{"title":"Physicians for war?","authors":"Ute Rippel-Lau","doi":"10.1080/13623699.2025.2598703","DOIUrl":"10.1080/13623699.2025.2598703","url":null,"abstract":"","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"139-145"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bilal Irfan, Kaden Venugopal, Ahmad Ibsais, Abdulwhhab Abu Alamrain, Abdallah Abu Shammala, Abdullah Ghali, Maria Leister, Haseeb Khawaja, Karim Fikry, Hadeel Obeid, Abd Al-Karim Sammour, Alyssa Seliga, Madison Venugopal, Izzeddin Lulu, Adam Hamawy
{"title":"The limits of ethical models: insights from paediatric trauma care in Gaza.","authors":"Bilal Irfan, Kaden Venugopal, Ahmad Ibsais, Abdulwhhab Abu Alamrain, Abdallah Abu Shammala, Abdullah Ghali, Maria Leister, Haseeb Khawaja, Karim Fikry, Hadeel Obeid, Abd Al-Karim Sammour, Alyssa Seliga, Madison Venugopal, Izzeddin Lulu, Adam Hamawy","doi":"10.1080/13623699.2025.2579129","DOIUrl":"10.1080/13623699.2025.2579129","url":null,"abstract":"<p><p>The ongoing humanitarian crisis in Gaza has created unprecedented challenges in paediatric trauma care, exposing the limitations of oft-championed traditional bioethical frameworks in conflict settings. This paper examines the ethical dilemmas faced by healthcare workers treating paediatric patients in Gaza amidst extreme resource scarcity, systemic violence, and infrastructural collapse. Using firsthand field observations and case studies, we explore the difficulties of informed consent, surrogate decision-making, and resource prioritization in an active armed conflict. The constraints of distributive justice, individual-focused paediatric autonomy, and non-maleficence are highlighted through examples such as amputation decisions, neonatal care, and managing unaccompanied minors. We propose seeking an ethical framework that considers the role of relational autonomy, Islamic bioethics, and humanitarian ethics, grounded in principles of humanity, impartiality, neutrality, and independence. While recognizing the inherent challenges of delivering ethical care in conflict zones, there is a need to balance immediate clinical needs with broader social and moral considerations. The paper underscores the urgent need for international support, resource allocation, and the development of actionable guidelines for paediatric care in conflict settings. It calls for further exploration of applied bioethics under extreme scarcity, aiming to inform both clinical practice and global humanitarian policies in similar crises.</p>","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"30-60"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resisting the drums of war against Venezuela: focus on the health crisis at home.","authors":"Bilal Irfan","doi":"10.1080/13623699.2026.2613315","DOIUrl":"10.1080/13623699.2026.2613315","url":null,"abstract":"","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"167-171"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luís Fernando Tavares Ferreira, Daniel Mendes Aguiar Santos, Mauro Cesar Barbosa Cid, Álvaro Vasconcelos Studart, Tássio Franchi
{"title":"Fighting on double front: experiences against Ebola and COVID-19 during peace operations in MONUSCO (2019-2021).","authors":"Luís Fernando Tavares Ferreira, Daniel Mendes Aguiar Santos, Mauro Cesar Barbosa Cid, Álvaro Vasconcelos Studart, Tássio Franchi","doi":"10.1080/13623699.2025.2610911","DOIUrl":"10.1080/13623699.2025.2610911","url":null,"abstract":"<p><p>This case study aims to explain the challenges related to Ebola and COVID-19 faced by MONUSCO in the DRC, examining the domains of 'human security' and 'logistics', to present the responses implemented by the mission and discuss the modelling of efforts established to face the crisis. The research applied a triangulation of data technique; collection of data included interviews, questionnaires, and participant observation. The study found that MONUSCO was able to sustain the logistical support of its human and material resources to ensure the conditions to carry out the mandate and preserve human security. In addition, the study indicated that the modelling of efforts established by MONUSCO provided the necessary framework to sustain the inter-agency effort in the DRC, combining military and civilian efforts.</p>","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"77-99"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trends in intra-state conflict and violence: is it time to adjust humanitarian assistance?","authors":"Dilshad Jaff, John Tomaro","doi":"10.1080/13623699.2025.2595877","DOIUrl":"10.1080/13623699.2025.2595877","url":null,"abstract":"","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"238-246"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nawfal R Hussein, Aya R Hussein, Liwar M Ahmed, Halder J Abozait
{"title":"Systemic consequences of conflict-driven halts in junior doctor recruitment in the Kurdistan Region of Iraq: implications for healthcare delivery, graduate oversaturation and migration intentions.","authors":"Nawfal R Hussein, Aya R Hussein, Liwar M Ahmed, Halder J Abozait","doi":"10.1080/13623699.2025.2595595","DOIUrl":"10.1080/13623699.2025.2595595","url":null,"abstract":"","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"146-155"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdulwhhab Abu Alamrain, Bilal Irfan, Khansa Irfan, Ahmad Ibsais, Maria Leister, Minahil Raheel, Elham Khateeb, Shameq Sayeed, Ismail Kalla, Izzeddin S F Lulu, Mohammed Halimy, Othman Alagha, Mohammed Alhabil, Ali S Alghaliz, Abd Al-Karim Sammour, Abdullah Ghali, Muhammad Sultan, Osaid Alser, Mohammed Zughbur
{"title":"Medical education in Gaza: navigating disruption during the 2023-2025 Israeli military assault and beyond.","authors":"Abdulwhhab Abu Alamrain, Bilal Irfan, Khansa Irfan, Ahmad Ibsais, Maria Leister, Minahil Raheel, Elham Khateeb, Shameq Sayeed, Ismail Kalla, Izzeddin S F Lulu, Mohammed Halimy, Othman Alagha, Mohammed Alhabil, Ali S Alghaliz, Abd Al-Karim Sammour, Abdullah Ghali, Muhammad Sultan, Osaid Alser, Mohammed Zughbur","doi":"10.1080/13623699.2025.2605928","DOIUrl":"https://doi.org/10.1080/13623699.2025.2605928","url":null,"abstract":"<p><p>Before October 2023, Gaza's medical education, offered by Al-Azhar University and the Islamic University, enrolled around 2500 students and played a vital role in training local physicians despite the blockade-related challenges. The ongoing military assault has since devastated both the educational and healthcare infrastructure. Medical schools and hospitals have been damaged, destroyed, or militarized, while students and faculty have faced displacement, resources scarcity, and severe psychological distress. Education has been further disrupted by power outages, internet restrictions, unsafe travel and harsh living conditions. Despite these obstacles, students and faculty continue to adapt. Many have completed courses online, relocated abroad, or even managed to fulfill graduation requirements. Yet credentialing barriers and mental health burdens persist. Urgent global collaboration is needed to restore Gaza's medical education. Key priorities include expanding online programs, offering diverse training opportunities, creating safe learning environments, and supporting mental health. Recognizing Gazan medical students' frontline volunteering experience is also essential. This paper documents the state of medical education in Gaza before and during the 2023-2025 assault, examines its disruptions, and outlines recovery strategies drawing from available reports and academic literature.</p>","PeriodicalId":53657,"journal":{"name":"Medicine, Conflict and Survival","volume":" ","pages":"1-29"},"PeriodicalIF":0.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}