Frank-Jakobus Rühli

Das militärische Gesundheitswesen der Schweiz bildet das Rückgrat der medizinischen Versorgung von Armeeangehörigen und trägt zugleich Mitverantwortung für die Zivilbevölkerung in Krisen- und Katastrophensituationen. Dieser Band beleuchtet erstmals rechtliche, organisatorisch-praktische und historische Aspekte dieser zentralen Institution und zeigt auf, wie sie auf neue sicherheitspolitische Herausforderungen reagiert. Expertinnen und Experten aus Wissenschaft, Verwaltung, Gesundheitsversorgung und Militär diskutieren Strategien für eine patientenorientierte, flexible und digitalisierte Versorgung. Themen wie Interoperabilität mit zivilen Strukturen, internationale Zusammenarbeit und die Ausbildung kriegs- und katastrophentauglicher medizinischer Fachkräfte werden praxisnah erläutert. Leserinnen und Leser erhalten in diesem Zusammenhang Einblicke in die militärmedizinischen Herausforderungen moderner Konflikte. Die Beiträge setzen sich zudem mit der geplanten Verordnung über das militärische Gesundheitswesen (VMiGw) auseinander. Der Band verbindet wissenschaftliche Analyse mit fundiertem praktischem Erfahrungswissen und bietet Lösungen für die zukunftsorientierte Planung eines komplexen Systems. Er richtet sich an Fachleute aus Recht, Militär und Gesundheitswesen sowie an alle, die an den Schnittstellen von Sicherheitspolitik, Verteidigung und Medizin interessiert sind. Ein Buch, das verdeutlicht: Ohne ein starkes militärisches Gesundheitswesen, dessen rechtliche Grundlagen den Besonderheiten militärischer Operationen Rechnung tragen, ist die Einsatzfähigkeit der Schweizer Armee nur bedingt gegeben.

Humans adapt their life history strategy and lifestyle behavior to the environment. The social restrictions during the COVID-19 pandemic in the years 2020–2021 led to changes in diet and physical activity habits in large parts of populations worldwide. Additionally, many people reported an increase in body weight during the pandemic. We investigated how diet quality, physical activity, and BMI changed since the end of the COVID-19 restrictions in Switzerland (2019–2023). We assessed diet and physical activity using a standardized questionnaire. We measured anthropometry and BMI using a stadiometer and a balance of a medical bioimpedance analyzer. Our results show a stable BMI in men and women during the pandemic. In both sexes, diet quality and physical activity levels did not change significantly during this time. Among women, physical activity and age were associated with BMI, while in men, apart from physical activity, high diet quality and living in the agglomeration were associated with BMI. Overall, we did not find evidence for a transient “unhealthier” lifestyle immediately after the COVID-19 pandemic. However, we found constituent sex differences in BMI determinants. Our results could indicate a higher resilience in highly educated persons and might contribute to more personalized approaches to prevent obesity.

The Douzlākh salt deposit (region: Māhneshān, Zanjān Province, Iran) is unique for its pure and crystal rock salt and was an important supplier of culinary (‘table’) salt in Achaemenid, Sassanid and Middle Islamic times. At the same time, the site was of central importance to the economic life of the rural populations in the Talkherud Basin. This article focuses on the question of which strategies were decisive for the exploitation of the salt mountain and how a potential supra-regional interest in the culinary salt was perhaps reciprocally connected with a rural hinterland. This hinterland was recently investigated in greater detail by our ongoing research. Did a resource-scape based on salt develop with specific economic and social strategies and practices around the Douzlākh? And was this development triggered by state or imperial control and demand? These questions are being pursued from a perspective utilising a variety of subjects and methods in archaeology, archaeobiology, archaeometry and geoarchaeology. In addition to a detailed on-site artefact study, several on- and off-site datasets have been collected and analysed within a multidisciplinary framework. This article synthesises the results of a major 12-year project to identify the organisational principles and daily practices within this specific salt-scape. The sensational finds of the Douzlākh salt mummies, along with the generally outstanding preservation of organic ecofacts and artefacts, allow insights into antique lifeworlds that are otherwise hard to come by. The multidisciplinary study of on- and off-site data allows far-reaching insights into interdisciplinary topics, such as the social system, supply and logistics, or the presence of non-local or non-indigenous populations.

Ancient Egyptian remains have been of interest for anthropological research for decades. Despite many investigations, the ritual vessels for the internal organs removed during body preparation—liver, lungs, stomach, and intestines, of Egyptian mummies are rarely used for palaeopathological or medical investigations. These artifacts, commonly referred to as canopic jars, are the perfect combination of cultural and biological material and present an untapped resource for both Egyptological and medical fields. Nevertheless, technical challenges associated with this archeological material have prevented the application of current ancient DNA techniques for both the characterization of human and pathogenic DNA. We present shotgun‐sequenced metagenomic profiles and ancient DNA degradation patterns from multiple canopic jars sampled from several European museum collections and enumerate current limitations and possible solutions for the future analysis of similar material. This is the first‐ever recorded evidence of ancient human DNA found in Ancient Egyptian canopic jars and the first associated metagenomic description of bacterial taxa in these funerary artifacts.Objectives: In this study, our objectives were to characterize the metagenomic profile of the Ancient Egyptian funerary vessels known as canopic jars to retrieve endogenous ancient human DNA, reconstruct ancient microbial communities, and identify possible pathogens that could shed light on disease states of individuals from the past.Methods: We applied ancient DNA techniques on 140 canopic jars to extract DNA and generate whole‐genome sequencing libraries for the analysis of both human and bacterial DNA. The samples were obtained from museum collections in Berlin (DE), Burgdorf (DE), Leiden (NE), Manchester (UK), Munich (DE), St. Gallen (CH), Turin (IT), and Zagreb (HR).Results: Here we describe the first isolated DNA from the Egyptian artifacts that hold human viscera. No previous work was ever conducted on such material, which led to the first characterization of human DNA from Ancient Egyptian canopic jars and the profiling of the complex bacterial composition of this highly degraded, challenging, organic material. However, the DNA recovered was not of enough quality to confidently characterize bacterial taxa associated with infectious diseases, nor exclusive bacterial members of the human microbiome.Discussion: In summary, we present the first genomic survey of the visceral content of Ancient Egyptian funerary artifacts and demonstrate the limitations of current molecular methods to analyze canopic jars, such as the incomplete history of the objects or the presence of uncharacterized compounds that can hamper the recovery of DNA. Our work highlights the main challenges and caveats when working with such complicated archeological material – and offers sampling recommendations for similarly complex future studies, such as incrementing the amount of starting material and sampling from the less exposed parts of the jar content. This is the first‐ever recorded evidence of ancient human DNA found in Ancient Egyptian canopic jars, and our results open new avenues in the study of neglected archeological artifacts.

In 2011, a spectacular find was made in the Valley of the Kings, Egypt – a well-known archaeological site, where pharaohs were buried during the New Kingdom (ca. 1500–1100 BCE). A team from the University of Basel’s Kings’ Valley Project discovered a tomb (KV64) containing two mummies that were buried in different time episodes (unidentified elite burial, 18th dynasty, and Nehemesbastet, 22nd dynasty). Anthropological investigations of the mummies were performed using portable X-ray and photographic documentation. The first burial was an adult individual with bilateral pathological changes at the temporomandibular joints (TMJs), most likely of inflammatory origin, possibly psoriatic arthritis. Investigations of the second burial revealed an intact body of a younger female individual.

In ancient Egypt, a unique technique for removing the brain was invented as part of the mummification practice and refined over the centuries. This usually involved piercing the anterior skull base through a nasal passage to remove the brain remnants through that perforation. From 2010 to 2018, an interdisciplinary team of the Universities of Basel and Zurich investigated tomb no. 40 (KV40) in the Valley of the Kings, Luxor, Egypt. Archaeological findings indicate a first burial phase during the mid‐18th Dynasty (ca. 1400–1350 BCE) and a second in the 22nd to 25th Dynasty (approx. 900–700 BCE). Repeated looting since ancient times severely damaged and commingled the human remains of the two burial phases. The detailed examination of the skulls showed evidence of different transnasal craniotomy practices. This study aims to provide a systematic presentation of the evidence for different excerebration techniques found in the mummy heads, skulls, and skull fragments from KV40, reflecting the long period of occupancy of this tomb by individuals of different social classes.

Background: For optimal prosthetic anchoring in omarthritis surgery, a differentiated knowledge on the mineralisation distribution of the glenoid is important. However, database on the mineralisation of diseased joints and potential relations with glenoid angles is limited. Methods: Shoulder specimens from ten female and nine male body donors with an average age of 81.5 years were investigated. Using 3D-CT-multiplanar reconstruction, glenoid inclination and retroversion angles were measured, and osteoarthritis signs graded. Computed Tomography-Osteoabsorptiometry (CT-OAM) is an established method to determine the subchondral bone plate mineralisation, which has been demonstrated to serve as marker for the long-term loading history of joints. Based on mineralisation distribution mappings of healthy shoulder specimens, physiological and different CT-OAM patterns were compared with glenoid angles. Results: Osteoarthritis grades were 0-I in 52.6% of the 3D-CT-scans, grades II-III in 34.3%, and grade IV in 13.2%, with in females twice as frequently (45%) higher grades (III, IV) than in males (22%, III). The average inclination angle was 8.4°. In glenoids with inclination ≤10°, mineralisation was predominantly centrally distributed and tended to shift more cranially when the inclination raised to > 10°. The average retroversion angle was − 5.2°. A dorsally enhanced mineralisation distribution was found in glenoids with versions from − 15.9° to + 1.7°. A predominantly centrally distributed mineralisation was accompanied by a narrower range of retroversion angles between − 10° to − 0.4°. Conclusions: This study is one of the first to combine CT-based analyses of glenoid angles and mineralisation distribution in an elderly population. The data set is limited to 19 individuals, however, indicates that superior inclination between 0° and 10°-15°, and dorsal version ranging between − 9° to − 3° may be predominantly associated with anterior and central mineralisation patterns previously classified as physiological for the shoulder joint. The current basic research findings may serve as basic data set for future studies addressing the glenoid geometry for treatment planning in omarthritis.