BACKGROUND Psychosocial and physical trauma are known risk factors for irritable bowel syndrome(IBS),including in war veterans,whereas war exposure in civilians is unclear.Nicaragua experienced two wars,1970-1990:The ...BACKGROUND Psychosocial and physical trauma are known risk factors for irritable bowel syndrome(IBS),including in war veterans,whereas war exposure in civilians is unclear.Nicaragua experienced two wars,1970-1990:The Sandinistas Revolution(1970s)and The Contra War(1980s).Our aim was to investigate the role of exposure to war trauma in the subsequent development of IBS in the context of an established health surveillance system(11000 households).AIM To investigate in a civilian population the relationship between exposure to war trauma and events and the subsequent development of IBS in the context of an established public health and demographic surveillance system in western Nicaragua.METHODS We conducted a nested population-based,cross-sectional study focused on functional gastrointestinal disorders based on Rome II criteria.1617 adults were randomly selected.The Spanish Rome II Modular Questionnaire and Harvard Trauma Questionnaire were validated in Nicaragua.War exposure was assessed with 10 measures of direct and indirect war trauma and post-war effects.Multiple exposures were defined by≥3 measures.RESULTS The prevalence of IBS was 15.2%[Female(F)17.1%,Male(M)12.0%],war exposure 19.3%(F 9.3%,M 36.7%),and post-traumatic stress disorder(PTSD)5.6%(F 6.4%,M 4.3%).Significant associations with IBS in the civilian population were observed(adjusted by gender,age,socioeconomic status,education):physical and psychological abuse[adjusted odds ratio(aOR):2.25;95%confidence interval:1.1-4.5],witnessed execution(aOR:2.4;1.1-5.2),family member death(aOR:2.2;1.2-4.2),and multiple exposures(aOR:2.7;1.4-5.1).PTSD was independently associated with IBS(aOR:2.6;1.2-5.7).CONCLUSION An enduring association was observed in the Nicaragua civilian population between specific civil war-related events and subsequent IBS.Civilian populations in regions with extended armed conflict may warrant provider education and targeted interventions for patients.展开更多
The U. S. A will succeed militarily in the Iraq war. However, it is far away from the true meaning of victory in war defined by distinguished strategic thinker B. H. Liddell Hart, even inaccessible. Using Hart’s own ...The U. S. A will succeed militarily in the Iraq war. However, it is far away from the true meaning of victory in war defined by distinguished strategic thinker B. H. Liddell Hart, even inaccessible. Using Hart’s own word, the true victory in war is to attain a better state of peace and improve the quality of life for the survivors after the war is over. What await America after the basic success in Iraq are grave military and political difficulties. Moreover, there may be bigger economic and financial troubles as well.展开更多
The Last Lawn of the Afternoon is one of Haruki Murakami’s most important early short stories.In this paper,I avoid conventional arguments,focusing my analysis on the encounter between the middle-aged woman and Boku,...The Last Lawn of the Afternoon is one of Haruki Murakami’s most important early short stories.In this paper,I avoid conventional arguments,focusing my analysis on the encounter between the middle-aged woman and Boku,and the work’s historical backdrop and setting instead.This reveals how Boku’s personal experience speaks to the everyday lives of Japanese citizens at the mercy of circumstances in postwar Japan under American influence and international events.It appears that Murakami attempts to convert the personal minority“memories”,lurking in the everyday order of postwar Japan,into“novels”as open collaborative storiesin his early short stories.展开更多
Antonio Buero Vallejo(1916-2000)was an outstanding Spanish playwright.He reflects on the society,their fears,problems and post war crisis.He well deserves the appellative he was given“the consciousness of Spain”.In ...Antonio Buero Vallejo(1916-2000)was an outstanding Spanish playwright.He reflects on the society,their fears,problems and post war crisis.He well deserves the appellative he was given“the consciousness of Spain”.In this article I analyze the symbols and opposites in three of his plays,two of them of social realism:Stories of a Stair,and The Skylight,and a historical one:The Little Girls(Las Meninas).He creates dramas but always with some touches of good humor.Reading Buero Vallejo is understanding the idiosyncrasy of Spain and its people.展开更多
When it comes to Scarlett＇s character traits, there is no denying that great changes have happened to her character. However, the reasons involve two aspects. Namely, the internal and exterior reasons. In other words...When it comes to Scarlett＇s character traits, there is no denying that great changes have happened to her character. However, the reasons involve two aspects. Namely, the internal and exterior reasons. In other words, one is from her own family, the other and also the more important is from the change of social environment.展开更多
When it comes to Scarlett＇s character traits, there is no denying that great changes have happened to her character. However, the reasons involve two aspects. Namely, the internal and exterior reasons. In other words...When it comes to Scarlett＇s character traits, there is no denying that great changes have happened to her character. However, the reasons involve two aspects. Namely, the internal and exterior reasons. In other words, one is from her own family, the other and also the more important is from the change of social environment展开更多
基金Supported by the UNC UNAN FGID Epidemiology Study Project,No.54-1808958.
文摘BACKGROUND Psychosocial and physical trauma are known risk factors for irritable bowel syndrome(IBS),including in war veterans,whereas war exposure in civilians is unclear.Nicaragua experienced two wars,1970-1990:The Sandinistas Revolution(1970s)and The Contra War(1980s).Our aim was to investigate the role of exposure to war trauma in the subsequent development of IBS in the context of an established health surveillance system(11000 households).AIM To investigate in a civilian population the relationship between exposure to war trauma and events and the subsequent development of IBS in the context of an established public health and demographic surveillance system in western Nicaragua.METHODS We conducted a nested population-based,cross-sectional study focused on functional gastrointestinal disorders based on Rome II criteria.1617 adults were randomly selected.The Spanish Rome II Modular Questionnaire and Harvard Trauma Questionnaire were validated in Nicaragua.War exposure was assessed with 10 measures of direct and indirect war trauma and post-war effects.Multiple exposures were defined by≥3 measures.RESULTS The prevalence of IBS was 15.2%[Female(F)17.1%,Male(M)12.0%],war exposure 19.3%(F 9.3%,M 36.7%),and post-traumatic stress disorder(PTSD)5.6%(F 6.4%,M 4.3%).Significant associations with IBS in the civilian population were observed(adjusted by gender,age,socioeconomic status,education):physical and psychological abuse[adjusted odds ratio(aOR):2.25;95%confidence interval:1.1-4.5],witnessed execution(aOR:2.4;1.1-5.2),family member death(aOR:2.2;1.2-4.2),and multiple exposures(aOR:2.7;1.4-5.1).PTSD was independently associated with IBS(aOR:2.6;1.2-5.7).CONCLUSION An enduring association was observed in the Nicaragua civilian population between specific civil war-related events and subsequent IBS.Civilian populations in regions with extended armed conflict may warrant provider education and targeted interventions for patients.
文摘The U. S. A will succeed militarily in the Iraq war. However, it is far away from the true meaning of victory in war defined by distinguished strategic thinker B. H. Liddell Hart, even inaccessible. Using Hart’s own word, the true victory in war is to attain a better state of peace and improve the quality of life for the survivors after the war is over. What await America after the basic success in Iraq are grave military and political difficulties. Moreover, there may be bigger economic and financial troubles as well.
文摘The Last Lawn of the Afternoon is one of Haruki Murakami’s most important early short stories.In this paper,I avoid conventional arguments,focusing my analysis on the encounter between the middle-aged woman and Boku,and the work’s historical backdrop and setting instead.This reveals how Boku’s personal experience speaks to the everyday lives of Japanese citizens at the mercy of circumstances in postwar Japan under American influence and international events.It appears that Murakami attempts to convert the personal minority“memories”,lurking in the everyday order of postwar Japan,into“novels”as open collaborative storiesin his early short stories.
文摘Antonio Buero Vallejo(1916-2000)was an outstanding Spanish playwright.He reflects on the society,their fears,problems and post war crisis.He well deserves the appellative he was given“the consciousness of Spain”.In this article I analyze the symbols and opposites in three of his plays,two of them of social realism:Stories of a Stair,and The Skylight,and a historical one:The Little Girls(Las Meninas).He creates dramas but always with some touches of good humor.Reading Buero Vallejo is understanding the idiosyncrasy of Spain and its people.
文摘When it comes to Scarlett＇s character traits, there is no denying that great changes have happened to her character. However, the reasons involve two aspects. Namely, the internal and exterior reasons. In other words, one is from her own family, the other and also the more important is from the change of social environment.
文摘When it comes to Scarlett＇s character traits, there is no denying that great changes have happened to her character. However, the reasons involve two aspects. Namely, the internal and exterior reasons. In other words, one is from her own family, the other and also the more important is from the change of social environment
