Analyzing the effects of the Spanish Civil War on biological well-being through new anthropometric indicators

Numerous studies have demonstrated the negative impact of severe economic shocks (such as those associated with wars) on the growth of children and adolescents. Individuals exposed to these shocks during their developmental years exhibited shorter average heights compared to both previous and subsequent generations. Anthropometric research has highlighted the sensitivity of the height variable in understanding the biological well-being of children and adolescents. However, little attention has been paid to the evolution of other anthropometric variables. This study investigates the impact of the famine following the Spanish Civil War on biological well-being in nine municipalities of the Region of Valencia (with over 120,000 observations of individuals born between 1890 and 1955) using two indicators: chest circumference, and the percentage of individuals of short stature. Our findings confirm that both of these anthropometric indicators were responsive to the economic shock of the Civil War. The well-being levels prior to the war took 20 years to recover.

The Balkan Wars in prof. Přecechtěl's memories

Professor Přecechtěl's memories of the Balkan Wars of 1912-1913 have various facets and encompass different impressions and phases of these events. They trace the preparations in Prague and the journey to Montenegro, the ancient city of Cetinje among the poor and primitive people, experiences in the Albanian environment plagued by diseases, and the war experienced in Bulgaria. Czech doctors enthusiastically aided their Slavic brethren in the Balkans, who fought for liberation and rights. Initially, they were received coolly and with reservation as the local population had no experience with Czech doctors. However, over time, the medical expeditions proved their worth. Albania presented many obstacles, including a shortage of medicines and suitable food. The army suffered from droughts and exhaustion, leading to high mortality rates and infections. Medical activities were carried out under difficult conditions, lacking hygiene and basic supplies. Despite all the difficulties, the doctors strove to provide help, and their work was invaluable. Memories of the Balkan War are filled with stories of scarcity, challenges, human suffering, and determination to aid and solidarity.

Retrodicting the rise, spread, and fall of large-scale states in the Old World

Understanding the rise, spread, and fall of large-scale states in the ancient world has occupied thinkers for millennia. However, no comprehensive mechanistic model of state dynamics based on their insights has emerged, leaving it difficult to evaluate empirically or quantitatively the different explanations offered. Here I present a spatially- and temporally-resolved agent-based model incorporating several hypotheses about the behavior of large-scale (>200 thousand km²) agrarian states and steppe nomadic confederations in Afro-Eurasia between the late Bronze and the end of the Medieval era (1500 BCE to 1500 CE). The model tracks the spread of agrarian states as they expand, conquer the territory of other states or are themselves conquered, and, occasionally, collapse. To accurately retrodict the historical record, several key contingent regional technological advances in state military and agricultural efficiencies are identified. Modifying the location, scale, and timing of these contingent developments allows quantitative investigation of historically-plausible alternative trajectories of state growth, spread, and fragmentation, while demonstrating the operation and limits of the model. Under nominal assumptions, the rapid yet staggered increase of agrarian state sizes across Eurasia after 600 BCE occurs in response to intense military pressure from ‘mirror‘ steppe nomadic confederations. Nevertheless, in spite of various technological advances throughout the period, the modeled creation and spread of new agrarian states is a fundamental consequence of state collapse and internal civil wars triggered by rising ‘demographic-structural’ pressures that occur when state territorial growth is checked yet (warrior elite) population growth continues. Together the model’s underlying mechanisms substantially account for the number of states, their duration, location, spread rate, overall occupied area, and total population size for three thousand years.

The Unique Identification of an Unknown Soldier from the Estonian War of Independence

The identification of human remains is challenging mostly due to the bad condition of the remains and the available background information that is sometimes limited. The current case report is related to the identification of an unknown soldier from the Estonian War of Independence (1918-1920). The case includes an anthropological study of the remains, examinations of documents found with the exhumed remains, and kinship estimations based on archival documents, and DNA analyses. As the preliminary data pointed to remains of male origin, Y-chromosomal STR (short tandem repeat) analyses of 22 Y-STR loci were used to analyze the exhumed teeth. Reference samples from individuals from two paternal lineages were collected based on archival documents. Y-chromosomal STR results for the tooth samples were consistent with a patrilineal relationship to only one reference sample out of two proposed paternal lineages. Based on the provided pedigrees in the consistent case, the Y-STR results are approximately four million times more likely if the tooth sample originated from an individual related along the paternal line to the matching reference sample, than if the tooth sample originated from another person in the general population. Special considerations have to be met when limited evidence is available.

Health impacts for New Zealand military personnel from the South African War of 1899-1902

AIM

We aimed to update and provide more complete epidemiological information on the health impacts of the South African War on New Zealand military personnel.

METHODS

Mortality datasets were identified and analysed. Systematic searches were conducted to identify additional war-attributable deaths in the post-war period. To estimate the morbidity burden, we analysed a random sample of archival military files of 100 military personnel. Lifespan analyses of veterans included those by level of combat exposure (eg, a non-combat sample came from a troopship that arrived at the time the war ended).

RESULTS

We identified 10 additional war-attributable deaths (and removed three non-attributable deaths) to give a new New Zealand total of 239 war-attributable deaths. Given the average age of death of 26 years, this equates to the loss of 10,300 years of life. Most deaths (59%) were from disease rather than directly from the conflict (30%). Over a third (39%; 95%CI: 30%-49%) of personnel were estimated to have had some form of reported illness (26%) or injury (14%). The lifespan analysis of veterans suggested no substantive differences by exposure to combat (68.5 [combat] vs 69.1 years [non-combat]) and similarly when compared to a matched New Zealand male population.

CONCLUSIONS

The mortality burden was larger and the morbidity impacts on the New Zealand military personnel in this war were much more substantive than revealed in the prior historical literature. There is a need to more fully describe historical conflicts so that their adverse health impacts are properly understood.

Pandemics throughout the centuries

Pandemics have ravished the globe periodically, often associated with war, at times commencing as fever and rash, beginning in recorded history in the crowded walled city of Athens during the Peloponnesian War as described in great detail by the Athenian historian and military general Thucydides in 430 BCE. As the world now faces the first major pandemic of the 21st century, we focus on the "plague" commencing in Athens in 430 BCE and the 2 pandemics of the more recent century, which killed more than one million, the Spanish flu of 1918 and the Asian flu of 1957. The latter linked with successful vaccine development thanks to the heroic efforts of microbiologist Maurice Hilleman. We now look back and then forward to the viral infection coronavirus disease 2019 now devastating the world.

The Life and Death of Lord Nelson: The Leader, the Patient, the Legend

Admiral Lord Horatio Nelson is perhaps the most renowned naval commander, who allowed Britain to have dominion over the sea for 100 years after his victory at the Battle of Trafalgar. He was able to do so despite suffering from a multitude of communicable diseases and traumatic injuries, including the functional loss of his right eye, amputation of his right arm, scalp laceration, head injury, and finally a spinal injury. These injuries had permanent consequences but did not stop him from leading the charge and allowing the British to defeat the French and Spanish fleets in the decisive Battle of Trafalgar.

Patients behind the front lines: the exchange of mentally-ill patients in the 1948 Arab-Israeli War

The British Mandate in Palestine ended abruptly in 1948. The British departure engendered a complex situation which affected all areas of life, and the country's health system was no exception. Gradual transition of the infrastructure was almost impossible owing to the ineffectiveness of the committee appointed by the United Nations. The situation was further complicated by the outbreak of the Arab-Israeli War. We relate for the first time the story of 75 Jewish patients who were left in a former British mental hospital in Bethlehem - deep behind the front lines. Despite the hostilities, there were complex negotiations about relocating those patients. This episode sheds light on the Jewish and Arab relationship as it pertained to mental institutions during and immediately after the British Mandate.

Two probable cases of mastoiditis in a cemetery from the Warring States to Han Dynasty (475 BCE-220 CE) in Qufu, Shandong Province, China

In modern clinical medical practice, middle-ear infection is a frequently reported condition. If untreated, persistent inflammation caused by infection may lead to perforation of the mastoid process or other portions of the temporal bone. When the middle-ear abscess penetrates the surrounding bone and invades the mastoid process, it causes mastoiditis. Abnormal osseous fistulae were observed on the temporal bones of individuals M137 and M199, which were unearthed in Qufu Olympic Sports Center Cemetery in Qufu City, Shandong Province, and date to the Warring States to the Han Dynasty (475 BCE-220 CE). Microscopic observation and CBCT were used to examine the lesions. A differential diagnosis suggests that the lesions were related to mastoiditis, and based on reference studies, burial information, and paleopathological observation, pollution in the living environment and poor living conditions may be potential factors that caused individuals M137 and M199 to suffer from mastoiditis. The two examples from Qufu are the earliest reported cases of mastoiditis from China; however, infections in the middle ear often go unnoticed in archaeological samples.

Leader-Follower Synergies: Lessons From Nelson and His Captains

Lord Nelson was a master of leading fleets into battle. He was also a master of leading people, instinctively understanding the value of both leadership and followership. This chapter explores the leadership behaviors Nelson used to create a powerful leader/follower synergy between him and his captains, and introduces a model based on these behaviors. While the situations presented in this chapter are military, the focus is on behavioral lessons that can be taught to students and applied in a broad range of organizational settings.

The Military Medical System and Wartime Injuries to the Spine

War has historically been a major catalyst for advancement in military medical care and medicine in general. In our current conflicts, advances in battlefield medicine, evacuation techniques, and personal protective equipment have improved survival rates among members of the armed services. With increased survival, there has been increased prevalence of serious but nonfatal injuries, particularly from blunt and penetrating trauma. Blast injuries are the major cause of trauma and have both blunt and penetrating components. With respect to the spine, blasts have led to open, contaminated wounds that are complex and difficult to treat. Additionally, blasts have led to an increased incidence of lower lumbar burst fractures and lumbosacral dissociation. As these and other injuries are being seen more commonly during war, we must ensure that our military medical system is adapting to ensure we are taking care of our military personnel at the highest level.

[Special and marginal: towards a problematization of the state intervention regarding the health of Malvinas veterans (1984-2000)]

The aim of this paper is to account for the modalities in which Malvinas veterans' health was constituted as a problem requiring state intervention between 1984 and 2000. In order to do so, we have focused on the concept of problematization as a way to analyze practices and political thought. The text consists of three sections: the first one presents the methodological basis of the analysis of public policies, whereas the second and third ones intend to analyze a series of laws, bills, decrees, reports and other documents produced by different state spheres about war veterans and their health situation. The hypothesis that we propose is that the Malvinas veterans were problematized as a marginal segment of the population, although the stabilization of a specific treatment took more than fifteen years to materialize.

War or health: a four-decade armed conflict in Iraq

Iraq has suffered 40 years of continual conflict, with large-scale traumatic events including successive wars, economic sanctions, sectarian conflict, terrorism, and organized crime. Population health and the health systems and other services and infrastructure that support a population's health usually suffer severe consequences in conflict-affect countries and Iraq has been no exception. In this article we aim to provide a historical narrative of the four decades of successive wars in Iraq and present some of the consequences of this particular situation of persistent violence and how it has reflected on the health status of the Iraqi people, as indicated by increasing morbidity, mortality, injuries, mental health problems and displacement. Continutation of the current situation of insecurity is anathema for health as war and health can never be compatible, it is a choice between war or health.

A Greek physician's portrait in Windsor Castle

To the visitor to Windsor Castle, the Thomas Lawrence portraits in the Waterloo Chamber represent the most important contributors to the military defeat of Napoleon Bonaparte, by British, Prussian, Russian and Austrian forces at the Battle of Waterloo. Nevertheless, only few individuals realise that a Greek physician, Count Ioannis Capodistrias, a native of the island of Corfu, stands among these leading personalities as a diplomat, the Russian Minister of Foreign Affairs, who contributed remarkably to European unity in the early nineteenth century and as a statesman ('Governor' of Greece) with a tragic end to his life, after establishing a Greek State practically from ruins.

[The participation of italian nurses in the spanish civil war (1936-1939): identity, ideals and motivations]

. The participation of italian nurses in the spanish civil war (1936-1939): identity, ideals and motivations.

INTRODUCTION

The Spanish Civil War broke out in July 1936 as a result of social and political tensions. It saw the nationalists and republicans of the Popular Front clash. The conflict ended in April 1939, when the Franco regime began and lasted until 1975.

AIM

The research aims at investigating the training, organization, identity, ideals and motivations of the Italian nurses who participated as volunteers in this conflict.

METHODS

The research was divided in phases according to Prosopography as a historical research method. Materials from secondary sources were analyzed at cultural sector libraries. Primary sources were then sought from national and international archives. Finally, experts in contemporary history were consulted.

RESULTS

During the Spanish civil war, about 1000 Italian nurses participated in the conflict, giving their contribution in the two distinct factions. The anti-fascist volunteers, often not professionally trained, provided assistance throughout the war front while the nurses of the Italian Red Cross, graduated and supported by a militarized health care facility, created a unique and well-organized sector.

CONCLUSIONS

Despite the limits due to the difficulty of finding the sources, the research shows that both bodies were moved by personal and political motivations. The analysis of personal data and the testimonies outlined important differences in education and social extraction, but also interesting similar elements that they shared in their humanitarian ideals.

The historical process of the masonry city walls construction in China during 1st to 17th centuries AD

Masonry city walls were common defense facilities in the cities of the Eurasian before the industrial revolution. However, they were not widespread in China until the Ming Dynasty (1368–1644). Limited in research methods, previous studies failed to make convincing arguments on this phenomenon. We collected, organized and analyzed relevant historical documents to reconstruct the spatio-temporal process of the construction of masonry walls from 1^st to 17^th century in China. We conducted a time series analysis primarily based on factors such as wars, garrisons, economy, and natural disasters. Analysis of the correlation among the construction of masonry walls and these factors provides insights into this process. From the 1^st to 14^th century, only 125 masonry city walls were built in China and the annual average number was below 0.1. While in the Ming Dynasty, a total of 1,493 masonry walls were built, with an annual average of 5.41. The construction activities in 1368–1456 spread throughout the country, but mainly appeared in the high-grade administrative cities and garrisons, as a result of the planned implementation of the central government. The construction activities in 1457–1644 had corresponding cluster areas during different periods, mainly at county-level. We found that the wall construction was stimulated by external factors such as wars and disasters. We believe that the mass construction of masonry walls in the Ming Dynasty is a phenomenon of cultural diffusion. The central government plan, the complex interactions between local governments and community, and the stimulation of external factors worked together to contribute to the diffusion of masonry city walls in the Ming Dynasty.

Death on a Napoleonic battlefield - Peri-mortem trauma in soldiers from the Battle of Aspern 1809

On the 21^st-22^nd of May1809 Napoleon Bonaparte saw his first major defeat on land at the Battle of Aspern, just north-east of Vienna. Of the 167,000 soldiers who fought for the French and Austrian armies, a total of 55,000 died on the battlefield. Salvage excavations prior to the construction of large urban development project (2008-2016) have revealed several burial sites related to the Battle of Aspern. The skeletal remains of 30 soldiers were excavated and underwent a detailed bioarchaeological study to elucidate both the impact of 19th-century military conditions on soldiers in life, as well as how they died on the battlefield. This paper presents the analysis of peri-mortem trauma observed in 21 of the 30 skeletons (70.0%) excavated from the battlefield of Aspern. Following standard criteria in forensic and palaeopathological trauma studies, this study revealed a predominance of ballistic trauma (20 cases in 17 individuals), while only nine individuals (eleven cases) displayed evidence of blunt force trauma. By contrast, no evidence of sharp force trauma was identified in the skeletal remains. These results are discussed within the historic context of the Napoleonic Wars to reconstruct causes of injury and circumstances of death.