HbA1c as a postmortem tool to identify glycemic control

Estimates suggest that more than 5A million U.S. citizens unknowingly have diabetes and are at increased risk of morbidity and mortality. We evaluated an immunoturbidimetric measurement of glycated hemoglobin (%HbA1c) as a postmortem tool to identify such individuals. Although postmortem samples undergo some degradation, the effects are not sufficient to invalidate the use of the test or method. Using two study populations whose medical history of diabetes was known, we found the mean %HbA1c of the non-diabetics (5.8+/-0.3) to be statistically different from that of the diabetics (12.4+/-2.8). For the population whose disease status was unknown, the %HbA1c ranged from 4.7 to 16.8. For six unknowns whose values exceeded 7.0%. the mean was 11.7%, which did not differ statistically from the diabetic mean (p = 0.6615). These studies suggest that postmortem blood samples can be used to characterize HbA1c values.     

Major Combat Operations and Counterinsurgency Warfare: Plan Challe in Algeria, 1959–1960

In 1959–60, the French Army in Algeria achieved a major tactical and operational military success under the command of General Maurice Challe, in which the French destroyed half of the combat capability of the Algerian insurgency. Rather than adopting a population-centric, or “hearts and minds,” approach to coin, the French Army created an innovative method for military success based on the use of major combat operations against the military power of the insurgency. The success of major combat operations in Plan Challe is omitted or dismissed in most of the Algerian War historiography, which focuses instead on French pacification. An analysis of Plan Challe, however, provides lessons and examples for the conduct of a successful sustained counterguerrilla campaign, a coercive method seldom discussed in current debates over coin warfare.