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Science, policy, and stakeholders: developing a consensus science plan for Amchitka Island, Aleutians, Alaska.

With the ending of the Cold War, the US Department of Energy is responsible for the remediation of radioactive waste and disposal of land no longer needed for nuclear material production or related national security missions. The task of characterizing the hazards and risks from radionuclides is necessary for assuring the protection of health of humans and the environment. This is a particularly daunting task for those sites that had underground testing of nuclear weapons, where the radioactive contamination is currently inaccessible. Herein we report on the development of a Science Plan to characterize the physical and biological marine environment around Amchitka Island in the Aleutian chain of Alaska, where three underground nuclear tests were conducted (1965-1971). Information on the ecology, geology, and current radionuclide levels in biota, water, and sediment is necessary for evaluating possible current contamination and to serve as a baseline for developing a plan to ensure human and ecosystem health in perpetuity. Other information required includes identifying the location of the salt water/fresh water interface where migration to the ocean might occur in the future and determining groundwater recharge balances, as well as assessing other physical/geological features of Amchitka near the test sites. The Science Plan is needed to address the confusing and conflicting information available to the public about radionuclide risks from underground nuclear blasts in the late 1960s and early 1970s, as well as the potential for volcanic or seismic activity to disrupt shot cavities or accelerate migration of radionuclides into the sea. Developing a Science Plan involved agreement among regulators and other stakeholders, assignment of the task to the Consortium for Risk Evaluation with Stakeholder Participation, and development of a consensus Science Plan that dealt with contentious scientific issues. Involvement of the regulators (State of Alaska), resource trustees (U S Fish and Wildlife Service), representatives of the Aleut and Pribilof Island communities, and other stakeholders was essential for plan development and approval, although this created tensions because of the different objectives of each group. The complicated process of developing a Science Plan involved iterations and interactions with multiple agencies and organizations, scientists in several disciplines, regulators, and the participation of Aleut people in their home communities, as well as the general public. The importance of including all parties in all phases of the development of the Science Plan was critical to its acceptance by a broad range of regulators, agencies, resource trustees, Aleutian/Pribilof communities, and other stakeholders.

Alaska↗

Integrating environmental restoration and ecological restoration: long-term stewardship at the department of energy.

With the ending of the Cold War, several federal agencies are reclaiming land through remediation and restoration and are considering potential future land uses that are compatible with current uses and local needs. Some sites are sufficiently contaminated that it is likely that the responsible federal agency will retain control over the land for the foreseeable future, providing them with a stewardship mission. This is particularly true of some of the larger Department of Energy (DOE) facilities contaminated during the production of nuclear weapons. The use of the term "restoration" is explored in this paper because the word means different things to the public, ecologists, and environmental managers responsible for contaminated sites, such as Superfund sites and the DOE facilities. While environmental restoration usually refers to remediation and removal of hazardous wastes, ecological restoration refers to the broader process of repairing damaged ecosystems and enhancing their productivity and/or biodiversity. The goals of the two types of restoration can be melded by considering environmental restoration as a special case of ecological restoration, one that involves risk reduction from hazardous wastes, and by broadening environmental restoration to include a more extensive problem-formulation phase (both temporal and spatial), which includes the goal of reestablishing a functioning ecosystem after remediation. Further, evaluating options for the desired post remediation result will inform managers and policy-makers concerning the feasibility and efficacy of environmental restoration itself.

Journal Article↗

Medical challenges of internal conflicts.

The most prevalent menace since the end of the cold war is the occurrence of civil wars and local and regional conflicts. The term "low intensity conflict" describes the new threat environment and covers a multitude of phenomena, such as civil wars, guerrilla warfare, terrorism and counterinsurgency operations occurring between routine, peaceful inter- or intrastate competition, and a sustained conventional conflict. There is a great challenge to alert the physicians in general, and the surgical community of the world in particular, to the new threat environment and the medical challenges involved in treating casualties of low intensity conflicts. Specifically, a new international body of surgeons might be required to coordinate the recruitment, training, and creditation for surgeons with special expertise in the management of victims of such conflicts and to facilitate research and general knowledge of the medical challenges of modern conflicts.

General Surgery↗

Thirty years of the Union of National European Paediatric Societies and Associations (UNEPSA).

BACKGROUND: The Union of National European Paediatric Societies and Associations was founded in 1976 in Rotterdam. Thirty years later, the authors--former presidents and secretaries general--present a retrospective on the activities and achievements of UNEPSA. In 2006, 36 of 46 (78%) European countries, including some countries of the former Soviet Union, were members of UNEPSA. UNEPSA has created a forum for the mutual discussion of matters concerning paediatrics. UNEPSA is closely linked with the International Pediatric Association (IPA). It was never UNEPSA's ambition to promote a uniform European paediatrics. In the 30 years of its existence, it became clear that the diversity of paediatric care in different countries in Europe is extreme. During the "cold war", UNEPSA was able to cross boundaries between socialist and capitalist countries in Europe, and it was due to the activity of individual members of the UNEPSA council that clinical co-operation and research activities were initiated crossing many political borders. Annual meetings of national paediatric presidents focus on the most urgent problems of paediatric health care. "Europaediatrics" became the tri-annual congress for all general paediatricians and paediatric sub-specialists in Europe. The main research activities of UNEPSA concentrated on identifying the demography of primary, secondary and tertiary care paediatrics in Europe. CONCLUSION: UNEPSA is an active paediatric association representing more than three quarters of all European countries. After 30 years, it is still an expanding and vital instrument in improving the medical care of all children and the co-operation of their carers in Europe.

Europe↗

Scenarios which may lead to the rise of an asteroid-based technical civilisation.

In a previous paper, the author described a hypothetical development path of technical civilisations which has the following stages: planet dwellers, asteroid dwellers, interstellar travellers, interstellar space dwellers. In this paper, several scenarios are described which may cause the rise of an asteroid-based technical civilisation. Before such a transition may take place, certain space technologies must be developed fully (now these exist only in very preliminary forms): closed-cycle biological life support systems, space manufacturing systems, electrical propulsion systems. After mastering these technologies, certain events may provide the necessary financial means and social impetus for the foundation of the first asteroid-based colonies. In the first scenario, a rich minority group becomes persecuted and they decide to leave the Earth. In the second scenario, a "cold war"-like situation exists and the leaders of the superpowers order the creation of asteroid-based colonies to show off their empires' technological (and financial) grandiosity. In the third scenario, the basic situation is similar to the second one, but in this case the asteroids are not just occupied by the colonists. With several decades of hard work, an asteroid can be turned into a kinetic energy weapon which can provide the same (or greater) threat as the nuclear arsenal of a present superpower. In the fourth scenario, some military asteroids are moved to Earth-centred orbits and utilised as "solar power satellites" (SPS). This would be a quite economical solution because a "military asteroid" already contains most of the important components of an SPS (large solar collector arrays, power distribution devices, orbit modifying rocket engine), one should add only a large microwave transmitter.

Civilization↗

Reactive barriers for 137Cs retention.

137Cs was dispersed globally by cold war activities and, more recently, by the Chernobyl accident. Engineered extraction of 137Cs from soils and groundwaters is exceedingly difficult. Because the half-life of 137Cs is only 30.2 years, remediation might be more effective (and less costly) if 137Cs bioavailability could be demonstrably limited for even a few decades by use of a reactive barrier. Essentially permanent isolation must be demonstrated in those few settings where high nuclear level wastes contaminated the environment with 135Cs (half-life 2.3 x 10(6) years) in addition to 137Cs. Clays are potentially a low-cost barrier to Cs movement, though their long-term effectiveness remains untested. To identify optimal clays for Cs retention, Cs desorption was measured for five common clays: Wyoming Montmorillonite (SWy-1), Georgia Kaolinites (KGa-1 and KGa-2), Fithian Illite (F-Ill), and K-Metabentonite (K-Mbt). Exchange sites were pre-saturated with 0.16 M CsCl for 14 days and readily exchangeable Cs was removed by a series of LiNO3 and LiCl washes. Washed clays were then placed into dialysis bags and the Cs release to the deionized water outside the bags measured. Release rates from 75 to 139 days for SWy-1, K-Mbt and F-Ill were similar; 0.017% to 0.021% sorbed Cs released per day. Both kaolinites released Cs more rapidly (0.12% to 0.05% of the sorbed Cs per day). In a second set of experiments, clays were Cs-doped for 110 days and subjected to an extreme and prolonged rinsing process. All the clays exhibited some capacity for irreversible Cs uptake. However, the residual loading was greatest on K-Mbt (approximately 0.33 wt.% Cs). Thus, this clay would be the optimal material for constructing artifical reactive barriers.

Adsorption↗

Cracks in the conspiracy: the CIA and the cocaine trade in South Central Los Angeles.

This paper explores some of the issues surrounding the 1996 San Jose Mercury News "Dark Alliance" series; a story responsible for triggering heated debate on the idea that a US government agency conspired to use illicit drugs to undermine inner city African-American neighbourhoods during the 1980s. Beginning with an outline of Gary Webb's series and a discussion of the reaction it provoked, the paper looks at the issues behind the widespread sentiment that there is some form of federally controlled and racially inspired conspiracy. The paper examines the history of the CIA and its links with the illegal drug trade in an attempt to explain the prevalence of such a belief. Having identified some of the causes of what is often simplistically dismissed as baseless "black paranoia," the paper concludes that the idea that the CIA deliberately connived to target Afro-Americans grossly oversimplifies the complexities of the inner city drug issue. Evidence suggests that during the cold war the CIA did indeed cultivate many dubious drug related alliances in the name of national security. It is argued here, however, that the notion of conspiracy based on skin colour merely detracts from the systemic failings of Washington's approach to drug control and ignores the Agency's indiscriminate pursuit of its anti-Communist agenda.

Journal Article↗

Engineering radiation-resistant bacteria for environmental biotechnology.

Seventy million cubic meters of ground and three trillion liters of groundwater have been contaminated by leaking radioactive waste generated in the United States during the Cold War. A cleanup technology is being developed based on the radiation-resistant bacterium Deinococcus radiodurans, which is being engineered to express bioremediating functions.

Bacteria↗

Strengthening the biological weapons convention and implications on the pharmaceutical and biotechnology industry.

The development, production, stockpiling, and use of biological weapons are banned by the 1972 Biological Weapons Convention (BWC). Reflecting the realities of the Cold War era in which it was negotiated, the BWC lacks means for compliance verification or enforcement. International efforts to remedy this deficiency are accelerating in the face of evidence that covert biological weapon programs are proliferating at the national and subnational levels.

Bacterial Infections↗

The Internet: past, present and future.

Although the Worldwide Web has just blossomed this past decade, the origins of the Internet date to the late 1950s and Cold War concerns. The technological underpinning of the Internet rests with the concept of packet switching of data over dispersed routes of electronic intercommunication. Grounded in applications for the national defense, and nurtured in the domains of science within academia, the Internet of the masses has exploded with the addition of strong commercial interest and potential. Electronic mail is still the predominant application of the Internet, and the ease of widespread and near simultaneous dissemination of such communication has led to the genesis of listservers, especially appropriate as well as predominant in Medicine. One such list for pediatric surgeons is Pedsurg-L. There is an impressive evolving etiquette for those contributing to such lists. Initiatives are already well developed with public and private partnerships for the future of the Internet.

Child↗

Particle therapy and treatment of cancer.

The desire of radiation oncologists and medical physicists to maximise the radiation dose to the tumour while minimising that to healthy tissues has led to attempts to improve the dose distributions and biological effects achievable with photons and electrons. Protons, neutrons, pions, boron-neutron capture therapy, and charged-nuclei therapy (with argon, carbon, helium [alpha particles], neon, nitrogen, and silicon) have been assessed for their physical, biological, and clinical effects. In the 90 years since protons and neutrons were discovered, investigations of particle therapy for cancer have helped to elucidate many fundamental radiobiological ideas, such as linear energy transfer, relative biological effectiveness, oxygen effect, and oxygen enhancement. Particle therapy has contributed to our understanding of medical ethics when neutron therapy became intertwined with the debate over standards of informed consent in radiation experiments in humans during the cold war era. Particle teletherapy and brachytherapy continue to show promise in some clinical situations. In the future, the insights of molecular biology might clarify the ideal particles for clinical situations.

Brachytherapy↗

Survey of studies on how spaceflight affects rodent skeletal muscle.

Rodent muscles have been examined in more than 89 spaceflight studies over the last 25 years with much variation in the procedures and results. Mission duration ranged from four days to three weeks, postflight data collection ranged from a few hours to two days after landing, and there is great diversity in the number, size, and age of the rats that have flown. Several different types and sizes of animal enclosures have also been used--a significant factor because cage design affects animal activity and muscle loading. Only a small percentage (approximately 16%) of the total number of striated muscles in the rat have been examined. We have identified both substantial redundancy and inconsistencies in the results from studies to date. However, many of these appear unavoidable due to the great variation in experimental protocol of the different missions. Nevertheless these studies repeatedly confirm that exposure to spaceflight decreases the mass of limb muscles and leads to muscle atrophy. The majority of missions were flown by the former Soviet Union, but the majority of papers have been published by U.S. researchers. A relatively small number of investigators (about 50) clustered into fewer than 15 identifiable research groups worldwide account for most of the results to date. These groups have had access to rodent muscle tissue from two to seven spaceflights each. International cooperation in the post-cold war era and the publication of future work in peer-reviewed international journals should help greatly in reducing redundancy and enriching our knowledge of how gravity affects biological systems.

Animals↗

From logical neurons to poetic embodiments of mind: Warren S. McCulloch's project in neuroscience.

After more than half a century of eclipse, the mind (in contradistinction to brain and behavior) emerged in the 1950s as a legitimate object of experimental and quantitative research in natural science. This paper argues that the neural nets project of Warren S. McCulloch, in frequent collaboration with Walter Pitts, spearheaded this cognitivist turn in the 1940s. Viewing the project as a spiritual and poetic quest for the transcendental logos, as well as culturally situated epistemology, the paper focuses on McCulloch's and Pitts' efforts of logical modeling of the mind and on the social conditions that shaped that mission. From McCulloch's "experimental epistemology," the mind - purposes that ideas - emerged out of the regularities of neuronal interactions, or nets. That science of mind thus became a science of signals based on binary logic with clearly defined units of perception and precise rules of formation and transformation for representing mental states. Aimed at bridging the gulf between body and mind (matter and form) and the technical gulf between things man-made and things begotten, neural nets also laid the foundation for the field of artificial intelligence. Thus this paper also situates McCulloch;'s work within a larger historical trend, when cybernetics, information theory, systems theories, and electronic computers were coalescing into a new science of communication and control with enormous potential for industrial automation and military power in the Cold War era. McCulloch's modeling the mind as a system of command and control contributed to the actualization of this potential.

Brain↗

Model describing the effect of employment of the United States military in a complex emergency.

The end of the Cold War vastly altered the worldwide political landscape. With the loss of a main competitor, the United States (US) military has had to adapt its strategic, operational, and tactical doctrines to an ever-increasing variety of non-traditional missions, including humanitarian operations. Complex emergencies (CEs) are defined in this paper from a political and military perspective, various factors that contribute to their development are described, and issues resulting from the employment of US military forces are discussed. A model was developed to illustrate the course of a humanitarian emergency and the potential impact of a military response. The US intervention in Haiti, Northern Iraq, Kosovo, Somalia, Bosnia, and Rwanda serve as examples. A CE develops when there is civil conflict, loss of national governmental authority, a mass population movement, and massive economic failure, each leading to a general decline in food security. The military can alleviate a CE in four ways: (1) provide security for relief efforts; (2) enforce negotiated settlements; (3) provide security for non-combatants; and/or (4) employ logistical capabilities. The model incorporates Norton and Miskel's taxonomy of identifying failing states and helps illustrate the factors that lead to a CE. The model can be used to determine if and when military intervention will have the greatest impact. The model demonstrates that early military intervention and mission assignment within the core competencies of the forces can reverse the course of a CE. Further study will be needed to verify the model.

Altruism↗

Complex emergencies: expected and unexpected consequences.

Complex emergencies emerged as a new type of disaster following the end of the Cold War, and have become increasingly common in recent years. Human activity including civil strife, war, and political repression often coexist with and contribute to natural phenomena such as famine. They frequently result in high mortality, population displacement, and the disruption of civil society and its infrastructure. This article reviews the context of recent complex emergencies, and their expected health consequences, such as diarrhea, measles, malnutrition and outbreaks of infectious disease, and the disruption of mechanisms of disease control and surveillance. However, the complex nature of these emergencies also may have unexpected consequences, such as hindering understanding of their causes or limiting the attention paid to them by the public. This paper discusses the context and consequences of complex emergencies from the health standpoint, and explores some of their unexpected effects.

Disasters↗

Metal ion sorption and desorption on zeolitized tuffs from the Nevada Test Site.

Because of the hundreds of nuclear weapon tests conducted on the Nevada Test Site (NTS) during the Cold War, the migration of radionuclides and contaminants is a potential concern. The mobility of these compounds and our ability to remediate contaminated sites are controlled by sorption and desorption processes, which depend frequently on the nature of the contaminant, the mineralogy of the site, and the geochemical conditions. The sorption and desorption behavior of strontium (Sr) and lead (Pb), two metal cations with different chemistries, commonly found on nuclear test sites were studied. Strontium showed pH-independent and ionic-strength-dependent sorption, consistent with ion exchange processes at permanent charge sorption sites. The sorption uptake of Sr increased with decreasing ionic strength of background solution. Strontium desorption from the adsorbents was enhanced by increased background electrolyte concentration and was a function of background electrolyte composition. The fractional uptake of Pb was higher, compared to that of Sr, and was only pH dependent at the highest ionic strength used (1.0 M). This pH-dependent sorption behavior, consistent with formation of surface complexes at amphoteric surface hydroxyl sites or formation of surface precipitates, could explain the decreased Pb desorption, compared to that of Sr, especially at increased background electrolyte concentrations. Under conditions typical for the groundwater at the NTS (I = 0.003 M, pH = 8.0), both Pb and Sr are expected to bind strongly on tuffs with composition similar to the zeolitized tuffs used in this study. Any increase in the dissolved ion concentration of the groundwater, however, may result in, at least partial, release of Sr and enhanced Sr mobility.

Adsorption↗

Constructing ethnicity: culture and ethnic conflict in the new world disorder.

The end of the Cold War saw a proliferation of deadly conflicts between ethnic and other so-called identity groups around the world. Building on the tension between the purely "cultural" and politically deployable "ethnic" dimensions of identity, this paper examines the emergence of these conflicts in terms of the disintegration of major power systems--postcolonial, postimperial, postrevolutionary, and postillusionary--that had hitherto operated to constrain conflict. The emergence of the refugee as a new cultural, as well as political, type is discussed as one precipitate of these identity-group conflicts.

Conflict, Psychological↗

Understanding responses to political conflict: interactive effects of the need for closure and salient conflict schemas.

Two studies examined the relationship between the need for cognitive closure and preferences for conflict-resolution strategies in 2 different samples of elite political actors. Although research has suggested that high need for closure should be associated with competitiveness, the authors argue that this relationship should be strongest among political actors with a hostile conflict schema, or representation of what a conflict is and how it should be dealt with. The authors provide evidence for this hypothesis using archival survey data on American foreign-policy officials' attitudes toward international conflict at the height of the Cold War (Study 1) and their own data on the relationship between the need for closure and conflict-strategy preferences among samples of activists from 2 political parties in Poland: a centrist party with a reputation for cooperativeness and an extremist party with a reputation for confrontation (Study 2). The broader implications of these findings are discussed.

Adolescent↗