buried at the St Mary Magdalen leprosarium (Winchester, UK). The data are combined with archaeological and palaeopathological evidence to broaden the understanding of mobility and its relationship to leprosy and leprosaria in Medieval England.

          Materials and Methods

          Nineteen individuals (~10–25 at death) with skeletal lesions diagnostic of leprosy were analyzed using standard osteological methods. Amelogenin peptides were extracted from five individuals whose biological sex could not be assessed from macroscopic methods. Enamel samples were analyzed to produce 87Sr/ 86Sr and δ 18O values to explore mobility histories.

          Results

          Amelogenin peptides revealed three males and two females. Tooth enamel samples provided an 87Sr/ 86Sr ratio range from 0.7084 to 0.7103 (mean 0.7090, ±0.0012, 2σ). δ 18O P values show a wide range of 15.6‰–19.3‰ (mean 17.8 ± 1.6‰ 2σ), with corresponding δ 18O DW values ranging from −9.7‰ to −4.1‰ (mean −6.3 ± 2.4‰ 2σ).

          Discussion

          Amelogenin peptide data reveal the presence of adolescent females with bone changes of leprosy, making them the youngest confirmed females with leprosy in the archaeological record. Results also show at least 12 adolescents were local, and seven were from further afield, including outside Britain. Since St. Mary Magdalen was a leprosarium, it is possible that these people traveled there specifically for care. Archaeological and palaeopathological data support the notion that care was provided at this facility and that leprosy stigma, as we understand it today, may not have existed in this time and place.

          Abstract

          Facing leprosy: skull of a boy (aged 12.5–13.5) buried at the St. Mary Magdalen leprosy hospital shows facial evidence of a severe form of leprosy.

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          Most cited references130

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          Our future: a Lancet commission on adolescent health and wellbeing

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            The age of adolescence

            Adolescence is the phase of life stretching between childhood and adulthood, and its definition has long posed a conundrum. Adolescence encompasses elements of biological growth and major social role transitions, both of which have changed in the past century. Earlier puberty has accelerated the onset of adolescence in nearly all populations, while understanding of continued growth has lifted its endpoint age well into the 20s. In parallel, delayed timing of role transitions, including completion of education, marriage, and parenthood, continue to shift popular perceptions of when adulthood begins. Arguably, the transition period from childhood to adulthood now occupies a greater portion of the life course than ever before at a time when unprecedented social forces, including marketing and digital media, are affecting health and wellbeing across these years. An expanded and more inclusive definition of adolescence is essential for developmentally appropriate framing of laws, social policies, and service systems. Rather than age 10-19 years, a definition of 10-24 years corresponds more closely to adolescent growth and popular understandings of this life phase and would facilitate extended investments across a broader range of settings.
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              Strontium Isotopes from the Earth to the Archaeological Skeleton: A Review

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                Author and article information

                Contributors
                k.filipek@derby.ac.uk
                Journal
                Am J Biol Anthropol
                Am J Biol Anthropol
                10.1002/(ISSN)2692-7691
                AJPA
                American Journal of Biological Anthropology
                John Wiley & Sons, Inc. (Hoboken, USA )
                2692-7691
                26 February 2022
                May 2022
                : 178
                : 1 ( doiID: 10.1002/ajpa.v178.1 )
                : 108-123
                Affiliations
                [ 1 ] Department of Archaeology Durham University Durham UK
                [ 2 ] Human Sciences Research Centre, School of Human Sciences University of Derby Derby UK
                [ 3 ] Department of Archaeology University of Winchester Winchester UK
                [ 4 ] National Environmental Isotope Facility British Geological Survey Keyworth UK
                Author notes
                [*] [* ] Correspondence

                Kori Lea Filipek, Human Sciences Research Centre, School of Human Sciences, University of Derby, Derby, UK

                Email: k.filipek@ 123456derby.ac.uk

                Author information
                https://orcid.org/0000-0002-7058-2216
                https://orcid.org/0000-0002-5909-6460
                https://orcid.org/0000-0003-3918-4583
                Article
                AJPA24498
                10.1002/ajpa.24498
                9306906
                4827afba-8536-4168-9840-0c187f6c37e6
                © 2022 The Authors. American Journal of Biological Anthropology published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 18 November 2021
                : 21 April 2021
                : 19 January 2022
                Page count
                Figures: 6, Tables: 2, Pages: 16, Words: 14641
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                May 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:22.07.2022

                amelogenin peptides,infectious disease,isotope analyses,medieval,palaeopathology

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