Enduring association between irritable bowel syndrome and war trauma during the Nicaragua civil war period:A population-based study

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.

Iraq War and the Period of Important Strategic Opportunities

The American and British war against Iraq started on March 20, 2003 not only caused heavy casualties and ecological environmental disasters but also exerted impact on regional and world security, stability and development. Even so the war is a local war, and it is unlikely.

America's Difficulties after the War and the International Political Consequences of the War

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.

Modellings of Infectious Diseases and Cancers under Wars and Pollution Impacts in Iraq with Reference to a Novel Mathematical Model and Literature Review

Microbial pathogens include bacteria, viruses, fungi, and parasites and together account for a significant percentage of acute and chronic human diseases. In addition to understanding the mechanisms by which various pathogens cause human disease, research in microbial pathogenesis also addresses mechanisms of antimicrobial resistance and the development of new antimicrobial agents and vaccines. Answering fundamental questions regarding host-microbe interactions requires an interdisciplinary approach, including microbiology, genomics, informatics, molecular and cellular biology, biochemistry, immunology, epidemiology, environment and interaction between host and microbe. Studies investigating the direct effects of pollutants on respiratory tract infections are very vast, but those interested in the role of a pre-existing disease and effects of the exposure on the response to secondary stresses are few. In an experimental study at concentrations of air pollutants found in urban environments, frank toxicological responses are rarely observed, however, exposure to secondary stress like the respiratory challenge with infectious bacteria can exacerbate the response of the experimental host. The models like experimental, mechanical, and mathematical are the most abstract, but they allow analysis and logical proofs in a way that other approaches do not permit. The present review is mostly concerned with these model representations particularly with a novel mathematical model explaining the interaction between pathogen and immunity including the equivalence point.

U. S. -Iraq War and China's National Security

Discussions about the U. S-Iraq war would last for years, but the war will surely produce long-term influences on international strategic structure and China’s security environment. The feature and influence of the war are determined by the America’ purposes in launching the war, which, in the common.

Iraq War and Europe-U. S. Relations

Militarily, no one has suspected that American-British coalition forces would win their war against Iraq. But before, during or after the war, there existed some uncertainties, which are concerning the future world structure, the future of the United States itself, the Middle

Iraq War and Principal contradictions in World Politics

Nobody denies that the Iraq war launched by America is a local war that is of global influence and beyond the anti-terror campaign. The various contentions among major world political powers before and after the war reveal that the world strategic structure that is changing since the end of the Cold War has gone through another grave impact after the 9/11 events. The paper does not want to make an

Latin America After the Cold War

Post-Cold-War Latin America currently presents a scene of overall political sta-bility, continued economic growth, accelerated regional integration and omni-directional diplomatic activity. Nations here are deepening reforms to head off po-tential fresh crises threatening regional peace and development.

Indian Response to Iraq War:Lessons and Implications

The September 11 terrorist attacks and America's military intervention in Iraq have catalyzed major changes in the Middle East and had far-reaching implications for Asia. This paper seeks to examine India's readjustment on the U.S.-led invasion of Iraq and explain how Indians perceive and respond on the Iraq war, and what lessons India has learned or obsorbed from the war.

An Analysis of Dean Moriarty in On the Road——A True Hero in the 1950's America

This paper studies post-war America around the 1950's when On the Road was written and analyzes the protagonist Dean Moriarty as a spokesman of the Beat Generation.He is a typical beat who revolts against the traditional social values and chases after the spiritual complacency.In addition,he opposes wars and advocates the equality between men and women.Thus in a sense Dean is a rebellious hero and stands ahead of his age.

A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees

Background: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation.Methods: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb. In this study, 103 Iranian bilateral upper extremity amputees(206 amputations) from the IranIraq war were evaluated, and a detailed questionnaire was also administered.Results: The most common level of amputation was the finger or wrist level(108, 52.4%). Based on clinical examination, we found high frequencies of limited active and passive joint range of movement across the scapula, shoulder, elbow, wrist and metacarpophalangeal, interphalangeal and thumb joints. Based on muscle strength testing, we found varying degrees of weakness across the upper limbs. Musculoskeletal disorders included epicondylitis(65, 31.6%), rotator cuff injury(24, 11.7%), bicipital tendonitis(69, 33.5%), shoulder drop(42, 20.4%) and muscle atrophy(19, 9.2%). Peripheral nerve disorders included carpal tunnel syndrome in 13(6.3%) and unilateral brachial plexus injury in 1(1%). Fifty-three(51.5%) were diagnosed with facet joint syndrome at the level of the cervical spine(the most frequent site). Using a prosthesis was reported by 65(63.1%), both left and right sides. The back was the most common site of pain(71.8%).Conclusion: The high prevalence of neuro-musculoskeletal disorders among bilateral upper extremity amputees indicates that they need regular rehabilitation care.

The Change of Consuming Habits after the Second World War

After the Second World War,mass consumption was held as a consensus in the US,however,the founding fathers of the US are the puritans who were known as hard-working,diligent,thrift,moderation and have a strong sense of mission and destination.While in the mass consumption was regarded not as a personal indulgence,but rather a civic responsibility designed to provide "full employment and improved livings standards for the rest of the nation" and even "thrift is now un-American" how come this into being? What caused this change has always been fascinating to me,and the influence of the consuming habits in contemporary world has a great significance.

Essay on Haruki Murakami’s The Last Lawn of the Afternoon:The Shadow of America Lurking in the Everyday Order

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.

文本类型理论指导下的纪实文学翻译——以Hmong in America:Journey from a Secret War为例

文章运用纽马克的文本类型理论,对纪实文学作品Hmong in America:Journey from a Secret War(1995)的汉译进行分析,提出以纽马克的文本类型翻译理论为指导,通过重组、改译、增译等具体的翻译技巧克服中英文在句法结构、语法规则、表达习惯及文化等方面存在的巨大差异,从而提高纪实文学汉译本的可接受度。

The IraqWar and the New Iran-Iraq Relations

As the Iraq War gets stalemated,the Shiite force’s rising in Iraq has transformed Iran-Iraq relations.In this new situation,Iran has shifted its Iraq policy in order to eliminate the traditional hostilities between the two nations and to develop its connections with Iraqi Shiite groups.Relying on its close ties with the Iraqi Shiites,Iran is trying to exert its influence on the Iraqi internal affairs so as to prevent the U.S.from changing Iran’s political system and threatening Iran’s national security.

On American Myth in Apocalypse Now

Francis Ford Coppola’s Apocalypse Now(1979)was considered the first major studio release directly addressing Vietnam five years after the Vietnam War ended,and it had enjoyed remarkable but critical success in history.The main purpose of this paper is to examine this film in the aspects of myth and changing attitude of this nation towards the Vietnam War.It starts from a review,then analyses the plots and characters in it,giving the war its imaginative life and bringing the audiences to a broader view about American myth.