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Can science be a route to peace and common understanding? A glance at the history of one institution shows: only when scientists actively commit to it. Can science be a route to peace and common understanding? A glance at the history of one institution shows: only when scientists actively commit to it.

\"The Spanish Civil War (1936-1939) inspired and haunted an extraordinary number of exceptional atrists and writers, including Pablo Picasso, Joan Miro, Martha Gelhorn, Ernest Hemingway, George Orwell, and John Dos Passos. It spurred breakthroughs in military and medical technology. New aircraft, weapons, tactics, and strategy all emerged in the intense Spanish conflict. Progress also arose from the horror: doctors and nurses who volunteered to serve with the Spanish defenders devised major advances in battlefield surgery and frontline blood tansfusion. Rhodes takes us into the battlefields, bomb shelters, and hospitals; into the studios of artists; and into the hearts and minds of a rich cast of characters, showing how the ideological, aesthetic, and technological developments that emerged in Spain changed the world forever.\" -- Page 4 of cover.

Many women are affected by anxiety and depression after armed conflict in low-income and middle-income countries, yet few scalable options for their mental health care exist. We aimed to establish the effectiveness of a brief group psychological intervention for women in a conflict-affected setting in rural Swat, Pakistan. In a single-blind, cluster, randomised, controlled trial, 34 community clusters in two union councils of rural Swat, Pakistan, were randomised using block permutation at a 1:1 ratio to intervention (group intervention with five sessions incorporating behavioural strategies facilitated by non-specialists) or control (enhanced usual care) groups. Researchers responsible for identifying participants, obtaining consent, enrolment, and outcome assessments were masked to allocation. A community cluster was defined as neighbourhood of about 150 households covered by a lady health worker. Women aged 18–60 years who provided written informed consent, resided in the participating cluster catchment areas, scored at least 3 on the General Health Questionnaire-12, and at least 17 on the WHO Disability Assessment Schedule were recruited. The primary outcome, combined anxiety and depression symptoms, was measured 3 months after the intervention with the Hospital Anxiety and Depression Scale (HADS). Modified intention-to-treat analyses were done using mixed models adjusted for covariates and clusters defined a priori. The trial is registered with the Australian New Zealand Clinical Trials Registry, number 12616000037404, and is now closed to new participants. From 34 eligible community clusters, 306 women in the intervention group and 306 women in the enhanced usual care (EUC) group were enrolled between Jan 11, 2016, and Aug 21, 2016, and the results of 288 (94%) of 306 women in the intervention group and 290 (95%) of 306 women in the EUC group were included in the primary endpoint analysis. At 3 months, women in the intervention group had significantly lower mean total scores on the HADS than women in the control group (10·01 [SD 7·54] vs 14·75 [8·11]; adjusted mean difference [AMD] −4·53, 95% CI −7·13 to −1·92; p=0·0007). Individual HADS anxiety scores were also significantly lower in the intervention group than in the control group (5·43 [SD 4·18] vs 8·02 [4·69]; AMD −2·52, 95% CI −4·04 to −1·01), as were depression scores (4·59 [3·87] vs 6·73 [3·91]; AMD −2·04, −3·19 to −0·88). No adverse events were reported in either group. Our group psychological intervention resulted in clinically significant reductions in anxiety and depressive symptoms at 3 months, and might be a feasible and effective option for women with psychological distress in rural post-conflict settings. WHO through a grant from the Office for Foreign Disaster Assistance.

In this groundbreaking new history of the role of American women in World War II, Andrews presents the inspiring, shocking and heartbreaking stories of the 350,000 American women who served in uniform during World War II. They were pilots, codebreakers, ordnance experts, gunnery instructors, metalsmiths, chemists, translators, parachute riggers, truck drivers, radarmen, pigeon trainers, and much more. They were directly involved in some of the most important moments of the war, from the D-Day landings to the peace negotiations in Paris. These women-- who hailed from every race, creed, and walk of life-- died for their country and received the nation's highest honors. Andrews provides a definitive and comprehensive historical account of their service, based on new archival research, firsthand interviews with surviving veterans, and a deep professional understanding of military history and strategy. -- adapted from jacket

Aims: Armed conflicts produce a wide series of distressing consequences, including death, all of which impact negatively on the lives of survivors. This paper focuses specifically on the mental health consequences of war on adults and child/adolescent refugees or those living in war zones through a review of all systematic reviews and/or meta-analyses published from 2005 up until the current time. Results: Fifteen systematic reviews and/or meta-analyses conducted in adult populations, and seven relating to children and adolescents, were selected for the purpose of this review. Prevalence rates of anxiety, depression and post-traumatic stress disorder (PTSD) were two- to three-fold higher amongst people exposed to armed conflict compared to those who had not been exposed, with women and children being the most vulnerable to the outcome of armed conflicts. A series of war-related, migratory and post-migratory stressors contribute to short- and long-term mental health issues in the internally displaced, asylum seekers and refugees. Conclusion: It should be a required social responsibility for all psychiatrists and psychiatric associations to commit to raising awareness amongst political decision-makers as to the mental health consequences caused by armed conflicts, as part of their duty of care for people experiencing the consequences of war.

To date, the research community has failed to reach a consensus on the nature and significance of the relationship between climate variability and armed conflict. We argue that progress has been hampered by insufficient attention paid to the context in which droughts and other climatic extremesmay increase the risk of violent mobilization. Addressing this shortcoming, this study presents an actor-oriented analysis of the drought–conflict relationship, focusing specifically on politically relevant ethnic groups and their sensitivity to growing-season drought under various political and socioeconomic contexts. To this end, we draw on new conflict event data that cover Asia and Africa, 1989–2014, updated spatial ethnic settlement data, and remote sensing data on agricultural land use. Our procedure allows quantifying, for each ethnic group, drought conditions during the growing season of the locally dominant crop. A comprehensive set of multilevel mixed effects models that account for the groups’ livelihood, economic, and political vulnerabilities reveals that a drought under most conditions has little effect on the short-term risk that a group challenges the state by military means. However, for agriculturally dependent groups as well as politically excluded groups in very poor countries, a local drought is found to increase the likelihood of sustained violence. We interpret this as evidence of the reciprocal relationship between drought and conflict, whereby each phenomenon makes a group more vulnerable to the other.

Using artificial intelligence to predict outbursts of violence and probe their causes could save lives, argue Weisi Guo, Kristian Gleditsch and Alan Wilson. Using artificial intelligence to predict outbursts of violence and probe their causes could save lives, argue Weisi Guo, Kristian Gleditsch and Alan Wilson.

AbstractObjectiveTo systematically document the patterns of war related injuries in Gaza, Palestine.DesignSurvey study of international healthcare workers, August 2024 to February 2025.SettingGaza, Palestine.Participants78 international healthcare workers deployed to Gaza.Main outcome measuresThe main outcome was the type of injuries observed by international healthcare workers during the conflict in Gaza. A Delphi informed survey was distributed through non-governmental organisation rosters and secure WhatsApp and email groups. Respondents completed the survey using contemporaneous logbooks and shift records.ResultsThe survey collected data on 12 anatomical regions, mechanisms of trauma, and general medical conditions. 78 healthcare workers reported 23 726 trauma related injuries and 6960 injuries related to weapons. The most common traumatic injuries were burns (n=4348, 18.3%), lower limb injuries (n=4258, 17.9%), and upper limb injuries (n=3534, 14.9%). Explosive injuries accounted for most of the weapon related trauma (n=4635, 66.6%), predominantly affecting the head (n=1289, 27.8%), whereas firearm injuries disproportionately affected the lower limbs (n=526, 22.6%). Healthcare workers reported 4188 people with chronic disease across 11 domains requiring long term treatment.ConclusionHealthcare workers deployed to Gaza reported an injury phenotype defined by extensive polytrauma (≥2 anatomical regions), complex blast injuries from high yield explosives, firearm related injuries to upper and lower limbs, and severe disruption to primary care and the treatment of chronic diseases. The results provide actionable insights to tailor humanitarian response and highlight the urgent need for structured, resilient clinical surveillance systems.Editor’s noteThis paper is based on research from an active war zone, where conventional research methods may be impossible to apply.

Background Conflict is a complicated topic with a multidimensional consequences for community health. Its effects have a broad pattern, starting from direct war-related morbidity and mortality caused by bullets and bombs to indirect consequences due to the interruption of the delivery of preventive and curative health services. This study aimed to explore the health consequences of the northern Ethiopian conflict in the North Wollo zone, northeast Ethiopia, in 2022. Methods This descriptive qualitative study was conducted from May to June 2022 on six conflict-affected Woredas in the north Wollo zone. A total of 100 purposively selected participants, which included patients, pregnant women, elders, community and religious leaders, and health professionals, were interviewed using IDI and FGD. The data was entered, coded, and analyzed using Open Code version 4.03. Thematic analysis approach employed to conduct the interpretation. Data was presented using descriptive statistics in the form of texts and tables. Results The findings indicate that the conflict has caused a profound consequence on population health. It has resulted in a wide range of direct and indirect consequences, ranging from war-related casualties, famine, and disruptions of supply chains and forced displacement to instances of violence and rape associated with insecurity. The conflict also caused a breakdown in the health system by causing distraction of health infrastructure, fleeing of health workers and shortage of medication, together with insecurity and lack of transportation, which greatly affected the provision and utilization of health services. Additionally, the conflict has resulted in long-term consequences, such as the destruction of health facilities, interruption of immunization services, posttraumatic stress disorders, and lifelong disabilities. The coping strategies utilized were using available traditional medicines and home remedies, obtaining medications from conflict-unaffected areas, and implementing home-to-home healthcare services using available supplies. Conclusion The Northern Ethiopian conflict has an impact on community health both directly and indirectly through conflict-related causalities and the breakdown of the health system and health-supporting structures. Therefore, this study recommends immediate rehabilitation interventions for damaged health infrastructure and affected individuals.