A Systematic Review of The Professional Medical Conversation Regarding Conflict Related Chronic Post Amputation & Neuropathic Pain 1914-1985

2020 ◽  
Author(s):  
Sarah Dixon Smith

The First World War resulted in the largest amputee cohort in history, with over 41,000 amputees in the UK alone. Limb wounds were (and still are) the most common site of survivable injury in conflict and accounted for 70% of all British casualties from 1914 to 1918. Of these casualties, 59% were caused by artillery or high velocity munitions, wounds that today, in some cases, could be termed ‘blast injury’.To date, there appears to have been no detailed analysis of the impact of this type of injury or pain on veterans’ long-term health and quality of life, or into the evolution of the professional, political and lay concepts, attitudes or clinical assessment and management for these types of chronic pain and the inherent years lost to disability [YLD] it caused.Although amputation rates have been reduced in recent conflicts, chronic residual stump, phantom limb and peripheral neuropathic pain are still significant issues in the rehabilitation of conflict wounds, and it is estimated that up to 85% of amputees suffer from chronic pain as a result of amputation. Given the similarities between the injury patterns caused by First World War weaponry and those from the improvised explosive devices [IEDs] of 21st century conflicts, this project has the potential to inform contemporary medical researchers, clinicians and disability policy as the long-term effects of blast injuries sustained by UK military personnel in Iraq and Afghanistan (329 blast-related amputations in total) become more evident.

Author(s):  
Sarah Dixon Smith ◽  
David Henson ◽  
George Hay ◽  
Andrew S.C. Rice

LAY SUMMARY The First World War created the largest group of amputees in history. There were over 41,000 amputee Veterans in the UK alone. Recent studies estimate that over two thirds of amputees will suffer long-term pain because of their injuries. Medical files for the First World War have recently been released to the public. Despite the century between the First World War and the recent Afghanistan conflict, treatments for injured soldiers and the most common types of injuries have not changed much. A team of historians, doctors, and amputee Veterans have collaborated to investigate what happened next for soldiers injured in the war and how their wounds affected their postwar lives, and hope that looking back at the First World War and seeing which treatments worked and what happened to the amputees as they got older (e.g., if having an amputation put them at risk of other illnesses or injuries) can assist today’s Veterans and medical teams in planning for their future care.


2004 ◽  
Vol 11 (1) ◽  
pp. 33-50 ◽  
Author(s):  
PIET CLEMENT

This article examines the Nazi government's external debt policy, with particular regard to the service of the Dawes and Young Loans, the two most important international loans Germany concluded during the interwar period. The goal of this policy was to end once and for all the obligations resulting from the First World War reparations settlement, and at the same time to economise drastically on Germany's scarce foreign exchange reserves. These aims were achieved by imposing a partial default on external debts and by bilateralising trade and financial negotiations, thus dismantling the 1930 Young Plan. In many respects, the Nazi government continued policies in place since 1931, except that it went further and was more ruthless in their execution. However, the negative long-term effects of this policy were beginning to take their toll as Germany's economy was cut off from the international financial markets and increasingly burdened by complex foreign exchange regulations. It was left to the German Federal Republic to deal with the financial legacy of this policy after the war.


2021 ◽  
pp. 133-149
Author(s):  
I. Vietrynskyi

The paper focuses on the initial stage of the formation of the Commonwealth of Australia, and the process of its establishing as an independent State. The international political context for the development of the country, from the period of creation of the Federation to the beginning of the Second World War, is primarily viewed. The Commonwealth’s international position, its place and role in the regional and global geopolitical processes of the early XX century, in particular in the context of its relations with Great Britain, are analyzed. The features of the transformation of British colonial policies on the eve of the First World War are examined. The specifics of the UK system of relations with Australia, as well as other dominions, are being examined. The features of status of the dominions in the British Empire system are shown. The role of the dominions and, in particular, the Commonwealth of Australia in the preparatory process for the First World War, as well as the peculiarities of its participation in hostilities, is analyzed. The significance of the actions of the First World War on the domestic political situation in Australia, as well as its impact on dominions relations with the British Empire, is revealed. The history of the foundation of the Australian-New Zealand Army Corps (ANZAC) and its participation in imperial forces on the frontline of the First World War is analyzed. The success and failure of its fighters, as well as the role of ANZAC, in the process of formation an Australian political nation are analyzed. The economic, humanitarian and international political consequences of the First World War for the Commonwealth of Australia are examined, as well as the influence of these consequences on the structure of relations between the dominions and the British Empire. The socio-economic situation of the Commonwealth of Australia on the eve of World War II, in particular the impact of the Great depression on the development of the country as a whole and its internal political situation in particular, is analyzed. The ideological, military-strategic and international political prerequisites for Australia’s entry into the Second World War are being considered.


2021 ◽  
Author(s):  
◽  
Rachel Patrick

<p>This thesis explores the topic of families during the First World War through a single New Zealand family and its social networks. The family at the core of the thesis, the Stewarts, were a well-to-do Dunedin family who moved in the most exclusive circles of colonial society. As members of the elite, and as prominent figures in the leadership of wartime patriotic organisations, they conceived of their wartime role as one of public benevolence and modelling patriotic virtue for others. Yet, like countless other families, their personal lives were shattered by the war. Drawing upon the extensive records left behind by the Stewart family, as well as associated archives, the thesis advances a number of larger arguments.  It is the overarching claim of this study that families – in their emotional, material and symbolic manifestations – formed an integral part of the war experience and provide a significant way of understanding this global event and its devastating human consequences. The Stewart family’s extensive surviving archive of personal correspondence provides a window into the innermost emotions, beliefs and values of the family’s individual members. Episodes in their wartime lives shape the wider thesis themes: the impact of family separations, grief and bereavement, religious faith, duty and patriotism, philanthropy, the lingering shadow of war disability – and the inflection of all of these by gender and class. Analysing the letters that the family exchanged with other correspondents demonstrates the embeddedness of family in larger networks of association, as well as identifying the aspects of their world view they shared with others in their predominantly middle- and upper-class circles. The records of patriotic organisations members of the family were associated with provide a means of examining how they translated their private beliefs into public influence.  The continual interplay between mobility and distance forms another of the study’s substantive themes. The distance created by the geographical separation between battlefronts and homefronts was a defining feature of the war for families in far-flung dominions such as New Zealand. But distance could be overcome by mobility: through the flow of things, money and people. Such movements, the thesis argues, blurred the boundaries between home and front. Thus, the correspondence members of the Stewart family exchanged during the war enabled them to sustain intimate ties across distance and helped them to mediate their own particular experience of wartime bereavement. The informal personal and kinship networks sustained by the female members of the family formed an important constituent of wartime benevolence, providing a conduit for the flow of information, goods and financial aid across national boundaries. During the war, the leadership of women’s patriotic organisations promoted an essentialised vision of feminine nature to justify their organisations’ separate existence and to stake a claim for women’s wider participation in the war effort. In doing so, they drew upon enlarged notions of kinship to argue that their female volunteers were uniquely qualified to bridge the distances of war, and to bring the emotional and practical comforts of home to frontline soldiers.  An alternative perspective to the Stewart family’s story of war is provided in this thesis through counterpoints from casefiles of the Otago Soldiers’ and Dependents’ Welfare Committee, with which the Stewarts were involved. Here, the economic interdependence and mutual reliance of working-class families is laid bare in ways that differ markedly from the experience of the Stewarts, but which nevertheless underscores the centrality of the family as an institution for people of all social backgrounds. For some families the geographical separation imposed by the exigencies of war proved insurmountable. The very different kinds of families in this thesis illustrate that whether through their successes, or the sometimes dire consequences of their failures, families are nonetheless indispensable to understanding the First World War.</p>


2020 ◽  
Vol 11 (2) ◽  
pp. 139-156
Author(s):  
Anna Carlsson-Hyslop

Abstract. This paper outlines the establishment of the Liverpool Tidal Institute in 1919. There is a particular focus on early patrons and supporters in the context of both previous tidal research on the accuracy of predictions and debates about the involvement of state actors in science at the end of the First World War. It discusses how, and to what extent, various actors – Liverpool University, the British Association for the Advancement of Science, the UK Hydrographic Office, and the shipping industry – became involved with the institute and what their roles were in its creation. It shows that industrial support was crucial in the establishment of this academic institute which later became a key contractor to the Navy.


Author(s):  
Craig Tibbitts

This chapter highlights the long-term influence of Scottish military traditions and identity in Australia, dating back to the arrival of a battalion of the 73rd Highland Regiment in New South Wales in 1810. From the 1860s, several home-grown ‘Scottish’ volunteer militia units were established in the Australian colonies. This coincided with a peak period of Scottish emigration to Australia with some 265,000 settling between 1850 and 1914. With the outbreak of the First World War, Australia quickly raised a contingent to assist the Empire. Several Scottish-Australian militia regiments sought incorporation into the Australian Imperial Force (AIF) but with limited success. This chapter highlights how the existence of Scottish military identities conflicted with the desire of the AIF that its identity be entirely Australian as means of forging the identity of the new Commonwealth of Australia. At the same time, a small number of AIF units managed to maintain some small degree of Scottish flavour about them. Those such as the 4th, 5th and 56th Battalions which had many join en- masse from the pre-war ‘Scottish’ militia regiments, provide examples of how this identity survived and was influenced by some key officers and NCOs of Scots heritage.


Author(s):  
Peter Grant

This chapter considers the experience of the First World War to demonstrate that state mobilisation does not necessarily crowd out voluntary endeavour. While the scale of volunteering to fight in that conflict has long been appreciated, the equivalent voluntary effort on the home front has been neglected by historians. This chapter charts the scale, coordination and regulation of this voluntary activity, from the establishment of the National Relief Fund, to the appointment of a Director General of Voluntary Organisations in 1915 and the 1916 War Charities Act. It is argued that the War encouraged professionalisation and innovation within the charity sector, while also embedding a notion of voluntarism working hand in hand with the state.


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