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照顾中世纪农村社区的病人:基于中世纪俄罗斯古病理学和考古学数据的研究。

Caring for the sick in a medieval rural community: A study based on paleopathological and archaeological data from Medieval Rus'.

机构信息

Institute of Archaeology, Russian Academy of Sciences (IA RAS), Dm. Ulyanov str,. 19, Moscow, Russian Federation.

Institute of Archaeology, Russian Academy of Sciences (IA RAS), Dm. Ulyanov str,. 19, Moscow, Russian Federation.

出版信息

Int J Paleopathol. 2022 Jun;37:30-40. doi: 10.1016/j.ijpp.2022.04.004. Epub 2022 Apr 26.

DOI:10.1016/j.ijpp.2022.04.004
PMID:35487166
Abstract

OBJECTIVE

This research seeks to identify the way the sick were treated in the 14th-15th centuries АD in a rural community located close to the medieval urban centre of Suzdal in central medieval Russia MATERIALS: Skeletons of 26 humans were examined from the cemetery associated with the rural settlement of Mikhali 3/Mininskoe (central Russia) (14th-15th centuries A.D.) METHODS: Archaeological study, paleodemographic analysis, description of physiological stress markers, stature reconstruction, X-ray, 3D scan.

RESULTS

The remains comprised of 11 children, 11 adult females and 4 adult males. Numerous stress markers, as well as indicators of chronic disease and low levels of sexual dimorphism were noted suggesting a hard life and low social position. However, about 20% of adults lived to more than 40 years old and the archaeological artifacts - markers of prosperity -suggests high living standards of the majority of the inhabitants.

CONCLUSIONS

Among the possible explanations of the paradox of poor health but ample access to resources is well-developed supportive care practice within the community.

SIGNIFICANCE

A combination of bioarchaeological and archaeological studies of a medieval settlement and cemetery of Mikhali 3 offers information about medieval attitude towards the sick.

LIMITATIONS

Few sites had been analyzed using a complex approach.

SUGGESTIONS FOR FURTHER RESEARCH

Combination of bioarchaeological and archaeological sources for estimation of life quality of medieval communities and clarification of their meaning of 'life quality'.

摘要

目的

本研究旨在探讨中世纪俄罗斯中部苏兹达尔中世纪城市中心附近的一个农村社区中,14 至 15 世纪的农村社区中对患者的治疗方式。

材料

从与农村定居点米哈利 3/米宁斯科(俄罗斯中部)(公元 14-15 世纪)相关的墓地中检查了 26 具人类骨骼。

方法

考古研究、人口统计学分析、生理压力标志物描述、身高重建、X 射线、3D 扫描。

结果

遗骸包括 11 名儿童、11 名成年女性和 4 名成年男性。大量的压力标志物,以及慢性疾病和低性别二态性的指标表明,生活艰难,社会地位低下。然而,约 20%的成年人活到了 40 岁以上,考古文物——繁荣的标志——表明大多数居民的生活水平很高。

结论

在健康状况不佳但资源充足的可能解释中,社区内发达的支持性护理实践是一个重要因素。

意义

米哈利 3 号的中世纪定居点和墓地的生物考古学和考古学综合研究提供了有关中世纪对患者态度的信息。

局限性

很少有遗址使用复杂的方法进行分析。

进一步研究建议

结合生物考古学和考古学资源,评估中世纪社区的生活质量,并阐明其“生活质量”的含义。

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