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Purpose: The prevalence of armed conflicts in Africa seems commonplace, with little possibility to their end. This study aims to challenge a narrative that seem to consider ethnicity, or ethnic differences as the main causes of armed civil conflicts in Africa. This study argues that while ethnicity might play a role in conflict formation, ethnicity is simply a Trojan horse that is impishly presented as the main cause of armed conflicts in Africa.Design/Methodology: Data were collected from both primary and secondary sources. To evaluate the ethnicity vs. conflict nexus more conscientiously, this study provided two case examples: Ethiopia and Kenya, each providing distinct political trajectories.Findings: The study finds that ethnicity is not the main cause of armed conflicts in Africa; rather, the main causal factors are embedded in bad governance practices by political elites and their cronies. Notable is the practice of politics of power grab and marginalisation of certain groups to achieve Machiavellian ends. The additional causal factor is tied to external imperial exploitative motives of looting Africa’s natural resources, often using African puppets, bagmen and traitors of their own homeland. Thus, a combination of bad local governance practices and external economic interests is mainly what has led to a surge in armed civil conflicts in Africa.Originality/Value: The novelty of this study is that it challenges conventional political standpoints on the causes of ethnic-related conflicts and the solutions needed to end/reduce them. The study has achieved this by pushing the cloak of appreciating the scope and scale of Africa’s armed conflicts by advancing the argument that conflict management solutions lie inward rather than outward through the utilisation of local or homegrown conflict resolution mechanisms. Such local mechanisms must focus on addressing bad governance practices. The current penchant of relying on international or foreign mediatory systems as solutions is done merely at the behest of global politicking and, as such, only provides cosmetic solutions, hence themselves responsible for those protracted ethnic-related conflicts. [ABSTRACT FROM AUTHOR]

This study continues surveillance of antimicrobial resistance associated with combat injuries in Ukraine. To compare species composition, antibiotic resistance profiles, and emergence of new resistance genes between 2014–2020 and 2022–2023. This was a retrospective multi-centre microbiological survey in Ukrainian hospitals. Antibiotic susceptibility, whole-genome sequencing and multi-locus sequence typing were conducted on 154 organisms obtained from 125 casualties between 2022 and 2023. The data revealed a predominance of Gram-negative bacteria, particularly Acinetobacter baumannii (35.7%), Pseudomonas aeruginosa (14.9%) and Klebsiella pneumoniae (20.7%). High levels of carbapenem resistance were observed among A. baumannii {meropenem 72.2% [39/54, 95% confidence interval (CI) 58.4–83.5]; imipenem 66.7% (36/54, 95% CI 52.5–78.9)}, K. pneumoniae [meropenem 90.6% (29/32, 95% CI 75.0–98.0); imipenem 81.2% (26/32, 95% CI 63.6–92.8)] and P. aeruginosa [meropenem 47.8% (11/23, 95% CI 26.8–69.4); imipenem 60.8% (14/23, 95% CI 38.5–80.3)] strains. A. baumannii sequence type (ST)-78 and ST-400 were prevalent from 2014 to 2020, while five strains of ST-1077 were newly identified in 2022–2023. P. aeruginosa strains showed diversity across 16 STs, with ST-773 increasing in frequency and new STs emerging, but lacking carbapenemase genes. K. pneumoniae exhibited increased genetic diversity over time, with three STs from 2014 to 2020 and six new STs, including bla NDM-1 , bla OXA-48 and bla KPC2 carriers, in 2022–2023. The prevalence of multi-drug-resistant isolates with STs associated with a high risk of global dissemination is increasing. [ABSTRACT FROM AUTHOR]

Copyright of Arab Journal for Scientific Publishing is the property of Research & Development of Human Recourses Center (REMAH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Internally displaced persons in protracted displacement may not receive optimal social work services. Governments must refrain from implicitly 'ending' displacement and uphold social care policies that really work for the displaced. By doing so, social work services become more sensitive and life-changing among people displaced for longer periods of time. [ABSTRACT FROM AUTHOR]

Background: Armed conflicts are usually associated with high mortality and morbidity rates, with unpredictable workload, injuries and illnesses. Identifying emergency nurses' views of the core competencies required to enable them to work effectively in hospitals in areas of armed conflict is critical. It is important to inform the requisite standards of care and facilitate the translation of knowledge into safe, quality care. Aim: The aim of this study was to identify emergency nurses' perceptions of core competencies necessary to work in hospitals in the context of armed conflict. Method: A descriptive qualitative phase of a mixed‐method study using semi‐structured interviews with participants was conducted from June to July 2019. The COREQ guideline for reporting qualitative research was followed. Findings: A sample of 15 participants was interviewed. The participant perceptions provided a different perspective of core competencies required for emergency nurses in the context of armed conflict, culminating in four main areas: (i) personal preparedness , (ii) leadership, (iii) communication and (iv) assessment and intervention. Conclusion: This study identified emergency nurses' perceptions of their core competencies. Personal preparedness, leadership, communication, assessment and intervention were identified as contributing to calmness of character, confidence in care and cultural awareness for care in this setting and were essential for them to work effectively when managing victims of armed conflict in emergency departments. Implications for nursing practice and health policy: The findings of this study are important and novel because the researchers sought the perspectives of emergency nurses who have experience in receiving patients from armed conflict firsthand. The findings will inform policymakers in those settings regarding standard of care, education and drills for hospital nurses in optimizing armed conflict care response outcomes. [ABSTRACT FROM AUTHOR]

Separation from the family, deprivation from education, lack of access to nutrition, health, treatment, and humanitarian aid are examples of the dangers to disabled children during an armed conflict. The legal status of children with disabilities - who are considered to be the most vulnerable minorities during armed conflict due to their special circumstances - is an important issue in international humanitarian law in recent years. The present study seeks to answer the question: what are the rights of these children in armed conflict and how to ensure them? Our assumption is that by relying on relevant human-rights and humanitarian instruments in this area and the practical actions taken by the international community, the rights of these children is moving in a direction that puts them on an equal footing with others in terms of general humanitarian protection and prioritizes them in benefiting from the humanitarian aids. [ABSTRACT FROM AUTHOR]

Abstract Introduction Attacks on healthcare have further weakened the already fragile health system in the Central African Republic. We investigated attacks on healthcare in three conflict-affected prefectures—Ouaka, Haute-Kotto, and Vakaga—from 2016 to 2020. The study aim was to gain an in-depth understanding of the immediate and long-term effects of attacks on healthcare workers, facilities, supply chain, quality of care, and other components of the health system. We provide a qualitative description of the incidents, assess their impacts, identify mitigation efforts, and discuss challenges to recovery. Methods We used purposive and snowball sampling to identify participants in the study. Semi-structured key informant interviews were conducted with administrative and health authorities, front-line personnel, and staff of non-governmental organizations. Interviews were done in Sango, French, or English. Recorded interviews were transcribed and notes taken for non-recorded interviews. Transcripts and notes were analyzed using inductive coding, allowing participant responses to guide findings. Results Of 126 attacks identified over the study period, 36 key informants discussed 39 attacks. Attacks included killings, physical and sexual assault, abductions, arson, shelling with grenades, pillage, occupations, and verbal threats. The violence led to extended closures and debilitating shortages in healthcare services, disproportionately affecting vulnerable populations, such as children under five, or people who are elderly, chronically ill, or displaced. Healthcare workers faced psychological trauma and moral injury from repeated attacks and the inability to provide adequate care. Personnel and communities made enormous efforts to mitigate impacts, and advocate for assistance. They were limited by failed reporting mechanisms, ongoing insecurity, persistent lack of resources and external support. Conclusion Effective strategies to safeguard healthcare from violence exist but better support for communities and health workers is essential, including measures to assess needs, enhance security, and facilitate recovery by quickly rebuilding, resupplying, and re-staffing facilities. CAR’s government, international organizations, and donors should make concerted efforts to improve reporting mechanisms and end impunity for perpetrators. Their investment in community organizations and long-term health system support, especially for health worker training, salaries, and psychosocial care, are vital steps towards building resilience against and mitigating the impacts of attacks on healthcare.

In the aftermath of armed conflicts, societal expressions unfold through diverse communication channels, with Twitter. Individuals share these expressions, aiming for broader societal consumption, fostering interaction across impacted entities—individuals, businesses, organizations, and governments. This analytical endeavor aims to analyze interaction patterns responding to sociocultural factors and sentimentally charged content on Twitter in the context of the Russia-Ukraine conflict. This research employed a sequential mixed approach to examine social factors in user publications on Twitter and assess their impact on interactions, considering sentimental polarity. The qualitative phase involved netnographic exploration of a total of 2578 tweets, collected from users World Trade Organization since February 24, 2022, until March 31, 2022. The subsequent quantitative phase analyzed the relationship between social factors, sentimental polarity, and user interactions through decision tree analysis. The results show that notably, the categories MET-Mention (35.82%) and MSG-Message (35.82%) emerged as the most frequent Two interactions were the most common (52.5%). The primary theme discussed in the messages was Information with 52.99% of the twits. Negative polarity emerged as the factor triggering more engagement, resulting in higher interaction levels. The majority of interactions (52.5%) were characterized by two interactions. In conclusion, the dominance of the information category underscores the pivotal role of social media in disseminating information during global events. Furthermore, negative sentiment, is associated with conflict-related concerns, correlated with higher interaction levels.

Introduction: Attacks on healthcare have further weakened the already fragile health system in the Central African Republic. We investigated attacks on healthcare in three conflict-affected prefectures—Ouaka, Haute-Kotto, and Vakaga—from 2016 to 2020. The study aim was to gain an in-depth understanding of the immediate and long-term effects of attacks on healthcare workers, facilities, supply chain, quality of care, and other components of the health system. We provide a qualitative description of the incidents, assess their impacts, identify mitigation efforts, and discuss challenges to recovery. Methods: We used purposive and snowball sampling to identify participants in the study. Semi-structured key informant interviews were conducted with administrative and health authorities, front-line personnel, and staff of non-governmental organizations. Interviews were done in Sango, French, or English. Recorded interviews were transcribed and notes taken for non-recorded interviews. Transcripts and notes were analyzed using inductive coding, allowing participant responses to guide findings. Results: Of 126 attacks identified over the study period, 36 key informants discussed 39 attacks. Attacks included killings, physical and sexual assault, abductions, arson, shelling with grenades, pillage, occupations, and verbal threats. The violence led to extended closures and debilitating shortages in healthcare services, disproportionately affecting vulnerable populations, such as children under five, or people who are elderly, chronically ill, or displaced. Healthcare workers faced psychological trauma and moral injury from repeated attacks and the inability to provide adequate care. Personnel and communities made enormous efforts to mitigate impacts, and advocate for assistance. They were limited by failed reporting mechanisms, ongoing insecurity, persistent lack of resources and external support. Conclusion: Effective strategies to safeguard healthcare from violence exist but better support for communities and health workers is essential, including measures to assess needs, enhance security, and facilitate recovery by quickly rebuilding, resupplying, and re-staffing facilities. CAR's government, international organizations, and donors should make concerted efforts to improve reporting mechanisms and end impunity for perpetrators. Their investment in community organizations and long-term health system support, especially for health worker training, salaries, and psychosocial care, are vital steps towards building resilience against and mitigating the impacts of attacks on healthcare. [ABSTRACT FROM AUTHOR]

Judgment of sexual violences against Mayan women during the Armed Conflict in Guatemala remains neglected. Justice processes have yearned harassment of victims and judges, sentences overruled, and epistemological barriers distancing the Western judiciary system from Mayan women’s experiences of sexual violence. Judiciary expert reports suppose a dialogue opportunity between epistemic margins and Western hegemony, as they play the role of objectifying the experiences of victims via scientific research methods. Here, I show how using decolonial and communitarian feminism theoretical-methodological approaches builds epistemic bridges. I discuss that sexual offences targeted a subject whose existence supposes a threat to the State’s patriarch-colonialist, and misogynist-racist interests: Mayan women or Ixoq. I argue that sexual violence targeted against Mayan women must be understood as genocide, for it aims at Ixoq’s annihilation in the context of the Ladino Nation Project in 1980s Guatemala. This novel cartographic approach helps building epistemic bridges to ensure hermeneutic justice. [ABSTRACT FROM AUTHOR]

Introduction: Russia's invasion of Ukraine in February 2022 has severely impacted the healthcare system, including the provision of HIV care. The ongoing war is a human‐caused mass trauma, a severe ecological and psychosocial disruption that greatly exceeds the coping capacity of the community. The bioecological model of mass trauma builds on Bronfenbrenner's concept of interaction between nested systems to argue that social context determines the impact of life events on the individual and how an individual responds. This paper uses the bioecological model of mass trauma to explore the impact of Russia's aggression against Ukraine and the ongoing war on HIV‐positive people who use drugs in Ukraine, a particularly vulnerable population that may be negatively affected by disruptions to social networks, healthcare infrastructure and economic conditions caused by mass trauma. Methods: Data were collected between September and November 2022. A convenience sample of 18 HIV‐positive people who use drugs were recruited from community organizations that work with people living with HIV, drug treatment programmes, and HIV clinics through direct recruitment and participant referral. A total of nine men and nine women were recruited; the age ranged from 33 to 62 years old (mean = 46.44). Participants completed a single interview that explored how the war had affected their daily lives and access to HIV care and other medical services; their relationships with healthcare providers and social workers; and medication access, supply and adherence. Data were analysed using the Framework Method for thematic analysis. Results: The war had a profound impact on the social, emotional and financial support networks of participants. Changes in social networks, coupled with limited job opportunities and rising prices, intensified financial difficulties for participants. Relocating to different regions of Ukraine, staying at somebody else's home, and losing connections with social workers impacted medication adherence and created lengthy treatment gaps. Participants also experienced a decreased supply of antiretroviral therapy, concerns about accessing medication for opioid use disorder, and overwhelming fears associated with the war, which overshadowed their HIV‐related health concerns and negatively impacted medication adherence. Conclusions: Our analysis reveals the complex impact of war on social networks and healthcare access. Maintaining support networks and competent healthcare providers will be essential amid the ongoing war. [ABSTRACT FROM AUTHOR]

Veterans' quality of life (QoL) can be drastically affected by posttraumatic stress disorder (PTSD). We compared prolonged exposure therapy (PET) with metacognitive therapy (MCT) in their effects on quality of life (QoL) among veterans with post-traumatic stress disorder (PTSD). Overall, 57 veterans with PTSD were randomly assigned to three groups MCT (N = 17), PET (N = 17), and Control (N = 23). The 36-item short-form survey (SF-36) was used to evaluate QoL pretest, posttest, and after a 3-month follow-up. The MCT was based on the practice of detached mindfulness, controlling rumination/anxiety, and challenging negative beliefs about symptoms. The PET was based on in-vivo and imaginal exposure to trauma-related events, and discontinuation of avoidance-oriented coping strategies. Both MCT and PET groups significantly improved QoL at posttest and follow-up, compared with the control group (P <.001); however, the MCT and PET groups showed no significant difference at posttest (P =.644) or follow-up (P =.646). Our results support the efficacy of PET as the standard for PTSD treatment, while also signifying the effectiveness of MCT at increasing the QoL in war-related PTSD at a 3-month follow-up. [ABSTRACT FROM AUTHOR]

The rights of civilians during times of armed conflicts and wars must be maintained and must not be violated or encroached upon. Objectives: The current study aims to: )1( Clarifying the situation of civilians during armed conflicts throughout history. (2) Identifying the types of rights of civilians in times of armed conflicts. (3) Specifying the political and social rights of civilians during armed conflicts in Islamic Fiqh and international law. Methodology: The present study employs the descriptive method that is based on analysis while borrowing from both the deductive and inductive methods. Findings: The study at hand arrived at the following: (1) Islamic Fiqh established civilians’ rights during wars and armed conflicts including political and social rights. (2) Islamic Fiqh has precedence when it comes to the rights of civilians during such times, compared to International Law. (3) The application and maintenance of civilians’ rights during such times is considered a form of worship bringing Muslims closer to their Lord. (4) The text of International Law and the application thereof is subject to the fluctuations of political interests of major powers, international power balance and the hegemony of superpowers. Conclusion: Islam has precedence when it comes to the establishment of civilian rights during armed conflicts over International Law with regard to the same issue; moreover, Islam is superior to International Law in terms of the application of such rights and holding to account anyone that breaches or encroaches upon these rights. [ABSTRACT FROM AUTHOR]

Scant data are available on the link between armed conflicts and the development and spread of antimicrobial resistance. We performed a systematic review with the aim to summarize the available data on the prevalence and features of antibiotic resistance and the causes of antibiotic resistance development during armed conflicts in the 21st century. Data sources: PubMed and SCOPUS databases were searched from 1 January 2000 to 30 November 2023. Study eligibility criteria: Original articles reporting data on armed conflicts and antimicrobial resistance were included in this systematic review. No attempt was made to obtain information from unpublished studies. No language restriction was applied. Methods of data synthesis: Both quantitative and qualitative information were summarized by means of textual descriptions. Participants: Patients or soldiers deployed in armed conflict zones. Tests: culture-dependent antibiotic sensitivity testing or molecular detection of the genetic determinants of antibiotic resistance after a confirmed diagnosis of bacterial infection. Assessment of risk of bias: To evaluate the quality of the included studies, we adapted the tool recommended by the Joanna Briggs Institute. Thirty-four studies were identified, published between November 2004 and November 2023. The quality of included studies was high and medium in 47% and 53% of the studies, respectively. The included studies reported high infection and colonization rates of multidrug-resistant bacteria. Studies performed during the Eastern Ukraine conflict reported high rates of New Delhi metallo-β-lactamase producers. Our findings confirm that wars lead to a large pool of multidrug-resistant infections that could potentially spread. Infection control in healthcare facilities in conflict zones and proper antimicrobial stewardship are crucial. [ABSTRACT FROM AUTHOR]

Copyright of Cuadernos Europeos de Deusto is the property of Universidad de Deusto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cuadernos Europeos de Deusto is the property of Universidad de Deusto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article explores the challenges, case studies, critiques, and recommendations for implementing International Humanitarian Law (IHL) in conflict zones. It examines the foundational principles of IHL, including humanity, distinction, proportionality, and military necessity, which guide parties involved in armed conflicts. The complex relationship between IHL and state sovereignty is discussed, emphasizing the need to balance humanitarian norms with national sovereignty. Case studies of conflicts in Syria, Yemen, Myanmar, Israel-Palestine, and Iraq are analyzed to illustrate the complexities of implementing IHL. These conflicts demonstrate widespread violations of IHL, including attacks on civilians and the use of prohibited weapons, highlighting the urgent need for greater adherence to humanitarian norms. Critiques of IHL are examined, focusing on challenges such as the lack of enforcement mechanisms and the rise of non-state actors. In conclusion, the article stresses the importance of upholding and enforcing IHL to mitigate the humanitarian impact of armed conflicts and protect the rights of individuals affected by war. Addressing these challenges and implementing the recommendations outlined in this article can lead to a future where humanity, distinction, proportionality, and military necessity are upheld, safeguarding civilians and combatants from the devastating consequences of armed conflicts. [ABSTRACT FROM AUTHOR]

Objective: Suicide attempt (SA) is the strongest predictive variable for completed suicide. The Department of Cauca in Colombia has an SA rate higher than the national average, but the factors are unknown. The objective was to identify the profiles of SA in children and adolescents of Cauca. Methods: Cross-sectional study, which included all SA (Event-356) records from the SIVIGILA platform in children under 18 years of age between 2016 and 2019. The authors described the variables and multiple correspondence analysis (MCA) with the Burt method, according to the completeness of the data to establish the possible SA profiles using STATA 15.1, and R. The Ethics Committee at Universidad del Cauca approved it. Results: The study found 977 SA during this period, 72.4% female, 97.1% adolescent, 74.4% mestizo, 19.3% indigenous, 45.3% resided in municipalities exposed to the armed conflict, 32.3% expressed ideation and previous attempts, and 15.5% prior attempts. The MCA included 810 SA and identified three profiles: "Classic", which had mestizo adolescents with a history of prior SA, mental illness, or psychoactive substance use problems; "Related to the armed conflict", which included female adolescents with a first SA and residents in municipalities exposed to the armed conflict; "Ethnic" represented by male indigenous, with housing in a rural area. Conclusion: The SA profiles found in Cauca were "Classic", "Related to the armed conflict", and "Ethnic"; these can be considered to implement prevention strategies from a cross-cultural, mental health, and gender perspective, with the presence of the state in the territories. [ABSTRACT FROM AUTHOR]

Drones are changing the face of modern warfare and have emerged as a potent weapon of choice in recent wars, including in Nagorno-Karabakh and the ongoing conflicts in Ukraine and Gaza. The success of drones on the battlefield has spurred states to acquire UAVs for intelligence, surveillance, reconnaissance and targeting capabilities. In South Asia, the export of drones to India by extra-regional powers such as the United States and Israel is disturbing the regional military balance. The United States has approved the sale of 31 MQ-9B Reaper drones and missiles to India, while Israel has supplied the Indian military with Heron and Hermes 900 drones. In addition, India's DRDO has recently invested in building a home-grown industry that can design and assemble drones and indigenously make the components that go into the manufacturing process. In line with this, the Indian government has set the ambitious target of becoming a global drone hub by 2030. This research paper will employ Barry Buzan and Ole Wæver's Regional Security Complex Theory to understand how India's development and acquisition of high-tech drone technology contributes to security dilemma for Pakistan and imperils peace and stability in the region. [ABSTRACT FROM AUTHOR]

School violence and bullying are current and problematic events during adolescence. They are likely to have a marked presence in places highly exposed to armed conflict and violent environments, representing a double public health problem. The study aims to estimate the prevalence of different types of school violence perpetrated and experienced by school adolescents in a community with a history of exposure to armed conflict. Two thousand one hundred eighty-five school adolescents from a municipality in Colombia (males = 54.1%, 14–16 years = 38.6%) participated in the study. Nine educational institutions were included. A systematic random sampling was designed, with a proportional allocation of 35% within each school year from sixth to eleventh grade. The School Coexistence and Circumstances Affecting it—ECECA survey was applied. The prevalence and risks of bully and bullying were estimated. RRa were calculated with the 95% confidence interval adjusted for the other confounding variables. Analyses were constructed from generalized linear models, under the Poisson family and a logarithmic link function. We found a 9.3% of bullying victimization and a 3.5% prevalence of bully. A higher risk of bully was found among males, persons between 10 and 14 years of age, residents of rural or urban dispersed areas, residents of violent neighborhoods, alcohol consumers at school, and victims of aggression in childhood (RRa > 1.0, p -values <.05). The risk of victimization of bullying was higher in students younger than 15 years old, as residents of urban areas, having a history of childhood aggression, suffering abuse by a close person, and as alcohol users at school. This study provides evidence of risk factors for aggression and bullying that have implications for possible prevention measures in multiple social domains, including the individual, the family, and the school environment. [ABSTRACT FROM AUTHOR]

Copyright of Antalya Bilim University Law Review is the property of Antalya International University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Armed conflicts, as significant human phenomena, profoundly impact populations and reflect a state's capacity to fulfill its responsibilities. These conflicts arise from various causes, necessitating robust predictive models to understand their spatial distribution. This study employs the Bivariate Frequency Ratio (FR) method to spatially predict the occurrence of armed conflicts across the East African States, drawing on 42 political geography-related criteria. The development of the predictive model involved classifying the region into five conflict-prone categories influenced by critical political geography factors. Geospatial datasets, curated in a GIS environment, were sourced from approved online portals. The findings indicate that Burundi exhibits the highest vulnerability to armed conflict, followed closely by Rwanda, Uganda, and Somalia. Ethiopia and South Sudan show a moderate risk, while predictions for Zimbabwe, Zambia, and Mozambique suggest lower likelihoods of conflict. The model's accuracy was validated using the Receiver Operating Characteristic (ROC) curve, demonstrating its effectiveness. Furthermore, the model's applicability extends to other regions, offering a valuable tool for global conflict prediction.

Abstract Background Malnutrition poses a substantial challenge in Somalia, impacting approximately 1.8 million children. This critical issue is exacerbated by a multifaceted interplay of factors. Consequently, this study seeks to examine the long-term and short-term effects of armed conflicts, food price inflation, and climate variability on global acute malnutrition in Somalia. Methods The study utilized secondary data spanning from January 2015 to December 2022, sourced from relevant databases. Two distinct analytical approaches were employed to comprehensively investigate the dynamics of global acute malnutrition in Somalia. Firstly, dynamic autoregressive distributed lag (ARDL) simulations were applied, allowing for a nuanced understanding of the short and long-term effects of armed conflicts, food price inflation, and climate variability on malnutrition. Additionally, the study employed kernel-based regularized least squares, a sophisticated statistical technique, to further enhance the robustness of the findings. The analysis was conducted using STATA version 17. Results In the short run, armed conflicts and food price inflation exhibit positive associations with global acute malnutrition, particularly in conflict-prone areas and during inflationary periods. Moreover, climatic variables, specifically temperature and rainfall, demonstrate positive associations. It is important to note that temperature lacks a statistically significant relationship with global acute malnutrition in the short run. In the long run, armed conflicts and food price inflation maintain persistent impacts on global acute malnutrition, as confirmed by the dynamic ARDL simulations model. Furthermore, both temperature and rainfall continue to show positive associations with global acute malnutrition, but it is worth noting that temperature still exhibits a non-significant relationship. The results from kernel-based regularized least squares were consistent, further enhancing the robustness of the findings. Conclusions Increased armed conflicts, food price inflation, temperature, and rainfall were associated with increased global acute malnutrition. Strategies such as stabilizing conflict-prone regions, diplomatic interventions, and peace-building initiatives are crucial, along with measures to control food price inflation. Implementing climate adaptation strategies is vital to counter temperature changes and fluctuating rainfall patterns, emphasizing the need for resilience-building. Policymakers and humanitarian organizations can leverage these insights to design targeted interventions, focusing on conflict resolution, food security, and climate resilience to enhance Somalia's overall nutritional well-being.

Abstract The conflict in Gaza presents distinct difficulties that significantly impact the psychological well-being of healthcare workers (HCWs) making it imperative to understand and address their mental health needs in this specific context. This article highlights the unique challenges of the ongoing Gaza conflict and its critical impact on the mental health of HCWs. Observations in the paper revealed that HCWs in Gaza face extraordinary challenges, including the targeting of medical facilities, severe shortages of medical supplies, and the ethical dilemmas of providing care in such constrained conditions. These factors contribute to heightened stress, anxiety, and a pervasive sense of helplessness among HCWs. The paper also notes the compounded emotional burden due to the loss of colleagues and the need to navigate complex interactions with patients’ families under extreme conditions. Furthermore, the lack of basic needs like adequate nutrition and safe drinking water for HCWs themselves further compromises their ability to provide care effectively, contributing further to worsened mental health. The paper also notes the lack of sufficient media coverage and support for these workers, contributing to a sense of isolation and neglect. HCWs in Gaza find themselves in a uniquely challenging situation, one that is marked not only by the immediate stresses of the ongoing conflict but also by the deep-seated psychological scars from past wars. The circumstances in Gaza are clinically relevant as they directly affect the HCWs’ ability to provide care and maintain their well-being. These findings highlight the need for targeted mental health interventions and support tailored to the specific challenges faced by HCWs in Gaza. Addressing these issues is crucial for their well-being and ability to provide effective healthcare under such demanding and traumatic circumstances.

ABSTRACTArmed conflicts in Africa have serious harmful impacts on human well-being. Existing evidence on whether economic aid (Official Finance, OF) reduced conflicts is diverse and contested. China has become one of the world’s largest overseas financiers. Taking the impacts of China’s OFs on conflict-related mortality risk (CRMR) as a case study is representative of addressing the issue. Combining the data of China’s OFs covering 52 African countries with armed conflict data from 2000 to 2017, we employ the instrumental variable and two-stage least squares estimation to explore the relationship between China’s OFs and CRMR. Our results indicate an 18% decrease (95% confidence interval (CI): 2–34%) in CRMR in a year after the OF commitment for a 1% increase in OF amounts. The OFs in social infrastructures (e.g. health, education and civil society) had greater positive impacts on the CRMR reduction than those in economic and production sectors. More pronounced effects of OFs are observed on small-scale state-based conflicts, in countries with low-level road infrastructures than their counterparts. Our findings give the references for policy-makers to optimize the pathway of the OFs for providing better relief to war-torn regions.

Background: Malnutrition poses a substantial challenge in Somalia, impacting approximately 1.8 million children. This critical issue is exacerbated by a multifaceted interplay of factors. Consequently, this study seeks to examine the long-term and short-term effects of armed conflicts, food price inflation, and climate variability on global acute malnutrition in Somalia. Methods: The study utilized secondary data spanning from January 2015 to December 2022, sourced from relevant databases. Two distinct analytical approaches were employed to comprehensively investigate the dynamics of global acute malnutrition in Somalia. Firstly, dynamic autoregressive distributed lag (ARDL) simulations were applied, allowing for a nuanced understanding of the short and long-term effects of armed conflicts, food price inflation, and climate variability on malnutrition. Additionally, the study employed kernel-based regularized least squares, a sophisticated statistical technique, to further enhance the robustness of the findings. The analysis was conducted using STATA version 17. Results: In the short run, armed conflicts and food price inflation exhibit positive associations with global acute malnutrition, particularly in conflict-prone areas and during inflationary periods. Moreover, climatic variables, specifically temperature and rainfall, demonstrate positive associations. It is important to note that temperature lacks a statistically significant relationship with global acute malnutrition in the short run. In the long run, armed conflicts and food price inflation maintain persistent impacts on global acute malnutrition, as confirmed by the dynamic ARDL simulations model. Furthermore, both temperature and rainfall continue to show positive associations with global acute malnutrition, but it is worth noting that temperature still exhibits a non-significant relationship. The results from kernel-based regularized least squares were consistent, further enhancing the robustness of the findings. Conclusions: Increased armed conflicts, food price inflation, temperature, and rainfall were associated with increased global acute malnutrition. Strategies such as stabilizing conflict-prone regions, diplomatic interventions, and peace-building initiatives are crucial, along with measures to control food price inflation. Implementing climate adaptation strategies is vital to counter temperature changes and fluctuating rainfall patterns, emphasizing the need for resilience-building. Policymakers and humanitarian organizations can leverage these insights to design targeted interventions, focusing on conflict resolution, food security, and climate resilience to enhance Somalia's overall nutritional well-being. [ABSTRACT FROM AUTHOR]

Educational video games have emerged as innovative tools that seamlessly integrate learning with interactive entertainment, offering immersive virtual environments where individuals of all ages can engage with complex real-world scenarios, such as armed conflicts. Based on a literature review, this paper analyzes the opportunities and challenges associated with the use of educational video games in the context of armed conflicts--particularly the Colombian conflict. Furthermore, it highlights their potential to foster critical understanding of historical and social events and examines the evaluation methods used in existing literature to assess their teaching effectiveness. To that end, the study involved three phases: a preliminary literature review, a systematic review following the PRISMA methodology, and a bibliometric analysis using R Studio software. From an initial sample of 250 documents, 100 were selected based on rigorous inclusion criteria. The results show that educational video games can transform teaching and learning by fostering reflection, encouraging critical debate, and promoting the development of critical thinking and empathy. However, the analysis also identified ethical and technical challenges in the implementation of these tools, along with the need for multidimensional evaluations to ensure their effectiveness in diverse educational settings. [ABSTRACT FROM AUTHOR]

This analysis investigates whether solidarity is an appropriate concept for thinking about justifications for a just distribution of bioethical goods in the international arena. This will be explored by looking at the national origins of the idea of justifying solidarity in the form of the health care that welfare states offer. Following that, 'life' and 'health' will be placed within a philosophical context by focusing on the main arguments of John Rawls and Amartya Sen and the role of solidarity in these two theories of justice will be analysed. It will be shown that these theories assume that solidarity is not a prerequisite for just international structures. Finally, the possibility will be discussed, that there is a degree of uncertainty surrounding justifications for fair distribution in the international context that can result when the concepts of solidarity and justice are handled imprecisely. [ABSTRACT FROM AUTHOR]

While Early Childhood Education and Care (ECEC) play a crucial role in children's and parents' ability to maintain routines, their impact during armed conflicts remains understudied. During a 10-day military operation in Israel involving missile launches, we conducted an online survey among parents of children aged 1–7, to assess the relationship between ECEC closures during the security threat and parental stress, family interactions, and children's difficulties. Among 146 families experiencing 'a few' alarms, results indicated that when ECEC were closed, parents reported increased distress, negative parent-child interactions, and heightened difficulties among children. Positive interactions and book readings, however, showed no significant differences. Additionally, linear regressions involving 474 parents revealed that open ECEC were associated with reduced distress, even when accounting for background characteristics and external threat levels. This underscores the importance of ECEC during stressful times, serving as a crucial 'buffer' to reduce stress at home and maintain a routine. [ABSTRACT FROM AUTHOR]

Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article examines the evolution of international legal standards aimed at defining responsibility for violations of laws and customs of war from the second half of the 19th century to the first half of the 20th century. It emphasizes that war is undoubtedly one of the most dreadful events that can impact people's lives and society. However, if it is not controlled or conducted in accordance with international norms and standards, its consequences can be even more devastating and catastrophic. Since the beginning of the full-scale armed aggression of the Russian Federation against Ukraine, the term «violation of laws and customs of war» has become widespread. Responsibility for such actions is provided for by Article 438 of the Criminal Code of Ukraine. However, the criminalization of this act is not related to Ukraine's domestic legal order, as violations of laws and customs of war are an international crime that causes serious harm to people, economic objects, and cultural heritage, creating a high level of societal danger. The article covers an analysis of key international documents such as the Geneva Conventions, decisions of the Hague Conferences, and UN resolutions, exploring their influence on shaping legal norms in this area. It examines changes in legal regulation, their causes, and consequences, as well as the role of specific individuals and historical events in this process. This research is important for understanding past experiences in the context of current challenges and conflicts, as well as for further development of international law and ensuring the protection of human rights during armed conflicts. In conclusion, it is noted that the second half of the 19th and the first half of the 20th centuries witnessed significant development of international legal standards concerning responsibility for violations of laws and customs of war. This period was crucial in shaping the fundamental principles of international humanitarian law aimed at protecting human rights during armed conflicts. As a result of this process, a series of international treaties and conventions were adopted, which established rules of conduct in armed conflicts and mechanisms for accountability for their violations. These standards have been an important step in humanizing war and protecting human rights during armed conflicts. [ABSTRACT FROM AUTHOR]

The full-scale Russian invasion of Ukraine has significantly impacted the country's healthcare system. Insufficient infrastructure, destruction of medical facilities, and barriers to prevention and treatment efforts hinder the provision of timely, high-quality care to our patients. We aim to describe the impact of the war on neurological care across Ukraine. In this article, leading national experts in stroke, epilepsy, multiple sclerosis, and movement disorders describe their personal experience and efforts in organizing and providing care since the war started in February 2022. A neurologist who cared for patients in Mariupol recounts the first weeks of the war when the city was under constant attacks. An international stroke expert describes the role of Task Force for Ukraine, a European Stroke Organization initiative to support the Ukrainian stroke community. We discuss a series of critical challenges facing Ukraine's neurologists, patients, and healthcare delivery system, including shortages of personnel and medical supplies, disrupted logistics, and lack of funding. In addition, we highlight various interventions and strategies aimed at counteracting these challenges, including international support, collaborations within Ukraine, and initiatives enhancing the resilience of the Ukrainian neurology community. As the war is ongoing, this article emphasizes the pressing need for continuous support and investment in the Ukrainian healthcare system to preserve guaranteed access to high-quality healthcare for the Ukrainian people during the war and in its aftermath. Insights from the essays can inform the development and implementation of effective strategies and interventions tailored to such extraordinary circumstances. [ABSTRACT FROM AUTHOR]

Introduction: Tetanus is a rather rare disease in the Western countries thanks to widespread vaccination programs and the availability of prophylactics for patients with tetanus-prone injuries. The few cases that do occur are promptly managed in intensive care units (ICUs). However, tetanus is not so rare in developing countries, where access to a suitable level of care is limited. An unstable political situation can be a significant factor influencing patient outcomes. Case report: A ten-year-old boy presented at the EMERGENCY hospital in Lashkar-Gah (southern Afghanistan) with generalized tetanus after falling off his bicycle. In response to his rapidly deteriorating general conditions -- respiratory failure and hemodynamic instability -- the patient was urgently transferred by ambulance to the ICU at the EMERGENCY hospital in Kabul (northern Afghanistan). The patient was placed on mechanical ventilation while receiving intravenous sedation and pharmacologic paralysis for almost four weeks. A prolonged infusion of a high dose of magnesium sulphate and labetalol was also given to counteract autonomic dysfunction. Multiple complications related to the long stay in the ICU were observed and promptly addressed. During this period, several mass casualties took place in Kabul, which stretched the hospital's surge capacity. The patient was discharged and accompanied back to Lashkar-Gah three months after his admission to the hospital. Conclusions: This case report shows some of the many difficulties that arise when managing a patient with severe tetanus in a war zone where resources are limited. [ABSTRACT FROM AUTHOR]

Armed Conflicts, despite all the efforts made globally and regionally, still exist. Different groups of people are affected by this phenomenon in dissimilar ways. Women, due to various reasons, are amongst the most vulnerable groups in armed conflicts. Many efforts have been made by the International Committee of the Red Cross to provide maximum support for women in the form of instruments and procedures. Although human rights and international humanitarian rights are considered two separate legal systems, but because in most cases the boundary between them is not properly distinguished and also because of the Committee's practice in recent decades to integrate the two systems during armed conflicts; in the following study, we intend to address the most important principles for protecting women in both international humanitarian rights and human rights, through investigating ICRC's Documents with an analytical approach. [ABSTRACT FROM AUTHOR]

The fragility and instability of peace issues in the world, requires investigating the factors of this instability from the perspective of international law, especially, Chapter VI of the United Nations Charter. This paper seeks to examine the reason for the instability of peace from a legal point of view and also to provide legal and objective solutions in order to help the peace process to end the armed conflicts, adapting the negotiations, agreements to the rules of international law. In this context, the premise of this paper is the chapter 6 of the charter, the agreements made, the role of the security council, the general assembly and international judicial institutions, but in order to synchronize these processes, we need a legal evaluation so that peace is realized and the end of this process really contributes to the establishment of peace, not a peace to start the war again. What we are witnessing, the opinionated approaches to the fight against violence and its symbols. Inspite of inequalities and injustices, it is naturally not possible to talk about lasting peace without considering strong legal structures. Therefore, investigating legal solutions for creating a constructive and sustainable peace are necessary to protect the peacemaking process. [ABSTRACT FROM AUTHOR]

Copyright of International Journal of Legal & Comparative Jurisprudence Studies (LCJS) / Mağallaẗ al-Duwaliyyaẗ Li-&-Dirāsāt al-Qānūniyyaẗ Wa-al-Fiqhiyyaẗ al-Muqāranaẗ is the property of Refaad for Studies, Research & Development and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The conflict in Gaza presents distinct difficulties that significantly impact the psychological well-being of healthcare workers (HCWs) making it imperative to understand and address their mental health needs in this specific context. This article highlights the unique challenges of the ongoing Gaza conflict and its critical impact on the mental health of HCWs. Observations in the paper revealed that HCWs in Gaza face extraordinary challenges, including the targeting of medical facilities, severe shortages of medical supplies, and the ethical dilemmas of providing care in such constrained conditions. These factors contribute to heightened stress, anxiety, and a pervasive sense of helplessness among HCWs. The paper also notes the compounded emotional burden due to the loss of colleagues and the need to navigate complex interactions with patients' families under extreme conditions. Furthermore, the lack of basic needs like adequate nutrition and safe drinking water for HCWs themselves further compromises their ability to provide care effectively, contributing further to worsened mental health. The paper also notes the lack of sufficient media coverage and support for these workers, contributing to a sense of isolation and neglect. HCWs in Gaza find themselves in a uniquely challenging situation, one that is marked not only by the immediate stresses of the ongoing conflict but also by the deep-seated psychological scars from past wars. The circumstances in Gaza are clinically relevant as they directly affect the HCWs' ability to provide care and maintain their well-being. These findings highlight the need for targeted mental health interventions and support tailored to the specific challenges faced by HCWs in Gaza. Addressing these issues is crucial for their well-being and ability to provide effective healthcare under such demanding and traumatic circumstances. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Economic Administrative & Legal Sciences is the property of Arab Journal of Sciences & Research Publishing (AJSRP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Anbar University for Law & Political Sciences is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of International Journal of Specialized Islamic Studies (SIS) is the property of Refaad for Studies, Research & Development and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The full-scale phase of Russian aggression against Ukraine, which began on February 24, 2022, caused an unprecedented deterioration of the humanitarian situation, large-scale destruction of civilian objects and massive violations of fundamental human rights. The path to justice and sustainable peace lies through the inevitable responsibility of the aggressor State, an integral component of which is compensation for the harm caused to the affected persons as an element of individual reparations. For this purpose, in May 2023, the Register of Damages Caused by the Aggression the Russian Federation Against Ukraine was created, which operates within the institutional framework of the Council of Europe. The register is going to be the first step towards the creation of a future International compensation mechanism. At the same time, the issue of compensation for damage to life and health caused during armed conflicts has repeatedly been the subject of the European Court of Human Rights consideration, and the relevant Court case-law and its established legal positions require thorough research in order to promote their effective application. Therefore, the purpose of this article is to analyze the main approaches to assessing and determining the amount of damage caused to the life and health of persons in the situation of armed conflicts, defined in the practice of the ECtHR, and their significance for national judicial practice regarding compensation for damages caused by Russian aggression against Ukraine, with a view to ensuring the validity of national damage assessment tools in the context of current international jurisdictions and the future International compensation mechanism. The issue of assessment and compensation for damage caused by violations of human rights enshrined in the ECHR and its protocols is decided by the ECtHR by application of Art. 41 of the Convention. While awarding just satisfaction to the injured party, the ECtHR does not formulate clear general approaches and principles for determining the monetary amount of such compensation. The European Court, justifying the award of the appropriate amount of compensation, proceeds from the principle of justice and takes into account, as a rule, the nature and severity of the detected violation, its duration and consequences, the number of violations, the measures taken by the defendant state and any other information or circumstances. General trends regarding fair compensation are inherent in each type and group of violations established by the European Court. Award of the ECtHR to compensation for material damage in connection with the statement about the death of close relatives and establishing a violation of Art. 2 of the Convention is not widespread, unlike the establishment of compensation for non-material damage and legal and other costs. The relevant established case-law and legal positions of the ECtHR should become a reference point or a "source of inspiration" in the development of approaches to the assessment of damage caused and the determination of the amount of compensation by national courts and other authorities, which will contribute to increasing the importance of such an assessment for current international jurisdictions and the future International compensation mechanism. [ABSTRACT FROM AUTHOR]

Abstract Introduction Russia's invasion of Ukraine in February 2022 has severely impacted the healthcare system, including the provision of HIV care. The ongoing war is a human‐caused mass trauma, a severe ecological and psychosocial disruption that greatly exceeds the coping capacity of the community. The bioecological model of mass trauma builds on Bronfenbrenner's concept of interaction between nested systems to argue that social context determines the impact of life events on the individual and how an individual responds. This paper uses the bioecological model of mass trauma to explore the impact of Russia's aggression against Ukraine and the ongoing war on HIV‐positive people who use drugs in Ukraine, a particularly vulnerable population that may be negatively affected by disruptions to social networks, healthcare infrastructure and economic conditions caused by mass trauma. Methods Data were collected between September and November 2022. A convenience sample of 18 HIV‐positive people who use drugs were recruited from community organizations that work with people living with HIV, drug treatment programmes, and HIV clinics through direct recruitment and participant referral. A total of nine men and nine women were recruited; the age ranged from 33 to 62 years old (mean = 46.44). Participants completed a single interview that explored how the war had affected their daily lives and access to HIV care and other medical services; their relationships with healthcare providers and social workers; and medication access, supply and adherence. Data were analysed using the Framework Method for thematic analysis. Results The war had a profound impact on the social, emotional and financial support networks of participants. Changes in social networks, coupled with limited job opportunities and rising prices, intensified financial difficulties for participants. Relocating to different regions of Ukraine, staying at somebody else's home, and losing connections with social workers impacted medication adherence and created lengthy treatment gaps. Participants also experienced a decreased supply of antiretroviral therapy, concerns about accessing medication for opioid use disorder, and overwhelming fears associated with the war, which overshadowed their HIV‐related health concerns and negatively impacted medication adherence. Conclusions Our analysis reveals the complex impact of war on social networks and healthcare access. Maintaining support networks and competent healthcare providers will be essential amid the ongoing war.

AIM OF STUDY. To assess the types and scope of first aid for pelvic injuries in women in conditions of local military conflict. MATERIAL AND METHODS. To achieve this goal, an analysis of injuries received during local military operations carried out in the Republic of Chechnya from 1991 to 2000 was carried out. The treatment was carried out on the basis of the surgical hospital of medical organization No. 9 in Grozny. The severity of the injury was determined retrospectively using the Field Surgery Scale, distinguishing four degrees of severity. Injured patients with combined injuries to the chest, abdomen, and head were excluded. The average age of patients was 34 [28; 40] years. The total number was 86. RESULTS. As the study shows, group A included 54 (62.8 %), and group B included 32 (37.2 %) patients. The distribution by group is presented as follows: in group A, 44 (51.2 %) shrapnel wounds, 10 (11.6 %) gunshot wounds. In group B, there were, respectively, 25 shrapnel (29.1 %) and 7 gunshot (8.1 %) wounds. Further analysis showed that penetrating wounds predominated, which were observed in 67 (77.9 %) cases, non-penetrating wounds were only revealed in 19 (22.1 %) cases (r = 0.97, p < 0.05, statistically significant). Distribution by groups: in group A there were 48 (55.8 %) and 6 (7.0 %), respectively, in group B there were 19 (22.1 %) and 13 (15.1 %) observations. Anti-shock measures, which include pain relief and infusion therapy, were carried out in 31 (36.0 %) cases in group A and in 5 (5.8 %) cases in group B (r = 0.97, p < 0 .05, statistically significant). At the same time, in the group of patients where first aid was provided by random witnesses or as self-help, the n