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Traditional sampling with laboratory analysis and solid phase microextraction sampling with field gas chromatography/mass spectrometry by military industrial hygienists.

The opinions or assertions contained herein are the private ones of the authors and are not to be construed as official or reflecting the views of the United States Department of Defense or the Uniformed Services University of the Health Sciences. Rapid on-site detection and identification of environmental contaminants to which personnel may be exposed is often needed during military deployment situations. The availability of military industrial hygienists with capabilities for "complete" on-site exposure assessment of chemical species should allow detection and identification of a number of important stressors almost immediately following sample collection. Portable gas chromatography/mass spectrometry (GC/MS) provides a rapid and efficient separation of volatile and semivolatile organic analytes, accompanied by sensitive electron impact ionization-mass spectrometry (EI-MS) detection. The use of GC/MS in the field is limited, however, by equipment cost, complexity of the equipment, and the analytical process. Additionally, a skilled operator is needed to obtain useful separations and to interpret mass spectral data. To demonstrate benefits and limitations of "complete" exposure assessment capabilities, a previously unidentified complex mixture, produced by thermal dispersion of riot control agents, was examined. Established active sampling methods were used with laboratory analyses. Solid phase microextraction, a passive sampling method that simplifies preparation for GC/MS analysis, also was used with a field-portable GC/MS system. Both sampling/analysis methods were used to detect CS riot control agent-derived air contaminants dispersed from riot control type canisters through oxidizer-supported combustion of a chemical fuel.

Chemistry Techniques, Analytical↗

[Archival materials collected by Prof. Wiktor Dega in the Department of the History of Medical Sciences, Karol Marcinkowski University of Medical Sciences - general characteristics].

Interesting archival materials collected by Prof. Wiktor Dega are held in the Department of the History of Medical Sciences belonging to Karol Marcinkowski University. There are mainly personal documents including: a military booklet, passport and different identity cards. They are also the diary from 1913. Noteworthy are the notebooks from his student period and diaries full of reflections from his scientific journeys abroad and chrestomathy from the professional literature. Moreover, the archival material about Prof. Degas' pre-war activity and a organiser of cost-free gymnastic courses for children with posture defects should be mentioned in Poznań. After the Second World War Prof. Dega worked on the Committee of Rehabilitation and Adaptation of Human Beings and organised the Polish Branch of the International College of Surgeons, and materials from that time are also available. Also important are documents associated with Prof. Dega's the Order of Smile from the St. Maria Magdelena secondary school in Poznań. His letters are extremely valuable and the interesting press articles, photos and diplomas are also noteworthy.

Archives↗

A roentgen centennial legacy: the first use of the X-ray by the U.S. military in the Spanish-American War.

The year 1996 marked the centennial of the advent of the roentgen ray in the United States. The compelling value of this novel scientific discovery by Professor Wilhelm Roentgen of Würzberg, Germany, to image the previously arcane depths of the living human body was astounding and recognized as a major advance. This report details the work of some key personnel and developments in the science of warfare that confirmed the great promise of the X-ray in the diagnostic armamentarium of military surgeons (a leading proponent being Professor Nicholas Senn, the founder of the Association of Military Surgeons of the United States) in this last American conflict of the 19th century.

History, 19th Century↗

The shortened advanced course for Army physicians.

The Army uses a series of career courses to prepare officers for progressive assignments. These courses have not been widely utilized by Army physicians. To improve the military education of physicians, an abbreviated Advanced Course was developed by the Academy of Health Science. A study of this course by the physicians attending its first offering showed that 8 weeks was an appropriate length. Information is provided to help improve the course and encourage attendance by Army physicians. This course will likely become mandatory and will be a key element in the training of all Army physicians.

Curriculum↗

Executive skills 21: a forecast of leadership skills and associated competencies required by naval hospital administrators into the 21st century.

Those in the Naval Medical Department are experiencing an exciting time of bridled chaos and creative change. Many mid-career officers are uncertain of the leadership behaviors and skills that will be necessary for successful managerial careers. Changes in the method of health care delivery of this nation combined with the reengineering of the armed forces' world-wide mission has driven military medical leaders to expand their professional skills, knowledge, and abilities beyond the clinical sciences. This research identifies the most critical domains in the science of health care administration and differentiates and ranks job skill, knowledge, and ability requirements that will be necessary for successful health care management into the 21st century. Top Naval hospital executives responded to two iterations of a Delphi inquiry. These medical leaders identified 106 unique issues that were content-analyzed into nine domains by a neutral, expert panel. Domains, in order of ranked importance, were leadership, health care delivery systems, cost-finance, technology, accessibility, professional staff relations, marketing, quality-risk management, and ethics. In the second Delphi iteration, hospital executives reviewed domain results and rated identified job requirements on their required job importance. The top-10 rated skills, knowledge, and abilities are reported. Results indicated that although a business orientation is needed for organizational survival, an emphasis on person-oriented skills, knowledge, and abilities is required for future success as a health care administrator in the Naval health care system.

Delphi Technique↗

The emergence of cognitive science in France.

A comparison between the development of cognitive science in France and the USA enables us to analyze some national differences linked to specific connections between the scientific, military, economic and political worlds. The influence of new practices and tools developed during World War II and the Cold War appears to be of crucial importance in understanding the development of this new field, as well as that of cybernetics, computer science, artificial intelligence and molecular biology. This paper can be considered as a study in how the differing contexts in France and the USA shaped the history of the construction of cognitive science in each of these two countries. In spite of various differences, some common aspects may be pointed out: in both cases, computer experts and psychologists using a computational modelling approach were those first engaged in the construction of cognitive science. If in France neuroscience-oriented cognitive science research was stronger than in the USA, it seems that the artificial intelligence orientation is also of growing importance in France.

Artificial Intelligence↗

Wounds of the abdomen. Part 2: In peace.

Until the mid 1960s in the United States, penetrating abdominal wounds in civilians were badly handled and often fatal. Little attention was paid to the methods used and results reported by military surgeons in previous wars such as those in Korea and Vietnam. In 1966 the National Academy of Sciences, National Research Council Committee on Shock pointed out that there was an increasing incidence of severe civilian injuries associated with unacceptably high morbidity and mortality and that this was because of lack of organized civilian community care. As a result the Trauma/Emergency Medical Service (T/EMS) was formed. The initiators based the organization on the remarkable success of military concepts and techniques. The improvement in the evacuation and treatment of penetrating abdominal wounds in peace from the inception of the T/EMS to the present is described in this paper. The methods used and results obtained through the T/EMS have made an important contribution to both civilian and military surgery--a unique event in peacetime.

Abdominal Injuries↗