Treating war detainees and terror suspects: legal and ethical responsibilities of military physicians.

Abstract:

:Several international legal instruments and ethical guidelines bestow rights and impose duties on detainees and military physicians, respectively. Ideological totalism, moral disengagement, and victim blame can facilitate the abuse of detainees, and this mindset must be avoided by military physicians. Physicians should report suspected violations of detainee rights to the U.N. Special Rapporteur on Torture or organizations such as the International Committee of the Red Cross, Médecins Sans Frontières, Amnesty International, Physicians for Human Rights, or Human Rights Watch. To discourage victimization of physician whistleblowers on detainee abuse, domestic medical associations should pressure their respective governments to explicitly endorse their codes of ethics. Domestic medical communities should regard it as their ethical duty to pressure their respective governments to accede to the Optional Protocol to the Convention Against Torture and Other Cruel, Inhuman, or Degrading Treatment or Punishment, if their governments have not already done so. They should also regard it as their ethical duty to pressure their governments to afford "prisoner of war" status to persons they detain. If faced with a conflict between following national policies and following universally accepted, multilateral principles of international law and ethics, military physicians should consider themselves ethically bound to follow the latter. The duty of care must supercede any blanket notion of loyalty, obligation, allegiance, or patriotism that the physician may feel is owed to his or her station. This is the true ethos of service to humankind.

journal_name

Mil Med

journal_title

Military medicine

authors

Singh JA

doi

10.7205/milmed.173.supplement_2.15

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

15-21

issue

12 Suppl

eissn

0026-4075

issn

1930-613X

journal_volume

172

pub_type

杂志文章
  • Prevalence and Clinical Correlation of Superficial Fungal Foot Infection in Thai Naval Rating Cadets.

    abstract:BACKGROUND:Superficial fungal foot infection is one of the most important dermatological diseases currently affecting military personnel. Many Thai naval rating cadets are found to suffer from superficial fungal foot infections and their sequels. OBJECTIVE:To investigate prevalence, potent risk factors, responding pat...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx187

    authors: Ongsri P,Bunyaratavej S,Leeyaphan C,Pattanaprichakul P,Ongmahutmongkol P,Komoltri C,Kulthanan K

    更新日期:2018-09-01 00:00:00

  • Urinary incontinence among female soldiers.

    abstract::A self-administered questionnaire was developed to assess the prevalence of urinary incontinence among active duty female soldiers. The questionnaire also addressed basic demographic information, including height, age, weight, and the subjects' present and past military activities. Adaptive measures that the soldiers ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Davis G,Sherman R,Wong MF,McClure G,Perez R,Hibbert M

    更新日期:1999-03-01 00:00:00

  • 21st century paradigm of tissue banking: the Clinical Breast Care Project.

    abstract::The Clinical Breast Care Project (CBCP) is a congressionally mandated program that began in the year 2000. The military-civilian collaboration was founded on five pillars: (1) center of excellence in clinical care, (2) risk reduction for women at risk for developing breast cancer, (3) tissue banking to develop and mai...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-10-00052

    authors: Shriver CD

    更新日期:2010-07-01 00:00:00

  • Safety and efficacy of DEET and permethrin in the prevention of arthropod attack.

    abstract::Many preventable diseases affecting troop strength are directly attributed to disease-carrying insects. The first line of defense against arthropod vectors is the use of personal protective measures. The concurrent application of DEET (N,N-diethyl-m-toluamide) repellent on the skin and permethrin [(3-phenoxy-phenyl)me...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Young GD,Evans S

    更新日期:1998-05-01 00:00:00

  • Perceptions of Chronic Illness Care Among Veterans With Multiple Chronic Conditions.

    abstract:OBJECTIVES:Given the burden of multiple chronic conditions (MCCs) in the Veterans Affairs (VA) Health Care System, understanding perspectives of Veterans with MCC is essential to evaluate chronic care and ensure that care and quality improvement efforts align with patient needs. The purpose of this study was to use the...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00207

    authors: Balbale SN,Etingen B,Malhiot A,Miskevics S,LaVela SL

    更新日期:2016-05-01 00:00:00

  • Positive and negative consequences of a military deployment.

    abstract::This study determined the perception by 951 U.S. Army soldiers of positive and negative consequences of a peacekeeping deployment to Bosnia. Seventy-seven percent reported some positive consequences, 63% reported a negative consequence, and 47% reported both. Written comments were also provided. Of the 951 soldiers, 4...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.170.10.815

    authors: Newby JH,McCarroll JE,Ursano RJ,Fan Z,Shigemura J,Tucker-Harris Y

    更新日期:2005-10-01 00:00:00

  • Monitoring VHA Optometric Eye Exam Services, Nation-Wide, 2014-2016.

    abstract:INTRODUCTION:It is important to monitor the use of optometric services by Veterans and consider the implications for other optometric and vision rehabilitation services. We did not find public health reports documenting the recent utilization of Veterans Health Administration (VHA) optometric eye exam services. METHOD...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx192

    authors: Fant G,Backus L

    更新日期:2018-09-01 00:00:00

  • Translating research into practice: is evidence-based medicine being practiced in military-relevant orthopedic trauma?

    abstract::Orthopedic trauma remains one of the most survivable battlefield injuries seen in modern conflicts. Translating research into practice is a critical bridge that permits surgeons to further optimize medical outcomes. Orthopedic surgeons serving in the military may treat little to no trauma in their stateside practice. ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00296

    authors: Niles SE,Balazs GC,Cawley C,Bosse M,Mackenzie E,Li Y,Andersen RC

    更新日期:2015-04-01 00:00:00

  • Late traumatic flap displacement after laser in situ keratomileuisis.

    abstract::Laser in situ keratomileusis (LASIK) has become the community standard in corneal refractive surgery and is being performed by surgeons in the Army, Navy, and Air Force. LASIK differs from photorefractive keratectomy (PRK) in that a partial-thickness corneal flap is created in the LASIK procedure before removing a mic...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.4.334

    authors: Franklin QJ,Tanzer DJ

    更新日期:2004-04-01 00:00:00

  • Utility of the trauma symptom inventory for the assessment of post-traumatic stress symptoms in veterans with a history of psychological trauma and/or brain injury.

    abstract::Correspondence of three core Trauma Symptom Inventory (TSI) posttraumatic stress disorder (PTSD) scales (Intrusive Experiences, Defensive Avoidance, and Anxious Arousal) and the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-IV) PTSD module were examined among 72 veterans with traumatic brain injury (...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-00-9509

    authors: Bahraini NH,Brenner LA,Harwood JE,Homaifar BY,Ladley-O'Brien SE,Filley CM,Kelly JP,Adler LE

    更新日期:2009-10-01 00:00:00

  • Military operations at moderate altitude: effects on physical performance.

    abstract::The purpose of this study was to examine changes in select anaerobic and aerobic dependent physical performance tasks in U.S. Marines exposured to field operations at moderate altitude. The subjects (N = 16) completed Wingate anaerobic power, submaximal aerobic cycle ergometry, hand grip strength, and push-up tests on...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Hackney AC,Kelleher DL,Coyne JT,Hodgdon JA

    更新日期:1992-12-01 00:00:00

  • Coccidioidomycosis in California: regional outbreak, global diagnostic challenge.

    abstract::Beginning in 1991, case reports of coccidioidomycosis in California increased dramatically, pursuant to a variety of natural and demographic factors. This highly infectious fungal disease with propensity to disseminate widely, mimic other conditions, and cause pathology at locations distant in place and time is readil...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Olson PE,Bone WD,LaBarre RC,Martin CR,Utz GC,Miller LK,Gresham L

    更新日期:1995-06-01 00:00:00

  • No wrong door to smoking cessation care: a Veterans Affairs Chaplain survey.

    abstract::Cigarette smoking disproportionately affects veterans, particularly those with psychiatric diagnoses. Chaplains working within the Department of Veterans Affairs (VA) play key roles in emotional, physical, and spiritual health care of veterans, and veterans often turn to chaplains with mental health concerns. The VA/D...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00380

    authors: Van Voorhees EE,Hamlett-Berry K,Christofferson DE,Beckham JC,Nieuwsma JA

    更新日期:2014-05-01 00:00:00

  • Suicide prevention at a United States Navy training command.

    abstract::In a 2-year retrospective study, suicide prevention efforts produced a significant reduction in suicide attempts at a U.S. Navy training command. Evidence was presented that suicide prevention may be a more pressing issue at training commands than operational commands. The approach described here focused on instructor...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: McDaniel WW,Rock M,Grigg JR

    更新日期:1990-04-01 00:00:00

  • Impact on USAF tuberculosis detection and control program given a low facility tuberculosis prevalence rate.

    abstract::Isoniazid prophylaxis is a major part of the U.S. Air Force tuberculosis (TB) screening program and is closely tied to the efforts to eliminate TB. If a facility has a low prevalence rate of TB and there is no sound epidemiological evidence to rule out a false-positive TB skin test, a higher threshold for what constit...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Popper SE,Hebrink ST,Smith DA,Stewart TB

    更新日期:1996-07-01 00:00:00

  • A Case of Cutaneous Leishmaniasis guyanensis Mimicking Otitis Externa.

    abstract::Cutaneous leishmaniasis typically presents as a painless papule progressing to an ulcer or plaque. In this case study of the ear, the disease manifested as a small painful bump progressing into redness and swelling about the ear with purulent drainage. After multiple oral/intravenous antipseudomonal, antistaphylococca...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-17-00054

    authors: Goodrich ES,Sears SC,Sorrells T,Radike JK,Miladi A,Glass JS

    更新日期:2017-07-01 00:00:00

  • Resuscitative thoracotomy and combat casualty care.

    abstract::Over the past few years, the indications for resuscitative thoracotomy in civilian trauma have been refined. The use of this procedure for military casualities has received only brief mention. We have described our experience with 93 consecutive thoracotomies performed in a level I trauma center and have attempted to ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: DiGiacomo JC,Odom JW,Swan KG,Salant M

    更新日期:1991-08-01 00:00:00

  • The association between in-service sexual harassment and post-traumatic stress disorder among Department of Veterans Affairs disability applicants.

    abstract:OBJECTIVE:The goal was to describe the association between post-traumatic stress disorder (PTSD) and in-service sexual harassment in a nationally representative sample of Department of Veterans Affairs PTSD disability applicants. METHOD:The study was a cross-sectional survey. RESULTS:Of 4,918 eligible veterans, 3,337...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.171.2.166

    authors: Murdoch M,Polusny MA,Hodges J,Cowper D

    更新日期:2006-02-01 00:00:00

  • Update: Efficacy of Military Fluid Intake Guidance.

    abstract:BACKGROUND:Fluid intake during military training is prescribed based on the interactions among work rates, environmental conditions, and uniform configurations. The efficacy of this guidance has not been empirically assessed in over a decade. To determine the acceptability of the fluid intake guidance, sweat losses wer...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy066

    authors: Luippold AJ,Charkoudian N,Kenefick RW,Montain SJ,Lee JKW,Teo YS,Cheuvront SN

    更新日期:2018-09-01 00:00:00

  • Yesterday and Today: The Impact of Research Conducted at Camp Detrick on Botulinum Toxin.

    abstract:Introduction:This review summarizes the research conducted on botulinum toxin (BoTx) from 1943 to 1956 by a small group of Camp Detrick investigators and their staff. A systematic, cross-disciplinary approach was used to develop effective vaccines against this biological warfare threat agent. In response to the potenti...

    journal_title:Military medicine

    pub_type: 历史文章,杂志文章,评审

    doi:10.1093/milmed/usx047

    authors: Lebeda FJ,Adler M,Dembek ZF

    更新日期:2018-05-01 00:00:00

  • Positive and negative health behaviors used to ensure compliance with the U.S. Army's weight control standards by a reserve component unit.

    abstract::This paper describes the results of a nonexperimental descriptive research study in which specific positive and negative health behaviors used by soldiers in a medical reserve unit to ensure compliance with the Army Weight Control standards were surveyed using a questionnaire. The findings of the survey, particularly ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Sweeney SS,Bonnabeau RC

    更新日期:1990-06-01 00:00:00

  • The Impact of Adherence to Treatment for ADHD on the Quality of Military Service - The Israeli Military Experience.

    abstract:INTRODUCTION:Attention deficit hyperactive disorder (ADHD) is prevalent in 5.9-7.1% of children and adolescents, and 5% of adults. It results in poor academic, occupational, and social functioning. Pharmacotherapy improves core symptoms; however, average adherence levels are low and decrease at 16-17 years of age, just...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy161

    authors: Zur M,Magnezi R,Portuguese S,Reuveni I,Kedem R,Fruchter E

    更新日期:2018-09-01 00:00:00

  • Ethylene glycol toxicity.

    abstract::Ethylene glycol is an inexpensive, readily available substance that may be associated with accidental or intentional toxicity. Toxicity from this substance may be encountered in the military and civilian populations. Because it is highly toxic and can result in death if not treated appropriately, it is imperative to r...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.8.660

    authors: Cox RD,Phillips WJ

    更新日期:2004-08-01 00:00:00

  • Adaptive and perceptual learning technologies in medical education and training.

    abstract::Recent advances in the learning sciences offer remarkable potential to improve medical education and maximize the benefits of emerging medical technologies. This article describes 2 major innovation areas in the learning sciences that apply to simulation and other aspects of medical learning: Perceptual learning (PL) ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00218

    authors: Kellman PJ

    更新日期:2013-10-01 00:00:00

  • Development of a Methodology for Simulating Complex Head Impacts With the Advanced Combat Helmet.

    abstract::Blunt impact assessment of the Advanced Combat Helmet (ACH) is currently based on the linear head response. The current study presents a methodology for testing the ACH under complex loading that generates linear and rotational head motion. Experiments were performed on a guided, free-fall drop tower using an instrume...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy282

    authors: Begonia M,Rooks T,Pintar FA,Yoganandan N

    更新日期:2019-03-01 00:00:00

  • Oil well fires of Operation Desert Storm--defining troop exposures and determining health risks.

    abstract::During Operation Desert Storm, in February 1991, Iraqi troops began burning Kuwaiti oil wells. Almost immediately there was concern about possible adverse health effects in U.S. personnel exposed to crude oil combustion products. Combustions products were predicted from the known composition of Kuwaiti crude oil. Moni...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-11-00079

    authors: Heller JM

    更新日期:2011-07-01 00:00:00

  • Changes in dental classification during the first 4 years of military service.

    abstract:OBJECTIVE:The objective of this study was to examine the way in which the oral health of recruits changed during the 4 years immediately after entry on active duty. METHODS:In 1998, 1,331 dental records of recruits in the 1994 Tri-Service Comprehensive Oral Health Survey were located, and treatment data were analyzed....

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.1.38

    authors: Moss DL,York A,Martin G

    更新日期:2004-01-01 00:00:00

  • Stinging the Conscience: A Case of Severe Hymenoptera Anaphylaxis and the Need for Provider Awareness.

    abstract::Hymenoptera venom allergy accounts for approximately 17% of all cases of anaphylaxis. Insect stings are a common occurrence across the world, with significant impact on active duty personnel. Venom immunotherapy (VIT) provides an effective treatment for those with systemic reactions to insect stings and other similar ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00536

    authors: Mikals K,Beakes D,Banks TA

    更新日期:2016-10-01 00:00:00

  • Occupational Therapy Practice Patterns for Military Service Members With Upper Limb Amputation.

    abstract:INTRODUCTION:Military Service Members (SMs) with upper limb (UL) amputation have unrestricted access to occupational therapy (OT) services. Identifying OT interventions used based on clinical rationale and patient needs can provide insight toward developing best practice guidelines. The purpose of this retrospective ob...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz341

    authors: Cancio JM,Orr A,Eskridge S,Shannon K,Mazzone B,Farrokhi S

    更新日期:2020-03-02 00:00:00

  • Factors Concerning Veterans With Dementia, Their Caregivers, and Coordination of Care: A Systematic Literature Review.

    abstract:INTRODUCTION:Military veterans diagnosed with dementia compose a large portion of our population. Often ignored are their caregivers and their plight as well as the availability, quality, and accessibility of health care for this demographic. The purpose of this systematic literature review is three fold: to identify o...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:10.7205/MILMED-D-16-00396

    authors: Mileski M,Scott Kruse C,Brooks M,Haynes C,Collingwood Y,Rodriguez R

    更新日期:2017-11-01 00:00:00