Adaptive capacity and flexibility of the Neanderthals at Heidenschmiede (Swabian Jura) with regard to core reduction strategies.

The branched reduction system at the Heidenschmiede described here is hitherto exceptional for the Middle Paleolithic of the Swabian Jura. By means of refits and supporting objects, we are able to describe a superordinate reduction system that combines several individual reduction concepts, such as Levallois and blade production, within one volume. In the Middle Paleolithic of the Swabian Jura, blade technology has thus far played a rather minor role.

Extended roles in primary care when physiotherapist-initiated referral to X-ray can save time and reduce costs.

Objective: The objective of this study was to evaluate an extended role for the physiotherapist in primary care in referring patients to plain X-ray.

Methods: This prospective cohort study was set in a single region in Sweden. It included 20 physiotherapists who were educated in a 1-day training in performing referral to X-ray, along with 107 patients with musculoskeletal disorders who were referred to X-ray.

Acute necrotizing encephalopathy with SARS-CoV-2 RNA confirmed in cerebrospinal fluid.

Here, we report a case of COVID-19-related acute necrotizing encephalopathy where SARS-CoV-2 RNA was found in CSF 19 days after symptom onset after testing negative twice. Although monocytes and protein levels in CSF were only marginally increased, and our patient never experienced a hyperinflammatory state, her neurologic function deteriorated into coma. MRI of the brain showed pathologic signal symmetrically in central thalami, subinsular regions, medial temporal lobes, and brain stem.

The performance of tranchet blows at the Late Middle Paleolithic site of Grotte de la Verpillière I (Saône-et-Loire, France).

This paper focuses on the technological characteristics of Keilmesser with a lateral tranchet blow modification on the cutting edge. It examines the underlying technological production of these bifacial objects: this implies the evaluation of their working stage succession, as well as produced forms necessary for the execution of tranchet blow performance. Furthermore, it offers a techno-morphological description of these enigmatic tools.