The Russian-Ukrainian armed conflict is a dramatic world event. Apart from the loss of life, the present conflicthas tremendous impacts on the environment, economy, and society. The conflict provoked a ripple of event...The Russian-Ukrainian armed conflict is a dramatic world event. Apart from the loss of life, the present conflicthas tremendous impacts on the environment, economy, and society. The conflict provoked a ripple of events withimplications at the global level, especially in energy and food. The escalation of this conflict is imposing severethreats to achieving the United Nations (UN) Sustainable Development Goals (SDGs) not only to the countries di-rectly involved in the conflict but also to other countries, especially the developing ones that are more vulnerableto the economic crisis. In this editorial, we assessed the impacts of the Russian-Ukrainian conflict on BiophysicalSDGs, Social SDGs, Economic SDGs and Partnership for the Goals SDG that consider all the previous dimensions.The Russian-Ukrainian conflict’s impact on the SDGs is variable. Biodiversity SDGs are mainly affected at theregional level (Russia, Ukraine, surrounding and European Union countries). Society SDGs are affected at local(e.g., SDG3 good health and wellbeing;SDG4 quality education) and global (e.g., SDG2 zero hunger) levels. Fi-nally, the Russian-Ukrainian armed conflict has world-level implications for the economic SDGs. Nevertheless,the ongoing conflict’s impacts are not entirely understood, and several uncertainties exist. Peace is needed toachieve the UN’s SDGs in 2030.展开更多
Hospital facility designs are essential to maintaining function during times of disaster.For hospitals to remain open during emergencies,their structuresmust resist forces frommany types of hazards such as earthquakes...Hospital facility designs are essential to maintaining function during times of disaster.For hospitals to remain open during emergencies,their structuresmust resist forces frommany types of hazards such as earthquakes,hurricanes,flooding,and even societal hazards,such as war.Natural disasters are becomingmore dangerous with the advent of global climate change.In this article,we investigate health care building design interventions to protect facilities.Ultimately,amulti-hazard approach is the best way to prepare hospitals for resiliency in the face of disaster.展开更多
Armed conflicts are increasing globally due to political unrest and the broader effects of climate change.Without resources to provide quality surgical care,it becomes nearly impossible to provide quality emergency su...Armed conflicts are increasing globally due to political unrest and the broader effects of climate change.Without resources to provide quality surgical care,it becomes nearly impossible to provide quality emergency surgery and trauma care similar to that in high-income countries.To understand and help aid organizations provide resources and address the surgical needs of populations facing armed conflict,a matrix to identify variables and help with interventions was envisioned.Apreviously published global surgery matrix based on the PIPES(Personnel,Infrastructure,Procedures,Equipment and Supplies)surgical capacity tool was adapted to this context.The novel matrix incorporates 108 variables.These variables are grossly divided into local and international agency components to address the issue of who is providing care.Using a time continuum of pre-conflict,conflict,and post-conflict allows organizations to concentrate on when during the conflict to target their intervention.In addition to the previously used personnel,infrastructure,procedures,equipment,and supplies categories,a sixth category called standards was included that addresses the issues such as information technology,data systems,quality improvement programs,and patient safety.Pilot testing of this matrix to obtain feedback from end users is the next step in development.Ultimately,peri-conflict preparedness should increase and improve surgical outcomes and reduce in death and disabilities around the world.展开更多
Introduction: Insecurity can be an obstacle to access to emergency obstetric and newborn care, that is why we proposed to study obstetrical emergencies in Ouahigouya Regional Teaching Hospital, a referral hospital in ...Introduction: Insecurity can be an obstacle to access to emergency obstetric and newborn care, that is why we proposed to study obstetrical emergencies in Ouahigouya Regional Teaching Hospital, a referral hospital in a region plagued by insecurity linked to armed groups. Method: This was an analytical cross-sectional study with prospective data collection over a 4-month period, from June 10 to October 10, 2020. Patients from precarious security areas were compared to those from safer areas. The Chi squared and Fisher tests were used for comparison of variables. Results: Obstetric emergencies accounted for 38.62% of admissions, from which 25.59% came from precarious security zones. Age was similar in both comparison groups. However, patients from unsafe areas were more likely to reside in rural areas (p 0.001) and more likely to be in unpaid occupations (p 0.001). Prenatal visits were less frequent (p 0.01) and women were more often multigravidae (p 0.01) in the precarious security group of patients. Apart from the more frequent uterine rupture (p = 0.02) in the group from precarious security zones, diagnosed complications and maternal mortality were similar in the 2 groups, while perinatal mortality was higher in the group of patients from precarious security zones (p 0.01). Conclusion: The precarious security situation has negative consequences on maternal and perinatal morbidity and mortality. Further studies are needed for better understanding of these consequences, and improvement of health system resilience strategies, to reduce related maternal and fetal morbidity and mortality.展开更多
This paper deals with the problem of devastation of cultural heritage by the Islamic State.The great emphasis is put on distinguishing reasons and aims of such behaviours and devastation performed on the ancient Mesop...This paper deals with the problem of devastation of cultural heritage by the Islamic State.The great emphasis is put on distinguishing reasons and aims of such behaviours and devastation performed on the ancient Mesopotamian artefacts,monuments,and artistic relics of the past civilization.The focus was put on Akkadian,Assyrian,and Sumerian heirloom due to its immense impact on the consecutive cultures of the region,neighbouring lands,and several distant societies.Problem of destruction is presented alongside with the short history of the Islamic State group emergence and its characteristics.Furthermore,this paper recalls the UNESCO definition of the term“cultural heritage”.展开更多
文摘The Russian-Ukrainian armed conflict is a dramatic world event. Apart from the loss of life, the present conflicthas tremendous impacts on the environment, economy, and society. The conflict provoked a ripple of events withimplications at the global level, especially in energy and food. The escalation of this conflict is imposing severethreats to achieving the United Nations (UN) Sustainable Development Goals (SDGs) not only to the countries di-rectly involved in the conflict but also to other countries, especially the developing ones that are more vulnerableto the economic crisis. In this editorial, we assessed the impacts of the Russian-Ukrainian conflict on BiophysicalSDGs, Social SDGs, Economic SDGs and Partnership for the Goals SDG that consider all the previous dimensions.The Russian-Ukrainian conflict’s impact on the SDGs is variable. Biodiversity SDGs are mainly affected at theregional level (Russia, Ukraine, surrounding and European Union countries). Society SDGs are affected at local(e.g., SDG3 good health and wellbeing;SDG4 quality education) and global (e.g., SDG2 zero hunger) levels. Fi-nally, the Russian-Ukrainian armed conflict has world-level implications for the economic SDGs. Nevertheless,the ongoing conflict’s impacts are not entirely understood, and several uncertainties exist. Peace is needed toachieve the UN’s SDGs in 2030.
文摘Hospital facility designs are essential to maintaining function during times of disaster.For hospitals to remain open during emergencies,their structuresmust resist forces frommany types of hazards such as earthquakes,hurricanes,flooding,and even societal hazards,such as war.Natural disasters are becomingmore dangerous with the advent of global climate change.In this article,we investigate health care building design interventions to protect facilities.Ultimately,amulti-hazard approach is the best way to prepare hospitals for resiliency in the face of disaster.
文摘Armed conflicts are increasing globally due to political unrest and the broader effects of climate change.Without resources to provide quality surgical care,it becomes nearly impossible to provide quality emergency surgery and trauma care similar to that in high-income countries.To understand and help aid organizations provide resources and address the surgical needs of populations facing armed conflict,a matrix to identify variables and help with interventions was envisioned.Apreviously published global surgery matrix based on the PIPES(Personnel,Infrastructure,Procedures,Equipment and Supplies)surgical capacity tool was adapted to this context.The novel matrix incorporates 108 variables.These variables are grossly divided into local and international agency components to address the issue of who is providing care.Using a time continuum of pre-conflict,conflict,and post-conflict allows organizations to concentrate on when during the conflict to target their intervention.In addition to the previously used personnel,infrastructure,procedures,equipment,and supplies categories,a sixth category called standards was included that addresses the issues such as information technology,data systems,quality improvement programs,and patient safety.Pilot testing of this matrix to obtain feedback from end users is the next step in development.Ultimately,peri-conflict preparedness should increase and improve surgical outcomes and reduce in death and disabilities around the world.
文摘Introduction: Insecurity can be an obstacle to access to emergency obstetric and newborn care, that is why we proposed to study obstetrical emergencies in Ouahigouya Regional Teaching Hospital, a referral hospital in a region plagued by insecurity linked to armed groups. Method: This was an analytical cross-sectional study with prospective data collection over a 4-month period, from June 10 to October 10, 2020. Patients from precarious security areas were compared to those from safer areas. The Chi squared and Fisher tests were used for comparison of variables. Results: Obstetric emergencies accounted for 38.62% of admissions, from which 25.59% came from precarious security zones. Age was similar in both comparison groups. However, patients from unsafe areas were more likely to reside in rural areas (p 0.001) and more likely to be in unpaid occupations (p 0.001). Prenatal visits were less frequent (p 0.01) and women were more often multigravidae (p 0.01) in the precarious security group of patients. Apart from the more frequent uterine rupture (p = 0.02) in the group from precarious security zones, diagnosed complications and maternal mortality were similar in the 2 groups, while perinatal mortality was higher in the group of patients from precarious security zones (p 0.01). Conclusion: The precarious security situation has negative consequences on maternal and perinatal morbidity and mortality. Further studies are needed for better understanding of these consequences, and improvement of health system resilience strategies, to reduce related maternal and fetal morbidity and mortality.
文摘This paper deals with the problem of devastation of cultural heritage by the Islamic State.The great emphasis is put on distinguishing reasons and aims of such behaviours and devastation performed on the ancient Mesopotamian artefacts,monuments,and artistic relics of the past civilization.The focus was put on Akkadian,Assyrian,and Sumerian heirloom due to its immense impact on the consecutive cultures of the region,neighbouring lands,and several distant societies.Problem of destruction is presented alongside with the short history of the Islamic State group emergence and its characteristics.Furthermore,this paper recalls the UNESCO definition of the term“cultural heritage”.
