On April 14 and October 1, 2024, and then for 10 days from June 13, 2025, Israel was under ballistic missile attacks, causing casualties and destruction. This report describes the response of an emergency department (ED) in Jerusalem to maintain quality care and safety during these attacks. It was vital to minimize the number of ED patients in unprotected zones. Patients in the unprotected area of the ED were relocated to protected zones, and a mechanism was implemented to close blast doors that had been blocked by a technical issue. Lessons learned included: adapting protected areas in the ED for continued patient care, properly closing blast doors, and maintaining flexible emergency protocols to address evolving hazards.

Low optically stimulated luminescence (OSL) sensitivity is commonly observed in quartz from tectonically active catchments, suggesting limited or short-lived conditions favorable for sensitization. We characterize the OSL sensitivity of quartz sand within a small, tectonically active catchment in Sicily using modern fluvial samples and a hillslope soil sample. We investigate how OSL sensitivity varies with bedrock lithology, weathering proxies, and topographic metrics. OSL sensitivity spans three orders of magnitude (60–2800 counts/Gy/mm3) with no clear linkage to bedrock source. The soil sample exhibits the highest OSL sensitivity, and positive relationships between OSL sensitivity, magnetic susceptibility, and weathering intensity suggest that pedogenic hillslope processes enhance quartz OSL sensitivity. In contrast, fluvial sediments show low OSL sensitivity and a modest inverse relationship to channel steepness and hypsometry. OSL sensitivity decreases downstream, suggesting that highly sensitized grains from hillslope soils are progressively diluted by low OSL sensitivity sediment likely generated by rapid bedrock erosion in the catchment. These results highlight a hierarchy of controls: bedrock lithology sets the initial OSL sensitivity, hillslope processes enhance it, rapid erosion dilutes it, and fluvial transport modulates it through mixing, explaining why tectonically active catchments rarely preserve quartz with high OSL sensitivity.

Scholars of the politics of consumption in the United States have argued that the early twentieth century marked the emergence of a new kind of “economic” or “consumer citizenship” which linked Americans’ political identity with their ability to access and afford mass-produced goods.1 A fuller examination of the participation of immigrants in these economistic visions of citizenship remains to be established. The years surrounding World War I and the 1918 flu pandemic, Max Ehrenfreund has recently suggested, constituted a critical moment when consumption and citizenship became more tightly linked not only through the choice to consume but also to refrain from consumption.2 In this piece, I explore “financial citizenship,” a term I used to describe an alternative form of civic belonging linking affinities for markets and politics.3 Financial citizenship—namely, the public outcry for a more responsive economic system that could provide cash for everyday transactions, efficient access to credit, and a variety of financial instruments for other purposes—was a vision raised by a broad range of demographic groups, from northeastern ironworkers to midwestern farmers to Black wage workers in the urban New South.4

We previously characterized a reduction in unscheduled care following implementation of ID pharmacist review of outpatient parenteral antimicrobial therapy plans for patients discharging from acute care. In this report we demonstrate the cost avoidance that this intervention would be expected to generate for patients enrolled in value-based-care plans.

This article analyzes women’s experiences of human papillomavirus (HPV) in Turkey under gendered health governance, a lack of public vaccine coverage, and conservative moral norms. Interviews with twenty-three mostly urban, university-educated women show that the diagnosis is experienced as shame, anxiety, and individualized responsibility. The burden is deeply felt despite the high cultural capital of the sample, indicating that stigma and access barriers to vaccination are not mitigated by individual resources alone. After diagnosis, women perform extensive emotional and moral labor, arranging follow-ups, insisting on condom use or choosing abstinence, and calculating disclosure risks to partners and family. Men are largely absent from prevention and care. Clinical routines also produce moral judgment and turn medical risk into a disciplinary test of respectability through marital-status questioning, limited privacy, and admonishing talk. The case in Turkey aligns with global feminization and moralization of HPV yet is distinctive for increasing official familism, rising conservatism on sexuality, and a prolonged lack of HPV vaccine coverage, as well as related civil-society campaigns and pay-it-forward schemes. In such a context, assigning risk management to women creates a double burden of dealing with moral discourses and caring for their and others’ health. Even if free HPV vaccination begins, equitable uptake will require non-moralizing clinical communication, confidentiality, and partner-inclusive, de-gendered prevention.