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Protein deficiency and tribal warfare in Amazonia: new data.

Increasing numbers of anthropological studies about native Amazonian warfare and demographic practices attempt to explain these phenomena as competition over or a response to scarce game animals and other sources of high-quality protein. Recently completed field research among the Yanomamö Indians living at the Venezuela-Brazil border indicates that their protein intake is comparable to that found in highly developed industrialized nations and as much as 200 percent more than many nutritional authorities recommend as daily allowances. Recent data on other Amazonian tribes likewise fails to indicate a correlation between protein intake and intensity of warfare patterns.

Animals

Persistent trauma three decades after the Halabja massacre: psychological symptom profiles and hair cortisol levels in gas attack survivors.

BACKGROUND: Survivors of the 1988 Halabja chemical attack have experienced severe, chronic trauma, yet limited research has examined the long-term psychological and biological consequences of chemical warfare exposure more than three decades later. AIMS: To examine long-term post-traumatic stress disorder (PTSD) symptoms, depression/anxiety symptoms, somatic symptoms and perceived stress among survivors of the Halabja chemical attack, and to investigate the associations of trauma exposure, sociodemographic factors and hair cortisol concentrations (HCCs) with psychological symptom severity and symptom profiles. METHOD: A total of 209 survivors of the Halabja chemical attack participated in structured interviews using culturally adapted and field-tested instruments, including the Post-Traumatic Stress Disorder Checklist for DSM-5, Hopkins Symptom Checklist-25, the Patient Health Questionnaire-13, the Perceived Stress Scale-14 and an adapted War and Adversity Exposure Checklist-26. Hair cortisol and cortisone concentrations were assessed as biomarkers of chronic stress. Data were analysed using correlations, independent-samples t-tests, multiple linear regression analyses, multinomial logistic regression and latent profile analysis (LPA). RESULTS: Survivors demonstrated a substantial long-term psychological symptom burden. Overall, 87.6% of participants exceeded the cut-off for probable PTSD symptoms, and 75.1% exceeded the cut-off for elevated depression/anxiety symptoms. Most participants (81.8%) reported exposure to 11 or more lifetime traumatic events. Men reported significantly greater cumulative trauma exposure, whereas women reported significantly greater somatic symptom severity. Higher educational attainment and employment were consistently associated with lower psychological symptom severity across multiple outcomes. HCCs were not significantly associated with PTSD symptoms or latent symptom-profile membership after adjustment for trauma exposure and psychosocial variables. The LPA identified four symptom-severity classes characterised by differing levels of PTSD and depression/anxiety symptoms. Greater cumulative trauma exposure and lower social support were associated with membership in more severe symptom classes. CONCLUSIONS: Survivors of the Halabja chemical attack continue to experience substantial psychological distress more than three decades after exposure. Long-term symptom severity appears to be more strongly associated with cumulative trauma exposure and psychosocial adversity than with HCCs. The findings highlight substantial heterogeneity in symptom presentation and support the need for long-term, culturally sensitive and trauma-informed mental health interventions for survivors of chemical warfare and mass violence.

Halabja chemical attack

Brainwashing, LSD, and CIA: historical and ethical perspective.

The history of various attempts at thought control and chemical warfare is briefly reviewed. Brainwashing, thought control, industrial and national espionage, and covert activities are becoming more sophisticated. These issues have been revived and accentuated by the Vietnam war, the Middle East Crisis, Watergate, the CIA investigations and the Patty Hearst trial. Historical perspective and the ethical implications of these activities are explored. It is suggested that there is a growing level of individual and international mistrust amounting to paranoia and complicating the issues of individual freedom, civil rights and human experimentation.

Ethics

Reflections on military psychiatry.

The need for psychiatrists in the military was recognized for the first time during World War I, which involved millions of men in unusually protracted warfare. The policy of treating psychiatric casualties close to the from and returning soldiers to their military units as quickly as possible proved of great significance in the U.S. war effort. During World War II, the Korean conflict, and the war in Viet Nam, military psychiatry made great contributions and learned many lessions, both at home and abroad. The lessions learned by military psychiatry have important applications for the rest of medicine, especially in the fields of stress, crisis therapy, and community psychiatry.

Community Psychiatry

The skeletal biology of the Virginia Indians.

Statistical analysis of one eastern and two western Virginia Indian skeletal samples reveals a general association between geographical and biological distance. However, the data suggest the importance of gene flow as a factor in minimizing local microdifferentiation. Females appear to contribute a disproportionate share to gene flow. This may be attributed to the widespread and apparently frequent practice of acquiring females and children through capture during recurring warfare.

Bone and Bones

Some missile injuries due to civil unrest in Northern Ireland.

Some missile injuries are reviewed after nearly 8 years of continuous warfare. A feature of many of these injuries is the early admission to hospital which has had a profound effect on the survival rate and the recovery period. Some examples are given of injuries inflicted by rubber bullets. The effects of wounding by low and high velocity missiles are described and examples given. An injury caused by a missile incorporated in a bomb is also shown.

Adolescent

Colony-specific territorial pheromone in the African weaver ant Oecophylla longinoda (Latreille).

Major workers of Oecophylla longinoda mark their territories with persistent pheromones that are distinguishable to the ants at the colony level. Workers detecting the deposits of an alien colony respond with increased amounts of aversive and aggressive behavior, and they later recruit nestmates to the area at a higher rate. Colonies entering a field impregnated with their own scent also gain an initial advantage in warfare with other colonies. The pheromones are located at least in part in drops of rectal sac fluid deposited by workers over the territorial surface.

Animals

Cannibalism for cargo.

The human eating of human beings is not confined to exotic peoples. It is part of the human condition. It occurs as a preferred form of protein consumption or as the result of extreme necessity, to absorb the virtues of others, to facilitate conception, for magicoreligious reasons, in warfare, famine, revenge, filial piety, and justice. Unique is the case of cannibalism for cargo reported here in which the eater suffered an overt psychosis before, during, and after the consumption, and whose goal was the acquisition of real and symbolic cargo as exemplified in the Melanesian cargo cult.

Acculturation