The war in Ukraine 1 year on: the need to strategise for the long-term health of Ukrainians

Spiegel, Paul; Kovtoniuk, Pavlo; Lewtak, Katarzyna

doi:10.1016/s0140-6736(23)00383-5

Cited by 13 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It should be noted that since February 2022, over the past three years, in the context of the armed conflict on the territory of Ukraine, the hot phase of hostilities has been going on, the victims of which are both military personnel and civilians. At the same time, the number of victims is constantly increasing, and the dominant lesions are blast trauma, which is accompanied by bodily injuries of varying severity, highrisk somatic and mental illnesses [3,28].…”

Section: Discussionmentioning

confidence: 99%

Forensic characteristics of injuries from thermo-baric explosive device

Mykhaylenko,

Mishalov,

Kozlov

et al. 2024

Rep. of Morph.

View full text Add to dashboard Cite

Since the beginning of the Russian Federation's invasion of Ukraine in 2022, explosive trauma has become an extremely urgent problem, as the main source of bodily injury among both the military in the combat zone and the civilian population in cities has been the impact of explosive devices. The aim of the study is the examination of the forensic characteristics of damage to biological objects that were formed from thermal exposure and shock wave as a result of the explosion of a cumulative munition and in the conditions of an experimental explosion model. The objects of the study were the materials of two examinations on the death of Ukrainian soldiers who died in the war zone (archival "Conclusions of the medical examination" of the Kyiv City Clinical Bureau of Forensic Medical Examination in 2023). Under the conditions of the experiment, studies of pathomorphological changes in the liver and small intestine of 30 white outbred rats from the action of an artificially created air shock wave with an overpressure of 31.62±4.84 kPa were carried out. The injuries were examined macroscopically and using standard laboratory histological techniques. Microscopy of histological sections was performed using an Axio Imager 2 microscope (Zeiss, Germany) at magnifications of ×200 and ×400. Statistical processing of the obtained quantitative results was carried out using the STATISTICA 6.1 software product. Under the condition of the explosion of the ammunition with the cumulative effect of the rocket-propelled infantry flamethrower "Bumblebee" on sectional incisions of the skin and muscles of the thigh in the projection of areas of redness, a picture of a gelatinous consistency of bright red color was macroscopically determined due to abundant blood impregnation of muscles and subcutaneous fat and partial loss of muscle structure with the release of myoglobin. The bright red color of the skin of the thigh and pelvis without burning the hair may indicate the superficial thermal effect of the explosive device and the protection of the skin by clothing. Diffusely located numerous both paired and single abrasions and shallow wounds, small rounded, oblong, circular in shape, which are the result of fragments of a rocket-propelled grenade equipped with a fire mixture, were also determined. The effect of an air shock wave with an overpressure of 31.62±4.84 kPa on the liver parenchyma of rats was determined by focal hemorrhages with rupture of the terminal central vein of the hepatic lobule, edema of the parasinusoidal spaces, and sludges in the sinusoids. In the wall of the small intestine, acute hemodynamic disorders occurred in the form of vasodilation of arterial vessels, venular and capillary stasis. There was layering and swelling of the small intestine wall, rupture of veins, focal hemorrhage. Thus, the revealed characteristic pathomorphological signs of the destructive effect of overpressure as a result of a blast wave (barotrauma) are typical and common both in the areas of the human thigh and pelvis, and in biological objects of experimental animals. The obtained results are consistent with the pathomorphological manifestations of barotrauma in areas of the human body as a result of the action of an explosive device with a cumulative effect.

show abstract

Section: Discussionmentioning

confidence: 99%

Forensic characteristics of injuries from thermo-baric explosive device

Mykhaylenko,

Mishalov,

Kozlov

et al. 2024

Rep. of Morph.

View full text Add to dashboard Cite

show abstract

“…The COVID-19 pandemic has exacerbated this already unstable situation by leading to an increase in catastrophic health spending among populations due to the surge in demand for medical care and, more generally, to an increase in health spending worldwide; many countries still grapple with significant health spending pressures [27][28][29]. Furthermore, the current political and economic environment continues to have major consequences for the health sector [30].…”

Section: The Economic Sustainability: Health Literacy and Appropriate...mentioning

confidence: 99%

Empowering Sustainable Healthcare: The Role of Health Literacy

Zanobini,

Del Riccio,

Lorini

et al. 2024

Sustainability

View full text Add to dashboard Cite

The imperative of sustainability in healthcare is becoming more pressing due to global health crises, climate change, and the rising burden of chronic diseases. Sustainability in healthcare involves social, economic, and environmental dimensions, each important for equitable and robust healthcare delivery. Health literacy may play a central role in embracing all three dimensions, bridging the gap between complex health information and individuals’ capability to understand and use it effectively: In fact, as a factor influencing the link between adverse social and economic conditions and subsequent health issues, health literacy could represent a practical target for mitigating health disparities within various demographic groups, thereby enhancing social sustainability. Furthermore, when people possess a solid understanding of their health conditions and the necessary steps for health management, they can contribute to a reduction in generated healthcare costs. Finally, health literacy and environmental health literacy equips individuals and communities with the knowledge and skills to understand how environmental factors affect health and empowers them to take proactive measures to protect the environment, potentially reducing the environmental impact of healthcare services. Therefore, integrating health literacy into education curricula and healthcare professional training is crucial for promoting sustainability. Despite some known barriers to the advancement and improvement of health literacy, such as limited awareness of its importance, the collaboration between academia, healthcare institutions, and community organizations is a path to follow to overcome these challenges.

show abstract

“…The United Nation Estimations reflect7,155 conflict-related civilian deaths with11 662 people injured in one year" (9). ".…”

Section: When Taking the Effect Of Armed Conflict Between Russian And...mentioning

confidence: 99%

The effect of armed conflict on public health and strengthening of healthcare system during and post -armed conflict in Sudan

Rihab Imam Mukhtar Elsharief,

Magda ELhadi Ahmed Yousif,

Abeer Abd ELrhman ELnour ELtilib

2023

GSC Adv. Res. Rev.

View full text Add to dashboard Cite

Background: Armed conflict has catastrophic effect on public health and overall wellbeing including causalities during war, long lasting physical and psychological effects, the reduction in human and financial resources which available to meet social needs and creation of setting in which violence is primary domain this issues clearly appeared in Sudan since conflict between Sudan army force and Rapid response force in 15th of April 2023. Methodology: This review aimed to reflect the effect of armed conflict on public health especially vulnerable groups and create plan for reform of collapsed health system during and after war in Sudan. Comprehensive review for previous related article using Pub –med, Google scholar Lancet and records from Federal and Local Ministry of Health in Sudan was done. Also SWOT analysis for current complexes was done to detect problems and achieve solutions. Results: The study reflects the effect of armed conflict on public health in countries suffered from war. The vulnerable populations those sufferings during war are elderly, children, neonates and women. SWOT analysis for current situation in Sudan reflects devastating effect of war in healthcare system. The study also offering a plan for strengthening of healthcare system which build on decentralization policy, Innovation related to community healthcare workers (CHWs) adoption and health-financing system strengthens. Conclusion: Strengthening of healthcare systems after disasters is an urgent concern, especially in countries that have experienced armed conflict due to great impact on public health. However, since few studies have been conducted concerning this topic in Sudan, further research is recommended.

show abstract

The war in Ukraine 1 year on: the need to strategise for the long-term health of Ukrainians

Cited by 13 publications

References 9 publications

Forensic characteristics of injuries from thermo-baric explosive device

Forensic characteristics of injuries from thermo-baric explosive device

Empowering Sustainable Healthcare: The Role of Health Literacy

The effect of armed conflict on public health and strengthening of healthcare system during and post -armed conflict in Sudan

Contact Info

Product

Resources

About