scholarly journals Spine surgery in the International Security Assistance Force Role 3 combat support hospital in Mazar-e-Sharif, northern Afghanistan, 2007–2014

2018 ◽  
Vol 45 (6) ◽  
pp. E13
Author(s):  
Chris Schulz ◽  
Uwe Max Mauer ◽  
Renè Mathieu ◽  
Gregor Freude

OBJECTIVESince 2007, a continuous neurosurgery emergency service has been available in the International Security Assistance Force (ISAF) field hospital in Mazar-e-Sharif (MeS), Afghanistan. The object of this study was to assess the number and range of surgical procedures performed on the spine in the period from 2007 to 2014.METHODSThis is a retrospective analysis of the annual neurosurgical caseload statistics from July 2007 to October 2014 (92 months). The distribution of surgical urgency (emergency, delayed urgency, or elective), patient origin (ISAF, Afghan National Army, or civilian population), and underlying causes of diseases and injuries (penetrating injury, blunt injury/fracture, or degenerative disease) was analyzed. The range and pattern of diagnoses in the neurosurgical outpatient department from 2012 and 2013 were also evaluated.RESULTSA total of 341 patients underwent neurosurgical operations in the period from July 2007 to October 2014. One hundred eighty-eight (55.1%) of the 341 procedures were performed on the spine, and the majority of these surgeries were performed for degenerative diseases (127/188; 67.6%). The proportion of spinal fractures and penetrating injuries (61/188; 32.4%) increased over the study period. These spinal trauma diagnoses accounted for 80% of the cases in which patients had to undergo operations within 12 hours of presentation (n = 70 cases). Spinal surgeries were performed as an emergency in 19.8% of cases, whereas 17.3% of surgeries had delayed urgency and 62.9% were elective procedures. Of the 1026 outpatient consultations documented, 82% were related to spinal issues.CONCLUSIONSCompared to the published numbers of cases from neurosurgery units in the rest of the ISAF area, the field hospital in MeS had a considerably lower number of operations. In addition, MeS had the highest rates of both elective neurosurgical operations and Afghan civilian patients. In comparison with the field hospital in MeS, none of the other ISAF field hospitals showed such a strong concentration of degenerative spinal conditions in their surgical spectrum. Nevertheless, the changing pattern of spine-related diagnoses and surgical therapies in the current conflict represents a challenge for future training and material planning in comparable missions.

2010 ◽  
Vol 28 (5) ◽  
pp. E14 ◽  
Author(s):  
Uwe Max Mauer ◽  
Chris Schulz ◽  
Ronny Rothe ◽  
Ulrich Kunz

For many years, the experience of neurosurgeons from the German Armed Forces was limited to the peacetime care of patients in Germany. In 1995, German military neurosurgeons were deployed abroad for the first time. Since the beginning of the International Security Assistance Force mission, there has been a rapidly increasing number of opportunities for military neurosurgeons to broaden their experience during deployments abroad. Since the first deployment of a neurosurgeon to the German field hospital in Mazar-e-Sharif, Afghanistan, a total of 140 neurosurgical procedures have been performed there. Sixty-four surgeries were performed for cranial or spinal neurotrauma management. During the entire period, only 10 International Security Assistance Force members required acute or urgent neurosurgical interventions. The majority of neurosurgical procedures were performed in Afghan patients who received acute and elective treatment whenever the necessary infrastructure was available in the field hospital. Fifteen patients from the Afghan National Army and Police and 115 local patients underwent neurosurgery. Sixty-two procedures were carried out under acute or urgent conditions, and 78 operations were elective.


2021 ◽  
Vol VI (I) ◽  
pp. 179-191
Author(s):  
Syed Umair Jalal ◽  
Bakhtiar Khan ◽  
Muhammad Usman Ullah

The study will elaborate the Afghan historical events that took place right after the Geneva accord of 1988 when USSR forces pullout from the country till 2010. The article will explain the emergence of the Taliban and their establishment of the Islamic Emirate of Afghanistan. Moreover, the paper will elaborate on the Taliban's nexus with al-Qaeda and their efforts to settle them in Afghanistan. Furthermore, this particular research tends to analyse the US retaliation and war on terror after the catastrophic event of 9/11. Additionally, the paper will illustrate the launching of the International Security Assistance Force (ISAF) and the Taliban's bloody resurgence and their belligerence after the said mission. Consequently, the research will examine Obama's administration war strategies and tactics after his presidential victory over John McCain.


2013 ◽  
Vol 19 (1) ◽  
pp. 303-305
Author(s):  
James Hollings

New Zealand's war in Afghanistan is our longest-ever foreign engagement. Our troops have been there for 10 years—more than World Wars One and Two combined. It has cost the country around $300 million, and one soldier has died for every year the New Zealand military has been there. And for what?  That is one of the questions this documentary, perhaps the first serious attempt on film to question New Zealand involvement in the International Security Assistance Force, tries to answer. 


Interpreting ◽  
2021 ◽  
Author(s):  
Anne Martin ◽  
María Gómez-Amich

Abstract The objective of this article is to explore issues of ideology in situations of interpreting in conflict zones. Research into interpreting in conflict zones is quite recent and has shed light on interesting aspects. Ideology is clearly present in war situations and may condition the interpreter’s role. This article seeks to identify examples of power relations and ideology by drawing on the narratives of five local interpreters who worked with Spanish troops stationed in Afghanistan as part of the International Security Assistance Force between 2003 and 2015. The narratives were collected using a semi-structured interview technique. The findings indicate that ideology is reflected in the interpreters’ perception of their own role as agents working for the good of their country against a common enemy, even though they were potentially perceived by both sides in the conflict as possible traitors. The traditional narrative of the interpreter as an invisible and impartial facilitator of communication would not appear to be applicable in this context.


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