Summer - United States Special Operations Command

The Emerging Role of Preventive Medicine in Health Diplomacy after the 2005Earthquake in PakistanMancuso, James D.; Price, E. Owen; West, David F.Military Medicine, Volume 173, Number 2, February 2008, pp. 113-118(6)ABSTRACTOn October 22, 2005, a preventive medicine team deployed with the 212th Mobile Army Surgical Hospitalto assist with earthquake relief efforts in Pakistani-controlled Kashmir. These efforts included core fieldpreventive medicine but quickly extended into other efforts. In collaboration with the host nation and other organizations,the preventive medicine team performed additional support for operations outside the U.S. compound,including water and sanitation assessments of camps for internally displaced persons, communicabledisease investigation and control, and vaccination programs. Preventive medicine personnel were vital to healthdiplomacy efforts in this operation, particularly because of security concerns that prevented other U.S. medicalassets from leaving the compound. Comparisons with the U.S. responses during other humanitarian operationsare made. Preventive medicine missions in health diplomacy will continue to increase. Training and collaborativerelationships with other government agencies, such as the U.S. Agency for International Development, andwith nongovernmental organizations should continue to be developed.Impact of Prolonged Exercise in the Heat and Carbohydrate Supplementation onPerformance of a Virtual Environment TaskBailey, Stephen P.; Holt, Craig; Pfluger, Kent C.; La Budde, Zina; Afergan, Daniel; Stripling, Roy; Miller, PaulC.; Hall, Eric E.Military Medicine, Volume 173, Number 2, February 2008 , pp. 187-192(6)ABSTRACTPurpose: The purpose of this investigation was to determine whether performance of a virtual environment(VE) task is influenced by exercise in the heat and carbohydrate supplementation. Methods: Ten males completedfour exercise trials to fatigue. During each trial, subjects cycled at a submaximal workload. Subjects exercisedin a normal environment (NORM) and in a hot environment on different occasions. During exercise,subjects drank 10 mL × kg −1 × hour −1 of body weight of a 6% carbohydrate beverage (CHO) or a placebo. Subjectscompleted a VE task before, during exercise, and after fatigue. Results: More failures occurred duringplacebo than CHO during exercise. The NORM CHO trial had the fewest failures at fatigue. More kills occurredduring exercise in the NORM CHO. Conclusions: Performance of a VE task was negatively influenced byprolonged exercise and heat stress. CHO supplementation may have a positive impact on performance of the VEtask following prolonged exercise.Emergency Medicine in Lebanon: Overview and ProspectJamil D. Bayram MD, MPHThe Journal of Emergency Medicine Volume 32, Issue 2, February 2007, Pages 217-222ABSTRACTEmergency Medicine, established in the United States as a specialty in 1979 and in Canada in 1980, isdrawing interest among countries throughout Europe, Asia, and the Middle East. Lebanon, located on the easterncoast of the Mediterranean Sea, like many other developing countries, struggles to advance its medical system.One of the main hurdles is the continuing violence and political turmoil. Attempts at health care systemrecovery have been met with a number of deep-seated structural problems. Data and references regarding emergencyhealthcare are rare. This article presents an overview of the current status of emergency medicine inLebanon as well as ongoing related activities over the past decade and the plans for future development.Parts of this article have been presented by the author at the Second Mediterranean Emergency MedicineCongress in Sitges, Spain, September 16, 2003. This article is the result of an extensive literature searchon health and emergency medicine in Lebanon. It presents an expanded analysis with a comprehensive bibliography.The author is emergency medicine trained at Stroger Hospital of Cook County (Chicago) and has hadthree years experience in Southern Lebanon as a Chairman of the emergency department at Hammoud Hospi-54Journal of Special Operations Medicine Volume 9, Edition 3 / Summer 09