The Fog of Protection: Contested Meanings and Deliberate Civilian Deaths in Armed Conflict

Why do belligerents intentionally kill legally protected civilians during armed conflict? Such acts not only violate the human security of people protected by the civilian immunity norm but may also be war crimes. The violation of this pillar of international humanitarian law (IHL), the body of law tasked with regulating armed conflict, has been the subject of significant research and policy deliberation. Many of the useful analyses produced by these efforts operate from common assumptions. One is that a monolithic understanding of the distinction principle, the obligation for belligerents to distinguish between permissible and impermissible targets and a core component of the civilian immunity norm, exists among those who monitor and disseminate IHL. Another assumption among scholars and practitioners concerned with deliberate civilian targeting is that a shared understanding of who is protected during armed conflict exists between those who monitor IHL and those who must abide by it. Through the analysis of interviews conducted with IHL experts and belligerents who fought in a variety of conflicts on the African continent, this study reveals that neither of these assumptions is warranted. It finds that not only is there a lack of consensus among belligerents as to whom they can permissibly target during armed conflict, but that there is still debate among IHL experts as to whom the law protects. Furthermore, this study finds that shared understandings of who is protected during armed conflict do not exist between experts and belligerents, so that belligerents claiming to abide by their particular interpretation of the distinction principle ostensibly target civilians deemed protected by IHL experts. Thus this study offers new avenues for understanding violations of the civilian immunity norm and possibly reducing their occurrence

Descriptive study to assess the knowledge on risk factors of Coronary Artery Disease (CAD)

CAD is the most common type of CVD which is characterized by deposits of lipids within the intima of the coronary artery. CAD is the leading cause of mortality and morbidity in many countries worldwide. The investigators adopted a quantitative approach to assess the knowledge on risk factors of CAD among patients in selected OPDs of M.O.S.C Medical College Hospital, Kolenchery. A descriptive design with non-probability convenience sampling technique was used. 120 clients who have given consent and shown willingness to participate were enrolled in the study. Data was collected by using demographic proforma, and structured knowledge questionnaireThe data was analyzed using descriptive and inferential statistics. The collected data was organized tabulated and analyzed by descriptive [mean, median, mode and standard deviation] and inferential statistics [chi-square test].The data revealed that the level of knowledge on risk factors of cad among subjects attending selected OPDs, out of 120 samples 30 (25%) have good knowledge, 85 (71%) have average knowledge and only 5 (4%) have poor knowledge. There was significant association between knowledge level and education whereas there was no significant association between age, sex, religion, income, marital status, occupation and food habit