Search

This paper traces the significant change that has occurred in the balance between offense and defence in Israel's 'hybrid' military strategy in recent decades. Relying on fresh materials concerning the organizational, doctrinal, and procurement processes of Israel's military, we identify a shift from offense towards defence as the preferred way to protect Israel in the face of new security threats. We also show that due to rapidly changing security challenges, limited resources, and the military's organizational culture, this change has been gradual, incremental, improvised, and largely informal. We propose that similar changes may characterize other states facing new security challenges. [ABSTRACT FROM AUTHOR]

Aims: Assessing the value of oral glucose tolerance test performed at term pregnancy in identifying obstetric complications. Methods: Retrospective cohort study of women with a normal 50 g glucose challenge test who also had an oral glucose tolerance test at term (defined as at or after 37 weeks of gestation). Comparison between the pathological and normal oral glucose tolerance test groups was performed. Results: The mean glucose in the glucose challenge test of women in the normal oral glucose tolerance test (n = 256) group was lower than that in the pathological oral glucose tolerance test (N = 16) group (105 ± 17 mg/dl (5.8 ± 0.9 mmol/l) vs 117 ± 13 mg/dl (6.5 ± 0.7 mmol/l), p = 0.007). Relevant obstetrical complications did not differ significantly between the groups. Of note, in the pathological oral glucose tolerance test group only one woman delivered a macrosomic infant. Conclusions: A pathological oral glucose tolerance test performed at term was unable to identify women at risk for impaired glucose metabolism-related obstetric complications and is therefore of limited clinical value and seems to be unjustified. [ABSTRACT FROM AUTHOR]

To assess whether pre-labor measurement of the angle of progression (AOP) can assist in predicting a successful vaginal birth after cesarean in women without a previous vaginal birth. A prospective observational cohort study performed in a single tertiary center including women at term with a single previous cesarean delivery (CD), without prior vaginal births, who desire a trial of labor. Transperineal ultrasound was used to measure the AOP before the onset of labor. The managing staff in the delivery suite was blinded to the ultrasound measurements. Clinical data and delivery outcome were retrieved from medical records. The study was approved by the institutional ethics committee (KMC 0117-10). Of the 111 women included in the study, 67 (60.4%) had a successful vaginal birth after CD. Women were sonographically assessed at a median of 3 days [interquartile range (IQR) 1–3 days] prior to delivery. The median AOP was significantly narrower in women who eventually underwent a CD than in those who delivered vaginally (88°, IQR 78–96° vs. 99°, IQR 89–107°, respectively; p <.001). An AOP >98° (derived from a receiver operating characteristic curve) was associated with a successful vaginal birth after CD in 87.5% of women. Multivariable regression analysis demonstrated that each additional 1° in the AOP increases the chance for a successful vaginal birth after CD by 6%. Pre-labor AOP may be a useful sonographic tool for predicting vaginal birth after CD and can assist in consulting primiparous women with a prior CD opting for a trial of labor. [ABSTRACT FROM AUTHOR]

For many decades, cultural representations of the military and military service in Israel, particularly in films and television series, tended to focus on male Sabra (Israeli-born) soldiers and their combat experiences, portraying them from either a 'heroic-nationalist' or a 'post-heroic' perspective. However, several recent Israeli films and television series bring to the fore men and women from different social backgrounds who serve as non-combatant soldiers (jobniks) far behind the frontlines. Such depictions of 'anti-heroic' soldiers expose previously underrepresented aspects of service in the Israeli military, ranging from subtle expressions of a lack of motivation to open acts of resistance. Based on an analysis of several notable films and television series featuring jobnik protagonists, we argue that although these works give voice to previously underrepresented social groups and accord legitimacy to soldiers' acts of resistance, they simultaneously foster a more conservative discourse regarding military service in Israel by excluding other social groups and setting limits on individuals' conduct within and outside the military. These findings suggest that while popular culture can challenge militarist tendencies, it may ultimately reinforce the military's position as the 'people's army' and the social norm of mandatory conscription. [ABSTRACT FROM AUTHOR]