Department of Veterans Affairs — Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a health care benefit program designed for the dependents of certain Veterans....
... 0720-AB48] Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); TRICARE Young Adult... Year 2011 (NDAA for FY11). It establishes the TRICARE Young Adult (TYA) program to provide an extended.... The TRICARE Young [[Page 23480
The objective of the study was to compare the prevalence of intimate partner violence and health consequences in civilian and active duty military women in the same geographic area using telephone survey and a case...
Wynd, Christine A; Ryan-Wenger, Nancy A
This study identified health-risk and health-promoting behaviors in military and civilian personnel employed in hospitals. Intrinsic self-motivation and extrinsic organizational workplace factors were examined as predictors of health behaviors. Because reservists represent a blend of military and civilian lifestyles, descriptive analyses focused on comparing Army Reserve personnel (n = 199) with active duty Army (n = 218) and civilian employees (n = 193), for a total sample of 610. Self-motivation and social support were significant factors contributing to the adoption of health-promoting behaviors; however, organizational workplace cultures were inconsistent predictors of health among the three groups. Only the active Army subgroup identified a hierarchical culture as having an influence on health promotion, possibly because of the Army's mandatory physical fitness and weight control standards. Social support and self-motivation are essential to promoting health among employees, thus hospital commanders and chief executive officers should encourage strategies that enhance and reward these behaviors.
Smith, EA; Malone, RE
Smoking impairs the readiness and performance of military personnel, yet congressional opposition has thwarted military tobacco control initiatives. Involvement of civilian organizations might alter this political dynamic. We interviewed 13 leaders of national civilian public health and tobacco control organizations to explore their perspectives on military tobacco control, inductively analyzing data for themes. Leaders believed that military tobacco use was problematic but lacked specific kn...
Cleveland, Sandi D.; Branscum, Adam J.; Bovbjerg, Viktor E.; Thorburn, Sheryl
Objective: The aim of this study was to investigate if and to what extent student service members/veterans differ from civilian college students in the prevalence of self-reported symptoms of poor mental health. Participants: The Fall 2011 implementation of the American College Health Association-National College Health Assessment included 27,774…
Voth, H J
This paper is a reexamination of the Winter hypothesis, which holds that there was a marked difference in the development of civilian health during the First World War between the central powers and the Western allies. Ultimate success on the battlefield, according to Winter, required balancing the needs of the military with civilian demands; Germany lost because it failed to achieve such a balance. The resulting decline in health standards undermined the war effort and eventually led to defeat. This article proceeds in two steps. First, it demonstrates that Winter's data does not allow him to make a proper comparison between the two camps. Second, I argue that his hypothesis can be refuted once a truly comparable source is used--infant mortality rated. There is as yet no convincing evidence to suggest that the outcome of the First world War was determined by public health policy.
Weeks, Murray; Zamorski, Mark A; Rusu, Corneliu; Colman, Ian
This study sought to compare the prevalence and impacts of mental illness-related stigma among Canadian Armed Forces personnel and Canadian civilians. Data were from two highly comparable, population-based, cross-sectional surveys of Canadian military personnel and Canadian civilians: the 2013 Canadian Forces Mental Health Survey (N=6,696) and the 2012 Canadian Community Health Survey-Mental Health (N=25,113), respectively. Perceived stigma was assessed among those who reported care seeking for a mental health problem in the past 12 months. Follow-up questions assessed the impact of stigma in various domains. Modified Poisson regression and linear regression were used to examine population differences (military versus civilian) in terms of care seeking, stigma, and stigma impact, with adjustments for sociodemographic characteristics and the need for care. Military personnel were significantly more likely than civilians to have perceived stigma (adjusted prevalence ratio [PR]=1.70, 95% confidence interval [CI]=1.11-2.60). Stigma had a greater impact on military personnel, particularly in terms of work or school life (b=1.01, CI=.57-1.47). However, military personnel were also significantly more likely than civilians to have sought care (PR=1.86, CI=1.53-2.25). Military personnel reported a disproportionate amount of mental illness-related stigma, compared with Canadian civilians, and a greater impact of stigma. Nevertheless, military personnel were more likely to seek care, pointing to a complex relationship between stigma and care seeking in the military.
Wooten, Nikki R; Brittingham, Jordan A; Pitner, Ronald O; Tavakoli, Abbas S; Jeffery, Diana D; Haddock, K Sue
Behavioral health conditions are a significant concern for the U.S. military and the Military Health System (MHS) because of decreased military readiness and increased health care utilization. Although MHS beneficiaries receive direct care in military treatment facilities, a disproportionate majority of behavioral health treatment is purchased care received in civilian facilities. Yet, limited evidence exists about purchased behavioral health care received by MHS beneficiaries. This longitudinal study (1) estimated the prevalence of purchased behavioral health care and (2) identified patient and visit characteristics predicting receipt of purchased behavioral health care in acute care facilities from 2000 to 2014. Medical claims with Major Diagnostic Code 19 (mental disorders/diseases) or 20 (alcohol/drug disorders) as primary diagnoses and TRICARE as the primary/secondary payer were analyzed for MHS beneficiaries (n = 17,943) receiving behavioral health care in civilian acute care facilities from January 1, 2000, to December 31, 2014. The primary dependent variable, receipt of purchased behavioral health care, was modeled for select mental health and substance use disorders from 2000 to 2014 using generalized estimating equations. Patient characteristics included time, age, sex, and race/ethnicity. Visit types included inpatient hospitalization and emergency department (ED). Time was measured in days and visits were assumed to be correlated over time. Behavioral health care was described by both frequency of patients and visit type. The University of South Carolina Institutional Review Board approved this study. From 2000 to 2014, purchased care visits increased significantly for post-traumatic stress disorder, adjustment, anxiety, mood, bipolar, tobacco use, opioid/combination opioid dependence, nondependent cocaine abuse, psychosocial problems, and suicidal ideation among MHS beneficiaries. The majority of care was received for mental health disorders (78
... DEPARTMENT OF DEFENSE Office of the Secretary 32 CFR Part 199 [DOD-2008-HA-0029] RIN 0720-AB45 Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Inclusion of TRICARE Retail Pharmacy Program in Federal Procurement of Pharmaceuticals AGENCY: Office of the Secretary...
... DEPARTMENT OF DEFENSE Office of the Secretary [DoD-2008-HA-0029; 0720-AB22] 32 CFR Part 199 Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Inclusion of TRICARE Retail Pharmacy Program in Federal Procurement of Pharmaceuticals AGENCY: Office of the Secretary...
... DEPARTMENT OF DEFENSE Office of the Secretary 32 CFR Part 199 [DoD-2009-HA-0151; 0720-AB37] Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Inclusion of Retail... 74 FR 65436. Inclusion of vaccines under the pharmacy benefit when provided by a TRICARE retail...
Police brutality, a longstanding civil rights issue, has returned to the forefront of American public debate. A growing body of public health research shows that excessive use of force by police and racial profiling have adverse effects on health for African Americans and other marginalized groups. Yet, interventions to monitor unlawful policing have been met with fierce opposition at the federal, state, and local levels. On April 30, 2015, the mayor of Newark, New Jersey signed an executive order establishing a Civilian Complaint Review Board (CCRB) to monitor the Newark Police Department (NPD). Using a mixed-methods approach, this study examined how advocates and government actors accomplished this recent policy change in the face of police opposition and after a 50-year history of unsuccessful attempts in Newark. Drawing on official public documents, news media, and interviews conducted in April and May 2015, I propose that: (1) a Department of Justice investigation of the NPD, (2) the activist background of the Mayor and his relationships with community organizations, and (3) the momentum provided by the national Black Lives Matter movement were pivotal in overcoming political obstacles to reform. Examining the history of CCRB adoption in Newark suggests when and where advocates may intervene to promote policing reforms in other US cities.
Frounfelker, Rochelle; Gilman, Stephen E.; Betancourt, Theresa S.; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Bromet, Evelyn J.; Bruffaerts, Ronny; de Girolamo, Giovanni; Gluzman, Semyon; Gureje, Oye; Karam, Elie G.; Lee, Sing; Lépine, Jean-Pierre; Ono, Yutaka; Pennell, Beth-Ellen; Popovici, Daniela G.; Have, Margreet ten; Kessler, Ronald C.
Purpose Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders. Methods Adults (n= 3,370)who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders. The associations of war-related traumas with subsequent disorder onset-persistence were assessed with discrete-time survival analysis (lifetime prevalence) and conditional logistic regression (12-month prevalence). Results Respondents who were civilians in a war zone/region of terror had higher lifetime risks than other respondents of major depressive disorder (MDD; OR 1.5, 95% CI 1.1, 1.9) and anxiety disorder (OR 1.5, 95% CI 1.1, 2.0). The association of war exposure with MDD was strongest in the early years after the war, whereas the association with anxiety disorders increased over time. Among lifetime cases, war exposure was associated with lower past year risk of anxiety disorders. (OR 0.4, 95% CI 0.2, 0.7). Conclusions Exposure to war in World War II was associated with higher lifetime risk of some mental disorders. Whether comparable patterns will be found among civilians living through more recent wars remains to be seen, but should be recognized as a possibility by those projecting future needs for treatment of mental disorders. PMID:29119266
Frounfelker, Rochelle; Gilman, Stephen E; Betancourt, Theresa S; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Bromet, Evelyn J; Bruffaerts, Ronny; de Girolamo, Giovanni; Gluzman, Semyon; Gureje, Oye; Karam, Elie G; Lee, Sing; Lépine, Jean-Pierre; Ono, Yutaka; Pennell, Beth-Ellen; Popovici, Daniela G; Ten Have, Margreet; Kessler, Ronald C
Understanding the effects of war on mental disorders is important for developing effective post-conflict recovery policies and programs. The current study uses cross-sectional, retrospectively reported data collected as part of the World Mental Health (WMH) Survey Initiative to examine the associations of being a civilian in a war zone/region of terror in World War II with a range of DSM-IV mental disorders. Adults (n = 3370) who lived in countries directly involved in World War II in Europe and Japan were administered structured diagnostic interviews of lifetime DSM-IV mental disorders. The associations of war-related traumas with subsequent disorder onset-persistence were assessed with discrete-time survival analysis (lifetime prevalence) and conditional logistic regression (12-month prevalence). Respondents who were civilians in a war zone/region of terror had higher lifetime risks than other respondents of major depressive disorder (MDD; OR 1.5, 95% CI 1.1, 1.9) and anxiety disorder (OR 1.5, 95% CI 1.1, 2.0). The association of war exposure with MDD was strongest in the early years after the war, whereas the association with anxiety disorders increased over time. Among lifetime cases, war exposure was associated with lower past year risk of anxiety disorders (OR 0.4, 95% CI 0.2, 0.7). Exposure to war in World War II was associated with higher lifetime risk of some mental disorders. Whether comparable patterns will be found among civilians living through more recent wars remains to be seen, but should be recognized as a possibility by those projecting future needs for treatment of mental disorders.
Fortney, John C; Curran, Geoffrey M; Hunt, Justin B; Lu, Liya; Eisenberg, Daniel; Valenstein, Marcia
A Web-based survey examined treatment seeking among community college students to inform the design of engagement interventions. Veteran and civilian community college students (N=765) were screened for mental disorders and reported perceptions of treatment need, effectiveness, and stigma, as well as service use. Regression analysis identified predictors of pharmacotherapy and psychotherapy use. Of the 511 students who screened positive for a current mental disorder or reported a perceived need for treatment (149 veterans and 362 civilians), 30% reported past-year use of psychotropic medications. Predictors were perceived treatment need (odds ratio [OR]=7.81, p<.001) and the perception that psychotropic medications are effective (OR=3.38, p=.012). Eleven percent of participants reported past-year psychotherapy use, and predictors were a positive screen for posttraumatic stress disorder (OR=2.78, p=.04) and poorer financial status. Modifiable barriers, including perceived need for and effectiveness of treatment, were correlated with pharmacotherapy use and should be targeted by engagement interventions.
Cantaluppi, C.; Degetto, S.
Depleted uranium is a by-product of the process of enrichment of natural uranium and is classified as a toxic and radioactive waste; it has a very high density (approximately 19 g cm - 3), a remarkable ductility and a cost low enough to be attractive for some particular technical applications. Civilian uses are essentially related to its high density, but the prevailing use is however military (production of projectiles). From the radioactive point of view, the exposure to depleted uranium can result from both external irradiation as well as internal contamination. The associated risks are however mainly of chemical-toxicological kind and the target organ is the kidney. In the present note the recent military uses and the possible effects of its environmental diffusion are discussed [it
Mollica, Richard F; Brooks, Robert; Tor, Svang; Lopes-Cardozo, Barbara; Silove, Derrick
No population-based studies have directly compared the long-term health and mental health outcomes of conflict- versus non-conflict-affected communities from the same ethnic background. To identify and compare levels of psychiatric morbidity between a traumatized and non-traumatized civilian community; to investigate the long-term impact of mass violence. Double-stratified community surveys in Siem Reap and Surin provinces were conducted by highly qualified Cambodian interviewers using culturally validated survey instruments with known psychometric properties. These included Cambodian versions of the Hopkins Symptom Checklist-25, the Harvard Trauma Questionnaire and the Medical Outcome Study Short Form. Siem Reap and Surin respondents experienced 12,266 and 621 major trauma events, respectively; 745 (76.2%) Siem Reap respondents and six (0.6%) Surin respondents reported torture events; 499 (49.5%) Siem Reap respondents and 203 (19.7%) Surin respondents met the clinical threshold for depression (OR 4.01, 95% CI 3.29-4.88); 204 (20.6%) Siem Reap respondents and 23 (2.2%) Surin respondents met the clinical threshold for post-traumatic stress disorder (PTSD) (OR 11.39, 95% CI 7.3-17.7). The MOS physical disability was higher in Siem Reap versus Surin respondents (74 (7.5%) vs 13 (1.3%), χ(2) = 47.4 df = 1, p genocide continues to suffer psychiatric morbidity and poor health.
8217JntedState* General AccouýLg Office __ Rteport to Congmesoa Commitee A,""FILE COPYAD-A197 876 DF7-EANSE HEF.ALTHl L’W Reimbur emen--t Of I...Secretary of Defense grant a waiver from CHAMPUS copayment requirements and be approved, tuader certain criteria, to be reimbursed for care to...that a provider waives patient copayments, it denies the provider’s claim for reimbursement . . In fiscal year 1987, cHAmpus payments to civilian
Full Text Available Abstract Background The province of North Kivu in the Democratic Republic of Congo has been afflicted by conflict for over a decade. After months of relative calm, offences restarted in September 2008. We did an epidemiological study to document the impact of violence on the civilian population and orient pre-existing humanitarian aid. Methods In May 2009, we conducted three cross-sectional surveys among 200 000 resident and displaced people in North Kivu (Kabizo, Masisi, Kitchanga. The recall period covered an eight month period from the beginning of the most recent offensives to the survey date. Heads of households provided information on displacement, death, violence, theft, and access to fields and health care. Results Crude mortality rates (per 10 000 per day were below emergency thresholds: Kabizo 0.2 (95% CI: 0.1-0.4, Masisi 0.5 (0.4-0.6, Kitchanga 0.7 (0.6-0.9. Violence was the reported cause in 39.7% (27/68 and 35.8% (33/92 of deaths in Masisi and Kitchanga, respectively. In Masisi 99.1% (897/905 and Kitchanga 50.4% (509/1020 of households reported at least one member subjected to violence. Displacement was reported by 39.0% of households (419/1075 in Kitchanga and 99.8% (903/905 in Masisi. Theft affected 87.7% (451/514 of households in Masisi and 57.4% (585/1019 in Kitchanga. Access to health care was good: 93.5% (359/384 of the sick in Kabizo, 81.7% (515/630 in Masisi, and 89.8% (651/725 in Kitchanga received care, of whom 83.0% (298/359, 87.5% (451/515, and 88.9% (579/651, respectively, did not pay. Conclusions Our results show the impact of the ongoing war on these civilian populations: one third of deaths were violent in two sites, individuals are frequently subjected to violence, and displacements and theft are common. While humanitarian aid may have had a positive impact on disease mortality and access to care, the population remains exposed to extremely high levels of violence.
...% of the screened women reported lifetime emotional abuse. Analyses of the cases and controls are currently underway to explore the health consequences of partner abuse and preferences for partner abuse screening...
Full Text Available Abstract Background Despite the fact that the Colombian armed conflict has continued for almost five decades there is still very little information on how it affects the mental health of civilians. Although it is well established in post-conflict populations that experience of organised violence has a negative impact on mental health, little research has been done on those living in active conflict zones. Médecins Sans Frontières provides mental health services in areas of active conflict in Colombia and using data from these services we aimed to establish which characteristics of the conflict are most associated with specific symptoms of mental ill health. Methods An analysis of clinical data from patients (N = 6,353, 16 years and over, from 2010–2011, who consulted in the Colombian departments (equivalent to states of Nariño, Cauca, Putumayo and Caquetá. Risk factors were grouped using a hierarchical cluster analysis and the clusters were included with demographic information as predictors in logistic regressions to discern which risk factor clusters best predicted specific symptoms. Results Three clear risk factor clusters emerged which were interpreted as ‘direct conflict related violence’, ‘personal violence not directly conflict-related’ and ‘general hardship’. The regression analyses indicated that conflict related violence was more highly related to anxiety-related psychopathology than other risk factor groupings while non-conflict violence was more related to aggression and substance abuse, which was more common in males. Depression and suicide risk were represented equally across risk factor clusters. Conclusions As the largest study of its kind in Colombia it demonstrates a clear impact of the conflict on mental health. Among those who consulted with mental health professionals, specific conflict characteristics could predict symptom profiles. However, some of the highest risk outcomes, like depression, suicide risk
This revision; (1) Contains changes required by the establishment of a consolidated and realigned management structure for civilian personnel, manpower, and related functions in the Office of the Assistant Secretary of the Army...
Patton, Christina L; McNally, Matthew R; Fremouw, William J
Previous studies have implicated significant differences between military members and civilians with regard to violent behavior, including suicide, domestic violence, and harm to others, but none have examined military murder-suicide. This study sought to determine whether there were meaningful differences between military and civilian murder-suicide perpetrators. Using data from the Center for Disease Control's (CDC) National Violent Death Reporting System (NVDRS), military (n = 259) and civilian (n = 259) murder-suicide perpetrators were compared on a number of demographic, psychological, and contextual factors using chi-square analyses. Logistic regression was used to determine which variables predicted membership to the military or civilian perpetrator groups. Military murder-suicide perpetrators were more likely to be older, have physical health problems, be currently or formerly married, less likely to abuse substances, and to exhibit significantly different motives than civilian perpetrators. Logistic regression revealed that membership to the military, rather than the civilian, perpetrator group was predicted by age, physical health problems, and declining heath motive-reflecting the significance of a more than 15-year difference in mean age between the two groups. Findings point to the need to tailor suicide risk assessments to include questions specific to murder-suicide, to assess attitudes toward murder-suicide, and to the importance of assessing suicide and violence risk in older adult military populations. © The Author(s) 2015.
Understanding Health-related Quality of Life in Caregivers of Civilians and Service Members/Veterans with Traumatic Brain Injury: Establishing the Reliability and Validity of PROMIS Mental Health Measures.
Carlozzi, Noelle E; Hanks, Robin; Lange, Rael T; Brickell D Psych, Tracey A; Ianni, Phillip A; Miner, Jennifer A; French Psy D, Louis M; Kallen, Michael A; Sander, Angelle M
To provide important reliability and validity data to support the use of the PROMIS Mental Health measures in caregivers of civilians or service members/veterans with traumatic brain injury (TBI). Patient-reported outcomes surveys administered through an electronic data collection platform. Three TBI Model Systems rehabilitation hospitals, an academic medical center, and a military medical treatment facility. 560 caregivers of individuals with a documented TBI (344 civilians and 216 military) INTERVENTION: Not Applicable MAIN OUTCOME MEASURES: PROMIS Anxiety, Depression, and Anger Item Banks RESULTS: Internal consistency for all of the PROMIS Mental Health item banks was very good (all α > .86) and three-week test retest reliability was good to adequate (ranged from .65 to .85). Convergent validity and discriminant validity of the PROMIS measures was also supported. Caregivers of individuals that were low functioning had worse emotional HRQOL (as measured by the three PROMIS measures) than caregivers of high functioning individuals, supporting known groups validity. Finally, levels of distress, as measured by the PROMIS measures, were elevated for those caring for low-functioning individuals in both samples (rates ranged from 26.2% to 43.6% for caregivers of low-functioning individuals). Results support the reliability and validity of the PROMIS Anxiety, Depression, and Anger item banks in caregivers of civilians and service members/veterans with TBI. Ultimately, these measures can be used to provide a standardized assessment of HRQOL as it relates to mental health in these caregivers. Copyright © 2018. Published by Elsevier Inc.
AWARD NUMBER: W81XWH-16-1-0629 TITLE: Understanding, Predicting, and Preventing Life -Changing and Life -Threatening Health Changes among Aging...Annual 3. DATES COVERED 30 Sep 2016 - 29 Sep 2017 4. TITLE AND SUBTITLE Understanding, Predicting, and Preventing Life -Changing and Life ... hope of preventing them. Our purpose is to better understand the how and why of the development of negative health spirals and how they may best be
such as primary care practices, therapist 2 offices, prisons, schools , and community organizations. Providers working in these various settings have...ment, follow-up care for children prescribed attention deficit hyperactivity disorder ( ADHD ) medication, and mental health utilization (among other
Full Text Available Terrorism is an extreme form of political violence, that is inherently abhorrent in nature. Yet, it continues to attain enough support to continue and survive. The recent proliferation of Islamic State and its ever increasing domestic and international civilian support base urges immediate attention to this question. While most research holds that provision of public goods by terrorist groups is the primary cause for high levels of civilian support, I argue that, terrorist groups are more interested in resource extraction rather than resource provision. Additionally, these studies pay scant attention to existing resource structure, especially territorial and political control to explain terrorist-civilian interaction. This paper emphasizes the bi-directional nature of this interaction – a. perception of civilians by the terrorist group and b. terrorist group’s perception of the civilians. To analyze levels of civilian support for terrorism, I compare fifteen terrorist groups using qualitative comparative analysis and show how territory, political competition, ethnicity, target selection and organizational structure combine to explain conditions that lead terrorist groups to include or exclude civilian population for support. Based on the variance in support networks of terrorist groups, counter-terrorism policies should also differ. High civilian support indicates the need to use non-military methods to decrease the appeal of terrorist groups. However, terrorist groups with more diffused and multiple support structures need more collaborative and coercive measures to intercept all the possible links to the main group.
This report contains a review of the information available on nuclear powered ships, built for civilian purposes. In the introduction a short discussion is given of the reasons for the limited use of nuclear ships for these purposes. In the second section a brief review is presented of data for the three experimental/merchant ships build by the United States, Germany and Japan, i.e. NS Savannah, NS Otto Hahn and NS Mutsu. In the third section the Soviet/Russian icebreaker NS Lenin is considered. Its design, operational experience and the introduction of a new nuclear propulsion plant is reviewed. In the fourth section the newer Soviet/Russian icebreakers with nuclear propulsion are considered. Finally design of the Soviet/Russian icebreaker transport/container ship NS Sevmorput is reviewed in the fifth section. The future Russian plans for nuclear vessels for the arctic waters are briefly discussed. (au)
de Montravel, G
Current humanitarian emergencies create complex, mutidimensional situations that stimulate simultaneous responses from a wide variety of sources including governments, non-governmental organizations (NGO), United Nations agencies, and private individuals. As a result, it has become essential to establish a coherent framework in which each actor can contribute promptly and effectively to the overall effort. This is the role of the United Nations Office for the Coordination of Humanitarian Affairs. Regardless of the circumstances and level of coordination, cooperation and collaboration between humanitarian and military personnel, it is necessary to bear in mind their objectives. The purpose of humanitarian action is to reduce human suffering. The purpose of military intervention is to stop warfare. The author of this article will discuss the three major obstacles to civilian-military coordination (strategic, tactical, and operational). Operations cannot be conducted smoothly and differences cannot be ironed out without mutual respect between the two parties, an explicit definition of their respective duties and responsibilities, a clear understanding of their cultural differences, and the presence of an organization and facilities for coordination and arbitrage by a neutral referee.
In this article, we examine the status of civilians in the ethical context. For this purpose, we explore the ethical sources that address their status; specifically, we consider the ethical reasons that civilians should be protected in armed conflict by examining ethical concepts that could differentiate civilians from combatants and justify the protection of civilians. In order to assess how the status of civilians can be characterised and their protection justified by ethical concepts, we e...
Waitzkin, Howard; Noble, Marylou
Due to the wars in Iraq and Afghanistan, the unmet medical and psychological needs of military personnel are creating major challenges. Increasingly, active duty military personnel are seeking physical and mental health services from civilian professionals. The Civilian Medical Resources Network attempts to address these unmet needs. Participants in the Network include primary care and mental health practitioners in all regions of the country. Network professionals provide independent assessments, clinical interventions in acute situations, and documentation that assists GIs in obtaining reassignment or discharge. Most clients who use Network services come from low-income backgrounds and manifest psychological rather than physical disorders. Qualitative themes in professional-client encounters have focused on ethical conflicts, the impact of violence without meaning (especially violence against civilians), and perceived problems in military health and mental health policies. Unmet needs of active duty military personnel deserve more concerted attention from medical professionals and policy makers. PMID:21339846
Full Text Available Due to the wars in Iraq and Afghanistan, the unmet medical and psychological needs of military personnel are creating major challenges. Increasingly, active duty military personnel are seeking physical and mental health services from civilian professionals. The Civilian Medical Resources Network attempts to address these unmet needs. Participants in the Network include primary care and mental health practitioners in all regions of the country. Network professionals provide independent assessments, clinical interventions in acute situations, and documentation that assists GIs in obtaining reassignment or discharge. Most clients who use Network services come from low-income backgrounds and manifest psychological rather than physical disorders. Qualitative themes in professional-client encounters have focused on ethical conflicts, the impact of violence without meaning (especially violence against civilians, and perceived problems in military health and mental health policies. Unmet needs of active duty military personnel deserve more concerted attention from medical professionals and policy makers.
Владимир Владимирович Масляков
Conclusions. For the civilian population with gunshot wounds of the neck at the pre-hospital stage the following medical procedures were performed: bandaging the wound – 45 (34,8 %; anesthesia by not narcotic analgesics 12 (9,3 anesthesia by narcotic analgesics – 2 (1,5 %; a hemostasis – 6 (4,6 %; no medical procedures performed – 64 (49,6 %. In the early postoperative period 51,9 % patients with gunshot wounds of the neck developed complications, purulent and septic complications having been registered in 21,7 % cases. The mortality rate was 32,5 %. The common causes of the lethal outcome in patients with gunshot wounds of the neck were hemorrhagic shock – 13,1 %; traumatic shock – 6,2 %; thromboses and embolisms – 3,1 %; purulent and septic complications – 10 %.
Savitsky, Laura; Illingworth, Maria; DuLaney, Megan
This article discusses social work practice areas for civilian social workers who provide services to military service members,veterans, and their families. These practice areas include education, child welfare, domestic violence, mental health, health care, substance abuse, and criminal justice. The authors examine the impact of the contemporary military lifestyle and current military operations on service members and their families in the context of these practice areas, with the goal of compelling civilian social workers to acknowledge their responsibility to competently serve military and veteran clients.
Webb, Billy P
.... While Gen Jumper's sight picture recognizes the need to grow civilians for leadership positions, there is a more compelling reason for the Air Force to focus on civilian leadership development...
Seng, V S; Masquelet, A C
The management of ballistic fractures, which are open fractures, has often been studied in wartime and has benefited from the principles of military surgery with debridement and lavage, and the use of external fixation for bone stabilization. In civilian practice, bone stabilization of these fractures is different and is not performed by external fixation. Fifteen civilian ballistic fractures, Gustilo II or IIIa, two associated with nerve damage and none with vascular damage, were reviewed. After debridement and lavage, ten internal fixations and five conservative treatments were used. No superficial or deep surgical site infection was noted. Fourteen of the 15 fractures (93%) healed without reoperation. Eleven of the 15 patients (73%) regained normal function. Ballistic fractures have a bad reputation due to their many complications, including infections. In civilian practice, the use of internal fixation is not responsible for excessive morbidity, provided debridement and lavage are performed. Civilian ballistic fractures, when they are caused by low-velocity firearms, differ from military ballistic fractures. Although the principle of surgical debridement and lavage remains the same, bone stabilization is different and is similar to conventional open fractures. Copyright © 2013 Elsevier Masson SAS. All rights reserved.
Personal hygiene including foot care, hydration, and nutrition will be covered. The appropriate clothing and footwear will be discussed, including how...policy proposals , for review by civilian health system leaders, National Guard command staff, and both the Departments of Homeland Security and...for healthcare emergency response planning. Journal of Business Continuity and Emergency Preparedness, 1(4). Center for Disease Control and
.... It implements policy, establishes uniform DoD-wide procedures, provides guidelines and model programs, delegates authority, and assigns responsibilities regarding civilian personnel management within...
Simon, Steven L; Coleman, C Norman; Noska, Michael A; Bowman, Thomas
Following the earthquake and tsunami in northern Japan on 11 March 2011, and the ensuing damage to the Fukushima Daiichi nuclear power plant complex, a request by the U.S. Ambassador to Japan to the U.S. Department of Health and Human Services (DHHS) Assistant Secretary for Preparedness and Response (ASPR) resulted in deployment of a five-person team of subject matter experts to the U.S. Embassy. The primary purpose of the deployment was to provide the U.S. Embassy in Tokyo with guidance on health and medical issues related to potential radiation exposure of U.S. citizens in Japan, including employees of the U.S. Department of State at consulates in Japan and American citizens living in or visiting Japan. At the request of the Government of Japan, the deployed health team also assisted Japanese experts in their public health response to the radiation incident. Over a three-week period in Japan and continuing for weeks after their return to the U.S., the team provided expertise in the areas of medical and radiation oncology, health physics, assessment of radiation dose and cancer risk, particularly to U.S. citizens living in Tokyo and the surrounding areas, food and water contamination and the acceptable limits, countermeasures to exposure such as potassium iodide (KI), the use of KI and an offered donation from the United States, evacuation and re-entry issues, and health/emergency-related communication strategies. This paper describes the various strategies used and observations made by the DHHS team during the first two months after the Fukushima crisis began.
eterinarians, optometrists, podiatrists, pharmacists , psycologists, nurse practitioners, rhvsician assistants, and others. In addition, over 146,000 enlisted...and the uti -lization data needed for ood resource C. CONTROL OF HEALTH CARE COSTS 1-,- la c ot- regional fixed-price contracts is set forth by the fram
Lesho, Emil; Lin, Xiaoxu; Clifford, Robert; Snesrud, Erik; Onmus-Leone, Fatma; Appalla, Lakshmi; Ong, Ana; Maybank, Rosslyn; Nielsen, Lindsey; Kwak, Yoon; Hinkle, Mary; Turco, John; Marin, Juan A; Hooks, Sally; Matthews, Stacy; Hyland, Stephen; Little, Jered; Waterman, Paige; McGann, Patrick
Awareness, responsiveness, and throughput characterize an approach for enhancing the clinical impact of whole genome sequencing for austere environments and for large geographically dispersed health systems. This Department of Defense approach is informing interagency efforts linking antibiograms of multidrug-resistant organisms to their genome sequences in a public database. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.
... 32 National Defense 4 2010-07-01 2010-07-01 true Inspections of civilian component training... Disposal Inspections to Insure Compliance with Disposal Conditions § 644.560 Inspections of civilian... responsibility of the Secretary of Transportation; for property conveyed for purposes of health and education...
US Agency for International Development — The purpose of OCR DTS is to establish, manage and track relevant Civilian Response Corps teams for deployment by sector experience, training, education etc.
...) examined the attributes of a subset of the government's civilian workforce: the roughly 1.4 million salaried workers not including employees of the Postal Service who fill full-time permanent positions in the executive branch...
Marla B. Keenan
Full Text Available This practice note details an emerging best practice of civilian harm mitigation in armed conflict: namely, the creation of civilian casualty tracking, analysis and response processes by a warring party or peace operation force. It asserts that in Iraq, Afghanistan and soon Somalia, these processes to better understand civilian harm and address consequences have positively shaped mission tactics, training, and overall operations. In both Iraq and Afghanistan, tracking and analysis has lead to a marked decrease in civilian casualties and facilitated the making of amends for any civilian losses. The paper argues that for warring parties to achieve their mission—particularly one with a protection of civilians mandate as with the United Nations Multidimensional Integrated Stabilization Mission in Mali (MINUSMA—they must fully understand the impact of their actions on the civilian population, positive or negative. For this reason, a Civilian Casualty Tracking, Analysis, and Response Cell should be created for MINUSMA to improve its ability mitigate risk to civilians as required by its Security Council mandate.
Uih Ran Lee
This article explores warring groups’ intentional targeting behavior against civilians, a strictly prohibited war strategy by international norms. Using dynamic panel regressions run on a comprehensive dataset of contemporary warfare which covers 22 years (1989-2010), I find that warring actors, both sovereign states and formally organized armed groups, behave systematically in terms of civilian targeting when they are involved in prolonged armed conflict (15-22 years). Warring actors’ lethal...
... 46 Shipping 7 2010-10-01 2010-10-01 false Civilian nautical school. 168.10-5 Section 168.10-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS CIVILIAN NAUTICAL SCHOOL VESSELS Definitions of Terms Used in This Part § 168.10-5 Civilian nautical school. The term civilian...
Bodas, Moran; Siman-Tov, Maya; Kreitler, Shulamith; Peleg, Kobi
Preparedness for emergencies and disasters is imperative for public resilience. Previous studies have revealed low levels of civilian preparedness for conflicts. Classic behavioral models prove inapt in describing preparedness patterns in victimized populations chronically exposed to this threat. In an effort to expand this perspective, we hypothesized that other psychological constructs are correlated with preparedness. A cross-sectional, Internet-based study was performed in Israel in early 2016. A sociodemographically diverse sample included 385 participants, Jews and Arabs. The tools included a preparedness index, sense of preparedness questionnaire, Trait Anxiety Inventory, Life Orientation Test, Behavioral Inhibition & Activation System scales, and ego defenses. The results suggested that optimistic and rational individuals reported significantly higher levels of preparedness, whereas those who scored highly on the trait anxiety scale and those with a tendency to use denial coping mechanisms reported significantly lower levels of preparedness. The findings suggest that additional constructs, other than classic threat perception components, might play a key role in governing preparedness behavior. In particular, psychological manipulation of dispositional optimism or optimistic thinking might be effective in motivating preparedness behavior. Future research should explore such innovative ways to promoting preparedness. (Disaster Med Public Health Preparedness. 2017;11:451-459).
Edwards-Stewart, Amanda; Kinn, Julie T; June, Jennifer D; Fullerton, Nicole R
Military suicide has increased over the past decade and reports of Service Member and Veteran suicides receive media attention. Some methods of reporting suicide appear to cause a "media contagion" effect, potentially increasing suicide. This effect is explored in relation to media reports of both military and civilian suicides. To reduce possible contagion, recommendations for media reporting of suicides were adapted by the Suicide Prevention Resource Center (SPRC). We assessed 240 military and civilian newspaper reports of suicide from 15 different sources for compliance with the SPRC guidelines. Nearly all reviewed articles violated at least one guideline. Results highlighted military news articles regarding Service Members included more pejorative language and discussion of failed psychological treatment. Conversely, civilian articles romanticized the victim and provided more details regarding the suicide. Further exploration of military suicide reporting bias is discussed as a need in future research.
Hall, Katharine; Stahl, Dale
The problem of measuring the number of civilian fatalities in Iraq gained widespread media coverage when the Lancet published a study in October 2004 claiming that more than 100,000 Iraqi civilians...
This article reports on the announcement by the Department of Energy (DOE) that the opening of a high-level radioactive nuclear waste repository site will be delayed for seven years. The article discusses DOE's reassessment plan, the restructuring of the Office of Civilian Radioactive Waste Management, site access and evaluation, the Monitored Retrievable Storage Commission proposal, and the industry's response
U.S. Army Troop Support Command. The survey was conducted as part of an organizational diagnosis in preparation for the implementation of a civilian...survey as part of the program evaluation is recommended. Keywords: Surveys; Questionnaires; Employee attitudes; Attitude measurement; Organizational diagnosis .
Cooper, Linda; Andrew, Sharon; Fossey, Matt
In the UK, military veterans will receive care by civilian nurses in civilian hospitals. We propose that the nurses providing this care require an understanding of the unique experiences and specific health needs of veterans to deliver evidence-based care. To conduct an integrative review of published literature to explore how nursing programmes prepare nurses to care for the military veteran population in civilian hospitals. A systematic search was undertaken of a range of electronic databases, Google Scholar and hand searching of Military and Veteran health journals. Papers that focused on education of civilian nurses about veteran health and included primary research or description of practice-based innovations were included in the review. The search generated sixteen papers that were focused on nurse education in higher education institutions. Several papers focused on simulation as a teaching method for veteran-specific health issues or curriculum developments with educational innovations such as online courses. Six papers focusing in continuing professional education of nurses in the clinical setting were included as supplementary information. All papers reviewed were US focused and dated between January 2011 and September 2015. Our search concluded that there is a gap in knowledge in this subject area within a UK context, therefore our review includes UK background information to support the US findings. Civilian nurses need educational preparation to understand the specific needs of veterans. Educational institutions in the US have responded to nationwide initiatives to undertake that preparation. More empirical studies need to be undertaken to develop, test and evaluate educational innovations for preparing students and nurses delivering care to military veteran in civilian healthcare settings. Copyright © 2016 Elsevier Ltd. All rights reserved.
... UNEMPLOYMENT COMPENSATION FOR FEDERAL CIVILIAN EMPLOYEES Responsibilities of Federal Agencies § 609.20 Information to Federal civilian employees. Each Federal agency shall: (a) Furnish information to its employees... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Information to Federal civilian employees...
... the Navy. (b) Each Civilian Executive Assistants, within his or her assigned area of responsibility... 32 National Defense 5 2010-07-01 2010-07-01 false The Civilian Executive Assistants. 700.320... of the Navy The Office of the Secretary of the Navy/the Civilian Executive Assistants § 700.320 The...
... 32 National Defense 2 2010-07-01 2010-07-01 false Civilian EEO program staff. 191.7 Section 191.7...) MISCELLANEOUS THE DOD CIVILIAN EQUAL EMPLOYMENT OPPORTUNITY (EEO) PROGRAM § 191.7 Civilian EEO program staff. (a) EEO Managers, including SEP Managers and other staff who are responsible for EEO and affirmative...
Full Text Available Abstract Background Gun violence is on the rise in some European countries, however most of the literature on gunshot injuries pertains to military weaponry and is difficult to apply to civilians, due to dissimilarities in wound contamination and wounding potential of firearms and ammunition. Gunshot injuries in civilians have more focal injury patterns and should be considered distinct entities. Methods A search of the National Library of Medicine and the National Institutes of Health MEDLINE database was performed using PubMed. Results Craniocerebral gunshot injuries are often lethal, especially after suicide attempts. The treatment of non space consuming haematomas and the indications for invasive pressure measurement are controversial. Civilian gunshot injuries to the torso mostly intend to kill; however for those patients who do not die at the scene and are hemodynamically stable, insertion of a chest tube is usually the only required procedure for the majority of penetrating chest injuries. In penetrating abdominal injuries there is a trend towards non-operative care, provided that the patient is hemodynamically stable. Spinal gunshots can also often be treated without operation. Gunshot injuries of the extremities are rarely life-threatening but can be associated with severe morbidity. With the exception of craniocerebral, bowel, articular, or severe soft tissue injury, the use of antibiotics is controversial and may depend on the surgeon's preference. Conclusion The treatment strategy for patients with gunshot injuries to the torso mostly depends on the hemodynamic status of the patient. Whereas hemodynamically unstable patients require immediate operative measures like thoracotomy or laparotomy, hemodynamically stable patients might be treated with minor surgical procedures (e.g. chest tube or even conservatively.
Background Gun violence is on the rise in some European countries, however most of the literature on gunshot injuries pertains to military weaponry and is difficult to apply to civilians, due to dissimilarities in wound contamination and wounding potential of firearms and ammunition. Gunshot injuries in civilians have more focal injury patterns and should be considered distinct entities. Methods A search of the National Library of Medicine and the National Institutes of Health MEDLINE database was performed using PubMed. Results Craniocerebral gunshot injuries are often lethal, especially after suicide attempts. The treatment of non space consuming haematomas and the indications for invasive pressure measurement are controversial. Civilian gunshot injuries to the torso mostly intend to kill; however for those patients who do not die at the scene and are hemodynamically stable, insertion of a chest tube is usually the only required procedure for the majority of penetrating chest injuries. In penetrating abdominal injuries there is a trend towards non-operative care, provided that the patient is hemodynamically stable. Spinal gunshots can also often be treated without operation. Gunshot injuries of the extremities are rarely life-threatening but can be associated with severe morbidity. With the exception of craniocerebral, bowel, articular, or severe soft tissue injury, the use of antibiotics is controversial and may depend on the surgeon's preference. Conclusion The treatment strategy for patients with gunshot injuries to the torso mostly depends on the hemodynamic status of the patient. Whereas hemodynamically unstable patients require immediate operative measures like thoracotomy or laparotomy, hemodynamically stable patients might be treated with minor surgical procedures (e.g. chest tube) or even conservatively. PMID:20565804
Understanding health-related quality of life in caregivers of civilians and service members/veterans with traumatic brain injury: Establishing the reliability and validity of PROMIS Fatigue and Sleep Disturbance item banks.
Carlozzi, Noelle E; Ianni, Phillip A; Tulsky, David S; Brickell, Tracey A; Lange, Rael T; French, Louis M; Cella, David; Kallen, Michael A; Miner, Jennifer A; Kratz, Anna L
To examine the reliability and validity of Patient Reported Outcomes Measurement Information System (PROMIS) measures of sleep disturbance and fatigue in TBI caregivers and to determine the severity of fatigue and sleep disturbance in these caregivers. Cross-sectional survey data collected through an online data capture platform. Four rehabilitation hospitals and Walter Reed National Military Medical Center. Caregivers (N=560) of civilians (n=344) and service member/veterans (n=216) with TBI. Not Applicable MAIN OUTCOME MEASURES: PROMIS sleep and fatigue measures administered as both computerized adaptive tests (CATs) and 4-item short forms (SFs). For both samples, floor and ceiling effects for the PROMIS measures were low (internal consistency was very good (all alphas ≥0.80), and test-retest reliability was acceptable (all r≥0.70 except for the fatigue CAT in the service member/veteran sample r=0.63). Convergent validity was supported by moderate correlations between the PROMIS and related measures. Discriminant validity was supported by low correlations between PROMIS measures and measures of dissimilar constructs. PROMIS scores indicated significantly worse sleep and fatigue for those caring for someone with high levels versus low levels of impairment. Findings support the reliability and validity of the PROMIS CAT and SF measures of sleep disturbance and fatigue in caregivers of civilians and service members/veterans with TBI. Copyright © 2018. Published by Elsevier Inc.
Mundell, Benjamin F; Friedberg, Mark W; Eibner, Christine; Mundell, William C
The US Military Health System (MHS), which is responsible for providing care to active and retired members of the military and their dependents, faces challenges in delivering cost-effective, high-quality primary care while maintaining a provider workforce capable of meeting both peacetime and wartime needs. The MHS has implemented workforce management strategies to address these challenges, including "medical home" teams for primary care and other strategies that expand the roles of nonphysician providers such as physician assistants, nurse practitioners, and medical technicians. Because these workforce strategies have been implemented relatively recently, there is limited evidence of their effectiveness. If they prove successful, they could serve as a model for the civilian sector. However, because the MHS model features a broad mix of provider types, changes to civilian scope-of-practice regulations for nonphysician providers would be necessary before the civilian provider mix could replicate that of the MHS.
Bushnell, Dennis M.
This paper addresses the major problems/issues with civilian aeronautics going forward, the contextual ongoing technology revolutions, the several emerging civilian aeronautical "Big Ideas" and associated enabling technological approaches. The ongoing IT Revolution is increasingly providing, as 5 senses virtual presence/reality becomes available, along with Nano/Molecular Manufacturing, virtual alternatives to Physical transportation for both people and goods. Paper examines the potential options available to aeronautics to maintain and perhaps grow "market share" in the context of this evolving competition. Many of these concepts are not new, but the emerging technology landscape is enhancing their viability and marketability. The concepts vary from the "interesting" to the truly revolutionary and all require considerable research. Paper considers the speed range from personal/general aviation to supersonic transports and technologies from energetics to fabrication.
Chief of Staff deferred action on the recommendations and requested a subsequent briefing with the following guidance. (1) Need to do more to take...Term Actions ... ..................... 38-39 ix CIVILIAN END STRENGTH STUDY Abstract This study examined the methodology by which the Army determines...DAPE-MBC) and COA ( DACA -OMP) has facilitated this process; an updated LOI, in draft, will clear up some of the problems identified in the test
Larionov, a consultant to the institute, both at RAND and in Moscow; and Drs. Alexei Arbatov and Aleksandr Savelyev and several of their colleagues during...Soviet defense industry resources to civilian use is presented in Arthur J. Alexander , Perestroika and Change in Soviet Weapons Acquisition, The RAND...1986, especially pp. 101-102. 17 18 the more prominent younger specialists like Alexei Arbatov, Andrei Kokoshin, and Aleksandr Savelyev have long been
Full Text Available Whilst the protection of civilians (POC in conflict has been a recurring feature of the humanitarian discourse the same has not been true in military doctrines, where the protection of civilians has long been cast in terms of arms bearers upholding their responsibilities under international humanitarian law (IHL. However, opportunities for and pressures on military actors to develop more specific capacities and approaches in this field have grown: partly as a response to the changing nature, location and scope of conflict, particularly the increasing proportion of internal conflicts fought by irregular armed groups in urban environments. It is also a response to the scale and complexity of protection challenges in the Balkans, Rwanda, Darfur and Libya - each of which has clearly demonstrated that threats to civilians are complex and dynamic and that no single international actor is capable of mitigating them without significant support from other institutions (O’Callaghan and Pantuliano, 2007. Despite the enormous growth in opportunities for interaction between militaries and humanitarians there is only a very limited literature on their interaction over protection issues and evaluations of the emerging doctrines. Consequently this article charts the growth in military policies towards POC in the UN, UK, NATO and a range of other states as well as drawing attention to the challenges that still remain in operationalising responses.
Since the United Kingdom's defence nuclear industry was founded in the late 1940s, Service and civilian personnel have been exposed to ionising radiation. During the last forty years, as knowledge about the effects of radiation exposure has grown, concern to ensure adequate protection against exposure has also increased,. As part of our continuing scrutiny of the Ministry of Defence (MoD), we have undertaken a short inquiry to examine MoD's current and future policy and practice on radiological protection. The principal work involving exposure of Service and civilian personnel to significant levels of radiation falls into two discrete areas: the nuclear weapons programme and the nuclear propulsion programme. The nuclear weapons programme involves research, the production of nuclear warheads and their deployment with Her Majesty's Forces. The nuclear propulsion programme involves research, production, operation, refitting and decommissioning of pressurised water reactors as a source of propulsion power in Royal Navy submarines. These two nuclear programmes are not the only sources of ionising radiation within MoD's responsibility: it also arises from research, non-destructive testing and medical applications, most notably conventional radiography. In this Report we have concentrated upon ionising radiation arising from the two defence nuclear programmes. (author)
For sustainable use of nuclear energy in large scale, it seems inevitable to choose a closed cycle option. One of the important questions is, then, whether we can really achieve the compatibility between civilian nuclear fuel cycle and nonproliferation norms. In this aspect, Japan is very unique because she is now only one country with full-scope nuclear fuel cycle program as a non-nuclear weapon state in NPT regime. In June 2004 in the midst of heightened proliferation concerns in NPT regime, the IAEA Board of Governors concluded that, for Japanese nuclear energy program, non-diversion of declared nuclear material and the absence of undeclared nuclear material and activities were verified through the inspections and examinations under Comprehensive Safeguards and the Additional Protocol. Based on this conclusion, the IAEA announced the implementation of Integrated Safeguards in Japan in September 2004. This paper reviews how Japan has succeeded in becoming the first country with full-scope nuclear fuel cycle program to qualify for integrated Safeguards, and identifies five key elements that have made this achievement happen: (1) Obvious need of nuclear fuel cycle program, (2) Country's clear intention for renunciation of nuclear armament, (3) Transparency of national nuclear energy program, (4) Record of excellent compliance with nonproliferation obligations for many decades, and (5) Numerous proactive efforts. These five key elements will constitute a kind of an acceptance model for civilian nuclear fuel cycle in NNWS, and may become the basis for building 'Nonproliferation Culture'. (author)
Ramirez, Mario Luis; Slovis, Corey M
Tactical emergency medicine services (TEMS) has emerged as a specialized niche within the field of emergency medicine. With increasing demand for physician participation in civilian tactical teams, there will be efforts by residents to become involved at earlier points in their clinical training. This article discusses resident involvement with a civilian TEMS unit and provides five maxims for emergency physicians to better understand the difference between working in the emergency department or with emergency medical services vs. in a TEMS environment. Differences between TEMS and other trauma life support models, institutional and political barriers likely to be encountered by the resident, the value of preventive medicine and the role of the physician in long-term tactical operations, opportunities for subspecialty growth, and the role of operational security are all discussed in detail. Tactical emergency medicine is a specialty that utilizes the full array of the emergency physician's skill set. It is also a field that is ripe for continued expansion, but the resident looking to become involved with a team should be aware of the requirements necessary to do so and the obstacles likely to be encountered along the way. Copyright 2010 Elsevier Inc. All rights reserved.
Joshua A. Itsifinus
Full Text Available AIM: HIV/AIDS is a serious social pathology in public health, developmental and security problem since the productive and reproductive age group is mostly affected. This study was to determine the sero-prevalence of HIV among civilian applicants enrolling into military services of Nigeria army where youths vulnerability to HIV infection is very high. METHOD: A periodic cross sectional study was carried out amongst the civilian applicants undergoing recruitment into the Nigeria Army between January-February and July-August 2005, to determine their HIV status. Samples were collected from the applicants after interview to collect their socio-demographic characteristics. Data were analyzed with the aid of SPSS Version 12 and Chi square statistics was used to test for significance of association at P< 0.05. RESULTS: Out of the 9260 samples collected, 204 (2.2% tested positive for HIV with the highest proportion (73.5% occurring in the 22-25yrs bracket. Infection was detected in both sexes. The mean age of the applicants was 22yrs, with age range of 18-30 yrs and sex ratio of 1:7 (M: F. Age sex-specificity shows aged between 21-24 years have the highest number of HIV-antibody positivity. CONCLUSION: Antibody-positive applicants were identified in all the regions of Nigeria and the prevalence suggests that the epidemiology of transmission is changing both quantitatively and qualitatively because HIV now occurs commonly among young adults in their teens and late 20s and the impact of HIV on the military has grave consequences on the stability of Nigeria. The adoption of routine screening of applicants at point of recruitment, serving and retiring from the military can also be a source of data for understanding the epidemiology of this disease among the civilian and the military but in as HIV counseling and testing is an important continuum of the disease prevention and treatment, there is need to review Nigerian Army HIV and AIDS policy. [TAF Prev Med
Bennett, David; Wellman, Greg; Mahmood, Maysaa; Freye, Ryan; Remund, Daniel; Samples, Phil L
To explore variables relevant to transition to civilian pharmacy career path for retiring military pharmacists. A cross-sectional survey was designed to collect information from retired military pharmacists including demographics, military service information, postretirement employment and perceptions of transition, satisfaction, level of responsibility, work environment, rewards (level of financial compensation, opportunities for professional development and career advancement, health benefits), and level of supervisory support. The questionnaire also included additional items asking about their perception of their military experience, transition to civilian work and the impact the military career had on their personal and family life. Respondents included 140 retired pharmacists from the U.S. Army, Navy, Air Force, or Coast Guard. Factors found to be significant predictors of transition to civilian career included: bureaucracy in current job, time elapsed since retirement, extent to which an individual misses military structure and chain of command, access to military facilities and Veterans Administration benefits, and reporting little or no stress in committed long-term personal relationship while in the military. Findings suggest that the majority of retired military pharmacists perceived the transition to civilian professional sector was about what they expected or easier than expected. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.
other burgeoning global issues mandate the existence of capable senior civilian leaders who can effectively participate within the whole-of-government...experience that provides the opportunity to discuss and debate current global issues with the members of the world’s finest military. Civilians not only
Vie, Loryana L; Scheier, Lawrence M; Lester, Paul B; Ho, Tiffany E; Labarthe, Darwin R; Seligman, Martin E P
This report describes a groundbreaking military-civilian collaboration that benefits from an Army and Department of Defense (DoD) big data business intelligence platform called the Person-Event Data Environment (PDE). The PDE is a consolidated data repository that contains unclassified but sensitive manpower, training, financial, health, and medical records covering U.S. Army personnel (Active Duty, Reserve, and National Guard), civilian contractors, and military dependents. These unique data assets provide a veridical timeline capturing each soldier's military experience from entry to separation from the armed forces. The PDE was designed to afford unprecedented cost-efficiencies by bringing researchers and military scientists to a single computerized repository rather than porting vast data resources to individual laboratories. With funding from the Robert Wood Johnson Foundation, researchers from the University of Pennsylvania Positive Psychology Center joined forces with the U.S. Army Research Facilitation Laboratory, forming the scientific backbone of the military-civilian collaboration. This unparalleled opportunity was necessitated by a growing need to learn more about relations between psychological and health assets and health outcomes, including healthcare utilization and costs-issues of major importance for both military and civilian population health. The PDE represents more than 100 times the population size and many times the number of linked variables covered by the nation's leading sources of population health data (e.g., the National Health and Nutrition Examination Survey). Following extensive Army vetting procedures, civilian researchers can mine the PDE's trove of information using a suite of statistical packages made available in a Citrix Virtual Desktop. A SharePoint collaboration and governance management environment ensures user compliance with federal and DoD regulations concerning human subjects' protections and also provides a secure
This document (18 power point slides) gives an overview of the French civilian nuclear industry and research and development: importance of the nuclear power generation in France, excellence of the education in nuclear sciences, organization of the nuclear connection (CEA, Areva, EDF, IRSN), the role of the French International Nuclear Agency (AFNI), the requirements for a renewal of human resources (French and foreign engineers) in the field of nuclear energy, the degree course for a diploma, examples of engineer and university diplomas, the educational networks in various regions of France, presentation of the Institut National des Sciences et Techniques Nucleaires (Nuclear Sciences and Techniques National Institute) and its master degrees, organization of the French education system in nuclear sciences with strong relations with the research and development programs
Bowes, Margaret A; Ferreira, Nuno; Henderson, Mike
Although most veterans have a successful transition to civilian life when they leave the military, some struggle to cope and adjust to the demands and challenges of civilian life. This study explores how a variety of psychosocial factors influence veteran adjustment to civilian life in Scotland, UK, and which of these factors predict a poor adjustment. One hundred and fifty-four veterans across Scotland completed a set of questionnaires that measured veteran adjustment difficulty, quality of life, mental health, stigma, self-stigma, attitude towards help-seeking, likelihood of help-seeking, experiential avoidance, reappraisal and suppression. Veteran adjustment difficulty and quality of life were significantly correlated to a number of psychosocial factors. Mental health, experiential avoidance and cognitive reappraisal were found to be predictors of veteran adjustment difficulty, and experiential avoidance and cognitive reappraisal partially mediated the relationship between mental health and veteran adjustment, with experiential avoidance being the stronger mediator. Our findings suggest that early assessment of experiential avoidance and cognitive reappraisal and the provision of relevant emotion regulation skills training could potentially reduce the veteran's need for more complex (and costly) psychological interventions in the future. Implications for veterans, as well as the services and professionals involved with veteran transition and health care are discussed. Copyright © 2018 John Wiley & Sons, Ltd.
Farrell, Brenda S
To examine the extent to which DOD's civilian human capital strategic plan addresses congressional reporting requirements, we obtained and analyzed the "Department of Defense Civilian Human Capital...
Mpotos, N; Watelet, J B
Civilian law:from occupational medicine to occupational event. Despite the growing importance of objective measurements, the health effects of many occupational risk factors are currently not fully quantified. Occupational noise, as a widespread risk factor, is illustrative in this regard; there is a strong body of evidence linking it to an important health outcome (hearing loss), but it is less decisively associated with others (such as psychological disorders). It is also distinct from environmental noise, and therefore falls under the responsibility of employers as well as individuals. Noise-induced hearing loss (NIHL) is, at present, incurable and irreversible. However, it is preventable, if effective and global hearing conservation programmes can be implemented. These programmes should not be isolated efforts, but should be integrated into the overall hazard prevention and control programme of the workplace. Belgian law encompasses a set of provisions for prevention and the protection of the health and safety of workers within the workplace, including aspects pertaining to the hygiene of the workplace and psychosocial aspects at work (stress, violence, bullying and sexual harassment, among others). In principle, combating environmental noise is fully addressed in this country. However, other levels of policy-making also play an important role in this regard. For example, the federal government is in charge of product standards, and therefore also of noise emission standards for products. The interpretation and enforcement of Belgian legislation on well-being at work converts European directives and international agreements on well-being at work into Belgian law.
was to develop a tool that is capable of assessing the effect of CBRN exposures on civilian populations and medical infrastructure in order to...allows planners to import exposures , calculate time-dependent casualties, and to assess the beneficial effect of medical countermeasures including the...option 2. The ability to import exposure data from HPAC and JEM 3. Health effects models that underwent Independent Verification & Validation (IV&V) by
Whiteman, Shawn D; Barry, Adam E; Mroczek, Daniel K; Macdermid Wadsworth, Shelley
Student service members/veterans represent a growing population on college campuses. Despite this growth, scholarly investigations into their health- and adjustment-related issues are almost nonexistent. The limited research that is available suggests that student service members/veterans may have trouble connecting with their civilian counterparts and be at risk for social isolation. The present study compared the development and implications of emotional support from peers among 199 student service members/veterans and 181 civilian students through 3 distinct occasions over the course of 1 calendar year. Data were collected via electronic survey. Measured constructs included perceived emotional support from university friends, mental health, alcohol use, and academic functioning. A series of multilevel models revealed that student service members/veterans reported less emotional support from their peers compared with their civilian counterparts; yet, emotional support from peers increased similarly for both groups over time. Although, increasing peer emotional support was generally related to better academic and mental health outcomes for both groups, the links between emotional support and mental health were stronger for civilian students. Results suggest that mental health practitioners, particularly those on college campuses, should be prepared to deal with veteran-specific experiences that occur before and during college.
Bushnell, Dennis M.
Since 1940 Aeronautics has had an immense impact upon Global Human lifestyles and affairs - in both the Civilian and Military arenas. During this period Long distance Train and Ship passenger transport were largely supplanted by Air Travel and Aviation assumed a dominant role in warfare. The early 1940 s to the mid 1970 s was a particularly productive period in terms of Aeronautical Technology. What is interesting is that, since the mid 1970 s, the rate of Aeronautical Technological Progress has been far slower, the basic technology in nearly all of our current Aero Systems dates from the mid 70 s or earlier. This is especially true in terms of Configuration Aerodynamics, Aeronautics appears to have "settled" on the 707, double delta and rotary wing as the approach of choice for Subsonic long haul, supersonic cruise and VTOL respectively. Obviously there have been variants and some niche digression from this/these but in the main Aeronautics, particularly civilian Aeronautics, has become a self-professed "mature", Increasingly "Commodity", Industry. The Industry is far along an existing/deployed technology curve and focused, now for decades, on incremental/evolutionary change - largely Appliers vs. developers of technology. This is, of course, in sharp contrast to the situation in the early-to-later 20th century where Aeronautics was viewed as A Major Technological Engine, much the way IT/Bio/Nano/Energetics/Quantum Technologies are viewed today. A search for Visionary Aeronautical "Futures" papers/projections indicates a decided dearth thereof over the last 20 plus years compared to the previous quarter Century. Aeronautics is part of Aerospace and Aerospace [including Aeronautics] has seen major cutbacks over the last decades. Some numbers for the U.S. Aerospace Industry serve as examples. Order of 600,000 jobs lost, with some 180,000 more on the block over the next 10 years. Approximately 25% of the Aerospace workforce is eligible to retire and the average
The OCRWM Safety Plan sets forth management policies and general requirements for the safety of the public and of personnel associated with the Civilian Radioactive Waste Management Program (hereinafter called the ''Program''). It is applicable to all individuals and organizational elements of the Program, including all facilities and activities controlled by the Program pursuant to the Act, and to all phases of the Program. The plan defines the responsibilities assigned by the Director of the OCRWM to the various OCRWM line organizations, and to the contractors and the projects. It discusses the means by which safety policies and requirements will be communicated, and summarizes the applicable DOE Orders, and the procedures for reviewing, reporting, and evaluating safety problems. In addition, the OCRWM Safety Plan addresses DOE Orders applicable to occupational health and safety, worker protection, and public health and safety. OCRWM believes that it has an equally high level of commitment to both public safety and worker safety. The Plan also summarizes applicable NRC criteria and regulations that will be imposed through the formal licensing proceedings. While the Safety Plan sets forth OCRWM policy, it is not intended to be prescriptive in the details of implementation. Each OCRWM program element must develop and control its own set of detailed requirements for the protection of its workers and the public based on the principles set forth herein
The international community agrees that the safe operation of civilian nuclear infrastructure is in every population’s best interest. One challenge each government must address is defining and agreeing to a set of acceptable norms of behavior in cyberspace as they relate to these facilities. The introduction of digital systems and networking technologies into these environments has led to the possibility that control and supporting computer systems are now accessible and exploitable, especially where interconnections to global information and communications technology (ICT) networks exist. The need for norms of behavior in cyberspace includes what is expected of system architects and cyber defenders as well as adversaries who should abide by rules of engagement even while conducting acts that violate national and international laws. The goal of this paper is to offer three behavioral cyber norms to improve the overall security of the ICT and Operational Technology (OT) networks and systems that underlie the operations of nuclear facilities. These norms of behavior will be specifically defined with the goals of reducing the threats associated to the theft of nuclear materials, accidental release of radiation and sabotage of nuclear processes. These norms would also include instances where an unwitting attacker or intelligence collection entity inadvertently makes their way into a nuclear facility network or system and can recognize they are in a protected zone and an approach to ensuring that these zones are not exploitable by bad actors to place their sensitive cyber effect delivery systems.
Morina, Naser; Schnyder, Ulrich; Klaghofer, Richard; Müller, Julia; Martin-Soelch, Chantal
It has been well documented that the exposure to war has a negative effect on the psychological health of civilian. However, little is known on the impact of war exposure on the physical health of the civilian population. In addition, the link between trauma exposure and somatic symptoms remain poorly understood. This cross-sectional study examined levels of somatic symptoms in the aftermath of war, and the mediating role of posttraumatic stress symptoms in the relationship between trauma exposure and somatic symptoms. Civilian war survivors (N = 142) from Kosovo were assessed for potentially traumatic events, posttraumatic stress symptoms, and somatic symptoms. Data were analyzed using mediation analyses. Posttraumatic stress disorder (PTSD) symptoms were categorized based on King's four factor model (Psychol Assessment. 10: 90-96, 1998). Participants reported on average more than 5 types of traumatic exposure. The cut-off indicative for PTSD was exceeded by 26.1% of participants. Symptom levels of PTSD were associated with somatic symptoms. The relationship between trauma exposure and somatic symptoms was partly mediated by the active avoidance and hyperarousal symptom clusters of PTSD. Active avoidance and hyperarousal symptoms seem to play a key role in traumatized people suffering from somatic symptoms.
.... Department of Defense Directive (DoDD) 3000.05 directs that the military shall be prepared to accomplish 'all tasks necessary to establish or maintain order when civilians are unable to do so,' but the metrics which define success...
Koucheravy, Richard J
.... Lately, the Army has improved safety and embedded a more effective safety culture, but it has not improved its program for reducing civilian accident costs or returning injured workers to the workplace...
...) Method of Payment. The fees and mileage of a civilian witness shall be paid by the disbursing officer of... whose testimony is determined not to meet the standards of relevancy and materiality set forth in...
This is an open access article distributed under the terms of the Creative Commons ... Table 1: Clinicodemographic profile of civilian penetrating gunshot neurocranial injuries ... (*Armed robbery, cultists, terrorism). [Downloaded free from ...
statistics. This especially includes Mr. Mike Dove, Ms. Kris Hoffman, Ms. Ninfa Camargo , Mr. Edward Christie, Ms. Rebecca Tag, Ms. Elizabeth Kundift Ms...Center, San Francisco , CA, will close. DoD Civilian Training Study Page 10 Chapter 2: Source There were 1,507 civilians trained We learned that 166...San Diego, CA Service School Command 13 60 San Diego, CA Submarine Training Facility 4 61 San Francisco , CA Naval Technical Training Center 13 62
Dijkstra, Hylke; Petrov, Petar; Mahr, Ewa
This report analyses how the EU, UN and OSCE make resources available for civilian missions. It starts with an overview of civilian missions around the world before comparing civilian planning and conduct procedures in these international organisations. The report zooms in on EU civilian
The Office of Civilian Radioactive Waste Management (OCRWM) currently sponsors two educationally related programs: the Radioactive Waste Management Fellowship Program and the Radioactive Waste Management Research Program for Historically Black Colleges and Universities (HBCU). The graduate fellowship program was implemented in 1985 to meet the US Department of Energy's (DOE's) expected manpower needs for trained scientists and engineers to assist in carrying out the activities of the Nuclear Waste Policy Act. It is recognized that a shortage of master's and doctoral level scientists and engineers in disciplines supportive of the nation's high-level radioactive waste management (RWM) program may impede the DOE's ability to properly carry out its mission under the act. The fellowship program encourages talented undergraduate students to enter graduate programs designed to educate and train them in fields directly related to RWM. The program supports graduate students in various disciplines, including nuclear science and engineering, health physics, and certain area of geology and chemical engineering. It also encourages universities to support and improve research activities and academic programs related to the management of spent nuclear fuel and high-level radioactive waste
This seventh Annual Report to Congress by the Office of Civilian Radioactive Waste Management (OCRWM) describes activities and expenditures of the Office during fiscal years (FY) 1989 and 1990. In November 1989, OCRWM is responsible for disposing of the Nation's spent nuclear fuel and high-level radioactive waste in a manner that protects the health and safety of the public and the quality of the environment. To direct the implementation of its mission, OCRWM has established the following objectives: (1) Safe and timely disposal: to establish as soon as practicable the ability to dispose of radioactive waste in a geologic repository licensed by the NRC. (2) Timely and adequate waste acceptance: to begin the operation of the waste management system as soon as practicable in order to obtain the system development and operational benefits that have been identified for the MRS facility. (3) Schedule confidence: to establish confidence in the schedule for waste acceptance and disposal such that the management of radioactive waste is not an obstacle to the nuclear energy option. (4) System flexibility: to ensure that the program has the flexibility necessary for adapting to future circumstances while fulfilling established commitments. To achieve these objectives, OCRWM is developing a waste management system consisting of a geologic repository for permanent disposed deep beneath the surface of the earth, a facility for MRS, and a system for transporting the waste
This document specifies the top-level requirements for the Civilian Radioactive Waste Management System (CRWMS). The document is referred to herein as the CRD, for CRWMS Requirements document. The OCRWM System Engineering Management Plan (SEMP) establishes the technical document hierarchy (hierarchy of technical requirements and configuration baseline documents) for the CRWMS program. The CRD is the top-level document in this hierarchy. The immediate subordinate documents are the System Requirements Documents (SRDS) for the four elements of the CRWMS and the Interface Specification (IFS). The four elements of the CRWMS are the Waste Acceptance System, the Transportation System, the Monitored Retrievable Storage (MRS) System and the Mined Geologic Disposal System (MGDS). The Interface Specification describes the six inter-element interfaces between the four elements. This hierarchy establishes the requirements to be addressed by the design of the system elements. Many of the technical requirements for the CRWMS are documented in a variety of Federal regulations, DOE directives and other Government documentation. It is the purpose of the CRD to establish the technical requirements for the entire program. In doing so, the CRD summarizes source documentation for requirements that must be addressed by the program, specifies particular requirements, and documents derived requirements that are not covered in regulatory and other Government documentation, but are necessary to accomplish the mission of the CRWMS. The CRD defines the CRWMS by identifying the top-level functions the elements must perform (These top-level functions were derived using functional analysis initially documented in the Physical System Requirements (PSR) documents). The CRD also defines the top-level physical architecture of the system and allocates the functions and requirements to the architectural elements of the system
U.S. Department of Health & Human Services — The National Health Interview Survey (NHIS) is the principal source of information on the health of the civilian noninstitutionalized population of the United States...
Full Text Available What are the varying roles that norms play to either enable or constrain violence in armed conflict settings? The article examines this question by drawing on experiences from communities and armed groups in Colombia and Syria. It begins by presenting an explanation of how norms of violence and nonviolence may arise within communities and influence the behavior of civilian residents, reducing the chances of them becoming involved with armed groups. It then considers how civilian communities can transmit those same norms, shared understandings, and patterns of interaction to the ranks of illegal armed groups and subsequently shape their decisions about the use of violence against civilians. The author argues that civilians may be better positioned to promote the principles codified in International Humanitarian Law than international humanitarian organizations because they have closer contact with irregular armed actors and are viewed with greater legitimacy. The analysis illustrates that to better understand civilian protection mechanisms it is essential to study the interactions between communities and armed actors.
maternal health and nutrition, HIV/AIDS, infectious disease, population, family planning and related reproductive health, and health systems. GH is also... authoritative definition of the PRT goal. Several sources, including the PRT Charter,7 the ISAF PRT Handbook,8 and statements 6 Perito, 2005, p. 11
Morina, Nexhmedin; Ford, Julian D
The impact of war trauma on civilians may include, but also extend beyond, post-traumatic stress disorder (PTSD) to include complex sequelae such as those described by the syndrome of Disorders of Extreme Stress Not Otherwise Specified (DESNOS). In the present study, 102 civilian war victims were interviewed in Kosovo, assessing traumatic life events, PTSD, DESNOS, and depression. Full DESNOS rarely occurred (2% prevalence), however, clinically significant DESNOS symptoms of somatization, altered relationships, and altered systems of meaning were reported by between 24-42% of respondents. Although DESNOS symptoms were correlated with PTSD symptoms, DESNOS symptoms were associated with poorer overall psychological functioning, self-evaluations, satisfaction with life, and social support independent of the effects of PTSD. The findings suggest that DESNOS warrants attention in addition to PTSD in the assessment and treatment of civilians who have been exposed to war and genocide.
Olander William E
Full Text Available Abstract Background In February, 2007, the Associated Press (AP conducted a poll of 1,002 adults in the United States about their attitudes towards the war in Iraq. Respondents were remarkably accurate estimating the current death toll of US soldiers, yet were grossly inaccurate in estimating the current death toll of Iraqi civilians. We conducted a search of newspapers reports to determine the extent of the discrepancy between reporting Coalition and Iraqi civilian deaths, hypothesizing that there would be an over-representation of Coalition deaths compared to Iraqi civilian deaths. Methods We examined 11 U.S. newspapers and 5 non-U.S. newspapers using electronic databases or newspaper web-archives, to record any reports between March 2003 and March 2008 of Coalition and Iraqi deaths that included a numeric indicator. Reports were described as "events" where they described a specific occurrence involving fatalities and "tallies" when they mentioned the number of deaths over a period of time. We recorded the number of events and tallies related to Coalition deaths, Iraqi civilian deaths, and Iraqi combatant deaths Results U.S. newspapers report more events and tallies related to Coalition deaths than Iraqi civilian deaths, although there are substantially different proportions amongst the different U.S. newspapers. In four of the five non-US newspapers, the pattern was reversed. Conclusion This difference in reporting trends may partly explain the discrepancy in how well people are informed about U.S. and Iraqi civilian fatalities in Iraq. Furthermore, this calls into question the role of the media in reporting and sustaining armed conflict, and the extent to which newspaper and other media reports can be used as data to assess fatalities or trends in the time of war.
Elliott, Brenda; Chargualaf, Katie A; Patterson, Barbara
To examine and describe the transition process of military nurses from military nursing practice to civilian nursing practice. A second aim was to identify challenges and facilitators to this transition. Serving in the military, and embodying its values, can have a major impact on a person's worldview. These individuals serve not only as nurses but also as part of a larger military culture with a mission to protect. The decision to separate from the military and transition into the civilian workforce carries many challenges capable of influencing nurses' personal and professional identities. Qualitative descriptive. Semi-structured interviews of 10 nurse veterans were conducted in 2015-2016. Data were collected until saturation was reached. The transition includes four major phases from military to civilian nurse: Separating from Military Life, Conflict and Chaos, Shifting Sands and Personal and Professional Reconstruction. Duration and progress through each phase varied slightly for individual nurses. Both work-role and personal identity transition occur when a nurse leaves the military and enters civilian practice. Military and civilian organisations, in both the USA and other countries, can implement supports to aid these nurses during this personal and professional change. Recommendations from the study group are provided. The global nursing profession, as well as healthcare organisations that employ nurse veterans, has a commitment and obligation to understand the transition process of nurses who practise within the scope of military nursing and later in civilian nursing environments so that they may be supported and used to the extent of their prior experience. Lessons learned and advice from this group of nurses may positively aid others in their transition experience. © 2016 John Wiley & Sons Ltd.
Evans, Elizabeth A; Upchurch, Dawn M; Simpson, Tracy; Hamilton, Alison B; Hoggatt, Katherine J
To examine differences by US military Veteran status and gender in associations between childhood adversity and DSM-5 lifetime alcohol and drug use disorders (AUD/DUD). We analyzed nationally representative data from 3119 Veterans (n = 379 women; n = 2740 men) and 33,182 civilians (n = 20,066 women; n = 13,116 men) as provided by the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III). We used weighted multinomial logistic regression, tested interaction terms, and calculated predicted probabilities by Veteran status and gender, controlling for covariates. To test which specific moderation contrasts were statistically significant, we conducted pairwise comparisons. Among civilians, women had lower AUD and DUD prevalence than men; however, with more childhood adversity, this gender gap narrowed for AUD and widened for DUD. Among Veterans, in contrast, similar proportions of women and men had AUD and DUD; with more childhood adversity, AUD-predicted probability among men surpassed that of women. Childhood adversity elevated AUD probability among civilian women to levels exhibited by Veteran women. Among men, Veterans with more childhood adversity were more likely than civilians to have AUD, and less likely to have DUD. Childhood adversity alters the gender gap in AUD and DUD risk, and in ways that are different for Veterans compared with civilians. Department of Defense, Veterans Affairs, and community health centers can prevent and ameliorate the harmful effects of childhood adversity by adapting existing behavioral health efforts to be trauma informed, Veteran sensitive, and gender tailored.
Logan, Joseph; Bohnert, Amy; Spies, Erica; Jannausch, Mary
Suicidal Ideation among Afghanistan/Iraq War Veterans remains a health concern. As young Veterans adjust to civilian life, new risk factors might emerge and manifest differently in this group versus those in the general population. We explored these differences. With 2013 National Survey on Drug Use and Health data, we examined differences in risk of past-year suicidal ideation between Veterans of the Afghanistan/Iraq War periods aged 18-34 years (N=328) and age-comparable civilians (N=23,222). We compared groups based on individual and socio-environmental risk factors as well as perceptions of unmet mental healthcare needs. We report adjusted rate ratios (aRRs); interaction terms tested for between-group differences. PY suicidal ideation rates for Veterans and civilians did not differ (52 versus 59 per 1,000, p=0.60) and both groups shared many risk factors. However, drug problems and perceived unmet mental health care needs were vastly stronger risk factors among Veterans versus civilians (interaction terms indicated that the aRRs were 3.8-8.0 times higher for Veterans versus civilians). Other differences were discovered as well. Past-year suicidal ideation rates did not differ by Veteran status among young adults. However, different risk factors per group were detected, which can inform Veteran suicide prevention efforts. Published by Elsevier Ireland Ltd.
Johnson, R.A.; Klein, S.W.; Gurol, H.
Seventy years after its discovery, superconducting technology is beginning to play an important role in the civilian sector. Strategic defense initiative (SDI)-related research in space- and ground-based strategic defense weapons, particularly research efforts utilizing superconducting magnet energy storage, magnetohydrodynamics (MHD), and superconducting pulsed-power devices, have direct applications in the civilian sector as well and are discussed in the paper. Other applications of superconducting magnets, which will be indirectly enhanced by the overall advancement in superconducting technology, include high-energy physics accelerators, magnetic resonance imaging, materials purifying, water purifying, superconducting generators, electric power transmission, magnetically levitated trains, magnetic-fusion power plants, and superconducting computers
Santos, James Farley Estevam Dos; Santos, Regina Maria Dos; Costa, Laís de Miranda Crispim; Almeida, Lenira Maria Wanderley Santos de; Macêdo, Amanda Cavalcante de; Santos, Tânia Cristina Franco
to identify and analyze evidence from studies about the importance of civilian nursing organizations. an integrative literature review, for which searches were conducted in the databases LILACS, PubMed/MEDLINE, SciELO, BDENF, and Scopus. sixteen articles published between the years 2004-2013 were selected, 68.75% of which were sourced from Brazilian journals and 31.25% from American journals. civilian nursing organizations are important and necessary, because they have collaborated decisively in nursing struggles in favor of the working class and society in general, and these contributions influence different axes of professional performance.
Objectives include: Promote the use of standards ]based, objective, and quantitative systems for managing projects and programs in the federal government. Understand how civilian agencies in general, manage their projects and programs. Project management survey expected to go out soon to civilian agencies. Describe how EVM and other best practices can be applied by the government to better manage its project and programs irrespective of whether work is contracted out or the types of contracts employed. Develop model policies aimed at project and program managers that are transportable across the government.
Chimah, Carol Uzoamaka; Adogu, Prosper Obunikem Uche; Odeyemi, Kofoworola; Ilika, Amobi Linus
Intimate partner violence (IPV) occurs across the world, in various cultures, and affects people across societies irrespective of economic status or gender. Most data on IPV before World Health Organization multicountry study (WHOMCS) usually came from sources other than the military. Result of this study will contribute to the existing body of knowledge and may serve as a baseline for future studies in military populations. This study compares the prevalence of the different types of IPV against women in military and civilian communities in Abuja, Nigeria. Using a multistage sampling technique, 260 women who had intimate male partners were selected from military and civilian communities of Abuja. Collected data on personal characteristics and different types of IPV experienced were analyzed to demonstrate comparison of the association between the different forms of IPV and the respondents' sociodemographic and partner characteristics in the two study populations using percentages and χ-square statistics, and P-value was assumed to be significant at ≤0.05. The prevalence of the four major types of IPV was higher among the military respondents than among civilians: controlling behavior, 37.1% versus 29.1%; emotional/psychological abuse, 42.4% versus 13.4%; physical abuse, 19.7% versus 5.9%, and sexual abuse, 9.2% versus 8.8%. Significantly more respondents from the military population (59 [45.4%]) compared to civilians (21 [19.4%]) were prevented by their partners from seeing their friends (P=0.000). The situation is reversed with regard to permission to seek health care for self, with civilians reporting a significantly higher prevalence (35 [32.4%]) than did military respondents (20 [15.4%]) (P=0.002). The military respondents were clearly at a higher risk of experiencing all the variants of emotional violence than the civilians (P=0.00). The commonest form of physical violence against women was "being slapped or having something thrown at them, that could hurt
In the growing collection of literature on the EU’s governance credentials, security and defence activities of the Union remain under-represented. This thesis attempts to fill that void by shedding light on the law and practice of accountability in EU civilian crisis management. Unknown to many, the
A survey was conducted to determine if training in high-altitude physiology should : be required for civilian pilots; what the current status of such training was; and, : if required, what should be included in an ideal curriculum. The survey include...
Full Text Available 【Abstract】Objective: To determine the pattern of causalities of Iraqi ballistic missile attacks on Tehran, the capital of Iran, during Iraq-Iran war. Methods: Data were extracted from the Army Staff Headquarters based on daily reports of Iranian army units during the war. Results: During 52 days, Tehran was stroked by 118 Al-Hussein missiles (a modified version of Scud missile. Eighty-six missiles landed in populated areas. During Iraqi missile attacks, 422 civilians died and 1 579 injured (4.9 deaths and 18.3 injuries per missile. During 52 days, 8.1 of the civilians died and 30.4 injured daily. Of the cases that died, 101 persons (24% were excluded due to the lack of information. Among the remainders, 179 (55.8% were male and 142 (44.2% were female. The mean age of the victims was 25.3 years±19.9 years. Our results show that the high accuracy of modified Scud missiles landed in crowded ar-eas is the major cause of high mortality in Tehran. The pres-ence of suitable warning system and shelters could reduce civilian casualties. Conclusion: The awareness and readiness of civilian defense forces, rescue services and all medical facilities for dealing with mass casualties caused by ballistic missile at-tacks are necessary. Key words: Mortality; War; Mass casualty incidents; Wounds and injuries
would have nothing to do with it after the Second World War.4. The National ... 113–115. 4. Visser, British influence on military training and education in South Africa, p. 73. ..... residence, but agreed that they could be dispersed among the civilian students within .... Memories of the Second World War were still very strong …
Dec 12, 2013 ... thoracic and cardiovascular surgery care. Road traffic, occupational and industrial accidents account for a large proportion of cases while stab wounds and gunshot injuries are emerging as common causes in civilian practice (1). The incidence of vascular injuries is increasing in the developing countries.
Full Text Available Carol Uzoamaka Chimah,1 Prosper Obunikem Uche Adogu,2 Kofoworola Odeyemi,3 Amobi Linus Ilika4 1Medical Department, Ministry of Defence Headquarters, Abuja, Nigeria; 2Department of Community Medicine and PHC, Nnamdi Azikiwe University/Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria; 3Department of Community Health, University of Lagos, Lagos, Nigeria Introduction: Intimate partner violence (IPV occurs across the world, in various cultures, and affects people across societies irrespective of economic status or gender. Most data on IPV before World Health Organization multicountry study (WHOMCS usually came from sources other than the military. Result of this study will contribute to the existing body of knowledge and may serve as a baseline for future studies in military populations. This study compares the prevalence of the different types of IPV against women in military and civilian communities in Abuja, Nigeria.Methods: Using a multistage sampling technique, 260 women who had intimate male partners were selected from military and civilian communities of Abuja. Collected data on personal characteristics and different types of IPV experienced were analyzed to demonstrate comparison of the association between the different forms of IPV and the respondents’ sociodemographic and partner characteristics in the two study populations using percentages and Χ-square statistics, and P-value was assumed to be significant at ≤0.05.Results: The prevalence of the four major types of IPV was higher among the military respondents than among civilians: controlling behavior, 37.1% versus 29.1%; emotional/psychological abuse, 42.4% versus 13.4%; physical abuse, 19.7% versus 5.9%, and sexual abuse, 9.2% versus 8.8%. Significantly more respondents from the military population (59 [45.4%] compared to civilians (21 [19.4%] were prevented by their partners from seeing their friends (P=0.000. The situation is reversed with regard to permission to seek
for mental disorders involving sex deviations (e.g., transvestic fetishism), or other similar services, and any supplies provided in connection with...behavior modification, psychotherapy for mental disorders involving sex deviations (e.g., transvestic fetishism), or other similar services, and any...disorders involving sex deviations (e.g., transvestic fetishism), or other similar services, and any supplies provided in connection with therapy for
... sacrifices to our country, and they face different health issues than civilians. During their service, they are ... knees There may also be a risk of health problems from exposure to environmental hazards, such as ...
... assume responsibility for the prisoner while he is in its custody; and (3) that the civilian authority... civilian courts. 720.23 Section 720.23 National Defense Department of Defense (Continued) DEPARTMENT OF THE... civilian courts. (a) Criminal actions. When Federal or State authorities desire the attendance of a naval...
Army civilian workforce with regard to gender and ethnic origin (Office of the Assistant G-1 for Civilian Personnel, 2013). The reported education...climates of perceived inequality . Civilian leader comments frequently referenced favoritism as reflecting cronyism, unfair personnel actions, and...interests of others, unequal enforcement of standards and discipline, and use of discretion in workplace justice. As demonstrated in previous CASAL
Madelyn Hsiao-Rei Hicks
Full Text Available BACKGROUND: Warring groups that compete to dominate a civilian population confront contending behavioral options: target civilians or battle the enemy. We aimed to describe degrees to which combatant groups concentrated lethal behavior into intentionally targeting civilians as opposed to engaging in battle with opponents in contemporary armed conflict. METHODOLOGY/PRINCIPAL FINDINGS: We identified all 226 formally organized state and non-state groups (i.e. actors that engaged in lethal armed conflict during 2002-2007: 43 state and 183 non-state. We summed civilians killed by an actor's intentional targeting with civilians and combatants killed in battles in which the actor was involved for total fatalities associated with each actor, indicating overall scale of armed conflict. We used a Civilian Targeting Index (CTI, defined as the proportion of total fatalities caused by intentional targeting of civilians, to measure the concentration of lethal behavior into civilian targeting. We report actor-specific findings and four significant trends: 1. 61% of all 226 actors (95% CI 55% to 67% refrained from targeting civilians. 2. Logistic regression showed actors were more likely to have targeted civilians if conflict duration was three or more years rather than one year. 3. In the 88 actors that targeted civilians, multiple regressions showed an inverse correlation between CTI values and the total number of fatalities. Conflict duration of three or more years was associated with lower CTI values than conflict duration of one year. 4. When conflict scale and duration were accounted for, state and non-state actors did not differ. We describe civilian targeting by actors in prolonged conflict. We discuss comparable patterns found in nature and interdisciplinary research. CONCLUSIONS/SIGNIFICANCE: Most warring groups in 2002-2007 did not target civilians. Warring groups that targeted civilians in small-scale, brief conflict concentrated more lethal
Hicks, Madelyn Hsiao-Rei; Lee, Uih Ran; Sundberg, Ralph; Spagat, Michael
Warring groups that compete to dominate a civilian population confront contending behavioral options: target civilians or battle the enemy. We aimed to describe degrees to which combatant groups concentrated lethal behavior into intentionally targeting civilians as opposed to engaging in battle with opponents in contemporary armed conflict. We identified all 226 formally organized state and non-state groups (i.e. actors) that engaged in lethal armed conflict during 2002-2007: 43 state and 183 non-state. We summed civilians killed by an actor's intentional targeting with civilians and combatants killed in battles in which the actor was involved for total fatalities associated with each actor, indicating overall scale of armed conflict. We used a Civilian Targeting Index (CTI), defined as the proportion of total fatalities caused by intentional targeting of civilians, to measure the concentration of lethal behavior into civilian targeting. We report actor-specific findings and four significant trends: 1.) 61% of all 226 actors (95% CI 55% to 67%) refrained from targeting civilians. 2.) Logistic regression showed actors were more likely to have targeted civilians if conflict duration was three or more years rather than one year. 3.) In the 88 actors that targeted civilians, multiple regressions showed an inverse correlation between CTI values and the total number of fatalities. Conflict duration of three or more years was associated with lower CTI values than conflict duration of one year. 4.) When conflict scale and duration were accounted for, state and non-state actors did not differ. We describe civilian targeting by actors in prolonged conflict. We discuss comparable patterns found in nature and interdisciplinary research. Most warring groups in 2002-2007 did not target civilians. Warring groups that targeted civilians in small-scale, brief conflict concentrated more lethal behavior into targeting civilians, and less into battles, than groups in larger
Hicks, Madelyn Hsiao-Rei; Lee, Uih Ran; Sundberg, Ralph; Spagat, Michael
Background Warring groups that compete to dominate a civilian population confront contending behavioral options: target civilians or battle the enemy. We aimed to describe degrees to which combatant groups concentrated lethal behavior into intentionally targeting civilians as opposed to engaging in battle with opponents in contemporary armed conflict. Methodology/Principal Findings We identified all 226 formally organized state and non-state groups (i.e. actors) that engaged in lethal armed conflict during 2002–2007: 43 state and 183 non-state. We summed civilians killed by an actor's intentional targeting with civilians and combatants killed in battles in which the actor was involved for total fatalities associated with each actor, indicating overall scale of armed conflict. We used a Civilian Targeting Index (CTI), defined as the proportion of total fatalities caused by intentional targeting of civilians, to measure the concentration of lethal behavior into civilian targeting. We report actor-specific findings and four significant trends: 1.) 61% of all 226 actors (95% CI 55% to 67%) refrained from targeting civilians. 2.) Logistic regression showed actors were more likely to have targeted civilians if conflict duration was three or more years rather than one year. 3.) In the 88 actors that targeted civilians, multiple regressions showed an inverse correlation between CTI values and the total number of fatalities. Conflict duration of three or more years was associated with lower CTI values than conflict duration of one year. 4.) When conflict scale and duration were accounted for, state and non-state actors did not differ. We describe civilian targeting by actors in prolonged conflict. We discuss comparable patterns found in nature and interdisciplinary research. Conclusions/Significance Most warring groups in 2002–2007 did not target civilians. Warring groups that targeted civilians in small-scale, brief conflict concentrated more lethal behavior into
Gender-based violence during conflict and post-conflict situations has received increased attention in research and in the work of development agencies. Viewed primarily as a form of violence against women, this commentary questions whether male civilians have also been victims of gender-based violence during conflict, invisible due to stereotypes surrounding masculinity and a culturally permissive approach towards violence perpetrated against men, especially at times of war. The experience of civilian males of violence, including sexual violence, during the war in Bosnia and Herzegovina and other contemporary wars, suggests that the discourse on gender-based violence and public health research should begin exploring the specific needs of men. Drawing on Nancy Krieger's (Krieger, N. (2003). Genders, sexes, and health: what are the connections-and why does it matter? International Journal of Epidemiology, 32, 652-657) analysis on the differential role of 'sex' and 'gender' on a given exposure-outcome association, this commentary suggests that the impact of gender-based violence on health during conflict may be different for men and women and may require distinct therapeutic approaches. Given that perpetrators are often male, an extra level of stigma is added when heterosexual men are sexually violated, which may lead to underreporting and reduced health-service seeking behavior. Further public health research is needed to guide the work of humanitarian agencies working with survivors of gender-based violence in conflict and post-conflict settings to ensure equal access to appropriate health services for men and women.
Foltz, Greg W.; Hoette, Trisha Marie
The objective of this project, which was supported by the Department of Homeland Security (DHS) Science and Technology Directorate (S&T) Chemical and Biological Division (CBD), was to investigate options for the decontamination of the exteriors and interiors of vehicles in the civilian setting in order to restore those vehicles to normal use following the release of a highly toxic chemical. The decontamination of vehicles is especially challenging because they often contain sensitive electronic equipment, multiple materials some of which strongly adsorb chemical agents, and in the case of aircraft, have very rigid material compatibility requirements (i.e., they cannot be exposed to reagents that may cause even minor corrosion). A systems analysis approach was taken examine existing and future civilian vehicle decontamination capabilities.
The 'Code' was promulgated by the National Nuclear Safety Administration (NSSA) on June 17, 1993, which is applicable to civilian nuclear fuel fabrication, processing, storage and reprocessing installations, not including the safety requirements for the use of nuclear fuel in reactors. The contents of the 'Code' involve siting, design, construction, commissioning, operation and decommissioning of fuel cycle installation. The NNSA shall be responsible for the interpretation of this 'Code'
significant contribution to the construction of an Afghan police force. 1 See for example, Dempsey, 2006; DiManno, 2008; and Graw , 2007. 18 EU Civilian...Giegerich, Bastian, European Military Crisis Management: Connecting Ambition and Reality, Adelphi Paper No. 397, London: Routledge, 2008. Graw , Ansgar...4. Gros-Verheyde, Nicolas, “Interview with Stephen White, Head of EUJUST Lex Mission for Iraq,” Europolitics, January 21, 2009. References 51
This Civilian Reactor Development Program document has the prime purpose of summarizing the technical programs supported by the FY 1983 budget request. This section provides a statement of the overall program objectives and a general program overview. Section II presents the technical programs in a format intended to show logical technical interrelationships, and does not necessarily follow the structure of the formal budget presentation. Section III presents the technical organization and management structure of the program
SEBATA, TAKAO; 瀬端, 孝夫
Over the last thirty years, military official of Japan's Self-Defense Forces (SDF) have begun voicing their opinions more aggressively, exerting influence and power in such areas as: the right of personnel management, budget formulation, organization, and defense policy decision-making. Due to the enhanced status of military officials, change of power balance between civilians and military is taking place. This paper examines civil-military relations in the above areas and discusses how this ...
burdened costs , as they are known, would include the per-person share of costs for recruit -processing centers, schools, and training bases and would...sector so that, in principle, those same positions could be filled by civilian employees. To cut costs , DoD could transfer some of those positions to...functions more cost -effectively. DoD competed and outsourced many positions outlined in those plans. However, CBO does not have information showing
This document summarizes the activities of the Office of Civilian Radioactive Waste Management for FY 1986. Topics include public interaction between the states and affected Indian Tribes, planning for a waste management system, site selection and site characterization of potential geologic repositories, participation in international repository projects, proposal development for a monitored retrievable storage system, demonstrations of spent fuel storage, and development of quality assurance and safety plans. 59 refs., 10 figs., 6 tabs
Bhatti, Junaid Ahmad; Mehmood, Amber; Shahid, Muhammad; Bhatti, Sajjad Akbar; Akhtar, Umbreen; Razzak, Junaid Abdul
In this study, we assessed the epidemiological patterns of suicide terrorism in the civilian population of Pakistan. Information about suicide terrorism-related events, deaths and injuries was extracted from the South-Asian Terrorism Portal (SATP) for the period from 2002 to October 2009. Of 198 events, civilians were involved in 194 events. Civilians accounted for 74.1% (N = 2017) of those who died and 93.8% (N = 6129) of those who were injured. In nine districts, mortality rates were more than one death per 100,000 inhabitants per year. The yearly trend showed a shift of attack targets from foreigners and sectarian targets in 2002-2005 to security forces or general public in 2006-2009. Attacks on public installations (mosques) or political gatherings resulted in a significantly greater (P ≤ 0.02) number of deaths (22 vs. 8) and injuries (59 vs. 24) per event compared with security installations. These results show that prevention might focus on political negotiation with armed groups and that appropriate measures should be taken to protect mosques and political gatherings.
Talving, Peep; Nicol, Andrew J; Navsaria, Pradeep H
Low-velocity gunshot wounds cause most civilian duodenal injuries. The objective of this study was to describe a simplified surgical algorithm currently in use in a South African civilian trauma center and to verify its validity by measuring morbidity and mortality. A retrospective chart review of patients with duodenal gunshot injuries during the study period January 1999 to December 2003 was performed. Data points accrued included patient demographics, admission hemodynamic status and resuscitative measures, laparotomy damage control procedures, methods of surgical repair of the duodenal injury, associated injuries, length of intensive care and hospital stays, complications, and mortality. A total of 75 consecutive patients with gunshot injuries to the duodenum were reviewed. Primary repair was performed in 54 patients (87%), resection and reanastomosis in 7 (11%), and pancreatoduodenectomy in 1 (2%) during the initial phases. The overall morbidity and mortality were 58% and 28%, respectively. Duodenum-related complications were recorded in nine (15%) patients: two duodenal fistulas, one duodenal obstruction, and six cases of suture-line dehiscence. Overall and duodenum-related morbidity rates in patients with combined pancreatoduodenal injuries were 83% and 17%, respectively. Duodenum-related mortality occurred in three (4.8%) patients. Most civilian low-velocity duodenal gunshot injuries treated with simple primary repair result in overall morbidity, mortality, and duodenum-related complication rates comparable to those in reports where more complex surgical procedures were employed. Primary repair is also applicable for most combined pancreatic and duodenal gunshot injuries.
Matsumoto, Mary E; Khan, Mohammed; Jayabalan, Prakash; Ziebarth, Jessica; Munin, Michael C
To report the incidence of symptomatic heterotopic ossification (HO) in a defined civilian amputee population, describe its characteristics, and compare these findings to published data in military amputees. Retrospective chart analysis from July 1998 to July 2009. Ambulatory amputee clinic within a large university medical center. Adults with lower limb amputation (N=158). Not applicable. Patients with symptomatic HO confirmed by radiographs. A total of 261 patients were evaluated; 158 met inclusion criteria, with 59% having traumatic etiology, 18% vascular etiology, 22% infection, and 1% tumor. Symptomatic HO was diagnosed in 36 (22.8%) patients, and 94% patients had mild HO on radiographic scoring. Rate of HO in amputations related to trauma was not increased compared with those of other etiologies. Surgical resection of the ectopic bone was required in 4 (11%) patients. HO is seen commonly after civilian lower limb amputation regardless of etiology. The prevalence was less than that observed in previous reports from military populations. This is the first report estimating the prevalence of HO in adult civilian amputees. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
This report provides projections of the employment of scientists, engineers, technicians, and other occupations for the civilian nuclear industry through the year 2000. Low, medium, and high projections are provided. In all cases, a substantial number of job openings are anticipated to fill needs created by employment growth, retirement, death, and occupational mobility. The expected adequacy of supply to fill these positions is assessed after taking into account projections of college enrollments and degrees along with competing labor demand from nuclear defense, defense waste management, weapons development, non-nuclear defense activities, and other highly technical industries. The likelihood for shortages is high in certain fields. Positions for engineers (particularly nuclear engineers), health physicists, health physics technicians, and electronics technicians will be the most difficult to fill
National Oceanic and Atmospheric Administration Commis- sioned Corps – and their families • National Guard and reserve members, which includes mem- bers of...one), mental health (one), primary care (one), radiology (three), and surgery (three). Therefore, active-duty and other beneficiaries receive much of...vices, gastroenterology, internal medicine, mental health , neurology, nuclear medicine, obstetrics and gynecology, ophthalmology, orthope- dics
Onyia, Ephraim Eziechina; Chikani, Mark C; Mezue, Wilfred C; Uche, Enoch O; Iloabachie, Izuchukwu; Mesi, Matthew; Ejembi, Sunday; Agunwa, Chuka
Civilian penetrating gunshot injuries to the neurocranium are no longer uncommon in Nigeria. Such injuries are however poorly reported. They are associated with poor outcome and, at close range, are frequently fatal, especially when inflicted by high-velocity weapons. Prompt transfer to neurosurgical service and urgent intervention may improve outcome in those that are not mortally wounded. Fifty-two patients with civilian penetrating gunshot wounds seen over a 10-year period (2004-2014) at the University of Nigeria Teaching Hospital and Memfys Hospital for Neurosurgery Enugu were reviewed retrospectively, and their data were analyzed to evaluate factors that impacted on outcome. Only patients with clinical and imaging evidence of cranial gunshot injuries who reached hospital alive were included in the study. The overall mortality and Glasgow outcome score were analyzed. Fifty-two patients with isolated civilian penetrating gunshot wounds were identified (M:F = 7.7:1); mean (standard deviation) age was 32.8 (11.9) years. There was a high correlation (0.983) between the sex of the patients and the outcome. The overall mortality was 30.8%, whereas the mortality for patients with postresuscitation Glasgow coma scale (GCS) score ≤8 was 57%, as against 12.9% in those in whom postresuscitation GCS was >8; meaning that 87.1% of patients in whom postresuscitation GCS was >8 survived. Thirty-one patients (59.6%) had papillary abnormalities. Majority of patients with monohemispheric lesions survived while all those with diencephalic, transventricular, and posterior fossa involvement had 100% mortality. Admitting GCS and bullet trajectory were predictive of outcome.
Ephraim Eziechina Onyia
Full Text Available Introduction: Civilian penetrating gunshot injuries to the neurocranium are no longer uncommon in Nigeria. Such injuries are however poorly reported. They are associated with poor outcome and, at close range, are frequently fatal, especially when inflicted by high-velocity weapons. Prompt transfer to neurosurgical service and urgent intervention may improve outcome in those that are not mortally wounded. Materials and Methods: Fifty-two patients with civilian penetrating gunshot wounds seen over a 10-year period (2004–2014 at the University of Nigeria Teaching Hospital and Memfys Hospital for Neurosurgery Enugu were reviewed retrospectively, and their data were analyzed to evaluate factors that impacted on outcome. Only patients with clinical and imaging evidence of cranial gunshot injuries who reached hospital alive were included in the study. The overall mortality and Glasgow outcome score were analyzed. Results: Fifty-two patients with isolated civilian penetrating gunshot wounds were identified (M:F = 7.7:1; mean (standard deviation age was 32.8 (11.9 years. There was a high correlation (0.983 between the sex of the patients and the outcome. The overall mortality was 30.8%, whereas the mortality for patients with postresuscitation Glasgow coma scale (GCS score ≤8 was 57%, as against 12.9% in those in whom postresuscitation GCS was> 8; meaning that 87.1% of patients in whom postresuscitation GCS was> 8 survived. Thirty-one patients (59.6% had papillary abnormalities. Majority of patients with monohemispheric lesions survived while all those with diencephalic, transventricular, and posterior fossa involvement had 100% mortality. Conclusions: Admitting GCS and bullet trajectory were predictive of outcome.
This is the second Annual Report on the activities and expenditures of the Office of Civilian Radioactive Waste Management (OCRWM) and covers the fiscal year ending September 30, 1984. Research over the past 30 years has shown that high-level radioactive waste and spent nuclear fuel can be safely disposed of in geologic repositories. This report provides an overview of the OCRWM organization. The specific accomplishments of the Office are presented. The Office's financial statements for fiscal years 1983 and 1984 are included, and a concluding chapter updates the report with a brief summary of key accomplishments since the end of fiscal year 1984. 9 figs., 5 tabs
Heim, Alexandre; Laconde, Thibault
The main nuclear actors in Asia are China, South Korea, India and Japan. The authors indicate the share of nuclear energy in their energy mix, the number of operating reactors, the total installed power, and the number of projects. Then, for each of these four countries, and for Pakistan and Taiwan, they propose a brief history of the nuclear program and briefly present its current status. They also evoke the official reactions after the Fukushima accident. Finally, they briefly discuss some issues for the development of civilian nuclear industry in Asia: uranium supplies, nuclear waste processing, development of a national nuclear sector
This proceedings document from the 1983 Civilian Radioactive Waste Management Information Meeting serves to highlight developments since the passage of the Nuclear Policy Act of 1982 and reviews program activities necessary to provide for the permanent disposal and storage of commercially generated high-level radioactive waste. Presentations included in this program cover topics concerning interim spent fuel, monitored retrievable storage, geologic repository deployment as well as management of the Nuclear Waste Fund. Individual papers were abstracted for inclusion in the Energy Data Base
Benatar, Solomon R; Upshur, Ross E G
The concept of the dual loyalty physicians may have to both a patient and a third party is important in elucidating the obligations of physicians. The extent to which loyalty may be deflected from a patient to a third party (e.g., an insurance company or a prison commander) is greatly underestimated and has not attracted significant scholarly analysis. We examined dual loyalty in civilian and military contexts and used the principles of public health ethics to construct a framework for determining the legitimacy of physicians' obligations. We illustrate the application of these principles to problems physicians encounter regarding communicable diseases, elder abuse, and driving fitness. In the complex military context, independent ethics tribunals should be created to adjudicate loyalty conflicts.
Melissa Audry Rampen
disorder in female flight attendants.Methods: A cross-sectional study with convenient sampling was conducted on civilian female flightattendants age 19–50 years who underwent routine medical examination at Civil Aviation Medical Centerand Garuda Sentra Medika, Jakarta on May 18-29 2015. Menstrual duration disorder is menstruation morethan 8 days and/or shorter than usual perid (3-5 days. Stress was identified by usingcriteria of NationalInstitute for Occupational Safety and Health Generic Job Stress Questionnaire Mental Demands FormNumber 11. Relative risk was analyzed usng Cox regression.Results: Among 521 female civilian flight attendants, 393 were willing to participate in this study. Nineteensubjects were excluded, leaving 374 subjects for this analysis, and 35.8% of subjects had menstrualduration disorder. Job stress, flight type and age were dominant risk factors for menstrual duration disorder.Subjects with job stress and long haul flight within three months had higher risk for having menstrualduration disorder by 58% [adjusted relative risk (RRa = 1.58; confidence interval (CI = 0.96-2.62; P =0.071] and 69% (RRa = 1.69; CI = 1.17-2.43 respectively. Those between aged 30-39 years had 50% hadless risk of having menstrual duration disorder (RRa=0.50; 95% CI = 0.22-1.02; P = 0.057.Conclusion: Female civilian flight attendants with job stress, long haul flight within three months and youngerage had higher risk to be menstrual duration disorder. (Health Science Journal of Indonesia 2015;6:87-91Key words: menstrual duration, job stress, female civilian flight attendant, Indonesia
.... From a military perspective, intentional reliance on civilian systems must address, inter alia, national security concerns, contractual obligations, licensing restrictions, liability, and long-term...
The recent development and implementation of a revised Program Approach for the Civilian Radioactive Waste Management System (CRWMS) was accomplished in response to significant changes in the environment in which the program was being executed. The lack of an interim storage site, growing costs and schedule delays to accomplish the full Yucca Mountain site characterization plan, and the development and incorporation of a multi-purpose (storage, transport, and disposal) canister (MPC) into the CRWMS required a reexamination of Program plans and priorities. Dr. Daniel A. Dreyfus, the Director of the Office of Civilian Radioactive Waste Management (OCRWM), established top-level schedule, targets and cost goals and commissioned a Program-wide task force of DOE and contractor personnel to identify and evaluate alternatives to meet them. The evaluation of the suitability of Yucca Mountain site by 1998 and the repository license application data of 2001 were maintained and a target date of January 1998 for MPC availability was established. An increased multi-year funding profile was baselined and agreed to by Congress. A $1.3 billion reduction in Yucca Mountain site characterization costs was mandated to hold the cost to $5 billion. The replanning process superseded all previous budget allocations and focused on program requirements and their relative priorities within the cost profiles. This paper discusses the process for defining alternative scenarios to achieve the top-level program goals in an integrated fashion
This paper focuses on three periods of stabilisation in Colombia: the Alliance for Progress (1961-73) that sought to stem the threat of communist revolution in Latin America; Plan Colombia and President Alvaro Uribe's 'democratic security' policy (2000-07) aimed at defeating the guerrillas and negotiating a settlement with the paramilitaries; and the current 'integrated approach', adopted from 2007, to consolidate more effectively the state's control of its territory.(1) The paper assesses the extent to which these stabilisation efforts have enhanced the protection of civilians and ultimately finds that in all three periods there has been a disconnect between the discourse and the practice of stabilisation. While they have all sought to enhance security, in actual fact, they have privileged the security of the state and its allies at the expense of the effective protection of the civilian population. This has not only led to widespread human rights abuses but also has undermined the long-term stability being pursued. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.
Serafino, Nina M
.... In September 2008, Congress passed the Reconstruction and Stabilization Civilian Management Act, 2008, as Title XVI of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009 (S. 3001, P.L...
Blood transfusion was initially a small-scale, labour-intensive therapy administered by physicians. Through the first decades of the 20th century, transfusion comprised a "last resort" measure used and tested primarily in the context of war. Media accounts of the Almonte train disaster on the night of 27 December 1942 linked survival to the newly established blood bank located 42 km east in Ottawa, Ontario. This event did not constitute a "first time" occurrence or a "great discovery" in the history of blood. But it did illustrate in a very visible and public manner that blood transfusion technology was now readily available for use in general hospitals and civilian populations. Canada had an infrastructure for the collection, processing, storage, and transportation of blood products, and for the recruitment of blood donors by the mid-1940s. As the need for blood declined toward the end of World War II, transfusion became a technology in need of application. The extension of transfusion to civilian populations, however, would require a ready source of labour-increased numbers of health care workers who were available continuously with the necessary knowledge and skills to assume the responsibility. Nurses were well situated for this technological role by a convergence of scientific, economic, labour, gender, professional, and educational influences that both facilitated and constrained blood transfusion as a nursing competency. This paper examines how the expanded use of one medical technology shaped related roles for nurses. Transfusion ultimately influenced nurses' work and the composition of the workforce as the first medical act "delegated" to nurses in Ontario (1947), setting a precedent for the delegation of further technologies over the next four decades.
Lo, Janice; Patel, Preeti; Roberts, Bayard
To systematically examine evidence on tobacco use among conflict-affected civilian populations. Primary quantitative and qualitative studies published in English up to April 2014. Bibliographic databases searched were EMBASE, Global Health, MEDLINE, PsycEXTRA, PsycINFO, Web of Science, Cochrane; with the main terms of: (Smoke*, tobacco*, cigarette*, nicotine, beedi, bidi, papirosi, dip, chew, snuff, snus, smokeless tobacco) AND (armed-conflict, conflict-affected, conflict, war, refugee, internally displaced, forcibly displaced, asylum, humanitarian). Grey literature was searched using humanitarian databases, websites and search engines. Studies were independently selected by two reviewers, with a study outcome of tobacco use and a population of conflict-affected civilian populations such as internally displaced persons, refugees, residents in conflict-affected areas, residents and returning forcibly displaced populations returning in stabilised and postconflict periods. 2863 studies were initially identified. Data were independently extracted. The Quality Assessment Tool for Quantitative Studies and the Critical Appraisal Skills Programme for qualitative studies were used to assess study quality. 39 studies met inclusion criteria and descriptive analysis was used. Findings were equivocal on the effect of conflict on tobacco use. Evidence was clearer on associations between post-traumatic stress and other mental disorders with nicotine dependence. However, there were too few studies for definitive conclusions. No study examined the effectiveness of tobacco-related interventions. The quantitative studies were moderate (N=13) or weak (N=22) quality, and qualitative studies were moderate (N=3) or strong (N=2). Some evidence indicates links between conflict and tobacco use but substantially more research is required. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
....36 Government transportation of civilians for public affairs purposes. (a) General policy. (1... Assistant Secretary of Defense (Public Affairs), as appropriate. (8) Point to point transportation within... 32 National Defense 5 2010-07-01 2010-07-01 false Government transportation of civilians for...
Miller, Zachary F.
This study examined whether cadets at a U.S. service academy perceived attitudinal differences toward their military and civilian L2 instructors along three variables: foreign language expertise, communicative anxiety, and relatability. Cadets' proficiency levels (divided by beginning and intermediate classes) and current instructor (civilian or…
During President Reagan's first term, the nation faced squarely most of the major issues facing nuclear power - issues which had accumulated for several decades. The nation established a very large and challenging agenda aimed at: removing Federal impediments to commercial nuclear power; aimed at fulfilling Federal statutory responsibilities in nuclear power rather than sluffing off those obligations; and aimed at restoring the Federal Government as a reliable partner with industry rather than a vacillating nuisance - a cheerleader one day and a nag the next. Very substantive progress has been made on that agenda in the face of what seemed to be insurmountable opposition. The US civilian nuclear program was launched by President Eisenhower in the 1950's. In the 1980's, another great American President has moved to restore the commitment to safe, economic and reliable nuclear power
Vlahakis, J.G.; Palabrica, R.J.
The Office of Civilian Radioactive Waste Management (RW) has successfully negotiated the issuance of a Department of Energy (DOE) Headquarters Order that provides for exemption of RW from certain DOE directives. This exemption assures precedence of Nuclear Regulatory Commission (NRC) requirements in radiation protection, nuclear safety (including quality assurance), and safeguards and security of nuclear materials. This Order is necessary to avoid the unwarranted cost and potential confusion resulting from dual regulation of RW facilities and activities by DOE and NRC. Development of this Order involved a systematic review of applicable DOE directives and NRC requirements to identify potential overlaps and duplication when applied to the RW program. Following this review and extensive negotiations with appropriate DOE organizations responsible for directives development, this Order was issued as HQ 1321.1 on December 22, 1993
The inclusion of article 56 in Protocol 1 of the Geneva convention of 12 August 1949 represents a significant achievement in the development of international humanitarian law. Article 56 of protocol 1 reads as follow: firstly, works or installations containing dangerous forces, namely dams, dykes and nuclear electrical generating stations, shall not not be made the object of attack, even where these objects are military objectives, if such attack may cause the release of dangerous forces and consequent severe losses among the civilian population. Other military objectives located at or in the vicinity of these works or installations shall not be made the object of attack if such attack may cause the release of dangerous forces from the works or installations and consequent severe losses among the civilian population. Secondly, the special protection against attack provided by paragraph 1 shall cease: for a dam or a dyke only if it is used for other than its normal function and in regular, significant and direct support of military operations and if such attack is the only feasible way to terminate such support; for a nuclear electrical generating station only if it provides electric power in regular, significant and direct support of military operations and if such attack is the only feasible way to terminate such support;for other military objectives located at or in the vicinity of these works or installations only if they are used in regular, significant and direct support of military operations and if such attack is the only feasible way to terminate such support. Thirdly, in all cases, the civilian population and individual civilians shall remain entitled to all the protection accorded them by international law, including the protection of the precautionary measures provided for in article 57. If the protection ceases and any of the works, installations or military objectives mentioned in paragraph 1 is attacked, all practical precautions shall be taken to
The US Department of Energy's (DOE) Office of Civilian Radioactive Waste Management (OCRWM) is publishing this catalog to provide citations of selected technical and public information on the subject of high-level radioactive waste management. The catalog is a resource and reference tool that is updated and printed periodically. The online catalog is available for review through OCRWM's Product Record System (PRS) and is available to the public. The printed catalog version is suitable for libraries and those individuals needing either a broad base of information or a particular source; the computerized catalog version provides the most current information resources available, since updates to citations are made as they are received. The number of documents suitable for listing in this catalog is expected to grow significantly each year
This is the third annual report on the activities and expenditures of the Office of Civilian Radioactive Waste Management (OCRWM) and covers the period from October 1, 1984 through September 30, 1985. The following were among the most significant accomplishments during FY 1985: publication of the mission plan; creation of a systems integration capability; publication of draft environmental assessments; development of a program management system and implementation of a comprehensive approach of ''managing for quality'' in all program activities; and development of new initiatives and more consistent interactions in the area of institutional relationships. The Office's financial statements for fiscal years 1984 and 1985 are included, and a concluding chapter updates the report with a brief summary of highlights of accomplishments following the end of fiscal year 1985. 96 refs., 10 figs., 5 tabs
Yugami, Hiroo; Sasa, Hiromi; Yamaguchi, Masafumi
The potential market for thermophotovoltaic (TPV) applications has been studied for civilian and industrial sectors in Japan. Comparing the performance of gas engines or turbines, as well as the underdeveloped power generation technologies such as fuel cells or chemical batteries, we have discussed the feasible application field of TPV systems to compete with those power generators. From the point of view of applicability for TPV systems in Japan, portable generators, co-generation systems and solar power plants are selected for our system analysis. The cost and performance targets of TPV systems for co-generation are also discussed by assuming a typical daily profile of electricity and hot water demands in Japanese homes. A progress report on the recent TPV research activities is given as well as a feasibility study concerning such TPV systems in Japan. (Author)
Smith, Edward Reed; Shapiro, Geoff; Sarani, Babak
The incidence and severity of civilian public mass shootings (CPMS) continue to rise. Initiatives predicated on lessons learned from military woundings have placed strong emphasis on hemorrhage control, especially via use of tourniquets, as means to improve survival. We hypothesize that both the overall wounding pattern and the specific fatal wounds in CPMS events are different from those in military combat fatalities and thus may require a new management strategy. A retrospective study of autopsy reports for all victims involved in 12 CPMS events was performed. Civilian public mass shootings was defined using the FBI and the Congressional Research Service definition. The site of injury, probable site of fatal injury, and presence of potentially survivable injury (defined as survival if prehospital care is provided within 10 minutes and trauma center care within 60 minutes of injury) was determined independently by each author. A total 139 fatalities consisting of 371 wounds from 12 CPMS events were reviewed. All wounds were due to gunshots. Victims had an average of 2.7 gunshots. Relative to military reports, the case fatality rate was significantly higher, and incidence of potentially survivable injuries was significantly lower. Overall, 58% of victims had gunshots to the head and chest, and only 20% had extremity wounds. The probable site of fatal wounding was the head or chest in 77% of cases. Only 7% of victims had potentially survivable wounds. The most common site of potentially survivable injury was the chest (89%). No head injury was potentially survivable. There were no deaths due to exsanguination from an extremity. The overall and fatal wounding patterns following CPMS are different from those resulting from combat operations. Given that no deaths were due to extremity hemorrhage, a treatment strategy that goes beyond use of tourniquets is needed to rescue the few victims with potentially survivable injuries. Prognostic/epidemiologic study, level IV
This revision of the Civilian Radioactive Waste Management Program Plan describes the objectives of the Civilian Radioactive Waste management Program (Program) as prescribed by legislative mandate, and the technical achievements, schedule, and costs planned to complete these objectives. The Plan provides Program participants and stakeholders with an updated description of Program activities and milestones for fiscal years (FY) 1998 to 2003. It describes the steps the Program will undertake to provide a viability assessment of the Yucca Mountain site in 1998; prepare the Secretary of Energy`s site recommendation to the President in 2001, if the site is found to be suitable for development as a repository; and submit a license application to the Nuclear Regulatory Commission in 2002 for authorization to construct a repository. The Program`s ultimate challenge is to provide adequate assurance to society that an operating geologic repository at a specific site meets the required standards of safety. Chapter 1 describes the Program`s mission and vision, and summarizes the Program`s broad strategic objectives. Chapter 2 describes the Program`s approach to transform strategic objectives, strategies, and success measures to specific Program activities and milestones. Chapter 3 describes the activities and milestones currently projected by the Program for the next five years for the Yucca Mountain Site Characterization Project; the Waste Acceptance, Storage and Transportation Project; ad the Program Management Center. The appendices present information on the Nuclear Waste Policy Act of 1982, as amended, and the Energy Policy Act of 1992; the history of the Program; the Program`s organization chart; the Commission`s regulations, Disposal of High-Level Radioactive Wastes in geologic Repositories; and a glossary of terms.
Weinberg, Jordan A; Moore, Andrew H; Magnotti, Louis J; Teague, Rebecca J; Ward, Tyler A; Wasmund, Joshua B; Lamb, Elena M P; Schroeppel, Thomas J; Savage, Stephanie A; Minard, Gayle; Maish, George O; Croce, Martin A; Fabian, Timothy C
The management of arterial injury at the thoracic outlet has long hinged on the fundamental principles of extensile exposure and vascular anastomosis. Nonetheless, treatment options for such injuries have evolved to include both endovascular stent placement and temporary vascular shunts. The purpose of this study was to evaluate our recent experience with penetrating cervicothoracic arterial injuries in light of these developments in trauma care. Patients with penetrating injuries to the innominate, carotid, subclavian, or axillary arteries managed at a single civilian trauma center between 2000 and 2013 were categorized as the modern era (ME) cohort. The management strategies and outcomes pertaining to the ME group were compared to those of previously reported experience (PE) concerning injuries to the innominate, carotid, subclavian, or axillary arteries at the same institution from 1974 to 1988. Over the two eras, there were 202 patients: 110 in the ME group and 92 in the PE group. Most of the injuries in both groups were managed with primary repair (45% vs. 46%; p = 0.89). A similar proportion of injuries in each group was managed with anticoagulation alone (14% vs. 10%; p = 0.40). In the ME group, two cases were managed with temporary shunt placement, and endovascular stent placement was performed in 12 patients. Outcomes were similar between the groups (bivariate comparison): mortality (ME, 15% vs. PE, 14%; p = 0.76), amputation following subclavian or axillary artery injury (ME, 5% vs. PE, 4%; p = 0.58), and posttreatment stroke following carotid injury (ME, 2% vs. PE, 6%; p = 0.57). Experience with penetrating arterial cervicothoracic injuries at a high-volume urban trauma center remained remarkably similar with respect to both anatomic distribution of injury and treatment. Conventional operative exposure and repair remain the cornerstone of treatment for most civilian cervicothoracic arterial injuries. Therapeutic study, level V.
This revision of the Civilian Radioactive Waste Management Program Plan describes the objectives of the Civilian Radioactive Waste management Program (Program) as prescribed by legislative mandate, and the technical achievements, schedule, and costs planned to complete these objectives. The Plan provides Program participants and stakeholders with an updated description of Program activities and milestones for fiscal years (FY) 1998 to 2003. It describes the steps the Program will undertake to provide a viability assessment of the Yucca Mountain site in 1998; prepare the Secretary of Energy's site recommendation to the President in 2001, if the site is found to be suitable for development as a repository; and submit a license application to the Nuclear Regulatory Commission in 2002 for authorization to construct a repository. The Program's ultimate challenge is to provide adequate assurance to society that an operating geologic repository at a specific site meets the required standards of safety. Chapter 1 describes the Program's mission and vision, and summarizes the Program's broad strategic objectives. Chapter 2 describes the Program's approach to transform strategic objectives, strategies, and success measures to specific Program activities and milestones. Chapter 3 describes the activities and milestones currently projected by the Program for the next five years for the Yucca Mountain Site Characterization Project; the Waste Acceptance, Storage and Transportation Project; ad the Program Management Center. The appendices present information on the Nuclear Waste Policy Act of 1982, as amended, and the Energy Policy Act of 1992; the history of the Program; the Program's organization chart; the Commission's regulations, Disposal of High-Level Radioactive Wastes in geologic Repositories; and a glossary of terms
medical examinations in the Civil Aviation Medical Center on 18 to 29 May 2015. Several data among other, others, were on demographic and job characteristics, clinical, exercise habits, eating habits, and history of the disease. High systolic blood pressure defined as systolic blood pressure 140 mmHg or more. Results: Of the 690 pilots who conduct periodic health examinations, 428 male pilots willing to participate this study. Age and history of hypertension is the dominant risk factor associated with high systolic blood pressure. When compared with the pilot age 19-39 years, 40-65 years old had 15.1-fold greater risk of high systolic blood pressure [odds ratio (adjusted ORa= 15.12; p= 0.001]. Pilot with a history of hypertension compared to those without a history of having high systolic blood pressure risk 93.2 times larger (ORa= 93.21; p= 0.001. Conclusion: Age of 40-65 years and had history of hypertension increased the riskj of systolic blood pressure among civilian pilot in Indonesia. Key words: systolic blood pressure, total flight hours, civilian pilot, Indonesia
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Is a National Guard civilian technician... a National Guard civilian technician considered a State or Federal employee for purposes of USERRA? A National Guard civilian technician is considered a State employee for USERRA purposes, although he...
... or staff members of civilian news media. 705.15 Section 705.15 National Defense Department of Defense... REGULATIONS § 705.15 Employment of Navy personnel as correspondents or staff members of civilian news media. (a) A member of the naval service on active duty or Navy civilian may act as correspondent for a news...
Proctor, Susan P
.... The objectives are to: 1) describe the current health status of this ARNG cohort, 2) examine to what extent the job strain of ARNG service affects the relationship between Civilian job strain and health and job performance outcomes and, 3...
This book has three separate complementary goals. First, it develops a model to explain how the command and control of nuclear weapons evolves over time. Second, it tells the story of the evolution of one critical aspect of the nuclear command system, the custody of nuclear weapons. Finally, it assesses the general problem of ensuring civilian control over nuclear operations. The focus is on the formation of operational policy. Where to deploy a weapon and at what state of alertness is an operational decision. Part I, The Theory of Civilian Control is divided into three chapters: Civilian control: Principles and problems; Civilian Control: From alerts to war termination; and Explaining changes in civilian control. Part II, The Evolution of Custody Policy has seven chapters: The Atomic Energy Act and the origin of assertive control, 1945-1947; The first test of assertive civilian control, 1948-1949; The breach in assertive control, 1950-1952; Assertive control becomes delegative control, 1953-1958; The resurgence of assertive control, 1959-1962; The cycle continues, 1963-1990; and Conclusion: The future of civilian control
McCoy, Kaylyn Marie
There are significant challenges to successfully monitoring multiple processes within a nuclear reactor facility. The evidence for this observation can be seen in the historical civilian nuclear incidents that have occurred with similar initiating conditions and sequences of events. Because there is a current lack within the nuclear industry, with regards to the monitoring of internal sensors across multiple processes for patterns of failure, this study has developed a program that is directed at accomplishing that charge through an innovation that monitors these systems simultaneously. The inclusion of digital sensor technology within the nuclear industry has appreciably increased computer systems' capabilities to manipulate sensor signals, thus making the satisfaction of these monitoring challenges possible. One such manipulation to signal data has been explored in this study. The Nuclear Reactor Condition Analyzer (NRCA) program that has been developed for this research, with the assistance of the Nuclear Regulatory Commission's Graduate Fellowship, utilizes one-norm distance and kernel weighting equations to normalize all nuclear reactor parameters under the program's analysis. This normalization allows the program to set more consistent parameter value thresholds for a more simplified approach to analyzing the condition of the nuclear reactor under its scrutiny. The product of this research provides a means for the nuclear industry to implement a safety and monitoring program that can oversee the system parameters of a nuclear power reactor facility, like that of a nuclear power plant.
The Nuclear Waste Policy Act of 1982 confirms the Federal responsibility for nuclear waste management and provides for unprecedented involvement by States, Indian tribes and the public. The Act provides a comprehensive framework for disposing of spent nuclear fuel and high-level radioactive wastes of domestic origin generated by civilian nuclear power reactors. It establishes detailed schedules and procedures for selecting and developing geologic repositories; provides a mechanism for financing the cost of disposal; and sets forth other provisions relating to nuclear waste disposal. The other provisions of the Act include provision for a user-financed federal interim storage facility with time and quantity limitations, as well as strict Nuclear Regulatory Commission-prescribed eligibility criteria; a proposal for a Federally-owned and operated monitored retrievable storage (MRS) facility for the interim period prior to operation of a permanent repository; and provision for a Test and Evaluation Facility (TEF). This paper centers on the schedule and current status and siting of the first two geologic repositories
This is the fifth Annual Report to Congress by the Office of Civilian Radioactive Waste Management (OCRWM). The report covers the activities and expenditures of OCRWM during fiscal year 1987, which ended on September 30, 1987. The activities and accomplishments of OCRWM during fiscal year 1987 are discussed in chapters 1 through 9 of this report. The audited financial statements of the Nuclear Waste Fund are provided in chapter 10. Since the close of the fiscal year, a number of significant events have occurred. Foremost among them was the passage of the Nuclear Waste Policy Amendments Act of 1987 (Amendments Act) on December 21, 1987, nearly 3 months after the end of the fiscal year covered by this report. As a result, some of the plans and activities discussed in chapters 1 through 9 are currently undergoing significant change or are being discontinued. Most prominent among the provisions of the Amendments Act is the designation of Yucca Mountain, Nevada, as the only candidate first repository site to be characterized. Therefore, the site characterization plans for Deaf Smith, Texas, and Hanford, Washington, discussed in chapter 3, will not be issued. The refocusing of the waste management program under the Amendments Act is highlighted in the epilogue, chapter 11. 68 refs., 7 figs., 7 tabs
Gunapala, Sarath D.; Kukkonen, Carl A.; Sirangelo, Mark N.; McQuiston, Barbara K.; Chehayeb, Riad; Kaufmann, M.
Advanced thermal imaging infrared cameras have been a cost effective and reliable method to obtain the temperature of objects. Quantum Well Infrared Photodetector (QWIP) based thermal imaging systems have advanced the state-of-the-art and are the most sensitive commercially available thermal systems. QWIP Technologies LLC, under exclusive agreement with Caltech University, is currently manufacturing the QWIP-ChipTM, a 320 X 256 element, bound-to-quasibound QWIP FPA. The camera performance falls within the long-wave IR band, spectrally peaked at 8.5 μm. The camera is equipped with a 32-bit floating-point digital signal processor combined with multi- tasking software, delivering a digital acquisition resolution of 12-bits using nominal power consumption of less than 50 Watts. With a variety of video interface options, remote control capability via an RS-232 connection, and an integrated control driver circuit to support motorized zoom and focus- compatible lenses, this camera design has excellent application in both the military and commercial sector. In the area of remote sensing, high-performance QWIP systems can be used for high-resolution, target recognition as part of a new system of airborne platforms (including UAVs). Such systems also have direct application in law enforcement, surveillance, industrial monitoring and road hazard detection systems. This presentation will cover the current performance of the commercial QWIP cameras, conceptual platform systems and advanced image processing for use in both military remote sensing and civilian applications currently being developed in road hazard monitoring.
Çelikel, Adnan; Karaarslan, Bekir; Demirkıran, Dua Sümeyra; Zeren, Cem; Arslan, Muhammet Mustafa
A considerable number of deaths due to firearm injuries have occurred during wars all over the world. In this study, it is aimed to evaluate demographic characteristics and injury properties of cases died during civil war in Syria. The postmortem examination and autopsy reports of 321 forensic deaths occurred between January and December 2012 were analyzed, retrospectively. Of the 321 forensic deaths,186 cases were injured and died in the civil war in Syria and, therefore, included in the scope of the study. Four cases died by natural causes or traffic accidents were excluded. Cases were most commonly (n=73, 39.2%) aged between 21 and 30 years, and 21.5% (n=40) of cases aged under 20 years. Of females, 68.8% (n=11) were children and young adults under 20 years of age. An overwhelming majority of deaths (n=125, 67.2%) were caused by explosive and shrapnel injuries, followed by (n=49, 26.3%) gunshot injuries related deaths. This study indicated that a significant proportion of those who died after being injured in the Syrian war were children, women and elderly people. The nature and localization of the observed injuries indicated open attacks by military forces regardless of targets being civilians and human rights violations.
Pruitt, Jr, Basil A
.... Treatment refinements developed during wartime and research findings generated during conflict and the interbellum periods have been transferred to the civilian community to improve the care of all trauma patients...
Matthews, Warren E
...: economic development, political parties, and the Monarchy. Next, the thesis analyzes three different periods in Thailand's political development to determine trends in the level of military autonomy and civilian control...
Peczalski, Andy; Kriz, Jeff; Carlson, Stephen G; Sampson, Steven J
... AND T) MMGR objective of meeting pervasive defense system requirements and civilian needs for ultra-small GPS receiver technology is dependent in part upon the creation of multi- L-band reconfigurable...
...) recent analysis of the effects of reserve call-ups on civilian employers. The military reserves provide trained service members and units that are available for active military duty during peacetime and war...
... regional centers, and attempting to improve personnel management business processes. A key part of this initiative is Defense's development of a new information management system-the Defense Civilian Personnel Data System (DCPDs...
The Department of Defense (DoD) prides itself on providing "world class" training and continuing education to its military employees and would like to expand that reputation to its civilian employees...
Elling, Terry L
.... The thesis examines the advice to accused persons concerning the nature of the charge to which they pleaded guilty and the manner in which military and civilian judges develop the factual basis to support a guilty plea...
.... While international space law is very permissive with regard to military uses of space, there are considerable legal and security implications resulting from military and civilian dependence on the same space services...
.... Particularly in El Salvador, which has only just recently resolved a decade-long insurgency, there exists an absolute need for the civilian and military leadership to work efficiently and effectively...
Turner, Conor D. A.; Lockey, David J.; Rehn, Marius
Background Mass casualty civilian shootings present an uncommon but recurring challenge to emergency services around the world and produce unique management demands. On the background of a rising threat of transnational terrorism worldwide, emergency response strategies are of critical importance. This study aims to systematically identify, describe and appraise the quality of indexed and non-indexed literature on the pre-hospital management of modern civilian mass shootings to guide future p...
Richard Shelly Hartigan, Civilian Victims in War: A Political History (Chicago: Precedent Publishers, 2010), 5–6. 32 Ibid., 7. 33 Martha Finnemore...in the DRC, and also because it casts light on the convoluted reality of violence in the eastern Congo. That is, it presents a visceral example of how...be Anonymous,’” National Public Radio World News, 6 April 2011. Hartigan, Richard Shelly . Civilian Victims in War: A Political History. Chicago
CIVILIAN TECHNOLOGY FIRMS PLAY A ROLE IN THE DEFENSE INDUSTRIAL BASE GOING FORWARD? by Daniel J. Shipman December 2017 Thesis Advisor: Mie...2017 3. REPORT TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE HOW MIGHT CIVILIAN TECHNOLOGY FIRMS PLAY A ROLE IN THE DEFENSE INDUSTRIAL...the competitive business environment of Department of Defense (DOD) vendors and whether the market is favorable for non-traditional, technology
This is our final report on the audit of the Joint Civilian Orientation Conference (JCOC) Fund (the Fund). We performed the audit from June to July...1990. The Director, Budget and Finance, Washington Headquarters Services, requested the audit because a new Treasurer had been appointed. The overall...Instruction No. 48, Joint Civilian Orientation Conference Fund, May 31, 1983, and with DoD policy and guidelines. In addition, the audit evaluated
External Relation, Clarity of Expression, Social Style, Subject Matter, and Aesthetics ). Each of these 10 subscales are rated on a scale of 0 to 5 where 0...Award Number: W81XWH-11-1-0635 TITLE: Treatment of Social Competence in Military Veterans, Service Members, and Civilians with Traumatic Brain...1Aug2014 - 31Jul2015 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Treatment of Social Competence in Military Veterans, Service Members, and Civilians with
Morina, Nexhmedin; van Emmerik, Arnold A P; Andrews, Bernice; Brewin, Chris R
The World Health Organization recently proposed a reformulation of posttraumatic stress disorder (PTSD) for the 11(th) edition of the International Classification of Diseases (ICD-11), employing only 6 symptoms. The aim of this study was to investigate the impact of this reformulation of PTSD as compared to criteria according to Diagnostic and Statistical Manual of Mental Disorders (4th ed., DSM-IV; American Psychiatric Association, 1994) on the prevalence of current PTSD as well as comorbid major depressive episode and anxiety disorders other than PTSD. Study 1 involved previously collected interviews with 560 Kosovar civilian war survivors; Study 2 employed a previously collected sample of 142 British war veterans. Results revealed no change in the diagnostic status under the criteria proposed for ICD-11 in 87.5% of civilian war survivors and 91.5% of war veterans. Participants who only met the newly proposed criteria showed lower rates of comorbid major depressive episode than participants who only met DSM-IV criteria (13.6% vs. 43.8% respectively). Rates of comorbid anxiety disorders did not significantly differ between participants who lost or gained a PTSD diagnosis under the proposed criteria. Copyright © 2014 International Society for Traumatic Stress Studies.
Liu, Bian; Tarigan, Lukman H; Bromet, Evelyn J; Kim, Hyun
The World Trade Center (WTC) disaster on September 11, 2001 was an unprecedented traumatic event with long-lasting health consequences among the affected populations in the New York metropolitan area. This meta-analysis aimed to estimate the risk of probable posttraumatic stress disorder (PTSD) associated with specific types of WTC exposures. Meta-analytical findings from 10 studies of 3,271 to 20,294 participants yielded 37 relevant associations. The pooled summary odds ratio (OR) was 2.05 (95% confidence interval (CI): 1.82, 2.32), with substantial heterogeneity linked to exposure classification, cohort type, data source, PTSD assessment instrument/criteria, and lapse time since 9/11. In general, responders (e.g. police, firefighters, rescue/recovery workers and volunteers) had a lower probable PTSD risk (OR = 1.61; 95% CI: 1.39, 1.87) compared to civilians (e.g. residents, office workers, and passersby; OR = 2.71, 95% CI: 2.35, 3.12). The differences in ORs between responders and civilians were larger for physical compared to psychosocial exposure types. We also found that injury, lost someone, and witnessed horror were the three (out of six) most pernicious exposures. These findings suggest that these three exposures should be a particular focus in psychological evaluation and treatment programs in WTC intervention and future emergency preparedness efforts.
Full Text Available The World Trade Center (WTC disaster on September 11, 2001 was an unprecedented traumatic event with long-lasting health consequences among the affected populations in the New York metropolitan area. This meta-analysis aimed to estimate the risk of probable posttraumatic stress disorder (PTSD associated with specific types of WTC exposures. Meta-analytical findings from 10 studies of 3,271 to 20,294 participants yielded 37 relevant associations. The pooled summary odds ratio (OR was 2.05 (95% confidence interval (CI: 1.82, 2.32, with substantial heterogeneity linked to exposure classification, cohort type, data source, PTSD assessment instrument/criteria, and lapse time since 9/11. In general, responders (e.g. police, firefighters, rescue/recovery workers and volunteers had a lower probable PTSD risk (OR = 1.61; 95% CI: 1.39, 1.87 compared to civilians (e.g. residents, office workers, and passersby; OR = 2.71, 95% CI: 2.35, 3.12. The differences in ORs between responders and civilians were larger for physical compared to psychosocial exposure types. We also found that injury, lost someone, and witnessed horror were the three (out of six most pernicious exposures. These findings suggest that these three exposures should be a particular focus in psychological evaluation and treatment programs in WTC intervention and future emergency preparedness efforts.
The Standard Contract for Disposal of Spent Nuclear Radioactive Waste (10 CFR Part 961) requires the Department of Energy (DOE) to issue an Annual Capacity Report (ACR) for planning purposes. This report is the fifth in the series published by DOE. In March 1993, DOE published the 1992 Acceptance Priority Ranking (APR) that established the order in which DOE will allocate projected acceptance capacity. As required by the Standard Contract, the acceptance priority ranking is based on the date the spent nuclear fuel (SNF) was permanently discharged, with the owners of the oldest SNF, on an industry-wide basis, given thehighest priority. The 1992 ACR applies the projected waste acceptance rates in Table 2.1 to the 1992 APR, resulting in individual allocations for the owners and generators of the SNF. These allocations art, listed in detail in the Appendix, and summarized in Table 3.1. The projected waste acceptance rates for SNF presented in Table 2.1 assume a site for a Monitored Retrievable Storage (MRS) facility will tic obtained; the facility will initiate operations in 1998; and the statutory linkages between the MRS facility and the repository set forth in the Nuclear Waste Policy Act of 1982, as amended (NWPA), will be modified. During the first ten years following projected commencement of Civilian Radioactive Waste Management System (CRWMS) operation, the total quantity of SNF that could be accepted is projected to be 8200 metric tons of uranium (MTU). This is consistent with the storage capacity licensing conditions imposed on an MRS facility by the NWPA. The annual acceptance rates provide an approximation of the system throughput and are subject to change as the program progresses
Burch, J M; Feliciano, D V; Mattox, K L
One hundred consecutive patients with injuries to the extraperitoneal rectum were treated over a ten-year period at an urban trauma center. The mechanisms of injury included firearms in 82 patients, stab wounds in 3 patients, a variety of other penetrating injuries in 10 patients, and in 5 patients the injuries resulted from blunt trauma. Treatment of the rectal injury was determined by the bias of the operating surgeon, the condition of the patient, and the magnitude of the rectal injury. Proximal loop colostomies were performed in 44 patients, diverting colostomies in 51 patients, Hartmann's procedure in 4 patients, and an abdominoperineal resection in 1 patient. Extraperitoneal rectal perforations were closed in 21 patients and the rectum was irrigated free of feces in 46 patients. Transperineal, presacral drainage was used in 93 patients. Infectious complications potentially related to the management of the rectal wound occurred in 11 patients (11%) and included abdominal or pelvic abscesses (4 patients), wound infections (6 patients), rectocutaneous fistulas (3 patients), and missile tract infections (2 patients). Four patients (4%) died as a result of their injuries. Of the therapeutic options available, statistical analysis revealed that only the failure to drain the presacral space increased the likelihood of infectious complications (p = 0.03); however, as it could not be determined with certainty that the use of, or failure to use, any particular therapeutic option had an effect on the risk of death. It is concluded that colostomy and drainage are the foundations of the successful treatment of civilian injuries to the extraperitoneal rectum. The use of adjuncts such as diverting colostomies, repair of the rectal wound, and irrigation of the rectum has little effect on mortality and morbidity. PMID:2705824
This dissertation investigates the processes of mobilization and demobilization of fighters during civil war. Why do civilians, at some point during a conflict, decide to participate in the violence of the war? What are the consequences of becoming part of a guerilla movement? And, once a civil war
.... Specifically, a thorough knowledge of the language, terminology, and acronyms is fundamental to understanding today s health care delivery processes both in the civilian sector and the military health system...
Neria, Yuval; Besser, Avi; Kiper, Dasha; Westphal, Maren
This 3-wave longitudinal study examined the mental health consequences of the Israel-Gaza 2008-2009 war among young Israeli civilians. Data on posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD), and their predictors were collected during the war, and 2 and 4 months after cease fire. Results showed a sharp decline in symptom levels of PTSD, MDD, and GAD over time. Perceived social support during the war moderated the effects of immediate emotional response on subsequent levels of PTSD, MDD, and GAD. These findings underscore the importance of social support and immediate emotional response to trauma in predicting trauma-related psychopathology, and highlight the potential need for providing early care to exposed individuals exhibiting immediate and severe emotional responses.
... Organization (HMO) Benefit--Prime Enrollment Fee Exemption for Survivors of Active Duty Deceased Sponsors and... Enrollment Fee Exemption for Survivors of Active Duty Deceased Sponsors and Medically Retired Uniformed Services [[Page 50360
Farzanegan, G.; Mohebbi, H.A.; Moharamzad, Y.
To determine the results of discectomy surgery for lumbar disc herniation in military personnel and compare it with civilians. One-hundred and seventeen military patients (54 subjects as combat forces and 63 as office personnel) and 115 civilians, who underwent discectomy surgery were included. In a mean duration of 50.8 months, the ability to return to full duty and resolution of complaints were assessed and satisfaction was measured using a Visual Analog Scale. Inability to return to previous duty was significantly higher in military personnel compared to civilians (p = 0.002); and in combat forces compared to office personnel (p 0.05). Surgical intervention had relatively poor outcomes in military personnel, specifically in combat forces. Prevention of injury to back region should be considered in military training programs and in case of presence of disc herniation related symptoms, efforts should be made to save patients effective function by conservation and medical therapies. (author)
The CRD addresses the requirements of Department of Energy (DOE) Order 413.3-Change 1, ''Program and Project Management for the Acquisition of Capital Assets'', by providing the Secretarial Acquisition Executive (Level 0) scope baseline and the Program-level (Level 1) technical baseline. The Secretarial Acquisition Executive approves the Office of Civilian Radioactive Waste Management's (OCRWM) critical decisions and changes against the Level 0 baseline; and in turn, the OCRWM Director approves all changes against the Level 1 baseline. This baseline establishes the top-level technical scope of the CRMWS and its three system elements, as described in section 1.3.2. The organizations responsible for design, development, and operation of system elements described in this document must therefore prepare subordinate project-level documents that are consistent with the CRD. Changes to requirements will be managed in accordance with established change and configuration control procedures. The CRD establishes requirements for the design, development, and operation of the CRWMS. It specifically addresses the top-level governing laws and regulations (e.g., ''Nuclear Waste Policy Act'' (NWPA), 10 Code of Federal Regulations (CFR) Part 63, 10 CFR Part 71, etc.) along with specific policy, performance requirements, interface requirements, and system architecture. The CRD shall be used as a vehicle to incorporate specific changes in technical scope or performance requirements that may have significant program implications. Such may include changes to the program mission, changes to operational capability, and high visibility stakeholder issues. The CRD uses a systems approach to: (1) identify key functions that the CRWMS must perform, (2) allocate top-level requirements derived from statutory, regulatory, and programmatic sources, and (3) define the basic elements of the system architecture and operational concept. Project-level documents address CRD requirements by further
Heszlein-Lossius, Hanne; Al-Borno, Yahya; Shaqoura, Samar; Skaik, Nashwa; Giil, Lasse Melvær; Gilbert, Mads
During four separate Israeli military attacks on Gaza (2006, 2009, 2012, and 2014), about 4000 Palestinians were killed and more than 17 000 injured (412 killed and 1264 injured in 2006; 1383 killed and more than 5300 injured in 2009; 130 killed and 1399 injured in 2012; and 2251 killed and 11 231 injured in 2014). An unknown number of people had traumatic amputations of one or more extremities. Use of unmanned Israeli drones for surveillance and armed attacks on Gaza was evident, but exact figures on numbers of drone strikes on Gaza are not available. The aim of this study was to explore the medical consequences of strikes on Gaza with different weapons, including drones. We studied a cohort of civilians in the Gaza Strip who had one of more traumatic limb amputation during the Israeli military attacks between 2006 and 2016. The study was done at The Artificial Limb and Polio Center (ALPC) in the Gaza Strip where most patients are treated and trained after amputation. We used standardised forms and validated instruments to record date and mechanism of injury, self-assessed health, socioeconomic status, anatomical location and length of amputation, comorbidity, and the results of a detailed clinical examination. The studied cohort consisted of 254 Paletinian civilians (234 [92%] men, 20 [8%] women, and 43 [17%] children aged 18 years and younger) with traumatic amputations caused by different weapons. 216 (85%) people had amputations proximal to wrist or ankle, 131 (52%) patients had more than one major amputation or an amputation above the knee, or both, and 136 (54%) people were injured in attacks with Israeli drones, including eight (40%) of the women. The most severe amputations were caused by drone attacks (p=0·0001). Extremity injuries after drone attacks led to immediate amputation more often than with other weapons (p=0·014). Patients injured during cease-fire periods were younger than patients injured during periods of declared Israeli military
Ivchenko, E V; Borisov, D N; Golota, A S; Krassiĭ, A B; Rusev, I T
The current article positions the combined burn and non-burn injuries in the general array of civilian and combat burns. For that purpose the official state statistics and scientific medical publications, domestic as well as foreign, have been analyzed. It has been shown that in peace time the combined burn/trauma injuries are infrequent. But the same type of injury becomes routine especially among the civilian population in the conditions of the modern so called "hybrid war". And the medical service should be prepared for it.
Sprecher, W.M.; Katz, J.; Redmond, R.J.
This paper describes the approach that the Office of Civilian Radioactive Waste Management (OCRWM) of the Department of Energy (DOE) is taking to the task of strategic planning for the civilian high-level radioactive waste management program. It highlights selected planning products and activities that have emerged over the past year. It demonstrates that this approach is an integrated one, both in the sense of being systematic on the program level but also as a component of DOE strategic planning efforts. Lastly, it indicates that OCRWM strategic planning takes place in a dynamic environment and consequently is a process that is still evolving in response to the demands placed upon it
reflect the opinions of its research clients and sponsors. Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving... Organisation [now the Defence Science and Technology Group] EEAS European External Action Service FEMA Federal Emergency Management Agency HR human resources... Organisation (DSTO); and the European Union’s European External Action Service (EEAS) Civilian Planning and Conduct Capability (CPCC), including a
Ho, Kwok M; Leonard, Anton D
Warm fresh whole blood has been advocated for critical bleeding in the military setting. This study assessed whether unrefrigerated young whole blood transfusion, from donation to transfusion less than 24 hours, could reduce mortality of patients with critical bleeding in a civilian setting. A linked data cohort study was conducted on a total of 353 consecutive patients requiring massive transfusion, defined as 10 units or more of red blood cells or whole blood transfusion within 24 hours, in a quaternary health care center in Australia. Of the 353 patients with massive blood transfusion in the study, 77 received unrefrigerated young whole blood transfusion (mean, 4.0 units; interquartile range, 2-6). The diagnosis, severity of acute illness, age, sex, and ABO blood group were not significantly different between the patients who received unrefrigerated young whole blood and those who did not. Unrefrigerated young whole blood transfusions were associated with a slightly improved coagulation profile (lowest fibrinogen concentrations 1.7g/L vs. 1.4g/L, p=0.006; worst international normalization ratio, 2.4 vs. 2.8, p=0.05) but did not reduce the total utilization of allogeneic blood products and subsequent use of recombinant Factor VIIa (27% vs. 22%, p=0.358). Thirty-day mortality and 8-year survival after hospital discharge (hazard ratio, 1.05; 95% confidence interval, 0.41-2.65; p=0.93) were also not different after the use of unrefrigerated young whole blood transfusion. Unrefrigerated young whole blood transfusion was not associated with a reduced mortality of patients requiring massive transfusion in a civilian setting when other blood products were readily available. © 2010 American Association of Blood Banks.
Shaak, Kyle; Lafta, Riyadh; Stewart, Barclay T; Fowler, Thomas R; Al-Shatari, Sahar A Esa; Burnham, Gilbert; Cherewick, Megan; Wren, Sherry M; Groen, Reinou S; Kushner, Adam L
To examine sex differences in injury mechanisms, injury-related death, injury-related disability, and associated financial consequences in Baghdad since the 2003 invasion of Iraq to inform prevention initiatives, health policy, and relief planning. Reliable estimates of injury burden among civilians during conflict are lacking, particularly among vulnerable subpopulations, such as women. A 2-stage, cluster randomized, community-based household survey was conducted in May 2014 to determine the civilian burden of injury in Baghdad since 2003. Households were surveyed regarding injury mechanisms, healthcare required, disability, deaths, connection to conflict, and resultant financial hardship. We surveyed 900 households (5148 individuals), reporting 553 injuries, 162 (29%) of which were injuries among women. The mean age of injury was higher among women compared with men (34 ± 21.3 vs 27 ± 16.5 years; P < 0.001). More women than men were injured while in the home [104 (64%) vs 82 (21%); P < 0.001]. Fewer women than men died from injuries [11 (6.8%) vs 77 (20%); P < 0.001]; however, women were more likely than men to live with reduced function [101 (63%) vs 192 (49%); P = 0.005]. Of intentional injuries, women had higher rates of injury by shell fragments (41% vs 26%); more men were injured by gunshots [76 (41%) vs 6 (17.6%); P = .011). Women experienced fewer injuries than men in postinvasion Baghdad, but were more likely to suffer disability after injury. Efforts to improve conditions for injured women should focus on mitigating financial and provisional hardships, providing counseling services, and ensuring access to rehabilitation services.
.... Title of Information Collection: Civilian Response Corps Database In-Processing Electronic Form. OMB... DEPARTMENT OF STATE [Public Notice 7976] 30-Day Notice of Proposed Information Collection: Civilian Response Corps Database In-Processing Electronic Form, OMB Control Number 1405-0168, Form DS-4096...
A content analysis of four civilian enterprise Army newspapers published in the United States was conducted to determine if editorial differences in content and tone existed between military and civilian editors...
Kienzler, Hanna; Pedersen, Duncan
This essay analyses how the relationships between Cold War and post-Cold War politics, military psychiatry, humanitarian aid and mental health interventions in war and post-war contexts have transformed over time. It focuses on the restrictions imposed on humanitarian interventions and aid during the Cold War; the politics leading to the transfer of the PTSD diagnosis and its treatment from the military to civilian populations; humanitarian intervention campaigns in the post-Cold War era; and the development of psychosocial intervention programs and standards of care for civilian populations affected by armed conflict. Viewing these developments in their broader historical, political and social contexts reveals the politics behind mental health interventions conducted in countries and populations affected by warfare. In such militarized contexts, the work of NGOs providing assistance to people suffering from trauma-related health problems is far from neutral as it depends on the support of the military and plays an important role in the shaping of international politics and humanitarian aid programs.
Karstoft, Karen-Inge; Andersen, Søren B.; Bertelsen, Mette
This study aimed to assess the diagnostic accuracy of the Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C; Weathers, Litz, Herman, Huska, & Keane, 1993) and to establish the most accurate cutoff for prevalence estimation of posttraumatic stress disorder (PTSD) in a representative...
updated and may no longer be applicable as a result of changes in law, regulation and/or administration civilian business and civic leaders Oct. 19, providing an introduction to the U.S. Army in Europe. Story Business Leaders Meet Unique Navy Crew ABOARD THE USS MOUNT WHITNEY, Oct. 21, 2005 - Business leaders
Danker, W.J.; Floyd, W.
The Office of Civilian Radioactive Waste Management (OCRWM) within the U.S. Department of Energy is charged with the responsibility of safe and efficient disposal of this Nation's civilian high-level radioactive waste and spent fuel. Part of this responsibility includes providing for the application of both domestic and international safeguards on nuclear material at facilities of the Civilian Waste Management System. While detailed safeguards requirements for these disposal facilities have yet to be established, once established, they could impact facility design. Accordingly, OCRWM has participated in efforts to develop safeguards approaches for geologic repositories and will continue to participate actively with the Nuclear Regulatory Commission (NRC), International Atomic Energy Agency (IAEA), as well as other Department of Energy (DOE) Offices in efforts to resolve safeguards issues related to spent fuel disposal, to minimize any potential design impacts and to support effective nuclear material safeguards. The following paper discusses current plants and issues related to the application of safeguards to the Civilian Radioactive Waste Management System (CRWMS)
...) DEPARTMENT OF THE NAVY PERSONNEL DELIVERY OF PERSONNEL; SERVICE OF PROCESS AND SUBPOENAS; PRODUCTION OF OFFICIAL RECORDS Service of Process and Subpoenas Upon Personnel § 720.21 Members or civilian employees... (e.g., Medical Care Recovery Act cases), follow the procedures described in § 720.22. If State...
In many ways the Palestinian civilian is the ultimate or significant ‘other' for the Israeli soldier serving in the Occupied Palestinian Territories (OPT). (S)he is the one who will be stopped, checked, controlled and at times arrested. (S)he is the one who negotiates, pleads, begs and sometimes
...) and Naval Support Activity-Monterey Bay (NSA-MB) to determine what civilian non-faculty employee jobs are likely to be left vacant in the next three years due to attrition and to identify what training and skills will be needed by personnel whose...
Godinez, Eileen; Leslie, Barry B.
The mission of the Army Management Staff College (AMSC) is to provide leader development educational experiences for Army civilians. To develop as leaders, students must recognize they have a choice to take action that influences their work environment. The authors suggest the learning environment at AMSC is intentionally designed to be…
Hosseini Shokouh, Seyyed Javad; Mohammadi, Babak; Rajabi, Jalil; Mohammadian Roshan, Ghasem
This study aimed to investigate serologic immunity to diphtheria and tetanus in army personnel and a sample population of adult civilians in Mashhad, Iran. Army personnel (n = 180) and civilians (n = 83) who presented at Mashhad army hospital participated in this study. Diphtheria and tetanus antitoxin levels were determined by enzyme-linked immunosorbent assay. Approximately 77% and 94% of army personnel aged 18-34 years had at least basic protection against diphtheria (antitoxin level ≥0.1 IU/mL) and tetanus (antitoxin level >0.1 IU/mL), respectively. For civilians in this age group, the proportions were 76% for both diseases. Antitoxin levels waned with age. Thus, participants older than 50 years had lower immunity; this decrease in immunity was more pronounced for tetanus than for diphtheria in both army personnel and civilians. For both diseases, geometric mean antitoxin titers and the proportion of participants with at least basic protection were higher in subjects with a history of vaccination in the last 10 years (P diphtheria and tetanus. However, the large number of susceptible older adults (>50 years old) calls for improved booster vaccination protocols.
System-Army IT Information Technology LMP Logistics Modernization Program PLL Prescribed Load List SCM Supply Chain Management SSA Supply Support...Civilian and Military SCM Future Trends Army future transformations are based around the Logistics Modernization Program (LMP). What began as a plan...
Conclusion: among injuries related to war, the highest rate of mortality was observed in head–neck, abdomen and vascular injuries. We believe that the higher mortality rate in the Syrian Civil War, compared to the Bosnia, Vietnam, Lebanon and Afghanistan wars, is due to seeing civilians as a direct target during war.
Full Text Available Questions about the future of the European Union as an international actor continue to puzzle students of international relations and particularly students of EU foreign policy. What kind of predictions can we make about the future role of the EU in international politics? While the question is often framed in terms of military versus normative and/or global civilian power Europe, there are indications that ambitions in both directions may very well coincide. However, despite the EU’s development towards deepened defense integration since the 1990s, such developments are by far outweighed by developments pointing in the direction of the EU consolidating its role as a global civilian power. In this article, we analyze the union’s civilian policies and contrast the findings of our analysis with developments in the field of Common Security and Defence Policy (CSDP. Based on our analysis of EU enlargement policy, external aid, global environmental policy and the union’s commitment to multilateralism, our conclusion is that the EU’s international role in the next decades will continue to be best described in terms of a global civilian power.
Barry, Adam E.; Whiteman, Shawn D.; MacDermid Wadsworth, Shelley M.
Objectives: To determine whether posttraumatic stress (PTS) symptoms are associated with problem drinking and alcohol-related consequences, as well as academic correlates among military-affiliated and civilian students. Participants: The final sample (n = 248) included 78 combat-exposed student service members/veterans, 53 non-combat-exposed…
Mansfield, Alyssa J.; Bender, Randall H.; Hourani, Laurel L.; Larson, Gerald E.
Suicides have markedly increased among military personnel in recent years. We used path analysis to examine factors associated with suicidal/self-harming ideation among male Navy and Marine Corps personnel transitioning to civilian life. Roughly 7% of men (Sailors = 5.3%, Marines = 9.0%) reported ideation during the previous 30 days. Results…
The military problems connected with the probable use in warfare the chemical and nuclear weapon have been discussed. The concept of soldiers, civilians and environmental protection against the chemical and radiological contamination has been presented from the view point of military tactics
In this paper, positive impacts of 3 Indian Navigational Satellite programmes (GAGAN, IRNSS and INSAT-MSS reporting system for the civilian applications over Sri Lanka are discussed. Other neighbouring countries covered under the footprint of Indian navigational satellite programmes can also employ these services for the location based applications productively.
The purpose of this paper is to discuss the technical factors that contributed to the formulation of the international safeguards policy enunciated in September 1988 by the U.S. Department of Energy's (DOE's) Office of Civilian Radioactive Waste Management (OCRWM), which is the federal organization responsible for the implementation of the Nuclear Waste Policy Act of 1982, as amended
Drucker, Christopher; Gerberich, Susan G; Manser, Michael P; Alexander, Bruce H; Church, Timothy R; Ryan, Andrew D; Becic, Ensar
Motor vehicle crashes involving civilian and emergency vehicles (EVs) have been a known problem that contributes to fatal and nonfatal injuries; however, characteristics associated with civilian drivers have not been examined adequately. This study used data from The National Highway Traffic Safety Administration's Fatality Analysis Reporting System and the National Automotive Sampling System General Estimates System to identify driver, roadway, environmental, and crash factors, and consequences for civilian drivers involved in fatal and nonfatal crashes with in-use and in-transport EVs. In general, drivers involved in emergency-civilian crashes (ECCs) were more often driving: straight through intersections (vs. same direction) of four-points or more (vs. not at intersection); where traffic signals were present (vs. no traffic control device); and at night (vs. midday). For nonfatal ECCs, drivers were more often driving: distracted (vs. not distracted); with vision obstructed by external objects (vs. no obstruction); on dark but lighted roads (vs. daylight); and in opposite directions (vs. same directions) of the EVs. Consequences included increased risk of injury (vs. no injury) and receiving traffic violations (vs. no violation). Fatal ECCs were associated with driving on urban roads (vs. rural), although these types of crashes were less likely to occur on dark roads (vs. daylight). The findings of this study suggest drivers may have difficulties in visually detecting EVs in different environments. Copyright © 2013 Elsevier Ltd. All rights reserved.
Full Text Available During the Cold War the European Community lacking common military instruments was perceived as the example of a civilian power. However, in the early 1990s, under the framework of CFSP, the first concrete defence initiatives have been launched. By the end of the 1990s and after the agreement on the Common Security and Defence Policy (CSDP the first Rapid Reaction Forces were on the European military agenda. Such defence and military capabilities challenged the idea of the EU as a civil or civilian power. Thus, a main concern in the paper has been to assess the character and identity of the EU`s activities in the context of international relations. For this purpose, this study has explored the EU policy instruments such as the enlargement policy, external aid, environmental policy at the global level, multilateralism, and the EU armed forces. The study concludes that the enlargement policy accounts for an important EU strategy to shape the international environment through civilian means. Furthermore, the international aid policy of the EU states has primarily been based on the sense of duty to other countries as constructivists point out. The EU has also been vocal and has used environmental foreign policy as an instrument to demonstrate its global leadership role which is a clear indication of its commitment to global welfare. Thanks to its presence in the major multilateral interventions of the last decade, the EU has qualified itself as great supporter of multilateralism. Lastly, the EU military capabilities are not achieved by creating permanent European armed forces but are still based on the voluntary contributions of its member states. Therefore, the EU still can be portrayed as a global civilian power (GCP or civilian power Europe (CPE.
The military and civil aspects of radiation protection have been discussed. The special emphasize has been done on contamination monitoring of environment, soldier radiological protection during hypothetical warfare, radiological health hazard assessment, post Chernobyl contamination control of environment and food products in Poland, dose equivalent estimation and radiometric control equipment used in military and civil service
Supplies) 625 Autopsy Assistant 636 Rehabilitation Therapy Assistant 661 Pharmacy Assistant 699 Health Aid and Technician ’J ard Attendants 75-- Ward...Physiology 414 Entomology 430 Botany 434 Plant Pathology 435 Plant Physiology 436 Plant Quarantine 437 Horticulture 440 Genetics 454 Range...Admeasurement 1899 Miscellaneous Inspection Instructor 1702 Education and Training Technician 1712 Instruction 1715 Vocational Rehabilitation Air
Of these, we include in the section that follows data from the four states that have the longest history of program participation. We use the...Effect of patient risk on the volume-outcome relationship in obstetric delivery services.” Health Policy [Epub ahead of print]. doi: 10.1016/j
Sonesson, Linda; Boffard, Kenneth; Lundberg, Lars; Rydmark, Martin; Karlgren, Klas
learning can support education and training, and the learning process by unlimited practice in reasoning and decision making in virtual patients. It can also provide flexibility and mobility for senior health professionals and their home hospitals, and contribute to an improved military pre-deployment training with less time strain on the civilian home hospitals. Copyright © 2017 Elsevier Ltd. All rights reserved.
.... Military retirement health benefits are post-retirement benefits that DoD provides to military retirees and other eligible beneficiaries through the Civilian Health and Medical Program of the Uniformed Services (Purchased Care...
.... The stress at the service academies is much higher than in many civilian occupations and may increase the risk of females developing gender related health problems such as amenorrhea, bone loss, and eating disorders...
The purpose of this report is to identify and assess major alternatives for governmental policies, organizational structures, and actions in civilian nuclear reactor emergency management in the United States. The National Academy of Public Administration agreed to identify and evaluate alternatives for governmental policies, organizational structures, and actions in civilian nuclear reactor emergency management. It agreed to review present policies and practices in civilian nuclear reactor emergency management, to review selected experiences and practices of governmental agencies other than the Nuclear Regulatory Commission, and industries other than the nuclear power industry, and to identify alternatives to the present nuclear emergency system
Ryken, Katherine O; Hogue, Matthew; Marsh, J Lawrence; Schweizer, Marin
Bosnia-Herzegovina is one of the most landmine-contaminated countries in Europe. Since the beginning of the war in 1992, there have been 7968 recorded landmine victims, with 1665 victims since the end of the war in 1995. While many of these explosions result in death, a high proportion of these injuries result in amputation, leading to a large number of disabled individuals. The purpose of this study is to conduct a survey of civilian landmine victims in Bosnia-Herzegovina in order to assess the effect of landmine injuries on physical, mental, and social well-being. Civilian survivors of landmine injuries were contacted while obtaining care through local non-governmental organizations (NGOs) throughout Bosnia-Herzegovina to inquire about their current level of independence, details of their injuries, and access to healthcare and public space. The survey was based upon Physicians for Human Rights handbook, "Measuring Landmine Incidents & Injuries and the Capacity to Provide Care." 42 survivors of landmines completed the survey, with an average follow up period of 22.0 years (±1.7). Of civilians with either upper or lower limb injuries, 83.3% underwent amputations. All respondents had undergone at least one surgery related to their injury: 42.8% had at least three total operations and 23.8% underwent four or more surgeries related to their injury. 26.2% of survivors had been hospitalized four or more times relating to their injury. 57.1% of participants reported they commonly experienced anxiety and 47.6% reported depression within the last year. On average, approximately 3% of household income each year goes towards paying medical bills, even given governmental and non-governmental assistance. Most survivors relied upon others to take care of them: only 41.5% responded they were capable of caring for themselves. 63.4% of respondents reported their injury had limited their ability to gain training, attend school, and go to work. The majority of civilian landmine
Full Text Available We considered the impact of external influences on a GPS receiver and how these influences affect the capabilities of civilian-type GPS receivers. A standard commercial radio frequency signal generator and passive GPS antenna were used to test the sensitivity of GPS to intentional jamming; the possible effects of the terrain on the propagation of the jamming signal were also tested. It was found that the high sensitivity of GPS receivers and the low strength level of GPS satellite signals combine to make GPS receivers very vulnerable to intentional jamming or unintentional radio frequency interference. Terrain undulation was used to shield GPS antennas from the direct line-of-sight of the jamming antenna and this indicated that terrain characteristics can be used to mitigate the effects of jamming. These results illuminate the vulnerability of civilian-type GPS receivers to the possibility and the ease of disablement and establish the foundation for future work.
Author, Not Given
This study group covered the following: delineation of the specific objectives of the overall US AEC civilian power reactor program, technical objectives of each reactor concept, preparation of a chronological development program for each reactor concept, evaluation of the economic potential of each reactor type, a program to encourage the the development, and yardsticks for measuring the development. Results were used for policy review by AEC, program direction, authorization and appropriation requests, etc. This evaluation encompassed civilian power reactors rated at 25 MW(e) or larger and related experimental facilities and R&D. This Part I summarizes the significant results of the comprehensive effort to determine the current technical and economic status for each reactor concept; it is based on the 8 individual technical status reports (Part III).
Pritha Maya Savitri
.Methods: This cross-sectional study using using purposive sampling. Subjects answered the questionaire.Data was extracted from the medical record. Cox regression analyses using Stata 10.Results: The subject consisted of 21-45 years old male civilian pilots who performing scheduled medicalcheck up at the Civil Aviatian Medical Centre. We found that 36% of the pilots had mild myopia, and thedominant risk factors were total flight time for 1000 hours or more, parental myopia, as well as irritatedand burning eyes. Those who had compared to did have total flight hours for 1000 hours or more had 28%more risk to have mild myopia [adjusted relative risk (RRa = 1.28; 95% confidence interval (CI = 1.00 to1.64; P = 0.047]. In term of parential myopia, those who had compared who did not have parential myopiahad 32% more risk to have mild myopia (RRa = 1.32; 95% CI = 3.75-7.55; P = 0.000. Moreover, thosewho had compared to who did have irritated and burning eyes had 48% more risk to have mild myopia(RRa = 0.46; 95% CI = 0.26-0.83; P = 0.009.Conclusions: Total flight 1000 hours or more, parental myopia, as well as irritated and burning eyes were dominantrisk factors for mild myopia in civilian pilots in Indonesia. (Health Science Journal of Indonesia 2016;7:49-53Key words: mild myopia, civilian aviator, total flight time, Indonesia.
WARFIGHTING SCHOOL ADVANCING U.S. STRATEGIC COMMUNICATION THROUGH GREATER CIVILIAN-MILITARY COORDINATION AND INTERGRATION by Wendy A. Kolls U.S... products synchronized with the actions of all instruments of national power." Department af Defense Dictionary of Military and Associated Terms...the "British street," the "American street," and the "Israeli street.ŗ Selling "Brand America" If the " product " was America, then the thinking in
Kaiser, Peter; Madsen, Michael
The world’s first civilian nuclear power plant was commissioned on June 27, 1954 in Obninsk, which was at that time in the Soviet Union, today, the Russian Federation. The Obninsk nuclear power plant generated electricity and supported experimental nuclear research. The Obninsk nuclear power plant operated without incident for 48 years. In September 2002, the last fuel subassembly was unloaded, when the Obninsk nuclear power plant set another first: it became the first nuclear power plant to be decommissioned in Russia
at preparing them for future responsibilities. Engagement is a measure of initiative and productivity . It is highest among civilian leaders but is at...are reported to exhibit counter- productive or negative leadership behaviors such as berating subordinates for small mistakes (15%), blaming other...outcomes (e.g., employee satisfaction, motivation, job performance) and organizational outcomes (e.g., turnover and absenteeism ). CASAL results
Costs, 1986 4 2. Direct Total Manpower Bidget Costs, 1992 5 3. Pay Raises 1985-1992 6 4. Support Costs 9 5. Internal Support Personnel 10 6. External...34 Incremental Costs of Military and Civilian Manpower in the Military Services." This docu- ment provides the basis for this section. The report assesses...6 Aug 91. MTS Workyear Cost Comparison. Internal AFSC paper, 20 November 1990. Palmer, Adele R., Osbaldeston, David J., Incremental Costs of Military
society is “one of the most accurate indicators of the existence of a substantive, participatory democracy . A high degree of...the armed forces is an essential component to a free and open democracy . The states of the North Atlantic Treaty Organization (NATO) rely on civilian...these forces challenge military supremacy in democracies . Policies or budget decisions that infringe on military prerogatives lead to conflict with
could not record a journal entry to this account. DFAS Indianapolis provided us with a System Change Proposal dated April 17, 2014, which proposed a...system change to DAI to permit journal entries to USSGL 2213 that was implemented in October 2015. However, DFAS Indianapolis should not have allowed...properly accrued civilian pay for the 12 ODOs that used the Defense Agencies Initiative or the Defense Business Management System general ledgers
Four recent estimates of the fossil fuel resources in the United States are used in the Report on Civilian Nuclear Power. They are not entirely independent estimates and, in particular, three of the estimates of coal resources have as their basis the data in 'Coal Reserves of the United States - A Progress Report, January 1, 1960,' Geological Survey Bulletin 1136. The total energy content of the various fossil fuel resources remaining in the United States as given by these estimates has been summarized.
febi arya hidayat
Full Text Available Background: In aviation world, fatigue may cause incapacitation among pilot which can lead to aircraft accidents. Flight hours is believed to be one of the factors related to the risk of fatigue. The purpose of this study is to identify relationship between flight hours in seven day and other factors to the risk of fatigue among civilian pilot in Indonesia.Methods: A cross sectional study with consecutive sampling was conducted among civilian pilots who attended medical check-up at Aviation Medical Center in Jakarta on June 2016. Demographic characteristics, employment related factors, habits and flight hours were obtained through questionnaire and interviews. Fatigue data were obtained through fatigue self-questionnaire form and measured with Fatigue Severity Scale which had been validated. Fatigue was categorized into non-fatigue (FSS score <36 and fatigue (FSS score ≥36. Relative risk was computed using Cox regression with a constant time.Results: This study included 542 pilots among which 50.2% had fatigue. The subjects who have flight hours >30 hours/week compared to ≤30 hours/week, had 1.37-fold higher risk of fatigue [adjusted relative risk [RRa=1.37; CI=1.14-1.65; p=0.001]. The subject with ATPL license compared to CPL license had 1.28-fold higher risk of fatigue [RRa=1.31; CI=1.11-1.54; p=0.001. Furthermore, subjects who have appropriate exercise had 32% lower risk of fatigue (RRa=0.68; CI= 0.39-1.19; p=0.094.Conclusions: Civilian pilots in Indonesia who had more than 30 hours flight time in 7 days and ATPL type pilots have an increased risk of fatigue. Appropriate exercise decreased the risk of fatigue.Keywords: fatigue, flight hours. civilian pilots. Indonesia
On August 9, 1985, the Secretary of Energy requested that the Chairman of the Energy Research Advisory Board establish an ad-hoc Panel to review a draft ''Strategic National Plan for Civilian Nuclear Reactor Development.'' The resulting report, approved by the Board, contains suggestions for improving the draft plan and also contains major recommendations for alleviating the several institutional barriers that appear to preclude the construction of any new nuclear power plants in this country
The OCRWM Bulletin is published by the Department of Energy, Office of Civilian Radioactive Waste Management to provide current information about the national program for managing spent fuel and high-level radioactive waste. This document is a compilation of issues from the 1989 calendar year. A table of contents and one index have been provided to assist in finding information contained in this year's Bulletins. The pages have been numbered consecutively at the bottom for easy reference. 7 figs
In terms of usage, fresh milk is No. I or 2 for all installations studied. Chicken was the next highest product in terms of usage appearing among...DoD but not for civilian operations are: fresh white bread (6), butter, (8) and beef pot roast (9). Meat or poultry or fish products account for 17...Law Univ. Football Enforc. 2 1 7 6 Milk, fresh 1 1 Milk, Evap. 2 Milk, Choc. 3 3 Chicken (+Ducks) 10 4 Potatoes, white
interests are at odds.21 This framework uses a two by two chart of high and low internal or external threats to try and demonstrate the ideal scenario.22...Military, 17. 24 Ibid., 19. 25 Thomas C. Bruneau, Patriots for Profit: Contractors and the Military in U.S. National Security (Stanford: Stanford...effectiveness does not, the blame can likely be squarely placed on the civilians controlling the military, creating tension and animosity, not to
During Fiscal Year 1999, the Office of Civilian Radioactive Waste Management (OCRWM) continued to make significant progress in its characterization of the Yucca Mountain, Nevada, candidate geologic repository site. Although OCRWM's appropriation for Fiscal Year 1999 was lower than requested, the Program accomplished all three success measures in the Secretary's Fiscal Year 1999 Performance Agreement with the President and completed important work in many other areas. This Annual Report reviews this work and looks toward future activities
American Marketing Association expresses fundamental principles of print advertising in a paper written by Steve Blom. Although these principles ...medium if targeting a large group of people was the intention. In addition to medium by negation, civilian marketing professors Kotler , Roberto, and...best suited for which portion of IO. 78 THIS PAGE INTENTIONALLY LEFT BLANK 79 LIST OF REFERENCES Armstrong, Gary and Kotler , Philip. Marketing
Pauner Chulvi, Cristina; Viguri Cordero, Jorge Agustín
Drones are a growth industry evolving quickly from military to civilian uses however, they have the potential to pose a serious risk to security, privacy and data protection. After a first stage focused on safety issues, Europe is facing the challenge to develop a regulatory framework for drones integration into the airspace system while safeguarding the guarantees of fundamental rights and civil liberties. This paper analyses the potential privacy and data protection risks ...
conformity, patience • Satisfaction is a job well done • Being respected • Prefer job security over entrepreneurship — cautious • Unadventurous...Journal of Applied Social Psychology , 44(3), 175–189. Burch, D. (2014). The Army civilian today. Paper presented at U.S. Army Senior Service...Organizational Psychology , New Orleans. Cennamo, L., & Gardner, D. (2008). Generational differences in work values, outcomes and person-organisation
Munive, Jairo; Somer, Jonathan
Recent events in the Middle East present the latest and undoubtedly not the last challenge to international engagement with armed non-state actors. Over the last many years international humanitarian law has increasingly regulated the behaviour of armed non-state actors with regard to the protection of civilians. At the same time, counter-terror measures have increasingly addressed such conduct, as well as controlled the extent to which other actors may interact with armed non-state actors. Y...
Krugmann, H.; von Hippel, F.
Contrary to widespread belief, the accumulated inventory of fission products generated by the still small U.S. civilian nuclear power industry may already be comparable to that generated in the past by U.S. military nuclear programs. Although the volumes of the military wastes are very large, they are on the average almost 100 times more dilute than projected commercial high-level wastes
The comparison of marital status ( married vs . all other categories) approached statistical significance χ2 (1, N=315) =3.27, p = .071, with a...relationship status, participants that were unmarried had higher restrictiveness scores than married participants. In terms of race, Black...categorical demographic variables between military and civilian groups. Collapsed comparisons as follows: a Two groups: married vs . all other categories; b
During Fiscal Year 1999, the Office of Civilian Radioactive Waste Management (OCRWM) continued to make significant progress in its characterization of the Yucca Mountain, Nevada, candidate geologic repository site. Although OCRWM's appropriation for Fiscal Year 1999 was lower than requested, the Program accomplished all three success measures in the Secretary's Fiscal Year 1999 Performance Agreement with the President and completed important work in many other areas. This Annual Report reviews this work and looks toward future activities.
James P. Barnett; Anna C. Burns
The Civilian Conservation Corps (CCC) was a public work relief program that operated from 1933 to 1942 in the United States for unemployed, unmarried men from relief families, ages 18-25. A part of the New Deal of U.S. President Franklin D. Roosevelt, it provided unskilled manual labor jobs related to the conservation and development of natural resources on the Nationâ...
Rascon, Carlos G
Organizations within the Department of Defense (DoD) and Department of Labor (DoL) report safety metrics that quantify DoD civilian employee injury incident rates and lost work time for all military services...
... other nations. Nevertheless, the history of the establishment of democratic civilian control in South Africa offers potentially valuable lessons for other nations to adapt and apply to their own challenges...
Rice, William A
... submitted from each Army medical treatment facility (MTF). Using hierarchical multiple linear regression, these variables were tested as potential predictors of the average total cost per case of an injured civilian employee in each MTF...
Kopardekar, Parimal Hemchandra
Many UAS will operate at lower altitude (Class G, below 2000 feet). There is an urgent need for a system for civilian low-altitude airspace and UAS operations. Stakeholders want to work with NASA to enable safe operations.
Brosch, Paige H; Clemons, Travis; Wigfall, Henry
The objective of this project is to describe, analyze, and recommend the strategy and process of using an Army volunteer civilian contracting deployable workforce in Iraq and Afghanistan particularly in terms of the U.S...
Full Text Available Civilian crisis management has long been considered the EU's forte. Recent research however has questioned the EU's claim to this specialization. I will interrogate how the EU has fared in building civilian capabilities for CSDP through a case study of the impact of the Europeanization of CCM norms in one of the newer EU member states - Poland. I investigate the domestic reverberations of an EU-level CCM governance - conceptualized as a vertical diffusion of norms - and a horizontal diffusion in the realms of policy setting, institutional adaptation, as well as in recruitment and training. I hypothesize that the European cognitive constructions and policy designs are the more likely to impact upon Polish security policy the more they resonate with the ideas embedded in the national security identity. Another intervening variable affecting the 'translation' of EU policy into the domestic context is state capacity. Due to weaknesses in the supply side of CCM and the refracting impact of national security identity and state capacity, I find that Europeanization has had a limited impact on the civilian response capability-building in Poland. Europeanization has been shallow, featuring adjustments on the margins rather than the core of the security policy.
The French history of nuclear development clearly shows the inseparability of its civilian use from military use. In France, Commissariat a l'Energie Atomique (CEA) and Electricite de France (EDF) have played an important role in research and development of nuclear technology since the postwar period. At first, the two organizations had kept great autonomy, but the government reinforced its control on them because France needed nuclear deterrence against the Soviet Union. France began using plutonium in 1952, and the Suez crisis in 1956 showed the need for nuclear force to ensure its independence. After this event, France managed the first nuclear test using plutonium in 1960. As for enriched uranium, they have long had great difficulty in securing it. The uranium enrichment technology became crucial also in civilian use in this period. EDF proposed the pressurized water reactor (PWR), which requires enriched uranium, as the future reactor type because of its economic advantage, but CEA wanted to continue developing the gas-cooled reactor (GCR) because of its independence in nuclear fuel supply. Finally, they chose PWR because a French enrichment facility was built in 1967. From such French history, we can say that the civilian and military use of nuclear technology are inseparable. (author)
Stojsih, Sarah E; Baker, Janice L; Les, Clifford M; Bir, Cynthia A
Working dogs have been proven effective in multiple military and law enforcement applications. Similar to their human counterparts, understanding mortality while still in service can help improve treatment of injuries, and improve equipment and training, to potentially reduce deaths. This is a retrospective study to characterize mortality of working dogs used in civilian law enforcement. Reported causes of death were gathered from two working dog and law enforcement officer memorial websites. Of the 867 civilian law enforcement dogs reported to these memorial websites from 2002 to 2012 with reported causes of death while in service, the deaths of 318 were categorized as traumatic. The leading reported causes of traumatic death or euthanasia include trauma as a result of a vehicle strike, 25.8% (n=82); heatstroke, 24.8% (n=79); and penetrating ballistic trauma, 23.0% (n=73). Although the information gathered was from online sources, this study casts some light on the risks that civilian law enforcement dogs undergo as part of the tasks to which they are assigned. These data underscore the need for a comprehensive database for this specialized population of working dogs to provide the robust, reliable data needed to develop prevention and treatment strategies for this valuable resource. 2014.
Dr. Ann Rogers
Full Text Available Unmanned aerial vehicles (UAVs, better known as drones, are increasingly touted as ‘humanitarian’ weapons that contribute positively to fighting just wars and saving innocent lives. At the same time, civilian casualties have become the most visible and criticized aspect of drone warfare. It is argued here that drones contribute to civilian casualties not in spite of, but because of, their unique attributes. They greatly extend war across time and space, pulling more potential threats and targets into play over long periods, and because they are low-risk and highly accurate, they are more likely to be used. The assumption that drones save lives obscures a new turn in strategic thinking that sees states such as Israel and the US rely on large numbers of small, highly discriminating attacks applied over time to achieve their objectives. This examination of Israel’s 2014 war in Gaza argues that civilian casualties are not an unexpected or unintended consequence of drone warfare, but an entirely predictable outcome.
Barry, Adam E.; Whiteman, Shawn D.; MacDermid Wadsworth, Shelley M.
Objectives Determine whether posttraumatic stress symptoms (PTS) are associated with problem drinking and alcohol-related consequences, as well as academic correlates among military-affiliated and civilian students. Participants Final sample (n = 248) included 78 combat exposed student service members/veterans, 53 non-combat exposed student service members/veterans, 38 ROTC students, and 79 civilian students. Method Self-report data was collected spring 2011 via a web-based survey measuring PTS, problem drinking, alcohol-related consequences, GPA, educational self-efficacy, academic amotivation and persistence. Results Military students exposed to combat-related trauma reported significantly greater PTS symptoms than other military and civilian groups. PTS symptoms were associated with problem drinking and alcohol-related consequences for all groups, yet unrelated to academic correlates among those exposed to combat-related trauma. Conclusions This study adds to the scant literature base exploring the unique characteristics of student service members/veterans in higher education. PMID:23157198
This dissertation traces the complicated interrelationships between ideology and interest within the civilian nuclear power controversy. The first chapter introduces the topic. The second chapter provides a social-political-economic overview of the context in which the conflicting ideologies arose. Factors looked at are the ascendancy of the physical sciences, the development of nuclear energy, the disenchantment with science and technology and the consequent rise of an anti-nuclear ideology. Chapter III uses the theories of Alvin Gouldner to understand the structure of ideology. The chapter defines ideology's similarities to and differences from scientific discourse. Chapter IV examines the ideological discourse of a selected sample of scientists who have spoken for and against civilian nuclear power. In parallel to chapter IV, chapter V examines a scientific controversy among the sample of experts. It shows how scientific disagreement can be produced and how ideology is most closely linked to science. Chapter VI examines the social interests of the scientists and experts to discover ways that interests have shaped the ideological and scientific positions for and against civilian nuclear energy. Based on the foregoing, chapter VII concludes that the introduction of science and experts into a controversy cannot be expected to end disagreement over policy because of the link between science and ideology
civilian employees are composed primarily of “ Generation X” (people born roughly between 1965 and 1979) and Baby Boomers (people born roughly between...1946 and 1964). The employees replacing “ Generation X” and Baby Boomers are Millennials; “ninety-one percent of Millennials (born 1977–1997) expect to...distribution of the survey. Approximately 15% of the sample (including all General Schedule (GS) 14/15 government civilian employees assigned to Aberdeen
Mackenzie, Colin; Donohue, John; Wasylina, Philip; Cullum, Woodrow; Hu, Peter; Lam, David M
In Maryland, there have been no military/civilian training exercises of the Medical Mutual Aid Agreement for >20 years. The aims of this paper are to describe the National Disaster Medical System (NDMS), to coordinate military and civilian medical mutual aid in response to arrival of overseas mass casualties, and to evaluate the mass-casualty reception and bed "surge" capacity of Maryland NDMS Hospitals. Three tabletop exercises and a functional exercise were performed using a simulated, overseas, military mass-casualty event. The first tabletop exercise was with military and civilian NMDS partners. The second tested the revised NDMS activation plan. The third exercised the Authorities of State Emergency Medical System and Walter Reed Army Medical Center Directors of Emergency Medicine over Maryland NDMS hospitals, and their Medical Mutual Aid Agreement. The functional exercise used Homeland Security Exercise Evaluation Program tools to evaluate reception, triage, staging, and transportation of 160 notional patients (including 20 live, moulaged "patients") and one canine. The first tabletop exercise identified deficiencies in operational protocols for military/civilian mass-casualty reception, triage, treatment, and problems with sharing a Unified Command. The second found improvements in the revised NDMS activation plan. The third informed expectations for NDMS hospitals. In the functional exercise, all notional patients were received, triaged, dispatched, and accounted in military and five civilian hospitals within two hours. The canine revealed deficiencies in companion/military animal reception, holding, treatment, and evacuation. Three working groups were suggested: (1) to ensure 100% compliance with triage tags, patient accountability, and return of equipment used in mass casualty events and exercises; (2) to investigate making information technology and imaging networks available for Emergency Operation Centers and Incident Command; and (3) to establish NDMS
Chef , hospital education Consultant Branch-immaterial command TOE CSH assist CN DCDD/Combat development JRTC O/C JRCAB/DMSB Colonel TDA Assistant...looking for companion - ship in leadership formation. (NCHL, 2008, p. 2) As an overall assessment of development activities, a few executives noted that
addressed in the therapy session; a statement summarizing the therapeutic interventions attempted during the therapy session; descriptions of the response...4-49 32. Dyslexia . 4-49 33. Surgical sterilization, reversal. 4-49 34. Artificial insemination, in-vitro fertilization. gamete intrafallopian...a 24-hour basis by skilled nursing staff, and/or requires continued intervention by a multidisciplinary treatment team; and in addition, at least one
... productivity and less 0.1 percentage point for hospitals in all areas. However, these reductions do not apply... calculating the cost outlier threshold is 0.919. TRICARE uses the same methodology as CMS for calculating the... neonates will be 0.3460. This shall be used to calculate the adjusted standardized amounts and to calculate...
... population in order to make the underlying group actuarially appropriate. The historical costs were trended... order to make the underlying group actuarially appropriate. The historical costs were trended forward to... members pay to purchase these benefits will represent the full cost as determined on an appropriate...
... TRICARE DRG- based payment system in order to conform to changes made to the Medicare Prospective Payment... Medicare PPS changes which affect the TRICARE DRG-based payment system contained in this notice are... affect the TRICARE DRG-based payment system. A. DRG Classifications Under both the Medicare PPS and the...
... TRICARE DRG- based payment system in order to conform to changes made to the Medicare Prospective Payment... Medicare PPS changes which affect the TRICARE DRG-based payment system contained in this notice are... below. I. Medicare PPS Changes Which Affect the TRICARE DRG-Based Payment System Following is a...
preoperative and postoperative care; reduction of fractures and dislocations; injection and needling procedures of the joints; laser surgery of the eye; and...postoperative care; reduction of fractures and dislocations; injection and needling procedures of the joints; laser surgery of the eye; and the...hairpiece per beneficiary (lifetime maximum) when the attending physician certifies that alopecia has resulted from treatment of a malignant disease
Hurrell, Jr, George; West, Gordon
.... We are comparing live meetings presented in a didactic format vs active learning format, web based education in a didactic vs active learning format, PDA based format, and printed monograph based format...
Gullett, C. C.
The health maintenance program for commercial flight crew personnel includes diet, weight control, and exercise to prevent heart disease development and disability grounding. The very high correlation between hypertension and overweight in cardiovascular diseases significantly influences the prognosis for a coronary prone individual and results in a high rejection rate of active military pilots applying for civilian jobs. In addition to physical fitness the major items stressed in pilot selection are: emotional maturity, glucose tolerance, and family health history.
Turner, Conor D A; Lockey, David J; Rehn, Marius
Mass casualty civilian shootings present an uncommon but recurring challenge to emergency services around the world and produce unique management demands. On the background of a rising threat of transnational terrorism worldwide, emergency response strategies are of critical importance. This study aims to systematically identify, describe and appraise the quality of indexed and non-indexed literature on the pre-hospital management of modern civilian mass shootings to guide future practice. Systematic literature searches of PubMed, Cochrane Database of Systematic Reviews and Scopus were conducted in conjunction with simple searches of non-indexed databases; Web of Science, OpenDOAR and Evidence Search. The searches were last carried out on 20 April 2016 and only identified those papers published after the 1 January 1980. Included documents had to contain descriptions, discussions or experiences of the pre-hospital management of civilian mass shootings. From the 494 identified manuscripts, 73 were selected on abstract and title and after full text reading 47 were selected for inclusion in analysis. The search yielded reports of 17 mass shooting events, the majority from the USA with additions from France, Norway, the UK and Kenya. Between 1994 and 2015 the shooting of 1649 people with 578 deaths at 17 separate events are described. Quality appraisal demonstrated considerable heterogeneity in reporting and revealed limited data on mass shootings globally. Key themes were identified to improve future practice: tactical emergency medical support may harmonise inner cordon interventions, a need for inter-service education on effective haemorrhage control, the value of senior triage operators and the need for regular mass casualty incident simulation.
Marsden, Max; Carden, Rich; Navaratne, Lalin; Smith, Iain M; Penn-Barwell, Jowan G; Kraven, Luke M; Brohi, Karim; Tai, Nigel R M; Bowley, Douglas M
The management of trauma patients has changed radically in the last decade and studies have shown overall improvements in survival. However, reduction in mortality for the many may obscure a lack of progress in some high-risk patients. We sought to examine the outcomes for hypotensive patients requiring laparotomy in UK military and civilian cohorts. We undertook a review of two prospectively maintained trauma databases; the UK Joint Theatre Trauma Registry (JTTR) for the military cohort (4th February 2003 to 21st September 2014), and the trauma registry of the Royal London Hospital MTC (1st January 2012 to 1st January 2017) for civilian patients. Adults undergoing trauma laparotomy within 90 minutes of arrival at the Emergency Department (ED) were included. Hypotension was present on arrival at the ED in 155/761 (20.4%) military patients. Mortality was higher in hypotensive casualties 25.8% vs 9.7% normotensive casualties (p<0.001). Hypotension was present on arrival at the ED in 63/176 (35.7%) civilian patients. Mortality was higher in hypotensive patients 47.6% vs 12.4% normotensive patients (p<0.001). In both cohorts of hypotensive patients neither the average injury severity, the prehospital time, the ED arrival SBP, nor mortality rate changed significantly during the study period. Despite improvements in survival after trauma for patients overall, the mortality for patients undergoing laparotomy who arrive at the Emergency Department with hypotension has not changed and appears stubbornly resistant to all efforts. Specific enquiry and research should continue to be directed at this high-risk group of patients. IV; Observational Cohort Study.
In A COMPARATIVE ANALYSIS OF PATIENT ACCESS MODES AT WILFORD HALL UNITED STATES AIR FORCE MEDICAL CENTER N AND SELECTED CIVILIAN MEDICAL CENTERS0 N...current patient access modes at WHMC and several civilian medical centers of comparable size. This project has pursued the subject of patient access in...selected civilian medical centers which are comparable to WHMC in size, specialty mix, workload, and mission, providing responsive and efficient patient
To achieve the goal of permanent disposal of spent nuclear fuel and high-level radioactive waste, the US DOE's Office of Civilian Radioactive Waste Management (OCRWM) is implementing a Management Systems Improvement Strategy (MSIS). This MSIS is structured around the systems engineering approach that separates the program mission into system and programmatic functions. OCRWM believes that this strategy will significantly improve the program and provide the framework needed to ensure successful implementation of the activities necessary to fulfill the mandate of the Nuclear Waste Policy Act, as amended
This paper describes the close integration of the civil and military nuclear fuel cycles in Russia. Individual processing facilities, as well as the flow of nuclear material, are described as they existed in the 1980s and as they exist today. The end of the Cold War and the breakup of the Soviet Union weakened the ties between the two nuclear fuel cycles, but did not separate them. Separation of the military and civilian nuclear fuel cycles would facilitate Russia's integration into the world's nuclear fuel cycle and its participation in international non-proliferation regimes
Kaplan, Lewis J; Siegel, Mark D; Eastman, Alexander L; Flynn, Lisa M; Rosenbaum, Stanley H; Cone, David C; Blake, David P; Mulhern, Jonathan
Tactical emergency medical services (TEMS) bring immediate medical support to the inner perimeter of special weapons and tactics team activations. While initially envisioned as a role for an individual dually trained as a police officer and paramedic, TEMS is increasingly undertaken by physicians and paramedics who are not police officers. This report explores the ethical underpinnings of embedding a surgeon within a military or civilian tactical team with regard to identity, ethically acceptable actions, triage, responsibility set, training, certification, and potential future refinements of the role of the tactical police surgeon.
Lake, W.H.; Peck, M. III
The use of human factors engineering (HFE) in the design and use of spent fuel casks being developed for the Department of Energy's Civilian Radioactive Waste Management Program is addressed. The safety functions of cask systems are presented as background for HFE considerations. Because spent fuel casks are passive safety devices they could be subject to latent system failures due to human error. It is concluded that HFE should focus on operations and verifications tests, but should begin, to the extent possible, at the beginning of cask design. Use of HFE during design could serve to eliminate or preclude opportunity for human error
Kehew, W.J.; Barrett, L.H.
This paper focuses on the Quality Assurance (QA) program of the U.S. Department of Energy's (DOE) Office of Civilian Radioactive Waste Management (OCRWM). It describes the objectives and philosophy of quality assurance and the plans and activities that OCRWM is undertaking to implement a fully qualified QA program prior to beginning new site characterization activities in Nevada. This paper outlines OCRWM's plan to implement and use a well-designed and effective QA program throughout all elements of the program. (author) 1 fig., 5 refs
The purpose of this preliminary investigation is to explore alternatives and strategies aimed at the gradual reduction of the excess inventories of separated plutonium and high-enriched uranium (HEU) in the civilian nuclear power industry. The study attempts to establish a technical and economic basis to assist in the formation of alternative approaches consistent with nonproliferation and safeguards concerns. The analysis addresses several options in reducing the excess separated plutonium and HEU, and the consequences on nonproliferation and safeguards policy assessments resulting from the interacting synergistic effects between fuel cycle processes and isotopic signatures of nuclear materials
The scientific and technological aspects of the conversion of military capacities for civilian use and sustainable development concerning the utilisation of excess weapon plutonium consist of the following main issues: The new understanding of 'security'; industrial restructuring for sustainable development; human resources issues; cleaning up of the world legacy; developing timely alternate use plans for military facilities. The issues and problems of nuclear disarmament management are linked to sustainable development and are related to safe and environmentally sound management of radioactive wastes, meaning also safe transport, storage and disposal with a view to protect human health and the environment. Special emphasis is laid on the international and regional cooperation as the main basis for action
Hosek, James; Mattock, Michael; Schoenbaum, Michael; Eiseman, Elizabeth
.... However, military health care benefits are not routinely counted as an element of military compensation in reports given to individual members, nor in comparisons of military versus civilian compensation...
Full Text Available Since the Boko Haram uprising in 2009, the Nigerian government has employed various strategies as counter-terrorism measures to stem the atrocities of the group. These strategies include amnesty negotiations, implementation of emergency law in the northeast, increase in security spending to the deployment of military force. In the midst of these security measures, the civilian Joint Task Force (JTF emerged, first as a community effort, and later as a joint effort with the security forces to help fight Boko Haram. The civilian JTF has helped recover towns and villages from Boko Haram, rescued women in the northeast and helped identify Boko Haram members shielded by some local people. Although doubts have been expressed in some quatres that the civilian JTF could transform into ethnic militias, the Boko Haram security threat neutralized by the group indicates an untapped security potential in Nigerian communities. However, one approach that has yet to be pursued is community security option. Community security option is a model built around proactive citizen-driven communal response. This article explains the role of civilian JTF and how civilian JTF can be used to investigate terrorism in Nigeria. This article will contribute to the discourse on the imperative of African-inspired mechanisms to solving African security problems.
Cole, Elaine; Davenport, Ross; Willett, Keith; Brohi, Karim
To characterize the relationship between tranexamic acid (TXA) use and patient outcomes in a severely injured civilian cohort, and to determine any differential effect between patients who presented with and without shock. TXA has demonstrated survival benefits in trauma patients in an international randomized control trial and the military setting. The uptake of TXA into civilian major hemorrhage protocols (MHPs) has been variable. The evidence gap in mature civilian trauma systems is limiting the widespread use of TXA and its potential benefits on survival. Prospective cohort study of severely injured adult patients (Injury severity score > 15) admitted to a civilian trauma system during the adoption phase of TXA into the hospital's MHP. Outcomes measured were mortality, multiple organ failure (MOF), venous thromboembolism, infection, stroke, ventilator-free days (VFD), and length of stay. Patients receiving TXA (n = 160, 42%) were more severely injured, shocked, and coagulopathic on arrival. TXA was not independently associated with any change in outcome for either the overall or nonshocked cohorts. In multivariate analysis, TXA was independently associated with a reduction in MOF [odds ratio (OR) = 0.27, confidence interval (CI): 0.10-0.73, P = 0.01] and was protective for adjusted all-cause mortality (OR = 0.16 CI: 0.03-0.86, P = 0.03) in shocked patients. TXA as part of a major hemorrhage protocol within a mature civilian trauma system provides outcome benefits specifically for severely injured shocked patients.
Levy, Barry S; Sidel, Victor W
The 40th anniversary of the end of the Vietnam War is a useful time to review the adverse health consequences of that war and to identify and address serious problems related to armed conflict, such as the protection of noncombatant civilians. More than 58,000 U.S. servicemembers died during the war and more than 150,000 were wounded. Many suffered from posttraumatic stress disorders and other mental disorders and from the long-term consequences of physical injuries. However, morbidity and mortality, although difficult to determine precisely, was substantially higher among the Vietnamese people, with at least two million of them dying during the course of the war. In addition, more than one million Vietnamese were forced to migrate during the war and its aftermath, including many "boat people" who died at sea during attempts to flee. Wars continue to kill and injure large numbers of noncombatant civilians and continue to damage the health-supporting infrastructure of society, expose civilians to toxic chemicals, forcibly displace many people, and divert resources away from services to benefit noncombatant civilians. Health professionals can play important roles in promoting the protection of noncombatant civilians during war and helping to prevent war and create a culture of peace.
McLeod, N.B.; Nguyen, T.D.; Drexelius, R.; McKee, R.W.
The Department of Energy (DOE) Office of Civilian Radioactive Waste Management (OCRWM) has sponsored system studies to support the evaluation of alternative configurations and operations for the Civilian Radioactive Waste Management System (CRWMS) and the development of system requirements and design specifications. These studies are generally directed toward evaluating the impacts of alternatives to the monitored retrievable storage (MRS) and fuel rod consolidation, waste form and characteristics sequences, cask and canister concepts, allocation of waste acceptance rights, and system throughput rates. The objectives of this document are: To present major system issues and related system element issues in a structured manner; to discuss key results of major system studies and explain the basis for certain current system assumptions; to summarize the scope and results of completed system studies that are still relevant at the time this document is published; and to provide the background needed for identifying and prioritizing system issues to be resolved. Consistent with the objectives, the document does not include low-level subsystem studies addressing system element issues that do not interact with overall system issues. The document is expected to be updated as major new system studies are completed and significant new results are available
De Angelis, G.; Caldora, M.; Santaquilani, M.; Scipione, R.; Verdecchia, A.
A study of the effects of high-LET, low-dose and low-dose-rate ionizing radiation and associated risk analysis is underway. This study involves analyzing the atmospheric ionizing radiation exposure (including high-energy neutrons) and associated effects for members of civilian aviation flight personnel, in an attempt to better understand low-dose long-term radiation effects on human subjects. The study population includes all Italian civilian airline flight personnel, both cockpit and cabin crew members, whose work history records and actual flights (route, aircraft type, and date for each individual flight for each person where possible) are available. The dose calculations are performed along specific flight legs, taking into account the actual flight profiles for all different routes and the variations with time of solar and geomagnetic parameters. Dose values for each flight are applied to the flight history of study participants in order to estimate the individual annual and lifetime occupational radiation dose. An update of the study of the physical atmospheric ionizing radiation exposure is given here, in terms of environmental modeling, flight routes, radiation dose evaluation along different flight paths, and exposure matrix construction. The exposure analysis is still in progress, and the first results are expected soon
This article examines the processes through which civilian fear was turned into a practicable investigative object in the inter-war period and the opening stages of the Second World War, and how it was invested with significance at the level of science and of public policy. Its focus is on a single historical actor, Solly Zuckerman, and on his early war work for the Ministry of Home Security-funded Extra Mural Unit based in Oxford's Department of Anatomy (OEMU). It examines the process by which Zuckerman forged a working relationship with fear in the 1930s, and how he translated this work to questions of home front anxiety in his role as an operational research officer. In doing so it demonstrates the persistent work applied to the problem: by highlighting it as an ongoing research project, and suggesting links between seemingly disparate research objects (e.g. the phenomenon of 'blast' exposure as physical and physiological trauma), the article aims to show how civilian 'nerve' emerged from within a highly specific analytical and operational matrix which itself had complex foundations.
Full Text Available BACKGROUND: wars and its challenges have historically afflicted humanity. In Syria, severe injuries occurred due to firearms and explosives used in the war between government forces and civilians for a period of over 2 years. MATERIALS AND METHODS: the study included 364 cases, who were admitted to Mustafa Kemal University Hospital, Medicine School (Hatay, Turkey, and underwent surgery. Survivors and non-survivors were compared regarding injury site, injury type and number of transfusions given. The mortality rate found in this study was also compared to those reported in other civil wars. RESULTS: the mean age was 29 (3-68 years. Major sites of injury included extremities (56.0%, head (20.1%, abdomen (16.2%, vascular structures (4.4% and thorax (3.3%. Injury types included firearm injury (64.4%, blast injury (34.4% and miscellaneous injuries (1.2%. Survival rate was 89.6% while mortality rate was 10.4%. A significant difference was observed between mortality rates in this study and those reported for the Bosnia and Lebanon civil wars; and the difference became extremely prominent when compared to mortality rates reported for Vietnam and Afghanistan civil wars. CONCLUSION: among injuries related to war, the highest rate of mortality was observed in head-neck, abdomen and vascular injuries. We believe that the higher mortality rate in the Syrian Civil War, compared to the Bosnia, Vietnam, Lebanon and Afghanistan wars, is due to seeing civilians as a direct target during war.
Gibson, Stephen; Condor, Susan
Theory and research deriving from social identity or self-categorization perspectives often starts out with the presumption that social actors necessarily view societal objects such as nations or states as human categories. However, recent work suggests that this may be only one of a number of forms that societal representation may take. For example, nations may be understood variously as peoples, places, or institutions. This paper presents findings from a qualitative interview study conducted in England, in which soldiers and civilians talked about nationhood in relation to military service. Analysis indicated that, in this context, speakers were often inclined to use the terms 'Britain', 'nation', and 'country' as references to a political institution as opposed to a category of people. In addition, there were systematic differences between the ways in which the two samples construed their nation in institutional terms. The civilians were inclined to treat military service as a matter of obedience to the dictates of the Government of the day. In contrast, the soldiers were more inclined to frame military service as a matter of loyalty to state as symbolically instantiated in the body of the sovereign. Implications for work adopting a social identity perspective are discussed.
Kozin, O V
The objective of the present paper is to review the main stages of investigations into the mechanisms of occupational loss of hearing in the light personnel of civilian aviation starting from the early period in the development of aviation (the first decades of the XXth century) up to the present time. Much attention is given to clinical and audiologic studies involving the flight personnel, elaboration of guidelines and instructions on elucidation, diagnosis, and expert examination of occupational deafness in the personnel of civilian aviation. Prospects for handling the problem in this country are discussed.
Meijering, V M; Hattam, A T; Navsaria, P H; Nicol, A J; Edu, S
Gunshot wounds (GSW) to the chest are common presentations to trauma centres in South Africa. The clinical management and outcome of GSW to the chest are significantly altered by missile trajectory and the associated anatomical structures injured making them challenging injuries to treat. Currently, the management of GSW chest is based on scant evidence and treatment is typically according to algorithms based largely on the anecdotal experience of high volume institutions and experienced clinicians. Ethical approval was obtained for this study. The Electronic Trauma Health Registry (eTHR) Application of the Trauma Centre at Groote Schuur Hospital in Cape Town was interrogated for the year 2015 for all patients with GSW chest. The data was then analysed using descriptive statistics. A total of 141 patients with GSW to the chest were admitted to the Trauma Centre with a median age of 26 years. More than half of the patients, 53. 2% (n = 75) sustained an isolated GSW to the chest. Overall, 29.1% (n = 41) patients sustained a thoracoabdominal injury, which accounts for a significant higher amount of emergency surgeries compared to patients with non thoracoabdominal injuries (54% vs 15%, p = chest surgery of which 5 patients survived. Overall mortality was 7.1% (n = 10) of which 5 patients died from a thoracic cause. Civilian GSW to the chest are common injuries seen in Cape Town, often with concomitant injuries leading to increased morbidity. Significantly more emergency surgeries were done in patients with thoracoabdominal injury. Overall few patients needed chest-related emergency operative intervention (9.2%) with a survival rate of 38.5%. Overall mortality of patients with GSW chest who reached the hospital was 7.1% of whom 50% died from a thoracic cause.
Doarn, Charles R; McVeigh, Francis; Poropatich, Ronald
Traumatic brain injury (TBI) has become the signature injury of Operation Iraqi Freedom and Operation Enduring Freedom. The use of improvised explosive devices has seen an exponential increase in both Iraq and Afghanistan. In previous conflicts prior to Iraq, survivability of such an injury was far less. Today, technological improvements in trauma care have increased an injured warfighter's chance of survival. A reduction in severe TBI has been achieved but an increase in mild or moderate TBI has been observed. The consequences of this kind of injury can be both physical and mental and can often be hidden or even misdiagnosed. The U.S. Army is interested in pursuing technological solutions for early detection and treatment of TBI to reduce its lasting impact on the warfighter. Such technological breakthroughs have benefit beyond the military, as TBI is a high probable event in nonmilitary settings as well. To gauge what technologies or methods are currently available, the U.S. Army's Telemedicine and Advanced Technology Research Center partnered with the American Telemedicine Association to organize and conduct a discipline-specific symposium entitled "Innovative New Technologies to Identify and Treat Traumatic Brain Injuries: Crossover Technologies and Approaches Between Military and Civilian Applications." This symposium was held in Palm Springs, CA, in September 2009. The purpose of the meeting was to provide a unique opportunity for leaders from disparate organizations involved in telemedicine and related other activities to meet and explore opportunities to collaborate in new partnership models. The meeting was designed to help Telemedicine and Advanced Technology Research Center identify opportunities to expand strategic operations and form new alliances. This report summarizes this symposium while raising awareness for collaboration into better ways of adapting and adopting technologies to address this growing health issue.
Saltiel, David H.; Pregenzer, Arian Leigh
Leaders around the world and across the ideological spectrum agree that the global nonproliferation regime is facing a serious test. The emergence of sophisticated terrorist networks, black markets in nuclear technology, and technological leaps associated with globalization have conspired to threaten one of the most successful examples of international cooperation in history. The rampant proliferation of nuclear weapons that was predicted at the start of the nuclear age has been largely held in check and the use of those weapons avoided. Nonetheless, with the thirty-fifth anniversary of the Treaty on the Nonproliferation of Nuclear Weapons (NPT), the threat of nuclear proliferation seems more serious than ever. Although experts readily concede that there exist many pathways to proliferation, the threat posed by the misuse of the civilian nuclear fuel cycle has received considerable recent attention. While the connection between nuclear energy and nonproliferation has been a topic of discussion since the dawn of the nuclear age, world events have brought the issue to the forefront once again. United States President George W. Bush and International Atomic Energy Agency (IAEA) Director General Mohammad ElBaradei are among those who have highlighted proliferation risks associated with civilian nuclear power programs and called for revitalizing the nuclear nonproliferation regime to address new threats. From the possibility of diversion or theft of nuclear material or technology, to the use of national civilian programs as a cover for weapons programs - what some have called latent proliferation - the fuel cycle appears to many to represent a glaring proliferation vulnerability. Just as recognition of these risks is not new, neither is recognition of the many positive benefits of nuclear energy. In fact, a renewed interest in exploiting these benefits has increased the urgency of addressing the risks. Global energy demand is expected to at least double by the middle of
Bourdeaux, Margaret Ellis; Lawry, Lynn; Bonventre, Eugene V; Burkle, Frederick M
To review the history and goals of the US Department of Defense's largest civilian assistance program, the Overseas Humanitarian, Disaster and Civic Aid Program and to describe the number, geographic regions, years, key words, countries, and types of projects carried out under this program since 2001. Using the program's central database, we reviewed all approved projects since 2001 and tabulated them by year, combatant command, country, and key word. We also reviewed the project descriptions of projects funded between January 1, 2006, and February 9, 2008, and examined how their activities varied by combatant command and year. Of the 5395 projects in the database, 2097 were funded. Projects took place in more than 90 countries, with Southern, Pacific, and Africa Command hosting the greatest number. The most common types of projects were school, health, disaster response, and water infrastructure construction, and disaster-response training. The "global war on terror" was the key word most frequently tagged to project descriptions. Project descriptions lacked stated goals as well as implementation and coordination strategies with potential partners, and did not report outcome or impact indicators. The geographic reach of the program is vast and projects take place in a wide variety of public sectors. Yet their security and civilian assistance value remains unclear given the lack of stated project goals, implementation strategies, or measures of effectiveness. To facilitate transparency and policy discussion, we recommend project proposals include hypotheses as to how they will enhance US security, their relevance to the public sector they address, and outcome and impact indicators that can assess their value and effectiveness.
Every two years since 2008, IRSN has published in a report the lessons learnt from its analysis of significant events involving the transport of radioactive materials for civilian purposes in France. Each year in France, some 770,000 shipments of radioactive materials for civilian use are done by road, railway, inland waterway, sea and air. For 2012 and 2013, the report did not find evidence of degradation compared with previous years, particularly for industrial activities in the nuclear power industry, which raise the most significant safety issues. Since 1999, approximately a hundred events are reported each year, which represents, on average, one event per 10,000 packages transported. IRSN notes that none of the events that occurred over the two years had an impact on public health or environmental protection. Events involving a defect in the closure of spent fuel shipping packages and deviations concerning the content of the packages, which had increased in 2010 and 2011, are now down. It would seem to confirm that the organizational measures implemented by those sending the packages have had a positive impact. Previous trends which brought to light failures in the preparation of packages and their handling, in particular in the medical sector, have been confirmed. Even if most of the packages concerned contain low levels of radioactivity, recurrence of these events confirms the value of implementing appropriate preventive actions on the part of the companies involved. Lastly, descriptions of several typical events that occurred in 2012 and 2013 provide illustrations of the analyses that were performed on actual cases
Montalembert de, J.A.
The situation about using of highly enriched uranium (HEU) and weapon grade plutonium (WgPu) for nuclear fuel preparation in U.S.A. and Russian Federation is reviewed. A few remarks were concluded: (1) We stand at the onset of a process that will be lengthy and which is unlikely to stop with the elimination of the 700 t of HEU and 2 x 34.5 t of WgPu concerned so far. If the announced negotiation of the third START treaty concludes favorably, additional tonnages will have to be recycled, particularly on the Russian side whose estimated inventory is larger. (2) The time scales necessitated by the management of these materials should be no surprise. On the one hand, the aim is to reduce an arsenal built up during 45 years of a Cold War. And this return to civilian life of materials of military origin must be achieved in conditions of safety and bilateral or international safeguards (IAEA), which obviously did not constitute the primary concern of the powers who produced them. Besides, insofar as it enlists the services of civilian industry, this return must be carried out with due respect for the equilibrium of markets that are severely mauled today, in other words, in an orderly and progressive manner. (3) Finally, it is important to recognize that without the contribution of the nuclear power industry, the elimination of military fissile materials would raise problems at another scale and would inevitably lead to regrettable waste. It is to be hoped that this will jog the minds of those who urge a rapid end to nuclear energy, when all the evidence demonstrates that the best way to eliminate surplus weapon grade materials is to recycle them in a reactor, in other words, to destroy them or to denature them while generating electricity. (4) The civilian nuclear industry is happy to contribute concretely and significantly to the solution of a problem of surplus nuclear weaponry, while at the same time utilizing technologies successfully developed for power generation
Summary Health Statistics for U.S. Adults: National Health Interview Survey, 2009. Data from the National Health Interview Survey. Vital and Health Statistics. Series 10, Number 249. DHHS Publication No. (PHS) 2011-1577
Pleis, J. R.; Ward, B. W.; Lucas, J. W.
Objectives: This report presents health statistics from the 2009 National Health Interview Survey (NHIS) for the civilian noninstitutionalized adult population, classified by sex, age, race and ethnicity, education, family income, poverty status, health insurance coverage, marital status, and place and region of residence. Estimates are presented…
The Institutional Challenges Subpanel of the Energy Research Advisory Board's Civilian Nuclear Power Panel was charged with the task of addressing the institutional issues that affect the future of nuclear power in the United States. Barriers created by non-technical issues are generally considered to be primary obstacles to revitalizing the nuclear fission option as part of a robust supply for future electrical generation. The Subpanel examined the following categories of institutional issues: (1) Administration Policy and Leadership, (2) Licensing Reform, (3) Standardized Designs, (4) Shared Financial Risk, (5) State and Economic Regulation, (6) Waste Disposal, and (7) Public Perception. The Subpanel concluded that the Administration and Congress have the opportunity and responsibility to provide leadership in resolving these difficulties. The main report provides information on the background and current situation for each institutional issue and concludes with the set of recommendations for action
Holm, J.A.; Denny, S.
The Civilian Radioactive Waste Management (OCRWM) Program consists of various technical and institutional program activities which engender concern from the general public and from policymakers at federal, state, and local levels. Most familiar are the concerns centered around selection of a site for a repository; however, the transportation portion of the OCRWM program also engenders similar concerns for safety, efficiency and effectiveness. The major Transportation institutional issues were detailed in the Institutional Plan, issued in 1986, and include topics such as liability, defense waste, routing, emergency response, risk identification and mitigation, cash integrity, inspection and enforcement of high-level waste shipments and use of overweight trucks as part of the modal mix. This paper will define the process being used to identify and resolve institutional issues, show how the technical and institutional issues interface and are addressed, and briefly describe four specific activities which illustrate the process of resolving institutional issues in the Transportation program
This paper reports that science education has long been a critical element in the U.S. Department of Energy's (DOE) Civilian Radioactive Waste Management Program. OCRWM has developed educational programs aimed at improving the science literacy of students from kindergarten through college and post-graduate levels, enhancing the skills of teachers, encouraging careers in science and engineering, and developing a keener awareness of science issues among the general population. Activities include interaction with educators in the development of curricula material; workshops for elementary and secondary students; cooperative agreements and projects with universities; OCRWM exhibit showings at technical and non-technical meetings and at national and regional teacher/educator conferences; the OCRWM Fellowship Program; and support for Historically Black Colleges and Universities
Terry, Melissa V; Barnes, Courtney; Beal, Katie; Enciso, Angel Jaime; Love-Zaranka, Angela
To compare and contrast military hospital and civilian hospital experiences of achieving Baby-Friendly designation, and to examine administration and staff responses as well as institutional and patient postimplementation outcomes. Staff, administration, and chairs of Baby-Friendly committees at both hospitals were interviewed. Motivating factors and perceived administrative support were similar at both institutions. Both sites saw an increase in exclusive breastfeeding rates upon discharge to a rate of 80-90%, and both noted an overall increase in delivery rates, which may also be attributed to achieving Baby-Friendly designation. Significant differences included the amount of time it took to achieve Baby-Friendly status, the number of specialties represented on the Baby-friendly committee, the percentage of employees who received training, pediatrics involvement and support, and funding sources for staff training.
The US Department of Energy's (DOE's) Office of Civilian Radioactive Waste Management (OCRWM) is publishing this catalog to provide citations of selected technical and public information on the subject of high-level radioactive waste management. The catalog is a resource and reference tool. It will be updated and printed annually. The online catalog will be available for review through OCRWM's Product Record System (PRS) and can eventually be made available to the public. The printed catalog version is suitable for libraries and those individuals needing either a broad base of information or a particular source; the computerized catalog version provides the most current information resources available, since updates to citations will be made as they are received. The number of documents suitable for listing in this catalog is expected to grow significantly each year
This report describes the study conducted by the Department of Energy (the Department) regarding payment charges for the federal interim storage (FIS) of spent fuel and presents the details of the study results. It describes the selection of a methodology for calculating a FIS fee schedule, sets forth the estimates of cost for construction and operation of FIS facilities, provides a range of estimates for the fee for FIS services, and identifies special contractual considerations associated with providing FIS services to authorized users. The fee is structured for a range of spent fuel capacities because of uncertainties regarding the schedule of availability and amount of spent fuel that may require and qualify for FIS. The results set forth in the report were used as a basis for development of the report entitled Payment Charges for Federal Interim Storage of Spent Nuclear Fuel from Civilian Nuclear Power Plants in the United States, dated July 1983
In the Report of the House Committee on Appropriations (House Report No. 101-96) on the Energy and Water Development Appropriation Act, 1990 (P.L. 101-101), the Committee directed the Department of Energy (DOE) ''hor-ellipsis to submit a report within 60 days of enactment hor-ellipsis which describes in detail how the Department plans to respond to the Committee's hor-ellipsis concerns dealing with endemic schedule slips, problems in management structure, and lack of integrated contractor efforts.'' This report has been prepared in response to the above-mentioned Congressional directive. It is based on a comprehensive review that the Secretary of Energy has recently completed of the Civilian Radioactive Waste Management Program. The Secretary's review has led to the development of a three-point action plan for restructuring the program. This plan is explained in this report
This paper is an introduction to the session on the management of information within the Department of Energy's Office of Civilian Radioactive Waste Management (OCRWM). OCRWM'S mission will take decades to fulfill, and its success will leave a legacy of implications for millennia to come. The effective management of information during the life span of such a large and long term endeavor is critical. The programmatic information takes other forms: reports are written; policy documents are produced; correspondence is generated; and the daily flow of information through the program presses on staff as they sort, create, and respond to its demands. The major problem with electronic information generation within the public sector was aptly expressed at the beginning of the 1985 blue panel report of the Committee on the Records of Government: the United States is losing its institutional memory. This thought has been a major driver in our technical strategic planning and implementation
Bartlett, John W.
The schedule goals for the Civilian Radioactive Waste Management Program are to begin spent fuel receipt from reactors in 1998 and to begin waste disposal in 2010. Although there are various reasons for these goals, the most important is to set demanding goals and be responsible for achieving them. Meeting these goals requires taking into account an array of facilitators and potential inhibitors that affect schedule confidence. Facilitators include actions to prioritize the program, and make its operations efficient. These include actions to baseline activities, emphasize communications with constituencies, use help from others, and facilitate the licensing process. Inhibitors include problems in monitored storage facilities negotiations, obstruction by the State of Nevada, funding deficiencies, and technical uncertainties at Yucca Mountain. At the present time, the program can, in principle meet its schedule goals. In the near-term, the linchpin of schedule confidence is Congressional action to match the Administration's commitment to progress. (author)
The U.S. Department of Energy's (DOE's) Office of Civilian Radioactive Waste Management (OCRWM) currently sponsors two programs that provide funding to universities and graduate students. The OCRWM graduate fellowship program and the OCRWM research program for historically black colleges and universities (HBCU) are designed to enhance the involvement of universities in the nation's high-level radioactive waste program. The specific goals of these programs are to (a) attract talented young scientists and engineers into OCRWM and OCRWM support contractor high-level radioactive waste management programs, (b) improve the quality of graduate education in disciplines directly related to high-level radioactive waste management, and (c) encourage university faculty to become involved in OCRWM mission-related activities
Hakimoglu, Sedat; Karcıoglu, Murat; Tuzcu, Kasım; Davarcı, Isıl; Koyuncu, Onur; Dikey, İsmail; Turhanoglu, Selim; Sarı, Ali; Acıpayam, Mehmet; Karatepe, Celalettin
wars and its challenges have historically afflicted humanity. In Syria, severe injuries occurred due to firearms and explosives used in the war between government forces and civilians for a period of over 2 years. the study included 364 cases, who were admitted to Mustafa Kemal University Hospital, Medicine School (Hatay, Turkey), and underwent surgery. Survivors and non-survivors were compared regarding injury site, injury type and number of transfusions given. The mortality rate found in this study was also compared to those reported in other civil wars. the mean age was 29 (3-68) years. Major sites of injury included extremities (56.0%), head (20.1%), abdomen (16.2%), vascular structures (4.4%) and thorax (3.3%). Injury types included firearm injury (64.4%), blast injury (34.4%) and miscellaneous injuries (1.2%). Survival rate was 89.6% while mortality rate was 10.4%. A significant difference was observed between mortality rates in this study and those reported for the Bosnia and Lebanon civil wars; and the difference became extremely prominent when compared to mortality rates reported for Vietnam and Afghanistan civil wars. among injuries related to war, the highest rate of mortality was observed in head-neck, abdomen and vascular injuries. We believe that the higher mortality rate in the Syrian Civil War, compared to the Bosnia, Vietnam, Lebanon and Afghanistan wars, is due to seeing civilians as a direct target during war. Copyright © 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.
Volume I is the Mission Plan itself, Volume II is a 700+-page collection of public comments on the Draft Mission Plan, and Volume III contains DOE responses to the public comments. Taken as a whole, the document illustrates the development of an agency approach to solving a problem, and the extent to which public input may or may not influence that approach. The Mission Plan itself is DOE's clear statement of how it proposes to go about selecting a permanent site for the disposal of high-level nuclear waste: spent fuel from civilian nuclear power plants and high-level waste produced in reprocessing both civilian and military nuclear materials. Since this program is focused upon site selection based to a large extent upon geologic factors important in inhibiting the release of radionuclides for a long interval of time, it is of considerable interest to see how DOE has organized the necessary geologic investigations, and to what extent it proposes to concentrate on the geologic aspects. A key element in the high-level waste disposal program is public confidence in the process. If the public perceives that DOE is continuing investigations at one or more sites when substantial evidence shows that the site(s) are not geologically favorable, then public confidence in the program will disappear. It remains to be seen whether this Mission Plan will be considered the planning document for a successful, carefully organized program of geological input to public policy or merely an element in a record of bureaucratic failure
Hakimoglu, Sedat; Karcıoglu, Murat; Tuzcu, Kasım; Davarcı, Isıl; Koyuncu, Onur; Dikey, İsmail; Turhanoglu, Selim; Sarı, Ali; Acıpayam, Mehmet; Karatepe, Celalettin
Wars and its challenges have historically afflicted humanity. In Syria, severe injuries occurred due to firearms and explosives used in the war between government forces and civilians for a period of over 2 years. The study included 364 cases, who were admitted to Mustafa Kemal University Hospital, Medicine School (Hatay, Turkey), and underwent surgery. Survivors and non-survivors were compared regarding injury site, injury type and number of transfusions given. The mortality rate found in this study was also compared to those reported in other civil wars. The mean age was 29 (3-68) years. Major sites of injury included extremities (56.0%), head (20.1%), abdomen (16.2%), vascular structures (4.4%) and thorax (3.3%). Injury types included firearm injury (64.4%), blast injury (34.4%) and miscellaneous injuries (1.2%). Survival rate was 89.6% while mortality rate was 10.4%. A significant difference was observed between mortality rates in this study and those reported for the Bosnia and Lebanon civil wars; and the difference became extremely prominent when compared to mortality rates reported for Vietnam and Afghanistan civil wars. Among injuries related to war, the highest rate of mortality was observed in head-neck, abdomen and vascular injuries. We believe that the higher mortality rate in the Syrian Civil War, compared to the Bosnia, Vietnam, Lebanon and Afghanistan wars, is due to seeing civilians as a direct target during war. Copyright © 2014 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.
Smith, S.; Summerson, J.; Gleason, M.E.; Reyes, P.C.
The Civilian Radioactive Waste Management Program is entering its second decade. Given the Department of Energy's current efforts toward openness and culture change, the role of stakeholders is likely to evolve throughout the 1990s to enable greater participation by these external parties in making program decisions. Although the program has a tradition of inviting its stakeholders to review and comment on its activities, it also is known for employing on occasion what has been derisively called a open-quotes decide-announce-defendclose quotes strategy. Program efforts to involve the public have come under considerable criticism for being inadequate, inconsistent, lacking in follow-through, and offered on a sporadic and selective basis. The program is vulnerable to these criticisms because ground rules for public involvement have never been firmly established as part of the program's routine operations. This deficiency has contributed, in part, to stakeholder doubts about the program's sincerity in engaging in a meaningful dialogue with them. The program and its stakeholders both could benefit from an official public involvement policy that would serve as a guidepost for interactions between program officials and stakeholders. Such a policy, developed in concert with stakeholders, would ensure that all parties understand how stakeholder participation is to occur. This paper reviews (1) events establishing the need for a formal public involvement policy; (2) public involvement initiatives that will inform the process of developing a new policy; (3) current efforts to develop a Department of Energy public involvement policy; and (4) key elements for inclusion in a public involvement policy developed specifically for the Civilian Radioactive Waste Management Program
... DEPARTMENT OF STATE [Public Notice 7843] 60-Day Notice of Proposed Information Collection: Civilian Response Corps Database In-Processing Electronic Form, OMB Control Number 1405-0168, Form DS-4096... Management and Budget (OMB) approval for the information collection described below. The purpose of this...
Dokkedahl, Sarah Bøgelund; Oboke, Henry; Elklit, Ask
Objectives: ICD-11 is expected to introduce a new diagnosis of C-PTSD, along with a revision of the current PTSD diagnosis. Are the suggested diagnostic tools for PTSD and C-PTSD valid in a developing country? Method: The tools have been tested on former abducted and regular civilians in northern...
Anspaugh, L.R.; Hendrickson, S.M.
This report contains brief summaries of the status of projects of the Environmental Transport Group of the US-USSR Joint Coordinating Committee of Civilian Nuclear Reactor Safety. Projects reported on include: Management and Administration; Atmospheric Transport; Resuspension; External Dose; Terrestrial Food Chains; Aquatic Food Chains; Hydrological Transport; and Intercalibration
Morina, N.; Ford, J.D.; Risch, A.K.; Morina, B.; Stangier, U.
Purpose: The current study examined the prevalence and correlates of somatic distress (SD) in the aftermath of war, and the role of a process hypothesized to contribute to posttraumatic stress: experiential avoidance. Methods: Civilian war survivors (n = 163) from Kosovo were assessed in structured
... individual's retirement records. (d) The Corporation must withhold from the pay of an individual described by paragraph (a) of this section an amount equal to the percentage withheld from the pay of a Federal employee... support the Civilian Marksmanship Program as of the day before the date of the transfer of the Program to...
... pay of an individual described by paragraph (a) of this section an amount equal to the premiums withheld from the pay of a Federal employee for FEHB coverage and, in accordance with procedures... Department of Defense to support the Civilian Marksmanship Program as of the day before the date of the...
... paragraph (a) of this section an amount equal to the premiums withheld from the pay of a Federal employee... procedures established by OPM, pay into the Employees' Life Insurance Fund amounts equal to any agency... Defense to support the Civilian Marksmanship Program as of the day before the date of the transfer of the...
... with the individual's retirement records. (d) The Corporation must withhold from the pay of an individual described by paragraph (a) of this section an amount equal to the percentage withheld from the pay... by the Department of Defense to support the Civilian Marksmanship Program as of the day before the...
Saligari, Jessica; Evans, Richard
In the 1990s, the police service in Victoria, Australia, faced a crisis of community confidence due to a spate of civilian deaths from police shootings. In that decade, twice as many civilians died at the hands of the police in Victoria than in every other Australian state combined. Most of those killed were mentally ill and affected by drugs and alcohol, and were rarely a serious threat except to themselves. The problem was also almost entirely an urban phenomenon. Shootings in rural communities, where mentally ill people were more likely to be personally known to local police, were (and remain) almost unknown. The large number of fatalities was recognised as a serious threat to public confidence, and Victoria Police introduced a ground-breaking training programme, Operation Beacon. Operating procedures and weapons training were fundamentally changed, to focus on de-escalation of conflict and avoiding or minimising police use of force. In the short term, Operation Beacon was successful. Shooting incidents were dramatically reduced. However, during the first decade of the new century, the number of civilians being killed again increased. This article examines Operation Beacon, both as a successful model for reducing civilian deaths at the hand of police and as a cautionary tale for police reform. We argue that the lessons of Operation Beacon have been gradually forgotten and that old habits and attitudes resurfaced. Fatal shootings of mentally ill civilians can be prevented, but if success is to be other than temporary, the Beacon philosophy must be continually reemphasised by police management.
Barak, Adiel; Elhalel, Amir; Pikkel, Joseph; Krauss, Eli; Miller, Benjamin
To analyze the incidence and severity of ocular and adnexal injuries in the Second Lebanon War among Israeli soldiers and civilians. Retrospective cohort study. All patients recorded in the Israeli National Trauma Registry during the Second Lebanon War (July-August, 2006). Retrieval of all data relevant to ocular and adnexal injuries sustained during the study period, and differentiation between those associated with combat/terrorist and other events. Analysis of data according to the severity of trauma , anatomical location of the injury, and whether the patients were military personnel or civilians. A total of 69 war-related ocular trauma patients (58 military personnel and 11 civilians) were registered during the 34 days of war. The injuries involved the anterior segment injury (n = 25), posterior segment (n = 29) and the periocular region (n = 15, all severe). Twenty-seven of the patients had open-globe injuries, of which 18 involved intraocular foreign bodies, and 27 patients had closed-globe injuries. The rate of ocular injuries was 7% among all registered wounded military personnel and 1.2% among all injured civilians. The incidence and severity of ocular and adnexal injuries among military personnel during the Second Lebanon War were consistent with previous reports from American sources of ocular injuries sustained in Iraq and Afghanistan. The rates of ocular injury associated with wartime events sustained by civilians has not been investigated before, and it was relatively low, probably as a result of stringent government-mandated building regulations for passive defense that are discussed.
Rieder, Michael; Choonara, Imti
Armed conflict has a major impact on child health throughout the world. One in six children worldwide lives in an area of armed conflict and civilians are more likely to die than soldiers as a result of the conflict. In stark contrast to the effect on children, the international arms trade results in huge profits for the large corporations involved in producing arms, weapons and munitions. Armed conflict is not inevitable but is an important health issue that should be prevented.
Guha-Sapir, Debarati; Schlüter, Benjamin; Rodriguez-Llanes, Jose Manuel; Lillywhite, Louis; Hicks, Madelyn Hsiao-Rei
Since March, 2011, the Syrian civil war has lowered life expectancy by as much as 20 years. We describe demographic, spatial, and temporal patterns of direct deaths of civilians and opposition combatants from conflict-related violence in 6 years of war. We analysed conflict-related violent deaths with complete information on date, place, and cause of death and demographic group occurring from March 18, 2011, to Dec 31, 2016, recorded by the Violation Documentation Center (VDC). We included civilian and combatant deaths in all Syrian governorates, excluding government-controlled areas. We did not include detainees and missing persons, nor deaths from siege conditions or insufficient medical care. We categorised deaths based on VDC weapon type. We used χ 2 testing to compare deaths from different weapons in civilian men, women, boys, and girls and adult and child combatants. We analysed deaths by governorate and over time. The VDC recorded 143 630 conflict-related violent deaths with complete information between March 18, 2011, and Dec 31, 2016. Syrian civilians constituted 101 453 (70·6%) of the deaths compared with 42 177 (29·4%) opposition combatants. Direct deaths were caused by wide-area weapons of shelling and air bombardments in 58 099 (57·3%) civilians, including 8285 (74·6%) civilian women and 13 810 (79·4%) civilian children, and in 4058 (9·6%) opposition combatants. Proportions of children among civilian deaths increased from 8·9% (388 of 4254 civilian deaths) in 2011 to 19·0% (4927 of 25 972) in 2013 and to 23·3% (2662 of 11 444) in 2016. Of 7566 deaths from barrel bombs, 7351 (97·2%) were civilians, of whom 2007 (27·3%) were children. Of 20 281 deaths by execution, 18 747 (92·4%) were civilians and 1534 (7·6%) were opposition combatants. Compared with opposition child soldiers who were male (n=333), deaths of civilian male children (n=11 730) were caused more often by air bombardments (39·2% vs 5·4%, pwar crime. None
Kashuk, Jeffry L; Cothren, C Clay; Moore, Ernest E; Johnson, Jeffrey L; Biffl, Walter L; Barnett, Carlton C
Although the safety of primary repair/anastomosis for civilian colon injuries after standard laparotomy (SL) has been established, recent civilian and military reports have questioned the advisability of this technique in the patient requiring damage control laparotomy (DL). We hypothesized that, even in the high-risk DL group, primary repair could be safely used after patient stabilization and that the open abdomen would facilitate the safety of this procedure. All patients admitted to our level 1 trauma center with a colon injury over a 7-year period were reviewed from a prospectively collected database. Patients were categorized as having undergone either SL or DL at initial operation. Primary variables of interest were as follows: injury patterns; method of primary repair (suture repair, resection and primary anastomosis, resection and delayed anastomosis); diversion techniques (planned diversion or diversion for anastomotic dehiscence); and colon-related morbidity and mortality. High-risk status in the DL group was identified by the following physiologic variables: mean injury severity score (ISS), red blood cell (RBC) transfusions, ventilator days, and intensive care unit (ICU) duration of stay. During the study period, 309 patients had colonic wounds identified at laparotomy. Of these 309 patients, 280 (91%) underwent SL, of which 277 (98.9%) had primary colonic repair/anastomosis. In the SL group, 1 (0.3%) patient required diversion for subsequent leak and 2 (0.6%) patients had planned diversion The remaining 29 hemodynamically unstable patients required DL. Mean +/- standard deviation indices of injury severity in this group included: ISS = 36.2 +/- 15.8, RBC = 28.7 +/- 25.4 units, ventilator days = 20.1 +/- 16.3, ICU duration of stay = 29.5 +/- 21.6 days. Of the 29 patients in the DL group, 21 (72%) had bowel continuity successfully reestablished in 2.6 +/- 2 days after initial attempts at primary suture repair or resection/anastomosis. A total of 4 (16
Azimi, S.A.; Conrad, J.L.; Reed, J.E.
Intent of the survey was to identify and characterize activities potentially applicable to improving energy efficiency and overall productivity in the civilian manufacturing industries. The civilian industries emphasized were the general manufacturing industries (including fabricated metals, glass, machinery, paper, plastic, textile, and transportation equipment manufacturing) and the primary metals industries (including primary aluminum, copper, steel, and zinc production). The principal steps in the survey were to: develop overview taxonomies of the general manufacturing and primary metals industries as well as specific industry taxonomies; identify needs and opportunities for improving process energy efficiency and productivity in the industries included; identify federal programs, capabilities, and special technical expertise that might be relevant to industry's needs and opportunities; contact federal laboratories/facilities, through visits and other forms of inquiry; prepare formatted profiles (descriptions) potentially applicable work efforts; review findings with industry; and compile and evaluate industry responses.
At present, up to 70% of Russian territory is not covered by central electrical distribution systems. In the field of fuel cell power plants, Russia is at parity with the leading foreign countries with respect to both technical and economic performance and the level of research being conducted. Civilian use of these generating systems on a broad scale, however, demands that a number of problems be solved, particularly those relating to the need for longer plant service life, lower unit cost of electricity, etc. The Ministry of Science and technical Policy of the Russian Federation issued a decree creating a new are of concentration, `Fuel Cell Based Power Plants for Civilian Needs,` in the GNTPR `Environmentally Clean Power Industry,` which will form the basis for financial support in this area out of the federal budget.
Varnado, S.G.; Mitchiner, J.L.
Electrical power generation by controlled fusion may provide a partial solution to the world's long-term energy supply problem. Achievement of a fusion reaction requires the confinement of an extremely hot plasma for a time long enough to allow fuel burnup. Inertial confinement of the plasma may be possible through the use of tightly focused, relativistic electron or ion beams to compress a fuel pellet. The Sandia Particle Beam Fusion program is developing the particle-beam accelerators necessary to achieve fuel ignition. In this report we review the status of the particle-beam fusion technology development program and identify several potential civilian applications for this technology. We describe program objectives, discuss the specific accelerators presently under development, and briefly review the results of beam-focusing and target-irradiation experiments. Then we identify and discuss applications for the beam technology and for the fusion neutrons. The applications are grouped into near-term, intermediate-term, and long-term categories. Near-term applications for the beam technology include electron-beam (e-beam) pumping of gas lasers and several commercial applications. Intermediate-term applications (pellet gain less than 50) include hybrid reactors for electrical power production and fissile fuel breeding, pure fusion reactors for electrical power production, and medical therapy using ion accelerators. In the long term, complex, high-gain pellets may be used in pure fusion reactors
Worley, Gordon H
Helicopters are commonly used in search and rescue operations, and accidents have occurred during helicopter search and rescue (HSAR) missions. The purposes of this study were to investigate whether the HSAR accident rate in the United States could be determined and whether any common contributing factors or trends could be identified. Searches were conducted of the National Transportation Safety Board aviation accident database, the records of the major search and rescue and air medical organizations, and the medical and professional literature for reports of HSAR accidents. A total of 47 civilian HSAR accidents were identified during the study. Of these, 43% involved fatal injuries, compared with a 19% fatality rate for US helicopter general aviation accidents during the same time period and a 40% rate for helicopter emergency medical services. The HSAR accidents carried a significantly higher risk of fatal outcomes when compared with helicopter general aviation accidents (2-tailed Fisher's exact test, P .05). The number of HSAR missions conducted annually could not be established, so an overall accident rate could not be calculated. Although the overall number of HSAR accidents is small, the percentage of fatal outcomes from HSAR accidents is significantly higher than that from general helicopter aviation accidents and is comparable to that seen for helicopter emergency medical services operations. Further study could help to improve the safety of HSAR flights. Copyright © 2015 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.
Kim, Jin-Oh; Steiner, Frederick; Mueller, Elizabeth
South Korea's Civilian Control Zone (CCZ), a relatively untouched area due to tight military oversight since the end of Korean War, has received considerable attention nationally and internationally for its rich biodiversity. However, the exclusion of local communities from the process of defining problems and goals and of setting priorities for biodiversity conservation has halted a series of biodiversity conservation efforts. Through qualitative research, we explored CCZ farmers' views of key problems and issues and also the sources of their opposition to the government-initiated conservation approaches. Key findings include the farmers' concerns about the impact of conservation restrictions on their access to necessary resources needed to farm, wildlife impacts on the value of rice and other agricultural goods they produce, and farmers' strong distrust of government, the military, and planners, based on their experiences with past conservation processes. The findings regarding farmers' perceptions should prove useful for the design of future participatory planning processes for biodiversity conservation in the CCZ. This case highlights how conservative measures, perceived to be imposed from above--however scientifically valuable--can be undermined and suggests the value that must be placed on communication among planners and stakeholders.
Williams, P.T.; Graham, R.F.; Lagerberg, G.N.; Chung, T.C.
This assessment uses several recent assessments and the more general code compilations that have been completed to produce a list of 116 codes that can be used for thermal analysis. This list is then compared with criteria prepared especially for the Department of Energy Office of Civilian Radioactive Waste Management (DOE/OCRWM). Based on these criteria, fifteen codes are narrowed to three primary codes and four secondary codes for use by the OCRWM thermal analyst. The analyst is cautioned that since no single code is sufficient for all applications, a code must be selected based upon the predominate heat transfer mode of the problem to be solved, but the codes suggested in this report have been used successfully for a range of OCRWM applications. The report concludes with a series of recommendations for additional work of which the major points include the following: The codes suggested by this report must be benchmarked with the existing US and international problems and validated when possible; An interactive code selection tool could be developed or, perhaps even more useful, a users group could be supported to ensure the proper selection of thermal codes and dissemination of information on the latest version; The status of the 116 codes identified by this report should be verified, and methods for maintaining the still active codes must be established; and special capabilities of each code in phase change, convection and radiation should be improved to better enable the thermal analyst to model OCRWM applications. 37 refs., 3 figs., 12 tabs
Jimenez, Carlos Mario; Polo, Jonathan; España, Julian Andres
To determine risk factors for intracranial infection secondary to penetrating craniocerebral gunshot wounds (PCGWs) in civilian practice, in patients who underwent surgery with removal of bullet fragments, wound debridement, and watertight dural closure. An observational, analytical, prospective, cohort-type study was conducted with follow-up in a group of patients with PCGWs caused by a low-velocity projectile admitted between January 2000 and November 2010. There were 160 patients, 59 of whom were administered prophylactic antibiotics based on the decision of the treating neurosurgeon. Average follow-up time was 39 months (range, 3-92 months). Infection occurred in 40 patients (25%); 20 patients received antibiotics (20 of 59 [33.9%]), and 20 patients did not receive antibiotics (20 of 101 [19.8%]). Three variables were independent risk factors for infection: (i) persistence of parenchymal osseous or metallic fragments after surgery (P projectile trajectory through a natural cavity with contaminating flora (P = 0.03, RR 2.84); and (iii) prolonged hospitalization time (P Projectile trajectory through potentially contaminating cavities, persistence of intraparenchymal osseous or metallic fragments after surgery, and prolonged hospital stay were independent risk factors for intracranial infection. Copyright © 2013 Elsevier Inc. All rights reserved.
On January 19, 1993, in response to a question during her confirmation hearing, Secretary of Energy Hazel R. O'Leary stated that she believed that a comprehensive review of nuclear waste disposal programs and policies was needed. Her preferred approach to such a review would be to engage in a consensus-seeking effort in which all involved parties would be brought to the table to deal with contentious issues. This paper describes both the process and the separate elements of the review of the civilian radioactive waste management program conducted in 1993 and 1994 by Secretary O'Leary. The paper will trace the review beginning with the Secretary's statement at her confirmation hearing, through her interim guidance redirecting certain aspects of the program. It describes some initiatives and changes that are already underway as a result of this review. Throughout the year, stakeholders expressed their concerns, opinions, and recommendations regarding the program. These communications reflected the diversity of perspective that has become a hallmark of the radioactive waste program
Gitajn, Leah; Perdue, Paul; Hardcastle, John; O'Toole, Robert V
We evaluated whether the location of a ballistic femoral fracture helps predict the presence of arterial injury. We hypothesized that fractures located in the distal third of the femur are associated with a higher rate of arterial injury. We conducted a retrospective review of electronic medical records at our level I trauma centre and found 133 consecutive patients with femoral fractures from civilian gunshots from 2002 to 2007, 14 of whom sustained arterial injury. Fracture extent was measured with computerized viewing software and recorded with a standard technique, calculating proximal, distal, and central locations of the fracture as a function of overall length of the bone. Analyses were conducted with Student's t, Chi-squared, and Fisher's exact tests. The location of any fracture line in the distal third of the femur was associated with increased risk of arterial injury (Pballistic injury is six times more likely to be associated with arterial injury and warrants careful evaluation. Our data show that fracture location can help alert clinicians to possible arterial injury after ballistic femoral fracture. Copyright © 2014 Elsevier Ltd. All rights reserved.
Vlahakis, J.G.; Palabrica, R.J.; Goldsmith, S.
This paper describes the development and implementation of the Self-Assessment (SA) Program of the Office of Civilian Radioactive Waste Management (RW). The basis for RW's SA Program is discussed, as well as RW's approach for meeting self-assessment requirements, RW's organization for self-assessment, actions to establish RW's SA Program, and planned RW SA implementation activities. This paper also discusses how self-assessment can support programmatic decisions and actions. The RW Director has approved and issued the Self-Assessment Management Plan that describes how RW will organize and manage its SA program. He has directed Associate/Office Directors to prepare individual Implementation Plans to provide specifics on how their Offices will meet the requirements of the RW SA Program. To assist in the preparation of these Implementation Plans, the RW Self-Assessment Unit (SAU), which manages the SA Program on behalf of the RW Director, has conducted a series of SA Implementation Workshops. The SAU has also developed an Annotated Outline for SA Implementation Plans. Following issuance of Office-specific Implementation Plans, independent evaluations by the SAU are planned
Airth, G.L.; Joy, D.S.; Nehls, J.W.
A System Simulation Model has been developed for the Department of Energy to simulate the movement of individual waste packages (spent fuel assemblies and fuel containers) through the Civilian Radioactive Waste Management System (CRWMS). A discrete event simulation language, GPSS/PC, which runs on an IBM/PC and operates under DOS 5.0, mathematically represents the movement and processing of radioactive waste packages through the CRWMS and the interaction of these packages with the equipment in the various facilities. This model can be used to quantify the impacts of different operating schedules, operational rules, system configurations, and equipment reliability and availability considerations on the performance of processes comprising the CRWMS and how these factors combine to determine overall system performance for the purpose of making system design decisions. The major features of the System Simulation Model are: the ability to reference characteristics of the different types of radioactive waste (age, burnup, etc.) in order to make operational and/or system design decisions, the ability to place stochastic variations on operational parameters such as processing time and equipment outages, and the ability to include a rigorous simulation of the transportation system. Output from the model includes the numbers, types, and characteristics of waste packages at selected points in the CRWMS and the extent to which various resources will be utilized in order to transport, process, and emplace the waste
Nelson, C Beau; Zivin, Kara; Walters, Heather; Ganoczy, Dara; MacDermid Wadsworth, Shelley; Valenstein, Marcia
Employment is a vital part of the postdeployment return to civilian life. This study investigated factors associated with employment-related outcomes (employment status, self-reported work performance, and self-reported work satisfaction) among National Guard members returning from Operation Enduring Freedom, Operation Iraqi Freedom, or Operation New Dawn deployments. The sample consisted of 1,151 National Guard service members who had returned from overseas deployments approximately six months earlier. Bivariate and multivariable analyses were performed to examine associations between predictors and employment-related outcome variables. Higher-risk alcohol use was associated with reduced odds of being employed as well as with lower ratings of work satisfaction, whereas psychiatric symptom load was associated with lower self-reported work performance and work satisfaction ratings. Perceived social resources were associated with higher self-reported work performance and work satisfaction, whereas better physical functioning was associated with better self-reported work performance. Policy makers and clinicians may need to consider and assess alcohol use among unemployed National Guard members. They may also need to consider psychiatric symptom load and physical functioning among employed service members who perceive poor work performance and have low work satisfaction. Further research is needed on causal links between these predictors and employment outcomes.
Feagans, Jacob M; Jahann, Darius A; Barkin, Jamie S
Meals ready to eat (MRE) have undergone many revisions of their origins in the trench ration from World War I. The MRE was implemented in 1980. Its design allows extended storage and easy, safe meal preparation. MRE sodium content varies by meal and may range from 1.6 g/meal to 2.3 g/meal. The average MRE contains 1,200 kcal. When consumed as intended, MREs are adequate for maintaining a soldier's physical parameters without undesirable consequences. The average soldier has a healthy cardiovascular system, has the ability to excrete high sodium loads, and has high insensible losses. The American Heart Association recommends limiting sodium to 2.3 g/day for the general population. Additionally, those with heart failure should limit sodium to 2 g/day. Excess intake of calories and electrolytes may lead to adverse outcomes in certain populations. We describe a case of heart failure exacerbated by regular MRE consumption and the "perfect storm" of risk factors encountered with postdisaster distribution of MREs to a civilian population.
Bruckner, Robert J.
Over the past several years the term oil-free turbomachinery has been used to describe a rotor support system for high speed turbomachinery that does not require oil for lubrication, damping, or cooling. The foundation technology for oil-free turbomachinery is the compliant foil bearing. This technology can replace the conventional rolling element bearings found in current engines. Two major benefits are realized with this technology. The primary benefit is the elimination of the oil lubrication system, accessory gearbox, tower shaft, and one turbine frame. These components account for 8 to 13 percent of the turbofan engine weight. The second benefit that compliant foil bearings offer to turbofan engines is the capability to operate at higher rotational speeds and shaft diameters. While traditional rolling element bearings have diminished life, reliability, and load capacity with increasing speeds, the foil bearing has a load capacity proportional to speed. The traditional applications for foil bearings have been in small, lightweight machines. However, recent advancements in the design and manufacturing of foil bearings have increased their potential size. An analysis, grounded in experimentally proven operation, is performed to assess the scalability of the modern foil bearing. This analysis was coupled to the requirements of civilian turbofan engines. The application of the foil bearing to larger, high bypass ratio engines nominally at the 120 kN (approx.25000 lb) thrust class has been examined. The application of this advanced technology to this system was found to reduce mission fuel burn by 3.05 percent.
Airth, G.L.; Joy, D.S.; Nehls, J.W.
This paper discusses a System Simulation Model which has been developed for the Department of Energy to simulate the movement of individual waste packages (spent fuel assemblies and fuel containers) through the Civilian Radioactive Waste Management System (CRWMS). A discrete event simulation language, GPSS/PC, which runs on an IBM/PC and operates under DOS 5.0, mathematically represents the movement and processing of radioactive waste packages through the CRWMS and the interaction of these packages with the equipment in the various facilities. The major features of the System Simulation Model are: the ability to reference characteristics of the different types of radioactive waste (age, burnup, etc.) in order to make operational and/or system design decisions, the ability to place stochastic variations on operational parameters such as processing time and equipment outages, and the ability to include a rigorous simulation of the transportation system. Output from the model includes the numbers, types, and characteristics of waste packages at selected points in the CRWMS and the extent to which various resources will be utilized in order to transport, process, and emplace the waste
The Quality Assurance Requirements and Description (QARD) is the principal quality assurance document for the Civilian Radioactive Waste Management Program (Program). It establishes the minimum requirements for the Quality Assurance Program. The QARD contains regulatory requirements and program commitments necessary for the development of an effective quality assurance program. Quality assurance implementing documents must be based on, and consistent with, QARD requirements. The QARD applies to the following: (1) acceptance of spent nuclear fuel and high-level radioactive waste; (2) transport of spent nuclear fuel and high-level radioactive waste; (3) the Monitored Retrievable Storage (MRS) facility through application for an operating license; (4) Mined Geologic Disposal System (MGDS), including the site characterization activities (exploratory studies facility (ESF) and surface based testing), through application for an operating license; (5) the high-level-waste form from production through acceptance. Section 2.0 defines in greater detail criteria for determining work subject to QARD requirements. The QARD is organized into sections, supplements, appendices, and a glossary. The sections contain requirements that are common to all Program elements. The supplements contain requirements for specialized activities. The appendices contain requirements that are specific to an individual Program element. The glossary establishes a common vocabulary for the Quality Assurance Program
England-Joseph, Judy; Allen, Robert E. Jr.; Fitzgerald, Duane; Young, Edward E. Jr.; Leavens, William P.; Bell, Jacqueline
Electricity projections developed by the North American Electric Reliability Council (NERC) appear to be the best available estimates of future U.S. electricity needs. NERC, which represents all segments of the utility industry, forecasts that before 1998 certain regions of the country, particularly in the more heavily populated eastern half of the United States, may experience shortfalls during summer peak demand periods. These forecasts considered the utility companies' plans, as of 1989, to meet electricity needs during the period; these plans include such measures as constructing additional generators and conducting demand management programs. Working closely with the nuclear industry, DOE is supporting the development of several reactor technologies to ensure that nuclear power remains a viable electricity supply option. In fiscal year 1990, DOE's Civilian Reactor Development Program was funded at $253 million. DOE is using these funds to support industry-led efforts to develop light water reactors (LWR), advanced liquid-metal reactors (LMR), and modular high-temperature gas-cooled reactors (MHTGR) that are safe, environmentally acceptable, and economically competitive. The utility company officials we spoke with, all of whom were in the Southeast, generally supported DOE's efforts in developing these technologies. However, most of the officials do not plan to purchase nuclear reactors until after 2000 because of the high costs of constructing nuclear reactors and current public opposition to nuclear power
Full Text Available While psychopathology in general is linked to poorer marital and parental satisfaction, there is a paucity of data regarding these interactions in parents with Posttraumatic stress disorder (PTSD. The current study addresses this issue among a civilian population. Two hundred trauma-exposed parents, mean age of 37.2, 62% mothers, were assessed using self-report questionnaires, for background variables, PTSD symptoms using the Posttraumatic Stress Diagnostic Scale (PDS, depression symptoms (Beck Depression Inventory, BDI, marital satisfaction (Dyadic Adjustment Scale, DAS-7, parenting behavior (Alabama Parenting Questionnaire, APQ-9, and parenting satisfaction (Parenting Satisfaction Questionnaire. We hypothesized that positive parenting behavior and parenting satisfaction would be negatively correlated with PTSD symptom levels, and that this relationship would be mediated by marital satisfaction; the independent effects of depression on marital and parenting functioning were also examined. Data was analyzed using structural equation modeling (SEM. Results indicated that PTSD was related to poorer parenting behavior (B = 0.089, p = 0.033, depression had a negative impact on parenting satisfaction (B = 0.983, p = 0.003, and marital satisfaction (B = −0.672, p = 0.004, and marital satisfaction fully mediated the relationship between depression and parenting. The findings demonstrated that the effects of PTSD can cast a pall not only over the individual but over the entire family. Interventions are needed to address these issues.
The total-system life-cycle cost (TSLCC) analysis for the Department of Energy's (DOE) Civilian Radioactive Waste Management Program is an ongoing activity that helps determine whether the revenue-producing mechanism established by the Nuclear Waste Policy Act of 1982 -- a fee levied on electricity generated in commercial nuclear power plants -- is sufficient to cover the cost of the program. This report provides cost estimates for the sixth annual evaluation of the adequacy of the fee and is consistent with the program strategy and plans contained in the DOE's Draft 1988 Mission Plan Amendment. The total-system cost for the system with a repository at Yucca Mountain, Nevada, a facility for monitored retrievable storage (MRS), and a transportation system is estimated at $24 billion (expressed in constant 1988 dollars). In the event that a second repository is required and is authorized by the Congress, the total-system cost is estimated at $31 to $33 billion, depending on the quantity of spent fuel to be disposed of. The $7 billion cost savings for the single-repository system in comparison with the two-repository system is due to the elimination of $3 billion for second-repository development and $7 billion for the second-repository facility. These savings are offset by $2 billion in additional costs at the first repository and $1 billion in combined higher costs for the MRS facility and transportation. 55 refs., 2 figs., 24 tabs
Williams, P.T.; Graham, R.F.; Lagerberg, G.N.; Chung, T.C.
This assessment uses several recent assessments and the more general code compilations that have been completed to produce a list of 116 codes that can be used for thermal analysis. This list is then compared with criteria prepared especially for the Department of Energy Office of Civilian Radioactive Waste Management (DOE/OCRWM). Based on these criteria, fifteen codes are narrowed to three primary codes and four secondary codes for use by the OCRWM thermal analyst. The analyst is cautioned that since no single code is sufficient for all applications, a code must be selected based upon the predominate heat transfer mode of the problem to be solved, but the codes suggested in this report have been used successfully for a range of OCRWM applications. The report concludes with a series of recommendations for additional work of which the major points include the following: The codes suggested by this report must be benchmarked with the existing US and international problems and validated when possible; An interactive code selection tool could be developed or, perhaps even more useful, a users group could be supported to ensure the proper selection of thermal codes and dissemination of information on the latest version; The status of the 116 codes identified by this report should be verified, and methods for maintaining the still active codes must be established; and special capabilities of each code in phase change, convection and radiation should be improved to better enable the thermal analyst to model OCRWM applications. 37 refs., 3 figs., 12 tabs.
Gil, Sharon; Weinberg, Michael; Or-Chen, Keren; Harel, Hila
In light of the current modifications presented in the diagnostic criteria of posttraumatic stress disorder (PTSD) in the DSM 5, this study aimed at revalidating well-known PTSD risk factors, including gender, peritraumatic dissociation, social support, level of threat, and trait tendency for forgiveness. Five hundred and one Israeli civilians were assessed during real-time exposure to missile and rocket fire at the eruption of the Gaza war. Assessments took place approximately one to 2 weeks after the beginning of this military operation, relying on web administration of the study, which allowed simultaneous data collection from respondents in the three regions in Israel that were under attack. A structural equation model design revealed that higher levels of forgiveness toward situations were associated with fewer PTSD symptoms, whereas peritraumatic dissociation and high levels of objective and subjective threat were positively associated with PTSD symptoms. Additionally, females were at higher risk for PTSD symptoms than males. The findings of this study provide further evidence for the importance of directing preventive attention to those vulnerable to the development of elevated levels of PTSD symptoms. Theoretical and clinical implications of the findings are discussed.
date stamp than the last message received will be ignored. The Remote Message Center adjusts to Zulu time so the time zones are accounted for, but... creation and movement of messages between the DOD and other responders (government, civilian first responders and private sector), the strength of...able to interoperate. The current standard allows too much flexibility in message creation in regards to required fields/spaces in mandatory fields
Homepage, Convenio Colectivo de Trabajo para la Administracion Publica Nacional – Homologacion - Decreto 66/99 – 26 de Febrero de 1999 http...past, but were formative in fostering a sense of legitimacy in how the Argentine government served the civilian populace. Ley de la Obediencia Debida...Park, PA: The Pennsylvania State University, 2002), 91-99. 6 Comisión Nacional sobre la Desaparición de Personas (CONADEP), Nunca Mas, Capitulo 1, La
servicemembers to civilian life. For its part, VA’s agency priority goals are to (1) ensure access to VA benefits and services, (2) eliminate the disability...transfer their benefits to dependents. VA – Veterans Benefit Administration ( VBA ) Spinal Cord Injury and Disorders Centers Disability; Physical...who are temporarily residing in a home owned by a family member to help adapt the home to meet his or her special needs. VA - VBA Yellow Ribbon
Full Text Available Nowadays “education for citizenship” is presented as a solution for many of the political, social, and co-existential issues in Western democratic societies in order to tackle dysfunctionalities produced by globalization, populism, migration, information and communication technologies (ICTs, and violence. At the same time, particularly among “millennials” or “digital natives”, lack of civil commitment and apathy toward politics as a whole contrasts with their intensive usage of digital social networks, or social media. By examining in-depth the scientific literature about the potential conceptual correlations between the use of “digital social networks” and civilian participation among “millennials”, this paper explores two widely studied paradigmatic events of democratic regeneration: the “Kitchenware Revolution” in Iceland after the financial collapse on 6 October 2008, and the “15M Movement” in Spain after 15 May 2011. Despite the substantial relevance that digital social networks played in both cases, this paper wonders to what extent digital social networks foster millennials’ civilian participation, when, paradoxically, they seem to be the population target who contests the status quo but who is not actually being represented democratically in the formal political system. The author concludes that digital social networks could initially foster civilian participation, but they should be seen as a new artefact that, itself, does not necessarily lead to a better political representation of millennials. As well, this paper argues against the widespread assumption regarding the correlation between socioeconomic and educational status and Internet usage factors of millennials when it comes to civilian participation, particularly in extreme political mobilisation events such as the Kitchenware Revolution and 15M.
Wang Yang; Xia Huichuan; Yao Yaxing; Huang Yun
Drones are unmanned aircraft controlled remotely or operated autonomously. While the extant literature suggests that drones can in principle invade people’s privacy, little is known about how people actually think about drones. Drawing from a series of in-depth interviews conducted in the United States, we provide a novel and rich account of people’s privacy perceptions of drones for civilian uses both in general and under specific usage scenarios. Our informants raised both physical and info...
Moore, R T [Bureau of Radiological Health, RockviIle, MD (United States)
The Public Health Service must assume the role of the overall Public Health Coordinator, seeking to afford the highest level of health protection both to the nearby population as well as to the more distant groups. Data will be given relative to the limited experience the PHS has had in the removal of populations from areas of suspected hazards. Problems inherent in the evacuation of civilians of all ages will be discussed. (author)
The Public Health Service must assume the role of the overall Public Health Coordinator, seeking to afford the highest level of health protection both to the nearby population as well as to the more distant groups. Data will be given relative to the limited experience the PHS has had in the removal of populations from areas of suspected hazards. Problems inherent in the evacuation of civilians of all ages will be discussed. (author)
This paper addresses the developing political forces and budgetary issues that may lead civilian leaders to overrule the objections of senior military leaders and direct them to eliminate a division...
Berlant Jeffrey L
Full Text Available Abstract Background In order to confirm therapeutic effects of topiramate on posttraumatic stress disorder (PTSD observed in a prior study, a new prospective, open-label study was conducted to examine acute responses in chronic, nonhallucinatory PTSD. Methods Thirty-three consecutive newly recruited civilian adult outpatients (mean age 46 years, 85% female with DSM-IV-diagnosed chronic PTSD, excluding those with concurrent auditory or visual hallucinations, received topiramate either as monotherapy (n = 5 or augmentation (n = 28. The primary measure was a change in the PTSD Checklist-Civilian Version (PCL-C score from baseline to 4 weeks, with response defined as a ≥ 30% reduction of PTSD symptoms. Results For those taking the PCL-C at both baseline and week 4 (n = 30, total symptoms declined by 49% at week 4 (paired t-test, P Conclusions Promising open-label findings in a new sample converge with findings of a previous study. The use of topiramate for treatment of chronic PTSD, at least in civilians, warrants controlled clinical trials.
Hall, Alison V; Hall, Erika V; Perry, Jamie L
In late 2014, a series of highly publicized police killings of unarmed Black male civilians in the United States prompted large-scale social turmoil. In the current review, we dissect the psychological antecedents of these killings and explain how the nature of police work may attract officers with distinct characteristics that may make them especially well-primed for negative interactions with Black male civilians. We use media reports to contextualize the precipitating events of the social unrest as we ground our explanations in theory and empirical research from social psychology and industrial and organizational (I/O) psychology. To isolate some of the key mechanisms at play, we disentangle racial bias (e.g., stereotyping processes) from common characteristics of law enforcement agents (e.g., social dominance orientation), while also addressing the interaction between racial bias and policing. By separating the moving parts of the phenomenon, we provide a more fine-grained analysis of the factors that may have contributed to the killings. In doing so, we endeavor to more effectively identify and develop solutions to eradicate excessive use of force during interactions between "Black" (unarmed Black male civilians) and "Blue" (law enforcement). (c) 2016 APA, all rights reserved).
Civilians (n=21) 6 5 8 2 h) Substance abuse (alcohol or drugs ) Servicemembers (n= 186) 43 53 82 8 Civilians (n=22) 9 8 4 1 Source: GAO | GAO...Efforts to Address Mental Health Care Stigma Why GAO Did This Study A 2010 DOD task force on suicide prevention concluded that stigma—the negative...Representatives A 2010 Department of Defense (DOD) Task Force on the Prevention of Suicide by Members of the Armed Forces concluded that
This study retrospectively surveyed the financial impact of deployments on 17 U.S. Army Reserve health care providers. Due to multiple mobilizations, 29 separate deployments were reported. The deployments, mostly between 2001 and 2005, typically lasted 3 months during which 86% reported no civilian income and 76% reported no civilian benefits. Solo practice providers reported the greatest financial losses due to continuing financial responsibility related to their civilian practice despite being deployed. Overall, 2 deployments did not change, 9 increased, and 16 decreased the medical officer's income. Two were not reported. In this small retrospective convenience sample study, solo practice U.S. Army Reserve health care providers were found to be at highest risk of financial losses during military deployments. This being said, no price can be put on the privilege of serving our men and women in uniform.
Powell, J.R.; Farrell, J.P.
The U.S. electricity system is a very complex, highly interdependent network of large power plants and long transmission lines that requires constant and precise control. Disruption can rapidly propagate through the infrastructure, causing major portions to fail, as seen in the past. Such events have been triggered by natural causes. Global terrorism raises the possibility of deliberate physical attacks on the system against power plants, transmission lines, sub-stations, etc. - or cyber attacks against computers and controls to shut it down for long periods. Domestic military bases that depend on the civilian electric grid cannot function if it goes down for extended times. Natural disasters like hurricanes Katrina and Rita have shown the need for secure emergency power. If nuclear, biological, or chemical attacks on cities were to occur, panic and evacuations would shut down much of the U.S. electric system for many months. A new reactor system, DEER (Deployable Electric Energy Reactor) can provide secure emergency power for civilian and defense needs. The DEER system is compact and quickly deployable using existing types of transport vehicles. The DEER reactors have integral gamma shields, and can be transported from their deployment site after shutdown, with very low and acceptable radiation doses to handling and transport personnel. Two DEER system concepts are described with detailed neutronic and thermal hydraulic analyses of 10 and 50 MW(e) designs for each concept. The baseline DEER-1 system uses commercial TRIGA fuel, with water coolant at standard PWR conditions. The sealed DEER-1 reactor operates for several years without refueling. After shutdown, it is removed to appropriate site for refueling or disposal. If needed, a new DEER-1 reactor can be installed at the location. The advanced DEER-2 system uses existing TRISO fuel particles in porous fuel elements with direct water cooling of the particles. After shutdown, the spent TRISO fuel particles are
Full Text Available Post-traumatic stress disorder (PTSD is a feeling of persecution arising from the exposure to a life-threatening event. PTSD shows three kinds of characteristic symptoms including intrusive, avoidance, and arousal syndromes. Numerous literatures had been published on the study of the PTSD epidemiology. However, research results varied due to different research subjects and evaluation methods used. A big difference exists between the studies on refugees, migrating population, and community population, because these studies are affected by different definitions of war trauma, difference in choice of samples, and application of psychological intervention. Therefore, no exact conclusions have been established on the accurate incidence of PTSD in civilians after having endured war trauma or mental torture. Currently, studies on PSTD are still inadequate. The first reason for this inadequacy is the difference existing between previous study methods. In addition, differences also exist in the statistical results between different research groups; the present study objects are all non-western ethnics or some specific population, thus selective bias existing in samples adopted. Secondly, the majority of the studies had no a control group, thus the results lacking reliability and universality. The third reason is that more attention should be paid to the impact of nationality and cultural background on the study of postwar PTSD. In summary, a large amount of work should be done in the field of PSTD epidemiology in the future. Therefore, it is very important to look for simple tools for screening and measuring PTSD in Chinese population, and investigate the incidence of PTSD after all kinds of traumatic events and its distribution for effectively preventing and treating PTSD.
Levin, Liran; Zadik, Yehuda; Peleg, Kobi; Bigman, Galya; Givon, Adi; Lin, Shaul
To analyze the incidence and severity of maxillofacial injuries in the Second Lebanon War, that occurred during the summer of 2006, among Israeli soldiers and civilians. This is a retrospective cohort study of patients recorded in the Israel National Trauma Registry during the Second Lebanon War. Data refer to all general hospitals throughout the country. Data were analyzed according to the etiology of the injury, severity of trauma using the Injury Severity Score, trauma location, and duration of hospital stay. Cases with multiple injuries that included maxillofacial injuries were separated and further analyzed according to the above parameters. Patients with only dental injuries and superficial facial soft tissue lacerations were excluded because they were referred to the military dental clinics and not to general hospitals. Maxillofacial injuries were found in 36 (6.4%) of the 565 wounded. Patients with maxillofacial injuries ranged in age from 20 to 44 years (mean age, 25.5 +/- 5.7 years). Greater than 50% of the injuries required more than 3 hospitalization days. Mortality rate of the maxillofacial injured was 2.8%. Most of the maxillofacial injuries (33; 91.7%) were combined with other organ injuries; 9 (25%) patients also had dental injuries. In the Second Lebanon War, the incidence and severity of true maxillofacial injuries, without dental injuries alone, were relatively low compared with previous reports of other conflicts. However, because most injuries involved multiple organs, special attention is required when planning and providing emergency, as well as secondary and tertiary medical care to war wounded.
Helling, T S; McNabney, W K; Whittaker, C K; Schultz, C C; Watkins, M
Surgical management of gunshot wounds of the head has remained a controversial issue in the care of civilian patients. In an attempt to determine who might benefit from aggressive surgical intervention, we examined 89 patients over a 3-year period who had suffered cranial gunshot wounds and had at least one computed tomographic scan of the head after admission. Patients were divided into those receiving early (less than 24 hours) surgical intervention (ES, n = 27), late (greater than 24 hours) surgical intervention (LS, n = 6) or no surgical intervention (NS, n = 56). Overall mortality was 63%. Ten of 27 patients (37%) in the ES group died compared with 46 of 56 patients (82%) in the NS group (p less than 0.0001). Glasgow Coma Scale (GCS) scores in the ES group averaged 7.86 +/- 4.72 and in the NS group 5.59 +/- 4.42 (p less than 0.05). The GCS scores in the LS group (all of whom survived) were significantly higher than those of the other two groups, 12.17 +/- 4.10. The number of patients with GCS scores of 3 or 4 on admission was significantly less in the ES (41%) than in the NS group (66%, p = 0.035) and survival was better with surgery (36%) than without (3%, p = 0.007). Patients with mass lesions (clot, ventricular blood) were more often found in the ES group (17/27) than in the NS group (18/56) (p = 0.008). Patients with bihemispheric injuries fared better with surgery (7 of 14 survivors) than without (2 of 33 survivors, p = 0.0003). Only one infectious complication (brain abscess) was encountered in the LS group. No delayed intracranial complications in survivors in the NS group were seen.(ABSTRACT TRUNCATED AT 250 WORDS)
Wood, T.W.; Haffner, D.R.; Fletcher, J.F.
The Systems Engineering Management Plan for the DOE Office of Civilian Radioactive Waste Management, which defines the systems engineering process for the Federal Radioactive Waste System (FWMS), requires that systems studies to support the integration, evaluation, and optimization of the system be identified. These studies are generally directed toward further defining system or system-element functional requirements, including interface requirements, evaluating alternative system configurations or operational rules, or optimizing design features to achieve system integration. Because the decisions based on these studies are conducted within the overall configuration management process, a consistent and documented framework for the identification and conduct of systems studies must be available. A planned approach is needed so that results from defensible and referenceable systems analyses are available to make informed decisions in a timely manner. This Plan covers ''top level'' studies (i.e., those involving system requirements generally and the definition of requirements for system elements). This Plan is focused on the FY 1991 and 1992 period, and will be updated periodically as required to ensure its currency. Proposed systems studies for FY 1991 and 1992, their recommended timing, and their relations to one another, current studies, and major program milestones are identified. In general, only those studies supporting monitored retrievable storage (MRS) design requirements are recommended for immediate initiation. The studies are grouped into five major decision groups to allow scheduling to support specific decision windows. The proposed system studies schedule is generally a conservative one, with studies occurring early in or before the associated decision window. These proposed studies are described in this Plan. 16 refs., 6 figs., 2 tabs
Gil, E.; Revilla, J.L.; Rodrigo, F.; Ortiz, J.
The Center for Energy-related, Environmental and Technical Research (CIEMAT) is the main Spanish energy research center. CIEMAT is the heir of the former Nuclear Energy Board (Junta de Energia Nuclear - JEN), which was created in 1951 with a view to promoting the development and use of nuclear energy in Spain. Most of the centres for civilian nuclear research created in the fifties, like the JEN, had among their basic objectives to carry out investigations guided to the industrial development of the nuclear fuel cycle. The majority of them were endowed with experimental facilities that reproduced in a pilot scale the different stages of the full nuclear cycle facilities. The JEN main experimental facilities were: Plants for the treatment of uranium ores and for the concentration process; The manufacturing of fuel elements for research reactors; The JEN-1 thermal neutron experimental reactor, and CORAL fast reactor; The pilot plant for the treatment of irradiated fuel (M-1); The metallurgical hot cells for research relating to irradiated fuel; and Plants for the treatment and storage of liquid radioactive wastes. It should be pointed out that most of these installations were designed, built, operated, and even definitively shut down, prior a regulatory system as currently conceived is in force. The Science Act was passed in 1986, transforming the JEN into CIEMAT, and assigning to the latter a series of new functions, while making it the direct heir of the assets and strategic functions of its predecessor. The CIEMAT continued the process of 'denuclearization' of the installations inherited from the JEN, and used certain of them for the performance of research projects oriented towards the development of decontamination and dismantling techniques. (author)
The Nuclear Waste Policy Act of 1982 established the Office of Civilian Radioactive Waste Management (OCRWM) in the Department of Energy (DOE) to implement a program for the safe and permanent disposal of spent nuclear fuel and high-level radioactive waste. To achieve this objective, the OCRWM is developing an integrated waste-management system consisting of three elements: the transportation system, the monitored retrievable storage (MRS) facility, and the mined geologic disposal system (MGDS). The development of such a system requires management of many diverse disciplines that are involved in research, siting, design, licensing, and external interactions. The purpose of this Systems Engineering Management Plan (SEMP) is to prescribe how the systems-engineering process will be implemented in the development of the waste-management system. Systems engineering will be used by the OCRWM to manage, integrate, and document all aspects of the technical development of the waste-management system and its system elements to ensure that the requirements of the waste-management program are met. It will be applied to all technical activities of the OCRWM program. It will be used by the OCRWM (1) to specify the sequence of technical activities necessary to define the requirements the waste-management system must satisfy, (2) to develop the waste-management system, can be optimized to most effectively satisfy the requirements. Furthermore, systems engineering will be used in the management of Program activities at the program, program-element, and project levels by specifying procedures, studies, reviews, and documentation requirements. 9 refs., 1 fig
McKenzie, W.F.; Wolery, T.J.; Delany, J.M.; Silva, R.J.; Jackson, K.J.; Bourcier, W.L.; Emerson, D.O.
This plan replaces an earlier plan for the Nevada Nuclear Waste Storage Investigations (NNWSI) Project. It includes activities for all repository projects in the Office of Geologic Repositories: NNWSI, the Basalt Waste Isolation Project, the Salt Repository Project, and the Crystalline Project. Each of these projects is part of the Office of Civilian Radioactive Waste Management (OCRWM) Program. The scope of work for fiscal years 1986 to 1992 includes the work required to upgrade the geochemical codes and supporting data bases, to permit modeling of chemical processes associated with nuclear waste repositories in four geological environments: tuff, salt, basalt, and crystalline rock. Planned tasks include theoretical studies and code development to take account of the effects of precipitation kinetics, sorption, solid solutions, glass/water interactions, variable gas fugacities, and simple mass transport. Recent progress has been made in the ability of the codes to account for precipitation kinetics, highly-saline solutions, and solid solutions. Transition state theory was re-examined resulting in new insights that will provide the foundation for further improvements necessary to model chemical kinetics. Currently there is an increased effort that is concentrated on the supporting data base. For aqueous species and solid phases, specific to nuclear waste, requisite thermodynamic values reported in the literature are being evaluated and for cases where essential data is lacking, laboratory measurements will be carried out. Significant modifications and expansions have been made to the data base. During FY86, the total number of species in the data base has almost doubled and many improvements have been made with regard to consistency, organization, user applications, and documentation. Two Ridge computers using a RISC implementation of UNIX were installed; they are completely dedicated EQ3/6 machines
McKenzie, W.F.; Wolery, T.J.; Delany, J.M.; Silva, R.J.; Jackson, K.J.; Bourcier, W.L.; Emerson, D.O.
This plan replaces an earlier plan for the Nevada Nuclear Waste Storage Investigations (NNWSI) Project. It includes activities for all repository projects in the Office of Geologic Repositories: NNWSI, the Basalt Waste Isolation Project, the Salt Repository Project, and the Crystalline Project. Each of these projects is part of the Office of Civilian Radioactive Waste Management (OCRWM) Program. The scope of work for fiscal years 1986 to 1992 includes the work required to upgrade the geochemical codes and supporting data bases, to permit modeling of chemical processes associated with nuclear waste repositories in four geological environments: tuff, salt, basalt, and crystalline rock. Planned tasks include theoretical studies and code development to take account of the effects of precipitation kinetics, sorption, solid solutions, glass/water interactions, variable gas fugacities, and simple mass transport. Recent progress has been made in the ability of the codes to account for precipitation kinetics, highly-saline solutions, and solid solutions. Transition state theory was re-examined resulting in new insights that will provide the foundation for further improvements necessary to model chemical kinetics. Currently there is an increased effort that is concentrated on the supporting data base. For aqueous species and solid phases, specific to nuclear waste, requisite thermodynamic values reported in the literature are being evaluated and for cases where essential data is lacking, laboratory measurements will be carried out. Significant modifications and expansions have been made to the data base. During FY86, the total number of species in the data base has almost doubled and many improvements have been made with regard to consistency, organization, user applications, and documentation. Two Ridge computers using a RISC implementation of UNIX were installed; they are completely dedicated EQ3/6 machines.
Haarbauer-Krupa, Juliet; Taylor, Christopher A; Yue, John K; Winkler, Ethan A; Pirracchio, Romain; Cooper, Shelly R; Burke, John F; Stein, Murray B; Manley, Geoffrey T
Post-traumatic stress disorder (PTSD) is a condition associated with traumatic brain injury (TBI). While the importance of PTSD and TBI among military personnel is widely recognized, there is less awareness of PTSD associated with civilian TBI. We examined the incidence and factors associated with PTSD 6 months post-injury in a civilian emergency department population using measures from the National Institute of Neurological Disorders and Stroke TBI Common Data Elements Outcome Battery. Participants with mild TBI (mTBI) from the Transforming Research and Clinical Knowledge in Traumatic Brain Injury Pilot study with complete 6-month outcome batteries (n = 280) were analyzed. Screening for PTSD symptoms was conducted using the PTSD Checklist-Civilian Version. Descriptive measures are summarized and predictors for PTSD were examined using logistic regression. Incidence of screening positive for PTSD was 26.8% at 6 months following mTBI. Screening positive for PTSD was significantly associated with concurrent functional disability, post-concussive and psychiatric symptomatology, decreased satisfaction with life, and decreased performance in visual processing and mental flexibility. Multi-variable regression showed injury mechanism of assault (odds ratio [OR] 3.59; 95% confidence interval [CI] 1.69-7.63; p = 0.001) and prior psychiatric history (OR 2.56; 95% CI 1.42-4.61; p = 0.002) remained significant predictors of screening positive for PTSD, while education (per year OR 0.88; 95% CI 0.79-0.98; p = 0.021) was associated with decreased odds of PTSD. Standardized data collection and review of pre-injury education, psychiatric history, and injury mechanism during initial hospital presentation can aid in identifying patients with mTBI at risk for developing PTSD symptoms who may benefit from closer follow-up after initial injury care.
Jackson, James C.; Morandi, Alessandro; Girard, Timothy D.; Hughes, Christopher G.; Thompson, Jennifer L.; Kiehl, Amy L.; Elstad, Mark R.; Wasserstein, Mitzi L.; Goodman, Richard B.; Beckham, Jean C.; Chandrasekhar, Rameela; Dittus, Robert S.; Ely, E. Wesley; Pandharipande, Pratik P.
Rationale: The incidence and risk factors of post-traumatic stress disorder (PTSD) related to the intensive care unit (ICU) experience have not been reported in a mixed veteran and civilian cohort. Objectives: To describe the incidence and risk factors for ICU-related PTSD in veterans and civilians. Methods: This is a prospective, observational, multicenter cohort enrolling adult survivors of critical illness after respiratory failure and/or shock from three Veterans Affairs and one civilian hospital. After classifying those with/without preexisting PTSD (i.e., PTSD before hospitalization), we then assessed all subjects for ICU-related PTSD at 3 and 12 months post hospitalization. Measurements and Main Results: Of 255 survivors, 181 and 160 subjects were assessed for ICU-related PTSD at 3- and 12-month follow-up, respectively. A high probability of ICU-related PTSD was found in up to 10% of patients at either follow-up time point, whether assessed by PTSD Checklist Event-Specific Version (score ≥ 50) or item mapping using the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). In the multivariable regression, preexisting PTSD was independently associated with ICU-related PTSD at both 3 and 12 months (P < 0.001), as was preexisting depression (P < 0.03), but veteran status was not a consistent independent risk factor for ICU-related PTSD (3-month P = 0.01, 12-month P = 0.48). Conclusions: This study found around 1 in 10 ICU survivors experienced ICU-related PTSD (i.e., PTSD anchored to their critical illness) in the year after hospitalization. Preexisting PTSD and depression were strongly associated with ICU-related PTSD. PMID:26735627
MacDonald, Emily; Einöder-Moreno, Margot; Borgen, Katrine; Thorstensen Brandal, Lin; Diab, Lore; Fossli, Øivind; Guzman Herrador, Bernardo; Hassan, Ammar Ali; Johannessen, Gro S; Johansen, Eva Jeanette; Jørgensen Kimo, Roger; Lier, Tore; Paulsen, Bjørn Leif; Popescu, Rodica; Tokle Schytte, Charlotte; Sæbø Pettersen, Kristin; Vold, Line; Ørmen, Øyvind; Wester, Astrid Louise; Wiklund, Marit; Nygård, Karin
In May 2014, a cluster of Yersinia enterocolitica (YE) O9 infections was reported from a military base in northern Norway. Concurrently, an increase in YE infections in civilians was observed in the Norwegian Surveillance System for Communicable Diseases. We investigated to ascertain the extent of the outbreak and identify the source in order to implement control measures. A case was defined as a person with laboratory-confirmed YE O9 infection with the outbreak multilocus variable-number tandem repeat analysis (MLVA)-profile (5-6-9-8-9-9). We conducted a case-control study in the military setting and calculated odds ratios (OR) using logistic regression. Traceback investigations were conducted to identify common suppliers and products in commercial kitchens frequented by cases. By 28 May, we identified 133 cases, of which 117 were linked to four military bases and 16 were civilians from geographically dispersed counties. Among foods consumed by cases, multivariable analysis pointed to mixed salad as a potential source of illness (OR 10.26; 95% confidence interval (CI): 0.85-123.57). The four military bases and cafeterias visited by 14/16 civilian cases received iceberg lettuce or radicchio rosso from the same supplier. Secondary transmission cannot be eliminated as a source of infection in the military camps. The most likely source of the outbreak was salad mix containing imported radicchio rosso, due to its long shelf life. This outbreak is a reminder that fresh produce should not be discounted as a vehicle in prolonged outbreaks and that improvements are still required in the production and processing of fresh salad products. This article is copyright of The Authors, 2016.
Avedon, Roger Edmond
This dissertation addresses the value of developing diversion- and theft-resistant nuclear power technology, given uncertain future demand for nuclear power, and uncertain risks of nuclear terrorism and of proliferation from the reprocessing of civilian plutonium. The methodology comprises four elements: Economics. An economic growth model coupled with market penetration effects for plutonium and for the hypothetical new technology provides a range of estimates for future nuclear demand. A flow model accounts for the longevity of capital assets (nuclear plants) over time. Terrorism. The commercial nuclear fuel cycle may provide a source of fissile material for terrorists seeking to construct a crude nuclear device. An option value model is used to estimate the effects of the hypothetical new technology on reducing the probability of theft. A game theoretic model is used to explore the deterrence value of physical security and then to draw conclusions about how learning on the part of terrorists or security forces might affect the theft estimate. The principal uncertainties in the theft model can be updated using Bayesian techniques as new data emerge. Proliferation. Access to fissile material is the principal technical impediment to a state's acquisition of nuclear weapons. A game theoretic model is used to determine the circumstances under which a state may proliferate via diversion. The model shows that the hypothetical new technology will have little value for counter-proliferation if diversion is not a preferred proliferation method. A technology policy analysis of the choice of proliferation method establishes that diversion is unlikely to be used because it has no constituency among the important parties to the decision, namely the political leadership, the scientific establishment, and the military. Value. The decision whether to develop a diversion- and theft-resistant fuel cycle depends on the perceived value of avoiding nuclear terrorism and proliferation
DOE/CH/10140-05 is an annotated bibliography of approved reports that have been produced for the US Department of Energy Salt Repository Project Office of the Civilian Radioactive Waste Management Program since April 1978. This document is intended for use by the US Department of Energy, State and local officials, the US Nuclear Regulatory Commission, contractors to the Office of Nuclear Waste Isolation, concerned citizens, and others who need a comprehensive listing of reports related to a nuclear waste repository in salt. This document consists of a main report listing, appendixes with Work Breakdown Structure lists, and a topical index
This document is an annotated bibliography of approved reports that have been produced for the US Department of Energy Salt Repository Project Office of the Civilian Radioactive Waste Management Program since April 1978. This document is intended for use by the US Department of Energy, State and local officials, the US Nuclear Regulatory Commission, contractors to the Office of Nuclear Waste Isolation, concerned citizens, and others who need a comprehensive listing of reports related to a nuclear waste repository in salt. This document consists of a main report listing, appendixes with Work Breakdown Structure lists, and a topical index
This chapter analyzes the ways in which the United States influenced Italian civilian nuclear energy policies between the end of World War II and the mid-1960s. It argues that until the mid-1950s, when the United States developed its Atoms for Peace program, the US administration remained quite suspicious about Italy’s project to develop a civilian nuclear energy program. The State Department and the Atomic Energy Commission (AEC) kept firmly under control Italy’s efforts to extract uranium in the North of the country. Their greatest concern was that the Italian government might decide to declare its uranium resources property of the state, like it had done with its hydrocarbon resources. Despite a series of requests from Italian scientists and industrial firms, the Marshall Plan did not provide any funds for the purchase of nuclear equipment. In the context of the Atoms for Peace program and of the signing in 1955 of a bilateral agreement, the United States gained increased influence over Italy's atomic energy policies. Based on new archival sources from the United States and Italy, this chapter argues that after John F. Kennedy became President, and in the context of the so-called 'center-left governments', the US administration supported the expansion of Italy's nuclear program and a greater role of the state in promoting civilian nuclear energy programs. Once ENEL was founded, however, the company chose to rely on oil, rather than nuclear power, to fuel most of its electric plants. Following a series of agreements between Standard Oil (N.J.) and ENI, Italy received large quantities of cheap oil from the Middle East. ENEL's strategy was supported by American oil companies operating in Italy, and endorsed by the State Department as more cost-effective than a full-scale nuclear program. However, important sectors of the US administration remained critical of the rapid decline of Italy's civilian nuclear program, which accompanied
The purpose of this volume is to assess the proliferation vulnerabilities of the present deployment of civilian nuclear-power systems within the current nonproliferation regime and, in light of their prospective deployment, to consider technical and institutional measures and alternatives which may contribute to an improved regime in which nuclear power could play a significant part. An assessment of these measures must include consideration of their nonproliferation effectiveness as well as their bearing upon energy security, and their operational, economic, and political implications. The nature of these considerations can provide some measure of their likely acceptability to various nations.
Seunghwa Yoo; Dongwon Kim; Youngmin Moon; Jeongyeon Yi; Taebong Choi
Our survey of the avifauna in the eastern and central parts of the Civilian Control Zone (CCZ) in 2012 and 2013 found a total of 14,390 individuals of 159 species belonging to 17 orders, 44 families and 88 genera. The 159 species of birds found in the central and eastern CCZ constitute 29.4% of the 540 bird species recorded in the Korean Peninsula, showing considerable biodiversity in the bird species that inhabit the surveyed regions. In the central CCZ, we found 9,916 individuals of 117 bir...
An Overview and Recent History of Chapter 9 of the Bankruptcy Code,” Pratt’s Journal of Bankruptcy Law 9, no. 6 (September 2013): 513– 38. 4 “Public...adopted in the mid-1970s as part of a focus on juvenile delinquency and that his department’s first civilian detective had come from a child protective...jobdescriptions/PayPlans. Noble, Kenneth E., and Kevin M. Baum. “Municipal Bankruptcies: An Overview and Recent History of Chapter 9 of the Bankruptcy
The purpose of this volume is to assess the proliferation vulnerabilities of the present deployment of civilian nuclear-power systems within the current nonproliferation regime and, in light of their prospective deployment, to consider technical and institutional measures and alternatives which may contribute to an improved regime in which nuclear power could play a significant part. An assessment of these measures must include consideration of their nonproliferation effectiveness as well as their bearing upon energy security, and their operational, economic, and political implications. The nature of these considerations can provide some measure of their likely acceptability to various nations
Morina, N.; Emmelkamp, P.M.G.
Background The aim of the study was to assess levels of somatic and mental health distress, well-being, AS WELL AS utilization of primary and specialist health care services among war-related widowed and non-widowed female civilian survivors of war. Methods 100 war-related widowed lone mothers and
Ba, I; Bhopal, R S
To identify the health outcomes of sexual violence on civilians in conflict zones between 1981 and 2014. Systematic review. For the purpose of this study, we defined sexual violence as sexual torture including, individual rape, gang rape, and sexual slavery. All types of conflicts were included (intrastate, interstate, and internationalized intrastate). Quantitative and mixed-method studies, reporting any physical, mental, and social consequences, were retrieved from Medline, Embase, Global Health, Global Health Library, WHOLIS, Popline, and Web of Sciences (n = 3075) and from checking reference lists and personal communications (n = 359). Data were analyzed using Microsoft Excel and MetaXL. Given inherent variation, the means derived from combining studies were misleading; thus, we focused on the range of values. The 20 studies were from six countries, five in Africa (18 studies), and especially in Democratic Republic of Congo (12 studies). The number of subjects varied from 63 to 20,517, with 17 studies including more than 100 subjects. Eight studies included males. Gang rape, rape, and abduction were the most commonly reported types of sexual violence. Sixteen studies provided data on physical outcomes of which the most common were pregnancy (range 3.4-46.3%), traumatic genital injuries/tears (range 2.1-28.7%), rectal and vaginal fistulae (range 9.0-40.7%), sexual problems/dysfunction (range 20.1-56.7%), and sexually transmitted diseases (range 4.6-83.6%). Mental health outcomes were reported in 14 studies, the most frequent being post-traumatic stress disorder (range 3.1-75.9%), anxiety (range 6.9-75%), and depression (range 8.8-76.5%). Eleven studies provided social outcomes, the most common being rejection by family and/or community (range of 3.5-28.5%) and spousal abandonment (range 6.1-64.7%). Wartime sexual violence is highly traumatic, causing multiple, long-term negative outcomes. The number and quality of studies published does not match the
Full Text Available Adam Sigal,1 Anthony Martin,1 Adrian Ong2 1Department of Emergency Medicine, 2Department of Surgery, Trauma Section, The Reading Hospital, West Reading, PA, USA Objective: To understand the translation of one innovation in trauma care from the military to the civilian setting, the adoption of topical hemostatic agents in the Emergency Medical Services (EMS community and in Trauma Centers in Pennsylvania. Method: We utilized an anonymous electronic survey of EMS Agency Administrative Officers and Trauma Center Coordinators. Results: We received responses from 23% (93/402 Advanced Life Support and Air Medical agencies in the State. Of the EMS agencies that responded, 46.6% (61/131 stock hemostatic products, with 55.5% (44/79 carrying QuickClot® Combat Gauze®. Of the agencies that carried hemostatic products, 50% utilized them at least once in the prior 6 months and 59% over the past 12 months. Despite the infrequent number of applications, prehospital providers ranked themselves as somewhat skilled and comfortable both with the application of the products and the indications for their use. Conclusion: Our survey found that 46.6% of the respondents indicated they carry hemostatic products, a much greater number than found on prior surveys of EMS agencies. There is a steady acceptance by EMS of new innovations in trauma care although more work is needed in translating the exact role of hemostatic agents in the civilian setting. Keywords: hemostatic, dressing, trauma, prehospital, trauma care, EMS
Sigal, Adam; Martin, Anthony; Ong, Adrian
To understand the translation of one innovation in trauma care from the military to the civilian setting, the adoption of topical hemostatic agents in the Emergency Medical Services (EMS) community and in Trauma Centers in Pennsylvania. We utilized an anonymous electronic survey of EMS Agency Administrative Officers and Trauma Center Coordinators. We received responses from 23% (93/402) Advanced Life Support and Air Medical agencies in the State. Of the EMS agencies that responded, 46.6% (61/131) stock hemostatic products, with 55.5% (44/79) carrying QuickClot ® Combat Gauze ® . Of the agencies that carried hemostatic products, 50% utilized them at least once in the prior 6 months and 59% over the past 12 months. Despite the infrequent number of applications, prehospital providers ranked themselves as somewhat skilled and comfortable both with the application of the products and the indications for their use. Our survey found that 46.6% of the respondents indicated they carry hemostatic products, a much greater number than found on prior surveys of EMS agencies. There is a steady acceptance by EMS of new innovations in trauma care although more work is needed in translating the exact role of hemostatic agents in the civilian setting.
Pritha Maya Savitri
in civilian aviator and other populatian. This study aims to identify risk factors that affect the incidence of mild myopia in civilian pilot in Indonesia. Methods: This study using cross-sectional method with purposive sampling. Subjects answered the questionaire. Subject of this study are 21-45 years old male civilian aviators which performs scheduled medical check up at Civil Aviatian Medical Centre at May 5 – 21, 2014. The researcher using the medical record to get data about visual acuity. Cox regression analyses using Stata 9. Mild myopia in this study is defect distant visual acuity with corrected lens power -0.25 s/d -0.30. Results: The percentage of mild myopia in this study was 36%. Subjects with a total of 1000 hours of flying hours or more had a 28% higher risk of experiencing mild myopia [relative risk (RRa = 1.28; 95% confidence interval (CI = 1.00 to 1.64; P = 0.047]. A history of parental myopia will increase the risk of mild myopia 5 times (RRa = 5.32, P = 0.000. Subjects with symptoms of difficulty focus has 48% higher risk of experiencing mild myopia (RRa = 1.48, 95% CI = 1.19 to 1.85, P = 0.001. Subjects with symptoms such as eye irritation, gritty, burning has a 54% lower risk of experiencing mild myopia (RRa = 0.46, 95% CI = 0.26-0.83, P = 0.009. Conclusions: Total flight time, parental myopia, visual fatigue; difficulty in focusing and foggy letters are influenced risk factors for mild myopia in civilian aviator in Indonesia. Key words: mild myopia, civilian aviator, total flight time, Indonesia.
The Swedish nuclear weapons research began as early as 1945, shortly after the first atomic bombs fell over Japan. The assignment to look into the new weapon of mass destruction went to the Swedish National Defence Research Establishment (FOA). Admittedly, the main aim of the research initiated at that time was to find out how Sweden could best protect itself against a nuclear weapon attack. However, from the outset FOA was interested in investigating the possibilities of manufacturing what was then called an atomic bomb. A co-operation between FOA and AB Atomenergi (AE), which was created in 1947 in order to be responsible for the industrial development of civilian nuclear energy, was initiated. AE made several technical investigations within this co-operation regarding choice of reactors and preconditions for a production of weapons-grade plutonium. The first purpose of this report is therefore to investigate how this co-operation emerged and what consequences it had for the project to produce basic information for the Swedish manufacture of nuclear weapons. In general terms, the finding of this report is that FOA was responsible for the overall nuclear weapons research. For this reason, FOA was in charge of the construction of the nuclear device and the studies of its effects. Additionally, AE should deliver basic information of a possible production of weapons-grade plutonium and investigate the possibilities of a production or a procurement of inspection-free heavy water (i.e. without inspections by the supplying country). AE should also build a reprocessing plant and manufacture fuel elements to be used in the reactors for a production of weapons-grade plutonium. Furthermore, it is important to emphasise that both FOA and AE conducted plutonium research. The reason why FOA conducted this research was that the plutonium had to be in metallic form in order to be used in a nuclear weapons device. Therefore, FOA carried out research with the purpose of producing
Brogli, R.; Krakowski, R.A
The primary goal of this study is to frame the problem of nuclear proliferation in the context of protection and risks associated with nuclear materials flowing in the civilian nuclear fuel cycle. The perspective adopted for this study is that of a nuclear utility and the flow of fresh and spent nuclear fuel with which that utility must deal in the course of providing economic, safe, and ecologically acceptable electrical power to the public. Within this framework quantitative approaches to a material-dependent, simplified proliferation-risk metric are identified and explored. The driving force behind this search for such a proliferation metric derives from the need to quantify the proliferation risk in the context of evaluating various commercial nuclear fuel cycle options (e.g., plutonium recycle versus once-through). While the formulation of the algebra needed to describe the desired, simplified metric(s) should be straight forward once a modus operandi is defined, considerable interaction with the user of any final product that results is essential. Additionally, a broad contextual review of the proliferation problem and past efforts in the quantification of associated risks was developed as part of this study. This extensive review was essential to setting perspectives and establishing (feasibility) limits to the search for a proliferation metric(s) that meets the goals of this study. Past analyses of proliferation risks associated with the commercial nuclear fuel cycle have generally been based on a range of decision-analysis, operations-research tools. Within the time and budget constraints, as well as the self-enforced (utility) customer focus, the more subjective and data-intensive decision-analysis methodologies where not pursued. Three simplified, less-subjective approaches were investigated instead: a) a simplified 'four-factor' formula expressing as a normalized product political, material-quantity, material-quality, and material
Jonter, Thomas [Uppsala Univ. (Sweden). Dept. of History
The Swedish nuclear weapons research began as early as 1945, shortly after the first atomic bombs fell over Japan. The assignment to look into the new weapon of mass destruction went to the Swedish National Defence Research Establishment (FOA). Admittedly, the main aim of the research initiated at that time was to find out how Sweden could best protect itself against a nuclear weapon attack. However, from the outset FOA was interested in investigating the possibilities of manufacturing what was then called an atomic bomb. A co-operation between FOA and AB Atomenergi (AE), which was created in 1947 in order to be responsible for the industrial development of civilian nuclear energy, was initiated. AE made several technical investigations within this co-operation regarding choice of reactors and preconditions for a production of weapons-grade plutonium. The first purpose of this report is therefore to investigate how this co-operation emerged and what consequences it had for the project to produce basic information for the Swedish manufacture of nuclear weapons. In general terms, the finding of this report is that FOA was responsible for the overall nuclear weapons research. For this reason, FOA was in charge of the construction of the nuclear device and the studies of its effects. Additionally, AE should deliver basic information of a possible production of weapons-grade plutonium and investigate the possibilities of a production or a procurement of inspection-free heavy water (i.e. without inspections by the supplying country). AE should also build a reprocessing plant and manufacture fuel elements to be used in the reactors for a production of weapons-grade plutonium. Furthermore, it is important to emphasise that both FOA and AE conducted plutonium research. The reason why FOA conducted this research was that the plutonium had to be in metallic form in order to be used in a nuclear weapons device. Therefore, FOA carried out research with the purpose of producing
Brogli, R.; Krakowski, R.A.
The primary goal of this study is to frame the problem of nuclear proliferation in the context of protection and risks associated with nuclear materials flowing in the civilian nuclear fuel cycle. The perspective adopted for this study is that of a nuclear utility and the flow of fresh and spent nuclear fuel with which that utility must deal in the course of providing economic, safe, and ecologically acceptable electrical power to the public. Within this framework quantitative approaches to a material-dependent, simplified proliferation-risk metric are identified and explored. The driving force behind this search for such a proliferation metric derives from the need to quantify the proliferation risk in the context of evaluating various commercial nuclear fuel cycle options (e.g., plutonium recycle versus once-through). While the formulation of the algebra needed to describe the desired, simplified metric(s) should be straight forward once a modus operandi is defined, considerable interaction with the user of any final product that results is essential. Additionally, a broad contextual review of the proliferation problem and past efforts in the quantification of associated risks was developed as part of this study. This extensive review was essential to setting perspectives and establishing (feasibility) limits to the search for a proliferation metric(s) that meets the goals of this study. Past analyses of proliferation risks associated with the commercial nuclear fuel cycle have generally been based on a range of decision-analysis, operations-research tools. Within the time and budget constraints, as well as the self-enforced (utility) customer focus, the more subjective and data-intensive decision-analysis methodologies where not pursued. Three simplified, less-subjective approaches were investigated instead: a) a simplified 'four-factor' formula expressing as a normalized product political, material-quantity, material-quality, and material-protection metrics; b
... acts with gross negligence or reckless disregard for health or safety, causing serious bodily injury or... which actions of gross negligence or reckless disregard of health or safety by the contractor or its... or death of any civilian or military personnel of the Government through gross negligence or with...
appendicitis, without peritonitis 2 1618 625-993 809 Appendicitis, unqualified 6 3193 163-1230 532 Inguinal hernia , without obstruction 2 180 85-95 90 Umbilical... hernia , without obstruction 1 262 --- 262 Abdominal hernia of other specified site 1 1785 --- 1785 Abdominal hernia with obstruction of other site 1...unspecified parts 1 2171 --- 2171 Injury to nerve in wrist, hand (no open wound) 1 151 --- 151 Cervical spinal cord lesion (no open wound) 4 19027 3373
..., the same area wage indexes used for the CHAMPUS Diagnosis-Related Group (DRG)-based payment system.... The wage portion shall be the same as that used for the CHAMPUS DRG-based payment system. For wage... System (i.e., this is the same update factor used for the inpatient prospective payment system). For...
... admission. The wage portion shall be the same as that used for the CHAMPUS DRG-based payment system. For... System (i.e., this is the same update factor used for the inpatient prospective payment system). For....14, the same area wage indexes used for the CHAMPUS Diagnosis-Related Group (DRG)-based payment...
... the CHAMPUS Diagnosis-Related Group (DRG)-based payment system shall be applied to the wage portion of... that used for the CHAMPUS DRG-based payment system. For wage index values greater than 1.0, the wage... Prospective Payment System (i.e., this is the same update factor used for the inpatient prospective payment...
... System (i.e., this is the same update factor used for the inpatient prospective payment system). For... Regulations (CFR) 199.14, the same area wage indexes used for the CHAMPUS Diagnosis-Related Group (DRG)-based payment system shall be applied to the wage portion of the applicable regional per-diem for each day of...
... affect the TRICARE DRG-based payment system. A. DRG Classifications Under both the Medicare PPS and the... Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year 2011 Diagnosis-Related Group (DRG) Updates AGENCY: Office of the Secretary, DoD. ACTION: Notice of DRG revised rates. SUMMARY: This notice...
Song, S.; de Jong, J.; O'Hara, R.; Koopman, C.
Studies around the world show that former child soldiers (FCSs) have mental health strengths and limitations, and highlight the important role of families and communities in reintegration to society. However, there are limited data that examine the mental health risks and protective factors of the
Grossbard, Joel R; Lehavot, Keren; Hoerster, Katherine D; Jakupcak, Matthew; Seal, Karen H; Simpson, Tracy L
Although many risk behaviors peak during young adulthood, little is known about health risk factors and access to care. This study assessed health indicators and health care access in a national sample of young adult veterans and civilians. Data were from the 2010 Behavioral Risk Factor Surveillance System, a national telephone survey. Of 27,471 participants, ages 19-30 years, 2.2% were veterans (74.6% were male) and 97.7% were civilians (37.6% were male). Gender-stratified comparisons assessed health indicators and health care access by veteran status. Multivariate logistic regression was used to examine health indicators and health care access as a function of gender and veteran status. In the overall sample, women were more likely than men to have insurance, to have a regular physician, and to have had a routine checkup and yet were more likely to report financial barriers to care. Women also were more likely than men to report general medical and mental distress and higher lifetime anxiety and depressive disorders, whereas men were more likely to be overweight or obese and to report tobacco use and high-risk drinking. Adjusted analyses revealed a higher likelihood of general medical distress and higher rates of lifetime anxiety disorders among veterans compared with civilians, although there were no differences between veterans and civilians regarding health care utilization and hazardous drinking. Findings extend the literature on health care status and modifiable risk factors for young adults by identifying differences between men and women and between veterans and civilians. Interventions may need to be tailored on the bases of gender and veteran status because of several differences in mental health and general health needs.
Tsai, Alexander C; Eisa, Mohammed A; Crosby, Sondra S; Sirkin, Susannah; Heisler, Michele; Leaning, Jennifer; Iacopino, Vincent
Ongoing conflict in the Darfur region of Sudan has resulted in a severe humanitarian crisis. We sought to characterize the nature and geographic scope of allegations of human rights violations perpetrated against civilians in Darfur and to evaluate their consistency with medical examinations documented in patients' medical records. This was a retrospective review and analysis of medical records from all 325 patients seen for treatment from September 28, 2004, through December 31, 2006, at the Nyala-based Amel Centre for Treatment and Rehabilitation of Victims of Torture, the only dedicated local provider of free clinical and legal services to civilian victims of torture and other human rights violations in Darfur during this time period. Among 325 medical records identified and examined, 292 (89.8%) patients from 12 different non-Arabic-speaking tribes disclosed in the medical notes that they had been attacked by Government of Sudan (GoS) and/or Janjaweed forces. Attacks were reported in 23 different rural council areas throughout Darfur. Nearly all attacks (321 [98.8%]) were described as having occurred in the absence of active armed conflict between Janjaweed/GoS forces and rebel groups. The most common alleged abuses were beatings (161 [49.5%]), gunshot wounds (140 [43.1%]), destruction or theft of property (121 [37.2%]), involuntary detainment (97 [29.9%]), and being bound (64 [19.7%]). Approximately one-half (36 [49.3%]) of all women disclosed that they had been sexually assaulted, and one-half of sexual assaults were described as having occurred in close proximity to a camp for internally displaced persons. Among the 198 (60.9%) medical records that contained sufficient detail to enable the forensic medical reviewers to render an informed judgment, the signs and symptoms in all of the medical records were assessed to be consistent with, highly consistent with, or virtually diagnostic of the alleged abuses. Allegations of widespread and sustained torture and
Alexander C Tsai
Full Text Available BACKGROUND: Ongoing conflict in the Darfur region of Sudan has resulted in a severe humanitarian crisis. We sought to characterize the nature and geographic scope of allegations of human rights violations perpetrated against civilians in Darfur and to evaluate their consistency with medical examinations documented in patients' medical records. METHODS AND FINDINGS: This was a retrospective review and analysis of medical records from all 325 patients seen for treatment from September 28, 2004, through December 31, 2006, at the Nyala-based Amel Centre for Treatment and Rehabilitation of Victims of Torture, the only dedicated local provider of free clinical and legal services to civilian victims of torture and other human rights violations in Darfur during this time period. Among 325 medical records identified and examined, 292 (89.8% patients from 12 different non-Arabic-speaking tribes disclosed in the medical notes that they had been attacked by Government of Sudan (GoS and/or Janjaweed forces. Attacks were reported in 23 different rural council areas throughout Darfur. Nearly all attacks (321 [98.8%] were described as having occurred in the absence of active armed conflict between Janjaweed/GoS forces and rebel groups. The most common alleged abuses were beatings (161 [49.5%], gunshot wounds (140 [43.1%], destruction or theft of property (121 [37.2%], involuntary detainment (97 [29.9%], and being bound (64 [19.7%]. Approximately one-half (36 [49.3%] of all women disclosed that they had been sexually assaulted, and one-half of sexual assaults were described as having occurred in close proximity to a camp for internally displaced persons. Among the 198 (60.9% medical records that contained sufficient detail to enable the forensic medical reviewers to render an informed judgment, the signs and symptoms in all of the medical records were assessed to be consistent with, highly consistent with, or virtually diagnostic of the alleged abuses
Rodriguez-Llanes, Jose M; Guha-Sapir, Debarati; Schlüter, Benjamin-Samuel; Hicks, Madelyn Hsiao-Rei
Evidence of use of toxic gas chemical weapons in the Syrian war has been reported by governmental and non-governmental international organizations since the war started in March 2011. To date, the profiles of victims of the largest chemical attacks in Syria remain unknown. In this study, we used descriptive epidemiological analysis to describe demographic characteristics of victims of the largest chemical weapons attacks in the Syrian war. We analysed conflict-related, direct deaths from chemical weapons recorded in non-government-controlled areas by the Violation Documentation Center, occurring from March 18, 2011 to April 10, 2017, with complete information on the victim's date and place of death, cause and demographic group. 'Major' chemical weapons events were defined as events causing ten or more direct deaths. As of April 10, 2017, a total of 1206 direct deaths meeting inclusion criteria were recorded in the dataset from all chemical weapons attacks regardless of size. Five major chemical weapons attacks caused 1084 of these documented deaths. Civilians comprised the majority ( n = 1058, 97.6%) of direct deaths from major chemical weapons attacks in Syria and combatants comprised a minority of 2.4% ( n = 26). In the first three major chemical weapons attacks, which occurred in 2013, children comprised 13%-14% of direct deaths, ranging in numbers from 2 deaths among 14 to 117 deaths among 923. Children comprised higher proportions of direct deaths in later major chemical weapons attacks, forming 21% ( n = 7) of 33 deaths in the 2016 major attack and 34.8% ( n = 32) of 92 deaths in the 2017 major attack. Our finding of an extreme disparity in direct deaths from major chemical weapons attacks in Syria, with 97.6% of victims being civilians and only 2.4% being combatants provides evidence that major chemical weapons attacks were indiscriminate or targeted civilians directly; both violations of International Humanitarian Law (IHL). Identifying and
Psychosomatics , vol. 51, no. 6 (Nov. - Dec. 2010): 505. 21 D. Baker, P. Heppner, N. Afari, S. Nunnink, M. Kilmer, A. Simmons, L. Harder, and B. Bosse, “Trauma...Psychiatric, and Alcohol-Related Disorders Among Veterans Returning from Iraq and Afghanistan,” Psychosomatics , vol. 51, no. 6 (Nov. - Dec. 2010): 503...September 28, 2012. Defense Health: Coordinating Authority Needed for Psychological Health and Traumatic Brain Injury Activities. GAO-12-154
Rieder, Michael; Choonara, Imti
Armed conflict has a major impact on child health\\ud throughout the world. One in six children worldwide lives\\ud in an area of armed conflict and civilians are more likely\\ud to die than soldiers as a result of the conflict. In stark\\ud contrast to the effect on children, the international arms\\ud trade results in huge profits for the large corporations\\ud involved in producing arms, weapons and munitions.\\ud Armed conflict is not inevitable but is an important\\ud health issue that should be...
The US Department of Energy's (DOE) Office of Civilian Radioactive Waste Management (OCRWM) is responsible for disposing of the nation's high-level radioactive waste. Currently, DOE is considering the use of Multi-Purpose Canisters (MPCs) to containerize commercial spent nuclear fuel (SNF) to be handled by the system. To achieve its safeguards and security objectives, OCRWM plans to institute a US Regulatory Commission (NRC)-approved safeguards program. Since the Mined Geologic Disposal System (MGDS) facility and a possible Monitored Retrievable Storage (MRS) facility may be subject to selection for International Atomic Energy Agency (IAEA) inspections, the safeguards program for MPCs may not preclude compliance with the requirements of the IAEA's Annex D, Special Criteria for Difficult-to-Access Fuel Items. MPC safeguards are based on three principles: Verification, Material Control and Accounting, and Physical Protection
The purpose of this volume is limited to an assessment of the relative effects that particular choices of nuclear-power systems, for whatever reasons, may have on the possible spread of nuclear-weapons capabilities. This volume addresses the concern that non-nuclear-weapons states may be able to initiate efforts to acquire or to improve nuclear-weapons capabilities through civilian nuclear-power programs; it also addresses the concern that subnational groups may obtain and abuse the nuclear materials or facilities of such programs, whether in nuclear-weapons states (NWS's) or nonnuclear-weapons states (NNW's). Accordingly, this volume emphasizes one important factor in such decisions, the resistance of nuclear-power systems to the proliferation of nuclear-weapons capabilities
McBride, A.F.; Austin, P.N.; Ward, W.M.; McCarn, L.B.; Roddy, J.W.; Ludwig, S.B.; Reich, W.J.; Roussin, R.W.
A compilation of technical computer codes related to ongoing work under the cognizance of the US Department of Energy's Office of Civilian Radioactive Waste Management (DOE/OCRWM) is presented. Much of the information was obtained from responses to a questionnaire distributed by DOE/OCRWM to all DOE offices associated with the radioactive waste management program. The codes are arranged alphabetically by name. In addition to the code description, each sheet includes other data such as computer hardware and software requirements, document references, name of respondent, and code variants. The codes are categorized into seventeen subject areas plus a miscellaneous category. Some of the subject areas covered are atmospheric dispersion, biosphere transport, geochemistry, nuclear radiation transport, nuclide inventory, and risk assessment. Three appendixes are included which list the names of the contributors, a list of the literature reviewed, and a glossary of computer code terminology and definitions. 50 refs., 3 tabs
On November 29, 1989, the Secretary of Energy published his ''Report to Congress on the Reassessment of the Civilian Radioactive Waste Management Program'' (Report), and sent copies to numerous interested parties for their review and comment. This document summarizes comments received on the Report and presents the DOE's current responses to those comments as a basis for further discussions. Included as appendixes are a list of commenters, a crosswalk showing where each comment is addressed, the comment letters themselves with specific comments delineated, and the DOE's response to those letters. Twenty-five individuals or organizations submitted comments on the Report. The DOE identified 130 individual comments and classified them into the following seven categories: Management, Institutional, Regulatory, Transportation, Monitored Retrievable Storage, Scheduling, and Yucca Mountain. For the responses, comments were than grouped into more specific topics under each of the major headings. The DOE attempted to respond to all comments
Government programs for developing civilian technology sometimes end up in spectacular failures. This paper conceptualizes such failures as a pareto-deficient game, similar to the prisoner's dilemma. Firms expecting that a program is going to be a failure have no incentive to communicate their judgement to government, as long as government finances all development costs. Fortunately there is a way out of the dilemma. Cost-sharing between government and industry creates an incentive for the firms to communicate to government what they realy think of the technology's economic prospects. Empirical evidence is given from the history of the West German and American fast breeder programs. The paper discusses implications of this theory for the concept of government failure. (orig.HP) [de
Full Text Available Our survey of the avifauna in the eastern and central parts of the Civilian Control Zone (CCZ in 2012 and 2013 found a total of 14,390 individuals of 159 species belonging to 17 orders, 44 families and 88 genera. The 159 species of birds found in the central and eastern CCZ constitute 29.4% of the 540 bird species recorded in the Korean Peninsula, showing considerable biodiversity in the bird species that inhabit the surveyed regions. In the central CCZ, we found 9,916 individuals of 117 bird species. And in the eastern CCZ, 4,474 individuals of 127 species were found. There were a particularly large number of Gruiformes and Anseriformes because much of the CCZ, with the exception of mountain land, has been developed as reservoirs and arable farmland. Species diversity appeared high in mountain regions, while regions that included the coast and farmlands showed low diversity.
The Secretary of Energy requested that the Office of Nuclear Energy prepare a strategic national plan that outlines the Department's role in the future development of civilian nuclear power and that the Energy Research Advisory Board establish an ad hoc panel to review and comment on this plan. The Energy Research Advisory Board formed a panel for this review and three subpanels were formed. One subpanel was formed to address the institutional issues surrounding nuclear power, one on research and development for advanced nuclear power plants and a third subpanel on light water reactor utilization and improvement. The subpanel on light water reactors held two meetings at which representatives of the DOE, the NRC, EPRI, industry and academic groups made presentations. This is the report of the subpanel on light water reactor utilization and improvement. This report presents the subpanel's assessment of initiatives which the Department of Energy should undertake in the national interest, to develop and support light water reactor technologies
Thaut, Lane C; Murtha, Andrew S; Johnson, Anthony E; Roper, Jamie L
The management of patients with impaled unexploded devices is rare in the civilian setting. However, as the lines of the traditional battlefield are blurred by modern warfare and terrorist activity, emergency providers should be familiar with facility protocols, plans, and contact information of their local resources for unexploded devices. A 44-year-old male sustained a close-proximity blast injury to his lower extremities while manipulating a mortar-type firework. He presented to the regional trauma center with an open, comminuted distal femur fracture and radiographic evidence of a potential explosive device in his thigh. His management was coordinated with the local Explosive Ordinance Disposal and the fire department. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Explosive devices pose a grave threat when encountered. Familiarization with protocols to manage these patients can mitigate disaster. Emergency providers should expect and be prepared to coordinate care for these patients. Copyright © 2017 Elsevier Inc. All rights reserved.
Full Text Available Afghanistan and Iraq veterans experienced traumas during deployment, and disrupted connections with friends and family. In this context, it is critical to understand the nature of veterans' transition to civilian life, the challenges navigated, and approaches to reconnection. We investigated these issues in a qualitative study, framed by homecoming theory, that comprised in-depth interviews with 24 veterans. Using an inductive thematic analysis approach, we developed three overarching themes. Military as family explored how many veterans experienced the military environment as a "family" that took care of them and provided structure. Normal is alien encompassed many veterans experiences of disconnection from people at home, lack of support from institutions, lack of structure, and loss of purpose upon return to civilian life. Searching for a new normal included strategies and supports veterans found to reconnect in the face of these challenges. A veteran who had successfully transitioned and provided support and advice as a peer navigator was frequently discussed as a key resource. A minority of respondents-those who were mistreated by the military system, women veterans, and veterans recovering from substance abuse problems-were less able to access peer support. Other reconnection strategies included becoming an ambassador to the military experience, and knowing transition challenges would ease with time. Results were consistent with and are discussed in the context of homecoming theory and social climate theory. Social support is known to be protective for veterans, but our findings add the nuance of substantial obstacles veterans face in locating and accessing support, due to disconnection and unsupportive institutions. Larger scale work is needed to better understand how to foster peer connection, build reconnection with family, and engage the broader community to understand and support veterans; interventions to support reconnection for
Ahern, Jennifer; Worthen, Miranda; Masters, Jackson; Lippman, Sheri A; Ozer, Emily J; Moos, Rudolf
Afghanistan and Iraq veterans experienced traumas during deployment, and disrupted connections with friends and family. In this context, it is critical to understand the nature of veterans' transition to civilian life, the challenges navigated, and approaches to reconnection. We investigated these issues in a qualitative study, framed by homecoming theory, that comprised in-depth interviews with 24 veterans. Using an inductive thematic analysis approach, we developed three overarching themes. Military as family explored how many veterans experienced the military environment as a "family" that took care of them and provided structure. Normal is alien encompassed many veterans experiences of disconnection from people at home, lack of support from institutions, lack of structure, and loss of purpose upon return to civilian life. Searching for a new normal included strategies and supports veterans found to reconnect in the face of these challenges. A veteran who had successfully transitioned and provided support and advice as a peer navigator was frequently discussed as a key resource. A minority of respondents-those who were mistreated by the military system, women veterans, and veterans recovering from substance abuse problems-were less able to access peer support. Other reconnection strategies included becoming an ambassador to the military experience, and knowing transition challenges would ease with time. Results were consistent with and are discussed in the context of homecoming theory and social climate theory. Social support is known to be protective for veterans, but our findings add the nuance of substantial obstacles veterans face in locating and accessing support, due to disconnection and unsupportive institutions. Larger scale work is needed to better understand how to foster peer connection, build reconnection with family, and engage the broader community to understand and support veterans; interventions to support reconnection for veterans should be
Full Text Available OBJECTIVE AND METHODS: A long-term observational study was conducted in Samara, Russia to assess the survival and risk factors for death of a cohort of non-multidrug resistant tuberculosis (non-MDRTB and multidrug resistant tuberculosis (MDRTB civilian and prison patients and a civilian extensive drug-resistant tuberculosis (XDRTB cohort. RESULTS: MDRTB and XDRTB rates of 54.8% and 11.1% were identified in the region. Half (50% of MDRTB patients and the majority of non-MDRTB patients (71% were still alive at 5 years. Over half (58% of the patients died within two years of establishing a diagnosis of XDRTB. In the multivariate analysis, retreatment (HR = 1.61, 95%CI 1.04, 2.49 and MDRTB (HR = 1.67, 95%CI 1.17, 2.39 were significantly associated with death within the non-MDR/MDRTB cohort. The effect of age on survival was relatively small (HR = 1.01, 95%CI 1.00, 1.02. No specific factor affected survival of XDRTB patients although median survival time for HIV-infected versus HIV-negative patients from this group was shorter (185 versus 496 days. The majority of MDRTB and XDRTB strains (84% and 92% respectively strains belonged to the Beijing family. Mutations in the rpoB (codon 531 in 81/92; 88.8%, katG (mutation S315T in 91/92, 98.9% and inhA genes accounted for most rifampin and isoniazid resistance respectively, mutations in the QRDR region of gyrA for most fluroquinolone resistance (68/92; 73.5%. CONCLUSIONS: Alarmingly high rates of XDRTB exist. Previous TB treatment cycles and MDR were significant risk factors for mortality. XDRTB patients' survival is short especially for HIV-infected patients. Beijing family strains comprise the majority of drug-resistant strains.
Drawing on extensive ethnographic field research, this dissertation explores the interaction between the Congolese armed forces (FARDC) and civilians in the eastern DR Congo’s conflict-ridden Kivu provinces. It uncovers the multidimensionality, reciprocity and complexities of this interaction, which
This report is volume 3, part B, of the program to satisfy the allocated requirements of the Office of Civilian Radioactive Waste Management Program, in the development of the nuclear waste management system. The report is divided into the following sections: regulatory compliance; external relations; international programs; strategic and contingency planning; contract business management; and administrative services. (CS)
Bukhari, Asma; Roberts, Susan B; Young, Andrew J; McGraw, Susan; Dallal, Gerard E; Das, Sai Krupa
Adult civilian dependents of active duty military personnel (ADMP) may play a central role in influencing the home food environment and the risk of overweight and obesity in American Warfighters and military families. However, there is no information on whether this group would be receptive to weight control programs. We conducted a survey to determine the level of interest of adult civilian dependents of ADMP in participating in a group weight control program. Subjects were a convenience sample of 191 adult civilian dependents of ADMP (94% women, 6% men) based in Massachusetts and aged 33.8 ± 8.4 years, body mass index 25.5 ± 5.5 kg/m(2). Overall, there was a significant effect of body mass index on interest in program participation (p = 0.004). Eighty five percent of overweight participants and 100% of obese participants reported being Moderately Likely or Very Likely to participate in a provided weight control program. In overweight and obese survey respondents there was no significant effect of ADMP rank on interest in program participation (p = 0.34). These findings suggest that overweight and obese adult civilian dependents of ADMP may be very receptive targets for programs to control overweight and obesity in military families. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.
... States Claims Court, a judge of the United States Court of International Trade, a judge of the United... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Work by civilians for the United States Government or its instrumentalities-wages paid after 1983. 404.1018 Section 404.1018 Employees' Benefits...
Priebe, John A.; And Others
The report presents tabular data on occupation and years of school completed by age for the civilian labor force, by sex, race and Spanish origin, obtained from the 1980 Census/Equal Employment Opportunity (EEO) Special File. All tables list males and females separately for each category. Table 1 lists totals for 613 labor force categories, then…
Schloman, B F
No more forceful example of the value of using health statistics to understand and improve health conditions exists than displayed by Florence Nightingale. The recent book by Dossey (1999), Florence Nightingale: Mystic, Visionary, Healer, relates the dramatic tale of Nightingale s use of statistics to understand the causes of deaths in the Crimean War and of her advocacy to standardize the collection of medical data within the army and in civilian hospitals. For her, the use of health statistics was a major tool to improve health and influence public opinion.
Donckt, van der.
The article is a critical review of the work group VI ''health'' in the ''sages report'', the criteria of total body dosis for radionuclides as strontium 90 and iodine 131 are discussed. It emphasizes the lack of adequate solution for the effluents as carbon-14, tritium and iodine 129 as well as for the high radioactivity waste management: the toxicity of plutonium and its cancerous properties are recalled. The risks of accidents in the nuclear facilities and their effect on the population in the proximity of the power plant and the contamination from cooling media are considered as well as sabotage risks. (A.F.)
paymentll Of theV advance: earne11d incomie credit if balances must include the overtimeu rate of pay at data is not included inl the automiated coaiver...living increases. The Secretary of Health and Human Services publishes in the Federal Register, by November 1 of each year, the amount of gross pay from
Other interviews were conducted with Compensation Program l)irectors in several corporations in the private sector, such as Disneyland and Wausau...complete and sign a CA-1 in the health clinic liaison’s office. 2. If a private physician is selected, authorization for such treatment will be granted
den Velde, Wybrand Op; Deeg, Dorly J. H.; Hovens, Johannes E.; Van Duijn, Marijtje A. J.; Aarts, Petra G. H.
The mental and physical health of 146 Dutch males exposed to severe war stress during their young adulthood were examined in 1986-1987 when they were at ages 61 to 66 years. The veterans' data were compared with a randomly selected population-based sample of same-aged males. In 2005, 70% of the war
Stamper, Trevis L.
Approved for public release; distribution is unlimited Stress related health disorders may he an indication that some female midshipmen at the Naval Academy are making exceptional efforts to meet specified physical performance standards. The stress at the service academies is much higher than in many civilian occupations and may increase the risk of females developing gender related health problems such as amenorrhea, bone loss, and eating disorders. The purpose of this research is to shed...
types of visits (e.g., preventive, pre- and post- operative ) and types of medical problems (acute and chronic), with the greatest sex difference in...coverage: early release of estimates from the National Health Inter- view Survey, January–June 2011. Available at http:// www.cdc.gov/nchs/ nhis ...suggestions for reducing the burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis
Full Text Available BN Azuogu, LU Ogbonnaya, CN Alo Communicable Diseases Control Research Centre, Department of Community Medicine, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria Background: Voluntary counseling and testing (VCT services are expected to lower rates of HIV transmission through a reduction in high-risk sexual behavior and through improved access to medical treatment, care, and support. However, increasing access to and uptake of VCT, especially among groups at high risk for HIV infection, has remained a major challenge in Africa. Purpose: The study was undertaken to determine the uptake of VCT (measured by whether study participants had ever received an HIV test and the factors influencing this practice among military and civilian residents of a military cantonment in Abakaliki, southeastern Nigeria. Methods: A cross-sectional descriptive survey of all cantonment residents aged between 20 and 64 years was conducted. A multistage sampling technique was used to establish the sample size; data were collected from 350 military and civilian cantonment residents using a pretested questionnaire. Data were analyzed using SPSS software (v 16.0; SPSS Inc, Chicago, IL and the significance of any association was tested at P < 0.05 using the chi-square statistic. Results: One hundred and forty-five (41.4% respondents reported having ever been tested for HIV; however, only 44 (12.6% respondents had received the test between 4 and 12 months prior to the survey period. Some of the significant factors that positively influenced uptake of VCT were awareness of VCT (P < 0.001, education level (P < 0.006, and knowledge of antiretroviral therapy benefits (P < 0.01. Conclusion: The uptake of VCT by the residents of the cantonment was low. The establishment of VCT services in the cantonment is urgently recommended, together with the targeting of high-risk population groups in HIV/AIDS and VCT information dissemination efforts. Keywords: VCT uptake, HIV test
... Privilege Card”; (iii) A front and back copy of a DD Form 1173, “Uniformed Services Identification and...). 199.20 Section 199.20 National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) MISCELLANEOUS CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE UNIFORMED SERVICES (CHAMPUS...
De Pedro, Kris Tunac; Astor, Ron Avi; Gilreath, Tamika D.; Benbenishty, Rami; Berkowitz, Ruth
Research has found that when compared with civilian students, military-connected students in the United States have more negative mental health outcomes, stemming from the stress of military life events (i.e., deployment). To date, studies on military-connected youth have not examined the role of protective factors within the school environment,…
Lisy, Frederick J.
Orbital Research, Inc., has developed a low-profile, wearable sensor suite for monitoring astronaut health in both intravehicular and extravehicular activities. The Lunar Health Monitor measures respiration, body temperature, electrocardiogram (EKG) heart rate, and other cardiac functions. Orbital Research's dry recording electrode is central to the innovation and can be incorporated into garments, eliminating the need for conductive pastes, adhesives, or gels. The patented dry recording electrode has been approved by the U.S. Food and Drug Administration. The LHM is easily worn under flight gear or with civilian clothing, making the system completely versatile for applications where continuous physiological monitoring is needed. During Phase II, Orbital Research developed a second-generation LHM that allows sensor customization for specific monitoring applications and anatomical constraints. Evaluations included graded exercise tests, lunar mission task simulations, functional battery tests, and resting measures. The LHM represents the successful integration of sensors into a wearable platform to capture long-duration and ambulatory physiological markers.
Riggs, Paul; Cuff, Timothy
We analyze data on the height of Scottish men, both civilians and members of the military forces serving in World War I measured in the 1910s, in order to provide another window into the biological well-being of late nineteenth-century birth cohorts. The evidence indicates that rural residents still had a distinct height advantage over their urban counterparts and that military men displayed a slower growth profile than did civilians, but mean heights for the two groups of adults were similar. Mean stature for both groups is well above those found by Floud for British troops born in the 1880s and greater than that of Scottish convicts from the 1830s. Men who were in utero between 1889 and 1893 were slightly stunted, "marked for life" by an encounter with the Russian influenza which struck the region repeatedly. Copyright © 2012 Elsevier B.V. All rights reserved.
Dohrenwend, Bruce P; Yager, Thomas J; Wall, Melanie M; Adams, Ben G
The diagnosis, Posttraumatic Stress Disorder, was introduced in 1980 amidst debate about the psychiatric toll of the Vietnam War. There is controversy, however, about its central assumption that potentially traumatic stressors are more important than personal vulnerability in causing the disorder. We tested this assumption with data from a rigorously diagnosed male subsample (n = 260) from the National Vietnam Veterans Readjustment Study. Combat exposure, pre-war vulnerability, and involvement in harming civilians or prisoners were examined, with only combat exposure proving necessary for disorder onset. While none of the three factors proved sufficient, estimated onset reached 97% for veterans high on all three, with harm to civilians or prisoners showing the largest independent contribution. Severity of combat exposure proved more important than pre-war vulnerability in onset; pre-war vulnerability at least as important in long-term persistence. Implications for the primacy of the stressor assumption, further research, and policy are discussed.
Wigham, Sarah; Bauer, A; Robalino, S; Ferguson, J; Burke, A; Newbury-Birch, D
Higher levels of alcohol consumption have been observed in the UK armed forces compared with the general population. For some, this may increase the risk of using alcohol as a coping strategy when adjusting to multiple life events occurring when moving back into civilian life. A systematic review was conducted to determine the effectiveness of alcohol brief interventions for military personnel during transition. Electronic databases including Medline, Central, Healthcare Management Information Consortium (HMIC) and Embase, and grey literature, were searched. Two reviewers independently assessed potential studies for inclusion, extracted data and assessed quality of selected articles using an established instrument. Ten studies met criteria for inclusion. Studies were synthesised narratively. Interventions were heterogeneous, and bias within studies may have acted to increase or decrease their reported effectiveness. The findings suggest some evidence for effectiveness of self-administered web-based interventions, involving personalised feedback over a number of sessions, and system-level electronic clinical reminders. All studies were from the USA. Delivery of interventions by a clinician during motivational interviews was most effective for those with post-traumatic stress disorder symptoms. A UK trial of web-based interventions with personalised feedback is recommended. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Coupland, R M; Meddings, D R
To determine the implications of variation in mortality associated with use of weapons in different contexts. Literature review. Armed conflicts and civilian mass shootings, 1929-96. Mortality from wounds. During the fighting of war the number of people wounded is at least twice the number killed and may be 13 times as high; this ratio of the number wounded to the number killed results from the impact of a weapon system on human beings in the particular context of war. When firearms are used against people who are immobilised, in a confined space, or unable to defend themselves the wounded to killed ratio has been lower than 1 or even 0. Mortality from firearms depends not only on the technology of the weapon or its ammunition but also on the context in which it is used. The increased mortality resulting from the use of firearms in situations other than war requires a complex interaction of factors explicable in terms of wound ballistics and the psychology of the user. Understanding these factors has implications for recognition of war crimes. In addition, the lethality of conventional weapons may be increased if combatants are disabled by the new non-lethal weapons beforehand; this possibility requires careful legal examination within the framework of the Geneva Conventions.
Faúndez, Ximena; Cárdenas, Manuel; Hatibovic, Fuad; Palma, Evelyn; Bravo, Diego
This article reconstructs and analyzes the memories of victims of political prison and torture during the Chilean Military-Civilian Dictatorship who were minors when they experienced this violence. Participants in the study were 11 adults, six women and five men from the region of Valparaíso, who were victims of State terrorism during childhood and adolescence. The information production technique used was the focus group. A textual analysis was performed, based on interdisciplinary contributions from interpretation theory and discourse theories. The analysis of the information identified distinctive elements in the traumatic memories according to the sex-gender system associated with the private/public and passivity/agency dimensions. The results of this study reveal the urgent need to recognize boys, girls, and adolescents as people with rights who should be protected by both adults and States. Moreover, these results emphasize the need to implement early intervention programs in people affected by psychosocial traumas and disasters of different types, and improve their quality of life.
Roberts, Derek J; Bobrovitz, Niklas; Zygun, David A; Ball, Chad G; Kirkpatrick, Andrew W; Faris, Peter D; Brohi, Karim; D'Amours, Scott; Fabian, Timothy C; Inaba, Kenji; Leppäniemi, Ari K; Moore, Ernest E; Navsaria, Pradeep H; Nicol, Andrew J; Parry, Neil; Stelfox, Henry T
To characterize and evaluate indications for use of damage control (DC) surgery in civilian trauma patients. Although DC surgery may improve survival in select, severely injured patients, the procedure is associated with significant morbidity, suggesting that it should be used only when appropriately indicated. Two investigators used an abbreviated grounded theory method to synthesize indications for DC surgery reported in peer-reviewed articles between 1983 and 2014 into a reduced number of named, content-characteristic codes representing unique indications. An international panel of trauma surgery experts (n = 9) then rated the appropriateness (expected benefit-to-harm ratio) of the coded indications for use in surgical practice. The 1107 indications identified in the literature were synthesized into 123 unique pre- (n = 36) and intraoperative (n = 87) indications. The panel assessed 101 (82.1%) of these indications to be appropriate. The indications most commonly reported and assessed to be appropriate included pre- and intraoperative hypothermia (median temperature 10 units), inability to close the abdominal wall without tension, development of abdominal compartment syndrome during attempted abdominal wall closure, and need to reassess extent of bowel viability. This study identified a comprehensive list of candidate indications for use of DC surgery. These indications provide a practical foundation to guide surgical practice while studies are conducted to evaluate their impact on patient care and outcomes.
Full Text Available Drones are unmanned aircraft controlled remotely or operated autonomously. While the extant literature suggests that drones can in principle invade people’s privacy, little is known about how people actually think about drones. Drawing from a series of in-depth interviews conducted in the United States, we provide a novel and rich account of people’s privacy perceptions of drones for civilian uses both in general and under specific usage scenarios. Our informants raised both physical and information privacy issues against government, organization and individual use of drones. Informants’ reasoning about the acceptance of drone use was in part based on whether the drone is operating in a public or private space. However, our informants differed significantly in their definitions of public and private spaces. While our informants’ privacy concerns such as surveillance, data collection and sharing have been raised for other tracking technologies such as camera phones and closed-circuit television (CCTV, our interviews highlight two heightened issues of drones: (1 powerful yet inconspicuous data collection, (2 hidden and inaccessible drone controllers. These two aspects of drones render some of people’s existing privacy practices futile (e.g., notice recording and ask controllers to stop or delete the recording. Some informants demanded notifications of drones near them and expected drone controllers asking for their explicit permissions before recording. We discuss implications for future privacy-enhancing drone designs.
Rafei, Rayane; Dabboussi, Fouad; Hamze, Monzer; Eveillard, Matthieu; Lemarié, Carole; Mallat, Hassan; Rolain, Jean-Marc; Joly-Guillou, Marie-Laure; Kempf, Marie
The emergence of carbapenem-resistant Acinetobacter baumannii has been observed worldwide. We describe the first detection of A. baumannii carrying the blaNDM-1 gene in Lebanon, isolated from Syrian patients wounded during the civil war. Four carbapenem-resistant A. baumannii strains isolated in 2012 in the Tripoli Government Hospital, Lebanon, from civilians wounded during the Syrian war, were analysed. Susceptibility was determined by disk diffusion testing, and resistance to carbapenems was confirmed by Etest. The presence of blaOXA-23-like, blaOXA-24-like, blaOXA-58-like, blaOXA-143-like, and blaNDM was investigated by PCR. Clonal relationships were studied by pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST), and blaOXA-51 sequence-based typing. All isolates harboured the blaNDM-1 gene and were negative for other tested carbapenemases. They all belonged to the sequence type 85 and formed a single cluster by PFGE. Finally, blaOXA-51-like gene sequencing revealed the presence of the blaOXA-94 variant in all four isolates. These findings show that Syria constitutes a reservoir for NDM-1-producing bacteria. These results also highlight the need for effective measures to stop the threatening spread of such strains. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.
Dragoș C. Tudose
Full Text Available Introduction: Starting September 2010 in Romania was created the Military Emergency Medical Service (SMMU by the Ministry of National Defense, which has as main mission to provide first aid and save the lives of military personnel during military operations using special equipped MEDEAVC aircraft. Nationwide exist the national emergency system which operates thru 112- SMURD acting in support of the civilian population. In case of accidents with multiple victims the experience has shown the need for collaboration between the two systems, in order to save lives. In the last 5 years there has been an increasing Airlift missions (MEDEVAC with multiple victims executed by joint civil-military medical teams using military aircraft. Material and methods. This paper provides a review of the most important aspects of particularities, advantages and disadvantages of this type of medical transport using the MEDEVAC missions based study carried out by the Air Force in recent years. Results and conclusions. Performing these tasks presents challenges to mission planning, use of medical equipment and procedures, command-control system, exercise programs jointly joint medical teams and, of course, managing a large number of patients in flight. The large number of patients transported safely and in the shortest time, regardless of weather conditions recommends this type of medical intervention. Given the Romanian military presence in various theaters and that NATO strategic medical evacuation is a national responsibility, the capacity of air transport in case multiple casualties is a priority.
Luria, Shai; Rivkin, Gurion; Avitzour, Malka; Liebergall, Meir; Mintz, Yoav; Mosheiff, Ram
Explosion injuries to the upper extremity have specific clinical characteristics that differ from injuries due to other mechanisms. To evaluate the upper extremity injury pattern of attacks on civilian targets, comparing bomb explosion injuries to gunshot injuries and their functional recovery using standard outcome measures. Of 157 patients admitted to the hospital between 2000 and 2004, 72 (46%) sustained explosion injuries and 85 (54%) gunshot injuries. The trauma registry files were reviewed and the patients completed the DASH Questionnaire (Disabilities of Arm, Shoulder and Hand) and SF-12 (Short Form-12) after a minimum period of 1 year. Of the 157 patients, 72 (46%) had blast injuries and 85 (54%) had shooting injuries. The blast casualties had higher Injury Severity Scores (47% vs. 22% with a score of > 16, P = 0.02) and higher percent of patients treated in intensive care units (47% vs. 28%, P = 0.02). Although the Abbreviated Injury Scale score of the upper extremity injury was similar in the two groups, the blast casualties were found to have more bilateral and complex soft tissue injuries and were treated surgically more often. No difference was found in the SF-12 or DASH scores between the groups at follow up. The casualties with upper extremity blast injuries were more severely injured and sustained more bilateral and complex soft tissue injuries to the upper extremity. However, the rating of the local injury to the isolated limb is similar, as was the subjective functional recovery.
Dolberg, Ornah T; Barkai, Gabriel; Leor, Agnes; Rapoport, Helena; Bloch, Miki; Schreiber, Shaul
To assess the short- (3-9 months) and medium-term (30 months) occurrence and severity of post-traumatic stress disorder (PTSD) in civilian survivors of suicide bombing terrorist attacks. We evaluated 129 injured survivors of nine attacks in Israel who were treated in our emergency room between June 2000 and September 2002. Data on demographics, physical injuries and psychiatric symptoms were collected by both a structured clinical interview and standard assessment scales for depression, anxiety, and sleep quality. Diagnosis of PTSD was based on a Hebrew-validated DSM-IV SCID-PTSD rating scale. At the first assessment (short-term), 20 survivors (15.5%) met the criteria for full-blown PTSD and 54 (42%) for sub-clinical PTSD, while 55 (42.5%) evidenced no symptoms of PTSD. Two years later, only 54 patients could be located: 19 (35%) of them had either persistent or de novo PTSD and none had residual sub-clinical PTSD. Relatively few survivors of suicide bomb attacks had full-blown PTSD, while a substantial number of survivors had short-term sub-clinical PTSD. Two-year follow-up evaluations revealed that a significant a number of the patients available for testing (35%) had full-blown PTSD. These findings imply that medium-term follow-up of survivors is needed in order to establish the actual prevalence of PTSD.
The study of lethal violence and the study of sexual violence in war have mainly been two distinctive research fields within the literature on civilian victimization. Researchers and academics have tended to isolate these two types of violence, and chosen to focus either on the study of lethal violence or the study of war related sexual violence. Consequently, we have little knowledge about how these two types of violence relate to each other during war. One of the main focuses and questions ...
Full Text Available Background: Consequences of war-related traumatisation have mostly been investigated in military and predominant male populations, while research on female civilian victims of war has been neglected. Furthermore, research of post-war posttraumatic stress disorder (PTSD in women has rarely included early-life trauma in their prediction models, so the contribution of trauma in childhood and early youth is still unexplored. Objective: To examine the relationship of early-life trauma, war-related trauma, personality traits, and symptoms of posttraumatic stress among female civilian victims of the recent war in Croatia. Method: The cross-sectional study included 394 participants, 293 war-traumatised adult women civilians, and 101 women without war-related trauma. Participants were recruited using the snowball sampling method. The applied instruments included the Clinician-Administrated PTSD Scale (CAPS, the NEO Personality Inventory-Revised (NEO-PI-R, the War Stressors Assessment Questionnaire (WSAQ, and the Early Trauma Inventory Self Report-Short Form (ETISR-SF. A hierarchical multiple regression analysis was performed to assess the prediction model of PTSD symptom severity measured by CAPS score for current PTSD. Results: The prevalence of current PTSD (CAPS cut-off score=65 in this cohort was 20.7%. The regression model that included age, early-life trauma, war-related trauma, neuroticism, and extraversion as statistically significant predictors explained 45.8% of variance in PTSD symptoms. Conclusions: Older age, exposure to early-life trauma, exposure to war-related traumatic events, high neuroticism, and low extraversion are independent factors associated with higher level of PTSD symptoms among women civilian victims of war.
A strategic framework for proliferation resistance: a systematic approach for the identification and evaluation of technology opportunities to enhance the proliferation resistance of civilian nuclear energy systems
Hassberger, J.A.; Isaac, T.; Schock, R.N.
The United State Department of Energy Nuclear Energy Research Advisory Committee recently completed a study ''Technological Opportunities To Increase The Proliferation Resistance Of Global Civilian Nuclear Power Systems (TOPS)''. That effort included the development of a set of both intrinsic and extrinsic barriers to proliferation that technologies can directly impact. In this paper we will review these barriers as and framework for assisting in the evaluation of the relative proliferation resistance of various nuclear fuel cycles, technologies and alternatives. (author)
The Director General has received a communication from the Governor of Norway, attaching the Chair's Summary of the discussions held during the International Symposium of Minimisation of Highly Enriched Uranium in the Civilian Nuclear Sector which was held in Oslo from 17 to 20 June 2006 as well as the summary from the technical workshop of the Symposium. The communication and, as requested therein, the attached two summaries, are herewith circulated for the information of Member States
Klimo, Paul; Ragel, Brian T; Rosner, Michael; Gluf, Wayne; McCafferty, Randall
Penetrating spinal injury (PSI), although an infrequent injury in the civilian population, is not an infrequent injury in military conflicts. Throughout military history, the role of surgery in the treatment of PSI has been controversial. The US is currently involved in 2 military campaigns, the hallmark of both being the widespread use of various explosive devices. The authors reviewed the evidence for or against the use of decompressive laminectomy to treat PSI to provide a triservice (US Army, Navy, and Air Force) consensus and treatment recommendations for military neurosurgeons and spine surgeons. A US National Library of Medicine PubMed database search that identified all literature dealing with acute management of PSI from military conflicts and civilian urban trauma centers in the post-Vietnam War period was undertaken. Nineteen retrospective case series (11 military and 8 civilian) met the study criteria. Eleven military articles covered a 20-year time span that included 782 patients who suffered either gunshot or blast-related projectile wounds. Four papers included sufficient data that analyzed the effectiveness of surgery compared with nonoperative management, 6 papers concluded that surgery was of no benefit, 2 papers indicated that surgery did have a role, and 3 papers made no comment. Eight civilian articles covered a 9-year time span that included 653 patients with spinal gunshot wounds. Two articles lacked any comparative data because of treatment bias. Two papers concluded that decompressive laminectomy had a beneficial role, 1 paper favored the removal of intracanal bullets between T-12 and L-4, and 5 papers indicated that surgery was of no benefit. Based on the authors' military and civilian PubMed literature search, most of the evidence suggests that decompressive laminectomy does not improve neurological function in patients with PSI. However, there are serious methodological shortcomings in both literature groups. For this and other reasons
The total-system life-cycle cost (TSLCC) analysis for the Department of Energy's Civilian Radioactive Waste Management Progrram is an ongoing activity that helps determine whether the revenue-producing mechanism established by the Nuclear Waste Policy Act of 1982 is sufficient to cover the cost of the program. This report is an input into the third evaluation of the adequacy of the fee. The total-system cost for the reference waste-management program in this analysis is estimated to be 24 to 30 billion (1984) dollars. For the sensitivity cases studied in this report, the costs could be as high as 35 billion dollars and as low as 21 billion dollars. Because factors like repository location, the quantity of waste generated, transportation-cask technology, and repository startup dates exert substantial impacts on total-system costs, there are several tradeoffs between these factors, and these tradeoffs can greatly influence the total cost of the program. The total-system cost for the reference program described in this report is higher by 3 to 5 billion dollars, or 15 to 20%, than the cost for the reference program of the TSLCC analysis of April 1984. More than two-thirds of this increase is in the cost of repository construction and operation. These repository costs have increased because of changing design concepts, different assumptions about the effort required to perform the necessary activities, and a change in the source data on which the earlier analysis was based. Development and evaluation costs have similarly increased because of a net addition to the work content. Transportation costs have increased because of different assumptions about repository locations and several characteristics of the transportation system. It is expected that the estimates of total-system costs will continue to change in response to both an evolving program strategy and better definition of the work required to achieve the program objectives
Belward, Alan S.; Skøien, Jon O.
This paper presents a compendium of satellites under civilian and/or commercial control with the potential to gather global land-cover observations. From this we show that a growing number of sovereign states are acquiring capacity for space based land-cover observations and show how geopolitical patterns of ownership are changing. We discuss how the number of satellites flying at any time has progressed as a function of increased launch rates and mission longevity, and how the spatial resolutions of the data they collect has evolved. The first such satellite was launched by the USA in 1972. Since then government and/or private entities in 33 other sovereign states and geopolitical groups have chosen to finance such missions and 197 individual satellites with a global land-cover observing capacity have been successfully launched. Of these 98 were still operating at the end of 2013. Since the 1970s the number of such missions failing within 3 years of launch has dropped from around 60% to less than 20%, the average operational life of a mission has almost tripled, increasing from 3.3 years in the 1970s to 8.6 years (and still lengthening), the average number of satellites launched per-year/per-decade has increased from 2 to 12 and spatial resolution increased from around 80 m to less than 1 m multispectral and less than half a meter for panchromatic; synthetic aperture radar resolution has also fallen, from 25 m in the 1970s to 1 m post 2007. More people in more countries have access to data from global land-cover observing spaceborne missions at a greater range of spatial resolutions than ever before. We provide a compendium of such missions, analyze the changes and shows how innovation, the need for secure data-supply, national pride, falling costs and technological advances may underpin the trends we document.
Decressin, A.; Gambier, D.J.; Lehmann, J.-P.; Nietzold, D.E.
The European Union industry has established a world-wide leadership position in manufacturing and exploiting plutonium bearing fuel (MOX). About 15 to 20 tons of plutonium have been manufactured in the MOX fuel fabrication plants of E.U. companies. The current capacity of about 60 tons of MOX fuel per year is being upgraded to reach 400 tons/year by the year 2000. As a result, the excess amounts of separated plutonium, presently stored in the European Union, should no longer raise but should steadily decrease to converge to zero. Studies by the European Commission have indicated that the best use at present of weapons-grade and reactor-grade plutonium is to burn it in operating and future planned nuclear reactors. Disposing of plutonium by blending it with fission products or immobilising it into synthetic matrices appears to be far from being an industrially viable option. Following this path would mean to continue storing the excess plutonium of both military and civilian origin for an unknown, but very long period of time. For these and other reasons, the European Commission is striving to foster international cooperation between the European Union companies, having a long industrial experience accumulated in the field of recycling plutonium, and, so far, the Russian Federation and the Newly Independent States. This cooperation is aiming at supporting projects that could be mutually beneficial to all parties involved. To meet this objective, several programmes have been established either bilaterally or multilaterally, in particular within the framework of the International Science and Technology Centre (I.S.T.C.) in Moscow. Some examples of such collaborations will be described. (author)
The purpose of this volume is to assess the proliferation vulnerabilities of the present deployment of civilian nuclear-power systems within the current nonproliferation regime and, in light of their prospective deployment, to consider technical and institutional measures and alternatives which may contribute to an improved regime in which nuclear power could play a significant part. An assessment of these measures must include consideration of their nonproliferation effectiveness as well as their bearing upon energy security, and their operational, economic, and political implications. The nature of these considerations can provide some measure of their likely acceptability to various nations. While any final assessment of such measures and alternatives would have to examine the circumstances particular to each nation, it is hoped that the more generic assessments conducted here will be useful in suggesting guidelines for developing an improved nonproliferation regime which also helps to meet nuclear-energy needs. One chapter outlines the existing nonproliferation regime, including the Treaty for the Non-Proliferation of Nuclear Weapons (NPT), International Atomic Energy Agency (IAEA) safeguards, bilateral and multilateral requirements for agreements of cooperation and transfers of technology, and existing provisons for sanctions for violation of nonproliferation commitments. The chapter then proceeds to an assessment of various alternatives for providing assurance of fuel supply in light of this current regime. Another chapter examines a set of technical and institutional measures and alternatives for various components of once-through and closed fuel cycles. The components of the once-through fuel cycle assessed are enrichment services and spent-fuel management; the components of closed fuel cycles assessed are reprocessing and plutonium management and fast-breeder reactor (FBR) deployment
Rehn, Marius; Weaver, Anne; Brohi, Karim; Eshelby, Sarah; Green, Laura; Røislien, Jo; Lockey, David J
Current management principles of haemorrhagic shock after trauma emphasize earlier transfusion therapy to prevent dilution of clotting factors and correct coagulopathy. London's air ambulance (LAA) was the first UK civilian pre-hospital service to routinely offer pre-hospital red blood cell (RBC) transfusion (phRTx). We investigated the effect of phRTx on mortality. Retrospective trauma database study comparing mortality before-implementation with after-implementation of phRTx in exsanguinating trauma patients. Univariate logistic regression was performed for the unadjusted association between phRTx and mortality was performed, and multiple logistic regression adjusting for potential confounders. We identified 623 subjects with suspected major haemorrhage. We excluded 84 (13.5%) patients due to missing data on survival status. Overall 187 (62.3%) patients died in the before phRTx period and 143 (59.8%) died in the after phRTx group. There was no significant improvement in overall survival after the introduction of phRTx (p = 0.554). Examination of pre-hospital mortality demonstrated 126 deaths in the pre-phRTx group (42.2%) and 66 deaths in the RBC administered group (27.6%) There was a significant reduction in pre-hospital mortality in the group who received RBC (p < 0.001). phRTx was associated with increased survival to hospital, but not overall survival. The "delay death" effect of phRTx carries an impetus to further develop in-hospital strategies to improve survival in severely bleeding patients.
Walker, Taurean Mashawn
The purpose of this research is to explore the social context (the nature and cultural environment) of the aeronautical training experience of African-American civilian, commercial, and military pilots. This research highlights the challenges African-American pilots are exposed to in addition to drawing parallels between the social context and the obstacles they are subjected to along the way. This study is valuable for stakeholders, African-American pilot aspirants, aviation corporations, Federal Aviation Administration, flight schools - in the aviation industry in understanding ways to initiate a paradigm shift and increase awareness about representation and participation of African-American aviation professionals. The qualitative approach was selected to gather a better understanding of the sociological hurdles black aviators face while going through the journey of becoming a pilot. Hardiman (2010) states, "While quantitative research is valuable, qualitative research provides the researcher the ability to view real world situations as they naturally unfold" ( p. 25). According to OBAP (2014), less than 2% of pilots in the United States are African-American. The experiences shared by the participants can provide helpful insight of possible policy implications for the aeronautical industry. There were three research questions in the study: 1) What factors hindered pilot training? 2) What were the resilience factors experienced during pilot training? 3) What were the defining features of the social context surrounding pilot training? Semi-structured, face-to-face interviews were conducted of six professional pilots. A qualitative data analysis was conducted to illustrate the context of the social challenges during the course of pilot training. Three themes were revealed: 1) access, 2) perception of inferiority, and 3) support. Implications of the significance of providing social networks to expose African-Americans to aviation were discussed. Additional means of
Aircraft crew are exposed to elevated levels of cosmic radiation of galactic and solar origin and secondary radiation produced in the atmosphere, the aircraft structure and its contents. Following recommendations of the International Commission on Radiological Protection in Publication 60, the European Union (EU) introduced a revised Basic Safety Standards Directive, which included exposure to natural sources of ionizing radiation, including cosmic radiation, as occupational exposure. The Directive requires account to be taken of the exposure of aircraft crew liable to receive more than 1 mSv per year. It then identifies the following four protection measures: (i) to assess the exposure of the crew concerned; (ii) to take into account the assessed exposure, when organizing working schedules with a view to reducing the doses of highly exposed crew; (iii) to inform the workers concerned of the health risks their work involves; and (iv) to apply the same special protection during pregnancy to female crew in respect of the 'child to be born' as to other female workers. The EU Council Directive has already been incorporated into laws and regulations of EU Member States and is being included in the aviation safety standards and procedures of the Joint Aviation Authorities and the European Air Safety Agency. For regulatory and legislative purposes, the radiation protection quantities of interest are equivalent dose (to the foetus) and effective dose. The cosmic radiation exposure of the body is essentially uniform and the maternal abdomen provides no effective shielding to the foetus. As a result, the magnitude of equivalent dose to the foetus can be put equal to that of the effective dose received by the mother. Doses on board aircraft are generally predictable, and events comparable to unplanned exposure in other radiological workplaces cannot normally occur (with the rare exceptions of extremely intense and energetic solar particle events). Personal dosemeters for
related documentation, performing data reliability checks (such as examining the data for missing values), and interviewing FHCC officials. After taking...and personnel Staffing, training, and the transfer of DOD civilian personnel to VA Xa Property Construction, transfer of property, and physical ...29For example, geriatric and mental health clinical areas were initially grouped with other
for provision and tracking of CE. 72,73 In some cases this outsourcing is related to a requirement to simultaneously support CE credits for...specific topics at their annual meetings. These meetings and conferences provide CE and bring together military and civilian health professionals...curriculum.” 115 More recently, Massive Open Online Courses (MOOCs) have been developed. These provide highly scalable forms of online
Waitzkin, Howard; Cruz, Mario; Shuey, Bryant; Smithers, Daniel; Muncy, Laura; Noble, Marylou
Although research conducted within the military has assessed the health and mental health problems of military personnel, little information exists about personnel who seek care outside the military. The purpose of this study is to clarify the personal characteristics, mental health diagnoses, and experiences of active duty U.S. military personnel who sought civilian sector services due to unmet needs for care. This prospective, multi-method study included 233 clients, based in the United States, Afghanistan, South Korea, and Germany, who obtained care between 2013 and 2016 from a nationwide network of volunteer civilian practitioners. A hotline organized by faith-based and peace organizations received calls from clients and referred them to the network when the clients described unmet needs for physical or mental health services. Intake and follow-up interviews at 2 wk and 2 mo after intake captured demographic characteristics, mental health diagnoses, and reasons for seeking civilian rather than military care. Non-parametric bootstrap regression analyses identified predictors of psychiatric disorders, suicidality, and absence without leave (AWOL). Qualitative analyses of clients' narratives clarified their experiences and reasons for seeking care. The research protocol has been reviewed and approved annually by the Institutional Review Board at the University of New Mexico. Depression (72%), post-traumatic stress disorder (62%), alcohol use disorder (27%), and panic disorder (25%) were the most common diagnoses. Forty-eight percent of clients reported suicidal ideation. Twenty percent were absence without leave. Combat trauma predicted post-traumatic stress disorder (odds ratio [OR] = 8.84, 95% confidence interval [CI] 1.66, 47.12, p = 0.01) and absence without leave (OR = x3.85, 95% CI 1.14, 12.94, p = 0.03). Non-combat trauma predicted panic disorder (OR = 3.64, 95% CI 1.29, 10.23, p = 0.01). Geographical region was associated with generalized anxiety disorder
with reversed vein grafting in 68 patients, primary anastomosis in 33, prosthetic graft insertion in 11, ... patients underwent delayed amputation, giving an overall amputation rate of 37.5%. .... injury, level of arterial injury and type of repair had no significant ... patients, graft occlusion, and diseased crural vessels with poor run-.
Stone, Melvin E; Safadjou, Saman; Farber, Benjamin; Velazco, Nerissa; Man, Jianliang; Reddy, Srinivas H; Todor, Roxanne; Teperman, Sheldon
Mild traumatic brain injury (mTBI) constitutes 75% of more than 1.5 million traumatic brain injuries annually. There exists no consensus on point-of-care screening for mTBI. The Military Acute Concussion Evaluation (MACE) is a quick and easy test used by the US Army to screen for mTBI; however, its utility in civilian trauma is unclear. It has two parts: a history section and the Standardized Assessment of Concussion (SAC) score (0-30) previously validated in sports injury. As a performance improvement project, our institution sought to evaluate the MACE as a concussion screening tool that could be used by housestaff in a general civilian trauma population. From June 2013 to May 2014, patients 18 years to 65 years old with suspected concussion were given the MACE within 72 hours of admission to our urban Level I trauma center. Patients with a positive head computed tomography were excluded. Demographic data and MACE scores were recorded in prospect. Concussion was defined as loss of consciousness and/or posttraumatic amnesia; concussed patients were compared with those nonconcussed. Sensitivity and specificity for each respective MACE score were used to plot a receiver operating characteristic (ROC) curve. An ROC curve area of 0.8 was set as the benchmark for a good screening test to distinguish concussion from nonconcussion. There were 84 concussions and 30 nonconcussed patients. Both groups were similar; however, the concussion group had a lower mean MACE score than the nonconcussed patients. Data analysis demonstrated the sensitivity and specificity of a range of MACE scores used to generate an ROC curve area of only 0.65. The MACE showed a lower mean score for individuals with concussion, defined by loss of consciousness and/or posttraumatic amnesia. However, the ROC curve area of 0.65 highly suggests that MACE alone would be a poor screening test for mTBI in a general civilian trauma population. Diagnostic study, level II.
Background Two drinking water systems at U.S. Marine Corps Base Camp Lejeune, North Carolina were contaminated with solvents during 1950s-1985. Methods We conducted a retrospective cohort mortality study of 4,647 civilian, full-time workers employed at Camp Lejeune during 1973–1985 and potentially exposed to contaminated drinking water. We selected a comparison cohort of 4,690 Camp Pendleton workers employed during 1973–1985 and unexposed to contaminated drinking water. Mortality follow-up period was 1979-2008. Cause-specific standardized mortality ratios utilized U.S. age-, sex-, race-, and calendar period-specific mortality rates as reference. We used survival analysis to compare mortality rates between Camp Lejeune and Camp Pendleton workers and assess the effects of estimated cumulative contaminant exposures within the Camp Lejeune cohort. Ground water contaminant fate/transport and distribution system models provided monthly estimated contaminant levels in drinking water serving workplaces at Camp Lejeune. The confidence interval (CI) indicated precision of effect estimates. Results Compared to Camp Pendleton, Camp Lejeune workers had mortality hazard ratios (HRs) >1.50 for kidney cancer (HR = 1.92, 95% CI: 0.58, 6.34), leukemias (HR = 1.59, 95% CI: 0.66, 3.84), multiple myeloma (HR = 1.84, 95% CI: 0.45, 7.58), rectal cancer (HR = 1.65, 95% CI: 0.36, 7.44), oral cavity cancers (HR = 1.93, 95% CI: 0.34, 10.81), and Parkinson’s disease (HR = 3.13, 95% CI: 0.76, 12.81). Within the Camp Lejeune cohort, monotonic exposure-response relationships were observed for leukemia and vinyl chloride and PCE, with mortality HRs at the high exposure category of 1.72 (95% CI: 0.33, 8.83) and 1.82 (95% CI: 0.36, 9.32), respectively. Cumulative exposures were above the median for most deaths from cancers of the kidney, esophagus, rectum, prostate, and Parkinson’s disease, but small numbers precluded evaluation of exposure-response relationships. Conclusion The study found
The text of the Agreement between the Government of India and the International Atomic Energy Agency for the Application of Safeguards to Civilian Nuclear Facilities is reproduced in this document for the information of all Members of the Agency. The Board of Governors approved the Agreement on 1 August 2008. It was signed in Vienna on 2 February 2009. Pursuant to paragraph 108 of the Agreement, the Agreement entered into force on 11 May 2009, the date on which the Agency received from India written notification that India's statutory and constitutional requirements for entry into force had been met
With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system. In this perspective, we discuss the implications of the intersection of two large-scope and large-scale initiatives, health system transformation, and information technology modernization, being rolled out in the largest and most complex federal agency and potential risk mitigating steps. The Military Health System will require an expanded unified clinical leadership to spearhead short-term transformation; furthermore, developing, organizing, and growing a cadre of informatics expertise to expand the use and diffusion of novel solutions such as health information exchanges, data analytics, and others to transcend organizational barriers are still needed to achieve the long-term aim of health system reform as envisioned by the National Defense Authorization Act for Fiscal Year 2017.
Gray, Sarah N
Background: Neurofeedback, a type of biofeedback, is an operant conditioning treatment that has been studied for use in the treatment of traumatic brain injury (TBI) in both civilian and military populations. In this approach, users are able to see or hear representations of data related to their own physiologic responses to triggers, such as stress or distraction, in real time and, with practice, learn to alter these responses in order to reduce symptoms and/or improve performance. Objective: This article provides a brief overview of the use of biofeedback, focusing on neurofeedback, for symptoms related to TBI, with applications for both civilian and military populations, and describes a pilot study that is currently underway looking at the effects of a commercial neurofeedback device on patients with mild-to-moderate TBIs. Conclusions: Although more research, including blinded randomized controlled studies, is needed on the use of neurofeedback for TBI, the literature suggests that this approach shows promise for treating some symptoms of TBI with this modality. With further advances in technology, including at-home use of neurofeedback devices, preliminary data suggests that TBI survivors may benefit from improved motivation for treatment and some reduction of symptoms related to attention, mood, and mindfulness, with the addition of neurofeedback to treatment.
Full Text Available This article examines the public authority of chiefs’ courts within the United Nations Mission in South Sudan (UNMISS Protection of Civilians Sites (PoCs. After December 2013, UNMISS peacekeepers opened the gates of their bases to around 200,000 civilians fleeing war. This unintentionally created a legal and political anomaly. Over time, conflicts and crimes rose within the sites, and UNMISS improvised a form of administration. But while the internationals sought technical solutions, people displaced within the sites turned to familiar ‘customary’ methods to manage problems of insecurity, establishing chiefs’ courts. The PoC sites became an arena of plural authorities, with chiefs working alongside camp administrators, peacekeepers and humanitarian actors. We explore how and why the chiefs responded to insecurity within the sites and whether they engaged with, or diverged from United Nations actors and international norms. We demonstrate that justice remains central to the provision of security in contexts of war and displacement. International peace interventions are rightly wary of ‘customary’ justice processes that prioritise communities and families at the expense of individual rights, but this unique case shows that they are sources of trust and consistency that are resilient, adaptable and can contribute to human security.
Marshall, Albert Christian
The study described in this report used mathematical modeling to estimate health risks from exposure to depleted uranium (DU) during the 1991 Gulf War for both U.S. troops and nearby Iraqi civilians. The analysis found that the risks of DU-induced leukemia or birth defects are far too small to result in an observable increase in these health effects among exposed veterans or Iraqi civilians. Only a few veterans in vehicles accidentally struck by U.S. DU munitions are predicted to have inhaled sufficient quantities of DU particulate to incur any significant health risk (i.e., the possibility of temporary kidney damage from the chemical toxicity of uranium and about a 1% chance of fatal lung cancer). The health risk to all downwind civilians is predicted to be extremely small. Recommendations for monitoring are made for certain exposed groups. Although the study found fairly large calculational uncertainties, the models developed and used are generally valid. The analysis was also used to assess potential uranium health hazards for workers in the weapons complex. No illnesses are projected for uranium workers following standard guidelines; nonetheless, some research suggests that more conservative guidelines should be considered
Marshall, Albert Christian
The study described in this report used mathematical modeling to estimate health risks from exposure to depleted uranium (DU) during the 1991 Gulf War for both U.S. troops and nearby Iraqi civilians. The analysis found that the risks of DU-induced leukemia or birth defects are far too small to result in an observable increase in these health effects among exposed veterans or Iraqi civilians. Only a few veterans in vehicles accidentally struck by U.S. DU munitions are predicted to have inhaled sufficient quantities of DU particulate to incur any significant health risk (i.e., the possibility of temporary kidney damage from the chemical toxicity of uranium and about a 1% chance of fatal lung cancer). The health risk to all downwind civilians is predicted to be extremely small. Recommendations for monitoring are made for certain exposed groups. Although the study found fairly large calculational uncertainties, the models developed and used are generally valid. The analysis was also used to assess potential uranium health hazards for workers in the weapons complex. No illnesses are projected for uranium workers following standard guidelines; nonetheless, some research suggests that more conservative guidelines should be considered.
Unfinished Business: Canada’s Contribution to Promoting Compliance with International Humanitarian Law Through the Protection of Civilians in Armed Conflict Agenda of the United Nations Security Council
Joelle A. Martin
Full Text Available During its 1999-2000 term on the United Nations Security Council, Canada helped launch the Council’s “Protection of Civilians in Armed Conflict” agenda. This aimed to reduce civilian war casualties through better respect for international humanitarian law [IHL]. This article reviews the agenda’s origins and evolution ten years on. The authors focus on Canada’s contributions in increasing the Council’s efforts to protect civilians, with three main assertions. First, Canada had a key role in creating and promoting the agenda, an important IHL initiative. Second, the agenda is well established in the Council’s work, but needs further effort to ensure greater impact in specific situations. Third, Canada could develop the agenda and improve respect for IHL if it joins the Security Council for the 2011-2012 term, picking up its “unfinished business” from its last Council term. Pendant son mandat de 1999-2000 au Conseil de Sécurité de l’ONU, le Canada a aidé à lancer le programme « La protection des civils dans les conflits armés » du Conseil. Le but était de réduire le nombre de victimes civiles de la guerre en faisant respecter davantage le droit international humanitaire [DIH]. Cet article passe en revue l’origine du programme et son évolution après dix années. Les auteurs portent leur attention sur les contributions du Canada pour augmenter les efforts du Conseil en vue de la protection des civils, en faisant trois affirmations principales. D’abord, le Canada a joué un rôle-clé dans la création et la promotion du programme, une initiative importante de DIH. Deuxièmement, le programme est bien établi au sein du travail du Conseil, mais nécessite des efforts additionnels afin d’assurer plus d’impact dans des situations particulières. Troisièmement, le Canada pourrait développer le programme et améliorer le respect du DIH s’il devient membre du Conseil de Sécurité pour 2011- 2012 lui permettant de
against an enemy of the United States or against an opposing military force. It also includes any military operations that result in the retention of...active duty for that day, precluding them from doing anything else, including working their civilian jobs . While access problems were identified in...certified psychiatric nurse specialists, clinical psychologists, certified marriage and family therapists, pastoral counselors, and mental health
Best, R.E.; Danese, F.L.; Peterson, R.W.; Joy, D.S.; Pope, R.B.; Ratledge, J.E.; Shappert, L.B.; Wankerl, M.W.; Klimas, M.J.; Darrough, M.E.
In order to support the development of a Transportation Operations System for the Federal Waste Management System (FWMS) by the Office of Civilian Radioactive Waste Management (OCRWM), the United States Department of Energy (DOE) formed the Transportation Project Office (TPO) at its field office in Chicago. Planning and development activities are being performed in a number of areas including a major effort in operations support, providing the planning and assessment necessary for developing the future transportation operations capability needed by the FWMS. The purpose of this paper is to review significant planning and development accomplishments, and outline expected future efforts for the continued development, acquisition, test, and startup of the transportation operations component of the FWMS
Best, R.E.; Danese, F.L.; Peterson, R.W.; Joy, D.S.; Pope, R.B.; Ratledge, J.E.; Shappert, L.B.; Wankerl, M.W.; Klimas, M.J.; Darrough, M.E.
In order to support the development of a Transportation Operations System for the Federal Waste Management System (FWMS) by the Office of Civilian Radioactive Waste Management, the United States Department of Energy formed the Transportation Project Office at its field office in Chicago. Planning and development activities are being performed in a number of areas including a major effort in operations support, providing the planning and assessment necessary for developing the future transportation operations capability needed by the FWMS. The purpose of this paper is to review significant planning and development accomplishments, and outline expected future efforts for the continued development, acquisition, test, and startup of the transportation operations component of the FWMS. 2 refs
The Department of Energy intends to send the high-level waste from defense operations to combined civilian/defense repositories for disposal. The federal government must pay a fee to cover its fair share of the cost for the disposal system. This report provides an overview perspective on the defense high-level waste (DHLW) quantities and characteristics and on potential alternatives for calculation and payment of the disposal fee. Information on the DHLW expected from government sites includes the number of waste canisters, radioactivity, thermal decay power, mass of defense reactor fuel, and total electrical energy-equivalents. Ranges in quantities are shown where different operating scenarios are being considered. Several different fee determination methods are described and fees for different quantities of waste are estimated. Information is also included on possible payment alternatives, production and shipping schedules, and credits which could be applied to the fee
This article compares the gender and health politics of the German and the French medical professions, which incorporated military command structures into their civilian self-conception. Mobilized doctors committed themselves to the new circumstances and opportunities offered by the war. They applied the established military spatial 'map' which distinguished between the male-dominated front and the female-dominated home front and turned it into an epidemiological map, identifying danger zones which arose from points of contact between men and women. The analysis singles out two case studies: the rapid spread of venereal disease and psychiatric disorders. These case studies allow for a comparative analysis of the following questions: How did doctors assess the impacts of the war on the individual and the society as a whole? How did they view the war's impact on conventional gender orders, individual and national health? And how did they see their own role as a part of an independent civilian profession?
Business-Higher Education Forum, 2013
This report shows how insights gained from system dynamics modeling and the U.S. STEM Undergraduate Model® can help inform the Navy's strategy to grow a robust civilian workforce that is strongly invested with Navy-relevant STEM skills and ready to contribute to the next generation of Naval innovation. This work positions the Navy to serve a…
Full Text Available Maria Olenick,1 Monica Flowers,1 Valerie J Diaz1,21Nicole Wertheim College of Nursing and Health Science, Florida International University, Miami, FL, USA; 2Operational Health Support Unit Jacksonville, United States Navy Nurse Corps, Jacksonville, FL, USAAbstract: United States veterans are a multifaceted population with a distinct culture that includes, but is not limited to, values, customs, ethos, selfless duty, codes of conduct, implicit patterns of communication, and obedience to command. Veterans experience mental health disorders, substance use disorders, post-traumatic stress, and traumatic brain injury at disproportionate rates compared to their civilian counterparts. Eighteen to 22 American veterans commit suicide daily and young veterans aged 18–44 are most at risk. Health care professionals must be aware of patients' military history and be able to recognize suicide-risk factors, regardless of age. Advancement in medical technology has allowed servicemen to survive their injuries but, for many, at the cost of a traumatic limb amputation and associated mental scarring. Health care professionals must be able to address physical safety concerns, as well as, emotional health of veterans. Approximately 49,933 American veterans are homeless and face the same difficulties as non-veterans in addition to service-related matters. Separation from military service and issues related to complex multiple deployments are among specifically identified veteran issues. Successful veteran reintegration into civilian life rests upon providing veterans with training that builds on their military knowledge and skill, employment post-separation from service, homelessness prevention, and mental health programs that promote civilian transition. Preparing health care providers to meet the complex needs of a vast veteran population can be facilitated by implementing veteran content into curricula that includes veteran patient simulations and case studies
The Research Panel prepared two reports. This report reviews the Department of Energy's Basic Energy Sciences, High Energy Physics, and Nuclear Physics programs. The second report examines the Environment, Health and Safety programs in the Department. This summary addresses the general value and priority of basic research programs for the Department of Energy and the nation. In addition, it describes the key strategic issues and major recommendations for each program area
Asken, Breton Michael; DeKosky, Steven T; Clugston, James R; Jaffee, Michael S; Bauer, Russell M
This review seeks to summarize diffusion tensor imaging (DTI) studies that have evaluated structural changes attributed to the mechanisms of mild traumatic brain injury (mTBI) in adult civilian, military, and athlete populations. Articles from 2002 to 2016 were retrieved from PubMed/MEDLINE, EBSCOhost, and Google Scholar, using a Boolean search string containing the following terms: "diffusion tensor imaging", "diffusion imaging", "DTI", "white matter", "concussion", "mild traumatic brain injury", "mTBI", "traumatic brain injury", and "TBI". We added studies not identified by this method that were found via manually-searched reference lists. We identified 86 eligible studies from English-language journals using, adult, human samples. Studies were evaluated based on duration between injury and DTI assessment, categorized as acute, subacute/chronic, remote mTBI, and repetitive brain trauma considerations. Since changes in brain structure after mTBI can also be affected by other co-occurring medical and demographic factors, we also briefly review DTI studies that have addressed socioeconomic status factors (SES), major depressive disorder (MDD), and attention-deficit hyperactivity disorder (ADHD). The review describes population-specific risks and the complications of clinical versus pathophysiological outcomes of mTBI. We had anticipated that the distinct population groups (civilian, military, and athlete) would require separate consideration, and various aspects of the study characteristics supported this. In general, study results suggested widespread but inconsistent differences in white matter diffusion metrics (primarily fractional anisotropy [FA], mean diffusivity [MD], radial diffusivity [RD], and axial diffusivity [AD]) following mTBI/concussion. Inspection of study designs and results revealed potential explanations for discrepant DTI findings, such as control group variability, analytic techniques, the manner in which regional differences were reported, and
Marks, S P
The impact of economic sanctions on civilians has frequently been studied by public health specialists and specialized agencies of the United Nations (UN). This commentary explores some of the difficulties of the claim that sanctions constitute violations of human rights. The deprivation suffered by civilian populations under sanctions regimes often are violations of economic, social, and cultural human rights; however, the attribution of responsibility for those violations to the "senders" of sanctions (the UN Security Council or the US government, for example) is difficult to sustain, particularly in light of the efforts made by these entities to provide for humanitarian exemptions and humanitarian aid. A more productive approach to avoiding civilian harm is to prefer, as a matter of policy, arms embargoes, severing of communications, and international criminal prosecutions over trade embargoes. Promising recommendations have been formulated regarding "smart sanctions," which target regimes rather than people, and "positive sanctions" in the form of incentives. Health and human rights professionals have specific and important tasks in implementing such a restructured approach to sanctions.
Oster, Candice; Morello, Andrea; Venning, Anthony; Redpath, Paula; Lawn, Sharon
For the majority of serving members, life in the military has a positive effect on wellbeing. However, the type, intensity and duration of service, along with the transition from fulltime military to civilian life, may have a negative effect on veterans' wellbeing. Such negative consequences, alongside the growing veteran population, indicate the need for greater exploration of veterans' physical, mental and social wellbeing. The current paper reports on the findings of a rapid review of the literature on the health and wellbeing needs of veterans, commissioned by the Australian Department of Veterans' Affairs to inform future programs and services. The databases Embase, Medline, Cinahl, PubMed, Web of Science and Cochrane Database were searched for systematic reviews reporting on veterans' physical, mental and social wellbeing published in English in peer-reviewed journals. A total of 21 systematic reviews were included. The reviews reported on a range of mental, physical and social health problems affecting veterans. While there was limited information on prevalence rates of physical, mental and social health problems in veterans compared to civilian populations, the reviews demonstrated the interconnection between these domains and the effect of demographic and military service factors. A key finding of the review is the interconnection of the mental, physical, and social health of veterans, highlighting the importance that an integrated approach to veterans' wellbeing is adopted. It is suggested that understanding key factors, such as demographic factors and factors relating to military service, can support improved service provision for veterans.
Full Text Available Thomas M Kollars College of Health Sciences, Liberty University, Lynchburg, VA, USA Abstract: Several mosquito species are capable of invading new geographic regions and exploiting niches that are similar to their natural home ranges where they may introduce, or reintroduce, pathogens. In addition to initial invasion, introduction of new genotypes into established populations may also occur. Zika virus is spreading throughout the world, posing significant health risks to human populations, particularly pregnant women and their infants. The first locally acquired case of Zika virus in the US occurred in July 2016 in Miami, Florida on the Atlantic coast; the first locally acquired case in another US county occurred in the Tampa, Florida area. Three port cities in Florida were chosen to assess the risk of import and spread of Zika virus: Mayport Naval Station, Miami, and Tampa. The bioagent transport and enviromental modeling system TIGER model and ArcGIS were used to analyze abiotic and biotic factors influencing potentially Zika-infected Aedes species, should they enter through these ports. The model was tested by overlaying documented and suspected concurrent Zika cases and comparing published high-risk areas for Zika virus. In addition to Zika hot zones being identified, output indicates surveillance and integrated mosquito management should expect larger zones. Surveillance sites at ports should be identified and prioritized for pathogen and vector control to reduce the import of mosquitoes infected with Zika virus. Low resolution maps often provide valuable suitability of the geographic expansion of organisms. Providing a higher resolution predictive map, identifying probable routes of invasion, and providing areas at high risk for initial invasion and control zones, will aid in controlling and perhaps eliminating the spread of arboviruses through mosquito vectors. Keywords: Aedes, Zika virus, invasive species, maritime ports, biological
Full Text Available World Health Organisation (WHO is an international organisation founded after the Second World War with the aim of developing cooperation among countries of the world. Its budget is provided by members dues along with donations. Its constitution which has been endorsed by parliaments of all member countries accepts health as a social right and health services as a public service, highlighting the social and economic determinants of health. However, the Organisation has been object to political influences since its inception and especially the USA has tried to use it for her own interests. Dominant political trends have influenced policies of WHO. For example, WHO had started Primary Health Care Program in 1970s, when many newly independent states existed, when Third World countries like India and Yugoslavia were effective and when Soviet Union was powerful, with the slogan of Health for all which prioritised equality, participation,, prevention, socio- economic factors in health. Globalization and neo-liberal economic policies which have dominated the world have also changed the values and principles of WHO; a deterioration was experienced: from an approach of public services and health as a a social right, to one of privatisation and market forces. This new WHO has ignored the unfavourable health consequences of economic structural adjustment programs forced on poor nations and the distruction of civilians during the Iraq and Afganistan wars. A favorable change in WHO policies depend upon the regaining of economic and political independence of poor nations and their influence in international organisations. [TAF Prev Med Bull 2010; 9(4.000: 361-366
Full Text Available This article examines two South Korean sites dedicated to the remembrance of Korean War–era civilian massacres, the Cheju 4.3 Peace Park and the Kŏch’ang Incident Memorial Park. Specifically, the article explores the sites’ localized, victim-centric epistemology as one that counters nationalist discourses and narratives that privilege the state. While acknowledging that these sites offer a physical mnemonic space for challenging the hegemonic “June 25” (yugio narrative, the author suggests that, in their narrow spatial and ideological orientation, these sites cumulatively fall short of offering a cohesive narrative of the politicidal, anti-Communist state-building project of which they are a consequence. Though of tremendous value in restoring victims’ honor, critiquing human rights abuses of the Republic of Korea, and giving a voice to marginalized groups, these spaces fail to provide historical clarity to a distorted era of South Korea’s past. In addressing this problematic, the article examines the role of family bereavement associations, narrative constructions, and the silencing of the National Guidance League Incident at these locations.
Shelby, Rebecca A.; Golden-Kreutz, Deanna M.; Andersen, Barbara L.
The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; American Psychiatric Association, 1994a) conceptualization of posttraumatic stress disorder (PTSD) includes three symptom clusters: reexperiencing, avoidance/numbing, and arousal. The PTSD Checklist-Civilian Version (PCL-C) corresponds to the DSM-IV PTSD symptoms. In the current study, we conducted exploratory factor analysis (EFA) of the PCL-C with two aims: (a) to examine whether the PCL-C evidenced the three-factor solution implied by the DSM-IV symptom clusters, and (b) to identify a factor solution for the PCL-C in a cancer sample. Women (N = 148) with Stage II or III breast cancer completed the PCL-C after completion of cancer treatment. We extracted two-, three-, four-, and five-factor solutions using EFA. Our data did not support the DSM-IV PTSD symptom clusters. Instead, EFA identified a four-factor solution including reexperiencing, avoidance, numbing, and arousal factors. Four symptom items, which may be confounded with illness and cancer treatment-related symptoms, exhibited poor factor loadings. Using these symptom items in cancer samples may lead to overdiagnosis of PTSD and inflated rates of PTSD symptoms. PMID:16281232
Dautray, R. [Academy des Aciences, 75 - Paris (France); Turpin, M. [ERAP, 75 - Paris (France)
The worrisome issues resulting from the civilian use of nuclear energy are subjected to a scientific analysis in R. Dautray's report. They include: the risks of accidents and radiation, the question of nuclear wastes (in particular, plutonium and actinides), and the dangers of atomic weapons proliferating or nuclear plants being menaced by terrorists. The nuclear industry will not be able to go on unless it comes up with solutions acceptable to citizens. Even if the decision were made to put an end to nuclear power plants, a solution would have to be found for putting an end to the aftereffects. According to this report, it is indispensable to have a base of knowledge accepted by all if we are to weigh various proposals and make decisions. It contends that the program under way in France since the 1991 Bataille Act should, for the 2006 deadline, set as its main objective to define 'a general criterion of protection and confidence of the concerned workers and populations, a criterion worked out by their elected representatives, thus by public authorities'. The report's author has proposed points for drawing up such a criterion. (author)
Darrough, M.E.; Lilly, M.J.
The US Department of Energy (DOE), through the Office of Civilian Radioactive Waste Management, is planning and developing a transportation program for the shipment of spent fuel and defense high-level waste from current storage locations to the site of the mined geologic repository. In addition to its responsibility for providing a safe transportation system, the DOE will assure that the transportation program will function with the other system components to create an integrated waste management system. In meeting these objectives, the DOE will use private industry to the maximum extent practicable and in a manner that is cost effective. This paper discusses various methodologies used for estimating costs for the national radioactive waste transportation system. Estimating these transportation costs is a complex effort, as the high-level radioactive waste transportation system, itself, will be complex. Spent fuel and high-level waste will be transported from more than 100 nuclear power plants and defense sites across the continental US, using multiple transport modes (truck, rail, and barge/rail) and varying sizes and types of casks. Advance notification to corridor states will be given and scheduling will need to be coordinated with utilities, carriers, state and local officials, and the DOE waste acceptance facilities. Additionally, the waste forms will vary in terms of reactor type, size, weight, age, radioactivity, and temperature
The US Department of Energy (DOE) published in June 1985 the Mission Plan for the Civilian Radioactive Waste Management Program. That document was to provide an informational basis sufficient to permit informed decisions to be made in carrying out the program. DOE recognized that the Mission Plan would be revised. The first such revision is this amendment, which has been prepared to apprise the Congress of significant recent achievements in the waste-management program, the revised schedule for the first repository, and the intent to postpone site-specific work for the second repository and plans for continuing the technology-development program for the second repository. Included are the DOE's submittal to the Congress of a proposal for the construction of a facility for monitored retrievable storage (MRS) as an integral part of the waste-management system and aspects of the consultation-and-cooperation interactions between the DOE and affected states and Indian tribes. The amendment presents the DOE's considered and informed judgments, based on its actual experience in administering these programs, of the preferred courses and schedules for the national program. 104 refs., 7 tabs
Potential Impacts Related to the Air Training Command Realignments. Institutional Characteristics, Transportation, Civilian Community Utilities, Land Use for Craig AFB, Alabama, Webb AFB, Texas, Columbus AFB, Mississippi, Laughlin AFB, Texas, Reese AFB, Texas, Vance AFB, Oklahoma
response and 70.4 percent civilian response, extend to 100 percent population, 1975; Counity Census Data, General Social =0 Economic Characteristics. 25...transportation problems exist and the alternative action is not txpected to disturb the situation in the future. 86 On-Base (AFERN 188.8.131.52) No major problema of...values could increase in specific residential areas that are perceived as meeting certain economic and social needs where current 7acancies are minimal
Full Text Available Currently thousands of military, diplomatic and civilian personnel are deployed under NATO, UN, and other multi-national, as well as national auspices in high-threat security environments, including active conflict zones such as Iraq and Afghanistan. Soldiers are generally well trained and prepared psychologically to face armed conflict. Civilian contractors and diplomats, on the other hand, often are not. Moreover in today’s high-threat security environments terrorists, insurgents and even child soldiers may be the opposing force, creating a more uncertain and anxiety provoking environment and more difficult to identify security threat. These facts have serious implications for the psycho-social resilience of diplomatic, civilian and military personnel deployed in such environments. This article investigates psycho-social resilience in a small exploratory sample of US embassy staff, contractors and US forces serving in Iraq during 2007, a time when Improvised Explosive Devices (IEDs, roadside bombings, mortar attacks, kidnappings, murders and sniper fire were an everyday occurrence in Iraq.
H.R.2041: a bill to authorize appropriations to the Department of Energy for civilian energy programs for fiscal year 1986 and fiscal year 1987, and for other purposes. Introduced in the House of Representatives, Ninety-Ninth Congress, First Session, April 15, 1985
The Civilian Energy Programs Authorization for Fiscal Years 1986 and 1987 (H.R.2041) authorizes DOE spending of $8.87 billion for civilian research and development; $206 million for specified conservation, regulation, and information programs; $276.8 million for power marketing administration; and $2.98 billion for activities in uranium supply and enrichment, nuclear waste management, and community energy programs. The bill indicates where revenues from fees and other revenues will apply
, activates his life resources, on the one hand, and, on the other hand, it may have negative consequences for the mental health and lead to disadaptation, and a decrease in the adaptation potential.
We propose a three-year applications project that will develop an Integrated Real-Time GPS/Seismic System and deploy it in Orange and Western Riverside Counties, spanning three major strike-slip faults in southern California (San Andreas, San Jacinto, and Elsinore) and significant populations and civilian infrastructure. The system relying on existing GPS and seismic networks will collect and analyze GPS and seismic data for the purpose of estimating and disseminating real-time positions and total ground displacements (dynamic, as well as static) during all phases of the seismic cycle, from fractions of seconds to years. Besides its intrinsic scientific use as a real-time displacement meter (transducer), the GPS/Seismic System will be a powerful tool for local and state decision makers for risk mitigation, disaster management, and structural monitoring (dams, bridges, and buildings). Furthermore, the GPS/Seismic System will become an integral part of California's spatial referencing and positioning infrastructure, which is complicated by tectonic motion, seismic displacements, and land subsidence. Finally, the GPS/Seismic system will also be applicable to navigation in any environment (land, sea, or air) by combining precise real-time instantaneous GPS positioning with inertial navigation systems. This development will take place under the umbrella of the California Spatial Reference Center, in partnership with local (Counties, Riverside County Flood and Water Conservation District, Metropolitan Water District), state (Caltrans), and Federal agencies (NGS, NASA, USGS), the geophysics community (SCIGN/SCEC2), and the private sector (RBF Consulting). The project will leverage considerable funding, resources, and R&D from SCIGN, CSRC and two NSF-funded IT projects at UCSD and SDSU: RoadNet (Real-Time Observatories, Applications and Data Management Network) and the High Performance Wireless Research and Education Network (HPWREN). These two projects are funded to
Patterson, Steven L; Dancy, Blair C R; Ippolito, Danielle L; Stallings, Jonathan D
: This paper presents environmental health risks which are prevalent in dense urban environments.We review the current literature and recommendations proposed by environmental medicine experts in a 2-day symposium sponsored by the Department of Defense and supported by the Johns Hopkins University Applied Physics Laboratory.Key hazards in the dense urban operational environment include toxic industrial chemicals and materials, water pollution and sewage, and air pollution. Four critical gaps in environmental medicine were identified: prioritizing chemical and environmental concerns, developing mobile decision aids, personalized health assessments, and better real-time health biomonitoring.As populations continue to concentrate in cities, civilian and military leaders will need to meet emerging environmental health concerns by developing and delivering adequate technology and policy solutions.
The total-system life-cycle cost (TSLCC) analysis for the Department of Energy's (DOE) Civilian Radioactive Waste Management Program is an ongoing activity that helps determine whether the revenue-producing mechanism established by the Nuclear Waste Policy Act of 1982 is sufficient to cover the cost of the program. This report provides cost estimates for the fourth evaluation of the adequacy of the fee. The total-system cost for the reference authorized-system program is estimated to be 24 to 32 billion (1985) dollars. The total-system cost for the reference improved-performance system is estimated to be 26 to 34 billion dollars. A number of sensitivity cases were analyzed. For the authorized system, the costs for the sensitivity cases studied range from 21 to 39 billion dollars. For the improved-performance system, which includes a facility for monitored retrievable storage, the total-system cost in the sensitivity cases is estimated to be as high as 41 billion dollars. The factors that affect costs more than any other single factor for both the authorized and the improved-performance systems are delays in repository startup. A preliminary analysis of the impact of extending the burnup of nuclear fuel in the reactor was also performed; its results indicate that the impact is insignificant: the total-system cost is essentially unchanged from the comparable constant-burnup cases. The current estimate of the the total-system cost for the reference authorized system is zero to 3 billion dollars (9%) higher than the estimate for the reference system in the January 1985 TSLCC analysis
Karl, H.A.; Chin, J.L.; Maher, N.M.; Chavez, P.S. Jr.; Ueber, E.; Van Peeters, W.; Curl, H.
As part of an ongoing strategic research project to find barrels of radioactive waste off San Francisco, the U.S. Navy (USN), the U.S. Geological Survey (USGS), and the Gulf of the Farallones National Marine Sanctuary (GFNMS) pooled their expertise, resources, and technology to form a partnership to verify new computer enhancement techniques developed for detecting targets the size of 55 gallon barrels on sidescan sonar images. Between 1946 and 1970, approximately 47,800 large barrels and other containers of radioactive waste were dumped in the ocean west of San Francisco; the containers litter an area of the sea floor of at least 1400 km 2 knows as the Farallon Island Radioactive Waste Dump. The exact location of the containers and the potential hazard the containers pose to the environment is unknown. The USGS developed computer techniques and contracted with private industry to enhance sidescan data, collected in cooperation with the GFNMS, to detect objects as small as 55 gallon steel barrels while conducting regional scale sidescan sonar surveys. Using a subset of the regional sonar survey, images were plotted over a 125 km 2 area. The acoustic interpretations were verified visually using the USN DSV Sea Cliff and the unmanned Advanced Tethered Vehicle (ATV). Barrels and other physical features were found where image enhancement had indicated they would be found. The interagency cooperation among the USN, USGS, and GFNMS has led to develop a cost effective and time efficient method to locate the barrels of radioactive waste. This method has universal application for locating containers of hazardous waste over a regional scale in other ocean areas such as Boston Harbor and the Kara Sea in the Arctic. This successful application of military and civilian expertise and technology has provided scientific information to help formulate policy decisions that affect the environmental management and quality of the ocean
Beadling, Charles; Maza, John; Nakano, Gregg; Mahmood, Maysaa; Jawad, Shakir; Al-Ameri, Ali; Zuerlein, Scott; Anderson, Warner
This article presents findings from a survey conducted to examine the availability of foreign language and culture training to Civil Affairs health personnel and the relevance of that training to the tasks they perform. Civil Affairs forces recognize the value of cross-cultural communication competence because their missions involve a significant level of interaction with foreign governments? officials, military, and civilians. Members of the 95th Civil Affairs Brigade (Airborne) who had a health-related military occupational specialty code were invited to participate in the survey. More than 45% of those surveyed were foreign language qualified. Many also received predeployment language and culture training specific to the area of deployment. Significantly more respondents reported receiving cultural training and training on how to work effectively with interpreters than having received foreign language training. Respondents perceived interpreters as important assets and were generally satisfied with their performance. Findings from the survey highlight a need to identify standard requirements for predeployment language training that focuses on medical and health terminology and to determine the best delivery platform(s). Civil Affairs health personnel would benefit from additional cultural training that focuses on health and healthcare in the country or region of deployment. Investing in the development of distance learning capabilities as a platform for delivering health-specific language and culture training may help ease the time and resources constraints that limit the ability of Civil Affairs health personnel to access the training they need. 2012.
project in Paide for partial sponsorship by Westminster. Westminster will initially pledge $1,000 toward the development of a skateboarding park facility...of the profits from the festival would go to finance the skateboard park. The partnership committee in Westminster set up a foundation to support
Ward, Brian W; Dahlhamer, James M; Galinsky, Adena M; Joestl, Sarah S
To provide national estimates for indicators of health-related behaviors, health status, health care service utilization, and health care access by sexual orientation using data from the 2013 National Health Interview Survey (NHIS). NHIS is an annual multipurpose health survey conducted continuously throughout the year. Analyses were based on data collected in 2013 from 34,557 adults aged 18 and over. Sampling weights were used to produce national estimates that are representative of the civilian noninstitutionalized U.S. adult population. Differences in health-related behaviors, health status, health care service utilization, and health care access by sexual orientation were examined for adults aged 18-64, and separately for men and women. Based on the 2013 NHIS data, 96.6% of adults identified as straight, 1.6% identified as gay or lesbian, and 0.7% identified as bisexual. The remaining 1.1% of adults identified as ''something else,'' stated ''I don't know the answer,'' or refused to provide an answer. Significant differences were found in health-related behaviors, health status, health care service utilization, and health care access among U.S. adults aged 18-64 who identified as straight, gay or lesbian, or bisexual. NHIS sexual orientation data can be used to track progress toward meeting the Healthy People 2020 goals and objectives related to the health of lesbian, gay, and bisexual persons. In addition, the data can be used to examine a wide range of health disparities among adults identifying as straight, gay or lesbian, or bisexual. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.
Acheson, E D
Iraq is faced with large scale public health problems that have been caused by the destruction to their infrastructure during the Gulf war. Humanitarian aid is needed in order to avoid a large scale human disaster. In 1988 73% of Iraq's population lived in urban areas. The loss of electrical generating capacity has affected hospitals, water purification and sewage treatment. Iraq had made great strides int he health of their people with an infant mortality rate of 42/1000 in 1990 and 52./1000 for children under 5. The international study team's survey of over 9000 households revealed surprising evidence of widespread chronic malnutrition. Based on accepted mortality as a baseline, data suggests that mortality among Iraqi infants and children under 5 doubled in 1991. The current food ration provides only half of the energy requirement and with rapidly accelerating inflation, the cost of food while only make the situation worse. The UN Disaster Relief Office has received $1.059 billion from donor countries; but, only half of the requested $14 million has been funded through Unicef. This money is needed to meet basic requirements for water, sanitation, antibiotics, and vaccines. The UN Security Council approved resolutions 706 and 712 which would have allowed Iraq to sell $1.6 billion for foodstuffs, medicines, and materials and supplies necessary to civilian needs subject to monitoring and supervision to ensure equitable distribution. The Iraqi government has not met the requirements of 706 and 712 because of the monitoring conditions, so no money has been issued. More money is needed if humanitarian organizations are to do their work. Only $29 million of the $145 million needed for the 1st half of this year has been pledged.
Lewy, Colleen S; Oliver, Celina M; McFarland, Bentson H
An Internet-based survey sought information about barriers to mental health services for military wives. On the basis of qualitative work, an Internet-based program was created to identify military wives who may have major depressive disorder. Women (N=569, ages 18 to 56) were recruited from 45 states and eight foreign countries. Most participants (78%) reported mild to severe depression. Many (44%) reported unaddressed mental health needs. Barriers included inability to attend daytime appointments (38%), inability to find a counselor who understands the needs of military spouses (35%), inability to find a counselor the participant could trust (29%), concerns about confidentiality (26%), and lack of knowledge about where to get services (25%). The barriers reported differed markedly from those described by distressed women in the general population. Military wives are an underserved population. Knowledge of military culture is essential for civilian mental health providers working with military wives.
bonus to make working out convenient and facilitate work / life balance . This was secondary to the hope that a fitness program would produce healthier...workforce; and 3) become an employer of choice and promote work life balance .88 34 Strategic plans and supporting objectives of the Army Installation
duplicate payment of $1,064 to the contractor for dinner costs at the Star of Honolulu restaurant on November 4, 2007. The documentation the...some, if not all, of the mementos and other items. On two different occasions, we examined the merchandise in the storage room maintained by the
Maniscalco, J.; Blink, J.; Buntzen, R.; Hovingh, J.; Meier, W.; Monsler, M.; Walker, P.
The commercial aspects of laser fusion were evaluated in an attempt to relate the end products (neutrons and energy) to significant commercial applications. We have found that by far the largest markets and highest payoffs for laser fusion are associated with electric power production. Hence, much of this report evaluates the prospects of producing commercial electricity with laser fusion. To this end, we have described in detail a new and promising laser fusion concept--the liquid lithium waterfall reactor. In addition, we have taken the most attractive features from our laser fusion studies and used them to compare laser fusion to other long-range sources of energy (breeder reactors and solar energy). It is our contention that all three sources of electrical energy should be developed to the point where the final selections are primarily based on economic competitiveness. The other potential applications of laser fusion (fissile fuel production, synthetic fuel production, actinide burning, and propulsion) are also discussed, and our preliminary plan for the engineering development of laser fusion is presented
Maniscalco, J.; Blink, J.; Buntzen, R.; Hovingh, J.; Meier, W.; Monsler, M.; Walker, P.
The commercial aspects of laser fusion were evaluated in an attempt to relate the end products (neutrons and energy) to significant commercial applications. It was found that by far the largest markets and highest payoffs for laser fusion are associated with electric power production. Hence, much of this report evaluates the prospects of producing commercial electricity with laser fusion. To this end, we have described in detail a new and promising laser fusion concept--the liquid lithium waterfall reactor. In addition, we have taken the most attractive features from our laser studies and used them to compare laser fusion to other long-range sources of energy (breeder reactors and solar energy). It is our contention that all three sources of electrical energy should be developed to the point where the final selections are primarily based on economic competitiveness. The other potential applications of laser fusion (fissile fuel production, synthetic fuel production, actinide burning, and propulsion) are also discussed, and our preliminary plan for the engineering development of laser fusion is presented
turning against small merchants, entrepreneurs and petty bourgeoisie who had formed the backbone of the Islamic opposition. The GIA activists began...evidence recorded in France in 1996. In The Algerian Civil War 1990- 1998, ed. Martinez, 152. 157 Amnesty International 1997b: 18. In “The Logic of
Maniscalco, J.; Blink, J.; Buntzen, R.; Hovingh, J.; Meier, W.; Monsler, M.; Walker, P.
The commercial aspects of laser fusion were evaluated in an attempt to relate the end products (neutrons and energy) to significant commercial applications. It was found that by far the largest markets and highest payoffs for laser fusion are associated with electric power production. Hence, much of this report evaluates the prospects of producing commercial electricity with laser fusion. To this end, we have described in detail a new and promising laser fusion concept--the liquid lithium waterfall reactor. In addition, we have taken the most attractive features from our laser studies and used them to compare laser fusion to other long-range sources of energy (breeder reactors and solar energy). It is our contention that all three sources of electrical energy should be developed to the point where the final selections are primarily based on economic competitiveness. The other potential applications of laser fusion (fissile fuel production, synthetic fuel production, actinide burning, and propulsion) are also discussed, and our preliminary plan for the engineering development of laser fusion is presented.