the number of attacks in the Africa Horn. When suspected pirates are detained by a military crew, they should be assisted by medical staff. The aims of this article are to analyze the legal and medical aspects concerning pirate attention, describing the Spanish experience kept in the “Atalanta Operation” and to review the published bibliography about the subject. KEYWORDS: Atalanta Operation, Pirate, Spanish Navy, Medical Corps. 285 What sick in Afghanistan? Tomé Rodríguez I., Planas Mirallas E., Grañas Campillo A., Herrera González PP., Sánchez López G., Rambla Rubio M. SUMMARY: Introduction: Despite the amount of information known about the assistance to combat casualties in advanced medical structures in Afghanistan, there is a lack of information related to the assistance given to military and civilian staff stationed abroad who demands medical consultations on a daily basis. Objective: To increase this knowledge by the present paper, analyzing 900 consultations during a sanitary rotation in Qala-e-Naw Spanish ROLE-1 in a summer-round. Materials and method: review using a transversal and observational study taking into account only those consultations which completely fulfilled the general requirements. Variables: sex, unit, date, symptoms, treatment, hospitalization, evacuation. Statistical analysis: SPSS 17.0. Results: 876 (97’3 %) consultations, of which 91.5 % (802) were male, and 8.5 % (74) female. Regarding rank, the most voluminous is for the troops 68’2 % (614). As for positions, topping the list, soldiers 44.2 % (398), and in the last place, the commander with 0.2 % (2), Spanish civilians 4.4% (39), Afghan civilians, 8’4% (75). Increased registered pathology; digestive: 31.9 % (287 visits), followed by muscle skeletal disorders 17’1 % (154), including consultations for insect stings: 5.3% (48) and eye damage: 2’2 % (20). Average daily consultations: 16, Fashion 43. Recess point: 15% (132). Income: 1.4 % (12). Evacuations: 0.7 % (6). Transfer to Spain: 3 persons. Discussion: The results clearly point to a high demand of digestive and trauma pathology, being surprisingly below the demand for work accidents, sunburns or ocular injuries. Conclusion: Daily basis ailments are not banal and they may bring certain limitations when accomplishing a mission. KEYWORDS: Medical consulting service, Spanish ROLE-1, Qala-e-Naw, Afghanistan. 266 Military Health System as a Tool of Medical Diplomacy: Restrospective research of Mauritanian patients evacuated to Central Hospital of Defense Gómez Ulla (2005-2015) Navarro Suay R., Castillejo Pérez S., Tamburri Bariain R., García Cañas R., López Soberón E. SUMMARY: Introduction: Spanish Medical Corp from 2003 plays a predominant role in the cooperation agreement between Mauritania and Spain, which allows medical support to Mauritanian patients in the Central Hospital of Defense “Gomez Ulla” (Madrid –Spain-). This is an example of how military medicine is used as an element of international diplomacy for the sake of common security. Material and Methods: Cross-sectional, retrospective study between 2005 and 2015 including patients evacuated from Mauritania to Spain under the agreement signed between both countries in 2003. The selected variables were sociodemographic control and independent (non-combat casualty and combat casualty) and dependent (illness, accident, surgery and anesthesia performed). Results: During the interval between 2005 and 2015, 174 patients were screened, and 89 met the inclusion criteria. Sixty-nine patients (77.5%) were male and 51 (57.3%) were military. Evacuation cause was sick 85 patients (95.5%) and by accident in 4 patients (4.5%). Patients treated by type of specialty were: traumatology 20, ophthalmology 16, neurosurgery 9, otolaryngology 8, oncology 5, cardiology 5, urology 4, plastic surgery 4, pediatrics 3, general surgery 3, neurology 2, pulmonology 2, digestive 2, gynecology 2 and vascular surgery 1. One patient (1.1%) died in hospital. Conclusion: Spanish Medical Corps should play a key role as an instrument of Medical Diplomacy. KEYWORDS: Medical diplomacy, military medicine, Mauritania, Central Hospital of Defense “Gómez Ulla”. PICTURE PROBLEM 294 Parahilar Injection Chamizo Alarcón M., Vallejo Desviat P., Pérez Atienza M., Villar Blanco I., Herrero Sanz MªJ. HISTORY AND HUMANITIES 296 The Introduction of X-rays in Spain. Medical Science and Navy Health Heading to the 20th Century Redondo-Calvo FJ., Pozuelo-Reina AA., Bejarano-Ramírez N., Dusuky A., Villazala-González R., Pinardo-Zabala A. SUMMARY: Objective: Analysis of the X-ray diagnose method adopted by the Navy Health Corps in the last few years of the 19th century and its scientific, legal and institutional support. Material and Method: Clinic reports referring the need to create X-ray consulting rooms in Navy hospitals; documents retrieved from the General Navy Archive (Viso del Marqués, Ciudad Real), regulations, legislation and government support. Scientific research evaluating the advantages and disadvantages of the newly- born radio diagnosis technique. Results: Demand and adoption of this technique, its medical use in the military realm, and its subsequent extension to civil population. First steps of X-rays in Spain. Conclusion: Implementation of radiology as a diagnosis method in Navy hospitals and ships within the context of Spanish science by the end of the 19th century and the beginning of the 20th. KEYWORDS: Clinic report, X-rays, Medical science, 19th centuty, 20th century, Navy Memorias clínicas, Rayos X, Ciencia médica, Siglo XIX, Siglo XX, Navy Health Corps. REFEREES FOR THE REVISTA SANIDAD MILITAR IN 2016 SUBJECT INDEX. VOLUME 72 (2016) AUTHOR INDEX. VOLUME 72 (2016) INSTRUCTIONS FOR AUTHORS 252 Sanid. mil. 2016; 72 (4)
REVISTA DE SANIDAD FAS OCT DIC 2016
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