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Disentangling the effects of PTSD from Gulf War Illness in male veterans via a systems‑wide analysis of immune cell,cytokine,and symptom measures
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作者 Esha Sultana Nandan Shastry +8 位作者 Rishabh Kasarla Jacob Hardy Fanny Collado Kristina Aenlle Maria Abreu Emily Sisson Kimberly Sullivan Nancy Klimas Travis J.A.Craddock 《Military Medical Research》 2025年第1期1-15,共15页
Background:One-third of veterans returning from the 1990–1991 Gulf War reported a myriad of symptoms including cognitive dysfunction,skin rashes,musculoskeletal discomfort,and fatigue.This symptom cluster is now refe... Background:One-third of veterans returning from the 1990–1991 Gulf War reported a myriad of symptoms including cognitive dysfunction,skin rashes,musculoskeletal discomfort,and fatigue.This symptom cluster is now referred to as Gulf War Illness(GWI).As the underlying mechanisms of GWI have yet to be fully elucidated,diagnosis and treatment are based on symptomatic presentation.One confounding factor tied to the illness is the high presence of post-traumatic stress disorder(PTSD).Previous research efforts have demonstrated that both GWI and PTSD are associated with immunological dysfunction.As such,this research endeavor aimed to provide insight into the complex relationship between GWI symptoms,cytokine presence,and immune cell populations to pinpoint the impact of PTSD on these measures in GWI.Methods:Symptom measures were gathered through the Multidimensional fatigue inventory(MFI)and 36-item short form health survey(SF-36)scales and biological measures were obtained through cytokine&cytometry analysis.Subgrouping was conducted using Davidson Trauma Scale scores and the Structured Clinical Interview for Diagnostic and statistical manual of mental disorders(DSM)-5,into GWI with high probability of PTSD symptoms(GWIH)and GWI with low probability of PTSD symptoms(GWIL).Data was analyzed using analysis of variance(ANOVA)statistical analysis along with correlation graph analysis.We mapped correlations between immune cells and cytokine signaling measures,hormones and GWI symptom measures to identify patterns in regulation between the GWIH,GWIL,and healthy control groups.Results:GWI with comorbid PTSD symptoms resulted in poorer health outcomes compared with both healthy control(HC)and the GWIL subgroup.Significant differences were found in basophil levels of GWI compared with HC at peak exercise regardless of PTSD symptom comorbidity(ANOVA F=4.7,P=0.01)indicating its potential usage as a biomarker for general GWI from control.While the unique identification of GWI with PTSD symptoms was less clear,the GWIL subgroup was found to be delineated from both GWIH and HC on measures of IL-15 across an exercise challenge(ANOVA F>3.75,P<0.03).Additional differences in natural killer(NK)cell numbers and function highlight IL-15 as a potential biomarker of GWI in the absence of PTSD symptoms.Conclusions:We conclude that disentangling GWI and PTSD by defining trauma-based subgroups may aid in the identification of unique GWI biosignatures that can help to improve diagnosis and target treatment of GWI more effectively. 展开更多
关键词 Gulf war Illness Post-traumatic stress disorder Cytokine signalling Flow cytometry Correlation networks Complete blood count SUBTYPING Trauma Symptom presentation
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Development and application of rapid rehabilitation system for reconstruction of maxillofacial soft-tissue defects related to war and traumatic injuries 被引量:6
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作者 Shi-Zhu Bai Zhi-Hong Feng +4 位作者 Rui Gao Yan Dong Yun-Peng Bi Guo-Feng Wu Xi Chen 《Journal of Medical Colleges of PLA(China)》 CAS 2014年第1期59-65,共7页
Background: Maxillofacial war injuries usually cause severe facial organ defects and deformities, handicapping the patient's daily activities, even result in a tendency to commit suicide. The application of maxill... Background: Maxillofacial war injuries usually cause severe facial organ defects and deformities, handicapping the patient's daily activities, even result in a tendency to commit suicide. The application of maxillofacial prosthesis is an alternative to surgery in functional–aesthetic facial reconstruction. Computer aided design and computer aided manufacturing has opened up a new approach to the fabrication of maxillofacial prosthesis. An intelligentized rapid simulative design and manufacture system for prosthesis was developed to facilitate the prosthesis fabrication procedure.Methods: Maxillofacial prosthesis rapid simulation design and rapid fabrication system consists of three components: digital impression, intelligentized prosthesis designing, and rapid manufacturing. The patients' maxillofacial digital impressions were taken with Structured-light 3D scanner; and then the 3D model of prostheses and their negative molds could be designed in specific software; finally, with the resin molds fabricated by rapid prototyping machine, the prostheses could be produced directly and quickly.Results: Fifteen patients of maxillofacial defect caused by traumatic injuries received prosthesis rehabilitation provided by the established system. The contour of the prostheses coordinated properly with the appearance of the patients, and the uniform-thickness border sealed well to adjacent tissues. All the patients were satisfied with their prostheses.Conclusions: The rapid simulative rehabilitation system of maxillofacial defects has been approaching completion. It could provide advanced technological reservation for the Army in the issue of maxillofacial defect rehabilitation. 展开更多
关键词 CAD/CAM maxillofacial defect prosthesis design defect rehabilitation war and traumatic injuries
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A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees 被引量:3
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作者 Mostafa Allami Batool Mousavi +5 位作者 Mehdi Masoumi Ehsan Modirian Hadi Shojaei Fatemeh Mirsalimi Maryam Hosseini Pirouz Pirouzi 《Military Medical Research》 SCIE CAS 2017年第1期6-13,共8页
Background: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran ... Background: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation.Methods: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb. In this study, 103 Iranian bilateral upper extremity amputees(206 amputations) from the IranIraq war were evaluated, and a detailed questionnaire was also administered.Results: The most common level of amputation was the finger or wrist level(108, 52.4%). Based on clinical examination, we found high frequencies of limited active and passive joint range of movement across the scapula, shoulder, elbow, wrist and metacarpophalangeal, interphalangeal and thumb joints. Based on muscle strength testing, we found varying degrees of weakness across the upper limbs. Musculoskeletal disorders included epicondylitis(65, 31.6%), rotator cuff injury(24, 11.7%), bicipital tendonitis(69, 33.5%), shoulder drop(42, 20.4%) and muscle atrophy(19, 9.2%). Peripheral nerve disorders included carpal tunnel syndrome in 13(6.3%) and unilateral brachial plexus injury in 1(1%). Fifty-three(51.5%) were diagnosed with facet joint syndrome at the level of the cervical spine(the most frequent site). Using a prosthesis was reported by 65(63.1%), both left and right sides. The back was the most common site of pain(71.8%).Conclusion: The high prevalence of neuro-musculoskeletal disorders among bilateral upper extremity amputees indicates that they need regular rehabilitation care. 展开更多
关键词 Bilateral upper extremity amputation Musculoskeletal disorder Peripheral nerve injury PAIN Iraq-Iran war
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U.S. Financial War on Terrorism vs. International Financial System 被引量:1
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作者 Su Jingxiang Associate Research ProfessorDeputy Director at Division for World Economics Studies, China Institute of Contemporary International Relations. 《Contemporary International Relations》 2002年第4期21-32,共12页
After September 11 events, America has launched a worldwide financial war against terrorism with a series of farreaching measures. It is not only confined to combating international terrorist activities, but will also... After September 11 events, America has launched a worldwide financial war against terrorism with a series of farreaching measures. It is not only confined to combating international terrorist activities, but will also exert great 展开更多
关键词 FATF International Financial system Financial war on Terrorism vs U.S
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The Influence of U. S-Iraq War on World System and International Order
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作者 Yang Jiemian a Senior Research Fellow and Deputy Director of Shanghai Institute for Internatioal Studies. 《Contemporary International Relations》 2003年第5期14-19,共6页
The ongoing U. S. -Iraq war is the focus of various governments, peoples and media of the world. Analyses can be made from different angles. I want to discuss the influence of the U. S. -Iraq war on current and future... The ongoing U. S. -Iraq war is the focus of various governments, peoples and media of the world. Analyses can be made from different angles. I want to discuss the influence of the U. S. -Iraq war on current and future world system and international system. The U. S. -Iraq war is not a war in a traditional sense, but the first comprehensive war in the new century, involving military, political, 展开更多
关键词 of In The Influence of U S-Iraq war on World system and International Order on World that from in NATO
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Assessment of Ecosystems Damages Caused by Russian War against Ukraine
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作者 Yevhen Bezsonov 《Open Journal of Ecology》 2024年第10期754-788,共35页
The question of the impact of war on ecosystems still remains secondary in the internal and external policy of states, society and the agenda of international organizations. From the point of view of losses in monetar... The question of the impact of war on ecosystems still remains secondary in the internal and external policy of states, society and the agenda of international organizations. From the point of view of losses in monetary terms, the values of ecosystem damages obtained in the work, which are a consequence of the impact of hostilities on the environment, correspond to the annual budgets of the largest countries in the world or exceed them. The presented calculations significantly exceed the known normative methods, the use of which in the conditions of war is limited in space and time. Objective difficulties associated with the uncertainty of many processes of the development of ecological systems and their reaction to the multifactorial impact of war are also significant limitations. Therefore, as part of the study, a method of assessing the impact of war on the environment is proposed, which is based on the patterns of energy flows in ecosystems from the moment it is binding by producers. This made it possible to take into account in the calculations the principle of functional integrity of the ecological system, according to which the destruction or damage of the components of a functionally whole environment will necessarily cause negative phenomena in the development of ecological systems. The results are presented in the form of real values of ecological losses in energy and monetary equivalents, as consequences of the loss of ecosystem services. As the results of the research show, the minimum amount of damage to ecosystems from Russian tanks is 43,500 USD per day. Environmental damage from Russian fighter jets has been estimated at $1.5 billion per week since the start of the war. Noise from military operations causes losses of at least 2.3 billion US dollars per year. The obtained results create prerequisites for improving the system of ensuring environmental safety at the local, state, and international levels and transferring the obtained solutions into safety-shaping practice. 展开更多
关键词 Ecosystem Services Damage Assessment Environmental Security Russia’s war against Ukraine
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Upholding Justice in the Eastern Theater and Creating a New Chapter for a Shared Future:China's Contribution to the World Anti-Fascist War and Its Significance of the Times 被引量:1
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作者 Gao Xiang 《Foreign Affairs Journal》 2025年第2期1-13,153-158,共19页
The year 2025 marks the 80th anniversary of the victory of the Chinese People's War of Resistance Against Japanese Aggression and the World Anti-Fascist War.They were a decisive battle between justice and evil,bet... The year 2025 marks the 80th anniversary of the victory of the Chinese People's War of Resistance Against Japanese Aggression and the World Anti-Fascist War.They were a decisive battle between justice and evil,between light and darkness,and between progress and reaction. 展开更多
关键词 progress reaction creating shared future victory Chinese peoples war resistance th anniversary upholding justice justice evil light darkness Chinas contribution
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Lessons from Wars,Insights for Peacebuilding
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作者 XIA YUANYUAN 《China Today》 2025年第9期24-27,共4页
THIS year marks the 80th anniversary of the victory in the Chinese People’s War of Resistance Against Japanese Aggression and the World Anti-Fascist War.Pages from this period of world history not only offer historic... THIS year marks the 80th anniversary of the victory in the Chinese People’s War of Resistance Against Japanese Aggression and the World Anti-Fascist War.Pages from this period of world history not only offer historical narratives about national fates but also narrate stories of how individual people reacted under extreme circumstances.Even amid the fiercest conflicts,the spirit of humanitarianism persisted,transcending national borders and ideological divides.These acts of kindness offer a unique lens through which to understand the complexities of war and provide valuable lessons for today’s world. 展开更多
关键词 wars individual reactions PEACEBUILDING th anniversary Chinese people s war resistance acts kindness world anti fascist war HUMANITARIANISM
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Review and Analysis: Environmental and Human Health Impacts of Herbicide Use Studies Conducted during the Vietnam War and Historical Lessons
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作者 Kenneth R. Olson Larry Cihacek David R. Speidel 《Open Journal of Soil Science》 2025年第2期103-135,共33页
During times of war, it is rare to find a government willing and able to require the military to fund and support environmental impact studies. In the 1960s, many United States scientists expressed concerns about the ... During times of war, it is rare to find a government willing and able to require the military to fund and support environmental impact studies. In the 1960s, many United States scientists expressed concerns about the use of herbicides during the Vietnam War. This protest was led by Dr. Arthur Galston and eventually included scientists with the National Academy of Science. By 1970, the Department of Defense (DoD) was ordered to permit the scientists to visit South Vietnam during the war to document these impacts. In all 1500 scientist days were spent in South Vietnam. In addition, the US government and military funded research studies on the impact of herbicides on animals. The goal of military use of herbicides, as chemical weapons, was to defoliate jungle forests and destroy food crops as a strategy to win battles and the war. The primary objective of this research study is to describe how it is possible for a country to fund and carry out scientific studies during the conduct of a war rather than decades later. The environmental impact study findings often lack boots on the ground validation and can be inaccurate or misleading in some situations. The United States (US) and other countries, including Russia and Ukraine, need to learn the historical lessons from the US use of herbicides, containing dioxin TCDD and/or arsenic (As), as chemical weapons during the Vietnam War. 展开更多
关键词 Vietnam war HERBICIDES National Academy of Science Russia-Ukraine war Environmental Impact Arthur Galston Merry Band of Retirees Monsanto BASF
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The Shanghai Ark:Flight and Rescue During the Second World War
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作者 Chen Jian 《Foreign Affairs Journal》 2025年第2期53-61,180-184,共14页
More than eighty years ago,when the Nazis brutally persecuted and mass-murdered the Jews,and nearly every country in the world shut its door to them desperately seeking refuge,the Chinese people,especially those of th... More than eighty years ago,when the Nazis brutally persecuted and mass-murdered the Jews,and nearly every country in the world shut its door to them desperately seeking refuge,the Chinese people,especially those of the city of Shanghai,opened their arms to the European Jews at this critical moment. 展开更多
关键词 JEWS SHANGHAI Ark Nazis Mass murder PERSECUTION RESCUE World war II
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The Bond with the Flying Tigers: a Monument To Friendship Forged in the Fires of War
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作者 Yang Shaocheng 《Foreign Affairs Journal》 2025年第2期28-36,166-170,共14页
On September 12,2023,in a reply letter to Jeffrey Greene,Chairman of the Sino-American Aviation Heritage Foundation,and Flying Tigers veterans Harry Moyer and Mel McMullen,President Xi Jinping noted,"In the past,... On September 12,2023,in a reply letter to Jeffrey Greene,Chairman of the Sino-American Aviation Heritage Foundation,and Flying Tigers veterans Harry Moyer and Mel McMullen,President Xi Jinping noted,"In the past,our two peoples fought the Japanese fascists together,and forged a deep friendship that stood the test of blood and fre." 展开更多
关键词 flying tigers FRIENDSHIP Flying Tigers war BOND MONUMENT Sino American aviation heritage
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Viewing War Gaming From Global Security Perspectives
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作者 HUANG Ruize XU Yuxuan 《Cultural and Religious Studies》 2025年第5期271-274,共4页
In the 21st century,as algorithmic hegemony reconfigures global security architectures,war gaming methodologies have been strategically reconstituted through national security frameworks.These encompass military simul... In the 21st century,as algorithmic hegemony reconfigures global security architectures,war gaming methodologies have been strategically reconstituted through national security frameworks.These encompass military simulation training,gamified military exercises,and virtual reality battlefield projections.Against the backdrop of intensifying global security crises,postcolonial resurgence,and accelerated technological innovation,this study employs national security theory to analyze the multifaceted roles of Western war gaming in advancing military-technological innovation,disseminating strategic cultural paradigms,and reshaping public consciousness.Through empirical case studies,it investigates how such practices generate novel forms of strategic deterrence while critically assessing their implications for the evolving global security landscape. 展开更多
关键词 war gaming national security military simulation strategic deterrence
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Enhancing China's agri-food security:Palms as alternative oil crops under U.S.-China trade war
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作者 Shuya Yang Eranga M.Wimalasiri +3 位作者 Nancy Shaftang Haikuo Fan Zhuang Yang Zhihua Mu 《Oil Crop Science》 2025年第3期235-239,共5页
The 2025 U.S.-China Trade War has intensified the vulnerability of China's oil supply chain due to heavy reliance on soybean imports,posing serious challenges to food security.This study examines soybean dependenc... The 2025 U.S.-China Trade War has intensified the vulnerability of China's oil supply chain due to heavy reliance on soybean imports,posing serious challenges to food security.This study examines soybean dependency risks and evaluates substitution strategies through diversified oilseed use,including palm-based alternatives.Findings show that high reciprocal tariffs caused a 75%drop in U.S.soybean exports to China.Palm oil,with high yield efficiency and cost-effectiveness,offers a viable supplement to fill supply chain gaps.Promoting oil palm cultivation through northward expansion and cooperation with Belt and Road countries is recommended.Additionally,multi-omics,gene editing,tissue culture,and precision agriculture are crucial to address technical bottlenecks.The study concludes that palm and soybean oils will form a complementary system,and that policy and technology investments are essential to strengthen China's oilseed supply chain resilience and sustainability. 展开更多
关键词 Palm oil Trade war Alternative oil Food security
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Crisis in the gut:navigating gastrointestinal challenges in Gulf War Illness with bioengineering
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作者 Claudia A.Collier Aelita Salikhova +2 位作者 Sufiyan Sabir Steven Foncerrada Shreya A.Raghavan 《Military Medical Research》 2025年第5期641-658,共18页
Gulf War Illness(GWI)is characterized by a wide range of symptoms that manifests largely as gastrointestinal symptoms.Among these gastrointestinal symptoms,motility disorders are highly prevalent,presenting as chronic... Gulf War Illness(GWI)is characterized by a wide range of symptoms that manifests largely as gastrointestinal symptoms.Among these gastrointestinal symptoms,motility disorders are highly prevalent,presenting as chronic constipation,stomach pain,indigestion,diarrhea,and other conditions that severely impact the quality of life of GWI veterans.However,despite a high prevalence of gastrointestinal impairments among these veterans,most research attention has focused on neurological disturbances.This perspective provides a comprehensive overview of current in vivo research advancements elucidating the underlying mechanisms contributing to gastrointestinal disorders in GWI.Generally,these in vivo and in vitro models propose that neuroinflammation alters gut motility and drives the gastrointestinal symptoms reported in GWI.Additionally,this perspective highlights the potential and challenges of in vitro bioengineering models,which could be a crucial contributor to understanding and treating the pathology of gastrointestinal related-GWI. 展开更多
关键词 Gulf war Illness(GWI) BIOENGINEERING Neuroimmune crosstalk Gastrointestinal motility
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PACT+WAR工艺处理煤化工废水的研究
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作者 万博 《山西化工》 2025年第3期243-245,共3页
在研究期间主要探讨PACT+WAR工艺处理煤化工废水,以某煤化工厂提供的废水作为研究对象,利用实验分析和数据对比分析方法,分析PACT+WAR工艺技术在煤化工废水处理中的具体表现。通过研究结果发现,PACT+WAR工艺对有机物和氮类物质具有良好... 在研究期间主要探讨PACT+WAR工艺处理煤化工废水,以某煤化工厂提供的废水作为研究对象,利用实验分析和数据对比分析方法,分析PACT+WAR工艺技术在煤化工废水处理中的具体表现。通过研究结果发现,PACT+WAR工艺对有机物和氮类物质具有良好去除效果,COD去除率达到92.59%,总有机磷去除率达到98.52%,氨氮去除率达到99.53%,总氮去除效率达到71.53%;与AO工艺、PAC工艺、PACT工艺相比,废水处理效果最佳。 展开更多
关键词 PACT war工艺 煤化工废水
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The Logic,Features and Layout of Trump 2.0“Tariff War”
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作者 Zhao Minghao 《Contemporary World》 2025年第3期41-46,共6页
After Donald Trump returned to the White House,the U.S.government launched a host of measures of“tariff wars”.In addition to announcing tariffs on goods imported to the United States from Canada,Mexico and China,the... After Donald Trump returned to the White House,the U.S.government launched a host of measures of“tariff wars”.In addition to announcing tariffs on goods imported to the United States from Canada,Mexico and China,the government also imposed trade restrictions on specific industries including steel,aluminum and copper,as well as advanced plan for“reciprocal tariffs”.Donald Trump claimed that a“tariff war”would correct trade imbalances,boost government revenue and promote the reshoring of manufacturing to the United States.By leveraging tariffs,the U.S.also attempts to achieve goals in border security,illegal immigration and fentanyl control.Undoubtedly at a central position in Trump’s second term in office,the“tariff war”will exert impacts far beyond economic and trade policies and upon the direction of China-U.S.relations. 展开更多
关键词 trade imbalances reshoring illegal immigration border security government revenue tariff wars trade restrictions U S China relations
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Changes in the Post-War World Order and China’s UN Diplomacy
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作者 Wang Cungang 《Contemporary World》 2025年第6期21-27,共7页
The year 2025 marks the 80th anniversary of the founding of the United Nations(UN).As the most universal,representative,and authoritative intergovernmental international organization in the world,the UN serves as the ... The year 2025 marks the 80th anniversary of the founding of the United Nations(UN).As the most universal,representative,and authoritative intergovernmental international organization in the world,the UN serves as the core platform for upholding multilateralism and a crucial cornerstone of the international order.In recent years,the UN’s ability to address global challenges is tested. 展开更多
关键词 upholding multilateralism MULTILATERALISM global challenges post war world order international order th anniversary United Nations united nations un
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China’s Foreign Policy Bid to Improve the International System:A Solution for Global Human Rights Governance
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作者 Jorge Eduardo Malena 《Contemporary World》 2025年第4期46-48,共3页
In 1945,after a same generation went through two world wars,the community of states united to create the United Nations(UN),in the hope of not returning to make the mistakes of the past.However,due to disparate ideolo... In 1945,after a same generation went through two world wars,the community of states united to create the United Nations(UN),in the hope of not returning to make the mistakes of the past.However,due to disparate ideologies and conflicting strategic interests,the main powers of that era,e.g.the United States and the Union of Soviet Socialist Republics(USSR),two different world orders emerged,each with their own worldviews and geopolitical concerns,although both orders were part of the same international system. 展开更多
关键词 community states international system union soviet socialist republics ussr two global human rights governance world wars united states United Nations United States
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Gulf War illness with or without post-traumatic stress disorder:differential symptoms and immune responses
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作者 Faith Nguyen Ashok K.Shetty 《Military Medical Research》 2025年第2期311-312,共2页
Over one-third of 700,000 military personnel who served in the first Gulf War(GW)suffer from an assortment of symptoms,including cognitive and memory problems,musculoskeletal pain,gastrointestinal discomfort,fatigue,a... Over one-third of 700,000 military personnel who served in the first Gulf War(GW)suffer from an assortment of symptoms,including cognitive and memory problems,musculoskeletal pain,gastrointestinal discomfort,fatigue,and respiratory issues[1,2].The precise etiology of Gulf War illness(GWI)is unclear.However,epidemiological and preclinical studies imply that exposures to the prophylactic drug pyridostigmine bromide,insecticides,pesticides,smoke from oil well fires,and interaction between these exposures and war-related stress underlie this illness[2].As per the Kansas case definition,GWI is a chronic multi-symptom illness displaying one moderately severe and/or multiple symptoms of any severity in at least 3 of 6 symptom domains(fatigue,pain,neurological/cognitive/mood,skin,gastrointestinal,respiratory)[1,2].While the exact pathophysiological changes underlying GWI have not been identified,alterations in immune regulation and dysregulation of the redox balance have been observed in GWI,resulting in chronic systemic inflammation and neuroinflammation[2]. 展开更多
关键词 Gulf war illness Immune response INTERLEUKIN-15 Natural killer cells Post-traumatic stress disorder T lymphocytes
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FDA-approved cannabidiol[Epidiolex®]alleviates Gulf War Illness-linked cognitive and mood dysfunction,hyperalgesia,neuroinflammatory signaling,and declined neurogenesis
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作者 Maheedhar Kodali Leelavathi N.Madhu +8 位作者 Venkata Sai Vashishta Kolla Sahithi Attaluri Charles Huard Yogish Somayaji Bing Shuai Chase Jordan Xiaolan Rao Sanath Shetty Ashok K.Shetty 《Military Medical Research》 2025年第6期852-874,共23页
Background:Chronic Gulf War Illness(GWI)is characterized by cognitive and mood impairments,as well as persistent neuroinflammation and oxidative stress.This study aimed to investigate the efficacy of Epidiolex®,a... Background:Chronic Gulf War Illness(GWI)is characterized by cognitive and mood impairments,as well as persistent neuroinflammation and oxidative stress.This study aimed to investigate the efficacy of Epidiolex®,a Food and Drug Administration(FDA)-approved cannabidiol(CBD),in improving brain function in a rat model of chronic GWI.Methods:Six months after exposure to low doses of GWI-related chemicals[pyridostigmine bromide,N,N-diethyl-meta-toluamide(DEET),and permethrin(PER)]along with moderate stress,rats with chronic GWI were administered either vehicle(VEH)or CBD(20 mg/kg,oral)for 16 weeks.Neurobehavioral tests were conducted on 11 weeks after treatment initiation to evaluate the performance of rats in tasks related to associative recognition memory,object location memory,pattern separation,and sucrose preference.The effect of CBD on hyperalgesia was also examined.The brain tissues were processed for immunohistochemical and molecular studies following behavioral tests.Results:GWI rats treated with VEH exhibited impairments in all cognitive tasks and anhedonia,whereas CBD-treated GWI rats showed improvements in all cognitive tasks and no anhedonia.Additionally,CBD treatment alleviated hyperalgesia in GWI rats.Analysis of hippocampal tissues from VEH-treated rats revealed astrocyte hypertrophy and increased percentages of activated microglia presenting NOD-,LRR-and pyrin domain-containing protein 3(NLRP3)complexes as well as elevated levels of proteins involved in NLRP3 inflammasome activation and Janus kinase/signal transducers and activators of the transcription(JAK/STAT)signaling.Furthermore,there were increased concentrations of proinflammatory and oxidative stress markers along with decreased neurogenesis.In contrast,the hippocampus from CBD-treated GWI rats displayed reduced levels of proteins mediating the activation of NLRP3 inflammasomes and JAK/STAT signaling,normalized concentrations of proinflammatory cytokines and oxidative stress markers,and improved neurogenesis.Notably,CBD treatment did not alter the concentration of endogenous cannabinoid anandamide in the hippocampus.Conclusions:The use of an FDA-approved CBD(Epidiolex®)has been shown to effectively alleviate cognitive and mood impairments as well as hyperalgesia associated with chronic GWI.Importantly,the improvements observed in rats with chronic GWI in this study were attributed to the ability of CBD to significantly suppress signaling pathways that perpetuate chronic neuroinflammation. 展开更多
关键词 Gulf war Illness(GWI) ANHEDONIA Activated microglia Cannabidiol(CBD) Chronic neuroinflammation Cognition Hippocampal neurogenesis INFLAMMASOMES Janus kinase/signal transducers and activators of the transcription(JAK/STAT)signaling Memory dysfunction NOD- LRR-and pyrin domain-containing protein 3(NLRP3)inflammasomes Oxidative stress
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