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Trauma and amputations in 19th century miners from Kimberley, South Africa

机译:来自南非金伯利的19世纪矿工的创伤和截肢

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摘要

Trauma is the result of violent, accidental or therapeutic events that cause physical orpsychological injury. The frequencies and types of trauma within a population can giveimportant information regarding their lifestyle as well as the quantity and quality of medicalcare available to them. The purpose of this study was to assess the incidence of trauma in theGladstone sample population with regards to the presence of interpersonal violence, ahazardous working environment, strenuous working requirements and the availability ofmedical care. The individuals studied here were diamond miners from Kimberley, datingto the late 19th century. A total of 107 well-preserved skeletons were excavated fromunmarked graves after accidental discovery. This sample included 86 males, 15 femalesand 6 individuals of unknown sex. The majority of individuals (71%) were between 19 and45 years of age. The remains were most likely those of migrant mine workers of low socioeconomicstatus who had passed away at the local hospitals. All bones were visuallyassessed for macroscopic indications of traumatic bone alterations and compared tostandard palaeopathological texts and photographs. A total of 27% (n¼28) of the individualsin the sample presented with well-healed, healing or perimortem fractures. Fractures to theskull encompassed 49% (n¼20) of all the fractures that were observed. A total of six (6%)amputations were noted. Spondylolysis was observed in 7% (n¼7) of the individuals withinthe sample and longstanding subluxation was noted in two individuals. The high incidences ofcranial fractures within this population are suggestive of high levels of interpersonal violence,while long bone fractures, spondylolysis and evidence of longstanding subluxations areindicative of the strenuous work requirements and the high-risk environment to which theseindividuals were exposed. When considering the presence of well-reduced fractures andhealed amputations, it seems that adequate medical care was available to at least somemembers of this community.
机译:创伤是造成身体或心理伤害的暴力,意外或治疗事件的结果。人群中创伤的频率和类型可以提供有关其生活方式以及可获得的医疗服务的数量和质量的重要信息。这项研究的目的是就人际暴力的存在,危险的工作环境,艰苦的工作要求和医疗保健的可用性来评估格拉德斯通样本人群中创伤的发生率。在这里研究的个人是金伯利的钻石矿工,其历史可追溯到19世纪末。意外发现后,从未标记的坟墓中总共挖出了107个保存完好的骨骼。该样本包括86位男性,15位女性和6位性别未知的人。大多数人(71%)年龄在19至45岁之间。这些尸体很可能是社会经济地位低下的移民矿工在当地医院去世的。目视评估所有骨骼的宏观迹象,以了解外伤性骨骼改变的情况,并将其与标准的古病理学文字和图片进行比较。样本中总共有27%(n¼28)个人表现出愈合良好,愈合良好或尸体破裂的骨折。观察到的所有骨折中,颅骨骨折占49%(n¼20)。总共记录了六次(6%)截肢。在样本中有7%(n¼7)个个体观察到椎体滑脱,并且在两个个体中发现了长期半脱位。该人群中颅骨骨折的高发率表明人际暴力水平很高,而长骨骨折,脊椎骨溶解症和长期半脱位的证据则表明这些人辛苦的工作需求和所面临的高风险环境。当考虑减少骨折和截肢的情况时,似乎该社区的至少某些成员可以获得足够的医疗服务。

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