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The official abolition of serfdom in 1861 was preceded by several laws and partial reforms. If serfdom underwent a profound transformation during the first half of the nineteenth century, many legal constraints remained after its abolition. Despite these restrictions, however, the new context did not halt but rather promote economic growth, which was mainly based on pluriactivity and labor intensification. Regional differentiation was crucial, as were the profound differences in the profitability of different Russian colonies.
Since the introduction of health technology assessment (HTA) in Ukraine, the international technical assistance project “Safe, Affordable, and Effective Medicines for Ukrainians” with financial contributions of the United States Agency for International Development has supported capacity building activities. In 2020, the main HTA stakeholders expressed interest in a comprehensive training program for HTA doers, users, and trainers.
Approach
To inform the design of a training program, the needs of forty HTA doers, users, and potential trainers were assessed using validated surveys. Identified knowledge gaps included comparative effectiveness, health economics, qualitative evidence synthesis, patient and public involvement, and ethical issues. Based on these results a tailored training program consisting of five modules was developed, including an introduction to HTA, as well as a train-the-trainers program.
Results
During January–July 2023, seventy-five persons participated in the training program, while twelve HTA professionals followed the train-the-trainer program. We evaluated participants’ self-reported knowledge and skill gains by asking about their confidence level in each learning objective at the beginning and end of each training module. For each module, a learning effect was observed among participants. Furthermore, the majority of trainers felt confident to provide the introductory module on HTA, while for the other modules only one or two trainers felt completely confident to teach the content.
Conclusion
Establishing a training program based on the needs of HTA doers, users, and trainers as developed for Ukraine can serve as inspiration for other countries that wish to attain sustainable HTA capacity.
To estimate and improve Ukraine’s health sector’s preparedness to respond to radiation and nuclear emergencies.
Methods
Field expert assessments and analytical methods were used.
Results
In September 2022, the WHO evaluation mission to Ukraine visited several critical regions to review the current state of health sector preparedness for a nuclear emergency and revealed many defects and items for improvement. The provision of radiation control equipment was considered for ambulance teams, admissions departments/emergency departments in designated hospitals, and tertiary level hospitals, and for National and Regional Public Health Laboratories. For cases of mass casualty, WHO procured 20 decontamination tents for the country. Training courses for medical specialists and decision-makers were launched.
Conclusions
The WHO mission was crucial in assessing the overall state of preparedness for CBRN threats and directing forces and resources to improve it. Donor assistance in the form of equipment for dosimetric monitoring and diagnostics of emergency-related disorders contributes to improving the preparedness of the health system of Ukraine to an adequate response to the threats of radiation and nuclear emergencies.
To assess interagency emergency response capabilities for radiological threats through a tabletop exercise (TTX) simulating a nuclear power plant accident, with focus on communication protocols, patient referral pathways, and public information management in Ukraine’s current security context.
Methodology
A structured 3-day TTX was conducted in September 2024 by the WHO Ukraine Country Office, simulating a cooling system failure at a fictional North-West Nuclear Power Plant. Twelve organizations participated, including regional health authorities, emergency services, and international partners. The exercise employed a progressive scenario that injects testing accident notification, media management, medical response, and evacuation procedures. Performance was evaluated using structured criteria (Achieved, Partially Achieved, Not Achieved) across predefined indicators.
Results
The exercise identified critical preparedness gaps including the absence of regular radiological-nuclear emergency drills in regions without nuclear facilities, challenges in potassium iodide procurement and distribution, staff hesitancy due to inadequate insurance coverage, and lack of standardized decontamination procedures. Communication protocols functioned effectively, though coordination delays were noted. Patient referral pathways required strengthening, particularly for contaminated casualties.
Conclusions
While Ukraine demonstrates functional emergency response frameworks, specific radiological preparedness requires enhancement. Regular multiagency drills, improved staff protection policies, standardized decontamination protocols, and robust public information systems are essential for effective radiological emergency response.
Health technology assessment (HTA) has become an integral part of Ukraine’s health system since its formal introduction into national legislation in 2017. By 2020, HTA was mandated for evaluating publicly funded medicines, laying the groundwork for more evidence-based healthcare decisions. Although the creation of an independent HTA agency was initially planned for 2022, implementation was delayed due to the COVID-19 pandemic and Russia’s ongoing invasion. The relevant Cabinet Resolution calls for the establishment of an autonomous agency by January 2026. This commentary outlines a strategic, evidence-informed framework to guide the agency’s formation.
Methods
Drawing on the 2018 State Strategy for Access to Medicines, the 2022 Law on Medicinal Products, and international best practices, we proposed to the Government of Ukraine a two-tier structure encompassing core business functions (HTA and appraisal, guideline development, pricing, and listing) and support business functions (data and analytics, finance and strategy, IT, human resources, legal, and communications). Each department is tasked with clear mandates and supported by performance indicators to promote transparency, accountability, and operational efficiency.
Results
A phased roadmap for 2025–2027 details the legal, institutional, and financial steps required for successful implementation. Key opportunities – including international partnerships and system-wide reform – are weighed alongside risks such as funding uncertainty, workforce limitations, and geopolitical instability.
Conclusion
By embedding HTA into national policy processes and ensuring institutional independence, Ukraine can enhance the value of healthcare investments and build long-term resilience into its health system.
The Russia-Ukraine war generates fear, depression, loneliness, burnout and substance misuse among civilians. Our study examines mental health among Ukrainian university female students during 3 years of war. A total of 3,467 students were surveyed on three occasions: August to October 2022 (T1, n = 1,416), March to July 2023 (T2, n = 747) and September to November 2024 (T3, n = 1,304). The respondent’s average age was 19.3 years, 25.3% identified as secular and 36.9% were married/partnered. The respondents included 81.2% who were not relocated, 10.7% who were internally displaced and 8.1% who were refugees. Valid and reliable survey instruments were used to gather data. One-way analysis of variance (ANOVA) shows a significant decrease in fear of war, depression and burnout in 2023 compared to 2022; however, there was a marked increase in 2024. Regardless of the survey period, one-way ANOVA shows a significant difference in fear of war and burnout scores associated with depression and loneliness levels. Stepwise regression analysis shows fear of war, depression and loneliness associated with burnout. This study provides usable information for mental health services planning and intervention purposes associated with young women affected by war in Ukraine. Additionally, it has relevance for training to address client and service personnel needs, for academic curriculum development and course instruction, and as a reference source for mental health personnel addressing student needs.
Russian imperial nationalists demand Ukrainians accept they are a Little Russian branch of the pan-Russian nation and will never accept a Ukraine independent of Russia with a right to decide its own memory politics, language, foreign and security policies. Since 1991, Russia has found it very difficult to accept an independent Ukraine. The Soviet Union included a Ukrainian republic and recognised Ukrainians as a separate people, although forever bonded with Russians. Putin reverted to the Tsarist imperial denial of the existence of Ukraine and Ukrainians. Russia’s first invasion of Ukraine and annexation of Crimea in 2014 made imperialism and nationalism the driving forces of Russian foreign policy. During the decade between Russia’s two invasions of Ukraine, from 2014 to 2021, Russian imperial nationalism became a dominant force in Putin’s Russia, providing ideological justification for the Kremlin’s plan to destroy the Ukrainian state and Ukrainian identity.
Michael Blake, Yuna Blajer de la Garza, and Alex Zakaras offer insightful critiques of several arguments central to my book Beyond the Law’s Reach? In the process, they raise large questions in political philosophy more generally, especially as it pertains to global affairs. Blake is skeptical about the distinction, driving much of the book, between consolidated liberal democracies and jurisdictions where the “shadow of violence” prevails. Blajer de la Garza worries that the international reparative duties that the book highlights may linger indefinitely, and, consequently, be exploited by cynical political actors. Finally, whereas Beyond the Law’s Reach? argues that liberal democracies’ collective integrity is affected by their entanglement in violence and corruption abroad, Zakaras doubts whether this collective moral problem carries over into the individual level, given individual citizens’ reasonable ignorance of policy details. I offer responses to each of these critiques in turn. I conclude by highlighting the picture of democratic civic responsibility that emerges from these responses.
The epilogue returns to the major themes discussed throughout the book. In addition, it examines the contemporaneous nature of Ghana–Russian relations, particularly through the lens of anti-Black violence and Russia’s full-scale invasion of Ukraine in February 2021. It also looks at the continued contestation between Ghanaians abroad and the embassy in Russia and Ghanaians’ use of protest domestically to seek better rights and economic benefits. The epilogue demonstrates that while Nkrumah and the explicit debates and discourses on socialism that consumed Ghana in the 1960s have almost vanished, that their ghosts continue to shape Ghanaian society.
The two crises in this chapter share three main characteristics. They involve territorial (border) conflict that relates to the independence of Ukraine (or, relatedly, the breakup of the Soviet Union), feature an East–West tension, and (as of this writing) do not escalate to a war among the major states. In 2014, after Ukraine attempted to move closer to Europe (i.e., it contemplated an EU agreement and the pro-Russian government fell), Putin annexed Crimea to secure the long-held naval base there. Although done forcefully, there were no military fatalities. In 2022, amidst a fear that Ukraine was again moving closer to Europe (i.e., it looked to be closer to joining NATO and its government became less pro-Russian), Russia invaded Ukraine. It failed to take Kyiv, even though it heavily bombed Ukraine. Russia then withdrew to the east, where a majority of Russian speakers had sought to separate from Ukraine. The United States and the European Union gave weapons and aid that expanded as the war continued. Deaths mounted on both sides. The Russians successfully created a land bridge from the Donbas to Crimea. After his election, Trump attempted to negotiate a settlement that would end the war.
This chapter examines the shift from almost total estrangement in the early 1920s to broad enmeshment in cultural, economic, and finally diplomatic exchanges in the early 1930s. While acknowledging the importance of converging economic and strategic interests, the chapter argues that images and ideas were also significant, particularly in defining the identities and trajectories of the two countries. It illuminates the divergence between American anticommunists who loathed the atheist Soviet dictatorship and the growing number of intellectuals, journalists, African Americans, and others who became fascinated by the Soviet experiment in social and economic transformation. It also analyzes the ambivalence of Soviet writers, cartoonists, and political leaders about the United States, which they harshly criticized for its imperialism, racism, and economic exploitation, but also admired for its energy, productivity, and advanced technology. The chapter closes with a discussion of how President Franklin Roosevelt disregarded a terrible famine in Ukraine and protests by Ukrainian Americans as he negotiated for the establishment of diplomatic relations.
The Silurian of Podolia, Ukraine, is renowned for its arthropod fauna, including eurypterids and the synziphosurine Pasternakevia. Here, we describe one of several new arthropods recently discovered in the vicinity of the Smotrych River. Smotrychaspis kurtopleurae gen. et sp. nov. is a synziphosurine euchelicerate with semicircular carapace lacking eyes, an unfused opisthosoma with 11 visible segments, the posterior tergites wide and bearing falcate epimera and a relatively long and stout telson. Smotrychaspis resembles pseudoniscid and bunodid synziphosurines but cannot be placed in either of these families.
Chapter 6 closes with several forward-looking discussions about the impact of Trump’s overt challenges to the law of war. Section 6.1 highlights practical takeaways from the book for IHL policymakers and practitioners. Section 6.2 explores what, if anything, can be done to curb the impunity agenda at its source. Sections 6.3 and 6.4 examine the future of Trump’s impunity agenda, both in America and globally, including in major conflicts involving Russia and Israel. Section 6.4 poses questions for further research.
This study presents data on helminth communities from 93 Hooded Crows (Corvus cornix). The dataset includes historical and contemporary records from three localities in Ukraine with different levels of urbanisation: Kyiv, the Middle Dnipro River, and Polissya. Thirty-two helminth species were identified, including 14 trematodes, six cestodes, 11 nematodes, and one acanthocephalan. The nematodes Eufilariella delicata and Hadjelia truncata are documented in Hooded Crows for the first time. During the statistical analysis, it was revealed that the used dataset is insufficient for robust inference regarding the impact of urbanisation on helminth communities due to its temporal and spatial biases. Despite the limitation, the data offer information for future research on the influence of urbanisation on helminth biodiversity in avian hosts.
Russia’s invasion of Ukraine catalysed a shift in the security and defence policies of the European Union (EU) and its member states. Notably, the deployment of the European Peace Facility (EPF) to finance lethal military materiel for Ukraine has been described as a gamechanger for the EU. This article explores to what extent and how the policy shift regarding the EPF signals broader evolution in EU strategic agency. Contributing to the study of European strategic cultures, the article investigates dynamics of change and convergence in the strategic discourses of the EU and selected member states regarding the EPF amid the exogenous shock and policy shift. Specifically, the article first traces the evolution of the EU’s strategic narrative and its use of the EPF before and after the invasion. Second, drawing on interview data, it analyses four member states’ approaches to this instrument. The findings point to a changed strategic narrative and an evolving practice regarding EU military assistance, highlighting the EU institutions’ initiative-making power in crisis. While the member states continue to use the EPF for varying purposes, the joint experience of using the tool contributed to shifting national perspectives and growing consensus on the utility of EU security agency.
Psychosocial programs in low- and middle-income countries (LMIC) often omit cognitive strategies due to perceived difficulty for clients and lay providers. We evaluated the benefit of including “cognitive coping” in a brief, online intervention for conflict-affected Ukrainian veterans and family members with mild to moderate psychosocial distress. Participants were randomized to two treatment conditions based on the Common Elements Treatment Approach Psychosocial Program (CPSS). CPSS-Basic (CPSS-B) included a self-assessment, safety screening and psychoeducation. CPSS-Enhanced (CPSS-E) included these as well as cognitive coping. Distress, functional impairment, alcohol use, aggression, social disconnectedness and conflict resolution were assessed after one month. Participants also evaluated program accessibility, acceptability, appropriateness, feasibility and adoption. Of 1,177 study participants, 788 (67%) completed follow-up. Both conditions significantly improved distress, functional impairment, aggression and social disconnectedness; CPSS-E producing a greater reduction in distress than CPSS-B (ES: d = .22, p = .002). Implementation outcomes were positive across conditions, favoring CPSS-E for appropriateness (d = .48, 95% CI: .33, .62), feasibility (d = .15, 95% CI: .00, .29), adoption (d = .34, 95% CI: .19, .48) and acceptability (d = .29, 95% CI: .15, .44). Findings support the feasibility and added value of incorporating cognitive techniques into psychosocial programming in LMIC.
The circular economy has long been regarded as a fundamental strategy for achieving sustainable development. Most recently, it has also been acknowledged as an effective approach to crisis response. This study contributes to this nascent literature by introducing a dual hierarchy of 6Rs strategies as an inspiring framework for circular post-disaster recovery and reconstruction, supporting the “Build Back Better” principle through circular initiatives. The key distinction between the proposed hierarchy and the traditional 6Rs framework lies in the two-vector operationalization of each strategy, addressing both past and future considerations. Also, this article examines the case of war-torn Ukraine as one of the most severe man-made disasters. The study explores Ukraine’s potential for circular recovery within the framework of European Union policies in the construction sector.
Scholarship has identified key determinants of people’s belief in misinformation predominantly from English-language contexts. However, multilingual citizens often consume news media in multiple languages. We study how the language of consumption affects belief in misinformation and true news articles in multilingual environments. We suggest that language may pass on specific cues affecting how bilinguals evaluate information. In a ten-week survey experiment with bilingual adults in Ukraine, we measured if subjects evaluating information in their less-preferred language were less likely to believe it. We find those who prefer Ukrainian are less likely to believe both false and true stories written in Russian by approximately 0.2 standard deviation units. Conversely, those who prefer Russian show increased belief in false stories in Ukrainian, though this effect is less robust. A secondary digital media literacy intervention does not increase discernment as it reduces belief in both true and false stories equally.
Animals routinely suffer violence by humans, especially during war, but it is unclear how much people in conflict environments express concern for animal welfare. Based on a 2,008-person survey in Ukraine in May 2024, we find that respondents are anthropocentric, prioritizing human over animal suffering; biocentric, regarding both as important; or, in a small minority, zoocentric, emphasizing animal over human suffering. Experimental priming on violence against animals during the Russia–Ukraine war has limited effect on changing attitudes toward animal welfare, but it does increase resource allocation to animal relief organizations. A war crimes punishment experiment also shows that while respondents sanction perpetrators of human suffering more severely than perpetrators of animal suffering, violence against animals is still strongly penalized, indicating appreciation for animal rights, justice, and accountability. We reflect on the implications of our findings for speciesist versus posthumanist understandings of suffering during war.
Situated at the intersection of language rights, nation-building processes, and security issues, this article analyzes language policies in Ukraine in the three decades since its independence (1991–2021). It traces the legal evolution and decisions of the Ukrainian Constitutional Court, identifying the specific ideological approaches towards language issues that emerge in such a development. We distinguish four periods in the evolution of Ukrainian laws, highlighting how these stages reflect specific ontological and societal (in)securities and related securitization processes, and their intersection with the process of nation-building and the role assigned to the Ukrainian language in such a process. In this way, the article discusses how, in light of the Soviet legacy and Russian kin-state activism and geopolitical agenda, Ukraine has moved to adopt a more assertive nationalizing approach to language issues that aim at promoting Ukrainian as the state language. Russia’s aggressive actions accelerated the ongoing nation-building process, interplaying with the relevance assigned to the Ukrainian language for the Ukrainian nation-state as well as the country’s ontological and societal (in)securities. In this way, our contribution complements our understanding of language policies, bringing to light the connections of their evolution and variations with how security concerns affect nation-building processes.