In the bibliometric survey, the overwhelming majority of stress indicator studies focused on one or more of the following: porotic hyperostosis (PH, usually in the orbital roofs but sometimes also in the cranial vault), […] Because PNB and PH are surface alterations, macroscopy is well suited for their recognition in skeletal remains. For PH (and for porotic bony alterations in general), care needs to be taken in distinguishing normal from abnormal porosity. 2023, Simon Mays, “The Macroscopic Study of Human Skeletal Paleopathology” (chapter 2), in The Routledge Handbook of Paleopathology, Routledge, →DOI, →ISBN, page 29: