Portable Ultrasonography Onboard Deployment in the PLA(N) Peace Ark Hospital Ship in Mission Harmony 2018

Author(s):  
Jiaqi Zhao ◽  
Yi Zhou ◽  
Jiafeng Wang ◽  
Chong Zhang ◽  
Zhuhong Cai

Abstract From June 28 to November 22, 2018, the Chinese People’s Liberation Army Navy – PLA(N) – Peace Ark hospital ship had conducted Mission Harmony 2018, providing humanitarian medical assistance and carrying out international cooperation, in 4 Pacific island countries and 6 Central and South American countries. Compared with its application only in onshore outreach medical teams in the previous Mission Harmony, portable ultrasonography was used both onboard and onshore in Mission Harmony 2018. The purpose of this study was to assess the performance of onboard portable ultrasonography in PLA(N) Peace Ark hospital ship during Mission Harmony-2018, share our onboard working experience, and provide a reference for humanitarian assistance missions in the future. A retrospective review was performed on a cohort of patients checked by onboard portable ultrasonography. Patients’ gender, age, the distribution of examined organs, and multiple applications of the portable ultrasonography were analyzed. Some limitations of portable ultrasonography on the mission and possible improvements in the future were also discussed. A total of 5277 cases (mean age: 43.74 years; range: 2 months–105 years) of ultrasound examinations were performed during the mission; among them, 3126 (59.2%) cases were performed by portable ultrasonography, including 3024 onboard cases and 102 onshore cases. The portable ultrasonography had been applied in many scenarios, for example, onboard emergency triage process, onboard bedside medical support, and onshore outreach medical service, which had become one of the indispensable auxiliary examination methods for its compatibility, portability, and flexibility. The onboard deployment of portable ultrasonography played a versatile and irreplaceable role in the humanitarian medical assistance and medical cooperation carried out by the PLA(N) Peace Ark hospital ship, and will contribute to such kind of missions in the future.

2011 ◽  
Vol 22 (4) ◽  
pp. 357-371
Author(s):  
Caecilia J. van Peski

AbstractOn the third anniversary of the war over South Ossetia, resumed talks between Georgia and Russia are needed to create positive momentum in a still unstable environment. The article examines the continuing strains and recommends that the two sides engage in direct dialogue in order to de-escalate allegations about the other's involvement in the conflict. While formal diplomatic relations remain more or less suspended, many mutual interests remain. Paramount in this is the fact that Georgia and Russia share interests in improving mutual security, trade and transport. The impact of the ongoing conflict on Georgia's very diverse communities differs substantially, as do their priorities. Concerns over the future amongst these communities are widespread. The consequences of the violence and subsequent failure to progress resolution of the conflict still affect communities, especially those living along the Administrative Boundary Line between South Ossetia and Georgia proper. Although no major incidents of violence have occurred since 2008 and the level of humanitarian assistance provided to communities around the ABL has been impressive during the first two years following the war, the contact and movement across the ABL has become increasingly difficult, badly affecting those dependent on cross-border interaction for their personal wellbeing and that of their communities. As a result, a range of vulnerabilities is more likely to come to the surface and undermine the future sustainability of communities living along the ABL. As such, it is essential that local and international actors, including OSCE and EUMM are better able to distinguish between the varied needs of communities living along the ABL , in order to develop appropriate strategies for responding to them.


2021 ◽  
Vol 25 (1) ◽  
pp. 181-186
Author(s):  
L. G. Kovalenko ◽  
M. I. Yukalchuk ◽  
K. F. Antoshchuk

Annotation. M. I. Pyrohov is a founder of battlefield surgery, organization and medical military services. His ideas laid the foundation of well-managed system of modern medical support services of troops. The article reveals some aspects of the formation of structure of the Medical Service management in the war.


2015 ◽  
Vol 64 (3) ◽  
pp. 501-531 ◽  
Author(s):  
Sandesh Sivakumaran

AbstractFollowing a large-scale disaster, such as a major earthquake, tsunami or cyclone, tens of thousands of persons are often displaced, suffer from food shortages and in need of medical assistance. In situations in which the State affected by the disaster does not meet the needs of the affected persons itself, humanitarian assistance from outside the State might be required. This article considers the role of consent to external humanitarian assistance on the part of the affected State. As there is no single overarching treaty in the area of humanitarian assistance in situations of disaster, the article explores the role of consent in the various disaster-specific, subject-specific and region-specific treaties as well as in the soft law instruments in the area. Although the instruments take seemingly different approaches to the subject, a common standard is identified, namely that consent on the part of the affected State is required before external assistance can be provided but that consent cannot be arbitrarily withheld. The article then goes on to give content to the arbitrary withholding standard, breaking it down into its substantive and procedural elements. These include the meaning of the term ‘arbitrary’; the requirement to provide a reason for the withholding of consent; legitimate grounds for withholding consent; and the actor that assesses the justification. Regard is had for State practice in the context of disasters as well as other areas of the law in which similar tests are used.


Author(s):  
Javier A. Vadell ◽  
Clarisa Giaccaglia

Abstract At the beginning of the twenty-first century, Brazil became a crucial player as the principal advocate of South American integration. To Mercado Común del Sur (Mercosur) was added the Union of South American Nations (UNASUR), reaffirming regional policies around the idea of “South America.” Today, however, the withdrawal of Brazilian leadership along with the reversals and loss of focus in UNASUR and Mercosur have damaged the credibility of the region’s initiatives, as well as finding South America’s common voice. Despite this, this article argues that Brazil has not entirely disengaged from the region or abandoned the principle of regionalism. Recognition of Latin America’s distinctive history the authors to construct a model that incorporates complexity and disorder in which Brazil’s institutional political development will have significant repercussions for the future of the region.


2021 ◽  
pp. 002436392110303
Author(s):  
Gentian Vyshka ◽  
Dritan Ulqinaku

The increasing number of migrants and refugees entering Albania during the last decade has been a challenge to the medical service of the country. Many of the migrants arrive from remote areas of Middle East or other Asian regions, heading toward northern Europe, deprived from medical assistance during their tormenting journey. An exacerbation of previous medical conditions is expected and is related to the hardship of traveling conditions. The medical professionals working in migration medicine have little, if any, training on the field and need to familiarize themselves with a variety of previously unknown conditions. Empathy, necessary on an individual basis, may not be sufficient in itself; the burden of medically treating migrants needs a holistic and multidisciplinary approach.


2011 ◽  
Vol 26 (S1) ◽  
pp. s12-s12
Author(s):  
A.G. Robertson ◽  
T.S. Weeramanthri

The Australian Government first started to deploy civilian medical teams internationally in the aftermath of the 2004 Tsunami to Banda Aceh, the Maldives, and Sri Lanka. Historically, Australia had relied upon the Australian Defence Force (ADF) to provide overseas medical assistance, but, in this instance, the volunteers deployed were civilian staff, predominantly from tertiary hospital environments. Civilian Australian Medical Assistance Teams (AUSMATs), particularly in Banda Aceh, interacted closely with the ADF after the tsunami and have had a close liaison with the ADF in subsequent disasters, particularly where ADF assistance was required for aeromedical evacuation of patients. This has included assistance after the 2005 Bali bombing, the 2009 Ashmore Reef explosion, the 2009 Samoa tsunami, and the 2010 Pakistan floods. In the latter, Australia deployed a joint military-civilian medical taskforce to provide care to the affected people in Kot Addu in central Pakistan. Having had extensive experience in both military and civilian disaster responses, the authors in this presentation will look at the lessons that can be shared between civilian and military teams in the Australian context. The military brings particular proficiency in command and control, information gathering, security, communications, general logistics, aeromedical evacuation and living in the field. The civilian AUSMATs bring specialized medical expertise, experience in operating in small teams in a range of disaster conditions, health logistics, surveillance, and public health measures in a disaster setting. Learning how to blend these skill sets will be critical in ensuring effective and collaborative international deployments in the future.


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