Afterword Cold War Hong Kong

Author(s):  
Priscilla Roberts

Hong Kong was and is, as Prasenjit Duara points out in this volume, a place that escaped from the boundaries and constraints of the nation-state, one with the potential to trigger novel and perhaps hybrid institutional arrangements, tailored to its own circumstances, that might ultimately provide models for an increasingly globalized and interdependent world, one where the ways that states functioned were being adapted to meet changing demands. Neither a state nor even perhaps a genuine colony, it had the scope to devise creative solutions to whatever problems it might encounter. Cold War developments sometimes proved significant in this respect. Peter Hamilton argues that when, during the mid-1960s, Tsim Sha Tsui in Kowloon developed into a rather seedy red light district full of rowdy bars and down-market businesses catering to visiting US military personnel on R & R from the Vietnam War, this prompted both Hong Kong elites and ordinary people into organizing to protest against this transformation. In so doing, Hamilton believes, they brought into being a new kind of community activism, one that set political precedents for the future of Hong Kong....

Author(s):  
Barin Kayaoğlu

Since the 1780s, the geographical, historical, cultural, and ideational chasm between Turkey and the United States has remained wide. The presence of US merchants, missionaries, and educators in Ottoman territories, the immigration of hundreds of thousands of Ottoman subjects to the United States, the tens of thousands of US military personnel stationed in Turkey during the Cold War, and the thousands of Turkish citizens who continue to attend US universities every year have not been able to bridge that gap. Aside from the cultural and geographical gap, much of the disconnect between Turkey and the United States came from Turkish and American leaders’ ignorance of the other side. From the 19th century onward, Ottoman and Turkish leaders hoped to use the United States as a counterweight in Europe’s great power games despite Washington’s lack of interest in such an outlook until 1945. Likewise, most US administrations after 1945 thought that Turkey’s national interests could be easily reconciled with US global security priorities.


2021 ◽  
Vol 53 (1) ◽  
pp. 139-143
Author(s):  
Hanan Hammad

What does a casual confrontation in a rundown shack between a landlady and her factory-worker tenant tell us about the history of gender and class relations in modern Egypt? Could a lost watch in a red-light district in the middle of the Nile Delta complicate our understanding of the history of sexuality and urbanization? Can an unexpectedly intimate embrace on a sleeping mat illuminate a link in the history of class, gender, and urbanization in modern Egypt?


Author(s):  
Alyssa R Lindrose ◽  
Indrani Mitra ◽  
Jamie Fraser ◽  
Edward Mitre ◽  
Patrick W Hickey

Abstract Background Helminth infections caused by parasitic worms, including nematodes (roundworms), cestodes (tapeworms) and trematodes (flukes), can cause chronic symptoms and serious clinical outcomes if left untreated. The US military frequently conducts activities in helminth-endemic regions, particularly Africa, the Middle East and Southeast Asia. However, the military does not currently screen for these infections, and to date, no comprehensive surveillance studies have been completed to assess the frequency of helminth diagnoses in the military personnel and their families. Methods To determine the burden of helminth infections in the US Military Health System (MHS), we conducted a retrospective analysis of International Classification of Diseases (ICD)-9/10 diagnosis codes from all medical encounters in the MHS Data Repository (MDR) from fiscal years (FY) 2012 to 2018. Chart reviews were conducted to assign ICD diagnoses as incorrect, suspected, probable or confirmed based on the laboratory results and symptoms. Results Abstraction of MHS data revealed over 50 000 helminth diagnoses between FY 2012 and FY 2018. Of these, 38 445 of diagnoses were amongst unique subjects. After chart review, we found there were 34 425 validated helminth infections diagnosed amongst the unique subjects of US military personnel, retirees and dependents. Nearly 4000 of these cases represented infections other than enterobiasis. There were 351 validated strongyloidiasis diagnoses, 317 schistosomiasis diagnoses and 191 diagnoses of cysticercosis during the study period. Incidence of intestinal nematode infection diagnoses showed an upward trend, whilst the incidence of cestode infection diagnoses decreased. Conclusions The results of this study demonstrate that helminth infections capable of causing severe morbidity are often diagnosed in the US military. As helminth infections are often asymptomatic or go undiagnosed, the true burden of helminth infections in US military personnel and dependents may be higher than observed here. Prospective studies of US military personnel deployed to helminth-endemic areas may be indicated to determine if post-deployment screening and/or empirical treatment are warranted.


2021 ◽  
pp. e001700
Author(s):  
Sarah Godby ◽  
R Dierst-Davies ◽  
D Kogut ◽  
L Degiorgi Winslow ◽  
M M Truslow ◽  
...  

BackgroundElectronic cigarette (or e-cigarette) use has grown substantially since its US market introduction in 2007. Although marketed as a safer alternative to traditional cigarettes, studies have shown they can also be a gateway to their use. The purpose of this investigation is to identify factors associated with different patterns of tobacco use among active duty military personnel.MethodsA secondary analysis was conducted using the 2014 Defense Health Agency Health Related Behaviors survey data. Results are based on 45 986 US military respondents, weighted to 1 251 606. Both univariate and regression analyses were conducted to identify correlates.ResultsIn 2014, approximately 7.8% of respondents reported using e-cigarettes at least once in the past year. Among e-cigarette users, 49% reported exclusive e-cigarette use. Prevalence of exclusive use is highest among white people (58%), Navy (33%), men (83%) and persons with income ≤$45 000 (65%). Regression comparing exclusive cigarette with exclusive e-cigarette users revealed higher odds of being Air Force (OR=2.19; CI 1.18 to 4.06) or Navy (OR=2.25; CI 1.14 to 4.41) personnel and being male (OR=1.72; CI 1.12 to 2.64), and more likely to not receive smoking cessation messaging from healthcare providers in the last 12 months (OR=2.88; CI 1.80 to 4.62). When comparing exclusive e-cigarette users with poly-tobacco users, e-cigarette users had higher odds of being Hispanic (OR=2.20; CI 1.02 to 4.78), college educated (OR=4.25; CI 1.22 to 14.84) and not receiving tobacco prevention/cessation messaging (OR=4.80; CI 2.79 to 8.27).ConclusionThe results demonstrate that exclusive e-cigarette users in the military have unique characteristics when compared with groups of other/mixed tobacco users. Findings can inform cessation and prevention efforts to improve both the overall health and combat readiness of active duty military personnel.


2021 ◽  
pp. bmjmilitary-2021-001894
Author(s):  
Hailey Murray ◽  
A N Gregoriou ◽  
A Lepore ◽  
G J Booth ◽  
A H Goldman ◽  
...  

IntroductionTransdermal fentanyl is a continuous release opioid delivery system intended for use in opioid-tolerant patients requiring around-the-clock opioid therapy. The purpose of this study is to identify the most common indications for transdermal fentanyl prescriptions in active duty US military personnel, and determine whether these prescriptions meet US Food and Drug Administration (FDA) labelling.MethodsActive duty US military personnel initiating transdermal fentanyl therapy with prescriptions filled at Military Health System pharmacies between 2015 and 2019 were identified in the Military Data Repository. Electronic health records were searched for patient demographic information, clinical information and prescription data. A total of 225 patients with complete data were identified.ResultsThe most common reason for transdermal fentanyl initiation was chronic non-cancer musculoskeletal pain. Among patients with non-cancer pain, 36% received their initial prescription from an internal medicine/primary care provider, and 35% did not meet published US FDA criteria for opioid tolerance prior to treatment initiation. There was an 81% decrease in patients initiating therapy between 2015 and 2019.ConclusionsWhile a substantial minority of transdermal fentanyl prescriptions to US military personnel did not meet FDA guidelines on appropriate use, the overall number of prescriptions fell dramatically over the study period. This suggests that automated profile review or additional targeted policies to limit transdermal fentanyl prescribing are unnecessary at this time.


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