Search Results (230)

Climate change represents one of the main challenges of this century. The hazards generated by this process are various and involve territorial assets all over the globe. Hydrogeological risk represents one of these aspects, and the violence of rain precipitations has led experts to focus their interest on the study of geotechnical assets in relation to these dangerous weather events. At the same time, geospatial representation in 3D WebGIS based on open-source solutions led specialists to employ this kind of technology to remotely analyze and monitor territorial events considering different sources of information. This study considers the construction of a 3D WebGIS framework for the real-time management of geospatial information developed with open-source technologies applied to the dynamic mapping of precipitation in the metropolitan area of Palermo (Italy) based on real-time weather station acquisitions. The structure considered is a WebGIS platform developed with Cesium.js JavaScript libraries, the Postgres database, Geoserver and Mapserver geospatial servers, and the Anaconda Python platform for activating real-time data connections using Python scripts. This framework represents a basic geospatial digital twin structure useful to municipalities, civil protection services, and firefighters for land management and for activating any preventive operations to ensure territorial safety. Furthermore, the open-source nature of the platform favors the free diffusion of this solution, avoiding expensive applications based on property software. The components of the framework are available and shared using GitHub. Full article

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

Small news media organizations are increasingly reshaping the news media system in Latin America. They are stepping into the role of watchdogs by investigating issues such as corruption scandals that larger outlets sometimes overlook. However, this journalistic work exposes both journalists and their organizations to a range of security threats, including physical violence, legal pressure, and digital attacks. In response, these outlets have developed coping strategies to manage and mitigate such risks. This article presents an exploratory study of the approaches adopted to protect information and data, ensure the safety and well-being of journalists, and maintain organizational continuity. Based on a series of in-depth interviews with leaders of award-winning news organizations for their investigative reporting, the study examines a shift from a competitive newsroom model to a collaborative approach in which information is shared—sometimes across borders—to support investigative reporting and strengthen security practices. We identify strategies implemented by small news organizations to safeguard their journalistic work and propose an integrative model of news safety encompassing the following three areas of security: physical, legal, and digital. This study contributes to the development of the newsafety framework and sheds light on safety practices that support media freedom. Full article

Background/Objectives: Mobile healthcare units (MHUs) comprise flexible, ambulatory healthcare teams that deliver community care services, particularly in underserved or remote areas. In Greece, MHUs were pivotal in epidemiological surveillance during the COVID-19 pandemic and are now evolving into a sustainable and integrated service for much-needed community-based healthcare. To support this expanded role, targeted, competency-based training is essential; however, this can pose challenges, especially in coordinating synchronous learning across geographically dispersed teams and in ensuring engagement using an online format. Methods: A nationwide, online training program was developed to improve the knowledge of the personnel members of the Hellenic National Public Health Organization’s MHUs. This program was structured focusing on four core themes: (i) prevention–health promotion; (ii) provision of care; (iii) social welfare and solidarity initiatives; and (iv) digital health skill enhancement. The program was implemented by the University of Crete’s Center for Training and Lifelong Learning from 16 January to 24 February 2025. A multidisciplinary team of 64 experts delivered 250 h of live and on-demand educational content, including health screenings, vaccination protocols, biomarker monitoring, chronic disease management, treatment adherence, organ donation awareness, counseling on social violence, and eHealth applications. Knowledge acquisition was assessed through a pre- and post-training multiple-choice test related to the core themes. Trainees’ and trainers’ qualitative feedback was evaluated using a 0–10 numerical rating scale (Likert-type). Results: A total of 873 MHU members participated in the study, including both healthcare professionals and administrative staff. The attendance rate was consistently above 90% on a daily basis. The average assessment score increased from 52.8% (pre-training) to 69.8% (post-training), indicating 17% knowledge acquisition. The paired t-test analysis demonstrated that this improvement was statistically significant (t = −8.52, p < 0.001), confirming the program’s effectiveness in enhancing knowledge. As part of the evaluation of qualitative feedback, the program was positively evaluated, with 75–80% of trainees rating key components such as content, structure, and trainer effectiveness as “Very Good” or “Excellent.” In addition, using a 0–10 scale, trainers rated the program relative to organization (9.4/10), content (8.8), and trainee engagement (8.9), confirming the program’s strength and scalability in primary care education. Conclusions: This initiative highlights the effectiveness of a structured, online training program in enhancing MHU knowledge, ensuring standardized, high-quality education that supports current primary healthcare needs. Future studies evaluating whether the increase in knowledge acquisition may also result in an improvement in the personnel’s competencies, and clinical practice will further contribute to assessing whether additional training programs may be helpful. Full article

Colombia is a megadiverse, multiethnic, and multicultural country with a tremendous socio-ecological systems (SESs) diversity, which faces essential challenges arising from human activities, low levels of sustainable economic development, poverty, and social inequality rates, and the persistence of multiple forms of military, political, and social violence. Understanding the resilience of this complex system is both fundamental and challenging due to the contradictory effects of economic development and regional ecosystem degradation. This research proposes the Socio-Ecological Resilience Integrated Index (SERII) to assess historical changes in socio-ecological resilience in Colombia’s departments (political-administrative units) between 1985–2022. The SERII considers the trade-offs between ecosystems, social systems, and production systems, providing a complete perspective of integrated management with a geographic resolution at the level of general political-administrative units. The results reveal a spatial variation in the SERII, with worse conditions in the Caribbean, the Pacific, and the Colombian Amazon (on the country periphery) and better conditions in departments of the country center. From 1985 to 2022, the SERII experienced a decrease (51.5%), driven by ecosystem degradation, increased extractive activities (illegal and illegal), and the persistence of military, political, and social violence. While the limitations of the proposed indicator are described, the SERII effectively replicates the overall resilience of Colombia’s departments to external shocks and allows for suggesting regional management priorities for the targeted promotion of sustainable development. Full article

Background: Liver trauma is prevalent following blunt and penetrating injuries. This study examined liver trauma in a South African urban trauma centre, focusing on the unique prevalence of penetrating injuries and surgical interventions. Methods: A retrospective analysis was conducted of 512 priority-one patients with liver trauma from January 2017 to December 2023 at Charlotte Maxeke Johannesburg Academic Hospital. The data collected included demographics, injury mechanisms, liver injury grades, associated injuries, injury severity scores (ISS and NISS), surgical interventions, and mortality rates. Statistical analyses were performed using Stata (V.18) and R software (version 4.3.2). Results: The median age of the patients was 31 years, with a predominance of male patients (91%) and patients of African ethnicity (95%). Penetrating trauma accounted for 73% of the cases. Most liver injuries were minor (grades I–III). There was a 5% overall mortality rate, with a higher rate observed in patients requiring emergency surgery (10% vs. 1% for non-operative management, p < 0.001). Just over half of the patients required emergency laparotomy, and the majority of these patients sustained penetrating liver trauma. Complications occurred in 6.6% of the patients, predominantly biliary in nature. Conclusions: This study highlights the high incidence of penetrating liver trauma in South Africa, which reflects the context of interpersonal violence. The mortality rate aligns with international standards and demonstrates the need for effective management strategies. These findings emphasise the need for tailored approaches to liver trauma based on injury patterns and demographics, and further research is needed to explore the associated mortality and complications. Full article

Background: Violence against healthcare professionals is a growing public health concern. In Spain, the National Observatory of Aggressions recorded 16,866 cases in 2024, marking a 103.06% increase since 2017. This phenomenon has intensified in recent years, with serious repercussions for both the physical and psychological well-being of healthcare workers, as well as for the quality of care provided. Objectives: This descriptive study examines the knowledge, perceptions, and experiences of workplace aggression among undergraduate students at the University School of Nursing of the Nuestra Señora de Candelaria University Hospital. Materials and Methods: A self-administered ad hoc questionnaire was distributed to 266 students across all academic years to assess their knowledge and to explore their perceptions and experiences of aggression witnessed or experienced during clinical placements. This study was guided by the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Results: The findings revealed significant educational gaps among students regarding how to manage aggressive situations, as well as high levels of concern and an aggression exposure rate exceeding 30%. A statistically significant association was also observed in relation to the academic year. Conclusions: This study provides a foundation for the development of specific training programmes tailored to the needs identified and for enhancing occupational safety in healthcare settings. Full article

This study investigates the gendered nexus between climate change, food insecurity, and conflict in Plateau State, Nigeria. This region in north-central Nigeria is marked by recurring farmer–herder clashes and climate-induced environmental degradation. Drawing on qualitative methods, including interviews, gender-disaggregated focus groups, and key informant discussions, the research explores how climate variability and violent conflict interact to exacerbate household food insecurity. The methodology allows the capture of nuanced perspectives and lived experiences, particularly emphasizing the differentiated impacts on women and men. The findings reveal that irregular rainfall patterns, declining agricultural yields, and escalating violence have disrupted traditional farming systems and undermined rural livelihoods. The study also shows that women, though they are responsible for household food management, face disproportionate burdens due to restricted mobility, limited access to resources, and a heightened exposure to gender-based violence. Grounded in Conflict Theory, Frustration–Aggression Theory, and Feminist Political Ecology, the analysis shows how intersecting vulnerabilities, such as gender, age, and socioeconomic status, shape experiences of food insecurity and adaptation strategies. Women often find creative and local ways to cope with challenges, including seed preservation, rationing, and informal trade. However, systemic barriers continue to hinder sustainable progress. This study emphasized the need for integrating gender-sensitive interventions into policy frameworks, such as land tenure reforms, targeted agricultural support for women, and improved security measures, to effectively mitigate food insecurity and promote sustainable livelihoods, especially in conflict-affected regions. Full article

Background: Health and safety are critical pillars of functional higher education systems. In South African universities, recurring incidents have highlighted vulnerabilities, particularly concerning gender-based violence (GBV), student housing conditions, infrastructure safety, and campus crime. Methods: This study employed a document-based qualitative approach, analysing public records, police reports, campus press statements, and national media coverage of incidents reported at South African universities (2015 to 2024). The study is guided by public health and victimology frameworks to examine systemic risk factors and institutional responses. Results: The findings indicate increased reports of GBV, multiple student deaths related to substandard residence conditions, infrastructure-related fatalities, and a lack of consistent institutional safety policies. A pattern of poor infrastructure management, weak inter-institutional communication, and failure to implement recommendations following major incidents emerged across the dataset. Conclusions: South African universities remain exposed to preventable student risks. Targeted interventions, mandatory safety audits, emergency response units, and accountability structures are urgently needed to address systemic failings and protect student welfare. The study supports Sustainable Development Goals 3 and 4 by linking campus safety to student well-being and equitable access to higher education. Full article

Objectives: To identify the factors influencing the job satisfaction of midwives working in birthing rooms with a medium to high level of obstetric intervention. Methods: A qualitative phenomenological–hermeneutic design based on Heideggerian philosophy was implemented. A study involving 25 participants, midwives, and resident nurses (RINs) was conducted. Residents were included to enrich the analysis with their critical perspectives with regard to interventional procedures and exposure to acts of obstetric violence. Convenience sampling was used. Data were collected from four focus groups in three hospitals in the region and one in-depth interview between 30 September 2022 and 23 June 2023. The testimonies were recorded and transcribed verbatim, and data analysis was carried out using an inductive–deductive approach. The triangulation of data and researchers was used to minimise potential bias. Results: The participants highlighted the following key dimensions or areas that contribute to midwives’ job satisfaction in the labour and birthing room: maternal satisfaction, professional competencies, multidisciplinary team, working conditions, and interventions during childbirth. Conclusions: These findings may inform healthcare management strategies to reduce burnout and improve working conditions in maternity care settings. Full article

Gender-based violence is a social problem that affects the health of women in all countries, cultures, ages and economic status; its complexity requires a transdisciplinary approach. However, this study will emphasize the care provided by nursing in emergency services. Objectives: To explore the experiences of nursing professionals in the emergency area in relation to the approach to gender-based violence considering care management skills. Methods: A qualitative study with semi-structure interviews was conducted; the saturation was reached with the participation of 20 nursing professionals from emergency rooms. The study employed qualitative content analysis and the software QCAmap for organization and extraction of analysis. Results: The category called “Specific Approaches to Risk and Vulnerability” was characterized by its comprehensiveness, evident in its association with experiences in screening, follow-up, measures to prevent re-victimization, and ensuring privacy. The most relevant subcategories, based on the redundancy, were empathy, which encompasses affective aspects; education on forms of abuse not recognized by the victim; and multidisciplinary and multisectoral action to address patients’ needs effectively. Conclusions: Nursing professionals valued both the psychological and physical aspects of patients, highlighting the importance of multidisciplinary coordination and the protection of integrity. Awareness and offering help are key interventions during the activation of protocols for addressing gender-based violence. Full article

Background and Objectives: Maxillofacial trauma represents a significant global health challenge with substantial physical, psychological, and socioeconomic consequences. Materials and Methods: This narrative review analyzed 112 articles published between 2000 and 2024 examining epidemiology, prevention, economics, and outcomes of maxillofacial trauma in critical care settings. Results: Road traffic accidents remain the primary cause globally, followed by interpersonal violence and occupational injuries. Effective prevention strategies include seat belt laws, helmet legislation, and violence prevention programs. Economic burden encompasses direct healthcare costs (averaging USD 55,385 per hospitalization), productivity losses (11.8 workdays lost per incident), and rehabilitation expenses (USD 3800–18,000 per patient). Surgical management has evolved toward early intervention, minimally invasive approaches, and advanced techniques using computer-aided design and 3D printing. Complications affect 3–33% of patients, with significant functional disabilities and psychological sequelae (post-traumatic stress disorder in 27%, depression/anxiety in 20–40%). Conclusion: Maxillofacial trauma management requires multidisciplinary approaches addressing both immediate treatment and long-term rehabilitation. Despite technological advances, disparities in specialized care access persist globally. Future efforts should implement evidence-based prevention strategies, reduce care disparities, and develop comprehensive approaches addressing physical, psychological, and socioeconomic dimensions through collaboration among healthcare professionals, policymakers, and community stakeholders. Full article

Purpose: The prevalence of domestic violence is increasing, and it is becoming more common for women who have experienced domestic violence to access support programs in their community. Learn to Live Again (L2LA) is an eight-week therapeutic program facilitated by Barnardos, which is provided through community support services in NSW, Australia. The program is designed for women who have experienced or continue to experience the traumatic effects of family and domestic violence. Methods: The pilot study involved collecting survey data from former participants and semi-structured interviews with current participants and facilitators. Data collection occurred between June and August 2023. Data collection included both face-to-face and online versions of the program. Results: All participants reported positive experiences of L2LA. The main benefits of the program for participants included connecting with women in similar situations, learning skills and strategies to cope with their experiences, sharing their lived experiences of domestic violence, and reconnecting with their children. Facilitators also had positive experiences of facilitating the program and observing the positive changes women experienced. Although, challenges were also identified and included managing the group dynamics, small group sizes, and managing trauma experiences in a group setting. Conclusion: The results indicate participants as well as facilitators had positive experiences of L2LA. Participants valued the program and felt that it helped them to begin the healing process and improve their overall wellbeing. Women were very passionate about recommending the program to other women. Facilitators observed many positive changes in the women throughout the program. However, L2LA challenges included the small group size, managing the dynamics of the group, and the range of trauma within the group as well as children being present. A larger evaluation of this program is required to confirm these findings. Full article

This article explores the distinct challenges facing Arab school principals in Israel, particularly in the context of existential fears stemming from a complex political landscape and rising violence in schools. These concerns are intensified by feelings of isolation from decision-making processes and the ineffectiveness of policies aimed at addressing the specific needs of Arab communities. Through an action research approach, this study analyzed the experiences of 15 elementary school principals over four years and introduced an intervention model called “empathetic inquiry”. This model, comprising four stages, creating a safe space for emotional expression, framing and reframing events, and formulating alternative actions, was implemented through group discussions and techniques like roleplaying. Findings revealed that the model facilitated open emotional sharing, enhanced principals’ sense of competence, and transformed their perception of authority from a rigid to a reflective role. Participation in the group fostered solidarity among staff and improved conflict management skills. Ultimately, this study highlights the “empathetic inquiry” model as a promising strategy for fostering empathetic leadership and reducing existential anxiety in Arab schools, although future research is necessary to evaluate its broader applicability and long-term effects, reflection, and self-awareness. This model contributed to their ability to cope with conflicts more effectively and to develop empathetic leadership. Full article

The Amazonian region comprises a set of ecosystems that play an essential role in stabilizing global climate and regulating carbon and water cycles. However, several environmental issues of anthropogenic origin threaten climate stability in this region: agribusiness, illegal mining, illegal timber exports, pesticide use, and biopiracy, among others. These actions lead to deforestation, soil erosion, fauna biodiversity loss, water resource contamination, land conflicts, violence against indigenous peoples, and epidemics. The present study aims to feature the current degradation process faced by the Amazonian biome and identify strategic alternatives based on science to inhibit and minimize the degradation of its biodiversity and water resources. This applied research, based on a systematic review, highlighted the complexity, fragility, and importance of the functioning of the Amazonian ecosystem. Although activities such as mining and agriculture notoriously cause soil degradation, this research focused on the scenarios of biodiversity and water resource degradation. The dynamics of the current Amazon degradation process associated with human activity and climate change advancement were also described. Ultimately, the study emphasizes that, given the invaluable importance of the Amazon’s biodiversity and natural resources for global climate balance and food and water security, anthropogenic threats endanger its sustainability. Beyond the well-known human-induced impacts on the forest and life, the findings highlight the need for strategies that integrate forest conservation, sustainable land management, and public policies focused on the region’s sustainable development. These strategies, supported by partnerships, include reducing deforestation and burning, promoting environmental education, engaging local communities, enforcing public policies, and conducting continuous monitoring using satellite remote sensing technology. Full article