Search Results (69)

Background: Since the election of Hamas in 2006, Gaza has endured eight major military conflicts, culminating in the ongoing 2023–2025 war, now surpassing 520 days. This protracted violence, compounded by a 17-year blockade, has resulted in the near-total collapse of Gaza’s health system. Over 49,000 deaths, widespread displacement, and the destruction of more than 60% of health infrastructure have overwhelmed both local capacity and international humanitarian response. Objectives: This narrative review aims to examine and synthesize the current literature (October 2023–April 2025) on the health crisis in Gaza, with a specific focus on identifying key themes and knowledge gaps relevant to rebuilding a sustainable health system. The review also seeks to outline strategic pathways for recovery in the context of ongoing conflict and systemic deprivation. Methods: Given the urgency and limitations of empirical data from conflict zones, a narrative review approach was adopted. Fifty-two sources—including peer-reviewed articles, editorials, reports, and correspondence—were selected through targeted searches using Medline and Google Scholar. The analysis was framed within a public health and political economy perspective, also taking health system building blocks into consideration. Results: The reviewed literature emphasizes emergency needs: trauma care, infectious disease control, and supply chain restoration. Innovations such as mobile clinics and telemedicine offer interim solutions. Gaps include limited attention to mental health (including that of health workers), local governance, and sustainable planning frameworks. Conclusions: Sustainable reconstruction requires a durable ceasefire; international stewardship aligned with local ownership; and a phased, equity-driven strategy emphasizing primary care, mental health, trauma management, and community engagement. Full article

The management of public health projects in a BANI (brittle, anxious, non-linear, incomprehensible) environment, exemplified by the ongoing war in Ukraine, presents unprecedented challenges due to fragile systems, heightened uncertainty, and complex socio-political dynamics. This study proposes an AI-driven framework to enhance the resilience and effectiveness of public health interventions under such conditions. By integrating a coupled SEIR–Infodemic–Panicdemic Model with war-specific factors, we simulate the interplay of infectious disease spread, misinformation dissemination, and panic dynamics over 1500 days in a Ukrainian city (Kharkiv). The model incorporates time-varying parameters to account for population displacement, healthcare disruptions, and periodic war events, reflecting the evolving conflict context. Sensitivity and risk–opportunity analyses reveal that disease transmission, misinformation, and infrastructure damage significantly exacerbate epidemic peaks, while AI-enabled interventions, such as fact-checking, mental health support, and infrastructure recovery, offer substantial mitigation potential. Qualitative assessments identify technical, organisational, ethical, regulatory, and military risks, alongside opportunities for predictive analytics, automation, and equitable healthcare access. Quantitative simulations demonstrate that risks, like increased displacement, can amplify infectious peaks by up to 28.3%, whereas opportunities, like enhanced fact-checking, can reduce misinformation by 18.2%. These findings provide a roadmap for leveraging AI to navigate BANI environments, offering actionable insights for public health practitioners in Ukraine and other crisis settings. The study underscores AI’s transformative role in fostering adaptive, data-driven strategies to achieve sustainable health outcomes amidst volatility and uncertainty. Full article

The increasing frequency and intensity of wildfires in hard-to-reach and hazardous areas represents a significant challenge for traditional firefighting methods. Wildfires pose a growing threat to the environment, property, and human lives. In many cases, conventional suppression techniques prove ineffective, highlighting the need for innovative and efficient solutions. Recent fires in the Bohemian Switzerland National Park in the Czech Republic; the Los Angeles area in California, USA; and the southeastern region of South Korea have underscored the necessity for alternative wildfire mitigation strategies. This article explores the potential of employing military technologies, such as artillery systems and specialized munitions, in wildfire suppression. The analysis includes a review of previous experiments, the research into non-standard methods, and an assessment of the risks and limitations associated with these approaches. Based on the research and simulations, it was found that one salvo (eight rounds) of fire-suppressant shells can cover up to 650 m² of terrain with suppressant. Finally, this article proposes a direction for further research aimed at integrating military and civilian technologies to enhance the effectiveness of wildfire response. This work contributes to the ongoing discussion on the integration of artillery capabilities into crisis management and provides a foundation for the future research in this field. Full article

The 2021 military coup in Myanmar triggered a severe humanitarian crisis, forcing many to flee through regular and irregular channels to neighboring countries like Thailand. This study explores the resulting migration patterns and precarious situation of Myanmar nationals seeking refuge in Thailand. Drawing on contemporary sources, it highlights how the crisis, worsened by military conscription laws, displaced many citizens. Refugees face constant fear of incarceration and forced repatriation while struggling with limited access to basic services in Thailand, which worsens mental health and reduces quality of life. The military’s revenue tactics, such as taxing overseas workers and remittances, have contributed to their hardships. In response, Thailand introduced a cabinet resolution to legalize work and residence for irregular migrants for four years. However, ongoing detentions and deportations risk forced military enlistment upon return, raising doubts about the resolution’s effectiveness, accessibility, and affordability. The study concludes with policy recommendations to address the humanitarian needs of Myanmar’s displaced population both at home and abroad. It also suggests ways to implement protective measures effectively, such as the Thai Cabinet resolution, to safeguard the dignity and rights of Myanmar’s people. Full article

Background/Objectives: The opioid crisis has disproportionately impacted U.S. military veterans, who face heightened risks of opioid use disorder and overdose due to chronic pain and mental health conditions. The pharmaceutical industry’s role in misrepresenting opioid risks—leading to over USD 50 billion in legal settlements—has included targeted marketing to vulnerable populations. This study examines Janssen Pharmaceuticals’ “Imagine the Possibilities Pain Coalition” (IPPC), which aimed to increase opioid use among veterans with chronic non-cancer pain. Insights from this public health industry document analysis offer guidance for military medicine and healthcare policymaking. Methods: Using the Opioid Industry Document Archive (OIDA), housed at Johns Hopkins University and the University of California, San Francisco, researchers conducted retrospective content analysis. Documents referencing veterans were identified through keyword searches on Johns Hopkins’ SciServer portal and reviewed using CoCounsel, an AI-based legal document platform using a human-in-the-loop approach. Relevant documents were examined by the authors to extract material aligned with the research focus. Results: The IPPC employed strategies to influence opioid prescribing for veterans. These included educational materials that minimized addiction risks and exaggerated long-term benefits and empathy-driven narratives prioritizing immediate pain relief over potential harms. Ghostwriting ensured favorable perspectives on opioids in scientific literature, aligning with broader industry strategies to promote opioids for chronic pain. Conclusions: The targeted marketing of opioids to veterans has exacerbated the opioid crisis, as documented in government reports and litigation. Rigorous oversight of industry-funded coalitions and evidence-based practices are critical to insulating military healthcare from corporate influence and addressing the opioid crisis among veterans. Full article

This study examines the effectiveness of various spatial data sources and pathfinding algorithms for route determination in forested environments, focusing on the Mazovia region of Poland. Accurate and efficient forest route planning is critical for both military operations and crisis management, highlighting the need for reliable data and robust algorithms. The analysis centers on three primary spatial data sources that can support forest routing: the civilian Topographic Objects Database (TOD) and OpenStreetMap (OSM), along with the military-specific Vector Map Level 2 (VML2). Two commonly used pathfinding algorithms, Dijkstra and A* (the latter with six heuristic variations), were tested to assess their suitability and performance in these contexts. This study was conducted across ten of the largest forested areas in Mazovia, with route determinations performed between selected pairs of start and end points within each forest area. The findings indicate that the TOD database yielded the most stable and consistent routes, while the A* algorithm with Euclidean distance heuristics proved to be the fastest among the tested variants. In contrast, OSM data presented challenges due to inconsistencies, resulting in some routes being undeterminable, where connections between start and end points were lacking. These results underscore the importance of data quality and algorithm selection in effective forest route planning. Full article

This article addresses a significant aspect of evaluating and comparing spatial forest data from various databases developed and maintained in Poland and globally. The study focused on the application of these data to create terrain passability maps, which are useful in planning military and crisis operations. The research was conducted in a test area near Warsaw, encompassing the Kampinos Forest. In the study, the “forest” layers from the tested databases were compared. Their spatial extents were analyzed, and terrain passability maps were generated in different configurations, which were comprehensively compared with one another. The results indicated that the quality and detail of forest data are not critical for generating passability maps. Only in the case of creating highly detailed maps does the use of precise data prove justified. As the level of detail in the maps decreases, they become increasingly similar, reducing the influence of the forest data on their accuracy and operational applicability. The study enabled the selection of the most accurate data sources on forested areas—those that most faithfully represent the structure of forested regions in Poland. Full article

In this study, we employed the situational crisis communication theory (SCCT) and the regulatory focus theory (RFT) to Greek government communication in the context of the 1987 and 1996 military crises with Turkey. Considering the value of timeliness in political communication, we analyzed the rhetoric of prime ministers and spokespersons during 40 days as depicted in the press. The purpose of this comparative analysis is, by leveraging content analysis, to examine the crisis communication strategies, the spokespersons’ contributions to this process, and to evaluate the rhetoric of the main addresses of the two prime ministers. This led us to propose the following research questions for consideration: (a) What were the government’s crisis communication strategies during the 1987 and 1996 crises? (b) In terms of regulatory focus theory, what rhetoric did each prime minister employ in his main address? (c) What was the contribution of the respective spokesperson? This study has significant theoretical and practical implications for political and public administration managers and consultants, as the first study examining such situations under the prism of SCCT and RFT. Results indicate that divergent government communication strategies were applied, while the spokespersons’ contribution impacted public and intra-party trust and societal endorsement. Full article

Electricity is one of the most widely used energy sources. The climate crisis, public pressure to invest in renewable and low-carbon energy sources, and the reduction in industrial electricity consumption caused by the COVID-19 pandemic have a significant impact on the energy sector. In addition, military action in Europe is affecting energy generation capacity and availability, which raises the question of economic calculus, particularly regarding the cost of generation and supply. These factors affect the cost structure of those responsible for supplying energy and, in extreme cases, can lead to energy exclusion. The article aimed to identify differences in the presentation and interpretation of operating cost data from the individual and consolidated financial statements of Polish energy groups, which is of key importance for investors, analysts and decision-makers in the energy sector. The analysis uses data for 2018–2022 from the income statement. The research hypothesis is that the complexity of Polish energy groups in the Polish energy sector leads to ambiguity in the interpretation of cost data included in stand-alone and consolidated financial statements. Full article

The 21st century is a time of rapid development, marked by technological advances, globalization, and international cooperation. It is also a period that has witnessed numerous global crises. In light of recent events, such as the migration crisis, the COVID-19 pandemic, and the escalation of the conflict between Ukraine and Russia, it is crucial to consider how to ensure economic stability and enhance the security of the transportation sector in the face of emerging threats. The goal of this publication is to identify the latest solutions in sustainable transportation development and to highlight their relevance in the context of potential global crises. To achieve this, a systematic review of the current research on transportation industry innovations was conducted using 4 different databases, yielding 492 results. From these, 223 publications were selected for analysis based on established criteria. The selected transport solutions were grouped into specific categories, and then their relevance in the context of global crises was discussed. The findings highlighted key solutions essential for economic stability and transport sector safety in potential crisis situations, while also pointing to further research directions. Additionally, they offer actionable concepts for transport organizers to promote a more resilient and sustainable flow of passengers and goods in anticipation of future crises. Full article

This article examines the evolution of the Muslim Brotherhood in Egypt, tracing its transformation from a social movement into a political party. This study investigates the conditions and dynamics that compelled the organization to engage in the political sphere and its efforts to distance itself from armed strategies. It explores the factors that have driven these changes and offers insights into potential future trajectories, especially in the context of the challenges faced by the Brotherhood following the military coup on 3 July 2013. Employing theoretical frameworks from studies on the transformation processes of similar movements and utilizing a process tracing methodology and in-depth interviews, the article seeks to understand how both historical and contemporary contexts have shaped the Brotherhood’s evolution and strategies. The findings suggest that, much like during previous periods of repression, the Brotherhood is likely to endure the current crisis and sustain its organizational presence. However, in doing so, it is expected to temporarily withdraw from political engagement. The article posits that, after completing this period of exile and resuming its activities in Egypt, the Brotherhood will likely continue as a social movement, stepping away from political involvement for a significant period. Full article

The detection of people in urban environments from satellite imagery can be employed in a variety of applications, such as urban planning, business management, crisis management, military operations, and security. A WorldView-3 satellite image of Prague was processed. Several variants of feature-extracting networks, referred to as backbone networks, were tested alongside the Faster R–CNN model. This model combines region proposal networks with object detection, offering a balance between speed and accuracy that is well suited for dense and varied urban environments. Data augmentation was used to increase the robustness of the models, which contributed to the improvement of classification results. Achieving a high level of accuracy is an ongoing challenge due to the low spatial resolution of available imagery. An F1 score of 54% was achieved using data augmentation, a 15 cm buffer, and a maximum distance limit of 60 cm. Full article

Turkey has been a hub for migrants since the Syrian crisis and has been home to 3.7 million refugees. The literature on migration focusses largely on Turkey’s response to refugees from Syria, host country citizens’ attitudes towards Syrians and their integration challenges, the EU–Turkey refugee deal, and its political implications for the EU and Turkey. Nonetheless, there has been a sharp rise in the number of Afghan migrants to Turkey since the complete withdrawal of US military forces from Afghanistan in 2020. Both scholarly and grey literature highlights that Turkey has recently been an attractive hub for Afghan migrants and other ethnic minorities, following Pakistan and Iran. Nonetheless, this literature has not substantially explored the Turkish government’s attitude towards the new influx of migrants. For this purpose, the article draws upon qualitative research based on secondary and grey literature (including semi-structured interviews with representatives from migration-related NGOs in Turkey). The article underpins its findings from the public policy framework of NATO (nodality, authority, treasure, organisation) by demonstrating how Turkey’s ambivalent response to the refugee inflow is shaped by limited information (nodality), weak legal mechanisms (authority), exploitation of new inflow as cheap labour (treasure), and migration system restructuring (organisation, treasure) after the withdrawal of external actors like the EU and UNHCR. Full article

Medical support in crisis situations is a major challenge. Efficient implementation of the medical evacuation process especially in operations with limited human resources that may occur during armed conflicts can limit the loss of these resources. Proper evacuation of wounded soldiers from the battlefield can increase the chances of their survival and rapid return to further military operations. This paper presents the technical details of the decision support system for medical evacuation to support this process. The basis for the functioning of this system is the continuous measurement of vital signs of soldiers via a specialized measurement module with a set of medical sensors. Vital signs values are then transmitted via the communication module to the analysis and inference module, which automatically determines the color of medical triage and the soldier’s chance of survival. This paper presents the results of tests of our system to validate it, which were carried out using test vectors of soldiers’ vital signs, as well as the results of the system’s performance on a group of volunteers who performed typical activities of tactical operations. The results of this study showed the usefulness of the developed system for supporting military medical services in military operations. Full article

Background/purpose: The Public Health Crisis Conceptual Model was developed to identify and address healthcare and human services needs related to a disaster. The purpose of this study was to historically apply this model to the counties and populations most affected by the first nuclear test in 1945, with a focus on community and local priorities, and to further describe this model and validate its usefulness. If the model had been applied in 1945, what might have been different with respect to research, epidemiological studies, and reparations? Methods: A historical, descriptive case study approach was used, with a focus on community and local priorities. Results: While it was deemed necessary to maintain secrecy surrounding the Trinity test during wartime efforts, scientists and the military knew of the potential dangers of radioactive fallout. However, they neglected to inform exposed New Mexicans after the information about the nature of the bombings of Hiroshima and Nagasaki had been made public. Conclusions: Research and epidemiological studies could have been implemented years before they were. Resources were not and have not been distributed equitably to those exposed to fallout from the Trinity test site. Using the Public Health Crisis Conceptual Model will help ensure that community and local priorities are an integral component of future disaster-related research. Full article