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The strange facedown burial of a young woman, who likely had a nail driven into her skull around the time she died in Sardinia more than 2,000 years ago, could be the result of ancient beliefs about epilepsy, according to new research.

The facedown burial may indicate that the individual suffered from a disease, while an unusual nail-shaped hole in the woman’s skull may be the result of a remedy that sought to prevent epilepsy from spreading to others — a medical belief at the time, according to a study coming out in the April issue of the Journal of Archaeological Science: Reports (opens in new tab) .

Epilepsy is now known to be a brain condition that can’t be transmitted to other people, but at the time the woman died, “The idea was that the disease that killed the person in the grave could be a problem for the entire community,” said study co-author Dario D’Orlando (opens in new tab) , an archaeologist and historian at the University of Cagliari in Sardinia.

The tomb is one of more than 120 Punic tombs at the Monte Luna necropolis in southern Sardinia, which was established after the sixth century B.C. and was used until the second century B.C. (Image credit: R. Paba)

The unusual burial was found in a tomb in the Necropolis of Monte Luna, a hill located about 20 miles (30 kilometers) north of Cagliari in the southern part of Sardinia. The burial ground was first used by Punic people after the sixth century B.C. and continued in use until the second century B.C.

Related: 17 decapitated skeletons found at ancient Roman cemeteryPunic necropolis

The latest study found evidence of blunt-force trauma to the woman’s head, possibly from falling, and a square hole that appears to have been made by an ancient nail. (Image credit: R. Paba)

The Monte Luna necropolis was excavated in the 1970s, and the latest study is based on photographs of the tomb and a new examination of the woman’s skeleton.

Pottery in the tomb suggests she was buried in the last decade of the third century B.C. or the first decades of the second century B.C. — a time when Sardinia, a center of Punic or Phoenician culture for hundreds of years, had come under Roman rule since the end of the First Punic War against Carthage, which took place from 264 B.C. to 241 B.C. 

And a new analysis of the young woman’s skeleton — based on her pelvis, teeth and other bones — confirmed an earlier estimate that she was between 18 and 22 years old when she died.

It also showed she had suffered trauma to her skull shortly before or around the time she died. The archaeologists found evidence of two types of trauma: blunt-force trauma, which could have occurred during an accidental fall — possibly during an epileptic seizure — and a sharp-force injury in the form of a square hole in her skull consistent with an impact by an ancient Roman nail; such nails have been found at several archaeological sites in Sardinia.

D’Orlando said the sharp-force injury by a nail may have been inflicted after the woman’s death to prevent the perceived “contagion” of her epilepsy.

The authors suggest the woman’s skull may have been pierced by an ancient nail with a square cross-section, like this one, to prevent the spread of the perceived “contagion” of epilepsy. (Image credit: G. Lai) Medical beliefs in ancient Sardinia

Such treatment may have been based on a Greek belief that certain diseases were caused by “miasma” — bad air — that would have been known throughout the Mediterranean at that time, D’Orlando said.

The same remedy is described in the first century A.D. by the Roman general and natural historian Gaius Plinius Secundus — known as Pliny the Elder — who recommended nailing body parts after a death from epileptic seizures to prevent the spread of the condition, the authors reported.

D’Orlando suggested that this practice of nailing the skull, and perhaps the woman’s unusual facedown burial, could be explained by the introduction of new Roman ideas, which were heavily influenced by ancient Greek ideas, into rural Sardinia.

The tomb was excavated in the 1970s and the latest study is based on photographs and a new analysis of the bones it contained, in particular the young woman’s skull. (Image credit: R. Paba) Related stories—Remains of Roman mercenary and beheaded victim found at ancient site in UK

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—50 graves of slaves who toiled at a Roman villa unearthed in England

But Peter van Dommelen (opens in new tab) , an archaeologist at Brown University who wasn’t involved in the study, said the culture in Sardinia stayed resolutely Punic in spite of Roman rule.

“Culturally speaking, and particularly in rural places like here, the island remains Punic,” he said. “There’s no reason to look at the Roman world for affinities — what people were doing was entirely guided by Punic traditions.”

Van Dommelen has not heard of similar burials in Sardinia, but “it’s interesting,” he said. “It fits with a broader pattern that you can see across the world and across cultures.”

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Trump ‘very disappointed’ in Russian strikes on Ukraine and calls for Putin to ‘sit down and sign a deal’

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Trump 'very disappointed' in Russian strikes on Ukraine and calls for Putin to 'sit down and sign a deal'

Donald Trump has said he’s “very disappointed” with Russia as he continues to push for a peace deal to end the war in Ukraine.

On Saturday, the US president met with Volodymyr Zelenskyy at the Vatican for their first face-to-face meeting since their explosive White House summit.

The Ukrainian president said the meeting ahead of Pope Francis’s funeral could end up being “historic.” Hours later, Mr Trump questioned Vladimir Putin’s appetite for peace in a Truth Social post.

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From Saturday: Trump meets Zelenskyy at funeral

Speaking before boarding Air Force One on Sunday, Mr Trump again said the meeting went well, and that the Ukrainian leader was “calmer”.

“I think he understands the picture, I think he wants to make a deal,” he said, before turning to Mr Putin and Russia.

“I want him to stop shooting, sit down and sign a deal,” the US president said, adding he was “very disappointed that they did the bombing of those places (including Kyiv, where nine people were killed in a Russian airstrike on Friday) after discussions”.

However, Mr Trump said he thinks Mr Zelenskyy is ready to give up Crimea, which the Ukrainian leader has repeatedly said he would refuse to do.

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He added that “we’ll see what happens in the next few days” and said “don’t talk to me about Crimea, talk to Obama and Biden about Crimea”.

Russia annexed Crimea in 2014, while Barack Obama was president.

Meanwhile, US secretary of state Marco Rubio told Sky’s US partner network NBC News that a peace deal to end the war was “closer in general than they’ve been any time in the last three years, but it’s still not there”.

“If this was an easy war to end, it would have been ended by someone else a long time ago,” he added on the Meet the Press show.

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It comes after North Korea confirmed it had deployed troops to fight for Russia, months after Ukraine and Western officials said its forces were in Europe.

State media outlet KCNA reported North Korean soldiers made an “important contribution” to expelling Ukrainian forces from Russian territory, likely to be the Kursk region.

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KCNA said leader Kim Jong Un made the decision to deploy troops to Russia and notified Moscow, and quoted him as saying: “They who fought for justice are all heroes and representatives of the honour of the motherland.”

It also quoted the country’s ruling Workers’ Party as saying the end of the battle to liberate Kursk showed the “highest strategic level of the firm militant friendship” between North Korea and Russia.

Last June, Mr Kim and Mr Putin signed a comprehensive strategic partnership treaty after a state visit – his first to the country in 24 years.

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From June 2024: Putin drives Kim around in luxury limo during state visit

The North Korean leader promised at the time “full support and solidarity to the Russian government, army and people in carrying out the special military operation in Ukraine”.

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40 killed in blast at Iran’s biggest port as Tehran denies explosion ‘linked to fuel for missiles’

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40 killed in blast at Iran's biggest port as Tehran denies explosion 'linked to fuel for missiles'

At least 40 people have been killed and several hundred more injured after an explosion and fire at Iran’s largest port, according to state media.

The blast, at the Shahid Rajaei container hub near the southern city of Bandar Abbas, happened on Saturday as Iran held a third round of talks with the US in Oman about Tehran’s nuclear programme.

Shipping containers burned, goods inside were badly damaged and the explosion was so powerful that windows several miles away were shattered, reports said.

Iranian Red Crescent rescuers work at the site of the blast. Pic: Reuters
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Iranian Red Crescent rescuers work at the site of the blast. Pic: Reuters

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The blast at the Shahid Rajaei port happened as Iran and the US met for the third round of negotiations over Tehran’s nuclear program.

Helicopters and aircraft dumped water from the air on the blaze and by Sunday afternoon it was 90% extinguished, the head of Iran’s Red Crescent Society told state media.

Officials said port activities had resumed in unaffected parts of Shahid Rajaei.

Out of the 752 people who had received treatment for their injuries, 190 were still being treated in medical centres on Sunday, according to Iran’s crisis management organisation.

Chemicals at the port were suspected to have worsened the blast, but the exact cause of the explosion was not clear.

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Iran’s defence ministry denied international media reports that the explosion may be connected to the mishandling of solid fuel used for missiles.

The reports were “aligned with enemy psyops [psychological operations]”, according to a ministry spokesperson, who told state TV the blast-hit area did not contain any military cargo.

Firefighters work to extinguish the fire. Pic: AP
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Firefighters work to extinguish the blaze. Pic: AP

Pic: AP
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Pic: AP

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According to the Associated Press, British security company Ambrey said that the port in March received sodium perchlorate, which is used to propel ballistic missiles and the mishandling of which could have led to the explosion.

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The Financial Times previously reported two Iranian vessels had shipped from China enough of the ingredient to propel up to 260 mid-range missiles.

It was reportedly to help Tehran replenish stocks after its missile attacks on Israel in 2024.

Iran’s military has sought to deny the delivery of sodium perchlorate from China.

Iran’s state-run Irna news agency reported on Sunday that Russian President Vladimir Putin deployed several emergency aircraft to Bandar Abbas to provide help.

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Pilgrims travel to Pope Francis’s tomb to remember the late pontiff

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Pilgrims travel to Pope Francis's tomb to remember the late pontiff

Anna and Irene have already been queuing for an hour or so, and they know they have a long wait still to come.

“Two hours, three hours, ten hours – what does it matter?” says Irena. “This is about eternity.”

They have come to Rome from Slovenia, Catholics who felt “Papa Francis would have wanted us to be here”.

People take photos of the grave of late Pope Francis inside St. Mary Major Basilica.
Pic: AP/Andrew Medichini
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People take photos of the grave of late Pope Francis inside St. Mary Major Basilica. Pic: AP/Andrew Medichini

A single white rose left on the tomb. Pic: Vatican
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A single white rose left on the tomb. Pic: Vatican

And under the sun outside Santa Maria Maggiore, they are awaiting the opportunity to visit his tomb.

Francis, says Irena, “was like a rainbow” who lit up the world. Anna nods along: “We are so happy to be here.”

The Pope’s tomb has become a new source of pilgrimage.

More than 30,000 people came to view it during the first morning after the Pope’s funeral, the queue snaking from the front of the mighty basilica and then up and down across the square at the back.

More on Pope Francis

Some were curious visitors, others were devout followers – priests and nuns mixing in the queue with tourists and devoted locals.

All of these admired Francis; a very few actually knew him.

Father Alessandro Masseroni is a deacon who came to Rome to train to become a priest. On his phone, he shows me a photo of him and Francis, with the Pope offering words of encouragement.

Father Alessandro Masseroni meeting the Pope
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Father Alessandro Masseroni meeting the Pope

He says: “I had the honour to serve Pope Francis and to talk to him many times and it was a special experience. I understand why he was so loved by all the people – he was simple and direct.

“He was sunny. St Francis was his role model and when I saw the first picture of the Pope’s tomb, the first thing I thought was of the tomb of St Francis of Assisi.

“Pope Francis will leave a legacy – it doesn’t end with his death but will continue.”

People attend the funeral Mass of Pope Francis at the Vatican, April 26, 2025. REUTERS/Yara Nardi
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People attend the funeral of Pope Francis. Pic: Reuters/Yara Nardi

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Video shows Pope’s tomb

What are your emotions now, as you wait to visit his tomb, I ask. Father Alessandro pauses and smiles.

“Many emotions of course, but mainly, I think… thankfulness.”

That has been a recurring aspect among so many of the people we have met in Rome over the past week – the sense that sadness for Francis’s death is outweighed by the sense that his was a life that should be celebrated.

Volodymyr Borysyak flew in from London on the morning of the Pope’s funeral to make his third pilgrimage to Rome.

Barely had he arrived than his phone was stolen, a crime he responded to by praying for the thief.

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Volodymyr is a refugee from western Ukraine who worries that his home country’s plight is being forgotten by some of the world.

Now, the Pope who inspired him has died.

You might imagine that he would be resentful and angry. Instead, he is full of smiles.

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The farewell to Pope Francis

“We are happy to be the pilgrims of the world and this is a special day,” he tells me. “I know the pope used to pray in this basilica so that is why we will stay so long here to visit Santa Maria Maggiore.

“I think Pope Francis was, is and will be the pope for the world, because of the mercy of his heart and his love for everybody.”

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