Objective: To investigate the current status of medical support in military operations other than war (MOOTW) in domestic and overseas. Methods: This paper mainly adopts the descriptive, comparative and induction rese...Objective: To investigate the current status of medical support in military operations other than war (MOOTW) in domestic and overseas. Methods: This paper mainly adopts the descriptive, comparative and induction research methods. The current status of medical support in MOOTW in China, America, Russia, Israel, Canada, had been studied through some official papers, and series of professional books by analysis the precise date in various kinds of emergency event. Results: The contrast shows that there is still a quite huge development in medical support in MOOTW, no matter in China, or in other countries. Conclusion: In order to strengthen the forces, besides building professional rescue teams, it is necessary to take a regular revise of plans, according to missions` needs.展开更多
Background: The Walter Reed Army Institute of Research(WRAIR) Operational Research Kit-Actigraphy(WORK-A) is a set of unique practice parameters and actigraphy-derived measures for the analysis of operational military...Background: The Walter Reed Army Institute of Research(WRAIR) Operational Research Kit-Actigraphy(WORK-A) is a set of unique practice parameters and actigraphy-derived measures for the analysis of operational military sleep patterns. The WORK-A draws on best practices from the literature and comprises 15 additional descriptive variables. Here, we demonstrate the WORK-A with a sample of United States Army Reserve Officers’ Training Corps(ROTC) cadets(n=286) during a month-long capstone pre-commissioning training exercise.Methods: The sleep of ROTC cadets(n=286) was measured by Philips Actiwatch devices during the 31-day training exercise. The preliminary effectiveness of the WORK-A was tested by comparing differences in sleep measures collected by Actiwatches as calculated by Philips Actiware software against WORK-A-determined sleep measures and self-report sleep collected from a subset of ROTC cadets(n=140).Results: Actiware sleep summary statistics were significantly different from WORK-A measures and self-report sleep(P≤0.001). Bedtimes and waketimes as determined by WORK-A major sleep intervals showed the best agreement with self-report bedtime(22:21±1:30 vs. 22:13±0:40, P=0.21) and waketime(04:30±2:17 vs. 04:31±0:47, P=0.68). Though still significantly different, the discrepancy was smaller between the WORK-A measure of time in bed(TIB) for major sleep intervals(352±29) min and self-report nightly sleep duration [(337±57) min, P=0.006] than that between the WORK-A major TIB and Actiware TIB [(177±42) min, P≤0.001].Conclusions: Default actigraphy methods are not the most accurate methods for characterizing soldier sleep, but reliable methods for characterizing operational sleep patterns is a necessary first step in developing strategies to improve soldier readiness. The WORK-A addresses this knowledge gap by providing practice parameters and a robust variety of measures with which to profile sleep behavior in service members.展开更多
Katharina Reiss put forward the functionalist translation theory in 1970 s.It promotes the status of the translators and provides options that translators could get in order to make the good translation.As China' ...Katharina Reiss put forward the functionalist translation theory in 1970 s.It promotes the status of the translators and provides options that translators could get in order to make the good translation.As China' s military treasure,The Art of War exerts great influence on the military development for its profound theory and careful logic.Combined with the theory,the paper finds different strategies in translating the military terminology of the cases.展开更多
In August 1963, Israel's Prime Minister Levi Eshkol initiated the procedure for terminating the martial law in effect since the end of the War of Independence (1948) with regard to Israeli Arabs. Martial law discri...In August 1963, Israel's Prime Minister Levi Eshkol initiated the procedure for terminating the martial law in effect since the end of the War of Independence (1948) with regard to Israeli Arabs. Martial law discriminated against Israel's Arab minority, as opposed to the majority of Israel's society, as part of different issues bound up with this population's daily functioning. The aim of the paper is to present the reasons why Eshkol's doing away with the martial law stemmed was its ineffectiveness, while the other, and this makes up the core of our concern here, was his changing attitude toward the Arab minority in Israel, by contrast with that of his predecessor, David Ben Gurion The main conclusion of the paper is that even though Eshkol's ideas about the Arab minority were not very different from Ben Gurion's ideas one insisted on maintaining the military government in Israel, while the other saw this as unnecessary, and so brought it to an end. In August 1963, a few months after assuming office, Israel's Prime Minister Levi Eshkol initiated the first steps leading to the annulment of military rulet which had applied to Arabs in the State of Israel ever since the end of the War of Independence (1948). This process was concluded some three years later. Military rule was lifted in effect on December 1, 1966. In the presentation, the author would like to look into the considerations which prompted Eshkol to take such a step, in light of the fact that his predecessor, Ben Gurion, was a staunch opponent of annulling the military regime, convinced as he was, even after the conclusion of his term in office, that the current state of affairs should remain in effect.展开更多
After the outbreak of World War I,the British War Office decided to dispatch female nursing personnel to the front lines due to the severe casualties among soldiers,the underdeveloped military medical services of the ...After the outbreak of World War I,the British War Office decided to dispatch female nursing personnel to the front lines due to the severe casualties among soldiers,the underdeveloped military medical services of the allied forces,and the maturity of the British Army female nursing service.Despite the harsh working conditions and the complexities of nurse-patient relationships under wartime restrictions,the female nursing staff also experienced moments of leisure that allowed them to relax and recuperate.The wartime British Army Female Nursing Service had a positive effect in reducing casualties and promoting the development of the official nurse registration movement.展开更多
The current research overlaps a linguistic and a legal analysis of public international law in the Ukrainian case.Based on both official documents and public declarations,it explains the grounds for the wide range of ...The current research overlaps a linguistic and a legal analysis of public international law in the Ukrainian case.Based on both official documents and public declarations,it explains the grounds for the wide range of understandings that the two common concepts-peace and war-may be bearing depending of the angle of looking at the matter and depending on the actor invoking them.The study develops the reasons likely to have been considered by President Putin when insisting to refer to the Russian military action started in Ukraine in February 2022 as“special military operation”instead of“war”and the cardinal difference in terms of legal impact for such a linguistic choice.It also builds on the elements which could serve as a basis for achieving a deal in obtaining peace in Ukraine,while tackling on the possible geopolitical,public communication and diplomatic hurdles,and offering clues for strategic analysis of the matter.展开更多
Gastrointestinal problems are common during wars, and they have exerted significant adverse effects on the health of service members involved in warfare. The spectrum of digestive diseases has varied during wars of di...Gastrointestinal problems are common during wars, and they have exerted significant adverse effects on the health of service members involved in warfare. The spectrum of digestive diseases has varied during wars of different eras. At the end of the 20 th century, new frontiers of military medical research emerged due to the occurrence of high-tech wars such as the Gulf War and the Kosovo War, in which ground combat was no longer the primary method of field operations. The risk to the military personnel who face trauma has been greatly reduced, but disease and non-battle injuries(DNBIs) such as neuropsychological disorders and digestive diseases seemed to be increased. Data revealed that gastrointestinal symptoms such as constipation, diarrhea, dyspepsia, and noncardiac chest pain are common among military personnel during modern wars. In addition, a large number of deployed soldiers and veterans who participated in recent wars presented with chronic gastrointestinal complaints, which fulfilled with the Rome III criteria for functional gastrointestinal disorders(FGIDs). It was also noted that many veterans who returned from the Gulf War suffered not only from chronic digestive symptoms but also from neuropsychological dysfunction; however, they also showed symptoms of other systems. Presently, this broad range of unexplained symptoms is known as "Gulf War syndrome". The mechanism that underlies Gulf War syndrome remains unclear, but many factors have been associated with this syndrome such as war trauma, stress, infections, immune dysfunction, radiological factors, anthrax vaccination and so on. Some have questioned if the diagnosis of FGIDs can be reached given the complexity of the military situation. As a result, further studies are needed to elucidate the pathogenesis of gastrointestinal disease among military personnel.展开更多
Agent Blue, a mixture of cacodylic acid (CH<sub>3</sub>) As O<sub>2</sub>H) and sodium cacodylate (C<sub>2</sub>H<sub>6</sub> AsNaO<sub>2</sub>), was a tacti...Agent Blue, a mixture of cacodylic acid (CH<sub>3</sub>) As O<sub>2</sub>H) and sodium cacodylate (C<sub>2</sub>H<sub>6</sub> AsNaO<sub>2</sub>), was a tactical arsenic-based herbicide used during the Vietnam War to destroy grasses and rice crops. Natural and synthetic sources of arsenic can degrade into water-soluble forms and persist in groundwater and potentially contribute to elevating As levels in drinking water. The United States Department of Defense (DOD) and United States Department of Agricultural (USDA) Operation Ranch Hand records for tactical herbicides including Agent Blue sprayed in southern Vietnam during the Vietnam War (1961-1971) are very detailed, rather complete and publicly available. The same is not true for tactical herbicides sprayed by the Republic of Vietnam (RV) during the Khai Quang program which was supported by the U.S. Army, U.S. Navy and Central Intelligence Agency (CIA) in the Mekong Delta. Agent Blue was sprayed by the RV military for three years before the official start of the American-Vietnam War. Few, if any, RV military, US Army, US Navy and CIA spray records exist from 1962 to 1965. Vietnam War veterans, historians and scholars have reported the spraying of 3.2 million liters (468,008 kg As) of Agent Blue on rice paddies and mangrove forests in the Mekong Delta and Central Highlands by the RV military with the support of the US Army, US Navy and CIA. The Institute of Medicine estimated that 3.2 million liters (468,000 kg As) were sprayed during the RV Khai Quang program. This was in addition to the U.S. Air Force’s Operation Ranch Hand spraying of the tactical herbicide Agent Blue primarily by C-123 aircraft. The Operation Ranch Hand missions maintained location and quantities of herbicides sprayed (over 4,712,000 liters (664,392 kg As) from 1961-1971. The RV military and US military (Army and Navy) spray equipment included hand and backpack sprayers, sprayers mounted on Brown Water Navy boats, on Army track vehicles and Army land-based helicopters and helicopters based on the decks of Blue Water Navy ships. Some of these spray missions were a military secret and spray records were classified or if kept were not maintained. Agent Blue containing cacodylic acid had a short half-life and degraded to water-soluble arsenic, which was released into the surface water and/or leached into the groundwater. Once the water-soluble arsenic leached into the Vietnam Mekong Delta groundwater, the arsenic-rich water was pumped back to the surface by tens of thousands of tube wells for urban and agricultural use. The primary objectives of this research are to explore the conditions during the Vietnam War under which 1) the RV military herbicide spray program with the support of the US Navy, CIA and US Army, and 2) the US Air Force spray program during Operation Ranch Hand may have significantly contributed to the natural and anthropic As spikes found in the Mekong Delta today. The environmental impacts of Agent Blue, on the Menominee River at manufacturing sites in the United States, were studied to identify possible As remediation and mitigation strategies. The lessons previously learned at the manufacturing sites in Wisconsin and Michigan, United States can be considered and applied to the Mekong Delta to help mitigate and remediate the arsenic-rich surface water, soil, sediment and groundwater found in the Mekong Delta.展开更多
Because of its simplicity,reliability,and replicability,the Masquelet induced membrane technique(IMT)has become one of the preferred methods for critical bone defect reconstruction in extremities.Although it is now us...Because of its simplicity,reliability,and replicability,the Masquelet induced membrane technique(IMT)has become one of the preferred methods for critical bone defect reconstruction in extremities.Although it is now used worldwide,few studies have been published about IMT in military practice.Bone reconstruction is particularly challenging in this context of care due to extensive soft-tissue injury,early wound infection,and even delayed management in austere conditions.Based on our clinical expertise,recent research,and a literature analysis,this narrative review provides an overview of the IMT application to combat-related bone defects.It presents technical specificities and future developments aiming to optimize IMT outcomes,including for the management of massive multi-tissue defects or bone reconstruction performed in the field with limited resources.展开更多
文摘Objective: To investigate the current status of medical support in military operations other than war (MOOTW) in domestic and overseas. Methods: This paper mainly adopts the descriptive, comparative and induction research methods. The current status of medical support in MOOTW in China, America, Russia, Israel, Canada, had been studied through some official papers, and series of professional books by analysis the precise date in various kinds of emergency event. Results: The contrast shows that there is still a quite huge development in medical support in MOOTW, no matter in China, or in other countries. Conclusion: In order to strengthen the forces, besides building professional rescue teams, it is necessary to take a regular revise of plans, according to missions` needs.
基金The Department of Defense Military Operational Medicine Research Program (MOMRP) supported this study。
文摘Background: The Walter Reed Army Institute of Research(WRAIR) Operational Research Kit-Actigraphy(WORK-A) is a set of unique practice parameters and actigraphy-derived measures for the analysis of operational military sleep patterns. The WORK-A draws on best practices from the literature and comprises 15 additional descriptive variables. Here, we demonstrate the WORK-A with a sample of United States Army Reserve Officers’ Training Corps(ROTC) cadets(n=286) during a month-long capstone pre-commissioning training exercise.Methods: The sleep of ROTC cadets(n=286) was measured by Philips Actiwatch devices during the 31-day training exercise. The preliminary effectiveness of the WORK-A was tested by comparing differences in sleep measures collected by Actiwatches as calculated by Philips Actiware software against WORK-A-determined sleep measures and self-report sleep collected from a subset of ROTC cadets(n=140).Results: Actiware sleep summary statistics were significantly different from WORK-A measures and self-report sleep(P≤0.001). Bedtimes and waketimes as determined by WORK-A major sleep intervals showed the best agreement with self-report bedtime(22:21±1:30 vs. 22:13±0:40, P=0.21) and waketime(04:30±2:17 vs. 04:31±0:47, P=0.68). Though still significantly different, the discrepancy was smaller between the WORK-A measure of time in bed(TIB) for major sleep intervals(352±29) min and self-report nightly sleep duration [(337±57) min, P=0.006] than that between the WORK-A major TIB and Actiware TIB [(177±42) min, P≤0.001].Conclusions: Default actigraphy methods are not the most accurate methods for characterizing soldier sleep, but reliable methods for characterizing operational sleep patterns is a necessary first step in developing strategies to improve soldier readiness. The WORK-A addresses this knowledge gap by providing practice parameters and a robust variety of measures with which to profile sleep behavior in service members.
文摘Katharina Reiss put forward the functionalist translation theory in 1970 s.It promotes the status of the translators and provides options that translators could get in order to make the good translation.As China' s military treasure,The Art of War exerts great influence on the military development for its profound theory and careful logic.Combined with the theory,the paper finds different strategies in translating the military terminology of the cases.
文摘In August 1963, Israel's Prime Minister Levi Eshkol initiated the procedure for terminating the martial law in effect since the end of the War of Independence (1948) with regard to Israeli Arabs. Martial law discriminated against Israel's Arab minority, as opposed to the majority of Israel's society, as part of different issues bound up with this population's daily functioning. The aim of the paper is to present the reasons why Eshkol's doing away with the martial law stemmed was its ineffectiveness, while the other, and this makes up the core of our concern here, was his changing attitude toward the Arab minority in Israel, by contrast with that of his predecessor, David Ben Gurion The main conclusion of the paper is that even though Eshkol's ideas about the Arab minority were not very different from Ben Gurion's ideas one insisted on maintaining the military government in Israel, while the other saw this as unnecessary, and so brought it to an end. In August 1963, a few months after assuming office, Israel's Prime Minister Levi Eshkol initiated the first steps leading to the annulment of military rulet which had applied to Arabs in the State of Israel ever since the end of the War of Independence (1948). This process was concluded some three years later. Military rule was lifted in effect on December 1, 1966. In the presentation, the author would like to look into the considerations which prompted Eshkol to take such a step, in light of the fact that his predecessor, Ben Gurion, was a staunch opponent of annulling the military regime, convinced as he was, even after the conclusion of his term in office, that the current state of affairs should remain in effect.
文摘After the outbreak of World War I,the British War Office decided to dispatch female nursing personnel to the front lines due to the severe casualties among soldiers,the underdeveloped military medical services of the allied forces,and the maturity of the British Army female nursing service.Despite the harsh working conditions and the complexities of nurse-patient relationships under wartime restrictions,the female nursing staff also experienced moments of leisure that allowed them to relax and recuperate.The wartime British Army Female Nursing Service had a positive effect in reducing casualties and promoting the development of the official nurse registration movement.
基金supported by National Natural Science Foundation of China(61425008,61333004,61273054)Top-Notch Young Talents Program of China,and Aeronautical Foundation of China(2013585104)
文摘The current research overlaps a linguistic and a legal analysis of public international law in the Ukrainian case.Based on both official documents and public declarations,it explains the grounds for the wide range of understandings that the two common concepts-peace and war-may be bearing depending of the angle of looking at the matter and depending on the actor invoking them.The study develops the reasons likely to have been considered by President Putin when insisting to refer to the Russian military action started in Ukraine in February 2022 as“special military operation”instead of“war”and the cardinal difference in terms of legal impact for such a linguistic choice.It also builds on the elements which could serve as a basis for achieving a deal in obtaining peace in Ukraine,while tackling on the possible geopolitical,public communication and diplomatic hurdles,and offering clues for strategic analysis of the matter.
文摘Gastrointestinal problems are common during wars, and they have exerted significant adverse effects on the health of service members involved in warfare. The spectrum of digestive diseases has varied during wars of different eras. At the end of the 20 th century, new frontiers of military medical research emerged due to the occurrence of high-tech wars such as the Gulf War and the Kosovo War, in which ground combat was no longer the primary method of field operations. The risk to the military personnel who face trauma has been greatly reduced, but disease and non-battle injuries(DNBIs) such as neuropsychological disorders and digestive diseases seemed to be increased. Data revealed that gastrointestinal symptoms such as constipation, diarrhea, dyspepsia, and noncardiac chest pain are common among military personnel during modern wars. In addition, a large number of deployed soldiers and veterans who participated in recent wars presented with chronic gastrointestinal complaints, which fulfilled with the Rome III criteria for functional gastrointestinal disorders(FGIDs). It was also noted that many veterans who returned from the Gulf War suffered not only from chronic digestive symptoms but also from neuropsychological dysfunction; however, they also showed symptoms of other systems. Presently, this broad range of unexplained symptoms is known as "Gulf War syndrome". The mechanism that underlies Gulf War syndrome remains unclear, but many factors have been associated with this syndrome such as war trauma, stress, infections, immune dysfunction, radiological factors, anthrax vaccination and so on. Some have questioned if the diagnosis of FGIDs can be reached given the complexity of the military situation. As a result, further studies are needed to elucidate the pathogenesis of gastrointestinal disease among military personnel.
文摘Agent Blue, a mixture of cacodylic acid (CH<sub>3</sub>) As O<sub>2</sub>H) and sodium cacodylate (C<sub>2</sub>H<sub>6</sub> AsNaO<sub>2</sub>), was a tactical arsenic-based herbicide used during the Vietnam War to destroy grasses and rice crops. Natural and synthetic sources of arsenic can degrade into water-soluble forms and persist in groundwater and potentially contribute to elevating As levels in drinking water. The United States Department of Defense (DOD) and United States Department of Agricultural (USDA) Operation Ranch Hand records for tactical herbicides including Agent Blue sprayed in southern Vietnam during the Vietnam War (1961-1971) are very detailed, rather complete and publicly available. The same is not true for tactical herbicides sprayed by the Republic of Vietnam (RV) during the Khai Quang program which was supported by the U.S. Army, U.S. Navy and Central Intelligence Agency (CIA) in the Mekong Delta. Agent Blue was sprayed by the RV military for three years before the official start of the American-Vietnam War. Few, if any, RV military, US Army, US Navy and CIA spray records exist from 1962 to 1965. Vietnam War veterans, historians and scholars have reported the spraying of 3.2 million liters (468,008 kg As) of Agent Blue on rice paddies and mangrove forests in the Mekong Delta and Central Highlands by the RV military with the support of the US Army, US Navy and CIA. The Institute of Medicine estimated that 3.2 million liters (468,000 kg As) were sprayed during the RV Khai Quang program. This was in addition to the U.S. Air Force’s Operation Ranch Hand spraying of the tactical herbicide Agent Blue primarily by C-123 aircraft. The Operation Ranch Hand missions maintained location and quantities of herbicides sprayed (over 4,712,000 liters (664,392 kg As) from 1961-1971. The RV military and US military (Army and Navy) spray equipment included hand and backpack sprayers, sprayers mounted on Brown Water Navy boats, on Army track vehicles and Army land-based helicopters and helicopters based on the decks of Blue Water Navy ships. Some of these spray missions were a military secret and spray records were classified or if kept were not maintained. Agent Blue containing cacodylic acid had a short half-life and degraded to water-soluble arsenic, which was released into the surface water and/or leached into the groundwater. Once the water-soluble arsenic leached into the Vietnam Mekong Delta groundwater, the arsenic-rich water was pumped back to the surface by tens of thousands of tube wells for urban and agricultural use. The primary objectives of this research are to explore the conditions during the Vietnam War under which 1) the RV military herbicide spray program with the support of the US Navy, CIA and US Army, and 2) the US Air Force spray program during Operation Ranch Hand may have significantly contributed to the natural and anthropic As spikes found in the Mekong Delta today. The environmental impacts of Agent Blue, on the Menominee River at manufacturing sites in the United States, were studied to identify possible As remediation and mitigation strategies. The lessons previously learned at the manufacturing sites in Wisconsin and Michigan, United States can be considered and applied to the Mekong Delta to help mitigate and remediate the arsenic-rich surface water, soil, sediment and groundwater found in the Mekong Delta.
文摘Because of its simplicity,reliability,and replicability,the Masquelet induced membrane technique(IMT)has become one of the preferred methods for critical bone defect reconstruction in extremities.Although it is now used worldwide,few studies have been published about IMT in military practice.Bone reconstruction is particularly challenging in this context of care due to extensive soft-tissue injury,early wound infection,and even delayed management in austere conditions.Based on our clinical expertise,recent research,and a literature analysis,this narrative review provides an overview of the IMT application to combat-related bone defects.It presents technical specificities and future developments aiming to optimize IMT outcomes,including for the management of massive multi-tissue defects or bone reconstruction performed in the field with limited resources.