Considerations on the Cyber Domain as the New Worldwide Battlefield

The convergence of telecommunication and computer technologies that has evolved in the field of information and communication technologies (ICT) in the last two decades has had very important effects on new war technologies and the ongoing process of battlefield digitisation. The Stuxnet worm, uncovered in 2010 and responsible for the sabotaging of a uranium enrichment infrastructure in Iran, is a clear example of a digital weapon. The incident shows what is meant by cyber war and what the particular features of this new warfare dimension are compared to the conventional domains of land, sea, air and space, with relevance both at the operational and strategic levels. But cyberspace also extends to the semantic level, within the complimentary field of information warfare involving the content of messages flowing through the Internet for the purposes of propaganda, information, disinformation, consensus building, etc. The overall cyber warfare domain needs to be put into perspective internationally as many countries are developing strong cyber capabilities and an ‘arms race’ is already taking place, showing that these technologies can potentially be used to undermine international stability and security. What is needed is a public debate on the topic and its impact on global stability, and some kind of regulation or international agreement on this new warfare domain, including an approach involving confidence building measures (CBMs).     

Italy

European Journal of Political Research -     

Pulmonary Cement Embolism After Kyphoplasty

Pulmonary polymethylmethacrylate (PMMA) cement embolism after kyphoplasty (KP) surgery is a quite frequent event as well as the pulmonary embolization of central venous catheter fragment. This report shows the case of a subject who, after KP, developed pulmonary embolism and who underwent thoracic surgery. After hospital discharge, the subject advanced a claim for damages toward the hospital where he was operated, complaining sensation of tenderness at the chest surgical scar and esthetic damage. To understand the nature of the embolism (either central venous catheter fragment or cement), chemical investigations were then ordered. Spectrometry identified the PMMA cement used for KP. When doubts rise about the origin of the embolized material, chemical investigations may reveal important data not only for clinical but also for forensic purposes.     

Mental Capacity in Patients Involuntarily or Voluntarily Receiving Psychiatric Treatment for an Acute Mental Disorder

Despite the growing amount of data, much information is needed on patients' mental capacity to consent to psychiatric treatment for acute mental disorders. The present study was undertaken to compare differences in capacity to consent to psychiatric treatment in patients treated voluntarily and involuntarily and to investigate the role of psychiatric symptoms, competency, and cognitive functioning in determining voluntariness of hospital admission. Involuntary patients were interviewed with the MacArthur Competence Assessment Tool for Treatment (MacCAT‐T), the 24‐item Brief Psychiatric Rating Scale (BPRS), the Mini Mental State Examination (MMSE) and the Raven's Colored Progressive Matrices, and their data were compared with those for age‐ and sex‐matched voluntary patients. Involuntary patients performed worse in all MacCAT‐T subscales. Capacity to consent to treatment varied widely within each group. Overall, involuntary patients have worse consent‐related mental capacity than those treated voluntarily, despite capacity to consent to treatment showing a significant variability in both groups.     

Italy

European Journal of Political Research -