The legacy of United States cluster munition use in Laos and Cambodia during the Second Indochina War is residual bomblets that unexpectedly detonate years later, killing and injuring children, farmers, and other civi...The legacy of United States cluster munition use in Laos and Cambodia during the Second Indochina War is residual bomblets that unexpectedly detonate years later, killing and injuring children, farmers, and other civilians. Cluster munitions release dozens of smaller bomblets that rain deadly ammunition on troops, armored tanks, and vegetation, effectively striking broad sections of war zone landscapes in one launch. While many bomblets detonate immediately, others fail to detonate and can lie dormant on the ground for years. The primary objectives of this study were to document the long-term consequences and impacts of the US Air Force bombing of Laos and Cambodia during the Second Indochina War (1959 to 1973). The historical lessons learned by United States should be shared with Russia and Ukraine governments and military. These countries need to discontinue the use of cluster bombs to prevent additional people living along the Russia-Ukraine border from having to live and die with the consequences of unexploded ordnance, including cluster bombs, for the next century.展开更多
Background: Puffy hand syndrome (PHS) is a rare complication primarily associated with intravenous drug use (IVDU), characterized by chronic swelling and fibrosis of the hands due to lymphatic damage. Concurrent pulmo...Background: Puffy hand syndrome (PHS) is a rare complication primarily associated with intravenous drug use (IVDU), characterized by chronic swelling and fibrosis of the hands due to lymphatic damage. Concurrent pulmonary complications, such as pneumonia and pneumothorax, significantly contribute to increased morbidity in this population. Case Presentation: We report the case of a 28-year-old female who injects drugs, and presents with fever, bilateral hand edema, and respiratory symptoms. Clinical evaluation revealed erythema and edema of both hands, elevated inflammatory markers, and a left lower lobe infiltration that progressed to pneumothorax. A diagnosis of PHS and left lower lobe pneumonia complicated by pneumothorax was established. Management and Outcomes: The patient was treated with broad-spectrum antibiotics, including ceftriaxone, levofloxacin, dexamethasone, and oxygen supplementation, as well as antipyretics. She demonstrated partial clinical improvement and was referred to another hospital’s thoracic surgery department for specialized care. Conclusions: This case underscores the importance of early recognition and multidisciplinary management of rare but serious complications in IVDU patients. Further research is necessary to elucidate the interplay between lymphatic dysfunction and pulmonary pathophysiology in this demographic.展开更多
文摘The legacy of United States cluster munition use in Laos and Cambodia during the Second Indochina War is residual bomblets that unexpectedly detonate years later, killing and injuring children, farmers, and other civilians. Cluster munitions release dozens of smaller bomblets that rain deadly ammunition on troops, armored tanks, and vegetation, effectively striking broad sections of war zone landscapes in one launch. While many bomblets detonate immediately, others fail to detonate and can lie dormant on the ground for years. The primary objectives of this study were to document the long-term consequences and impacts of the US Air Force bombing of Laos and Cambodia during the Second Indochina War (1959 to 1973). The historical lessons learned by United States should be shared with Russia and Ukraine governments and military. These countries need to discontinue the use of cluster bombs to prevent additional people living along the Russia-Ukraine border from having to live and die with the consequences of unexploded ordnance, including cluster bombs, for the next century.
文摘Background: Puffy hand syndrome (PHS) is a rare complication primarily associated with intravenous drug use (IVDU), characterized by chronic swelling and fibrosis of the hands due to lymphatic damage. Concurrent pulmonary complications, such as pneumonia and pneumothorax, significantly contribute to increased morbidity in this population. Case Presentation: We report the case of a 28-year-old female who injects drugs, and presents with fever, bilateral hand edema, and respiratory symptoms. Clinical evaluation revealed erythema and edema of both hands, elevated inflammatory markers, and a left lower lobe infiltration that progressed to pneumothorax. A diagnosis of PHS and left lower lobe pneumonia complicated by pneumothorax was established. Management and Outcomes: The patient was treated with broad-spectrum antibiotics, including ceftriaxone, levofloxacin, dexamethasone, and oxygen supplementation, as well as antipyretics. She demonstrated partial clinical improvement and was referred to another hospital’s thoracic surgery department for specialized care. Conclusions: This case underscores the importance of early recognition and multidisciplinary management of rare but serious complications in IVDU patients. Further research is necessary to elucidate the interplay between lymphatic dysfunction and pulmonary pathophysiology in this demographic.
