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Ethnic Armenian Rosa reacts after her house was damaged during shelling in the town of Martuni, self-proclaimed Republic of Nagorno-Karabakh, Azerbaijan, Tuesday, Sept. 29, 2020. Heavy fighting between Armenian and Azerbaijani forces over the separatist region of Nagorno-Karabakh continued for a fourth straight day on Wednesday, in the biggest escalation of a decades-old conflict in years that has killed dozens and left scores of others wounded. (KEYSTONE/AP Photo/Karen Mirzoyan)