Surgical amputation of a limb 31,000 years ago in Borneo.

The prevailing view regarding the evolution of medicine is that the emergence of settled agricultural societies around 10,000 years ago (the Neolithic Revolution) gave rise to a host of health problems that had previously been unknown among non-sedentary foraging populations, stimulating the first major innovations in prehistoric medical practices1,2. Such changes included the development of more advanced surgical procedures, with the oldest known indication of an 'operation' formerly thought to have consisted of the skeletal remains of a European Neolithic farmer (found in Buthiers-Boulancourt, France) whose left forearm had been surgically removed and then partially healed3. Dating to around 7,000 years ago, this accepted case of amputation would have required comprehensive knowledge of human anatomy and considerable technical skill, and has thus been viewed as the earliest evidence of a complex medical act3. Here, however, we report the discovery of skeletal remains of a young individual from Borneo who had the distal third of their left lower leg surgically amputated, probably as a child, at least 31,000 years ago. The individual survived the procedure and lived for another 6-9 years, before their remains were intentionally buried in Liang Tebo cave, which is located in East Kalimantan, Indonesian Borneo, in a limestone karst area that contains some of the world's earliest dated rock art4. This unexpectedly early evidence of a successful limb amputation suggests that at least some modern human foraging groups in tropical Asia had developed sophisticated medical knowledge and skills long before the Neolithic farming transition.

Earliest hunting scene in prehistoric art.

Humans seem to have an adaptive predisposition for inventing, telling and consuming stories1. Prehistoric cave art provides the most direct insight that we have into the earliest storytelling2-5, in the form of narrative compositions or 'scenes'2,5 that feature clear figurative depictions of sets of figures in spatial proximity to each other, and from which one can infer actions taking place among the figures5. The Upper Palaeolithic cave art of Europe hosts the oldest previously known images of humans and animals interacting in recognizable scenes2,5, and of therianthropes6,7-abstract beings that combine qualities of both people and animals, and which arguably communicated narrative fiction of some kind (folklore, religious myths, spiritual beliefs and so on). In this record of creative expression (spanning from about 40 thousand years ago (ka) until the beginning of the Holocene epoch at around 10 ka), scenes in cave art are generally rare and chronologically late (dating to about 21-14 ka)7, and clear representations of therianthropes are uncommon6-the oldest such image is a carved figurine from Germany of a human with a feline head (dated to about 40-39 ka)8. Here we describe an elaborate rock art panel from the limestone cave of Leang Bulu' Sipong 4 (Sulawesi, Indonesia) that portrays several figures that appear to represent therianthropes hunting wild pigs and dwarf bovids; this painting has been dated to at least 43.9 ka on the basis of uranium-series analysis of overlying speleothems. This hunting scene is-to our knowledge-currently the oldest pictorial record of storytelling and the earliest figurative artwork in the world.

Built environment from the ancient Bali: The Balinese heritage for sustainable water management.

Custom and tradition played essential roles in developing the built environment among the Balinese Hindu society for centuries. The wisdom in managing the environment has passed through generations, as demonstrated by some ancient remnants and Old Balinese inscriptions. We observed that glorifying the mountains in this society has long been a part of protecting the hydrologic cycle. This practice even started in the pre-Hindu era, as shown by sacred megalithic features adjacent to the natural reservoir, water spring, and mountainous forest. At some point, the behavior has successfully passed through times and even developed into a more complex socio-cultural system such as subak. Nevertheless, Balinese society is now facing the threat of hydrological disasters, primarily due to a rapid change in land use. Here, we describe the importance of revealing the value behind the ancient Balinese water-management system to gain people's resilience and sustainability. Multidimensional scaling (MDS) was used to measure the sustainability index and the leverage factors affecting water tradition in Bali. We reveal that the inheritance of the Balinese people's water management tradition is generally weak in each dimension. The socio-cultural dimension score is relatively high, with a sustainability score of 71.11%, which signifies that the society still trusts their culture of water resources management to protect nature. However, the economy and ecology dimensions' score low, with sustainability scores of 56.12 and 63.34%, respectively, indicating the need for improvement in economic matters through the policy strategy. Moreover, our study also suggests that the noble value of the cultural heritage related to the water management system needs to be revitalized and disseminated to the public. Hence, the implication is not limited to conserving the natural environment and cultural heritage. It also provides a reference for the current society regarding a built environment in harmony with sustainability principles.

The effects of climate change on the Pleistocene rock art of Sulawesi.

The equatorial tropics house some of the earliest rock art yet known, and it is weathering at an alarming rate. Here we present evidence for haloclasty (salt crystallisation) from Pleistocene-aged rock art panels at 11 sites in the Maros-Pangkep limestone karsts of southern Sulawesi. We show how quickly rock art panels have degraded in recent decades, contending that climate-catalysed salt efflorescence is responsible for increasing exfoliation of the limestone cave surfaces that house the ~ 45 to 20-thousand-year-old paintings. These artworks are located in the world's most atmospherically dynamic region, the Australasian monsoon domain. The rising frequency and severity of El Niño-induced droughts from anthropogenic climate change (that is, higher ambient temperatures and more consecutive dry days), combined with seasonal moisture injected via monsoonal rains retained as standing water in the rice fields and aquaculture ponds of the region, increasingly provide ideal conditions for evaporation and haloclasty, accelerating rock art deterioration.