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BACKGROUND: This study explores the impacts of attacks perpetrated in the context of armed conflict, to female health workers in three Colombian territories. METHODS: We conducted a document review of the reports and databases of the Colombian Truth Commission, 17 in-depth semi-structured interviews with experts on the national and regional armed conflict and the medical mission, and 26 female health workers who were victims of attacks. RESULTS: Experts and female health workers reported attacks to health activities, facilities, equipment, and personnel, including attacks to traditional doctors belonging to indigenous communities. The most frequent attacks were threats and retention of health personnel; theft of supplies and medicines; damage and use of infrastructure and means of transport for purposes other than health care; and hinderance of health service provision. The attacks occurred in a framework of structural violence that intersects with poverty, racism, and gender bias. The impacts of these attacks include gender-based violence, significant disruption of the lives of health workers, and physical, emotional, psychological, social, and economic effects on the victims and their families. The government response to protect victims and populations has been absent or insufficient. CONCLUSIONS: Attacks to health care were reported in all the studied territories obstructing adequate health care. Impacts of these attacks affect negatively the professional and personal life of the workers and are aggravated by structural violence and absent or little institutional response.

The article is dedicated to the study of the structural flaws and deficiencies of Article 435-1 of the Criminal Code of Ukraine, "Insult to the Honor and Dignity of a Serviceman, Threat to a Serviceman," which, under the Law of Ukraine "On Amendments to Certain Legislative Acts of Ukraine on Strengthening Criminal Liability for the Manufacture and Distribution of Prohibited Information Products" No. 2110-IX, which came into force on March 16, 2022 (hereinafter referred to as Law No. 2110-IX), was included in Section XIX of the Criminal Code of Ukraine "Criminal Offenses Against the Established Order of Military Service (Military Criminal Offenses)." The author analyzed the disposition of Article 435-1 of the Criminal Code of Ukraine and highlighted several contentious issues, in particular: the placement of the article in Section XIX of the Criminal Code of Ukraine, which does not correspond to the generic object of this criminal offense and its subject composition, as a result of which the jurisdiction of the criminal offense provided for in Article 435-1 of the Criminal Code of Ukraine falls simultaneously under two pre-trial investigation bodies, such as the Security Service of Ukraine and the State Bureau of Investigation; the presence in the disposition of the article of an unnecessary limitation regarding the duration and the range of servicemen to whom this article applies. The impact and consequences of the existing shortcomings on the practical application of the examined provision are described, such as the violation of the principle of legal certainty and the ambiguity of the legal norm, as well as the unclear mechanism for the application of such a norm in practice. Based on the analysis, the author provided recommendations for eliminating the shortcomings described in the article through legislative improvement of this norm, namely: moving the norm to Section I of the Criminal Code of Ukraine by supplementing it with an independent article; adjusting the disposition of the article by expanding the range of persons who can be victims of this criminal offense, as well as removing the wording "armed aggression of the Russian Federation" from the disposition and supplementing it with more general formulations like "armed aggression" and "armed conflict.". [ABSTRACT FROM AUTHOR]

Background: The convergence of global demographic changes and rising humanitarian crises in low- and middle-income countries (LMICs) has raised the number of affected older people (OP). These individuals face the challenges of aging and the adverse conditions of disasters, particularly pronounced in LMICs. This review aims to explore literature on the health and well-being of older populations during humanitarian crises in LMICs. Methods: This scoping review included primary studies on the health and well-being of older populations in humanitarian crises in LMIC. A search was conducted in five bibliographic databases last updated in 2023. A numerical summary and thematic analysis of study characteristics and themes were executed and findings were narratively synthesized. Results: A total of 84 eligible studies were included. The majority of studies were quantitative (n = 56), followed by qualitative (n = 22) and mixed-methods (n = 6). Most literature focuses on the high burden of mental health conditions and their determinants, such as depression, anxiety, and Post-Traumatic Stress Disorder (PTSD). The second most common theme is physical health, discussing high levels of mortality, disability, some non-communicable diseases, and limited evidence on the poor nutritional status. OP lack access to routine healthcare due to cost barriers. The key gaps in the literature are in mental and psychosocial health, especially pertaining to vulnerabilities and risk factors, and to contextualized interventions. Physical health research is relatively narrow lacking a wider range of chronic diseases while no research was performed on communicable diseases other than COVID-19. Conclusions: Findings show the complex vulnerabilities of OP in humanitarian crises which exacerbate their physical, mental, and psychosocial health outcomes. There is a need to strengthen evidence on the effectiveness of interventions, and to investigate determinants of health, especially mental and psychosocial health, across different contexts. Research should also explore cross-cutting issues like gender, access to livelihoods, and equitable access to humanitarian assistance. [ABSTRACT FROM AUTHOR]

Background: War causes severe suffering and harm to the civilian population. Knowledge about civilian injury patterns constitutes a part of the dimensioned planning and preparedness for medical care and civilian defence in times of war. This systematic review is conducted on request from The Swedish National Board of Health and Welfare and includes civilian injury patterns in modern war. Methods: The aim of the study is to describe civilian injury patterns in war 1973–2023. We have conducted a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The protocol has been registered 2023-05-06 in PROSPERO (CRD4202321483). Results: The search resulted in 3455 identified articles. 1226 of those were duplicates. 2229 studies were assessed, and 1817 papers were excluded. 412 papers went through full text assessment resulting in 63 remaining papers. Injuries to the extremities constitutes 50%, followed by head injuries (26%) and injuries to the chest (18%). Notably, 23% of the wounded are children. Discussion: There is no standardized classification or method to report and describe civilian war injuries and the injury panorama. Variations in how the injuries were reported made synthesis of the results difficult. In the present survey we haven't investigated mortalities and causes of death. Reliable data from recent wars, such as the ongoing war in Ukraine and Gaza, was missing from the open literature. Conclusions: The distribution of injuries seems comparable with data from World War II and the conflict in Korea. There is no standardized simple protocol to report civilian injuries in war. Ideally, a protocol should include even the severity impact of the injuries. Knowledge of civilian injury pattern and estimate of the total number of wounded is important to plan the civilian health care capabilities in war time. [ABSTRACT FROM AUTHOR]

The article is devoted to the analysis of the institute of control in international law as one of the elements for attributing the behaviour of a separatist entity or other anti-governmental organisation to the state in the process of bringing the latter to international legal responsibility for internationally wrongful acts, primarily massive human rights violations. The author emphasises the growing importance of the issue of control in the context of modern armed conflicts, where ‘proxy’ forces are increasingly used, acting formally independently but in fact controlled by states. This raises new challenges for international law, especially in the area of human rights protection, including during armed conflicts, and State responsibility. The article examines the provisions of some international instruments relating to the responsibility of States for internationally wrongful acts, and in particular those provisions which provide for attribution of conduct of individuals or groups of individuals acting ‘at the direction’, or ‘under the direction’, or ‘under the control’ of the State. The article discusses three main concepts of control, namely: strict control, effective control and general control. The authors analyse in detail the history of the emergence and development of each concept, as well as explain the main differences between them, and reveal their strengths and weaknesses. It is argued that strict control requires complete dependence of the organisation on the state, while effective control allows for autonomy of the organisation, but requires a certain influence of the state on its actions. Overall control emphasises the importance of structured interaction between the state and the group. The authors provide examples of the application of these concepts in the practice of international justice bodies, including the International Court of Justice, the European Court of Human Rights, and the International Criminal Tribunal for the Former Yugoslavia, highlighting the difference in approaches to assessing control and responsibility of states. These examples demonstrate the difficulty of proving a certain level of control, which affects the resolution of disputes in international courts. [ABSTRACT FROM AUTHOR]

The research of wartime diplomacy is becoming increasingly important under the influence of global challenges that threaten international security and stability. This study is devoted to the investigation of wartime diplomacy as a tool for the peaceful settlement of international disputes. The article provides a theoretical and legal research of wartime diplomacy in the context of pacific settlement of international disputes. The fundamental international legal acts that enshrine the basic principles of pacific settlement of international disputes are processed and their content is characterized. The main criteria for distinguishing between diplomatic and judicial means of resolving international disputes are proposed: the legal framework, the form of implementation, the subjects of influence and the nature of the result achieved. A brief historical discourse on the formation of the institution of diplomacy is formed and approaches to the definition of the concept of “diplomacy” are detailed. By using general scientific and special, empirical and theoretical, quantitative and qualitative methods of scientific research, the phenomenon of wartime diplomacy is detailed through the prism of the proposed criterias, in particular, identifies the features of this category through its legal framework, forms of implementation, subjects of influence and the nature of the achieved results. The purpose of wartime diplomacy is formulated. The goals, forms and methods of wartime diplomacy in the context of the issues under study are highlighted. The research also examines the wartime diplomatic tools aimed at preventing or resolving international conflicts, in particular: diplomatic conferences, сonsultations, congresses, meetings. Particular attention is paid to “peace conferences” as means of implementing military diplomacy, and three types of peace conferences aimed at resolving conflicts are distinguished: a conference that either follows a “major” conflict or is held to negotiate the termination of one of them; a conference to promote “general” world peace or to mitigate and resolve the outbreak of a conflict; global conferences [ABSTRACT FROM AUTHOR]

The article examines the qualification features of illegal deprivation of liberty or abduction of a person by a representative of the authorities under martial law. It is concluded that the qualification of illegal deprivation of liberty or abduction of a person by a representative of the authorities in the conditions of martial law has been not the subject of an indepe ndent scientific analysis. The aim of the research is to determine the algorithm for the qualification of illegal actions of a representative of the authorities, which are related to the illegal deprivation of liberty or abduction of a person under martial law. To realize the aim of the article, the following scientific methods have been used, such as: formaldogmatic one has been used for legal analysis of the powers of servicemen of the Territorial centers of recruitment and social support and policemen during mobilization measures; the method of comparative analysis makes it possible to compare the degree of social danger of individual criminal offenses associated with liberty deprivation of a person by a representative of the authorities; the statistical method makes it possible to determine the quantitative indicators of individual criminal offenses related to the deprivation of liberty of a person by a representative of authorities. The methods of analysis and synthesis makes it possible to propose specific algorithms for criminal offenses qualification related to the deprivation of liberty of a person by a representative of the authorities. The research emphasizes that the mechanism of limiting constitutional human rights and freedoms in Ukraine under martial law conditions does not determine the possibility of limiting the rights and freedoms guaranteed in Art. 29 (right to freedom and personal integrity), Art. 55 (right to judicial protection), Art. 62 (presumption of innocence), Art. 63 (right to protection) of the Constitution of Ukraine. It was established that due to incorrectly set priorities and the absence of a clear mechanism for the implementation of mobilization norms, some representatives of the authorities distorted the mobilization by committing criminal offenses, in particular, illegal deprivation of liberty or abduction of a person. Artificial latency of criminal offenses related to mobilization committed by representatives of the authorities has been established. Qualification algorithms of the government representative actions who commits certain illegal actions during mobilization under martial law are proposed, such as: according to Art. 365 of the CC of Ukraine; Part 5 of Art. 426-1 of the CC of Ukraine; according to Part 1 of Art. 146-1 of the CC of Ukraine; according to Art. 186 of the CC of Ukraine; according to Art. 187 of the CC of Ukraine; according to Art. 397 of the CC of Ukraine. [ABSTRACT FROM AUTHOR]

The article is devoted to the analysis of the provisions of international human rights law and international humanitarian law regarding the protection of the right to property, in particular the permitted limitations of this right, the relevant practice of international human rights courts and international criminal tribunals, the connection between the institution of derogation and the law of armed conflicts, as well as problematic issues of the protection of the right to property damaged during the russian-Ukrainian armed conflict. The author considers the provisions of some international treaties, which provide for the protection of the right to own property in peacetime, as well as the case-law of the European Court of Human Rights related to the violation of the right of applicants to own their property in accordance with Protocol No. 1 to the Convention on the Protection of Human Rights and Fundamental Freedoms in connection with an international armed conflict or a situation of occupation. The author also analyzes the provisions of some sources of international humanitarian law regarding property as an object that must be protected during armed conflicts, in particular in occupied territories, and also provides examples of cases of international criminal tribunals, in whose decisions the destruction of property was recognized as a component of crimes against humanity. The author examines the question of the relationship between the sources of international human rights law and international humanitarian law in the context of the protection of the right to peaceful possession of property. The peculiarities of the institution of derogation in the context of the right to property in the conditions of an international armed conflict are analyzed. Ukraine's derogation from its obligations under international human rights treaties, including the right to peaceful possession of property, in the conditions of russian armed aggression, is studied. In addition, in the context of the armed conflict between Ukraine and russia, the objects of property rights and the interested subjects of the right to property, which is violated or limited as a result of military operation, are singled out, and the collective dimension of the right to property, which was damaged during the russian-Ukrainian armed conflict, was investigated. [ABSTRACT FROM AUTHOR]

The scientific article is dedicated to the study of international and foreign practices of compensation for war crimes. The article analyzes legal mechanisms and tools used for compensating victims of war crimes in various countries of Europe and the world. The main focus is on the practice of international courts, such as the International Criminal Court (ICC), as well as national judicial institutions that handle war crime cases. Specific cases and decisions that have influenced the development of law enforcement practices in this area are examined. One of the key aspects of the work is the analysis of international treaties and conventions that regulate compensation issues, including the Convention on the Non-Applicability of Statutory Limitations to War Crimes and Crimes Against Humanity, as well as the Rome Statute of the ICC. Various compensation models are considered, including monetary compensation, rehabilitation, and other forms of reparation. The article also explores the role of non-governmental organizations and international funds in the process of compensating war crime victims. The effectiveness of different approaches and mechanisms used to ensure justice and restore the rights of victims is ana lyzed. The work pays attention to the problems and challenges faced by law enforcement agencies when handling war crime cases, as well as the prospects for improving the international legal mechanism for protecting the rights of victims. The research is based on the analysis of specific cases, court decisions, and legal acts, allowing conclusions to be drawn about the current state and possible ways of developing the compensation system for war crimes. Thus, the article contributes to the scientific discussion on improving the mechanisms of legal protection for victims of war crimes and ensuring justice in in ternational law. [ABSTRACT FROM AUTHOR]

Cultural heritage is, today, particularly exposed to the devastation resulting from natural phenomena, but it is even more exposed to the destruction caused by man-made ones. Consequently, it is critical to adopt suitable and concrete provisions for its preservation and conservation. The conflict that has been raging in Ukraine since February 2022 has spotlighted problems related to cultural heritage, which is increasingly considered a military target. Digital transformation and technologies integrated with legal tools can contribute to making the system of protection and recovery of cultural assets more effective and efficient by redefining methodologies to safeguard and interact with them. This paper proposes a framework for integrating legal and digital tools that are functional for the preservation, conservation, and enhancement of cultural heritage. To define it, on the one hand, the legal instruments in force were analysed, and on the other, a literature review on the digital technologies currently available was carried out. The role of digital transformation in the cultural sphere was also examined, especially in light of Ukraine's experience with the application of digital technologies to protect and recover cultural heritage during the current conflict. [ABSTRACT FROM AUTHOR]

For decades, the armed conflict in Colombia has profoundly impacted across various domains, causing psychosocial, economic, environmental, political, and moral damages throughout the country. One of the most affected sectors has been education, which involves all stakeholders within the educational system, particularly teachers who have directly or indirectly experienced this violence. This article, stemming from research on the resignification of armed conflict and peacebuilding, focuses on how teachers have transformed these impacts into educational actions that contribute to peacebuilding. We analysed the experiences and reflections of 412 participating teachers on-site in five conflict-affected zones in Colombia. Four main categories emerged: (1) psychosocial actions, (2) responsible teaching practices, (3) pedagogical actions, and (4) discussion and reflection spaces. These findings reveal insights not only about the actions that foster peace through school activities but also those within homes and, importantly, the work on oneself. While these actions may not be adopted by all teachers and do not guarantee immunity against future violent events, we believe this analysis could greatly benefit humanity. It prepares us to prevent and confront various forms of aggression, while also assisting in reframing everyday events that could nurture a vulnerable society suffering in silence. [ABSTRACT FROM AUTHOR]

Background: The ongoing armed conflict in Sudan has caused mass displacement, affecting mental health. This study aimed to assess the prevalence of posttraumatic stress disorder (PTSD) and trauma among refugees, internally displaced, and nondisplaced people, while also examining the link between displacement type, PTSD severity, and associated factors. Methods: This cross-sectional study used the Posttraumatic Stress Disorder Checklist for DSM-5 to assess PTSD symptoms and the General Health Questionnaire-28 to evaluate depression. Data were collected from 642 participants, targeting general social media groups for those within Sudan and specific groups for refugees outside the country. Sociodemographic and trauma event data were also gathered. Data analysis was conducted using SPSS, applying one-way ANOVA and independent t-tests to compare PTSD and depression. Binary logistic regression identified associations between sociodemographic factors and PTSD symptoms. Results: Among the 642 participants, 46.3% were internally displaced people (IDP), 42.1% were refugees, and 11.7% were non-displaced individuals. Clinically significant PTSD symptoms were identified in 36.6% of the participants. Refugees had a significantly greater percentage of traumatic events (M = 4.31, SD = 2.605, p <.01). Depression symptoms were found to be strongly associated with clinically significant PTSD (p <.001). Factors significantly linked to depression symptoms included female gender (p = 0.015), being single (p = 0.048), younger age (p = 0.036), dissatisfaction with living conditions (p < 0.001), and unemployment (p = 0.021). Dissatisfaction with living conditions also significantly influenced the likelihood of developing PTSD (p <.001). Conclusion: The study found that 36.6% of participants experienced PTSD, with refugees having a 1.4 times greater risk of developing PTSD compared to IDP and non-displaced individuals. Traumatic events were moderately correlated with PTSD symptoms, though non-displaced individuals had higher exposure to such events. These findings highlight the need for targeted mental health interventions, particularly for refugees and those affected by traumatic events. Further research using probability sampling is necessary to confirm these results and inform more effective mental health policies and programs for displaced populations. [ABSTRACT FROM AUTHOR]

It is indicated that the realization of rights and freedoms is the practical implementation by citizens and other participants of social life of the demands provided for by the constitutional norms to satisfy requests and needs or obtain the necessary material and spiritual benefits in the manner established by law. Therefore, the mechanism for the realization of rights and freedoms is, first of all, a complex procedural and legal order for the realization of rights, freedoms and obligations, in which the law establishes a certain algorithmic nature of the order of implementation, its procedure: the sequence of actions of the bearer of rights and freedoms and the obliged subjects rights, as well as the content of these actions, the implementation of which is aimed at the most complete and accurate use of the right or freedom. In the opinion of the authors, since the factors influencing the consolidation of the value guidelines of the constitutional system are usually found at each specific stage of the development of the state, and which certainly affect the content of the principles in general, and the principles of the constitutional system in particular, the above list should be supplemented, at least one is the level of ensuring national security of the state. Considering the above, according to the authors, it would be quite logical to take advantage of the situation of potential reform of the fundamental principles of the constitutional system. Within the scope of the research, taking into account the issue of violation of the state sovereignty of our country, the modernized Constitution of Ukraine is intended to become a nationwide political and legal treaty and a fundamental law of national law. At the same time, the amended Constitution of Ukraine must ensure the proper implementation of all value guidelines of the constitutional system: people's sovereignty, human rights, the rule of law in relation to the universal principles of modern constitutionalism - legality, proportionality, legal certainty, responsibility and subsidiarity in the legal provision of rights and freedoms person and citizen, the independence and impartiality of the court, the prohibition of the retroactive effect of the law, etc. (which are now doctrinally considered as components of the principle of the rule of law). [ABSTRACT FROM AUTHOR]

Background: Internally displaced persons (IDPs) in Nigeria face a high burden of mental health disorders, with limited access to evidence-based, culturally relevant interventions. Life skills education (LSE) is a promising approach to promote mental health and psychosocial well-being in humanitarian settings. This study aims to evaluate the effectiveness and implementation of a culturally adapted LSE program delivered through in-person and mobile platforms among IDPs in Northern Nigeria. Methods: This cluster-randomized hybrid type 2 effectiveness-implementation trial will be conducted in 20 IDP camps or host communities in Maiduguri, Nigeria. Sites will be randomly assigned to receive a 12-week LSE program delivered either through in-person peer support groups or WhatsApp-facilitated mobile groups. The study will recruit 500 participants aged 13 years and older. Intervention effectiveness outcomes include the primary outcome of change in post-traumatic stress disorder (PTSD) symptoms assessed using the PCL-5 scale, and secondary outcomes of depression, anxiety, well-being, and life skills acquisition. Implementation outcomes will be assessed using the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM). Both sets of outcomes will be compared between the in-person and mobile delivery groups. Quantitative data will be analyzed using mixed-effects linear regression models, while qualitative data will be examined through reflexive thematic analysis. The study will be guided by the Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM) framework. Discussion: The RESETTLE-IDPs study addresses key gaps in the evidence base on mental health interventions for conflict-affected populations. It focuses on underserved IDP populations, evaluates the comparative effectiveness of in-person and mobile-delivered LSE, and incorporates implementation science frameworks to assess contextual factors influencing adoption, fidelity, and sustainability. The study employs a community-based participatory approach to enhance cultural relevance, acceptability, and ownership. Findings will inform the development and scale-up of evidence-based, sustainable mental health interventions for IDPs in Nigeria and other humanitarian contexts. Trial sponsor: Dalhousie University, 6299 South St, Halifax, NS B3H 4R2, Canada. Trial registration: ClinicalTrials.gov, NCT06412679 Registered 15 May 2024. [ABSTRACT FROM AUTHOR]

Background: Supportive social connections are a crucial determinant of the mental health and adjustment of youth in conflict-torn regions. Conflict-affected youth face particular risks to their well-being due to high levels of trauma exposure and perpetration of violent acts as members of armed groups and post-conflict discrimination. However, little is known about the possible protective role of close relationships with caregivers in the aftermath of trauma. This study examined whether a higher perceived quality of relationships with caregivers would attenuate the associations between exposure to traumatic experiences and four indicators of adjustment (posttraumatic stress symptoms [PTSS], emotional problems, behavioural problems, criminal behaviour) in a sample of 268 war-affected youth (61.2% male, Mage = 16.31 years) living in Bukavu, Democratic Republic of Congo. More than half of the present sample (56.7%) were former members of armed groups. Methods: Data were collected using quantitative structured interviews and analyzed through regression models using the PROCESS macro. Results: Higher cumulative trauma exposure was significantly related to higher levels of PTSS and emotional problems, while more frequent perpetration of war-related violence was significantly related to higher levels of PTSS, behavioural problems, and criminal behavior. The perceived quality of relationships with caregivers significantly moderated the associations between youth's cumulative trauma exposure and all four outcomes. At higher perceived quality of relationships with caregivers, the associations between trauma exposure and emotional problems, behavioural problems, and criminal behaviour were no longer significant and the association with PTSS was significantly weakened. Higher perceived quality of relationships with caregivers was also directly significantly related to lower levels of mental health problems and criminal behaviour. Conclusions: The findings suggest that interventions that focus on strengthening relationships with caregivers are crucial for supporting the mental health and functioning of youth who experienced and perpetrated war-related violence. [ABSTRACT FROM AUTHOR]

Background: Evidence generated on utilization of maternal health services during times of conflict can inform the development of targeted interventions. The deadly war in Tigray caused the health system to collapse. However, utilization of maternal health services is not well documented that might help in design effective interventions applicable during armed conflict. Thus, this study aimed to assess maternal health service utilization and bridge the gap in healthcare provision and support during conflict.. Methods: A community-based cross-sectional survey was conducted among mothers of children under the age of 1 year in six accessible zones of Tigray from August 4–20, 2021. The study participants were selected through a random sampling method. The study was conducted during the armed conflict where the access to health services was limited due to the damaged and looted health facilities. A descriptive study was used to characterize the study population and data were presented using proportions and percentages. A Chi-square test was used for categorical variables and a P-value of 0.05 was considered significant.. Results: A total of 4,381 participants were included in the study. Modern contraceptives were used by 1002 (22.9%) of women, and injectable contraceptives were the most common method used by 472 (47.1%) women. Likewise, only 830 (36.5%),1956 (47.1%), and 623 (15.0%) respondents reported the use of optimal antenatal care (ANC), skilled delivery, and postnatal care (PNC) in the first 24 h by mothers, respectively. About 34% of women received comprehensive abortion care services. Most delivery services took place in hospitals. Residence has shown a significant difference in using maternal health services at p-value < 0.001. Conclusion: The conflict in Tigray has had a profound impact on maternal health services, resulting in a significant disruption that is disproportionately high in rural areas. Immediate action is required to provide access to lifesaving interventions for basic maternal health services. The timely initiation of these services is crucial in addressing the pressing needs of pregnant women and their infants. By implementing comprehensive and targeted interventions, we can mitigate the potential long-term consequences and ensure that maternal health services are effectively reinstated. [ABSTRACT FROM AUTHOR]

A growing literature has documented widespread variation in the extent to which insurgents provide public goods, collect taxes, and regulate civilian conduct. This paper offers what is, to our knowledge, the first study of the long-term economic legacies of rebel governance. This effect is theoretically unclear. Rebel governance may generate incentives for households to expand production and accumulate resources. However, rebel rule may be too unstable to maintain such incentives. We explore empirically the effect of rebel rule on households' economic resilience using a longitudinal dataset for Colombia. Results show a positive relation between wartime rebel rule and the ability of households to cope with weather shocks in the post-war period. Households in regions where armed groups were present but exercised limited or no intervention fare worse. This effect is associated with infrastructure improvement led by armed groups, their intervention in dispute adjudication, and their close interactions with local populations. [ABSTRACT FROM AUTHOR]

Climate change stands out as an especially pressing global concern. The aim of the present study was to explore whether climate change worry decreases during armed conflicts, using two time-points: before and during an armed conflict. Guided by the Transactional Theory of Stress and Coping (TTSC), we examined the interplay between risk appraisal, pro-environmental behaviors (PEBs), and climate change worry. A sample of 202 Israeli adults participated in two waves of data collection, completing self-report measures addressing climate change worry, risk appraisal, and PEBs. Results revealed a significant decline in climate change worry and risk appraisal during the armed conflict, whereas PEBs remained unchanged. Contrary to expectations, the associations between risk appraisal, PEBs, and climate change worry did not weaken during the conflict. Mediation analyses indicated that the decline in risk appraisal led to a decline in PEBs, which subsequently contributed to a decline in climate change worry. However, this mediation effect was partial, with most of the association remaining direct. These findings imply that the psychological impact of armed conflict may temporarily overshadow environmental concerns, emphasizing the need for strategies to maintain environmental awareness and behavior even during an armed conflict. [ABSTRACT FROM AUTHOR]

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The impact of the active hostilities associated with Russia's large-scale armed invasion of the territory of Ukraine on soil degradation as a result of military actions has resulted in soil damage due to heavy military armored vehicles. Debris from destroyed military equipment, ammunition, and fuel remnants lead to multi-factor damage to the soil system, causing local and global pollution and losses of soil resources. In all the studied cases, mechanical, chemical, and physical soil degradation were observed. This was manifested in changes in granulometric fractions at explosion sites, burning areas, and locations with heavy-metal contamination. Equipment incineration has resulted in an increase in the sand fraction (2.0–0.05 mm) by 1.2–1.8 times and a decrease in the clay fraction (<0.002 mm) by 1.1–1.2 times. The soil contamination levels with regard to heavy metals significantly surpass health standards, with the highest pollution levels observed for Pb, Zn, and Cd. Across all affected areas, changes occurred in the microbiome structure (a 20.5-fold increase in the proportion of mycelial organisms), microbiological process activity was suppressed (a 1.2-fold decrease), microbial biomass (a 2.1-fold decrease) was reduced, and high soil toxicity (99.8%) was observed. Explosions and the pyrolysis of armored vehicles have a significant impact on soil mesobiota and plants. The results indicate the existence of complex interactions between various factors in the soil environment post-explosion, significantly affecting soil health. [ABSTRACT FROM AUTHOR]

Abstract Background The convergence of global demographic changes and rising humanitarian crises in low- and middle-income countries (LMICs) has raised the number of affected older people (OP). These individuals face the challenges of aging and the adverse conditions of disasters, particularly pronounced in LMICs. This review aims to explore literature on the health and well-being of older populations during humanitarian crises in LMICs. Methods This scoping review included primary studies on the health and well-being of older populations in humanitarian crises in LMIC. A search was conducted in five bibliographic databases last updated in 2023. A numerical summary and thematic analysis of study characteristics and themes were executed and findings were narratively synthesized. Results A total of 84 eligible studies were included. The majority of studies were quantitative (n = 56), followed by qualitative (n = 22) and mixed-methods (n = 6). Most literature focuses on the high burden of mental health conditions and their determinants, such as depression, anxiety, and Post-Traumatic Stress Disorder (PTSD). The second most common theme is physical health, discussing high levels of mortality, disability, some non-communicable diseases, and limited evidence on the poor nutritional status. OP lack access to routine healthcare due to cost barriers. The key gaps in the literature are in mental and psychosocial health, especially pertaining to vulnerabilities and risk factors, and to contextualized interventions. Physical health research is relatively narrow lacking a wider range of chronic diseases while no research was performed on communicable diseases other than COVID-19. Conclusions Findings show the complex vulnerabilities of OP in humanitarian crises which exacerbate their physical, mental, and psychosocial health outcomes. There is a need to strengthen evidence on the effectiveness of interventions, and to investigate determinants of health, especially mental and psychosocial health, across different contexts. Research should also explore cross-cutting issues like gender, access to livelihoods, and equitable access to humanitarian assistance.

Abstract Background War causes severe suffering and harm to the civilian population. Knowledge about civilian injury patterns constitutes a part of the dimensioned planning and preparedness for medical care and civilian defence in times of war. This systematic review is conducted on request from The Swedish National Board of Health and Welfare and includes civilian injury patterns in modern war. Methods The aim of the study is to describe civilian injury patterns in war 1973–2023. We have conducted a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The protocol has been registered 2023-05-06 in PROSPERO (CRD4202321483). Results The search resulted in 3455 identified articles. 1226 of those were duplicates. 2229 studies were assessed, and 1817 papers were excluded. 412 papers went through full text assessment resulting in 63 remaining papers. Injuries to the extremities constitutes 50%, followed by head injuries (26%) and injuries to the chest (18%). Notably, 23% of the wounded are children. Discussion There is no standardized classification or method to report and describe civilian war injuries and the injury panorama. Variations in how the injuries were reported made synthesis of the results difficult. In the present survey we haven’t investigated mortalities and causes of death. Reliable data from recent wars, such as the ongoing war in Ukraine and Gaza, was missing from the open literature. Conclusions The distribution of injuries seems comparable with data from World War II and the conflict in Korea. There is no standardized simple protocol to report civilian injuries in war. Ideally, a protocol should include even the severity impact of the injuries. Knowledge of civilian injury pattern and estimate of the total number of wounded is important to plan the civilian health care capabilities in war time.

Cultural heritage is, today, particularly exposed to the devastation resulting from natural phenomena, but it is even more exposed to the destruction caused by man-made ones. Consequently, it is critical to adopt suitable and concrete provisions for its preservation and conservation. The conflict that has been raging in Ukraine since February 2022 has spotlighted problems related to cultural heritage, which is increasingly considered a military target. Digital transformation and technologies integrated with legal tools can contribute to making the system of protection and recovery of cultural assets more effective and efficient by redefining methodologies to safeguard and interact with them. This paper proposes a framework for integrating legal and digital tools that are functional for the preservation, conservation, and enhancement of cultural heritage. To define it, on the one hand, the legal instruments in force were analysed, and on the other, a literature review on the digital technologies currently available was carried out. The role of digital transformation in the cultural sphere was also examined, especially in light of Ukraine’s experience with the application of digital technologies to protect and recover cultural heritage during the current conflict.

Abstract Background The ongoing armed conflict in Sudan has caused mass displacement, affecting mental health. This study aimed to assess the prevalence of posttraumatic stress disorder (PTSD) and trauma among refugees, internally displaced, and nondisplaced people, while also examining the link between displacement type, PTSD severity, and associated factors. Methods This cross-sectional study used the Posttraumatic Stress Disorder Checklist for DSM-5 to assess PTSD symptoms and the General Health Questionnaire-28 to evaluate depression. Data were collected from 642 participants, targeting general social media groups for those within Sudan and specific groups for refugees outside the country. Sociodemographic and trauma event data were also gathered. Data analysis was conducted using SPSS, applying one-way ANOVA and independent t-tests to compare PTSD and depression. Binary logistic regression identified associations between sociodemographic factors and PTSD symptoms. Results Among the 642 participants, 46.3% were internally displaced people (IDP), 42.1% were refugees, and 11.7% were non-displaced individuals. Clinically significant PTSD symptoms were identified in 36.6% of the participants. Refugees had a significantly greater percentage of traumatic events (M = 4.31, SD = 2.605, p

Background. Ongoing military conflicts in various regions of the world have a significant negative impact on women’s health, including access to health services, maternal mortality and general well-being. Objective of the review: to provide a comprehensive understanding of the multifaceted impact of war on refugee women, highlighting key areas such as physical health, mental health, reproductive health and access to basic services. Analysis of literary data. Numerous barriers faced by women in armed conflict are considered. The main problems include insufficient transport connections, financial constraints, poor quality of medical services and cultural norms. The destruction of the health care infrastructure, the lack of medicines and personnel significantly limit the availability of reproductive health care services. These factors contribute to an increase in the number of home births without qualified support, which increases the risk of maternal and child mortality. Also important is the psychological impact of war, including stress, depression and post-traumatic stress disorder, which are common among pregnant women. In addition, malnutrition and environmental toxins further complicate the situation, undermining the health of women and newborns. Thus, conflict-induced food insecurity leads to malnutrition among pregnant and lactating women, causing adverse health outcomes such as anemia, low birth weight, and increased susceptibility to infections. Exposure to environmental toxins from modern weapons, such as heavy metals, poses long-term health risks to pregnant women and their babies. In particular, toxins can affect the emotional and cognitive development of children. Conclusions. This review highlights the urgent need for comprehensive health services, integrated medical and psychosocial support, and targeted interventions to address these challenges. Improving access to quality health care, ensuring food security and mitigating environmental risks are critical to improving maternal and child health.

This article presents the main features of the historical genesis of the international security paradigm shift from its institutionalisation to the present day. It is shown that such genesis is sinusoidal in nature and related to the well-known 'Kondratiev waves', except that, unlike the latter, it is not economic in nature, but security in nature. In a historical and geopolitical context, five successive shifts in the international security paradigm (Pre-Systemic, Westphalian, Vienna, Versailles, Yalta-Potsdam, Unipolar) are distinguished as a normatively recognised system of international relations of war and peace, based on all countries' adherence to universally recognised principles and norms of international law, as enshrined in relevant international treaties. The main factors of the end of the era of the unipolar world and the growing role of 'fragile' states in the international security environment as potential objects of international military interventions and spaces for the deployment of local conflicts and wars were characterised. It was concluded that the war in Ukraine is a key trigger for a new paradigm shift in international security and the emergence of a new system of international relations, and that the outcome of the Russian-Ukrainian war will determine the 'starting positions' and strong arguments in the hands of the United States of America and its allies against China and its allies during the inevitable new global security conference on the creation of a new world order.

Abstract Background Internally displaced persons (IDPs) in Nigeria face a high burden of mental health disorders, with limited access to evidence-based, culturally relevant interventions. Life skills education (LSE) is a promising approach to promote mental health and psychosocial well-being in humanitarian settings. This study aims to evaluate the effectiveness and implementation of a culturally adapted LSE program delivered through in-person and mobile platforms among IDPs in Northern Nigeria. Methods This cluster-randomized hybrid type 2 effectiveness-implementation trial will be conducted in 20 IDP camps or host communities in Maiduguri, Nigeria. Sites will be randomly assigned to receive a 12-week LSE program delivered either through in-person peer support groups or WhatsApp-facilitated mobile groups. The study will recruit 500 participants aged 13 years and older. Intervention effectiveness outcomes include the primary outcome of change in post-traumatic stress disorder (PTSD) symptoms assessed using the PCL-5 scale, and secondary outcomes of depression, anxiety, well-being, and life skills acquisition. Implementation outcomes will be assessed using the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM). Both sets of outcomes will be compared between the in-person and mobile delivery groups. Quantitative data will be analyzed using mixed-effects linear regression models, while qualitative data will be examined through reflexive thematic analysis. The study will be guided by the Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM) framework. Discussion The RESETTLE-IDPs study addresses key gaps in the evidence base on mental health interventions for conflict-affected populations. It focuses on underserved IDP populations, evaluates the comparative effectiveness of in-person and mobile-delivered LSE, and incorporates implementation science frameworks to assess contextual factors influencing adoption, fidelity, and sustainability. The study employs a community-based participatory approach to enhance cultural relevance, acceptability, and ownership. Findings will inform the development and scale-up of evidence-based, sustainable mental health interventions for IDPs in Nigeria and other humanitarian contexts. Trial sponsor Dalhousie University, 6299 South St, Halifax, NS B3H 4R2, Canada. Trial registration ClinicalTrials.gov, NCT06412679 Registered 15 May 2024.

Abstract Background Supportive social connections are a crucial determinant of the mental health and adjustment of youth in conflict-torn regions. Conflict-affected youth face particular risks to their well-being due to high levels of trauma exposure and perpetration of violent acts as members of armed groups and post-conflict discrimination. However, little is known about the possible protective role of close relationships with caregivers in the aftermath of trauma. This study examined whether a higher perceived quality of relationships with caregivers would attenuate the associations between exposure to traumatic experiences and four indicators of adjustment (posttraumatic stress symptoms [PTSS], emotional problems, behavioural problems, criminal behaviour) in a sample of 268 war-affected youth (61.2% male, Mage = 16.31 years) living in Bukavu, Democratic Republic of Congo. More than half of the present sample (56.7%) were former members of armed groups. Methods Data were collected using quantitative structured interviews and analyzed through regression models using the PROCESS macro. Results Higher cumulative trauma exposure was significantly related to higher levels of PTSS and emotional problems, while more frequent perpetration of war-related violence was significantly related to higher levels of PTSS, behavioural problems, and criminal behavior. The perceived quality of relationships with caregivers significantly moderated the associations between youth’s cumulative trauma exposure and all four outcomes. At higher perceived quality of relationships with caregivers, the associations between trauma exposure and emotional problems, behavioural problems, and criminal behaviour were no longer significant and the association with PTSS was significantly weakened. Higher perceived quality of relationships with caregivers was also directly significantly related to lower levels of mental health problems and criminal behaviour. Conclusions The findings suggest that interventions that focus on strengthening relationships with caregivers are crucial for supporting the mental health and functioning of youth who experienced and perpetrated war-related violence.

The human losses in the conflict in Ukraine can and should be carefully analysed in order to understand how this war, which risks spreading to the eastern border of NATO member countries, will continue. The authors studied publications (books, articles, studies) published, in the view of some authors, abroad and in the country, analysing the human losses suffered by the two belligerents, by stages of the armed conflict. By studying and analysing how the losses occurred and comparing them according to the tactics and operational strategy used by the two belligerents, the authors have put forward considerations and conclusions regarding the possibility of each of them to continue fighting, knowing that human losses in war significantly influence the achievement of victory.

Abstract Background Evidence generated on utilization of maternal health services during times of conflict can inform the development of targeted interventions. The deadly war in Tigray caused the health system to collapse. However, utilization of maternal health services is not well documented that might help in design effective interventions applicable during armed conflict. Thus, this study aimed to assess maternal health service utilization and bridge the gap in healthcare provision and support during conflict. . Methods A community-based cross-sectional survey was conducted among mothers of children under the age of 1 year in six accessible zones of Tigray from August 4–20, 2021. The study participants were selected through a random sampling method. The study was conducted during the armed conflict where the access to health services was limited due to the damaged and looted health facilities. A descriptive study was used to characterize the study population and data were presented using proportions and percentages. A Chi-square test was used for categorical variables and a P-value of 0.05 was considered significant. . Results A total of 4,381 participants were included in the study. Modern contraceptives were used by 1002 (22.9%) of women, and injectable contraceptives were the most common method used by 472 (47.1%) women. Likewise, only 830 (36.5%),1956 (47.1%), and 623 (15.0%) respondents reported the use of optimal antenatal care (ANC), skilled delivery, and postnatal care (PNC) in the first 24 h by mothers, respectively. About 34% of women received comprehensive abortion care services. Most delivery services took place in hospitals. Residence has shown a significant difference in using maternal health services at p-value

Introduction. Contemporary armed conflicts are characterized by a multifaceted blend of combat strategies, encompassing conventional and unconventional weaponry, regular and irregular forces, terrorist actions and acts of organized crime, indiscriminate violence and outside international law. Material and methods. A retrospective bibliographic study was conducted on the evolution of combat strategies employed by the U.S. Armed Forces, NATO member countries, and international UN Peacekeeping Operations over the past 25 years. Results. The way of organizing and providing medical assistance in local military conflict differs from the principles governing medical support in major armed conflicts. The staging of the treatment system and the evacuation of the wounded follows a crucial time-based framework known as the '10-1-2(+2)' rule: "10"– immediate measures to stop bleeding within 10 minutes of the injury; "1" – evacuation to the medical treatment facility capable of performing resuscitation and stabilizing vital functions.; "2" – timely transfer to a medical formation equipped for Damage Control Surgery and Resuscitation within 2 hours of the injury; "+2" – performing the surgical intervention, stabilization of vital functions, and diagnostic preparations for strategic evacuation within 4 hours of the injury. Conclusions. Resulting from the specific particularities of the local military conflict, the planning of medical support as well as the complex treatment and evacuation measures, force health protection, and medical logistics, require adaptation to the real tactical and medical situation created.

BACKGROUND: Colombia has experienced decades of conflict between the government and non-state actors. Attacks on healthcare have been a grave but regular facet of that violence. In response, the Misión Médica (MM) program was developed to support, protect, and defend healthcare. Sporadic violence continues, with many recent attacks perpetrated not by armed actors but by residents. Given the history of conflict and ongoing violence, we sought to capture the perspectives of both healthcare workers (HCWs) and community members (CMs) regarding the characteristics and impacts of attacks on health in Colombia to gain insight into how to better prevent violence and mitigate its impacts. METHODS: A cross-sectional survey was conducted from January to March 2021 in seven departments in Colombia in regions that witnessed attacks on healthcare. Questionnaires were administered to HCWs and CMs via purposive sampling, probing their experiences with attacks on health with both closed and open-ended questions. The categorical responses were stratified by health worker vs. non-health worker and descriptively analyzed. Narrative responses were analyzed via a hybrid deductive/inductive thematic approach. RESULTS: Seventy-three individuals participated in the study (36 HCWs and 37 cm). Approximately 77% of HCWs believed that attacks on healthcare impacted health outcomes while 68% of CMs did not see a direct connection between violence against healthcare and poor health outcomes. Awareness of the MM program was significantly different between HCWs (83.3%) and CMs (37.8%). The survey responses explored the characteristics of attacks on health, compounded impacts of violence on the health system, personal impacts, and perspectives on mitigation efforts. CONCLUSIONS: The study demonstrates that: (1) attacks on healthcare are context-dependent and require a local lens for mitigation and management; (2) both HCWs and CMs have critical perspectives that must be considered, (3) the impacts of violence against healthcare are complex and compounded and (4) that awareness of the legal protections of the Geneva Conventions must be combined with education on the health impacts for robust protection strategies. Critically, Both CMs and HCWs experience fear and psychosocial ramifications of these attacks, suggesting the need for stronger protections and resources to support the health workforce and the local community.

Civilian mass-casualty disasters and armed conflict share many features, including the fact that both maximally challenge multidisciplinary burn teams. Rigorous training is required to build teams and systems that can respond effectively. One of the critical but potentially overlooked components of readiness for crisis care is a robust clinical research program. Rather than stalling progress, disasters and conflict over the last 100 years consistently energized advances in care. This was made possible by the hard work of our predecessors to learn from the crisis in the midst of the crisis, and resulted in significant reductions in postburn mortality. Now, further work is needed not only to maintain these improvements in mortality, but also to understand the long-term functional outcomes and to improve the quality of life of burn survivors. Clinical research programs to address these issues must be established now, so that we are optimally prepared for the next conflict or disaster.

The purpose of the article is to identify the peculiarities of combating collaborationism in the context of armed conflicts and to highlight the main areas for improving criminological policy in this area. It is established that collaborationism, in a broad sense, is a complex criminal phenomenon that arises as a result of the interaction of subjects of the communication process (individuals, certain organisations) or voluntary or forced cooperation with the aggressor. In a narrow sense, it is an act, the characteristics of which are defined, in particular, in Art. 111-1 of the Criminal Code of Ukraine and which undermine the national security of Ukraine, pose a direct threat to the state sovereignty, territorial integrity, constitutional order and other national interests of Ukraine, and/or constitute conscious, voluntary and deliberate cooperation with the enemy in its interests and/or to the detriment of the state and its allies in the form of public denial by a citizen of Ukraine of armed aggression against Ukraine, establishment and confirmation of the temporary occupation of a part of the territory of Ukraine, or public calls by a citizen of Ukraine to support the decisions and/or actions of the aggressor state, armed formations and/or occupation administration of the aggressor state, to cooperate with the aggressor state, armed formations and/or occupation administration of the aggressor state, not to recognise the extension of the state sovereignty of Ukraine to the temporarily occupied territories of Ukraine. It is emphasised that with the entry into force of the Laws of Ukraine "On Criminalisation of Collaboration" and "On Amendments to the Criminal Code and the Code of Criminal Procedure of Ukraine to Improve Liability for Collaboration and Peculiarities of Application of Preventive Measures for Crimes Against the Fundamentals of National and Public Security" (2022), Ukraine has generally created a legal framework for preventing collaboration in the state. Results. The analysis has revealed the existence of problematic issues in countering collaboration in the current context of the armed conflict in Ukraine and allowed to propose ways of solving them, in particular the need to amend the sanctions of the Criminal Code to classify collaboration as a serious crime, since according to the Criminal Procedure Code the vast majority of covert investigative actions are carried out exclusively in criminal proceedings for serious or particularly serious crimes. These amendments will make it possible to properly document the criminal actions of "collaborators" and to significantly expand the legal scope of evidence collection in these crimes to include not only educational, but also cultural, athletic and sports institutions in the scope of collaboration, which will make it possible to investigate the dissemination of information in educational, cultural, sports and physical culture institutions aimed at distorting facts, historical culture and/or events, as such assimilation of Ukrainian children may lead to the loss of their national identity. It is expedient to change the construction of the provision, which is in line with the principle of legal certainty, and define the prohibited types of legal activities. Such a list is also provided for in the Law of Ukraine "On Ensuring Civil Rights and Freedoms, and the Legal Regime on the Temporarily Occupied Territory of Ukraine" (2014); Article 111-1 of the Criminal Code of Ukraine provides for alternative jurisdiction for pre-trial investigation of a criminal offence. In particular, in criminal proceedings on collaboration, the pre-trial investigation is carried out by the investigator of the body that initiated the investigation.

Efforts made to restore the degraded landscape of the Tigray region, Northern Ethiopia, over the last three decades have been relatively successful. However, an armed conflict that broke out in the region in November 2020 has significantly destroyed the restored vegetation, either directly associated with conflict (environment, pollution, fire) or indirectly (agricultural abandonment). This study aimed at assessing spatio-temporal changes in vegetation cover in a 50 km radius zone centered on Mekelle city, Tigray. Vegetation cover dynamics was evaluated using Landsat Enhanced Thematic Mapper Plus (ETM+) and Operational Land Imager (OLI) datasets for the years 2000, 2020, and 2022 and analysed using ENVI 5.3 and ArcGIS 10.8.1 software. These data were analysed using the Modified Normalized Difference Vegetation Index (MNDVI), Optimized Soil Adjusted Vegetation Index (OSAVI), and Moisture Adjusted Vegetation Index (MAVI). Based on the MNDVI, results show that vegetation cover increased in the period 2000–2020 by 179 km2 or 2% of the area, whereas in the period 2020–2022, there was a decrease in vegetation cover by 403 km2 or 5% of the area. This was accompanied by a decrease in vegetation density. These vegetation changes in 2020–2022 are attributed to the impact of armed conflict on the land surface which can include farmlands and village abandonment, spread of weeds and scrub vegetation, or failure to harvest crops. Monitoring vegetation change using Landsat data can help understand the environmental impacts of armed conflict in rural agricultural landscapes, including potential food security risks.

Abstract Background Over the past 20 years, Jewish and Bedouin civilians in southern Israel have faced the ongoing threat of missile attacks from Gaza, with possible mental health consequences. This study aimed to assess the prevalence of post-traumatic stress disorder (PTSD) among Jewish and Bedouin adult civilians in southern Israel in a period with few missile attacks from Gaza, and no military operations. Methods The study population included 389 participants (246 Jews, 143 Bedouins) living within 40 km/25 mi from Gaza for at least 2 years and interviewed between January and March 2023 (before the ongoing war that started on October 7th, 2023). The PTSD Checklist (PCL-5) was used, with a score of 33 as a cutoff point for the presence of PTSD. Results Compared to Jews, a significantly lower proportion of Bedouins reported accessibility to bomb shelters and siren warning systems. Overall, 20.3% of the respondents exhibited PTSD. Multivariate analysis revealed that after adjustment for demographic and household characteristics, Bedouins had a six-fold significantly higher probability of PTSD in comparison to Jews (OR 5.6, 95%CI 2.8–10.8). Compared to participants with high socioeconomic status (SES), participants with low SES had a six-fold significantly higher probability of PTSD (OR 6.0, 95%CI 2.2–16.5). Participants who did not have an alarm system had more than two-fold odds for PTSD (OR 2.3, 95%CI 1.1–5.5). Being single, living in urban areas, or having a disability significantly increased the probability of PTSD. Conclusions The findings of this study demonstrate a significantly higher prevalence of PTSD among the Bedouin population of Southern Israel. Several sociodemographic characteristics were associated with the increased prevalence of PTSD, the most prominent of which was low SES. Healthcare professionals and authorities should be proactive in screening for PTSD, and provide tailored treatment and support, taking into account ethnical and cultural background. Authorities should address the disparity in bomb shelter access and siren warning coverage between Bedouin and Jewish communities.

This study investigates the spatial effects of armed conflict on Sub-Saharan Africa's (SSA) economic growth, focusing on Central Africa, East Africa, and West Africa. Utilizing Spatial Durblin Model (SDM), the analysis reveals significant spatial effects of armed conflict intensity, indicating that conflict in neighboring countries influences conflict levels within a focal country. The study finds a weak or inconclusive relationship between GDP per capita (GDPpc) and conflict intensity, with East Africa showing a significant negative association, suggesting that higher economic prosperity in neighboring countries may mitigate conflict. Conversely, higher corruption levels in Central and West Africa are positively associated with increased conflict intensity, highlighting corruption's destabilizing influence. Spatial lag SDM results suggest potential benefits of regional economic cooperation in reducing conflict intensity. Moreover, significant positive spatial autocorrelation underscores the interconnected nature of conflict within SSA, with West Africa exhibiting more pronounced spatial spillover effect. Findings from Spatial Autoregressive (SAR) models confirm the weak association between GDPpc and conflict intensity but emphasize the consistent positive association between corruption and conflict intensity. Additionally, the Spatial Error Model (SEM) reaffirms corruption's detrimental impact on governance and stability. Additionally, the hypothesis of a significant difference in the effect of armed conflict across different SSA subregions is supported, with Central Africa experiencing the strongest negative impact on economic growth, followed by East and West Africa. The study highlights substantial regional heterogeneity in the economic consequences of armed conflict, emphasizing the need for regionally tailored policy interventions to address conflict-related economic disruptions in SSA. [ABSTRACT FROM AUTHOR]

While uncertainty has been a key explanation for very low fertility throughout Europe, few studies have analysed how macro-level uncertainty trickles down to shape how people think about having children. Most research focuses on economic uncertainty, not political or social uncertainty. We address these gaps with qualitative data from Ukraine, which has experienced extreme political uncertainty and, for the past decade, armed conflict. Ukraine also had exceptionally low fertility, with an estimated total fertility rate of 1.17 in 2021. In July 2021, we conducted 16 online focus groups on topics related to childbearing with informants living in urban and rural areas in Eastern Ukraine, including areas of Donetsk province that were outside Ukrainian government control. Half the groups consisted of persons displaced by the 2014 Donbas war. The discussions revealed distinct patterns whereby experiences of displacement, the simmering armed conflict, and economic problems combined to produce and intensify uncertainties that discouraged couples from having more than one child. Some blamed the government or delved into conspiracy theories. Armed conflict generates its own forms of uncertainty that interact with persistent economic challenges, dampening fertility. [ABSTRACT FROM AUTHOR]

Objective: To investigate the repercussions of the war in Ukraine on people with epilepsy (PWE), focusing on access to health care, seizure control, quality of life (QoL), psychological distress, anxiety, and depression; and to identify the key factors influencing these measures. Methods: Consecutive PWE, ≥18 years of age, presenting to one of seven health centers across Ukraine were invited to complete a self‐administered survey in 2023. The survey gathered information on clinical and demographic aspects, geographic displacement, and access to care and medications. It also contained five valid questionnaires exploring psychological distress (Kessler‐10), QoL with the EuroQOL‐5D‐5L (EQ‐5D‐5L), depression with the Neurological Disorders in Epilepsy scale (NDDIE), anxiety with the Hospital Anxiety and Depression Scalae‐Anxiety (HADS‐A), and epilepsy severity with the Global Assessment of the Severity of Epilepsy scale (GASE). Multivariate linear regression models assessed the relationship between measures of mental health and QoL and their potential predictors. Ethical approval was obtained from the Institute of Neurology, Psychiatry and Narcology of NAMS of Ukraine, Ukraine. Results: Among 305 participants (mean age 38 years), 40% were female and 44% had to change residence because of the war. Seizures worsened during the war in 52% of those with active epilepsy and 42% of those with well‐controlled epilepsy. Difficulties accessing health care and anti‐seizure medications occurred in 25% and 34% of PWE, respectively, and was worse among those who were displaced. According to the mental health instruments, 46% suffered psychological distress, 62% experienced anxiety, 50% were depressed, and 59% rated their epilepsy as somewhat severe or worse. Statistically significant predictors of psychological distress, anxiety, and depression included female gender, more severe epilepsy, increased seizures during the war, and requiring mental health support. Significance: The war significantly disrupted access to health care and availability of medication in PWE, who suffer from significant anxiety, depression, and psychological distress. We identify high‐risk factors that can guide resource allocation for prevention and treatment. [ABSTRACT FROM AUTHOR]

Cultural property includes immovable assets that are part of a nation's cultural heritage and reflect the cultural identity of a people. Hence, information about armed conflict's impact on historical buildings' structures and heritage sites is extremely important. The study aims to demonstrate the application of Earth observation (EO) synthetic aperture radar (SAR) technology, and in particular Sentinel-1 SAR coherence time-series analysis, to monitor spatial and temporal changes related to the recent Russian–Ukrainian war in the urban areas of Mariupol and Kharkiv, Ukraine. The study considers key events during the siege of Mariupol and the battle of Kharkiv from February to May 2022. Built-up areas and cultural property were identified using freely available OpenStreetMap (OSM) data. Semi-automated coherent change-detection technique (CCD) that utilize difference analysis of pre- and co-conflict coherences were capable of highlighting areas of major impact on the urban structures. The study applied a logistic regression model (LRM) for the discrimination of damaged and undamaged buildings based on an estimated likelihood of damage occurrence. A good agreement was observed with the reference data provided by the United Nations Satellite Centre (UNOSAT) in terms of the overall extent of damage. Damage maps enable the localization of buildings and cultural assets in areas with a high probability of damage and can serve as the basis for a high-resolution follow-up investigation. The study reveals the benefits of Sentinel-1 SAR CCD in the sense of unsupervised delineation of areas affected by armed conflict. However, limitations arise in the detection of local and single-building damage compared to regions with large-scale destruction. The proposed semi-automated multi-temporal Sentinel-1 data analysis using CCD methodology shows its applicability for the timely investigation of damage to buildings and cultural heritage, which can support the response to crises. [ABSTRACT FROM AUTHOR]

A 2018 United Nations report highlights the growing need for funding and assistance to the Lake Chad Basin (LCB). The food security crisis in the LCB is a blend of complex factors relating to the declining water of Lake Chad and protracted insecurity fanned by Boko Haram insurgency. Unfortunately, development agencies sometimes focus less on how the climate change-insecurity nexus is becoming increasingly consequential in explaining the LCB's profile in fragility. This paper considers the extent to which international agencies and nongovernmental organizations (INGOs) respond to multiple crises, integrating both climate change and security facets in their analysis and response to the food crisis besetting the LCB. Findings from interviews in Cameroon, Chad, and Niger reveal that NGOs fail to sufficiently take climate change into account in their policies and strategies, in that many food assistance programs are climate change neutral in content and focus. [ABSTRACT FROM AUTHOR]

It is indicated that the problems of the interaction of international humanitarian law and international human rights law lie in the different historical origins, evolution and application of these two branches of law. The complexity of the interaction between the IHL and the ICRC lies in their extraterritorial action and different personal spheres of application. IHL undeniably applies to international and non-international armed conflicts, regulating the conduct of states and armed groups, while the IHL is recognized as the basis of law in peacetime, but also applies in periods of conflict. Finding the points of intersection between international human rights law (IHRL) and international humanitarian law (IHL) in the context of armed conflicts is the main objective of this section. The merger of these two legal fields, traditionally divided into separate areas of responsibility in peacetime and wartime, has gained unprecedented importance in the legal analysis of modern conflicts. The impetus for the development of the new paradigm was the rapid evolution of the nature of war, characterized by the emergence of asymmetric warfare and the blurring of the boundaries between state and nonstate actors. Such transformations in the theater of war require a nuanced understanding of the legal instruments used in this context, which emphasizes the need for this analysis. The urgency of the issue is emphasized by the changing dynamics of international practice. The recognition by the International Court of Justice of the continued applicability of IHRL in conflict and the definition of IHL as lex specialis emphasizes that the legal landscape is in constant flux. At the heart of this analysis is the difficulty of determining the applicability of IHL, a task that is complicated by the problems of classifying conflicts as international or non-international. The principle of derogation - whereby states may temporarily suspend certain human rights obligations - creates an additional layer of complexity, affecting the interpretation and application of laws during armed conflict. Many provisions of international human rights conventions define the protected interest and then provide that any restrictions must be justified by reference to a list of aims, which varies from article to article and treaty to treaty, that are necessary for the achievement of the aim in question and are proportionate to its achievement. In this way, the IHRL provides a mechanism for balancing the requirements of individuals with those of others or the community itself. [ABSTRACT FROM AUTHOR]

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This article reflects on the history of cattle ranching in Colombia and how it was impacted by the armed conflict in the country and its regions, and the transformation amongst decades of forms of violence and actors involved in this scenario. To conduct the analysis, a review of academic literature on the relationship between cattle ranching and armed conflict in Colombia and some African countries was carried out. Subsequently, a database of 206 violent events related to cattle ranching was constructed, covering three decades of armed conflict (1980-2010), based on primary sources from reports, police evidence, and testimonies of two previous databases. This database contributed to the analysis of the impact of violence on the cattle ranching industry. Thus, this article contributes to the understanding of the history of cattle ranching in Colombia and to the complex transitional process in Colombia today. It demonstrates that productivity and effciency have not always been the prevailing principles in the history of the cattle industry, but that land tenure and accumulation have operated as a way of securing power by the agrarian and political elites of the country. Such approaches are crucial for comprehending the historical connection between conflict and cattle ranching, especially if the aim for this sector is to adapt to a logic of productivity and innovation in the contemporary world. Also, the findings show that further research on these topics, i.e., related to current environmental and social problems such as climate change, food security, and new social and geopolitical challenges, is needed. [ABSTRACT FROM AUTHOR]