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1.
J Hist Ideas ; 85(1): 121-148, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38588284

RESUMO

In 1963, the United Nations Educational, Scientific, and Cultural Organization (UNESCO) published the first volume of its long-awaited cultural and scientific history of mankind. First announced in 1948, the History of Mankind was envisioned as a comprehensive, universal human history, from the evolution of Homo sapiens to the middle of the twentieth century. This article uses editorial conflicts over the site of the cradle of the human species to explore the position of scientific knowledge in world history writing and to examine tensions between different national traditions of expertise at a moment of political and scientific transition.


Assuntos
Nações Unidas , Humanos , UNESCO , Escolaridade
5.
Eur J Psychotraumatol ; 15(1): 2332105, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38577910

RESUMO

Background: During peacekeeping missions, military personnel may be involved in or exposed to potentially morally injurious experiences (PMIEs), such as an inability to intervene due to a limited mandate. While exposure to such morally transgressive events has been shown to lead to moral injury in combat veterans, research on moral injury in peacekeepers is limited.Objective: We aimed to determine patterns of exposure to PMIEs and associated outcome- and exposure-related factors among Dutch peacekeepers stationed in the former Yugoslavia during the Srebrenica genocide.Method: Self-report data were collected among Dutchbat III veterans (N = 431). We used Latent Class Analysis to identify subgroups of PMIE exposure as assessed by the Moral Injury Scale-Military version. We investigated whether deployment location, posttraumatic stress disorder (PTSD), posttraumatic growth, resilience, and quality of life differentiated between latent classes.Results: The analysis identified a three-class solution: a high exposure class (n = 79), a moderate exposure class (n = 261), and a betrayal and powerlessness-only class (n = 135). More PMIE exposure was associated with deployment location and higher odds of having probable PTSD. PMIE exposure was not associated with posttraumatic growth. Resilience and quality of life were excluded from analyses due to high correlations with PTSD.Conclusions: Peacekeepers may experience varying levels of PMIE exposure, with more exposure being associated with worse outcomes 25 years later. Although no causal relationship may be assumed, the results emphasize the importance of better understanding PMIEs within peacekeeping.


Peacekeeping veterans reported different patterns of exposure to potentially morally injurious experiences: high exposure, moderate exposure, or experiences of betrayal and powerlessness only.Deployment location predicted the pattern of exposure.More exposure was associated with worse psychological outcomes 25 years later.


Assuntos
Transtornos de Estresse Pós-Traumáticos , Veteranos , Humanos , Análise de Classes Latentes , Qualidade de Vida , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Nações Unidas
7.
Glob Health Res Policy ; 9(1): 13, 2024 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-38600572

RESUMO

BACKGROUND: Conflicts, natural disasters, and complex emergencies present substantial health challenges to United Nations (UN) peacekeepers deployed in mission areas. This scoping review aims at summarizing previous research on the health of UN peacekeepers and identifies issues for further investigation. METHODS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews, we systematically searched Web of Science, PubMed, EMBASE, Scopus and China National Knowledge Infrastructure (CNKI) for English and Chinese literature published from April 1997 to November 2023. A data charting form was developed by two reviewers to extract relevant themes and provided narrative descriptions. RESULTS: We screened 1079 de-duplicated records and included 143 studies in this scoping review. There were 112 studies on the health status of UN peacekeepers, with more than half on mental health problems such as stress and anxiety. Many studies explored the health status of UN peacekeepers in African countries deployed from mainly U.S., Canada, U.K., China, Australia and Norway. There were 39 studies on the health risk factors of UN peacekeepers, including natural environmental, social environmental, psychological, behavioral lifestyle, biological factors and health service factors. There were 62 articles on the health protection of UN peacekeepers, mainly based on previous deployment experience, with a lack of theoretical guidance from global health perspectives. This scoping review found that health problems of UN peacekeepers are complicated, and whose impacts are cross-border. Social environmental factors were explored the most among health risk factors. Disease prevention measures, medical and health measures, and psychosocial measures were the main health protection for UN peacekeepers. CONCLUSIONS: This scoping review highlighted that health problems of UN peacekeepers were typical global health issues with complicated and cross-border health risk factors. Therefore, comprehensive strategies could be taken from global health perspectives, including multi-phases (before-deployment, during-deployment, and post-deployment), multi-disciplines (public health, medicine, politics, health diplomacy, and others), and multi-levels (the UN, host countries, troop-contributing countries, the UN peacekeeping team, and UN peacekeepers).


Assuntos
Militares , Humanos , Atenção à Saúde , Militares/psicologia , Fatores de Risco , Nações Unidas
8.
Afr J Reprod Health ; 28(3): 9-12, 2024 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-38582969

RESUMO

In September 1994, the International Conference on Population and Development (ICPD), that gave birth to the doctrine of sexual and reproductive health and rights (SRHR), was held in Cairo, Egypt1. This year is the 30th year following the conference. Given that a total of 179 governments attended the ICPD and agreed to the Platform for Action for promoting and improving sexual and reproductive health and rights, it is appropriate to take stock of changes, expectations, and commitments that have occurred as a result of actions taken by governments. The 57th session of the Commission on Population and Development will be held in April 2024 and will be dedicated to assessing the status of sexual and reproductive health and rights 30 years after Cairo. Additional post-30years events will take place in Geneva, Switzerland in October 19-20, 2024 which are intended to enable the global community to take a look backwards identify ways in which the ICPD processes have influenced global development.


En septembre 1994, la Conférence internationale sur la population et le développement (CIPD), qui a donné naissance à la doctrine de la santé et des droits sexuels et reproductifs (SDSR), s'est tenue au Caire, en Égypte1. Cette année marque la 30e année après la conférence. Étant donné qu'un total de 179 gouvernements ont participé à la CIPD et ont accepté le Programme d'action pour promouvoir et améliorer la santé et les droits sexuels et reproductifs, il convient de faire le point sur les changements, les attentes et les engagements qui se sont produits à la suite des mesures prises. par les gouvernements. La 57e session de la Commission sur la population et le développement se tiendra en avril 2024 et sera consacrée à l'évaluation de l'état de la santé et des droits sexuels et reproductifs 30 ans après. D'autres événements post-30 ans auront lieu à Genève, en Suisse, les 19 et 20 octobre 2024, destinés à permettre à la communauté mondiale de jeter un regard en arrière et en avant pour identifier la manière dont les processus de la CIPD ont influencé le développement mondial.


Assuntos
Saúde Reprodutiva , Nações Unidas , Humanos , África
9.
Eur J Paediatr Dent ; 25(1): 3, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38426296

RESUMO

Dentists, especially paediatric dentists, should inform their young patients of the treatment to be undertaken in an appropriate and comprehensive manner. In 1989, the UN Convention on the Rights of the Child (United Nations Convention on the Rights of the Child - UNCRC - https://www.unicef. org/child-rights-convention/convention-text) was adopted, comprising of 54 articles concerning every aspect of a child's life, notably health, including oral health. More than 30 years after the Declaration of the Rights of the Child, both health professionals and parents still struggle to grasp this subject, resulting in its scarce application in daily practice. Children's rights have also been mentioned several times in medical and dental literature, reminding health professionals that the approach to young patients must be age-appropriate. The clinician must learn to consider children as the main protagonists in the choices concerning their health, and they must be aware of their rights from an early age. Particularly in the field of dentistry, it is a matter of guaranteeing the best dental care for every child with particular attention to the indigent or disabled (Article 23). In addition to this, the most effective and up-to-date treatment must be proposed, avoiding unnecessary extractions and favouring conservative therapy that can guarantee a better quality of life in the future, while reducing treatment under general anaesthesia. In current practice, consent to treatment is often demanded from the parents, without involving the child. However, every child has the right to freely express their opinion and be actively involved in any matter that concerns them. This opinion is expressed in different ways according to age and stage of maturity. Pictures, drawings, cartoons and videos can help the healthcare provider when explaining procedures to the young patient, thus allowing them to obtain consent and cooperation. In individual countries, it would be advisable to have guidelines that facilitate the child's active consent to health treatments. So, what happens in your country?


Assuntos
Qualidade de Vida , Nações Unidas , Humanos , Pais , Odontólogos , Assistência Odontológica
10.
Lancet ; 403(10433): 1220, 2024 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-38555912
11.
J Int Bioethique Ethique Sci ; 34(4): 57-77, 2024.
Artigo em Francês | MEDLINE | ID: mdl-38480271

RESUMO

This article discusses the right to a clean, healthy and sustainable environment (hereinafter “right to a healthy environment”) within the framework of a “food systems approach” and from the perspective of the three main functions of law in the transition to sustainable and equitable food systems (hereinafter “SAD”). The article aims to demonstrate that the right to a healthy environment is an indispensable right for achieving the transition to SADs through the building blocks of food systems, namely food supply chains, food environments and consumer behavior. First of all, the article notes that the right to a healthy environment has been at the heart of SAD since it was recognized as a human right by Resolution 48/13 of the Human Rights Council and Resolution 76/300 of the United Nations General Assembly. As well as underpinning the sustainability and equity of food systems, the right to a healthy environment is inseparable from the realization of other human rights, most notably the right to adequate food, itself at the heart of food systems. Secondly, the article argues that the operationalization of the right to a healthy environment by States would benefit from a “food systems approach” to ensure the transition to SADs. In this perspective, the right to a healthy environment constitutes a genuine vector for the development and adoption of legal and policy measures that improve the sustainability and equity of food systems, and the implementation of the CFS Voluntary Guidelines on Food Systems and Nutrition adopted in 2021.


Assuntos
Meio Ambiente , Nações Unidas , Humanos , Direitos Humanos
12.
Int J Law Psychiatry ; 93: 101966, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38430626

RESUMO

The Convention on the Rights of Persons with Disabilities (CRPD) sets out a new vision for mental health care with equality and self-determination as its core standards. The CRPD fundamentally challenges long-standing practices in Sweden including the use of involuntary hospitalization, treatment without consent, and the use of restraints. This article discusses the impact of this new vision on Swedish mental health law and policy. An examination of mental health law inquiries from 2008 to 2023 reveals a notable lack of attention from policymakers towards the CRPD. Nevertheless, the Convention has emerged as a vital advocacy instrument for disability organizations and others opposing proposals that seek to broaden doctors' authority to employ coercion. In addition, the many efforts undertaken to reduce the use of coercion and to enhance the involvement of individuals with psychosocial disabilities in policy development align seamlessly with the principles of the Convention. This article concludes with a reflection on why the CRPD has not assumed a more prominent role in shaping mental health law in Sweden and calls on the government to seriously consider the CRPD's call for equality.


Assuntos
Pessoas com Deficiência , Saúde Mental , Humanos , Suécia , Nações Unidas , Direitos Humanos
13.
PLoS One ; 19(3): e0297644, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38507340

RESUMO

Climate change challenges countries around the world, and news media are key to the public's awareness and perception of it. But how are news media approaching climate change across countries? With the problem of climate change and its solution being global, it is key to determine whether differences in climate change news reports exist and what they are across countries. This study employs supervised machine learning to uncover topical and terminological differences between newspaper articles on climate change. An original dataset of climate change articles is presented, originating from 7 newspapers and 3 countries across the world, and published in English during 26 Conference of the Parties (COP) meetings from the United Nations Framework Convention on Climate Change (UNFCC). Three aspects are used to discriminate between articles, being (1) countries, (2) political orientations, and (3) COP meetings. Our results reveal differences with regard to how newspaper articles approach climate change globally. Specifically, climate change-related terminology of left-oriented newspapers is more prevalent compared to their right-oriented counterparts. Also, over the years, newspapers' climate change-related terminology has evolved to convey a greater sense of urgency.


Assuntos
Mudança Climática , Meios de Comunicação de Massa , Relatório de Pesquisa , Nações Unidas
14.
BMC Pediatr ; 23(Suppl 2): 655, 2024 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-38454369

RESUMO

BACKGROUND: Each year an estimated 2.3 million newborns die in the first 28 days of life. Most of these deaths are preventable, and high-quality neonatal care is fundamental for surviving and thriving. Service readiness is used to assess the capacity of hospitals to provide care, but current health facility assessment (HFA) tools do not fully evaluate inpatient small and sick newborn care (SSNC). METHODS: Health systems ingredients for SSNC were identified from international guidelines, notably World Health Organization (WHO), and other standards for SSNC. Existing global and national service readiness tools were identified and mapped against this ingredients list. A novel HFA tool was co-designed according to a priori considerations determined by policymakers from four African governments, including that the HFA be completed in one day and assess readiness across the health system. The tool was reviewed by > 150 global experts, and refined and operationalised in 64 hospitals in Kenya, Malawi, Nigeria, and Tanzania between September 2019 and March 2021. RESULTS: Eight hundred and sixty-six key health systems ingredients for service readiness for inpatient SSNC were identified and mapped against four global and eight national tools measuring SSNC service readiness. Tools revealed major content gaps particularly for devices and consumables, care guidelines, and facility infrastructure, with a mean of 13.2% (n = 866, range 2.2-34.4%) of ingredients included. Two tools covered 32.7% and 34.4% (n = 866) of ingredients and were used as inputs for the new HFA tool, which included ten modules organised by adapted WHO health system building blocks, including: infrastructure, pharmacy and laboratory, medical devices and supplies, biomedical technician workshop, human resources, information systems, leadership and governance, family-centred care, and infection prevention and control. This HFA tool can be conducted at a hospital by seven assessors in one day and has been used in 64 hospitals in Kenya, Malawi, Nigeria, and Tanzania. CONCLUSION: This HFA tool is available open-access to adapt for use to comprehensively measure service readiness for level-2 SSNC, including respiratory support. The resulting facility-level data enable comparable tracking for Every Newborn Action Plan coverage target four within and between countries, identifying facility and national-level health systems gaps for action.


Assuntos
Países em Desenvolvimento , Qualidade da Assistência à Saúde , Recém-Nascido , Humanos , Nações Unidas , Tanzânia , Instalações de Saúde
15.
Lancet ; 403(10429): 796, 2024 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-38432252
18.
Environ Sci Pollut Res Int ; 31(13): 20449-20460, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38374509

RESUMO

It is crucial to decouple and coordinate human consumption and its environmental pressure for achieving sustainable development. As an important aspect of United Nations Sustainable Development Goal (SDG12), sustainability on material consuming is still in its early stages of research. To address the research gap in sustainable consumption of vegetation net primary productivity (NPP), this study analyzed the spatio-temporal dynamics of human consumption and environmental pressure in the Yangtze River Economic Zone (YREZ) using consumption-based HANPP (cHANPP) and Human Appropriation of Net Primary Production (HANPP) as indicators. Later, we measured their decoupling relationship using Tapio decoupling approach. We found that distribution of HANPP and cHANPP were regionally separated, with the former mainly concentrated in the middle and upper reaches provinces, while the latter concentrated in the lower reach provinces. From 2004 to 2019, the relationship between HANPP and cHANPP changed from strong negative decoupling to weak decoupling in the YREZ. Furthermore, the relationship was differed among different regions. As a whole, developing regions showed a weak decoupling state, experiencing an increase in environmental pressure (i.e., HANPP) alongside increased human consumption (i.e., cHANPP). In contrast, developed regions showed a strong decoupling state, experiencing a decrease in environmental pressure (i.e., HANPP) alongside increased human consumption (i.e., cHANPP). Our study highlights that different countermeasures should be formulated by regions according to their own situation to realize sustainable regional development.


Assuntos
Rios , Desenvolvimento Sustentável , Humanos , China , Desenvolvimento Econômico , Nações Unidas
19.
Afr J Reprod Health ; 28(1): 9-12, 2024 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-38308483

RESUMO

Climate change has featured repeatedly in the most recent discourses on global development1. Several global conferences have been held in recent times to discuss and reach consensus on ways to ameliorate the causes and address the consequences of climate change worldwide. These conferences, now called "Conference of the Parties (COP) to the United Nations Framework on Climate change" have taken place in many countries over the last couple of years. The most recent conferences included COP26 and COP27 which took place in Glasgow, UK 2021 and Sham El Sheikh, Egypt in 2022 respectively. The COP28, which took place in Dubai, UAE in 2023 focused on the theme "unite, act, deliver", and was attended by over 85,000 participants.


Assuntos
Mudança Climática , Saúde da Mulher , Feminino , Humanos , Nações Unidas , Egito
20.
J Environ Manage ; 354: 120477, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38417362

RESUMO

The Indian coastal waters are stressed due to a multitude of factors, such as the discharge of industrial effluents, urbanization (municipal sewage), agricultural runoff, and river discharge. The coastal waters along the eastern and western seaboard of India exhibit contrasting characteristics in terms of seasonality, the magnitude of river influx, circulation pattern, and degree of anthropogenic activity. Therefore, understanding these processes and forecasting their occurrence is highly necessary to secure the health of coastal waters, habitats, marine resources, and the safety of tourists. This article introduces an integrated buoy-satellite based Water Quality Nowcasting System (WQNS) to address the unique challenges of water quality monitoring in Indian coastal waters and to boost the regional blue economy. The Indian National Centre for Ocean Information Services (INCOIS) has launched a first-of-its-kind WQNS, and positioned the buoys at two important locations along the east (Visakhapatnam) and west (Kochi) coast of India, covering a range of environmental conditions and tourist-intensive zones. These buoys are equipped with different physical-biogeochemical sensors, data telemetry systems, and integration with satellite-based observations for real-time data transmission to land. The sensors onboard these buoys continuously measure 22 water quality parameters, including surface current (speed and direction), salinity, temperature, pH, dissolved oxygen, phycocyanin, phycoerythrin, Coloured Dissolved Organic Matter, chlorophyll-a, turbidity, dissolved methane, hydrocarbon (crude and refined), scattering, pCO2 (water and air), and inorganic macronutrients (nitrite, nitrate, ammonium, phosphate, silicate). This real-time data is transmitted to a central processing facility at INCOIS, and after necessary quality control, the data is disseminated through the INCOIS website. Preliminary results from the WQNS show promising outcomes, including the short-term changes in the water column oxic and hypoxic regimes within a day in coastal waters off Kochi during the monsoon period, whereas effluxing of high levels of CO2 into the atmosphere associated with the mixing of water, driven by local depression in the coastal waters off Visakhapatnam. The system has demonstrated its ability to detect changes in the water column properties due to episodic events and mesoscale processes. Additionally, it offers valuable data for research, management, and policy development related to coastal water quality.


Assuntos
Ecossistema , Qualidade da Água , Índia , Oceanos e Mares , Nações Unidas , Monitoramento Ambiental , Água do Mar/química
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