Search Results (490)

Objective: On 28 February 2026, Israel entered direct large-scale hostilities with Iran under Operation Roaring Lion. The opening phase was characterized by repeated missile alerts, civilian protected-space instructions, and rapid reorganization of hospital activity into protected areas. We observed an apparent increase in strict spontaneous intracerebral hemorrhage admissions during March 2026 within our linked neurology/neurosurgery services dataset. The aim of this preliminary single-center study was to determine whether March 2026 was temporally associated with a higher proportional burden of strict spontaneous intracerebral hemorrhage admissions compared with March cohorts from the preceding decade and whether this pattern was also observed for acute ischemic stroke or non-traumatic subarachnoid hemorrhage. Methods: We performed a retrospective observational cohort study of all unique March admissions captured within a linked neurology/neurosurgery services dataset from 2016 through 2026. Hospitalizations were deduplicated by admission number. March 2026 was treated as the first full March occurring after the onset of direct Israel–Iran hostilities on 28 February 2026. Strict spontaneous ICH was defined using diagnosis-text phenotyping that included intraparenchymal or intracerebral hemorrhage terminology while excluding trauma, subarachnoid hemorrhage, subdural hematoma, aneurysm, arteriovenous malformation, tumor-related hemorrhage, cavernoma, venous sinus thrombosis, dissection, and other clearly secondary etiologies. Comparator phenotypes included acute ischemic stroke and non-traumatic subarachnoid hemorrhage (SAH). Results: Across 3855 unique March admissions, 68 met criteria for strict spontaneous ICH. In March 2026, 9 of 223 admissions (4.0%) were classified as strict spontaneous ICH, compared with 59 of 3632 admissions (1.6%) across March 2016–2025, yielding a rate ratio of 2.48 (95% CI 1.25–4.94; p = 0.015). Patients with strict spontaneous ICH in March 2026 were older (mean age 72.3 vs. 65.8 years), and 7 of 9 cases (77.8%) occurred in patients aged ≥70 years compared with 25 of 59 (42.4%) historically (p = 0.073). Acute ischemic stroke did not increase in March 2026 (7.6% vs. 9.4%; p = 0.475), and non-traumatic SAH showed only a non-significant numerical increase (2.7% vs. 1.4%; p = 0.147). Sensitivity analyses showed a directionally consistent but statistically non-significant increase when March 2026 was compared with March 2025 alone (4.0% vs. 1.2%; rate ratio 3.36, 95% CI 0.92–12.27; p = 0.076) and with a rolling 3-year March baseline from 2023 through 2025 (4.0% vs. 2.1%; rate ratio 1.93, 95% CI 0.88–4.23; p = 0.143). In-hospital mortality among strict spontaneous ICH patients was 1 of 9 (11.1%) in March 2026 versus 4 of 59 (6.8%) in March 2016–2025. Conclusions: In this preliminary single-center neurology/neurosurgery services cohort, March 2026 showed a higher proportional burden of strict spontaneous intracerebral hemorrhage admissions than March cohorts from the preceding decade, while acute ischemic stroke did not increase. Sensitivity analyses using March 2025 alone and a rolling 3-year March baseline were directionally consistent but did not reach statistical significance. These findings should therefore be interpreted as a hypothesis-generating temporal association rather than evidence of causality or population-level incidence. Wartime-related psychological stress, sleep disruption, altered healthcare access, blood pressure dysregulation, and medication nonadherence are biologically plausible contributors, but individual-level blood pressure, medication exposure, body mass index, time-to-admission, direct stress exposure, and detailed outcome data were not available in the present dataset. Multicenter, hospital-wide, and registry-based validation with seasonal and systems-level sensitivity analyses is required. Full article

Post-war reconstruction in Aleppo requires more than replacing damaged buildings; it demands an understanding of the city’s historically layered urban fabrics, their differing socio-spatial logics, and their unequal capacities for recovery. Following severe conflict-related destruction during the Syrian civil war, particularly between 2012 and 2016, and the additional impact of the February 2023 earthquake, Aleppo’s recovery is further complicated by the heritage significance of its Ancient City, inscribed on the UNESCO World Heritage List in 1986 and included on the List of World Heritage in Danger since 2013. This study examines how urban morphology can guide reconstruction through a comparative analysis of four neighborhoods representing major phases of Aleppo’s development: Jdaideh, Azizieh, Mohafaza, and Jabal Badro. Using a qualitative historical–morphological approach, the research analyzes figure–ground relations, street-network structure, degrees of transition between public, semi-public, semi-private, and private spaces, and landmark–node systems to identify the spatial characteristics, temporal persistence, and planning meaning of each district. The findings show that Aleppo is not a homogeneous urban system but a city composed of distinct fabrics with different strengths, vulnerabilities, and reconstruction needs. The comparison further demonstrates that density alone is not an adequate indicator of urban quality or resilience. The study concludes that reconstruction should be based on fabric-specific strategies, including preservation-sensitive rehabilitation, reinforcement of public nodes, balanced connectivity, governance-aware phasing, and incremental upgrading. Urban morphology is therefore proposed as a practical, but not exhaustive, framework for context-sensitive recovery in conflict-affected and historically layered cities. Full article

This theoretical essay, inspired in part by the author’s own perplexities during fieldwork and post-conflict reconciliation efforts, draws on transdisciplinary studies of religion and peace science to trace the effects of religious actors and the causes of peace. The reoccurrence and determination of religiously inspired actors in post-conflict settings, where religion has historically influenced both war and peace, is rooted in the enduring effects of local religious systems. Yet the causes of these effects remain open questions. Answering them forces us to move beyond noting, for example, the interpretive association of religious actors and peaceful outcomes to inquiring whether and how religiously inspired actors cause peace. Since so much of contemporary peacebuilding depends on local religious leaders supporting peace efforts or re-traditionalizing rituals, scholars working in post-conflict settings often find themselves pulled into debates about the effects of religion on peace. An empirical task is therefore investigating the causal links between religion and peacebuilding, the effects of religious actors in their cultural context, and how to contribute to effective interreligious dialogue. To reach these ends, however, a theoretical path is needed. This essay offers such a path, firstly, by addressing faulty assumptions and residual problems in current scholarship, and, secondly, providing a pathway for making causal claims. That pathway includes aggregating commensurable data to distinguish sufficient-components in type and token cases, reconstructing the temporal order and likelihood of counterfactuals, and tracing biological universals and cultural knowledge from religious systems to peace events. Full article

Sustainable agriculture has been a focus of research for over three decades, gaining particular urgency with the escalation of global conflicts, especially the Russian–Ukrainian war. Selecting appropriate parameters for objectively assessing sustainable agricultural development remains challenging, with limited studies addressing the aggregation of all relevant indicators into a single analytical framework. Given that these indicators and their quantitative values change annually, continuous updating and analysis are essential. This study was guided by selected SALSA/PRISMA principles to structure the indicator-selection process for examining Ukraine’s agricultural sector, which is vital to both national and global food security and accounts for approximately 10% of GDP, more than 50% of exports, and nearly 17% of employment. Alongside climate change pressures, the sector faces severe disruption from military aggression, undermining its economic contribution and stability. This research identifies and selects the most relevant economic, ecological, and social indicators to assess sustainable agricultural development in Ukraine, comparing values before and during the war. Based on these, this study proposes the Sustainable Agriculture Index (ISA), an aggregated measure that integrates multiple dimensions of sustainability. The ISA was calculated using a normalized weighted aggregation approach across economic, environmental, and social indicators. This approach enables a comprehensive evaluation of Ukraine’s agricultural resilience and its capacity to contribute to sustainable development under crisis conditions. Full article

This article examines collaboratively produced poems by displaced Lebanese and Syrian women created within a Participatory Arts-Based Research (PABR) project in Akkar, North Lebanon. The study asks how creative writing pedagogy and participatory research methods can reduce forms of ‘othering’ that may arise in top-down research on conflict and displacement. The project combined creative writing workshop practice with participatory research methods, including joint analysis workshops with NGO partners and participants. Writing prompts, group workshops, and subsequent collaborative translation resulted in reflective and creative texts drawn from lived experience. The work documents war, migration, economic hardship, and fractured social relations. Close readings show how metaphor, dialogue, and narrative fragments function as acts of self-narration rather than passive testimony. Participants describe writing as a way of thinking and coping, and several texts foreground storytelling as a relational process. The study argues that Creative Writing practice, based on the participatory tenets of the ‘workshop’ can support shared knowledge production and ethical engagement. The writings suggest that a counter-archive can emerge in which storytelling can resist victimising narratives and can instead, within a social literary practice participatory paradigm, model new forms of collaborative reflection. Full article

Importance: Evidence regarding the organization of civilian health care systems in active war zones is limited, yet critical for maintaining services for vulnerable populations. Objective: To describe the operational challenges and adaptive strategies implemented by an opioid agonist therapy (OAT) clinic to ensure continuity of care for patients maintained on methadone and buprenorphine during a period of prolonged armed conflict. Design: A descriptive case study of clinical, logistical, and regulatory adaptations following the escalation of conflict in Israel beginning 7 October 2023, through the 12-day Israel-Iran war in June 2025. Setting: A hospital-based ambulatory methadone maintenance treatment (MMT) clinic in the Tel Aviv region. Participants: A vulnerable population of patients with opioid use disorder (OUD) receiving daily or supervised OAT. Exposure(s): National emergency conditions, including mass evacuations, fluctuating missile threats from multiple fronts (Gaza, Lebanon, Yemen), and direct regional strikes in 2024 and 2025. Main Outcome(s) and Measure(s): The primary focus was maintaining treatment continuity through rapid protocol modifications and expanded take-home dose (THD) regulations. Results: The conflict necessitated immediate departures from standard clinical protocols. Key adaptations included the rapid expansion of THD eligibility to mitigate the risks associated with travel to the clinic during active shelling and the reallocation of resources. Regulatory frameworks were iteratively revised as the security situation evolved, shifting from daily supervised dosing to flexible, safety-oriented dispensing models. Conclusions and Relevance: Findings suggest that during national emergencies, decentralizing OAT through expanded THD regulations is essential to prevent treatment interruption and relapse. These adaptive strategies offer a framework for health policy in other conflict-affected regions to protect high-risk populations. Full article

River water quality assessments are commonly conducted under conventional anthropogenic pressures; however, the long-term environmental impacts of armed conflicts remain insufficiently understood. This study addresses this gap by evaluating the persistence of war-related heavy metal contamination and its associated human health risks in the Tigris River, Mosul, a post-conflict urban system. The results revealed that Cd, Pb, Cr, and Ni concentrations exceeded WHO guideline values across most sites, while Zn remained within acceptable limits. The highest contamination levels were observed in the central urban zone (Zone 3), which was directly affected by military activities. Hazard quotient (HQ) values for Cd and Pb exceeded the safe threshold (HQ > 1) at all sites, identifying them as dominant contributors to toxicity. The cumulative hazard index (HI) reached extremely high levels (>300 in 2022 and >200 in 2023), indicating severe non-carcinogenic health risks despite a slight temporal improvement. Spatially, contamination increased from upstream to downstream, with midstream and downstream areas acting as critical hotspots. Temporally, although pollutant levels declined in 2023, they remained significantly above safe limits, demonstrating limited natural recovery. Overall, the findings provide clear evidence of the long-term persistence of conflict-related contamination and its sustained risks to human health. This study highlights the need for targeted remediation strategies and offers a transferable framework for assessing water quality in conflict-affected river systems.: Full article

High-resolution, commercially acquired satellite imagery has been shown to be a powerful tool for documentation and analysis of damage to archaeological sites, particularly in conflict zones where ground-based observations are impractical or dangerous. Using this approach, previous investigations have reported widespread looting and other forms of damage to archaeological sites in Syria during the early years of the civil war (2011–2016). Relying on an expanding suite of satellite imagery resources, this paper presents a renewed analysis of looting and archaeological site damage in Syria over the past decade. The results reveal: (1) severe damage to many sites in northern Syria from a novel form of mechanized looting, (2) intensified impacts from the establishment of military facilities or refugee camps on many prominent sites, and (3) rampant incidents of small-scale looting across all areas of the country. These results highlight the importance of ongoing imagery-based heritage monitoring efforts and will support emerging mitigation, stabilization, and damage assessment efforts in Syria going forward. Full article

On 6 June 1944, more than 156,000 Allied troops landed along the heavily fortified beaches of Normandy, France, during Operation Overlord, the largest amphibious assault in modern history. Intensive naval bombardment, ground combat, and subsequent occupation resulted in the introduction and emplacement of substantial quantities of anthropogenic metal into the coastal environment. Previous work has documented the presence of shrapnel and other metallic detritus within Normandy beach sands, with estimates suggesting ~1% of sediment may be derived from wartime activity; however, these observations were based on limited sampling. This study presents the first systematic, coast-wide investigation of sediment across all five Allied landing beaches (Utah, Omaha, Gold, Juno and Sword). A total of 460 surface and subsurface samples were collected in June 2024 and April 2025 and analyzed for metallic grain abundance, grain size, morphology and composition. Metallic grains comprise an average of 0.4 wt.% of the total sediment across the D-Day beaches. These grains are dominantly iron-rich based on geochemical characterization of a representative subset of samples (n = 33), with lower concentrations of aluminum, titanium and trace amounts of other metallic elements. These grains display a range of morphologies indicative of anthropogenic origin, including angular fragments and metallic spherules and rounded grains consistent with primary fragmentation and subsequent reworking. The combined evidence of morphology, magnetic properties, spatial distribution, and regional sediment compartmentalization supports a predominantly anthropogenic origin. Potential contributions from natural magnetite and industrial sources are considered but are unlikely to account for the observed patterns across all sites. Metallic grains are non-uniformly distributed and partitioned along the beach profile, with consistent enrichment within the swash zone relative to supratidal environments. Subsurface profiles show metallic grain persistence to depths exceeding 1 m, with peak concentrations consistently observed at 5–15 cm and 45–75 cm. These results demonstrate that the sedimentary record of Operation Overlord remains preserved within the modern Normandy coastline eighty years after emplacement. This anthropogenic material provides a temporally constrained stratigraphic tracer within a dynamic macrotidal system, offering insight into sediment redistribution, beach aggradation rates, and coastal processes operating on decadal timescales. Full article

This study examines the relationship between Sudanese audiences’ exposure to digital media coverage of the civil war and their psychological immunity and post-traumatic stress disorder (PTSD) symptoms while also investigating the mediating role of psychological immunity. Data were collected through an online survey from a sample of 774 Sudanese respondents residing both inside and outside Sudan. The findings indicate a relatively high level of exposure to digital news coverage, particularly through social media platforms such as Facebook, reflecting the growing centrality of digitally mediated news environments in conflict reporting. The results also reveal moderate levels of psychological immunity and relatively high levels of PTSD symptoms, especially in the hyperarousal dimension. Statistical analysis shows a negative association between media exposure and psychological immunity, and a positive association between exposure and PTSD symptoms, with psychological immunity partially mediating this relationship. Beyond these findings, this study highlights important implications for journalism practice and media responsibility. The intensity and emotional nature of digital war coverage raise critical concerns regarding ethical news production, the circulation of distressing content, and the potential psychological impact on audiences. These findings underscore the need for more responsible digital journalism practices, including content moderation, trauma-sensitive reporting, and the promotion of media literacy, in order to mitigate the potential harm associated with repeated exposure to crisis-related news content. Full article

This article examines the Colombo Conference Proposals of December 1962 as an instance of non-aligned mediation in the aftermath of the India–China border war. Based on a close reading of the Proposals and related diplomatic materials, it argues that the initiative did not seek to resolve the dispute but to structure restraint through ceasefire consolidation, disengagement, and demilitarized arrangements. In doing so, it conceptualized peace as a form of procedural governance—a political ceiling on escalation rather than a comprehensive settlement. Situating the case within existing scholarship on mediation, failed peace processes, and middle-power diplomacy, this article shows how non-aligned states contributed to conflict management through appeal, regional legitimacy, and sovereign consent. The Colombo episode illustrates both the possibilities and limits of such mediation: it could shape conduct and contain escalation, but it remained dependent on voluntary compliance and shared interpretation. Full article

Although recent studies report elevated rates of post-traumatic stress disorder (PTSD) among Ukrainian refugees, data from military hospitals and rehabilitation centers within Ukraine remain scarce. Numerous studies have described that interactions with therapy dogs help mitigate PTSD symptoms by providing emotional support, reducing hypervigilance, encouraging social engagement, and facilitating physiological de-arousal. However, the potential role of dog-assisted interventions (DAIs) in therapeutic settings during ongoing conflict has not yet been investigated. In this study, saliva samples pre- and post- a 20 min DAI were gathered from soldiers and other military service personnel with diagnosed PTSD in Kyiv, Ukraine. Salivary cortisol was assessed as a biomarker to parallel acute physiological strain. The findings revealed a decrease in salivary cortisol from pre- to post-DAIs in both men and women. Of note, men exhibited higher salivary cortisol levels than women both pre- and post-DAIs. The present findings suggest that people with PTSD benefit from canine support due to reduced acute arousal in a war environment. Limitations include the small sample size and the lack of a control group. In order to mitigate against the high prevalence of psychophysiological distress in at-risk populations such as military personnel, further research is warranted. Full article

Post-war reconstruction requires effective decision-support tools capable of integrating technical, economic, and organizational criteria under conditions of high uncertainty. The evaluation and prioritization of damaged buildings for recovery interventions are critical challenges for reconstruction project management. This study proposes a hybrid decision-support framework for assessing the strategic feasibility of building recovery using a novel Strategic Revitalization Index (SRI). The proposed methodology integrates a hierarchical fuzzy inference system, simulation techniques, and an artificial neural network surrogate model. The fuzzy model aggregates four key evaluation dimensions: technical condition of the building, economic feasibility of recovery actions, project implementation capability, and environmental and social impact. To analyze the model’s behavior and generate training data, a synthetic dataset was created using Latin Hypercube Sampling, covering a wide range of possible reconstruction conditions. The generated dataset was subsequently used to train an artificial neural network capable of approximating the nonlinear mapping implemented by the fuzzy decision model. The obtained results demonstrate high predictive performance of the surrogate model, with R² = 0.976, RMSE = 0.0266, MAE = 0.0133, and MAPE = 4.95%. Scenario analysis further illustrates how different recovery strategies influence SRI values and enables comparison of alternative reconstruction approaches. The proposed framework provides a flexible analytical tool for supporting strategic decision-making in post-war reconstruction projects. By combining fuzzy logic, simulation techniques, and machine learning, the model enables systematic prioritization of recovery strategies and may support large-scale reconstruction planning in post-conflict environments. Full article

This study investigates the roles gold and the US dollar play as safe-haven, hedging, or diversifier assets relating to six important financial stock market indices: the S&P 500, FTSE 100, Hang Seng, CAC 40 (Paris), Shanghai Composite Index, and Nikkei 225. This paper applies the bivariate dynamic copula technique and the DCC-GARCH econometric advanced methods from January 2013 to July 2024 by focusing on four serious market crashes: the Chinese stock market meltdown (2015–2016), the trade war between the US and China (2018–2020), the COVID-19 pandemic (2020–2022), and the conflict between Russia and Ukraine (2022–2024). The results show that the US dollar displays reliable hedging and safe-haven characteristics with strong evidence mainly for its role as a safe-haven asset against the FTSE 100, Hang Seng, and S&P 500. Our findings support the idea that the US dollar serves consistently as a safe-haven asset. In contrast, gold showcased a twofold function, serving as a hedge for the FTSE 100 and the S&P 500 during crisis times and acting as a diversifier for the CAC 40 and the Shanghai Composite Index in times of market stability. This dynamic was specifically noticeable in the COVID-19 period, when gold’s hedging properties were outstanding and its role as a diversifier became more pronounced in the Paris and Shanghai markets. Our results suggest that the consistent reliability of the US dollar as a safe-haven asset combined with gold’s dual role presents a compelling argument for including both in well-diversified portfolios. This strategy enables investors to mitigate risk and safeguard their wealth, especially during periods of financial market volatility. Full article

Recent underwater and remote sensing surveys identified, located, and documented the wreck of a Liberty-class cargo ship, SS Samuel J. Tilden, which sank during the German raid of Bari in December 1943. The use of remote sensing technologies (MBES, ROVs) and the photogrammetric acquisition for the creation of 3D models were central for a comprehensive analysis of the wreck site. The analysis of remote sensing and photogrammetric data indicates a well-preserved wreck, as previously noted in avocational underwater surveys, and a complex maritime landscape. By applying remote sensing and non-invasive technologies to conflict archaeology remains, this paper provides a basis for future studies on World War II wrecks in Italy. Full article