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2011年6月18日星期六

At War: Reporting Under Fire: a Survey of a Century of War Correspondents

。 Stephen Farrell/The New York TimesVoices

MANCHESTER, England — Within a few hundred yards of each other in Old Trafford lie the Manchester United Football Club and the Imperial War Museum North. One is a monument to the global sport that unites continents and peoples, the other a monument to the study of forces that divide and despoil them.


Pass through the dagger-sharp, mirrored entrance of the Imperial War Museum North, and one of the first things you see inside are museum shop replicas of World War I and World War II military posters, and coffee mugs emblazoned with the British monarch’s crown and the even more British Churchill-era slogan “Keep Calm and Carry On.”

Stephen Farrell/The New York Times

Just a few yards farther and you are dragged straight into Bush- and Blair-era Iraq, with the crumpled, rusting hulk of a car that was destroyed by a marketplace bomb in Baghdad in 2007.


The museum covers wars since 1914, and the number and range of the exhibits from the past century puts into poignant context a quote by Martha Gellhorn that is framed in stark yellow and black in the museum’s latest exhibition, “War Correspondent: Reporting Under Fire since 1914.”

Stephen Farrell/The New York Times

The featured journalists are mostly British, although the exhibition also gives prominence to Ms. Gellhorn, an American who reported from the Spanish Civil War, and Alan Moorehead, an Australian who reported during World War II from the very same North African cities that feature in today’s headlines, including his entry to a ruined Benghazi on Christmas Day, 1941.


Indeed, what is most striking as you walk around the exhibition is the permanency of the themes. Ms. Gellhorn from 1937 Spain and her successors during the 1990s war in the Balkans made very similar observations about their drive for morality and truth rather than striving endlessly, and perhaps fruitlessly, for the appearance of absolute objectivity.


“We knew, we just knew, that Spain was the place to stop Fascism. That was it. It was one of those moments in history when there was no doubt,” says another of Ms. Gellhorn’s quoted remarks on the walls. And the many television screens embedded in the walls feature interviews with correspondents of a more recent era: Vaughan Smith of the Frontline news agency giving his assessment that “objective journalism isn’t wrong, it just needs to be identified and clearly packaged and labeled,” and Maggie O’Kane of The Guardian on her refusal while reporting from Sarajevo to equate documented human rights abuses on one side with unverifiable claims by spin doctors on the other.

Stephen Farrell/The New York Times

The methodology of the reporting changes almost beyond recognition — from handwritten scribbled notes with a censor’s blue marks to dispatches delivered live on satellite feeds.

Stephen Farrell/The New York Times

The terminology also changes over time. “Accredited” correspondents wearing military uniforms and epaulettes during World War II become “embedded” correspondents wearing “Press” flak jackets in the Persian Gulf.

Courtesy of Imperial War Museum North

However, the issues and problems remain constant: the struggle with censorship, the difficulty of balancing access to military commanders with control by them, the problem of identifying with the soldiers around you, the guilt of wearing helmets and bulletproof jackets while reporting from among civilians who do not have them, the struggle not to become inured to suffering and cynical in the face of abuses of power, the debate over whether to show graphic images of suffering, and perennial struggle to assess, minimize and justify the dangers involved in reporting from the front lines.


“A long career of risk-taking has taught me that gambles tend to come off: it’s the failure to take the plunge which you usually regret later,” opines John Simpson, the BBC’s world affairs editor. “You can’t take no risks,” is the blunter conclusion from one of his television colleagues.


The displays are certainly up-to-the-minute. They include mentions of Osama bin Laden’s death in Pakistan, and one contribution from a British television correspondent recorded on the roof of his hotel in the Libyan capital, Tripoli, during which he, somewhat glumly, illustrates the level of control that Col. Muammar el-Qaddafi’s government exerts over the Tripoli “pack” by pointing to the government-sanctioned transportation waiting in the parking lot for the next government-sanctioned photo opportunity.

Stephen Farrell/The New York Times

Perhaps the most interesting aspect of the exhibition is the transition from a tone of almost sepia-tinged nostalgia during the early stages, to one of elegiac lament for what many of the participating correspondents regard as the imminent death of traditional war reporting.


That seems premature. Even a cursory glance at the changes on display, from the trenches of the Somme to a map of television correspondents embedded on D-Day in the Normandy landings, to Vietnam to Libya, would suggest that reporting — in some form or other — has survived profound technological, military and social changes.

Stephen Farrell/The New York Times

However the section on social media and phenomena such as “citizen journalism” is as fascinating as any of those that preceded it. Furthermore the exhibition is as multimedia in presentation as in content. There is a section on Salam Pax, the Baghdad blogger.


Large screens carry the opinions, expressed on Twitter, of visitors to the exhibition. Facebook responses are actively sought, and questions are also pasted to the floor as you walk around the museum, inviting written responses on cards offered just before the exit.


For more information on the exhibition, visit the museum’s Web site: Imperial War Museum North. Or follow the museum on Facebook or Twitter at @I_W_M. At War is also running a series about conflict journalism, Embedistan, giving the viewpoints of correspondents, photographers and others who have worked in Iraq and Afghanistan.


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2011年4月16日星期六

18 and Under: A Tonsil Remedy Is Fitted for a New Century

It opened on East 62nd Street in February 1921, its mission to remove the tonsils and adenoids of poor children on the East Side of Manhattan, thereby preventing sore throats and streptococcal infections and all their serious consequences in an era without antibiotics. Parents saw scarlet fever, named for its red, sandpapery rash, as a frightening and dangerous childhood illness; rheumatic fever, which sometimes followed strep, could seriously damage the heart.


But times have changed. Built on studies of throat infections and tonsillectomies, new guidelines from the American Academy of Otolaryngology, issued in January, suggest tonsillectomy for recurrent sore throats only if frequent or severe.


At the same time, the academy now recommends that the operation be considered for children who have trouble breathing while they sleep.


The new guidelines reflect changes in clinical practice, and attempt to bring scientific evidence to bear on an operation at times popular to the point of ubiquity.


In the era of the Tonsil Hospital, pretty much all children got tonsillectomies. Consider “Cheaper by the Dozen”: The 1948 memoir about two efficiency experts and their 12 children happens to contain the single funniest tonsillectomy chapter in literature (granted, competition is limited).


Six of the children undergo tonsillectomies, performed by a doctor in an operating room rigged in the family home in Montclair, N.J. The father of the family still has his tonsils, and the doctor is “rewarded” for his cooperation by being allowed to remove them, too.


Leaving aside all the family dynamics, the chapter is notable for the matter-of-fact assumption that sooner or later, all tonsils need to be removed. And even after antibiotics were available, many if not most tonsils continued to be removed, through the 1950s and ’60s.


“It was the single most common operation in the United States,” said Dr. Ellen Wald, a specialist in pediatric infectious disease who is chairwoman of the pediatrics department at the University of Wisconsin School of Medicine and Public Health.


But which children really benefited from these operations, and which did not? “When I was in practice and first began to question this issue and was faced with the question of ‘Should my child have a tonsillectomy or not?,’ I never knew the right answer,” said Dr. Jack L. Paradise, professor emeritus of pediatrics at the University of Pittsburgh School of Medicine.


Dr. Paradise and his colleagues tried to provide an answer in a study, published in 1984, that looked at children with many well-documented episodes of throat infection (seven or more in the preceding year, for example). Those who got tonsillectomies had fewer infections in the first couple of years after surgery than those who didn’t, the researchers found. But the children who didn’t have surgery also had fewer and fewer infections as they got older.


Tonsillectomies were a reasonable option for children with severe, recurrent throat infections, Dr. Paradise concluded. But so was watchful waiting.


Later, Dr. Paradise studied children with fewer infections and concluded that the benefit of tonsillectomy was too “modest” to justify the risk, the pain and the cost of surgery in those children.


These days, many doctors are less likely to move to tonsillectomy for a smaller series of run-of-the-mill sore throats. I try to explain to parents that their children will grow out of these infections, and taking out their tonsils won’t necessarily do very much to expedite that process.


Yet at the same time, doctors are more willing to consider that children may need the operation if their tonsils obstruct the throat enough to affect breathing while they sleep.


Dr. Richard M. Rosenfeld, one of the authors of the new tonsillectomy guidelines and a professor of otolaryngology at SUNY Downstate Medical Center in Brooklyn, suggests that back when most children had their tonsils out, it was perhaps less common to see these sleep problems — what with all the tonsillectomies, there was “nobody breathing with a golf ball in the mouth.”


Now that more children are growing up with their tonsils intact, he said, “we created this new disease, sleep-disordered breathing.”


Some behavioral issues, including some attention problems, can be traced to a lack of deep, restful sleep. A child suffering from obstructive sleep apnea will not simply grow out of it, said Dr. Kasey Li, a surgeon at Stanford University. Even if the tonsils do become less problematic at puberty, as sometimes happens, the child’s development will have been affected.


For problems short of obstructive sleep apnea, “the advice to parents is, if you’re even the least bit unsure, don’t do it — it’s an elective surgery, don’t worry about it, you can always re-address it,” Dr. Rosenfeld said. “There’s very little harm to some watchful waiting till things sort themselves out.”


Parents should also know that in a significant number of children, the breathing problems — and everything that follows from disordered sleep — may persist even after the operation and need further treatment.


So the tonsillectomy, once routine, now requires a nuanced diagnosis. It may improve quality of life for some children, but there are limits to what it can accomplish — with sleep issues and behavior problems, and with recurrent infections.


It’s a far cry from where we were in the first half of the 20th century, when philanthropists provided poor children with a dedicated facility for tonsil removal. The Tonsil Hospital closed in 1946.


“I’m on the Upper East Side at Cornell New York hospital, 10 blocks from where the original hospital was," said Dr. Edward McCoul, an otolaryngologist who wrote about the hospital last year in a medical journal. “I ask around, and basically no one I’ve mentioned it to has ever heard of it.”


 

2011年4月7日星期四

Power of RSS for 21st Century Educators

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Methods to Aquire RSS
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