tary Hospital. ... in collaboration with clinical faculty, were present at all times. ... Based on the approval of both students and clinical instructors, we have ... structured learning environment during clinical rotations at Rwanda Military Hospital.
Lukish, J R; Gill, G G; McCoy, T R
To maintain the health of service members and their families throughout the world, the Department of Defense has established several isolated military hospitals (IHs). The operational environment of IHs is such that illness and traumatic injury requiring surgical intervention is common. This study sought to examine the general and orthopedic surgical experience at an IH to determine whether surgical care could be provided in an effective and safe manner. All patients evaluated by the general and orthopedic surgeon at Guantanamo Bay Naval Hospital from October 1, 1998, to April 1, 1999, were included in this study. The following data were retrospectively reviewed: patient demographic data, diagnosis, initial and follow-up care, medical evacuation data, operative procedures, and complications. There were 336 patients who presented for surgical evaluation, resulting in 660 follow-up appointments during the study period. There were 31 medical evacuations (3 emergent). The surgical services performed 122 major operative procedures. There were 58 inpatient admissions. There was 1 death, and surgical complications occurred in 2 patients, for an overall morbidity and mortality of 1.4% and 0.7%, respectively. Our data show that an IH is capable of providing surgical care, including care for traumatic injuries, in a safe manner. This is the first study that provides objective evidence that general and orthopedic surgery at an IH can be provided within the standard of care.
U.S. Department of Health & Human Services — This file contains U.S. military hospital data for timely & effective care (process of care) measures collected by the Department of Defense (DoD). DoD collects...
Lower Limb Amputation at the 34 Military Hospital in Freetown, Sierra Leone: Causes and Indications. Paul F. Nabieu, Thomas A. Massaquoi, S. D. Massaquoi, G Luseni, B. Idris, T. B. Kamara, M. L. Baryoh ...
Delahaye, R P
Between June 1871 and December 1872, about five thousand prisoners were kept in Versailles among some places of detention. This high death rate was indebted for worst hygienic states (individual or collective) and food wretched quality during first weeks. Military Health Service, under Hippolyte Larrey's management with Adolphe Thiers and staff assent involved living conditions owing to tubs and toilets not forgiving accurate clothes and well-balanced food. In every prison was fitted and infirmary managed by a military physician. Sick people were sent into hospital. Versailles city's archives show that, during 1871, 154 insurgent people died in the military hospital while the number dropped to 55 during 1872.
began slightly satisfied and finished close to a neutral valuation ; whereas MYMC began slightly satisfied and finished slightly dissatisfied. This...other than to that of MYMC. MMC and MIMC began slightly satisfied and finished close to a neutral valuation ; whereas MYMC began slightly satisfied and...Profile CVMH Conemaugh Valley Memorial Hospital (dba “CONEMAUGH”) DQ Document Query DoD Department of Defense FHA Federal Health Architecture GUI
concentrated on consumer informatics and community outreach in the rural environment by extending the boundaries of the hospital “ brick and mortar...Randomized Controlled Equivalence Trial." Psychiatr Serv. 58(6): 836-843. 8. Stone N (2004). "Focus on lifestyle change... SME Subject Matter Expert SMS Secure Messaging System SOAP Simple Object Access Protocol SOW Statement of Work SSL Secure Sockets Layer SSN Social
Forrester, M B
There is little information on poisonings managed at military and Veterans Administration (VA) hospitals. This investigation described and compared poisonings reported to Texas poison centers that were managed at military and VA hospitals. Retrospective analysis of poison centre data. Cases were poisonings among patients aged 18 years or more reported to Texas poison centers during 2000-2015 where management occurred at a military or VA hospital. The distribution of exposures for various demographic and clinical factors was determined for military and veterans hospitals and comparisons were made between the two groups. There were 4353 and 1676 poisonings managed at military and VA hospitals, resepctively. Males accounted for 50.5% of the military hospital patients and 84.9% of the VA hospital patients. The mean age for military hospital patients was 31 years and for VA hospital patients was 50 years. The proportion of poisonings managed at military hospitals and VA hospitals, respectively, were intentional (70.0% vs 64.1%), particularly suspected attempted suicide (57.3% vs 47.7%), and unintentional (25.0% vs 30.5%). More than one substance was reported in 37.7% of military and 33.2% of VA hospital poisonings. The most commonly reported substance categories for poisonings managed at military and VA hospitals, respectively, were analgesics (28.4% vs 19.7%), sedatives/hypnotics/antipsychotics (24.7% vs 23.4%), antidepressants (18.7% vs 19.7%) and alcohol (11.3% vs 10.6%). A number of differences were observed between poisonings managed at military and VA hospitals. These differing patterns of poisonings may need to be taken into account in the education, prevention and treatment of poisonings at these hospitals and among the populations they serve. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
Ahsan, O.; Razzaq, K.; Abbas, W.; Zarrin, F.
To study the pattern and endoscopic severity of caustic ingestion injuries presenting at Military Hospital Rawalpindi. Study Design: Descriptive study. Place and Duration of Study: The study was conducted at Medical and Gastroenterology Department Military Hospital Rawalpindi from August 2012 to April 2013. Material and Methods: Patients were selected from those who presented with caustic ingestion history in Medical OPD, ER and in medical wards. After informed consent the patient underwent upper gastrointestinal (GI) Endoscopy. Endoscopic findings were recorded. Results: Out of 50 patients, 21(42%) were males and 29 (58%) were females. Ingestion was accidental in 19 (38%) and was with intent of suicide or self-harm in 31(62%) patients. Mean age was 33.2 years (SD ± 13.2). All the patients were subjected to upper GI endoscopy and findings were recorded. Endoscopic findings were grade 0 in 4 (8%), Grade 1 in 6 (12%), grade 2a in 7 (14%), grade 2b in 10 (20%), grade 3a in 6 (12%) and grade 3b in 17 (34%) patients. Conclusion: Caustic ingestion injuries were seen more in younger females with predominant cause as suicidal intent. On endoscopic examination severe corrosive injuries were more frequent. (author)
Guilloton, L; Bruneau, O; Trousselard, M; Zagnoli, F; Blanc, P A; De Greslan, T; Drouet, A
Headaches are a common reason for consultation with a prevalence of 30%. Few data exist for military personnel, including in situations of war operations. The main objective of this work was to measure the evolution of the impact of headache in such a context. Two hundred and one personnel deployed in the Kaïa military field hospital in Afghanistan were recruited. A questionnaire designed to recognize headaches, supported by two quality of life scales (MIDAS and HIT-6) and a stress questionnaire were filled out before departure and upon return from missions. Sixty-three patients with headache were initially identified, of whom 52 remained symptomatic during the mission. The average total score of MIDAS before departure was 4 days and fell to 1.4 days upon return, with a mean measured change of 3.3 days. For HIT-6, the mean total score was 51.2 points initially and 51.9 points at the end of the mission with a mean change of-0.3 points. Nine patients without headache initially became symptomatic: MIDAS and HIT-6 were not affected. Thus, the impact of headache in the particular context of presence in a theater of operations was low: improved MIDAS score and the lack of influence on the HIT-6 score are underlined. Copyright © 2015 Elsevier Masson SAS. All rights reserved.
Idenburg, Floris J; van Dongen, Thijs T C F; Tan, Edward C T H; Hamming, Jaap H; Leenen, Luke P H; Hoencamp, Rigo
From August 2006-August 2010, as part of the ISAF mission, the Armed Forces of the Netherlands deployed a role 2 enhanced Medical Treatment Facility (R2E-MTF) to Uruzgan province, Afghanistan. Although from the principle doctrine not considered a primary task, care was delivered to civilians, including many children. Humanitarian aid accounted for a substantial part of the workload, necessitating medical, infrastructural, and logistical adaptations. Particularly pediatric care demanded specific expertise and equipment. In our pre-deployment preparations this aspect had been undervalued. Because these experiences could be influential in future mission planning, we analyzed our data and compared them with international reports. This is a retrospective, descriptive study. Using the hospital's electronic database, all pediatric cases, defined as patients Afghanistan were analyzed. Of the 2736 admissions, 415 (15.2 %) were pediatric. The majority (80.9 %, 336/415) of these admissions were for surgical, often trauma-related, pathology and required 610 surgical procedures, being 26 % of all procedures. Mean length of stay was 3.1 days. The male to female ratio was 70:30. Girls were significantly younger of age than boys. In-hospital mortality was 5.3 %. Pediatric patients made up a considerable part of the workload at the Dutch R2E-MTF in Uruzgan, Afghanistan. This is in line with other reports from the recent conflicts in Iraq and Afghanistan, but used definitions in reported series are inconsistent, making comparisons difficult. Our findings stress the need for a comprehensive, prospective, and coalition-wide patient registry with uniformly applied criteria. Civilian disaster and military operational planners should incorporate reported patient statistics in manning documents, future courses, training manuals, logistic planning, and doctrines, because pediatric care is a reality that cannot be ignored.
Saleem, M.Z.; Haq, M.Z.U.; Badsha, S.
Objective: To document distribution of childhood malignancies among Paediatric Oncology patients. Study design: Descriptive study Place and duration of study: Department of Paediatric Oncology, Combined Military Hospital, Rawalpindi from June 2006 to May 2007. Methodology: We collected data of 141 consecutive newly diagnosed paediatric oncology patients. Demographics (age and gender) and types of malignancy (diagnosed on histopathology) were collected in all cases. Results: Of the total patients 90 were male, 51 female with a male to female ratio of 1.76. Childhood malignancies found were leukaemia (60.3%) lymphomas (11.3%), bone tumours (4.3%), brain tumours (2.8%), germ cell tumours (3.5%), retinoblastoma (7.1%), neuroblastoma (3.5%), Wilms tumour (2.8%), rhabdomyosarcoma (2.1%), hepatoblastoma (1.4%) and synovial sarcoma(0.7%).Mean age at diagnosis was 5.4 +- 3.05 years. 24 (17%) patients were from Punjab, 9 (6.4%) from Sindh, 82 (58.2%) from Khyber Pakhtunkhwa, 5 (3.5%) from Baluchistan and 21 (14.9%) from Azad Jammu and Kashmir (AJK). Conclusion: This study showed that distribution varies according to gender, age and geography. Leukemia is the commonest childhood malignancy. Our research findings are useful for prioritizing future childhood cancer research needs. (author)
U.S. Department of Health & Human Services — This file contains U.S. military hospital data from the TRICARE Inpatient Satisfaction Survey (TRISS) administered by the Department of Defense (DoD). TRISS data do...
Stephenson, Priscilla L; Trafford, Mabel A; Hadley, Alice E
Hospital libraries serving military bases offer a different perspective on library services. Two libraries located on islands in the Pacific Ocean provide services to active duty service men and women, including those deployed to other regions of the world. In addition, these hospital libraries serve service members' families living on the base, and often citizens from the surrounding communities.
Anwar, R.; Razzaq, K.; Imran, A.
Objective: To determine the frequency of anti-Hepatitis C virus antibodies in pregnant ladies attending Military Hospital Rawalpindi and to analyze risk factors for disease acquisition in them. Study Design: Cross sectional study. Place and Duration of Study: Department of gynaecology and obstetrics Military Hospital Rawalpindi, from Feb 2013 to Jul 2013. Material and Methods: All pregnant ladies attending Military Hospital Rawalpindi were tested for anti HCV antibodies by third generation ELISA method and evaluation of potential risk factors for acquisition of HCV infection was done. Results: Six point ninety five percent of study population was found to be positive for anti HCV antibodies. Conclusion: Six point nine five percentage of study pregnant ladies were found to have anti HCV antibodies. These HCV positive pregnant women were more likely to have history of blood transfusion, therapeutic injection use and surgery. (author)
To analyze the pattern of deaths on autopsy carried out on Armed Forces personnel in CMH Sialkot. Study Design: Retrospective analytical study Place and Duration of Study: Combined Military Hospital Sialkot (CMH), from 2009 to 2012 Materials and Methods: In a total of fifty (50) cases detailed postmortems were carried out and gross features on external examination and different systemic examinations were recorded. Histopathology of various organs was done in all cases. Chemical and toxicological examination of various abdominal viscera was carried out in all sudden and suspicious deaths. Results: Ischemic Heart Disease (IHD) was most common cause of death (38%) followed by road traffic accidents (14%) and electrocution (8%). Sudden adult death syndrome accounted for 4 cases of deaths. Other causes were drowning, cerebral malaria, heat stroke, gunshot wounds, myocarditis, brain hemorrhage, meningitis and diabetic ketoacidosis. Most of these cases were young soldiers (n=30) followed by Non-Commissioned Officers (n=17). Conclusion: A large number of our young soldiers dying of heart problems is an alarming situation. Awareness among the troops of various risk factors is most important. Precautionary measures against preventable causes should be taken. (author)
silently changed, it is common knowledge that some Java Development Kit (JDK) implementations create slightly differently formatted PEM and DER...tracking software JKS Java KeyStore LDAP Lightweight Directory Access Protocol MHS Military Health System MIMC Conemaugh Miners Medical... MySQL ~ Conemaugh Health System ’-J Common Access Layer (CAL) Interface I I t J J AIIScripts I I McKe-n J Sunque.st Horizon EHR Lab Patient
The paper focusses its attention to the medical work of the British Military hospitals stationed in Macedonia during the First World War, the surgical work carried out under very heavy conditions in improvised operating theatres as well as the treatment of the wounded and sick solders brought from the battlefields on the Macedonian Front.
Wang, Hui; Jiang, Nan; Shao, Sicong; Zheng, Tao; Sun, Jianzhong
The objective of this study is to establish a comprehensive evaluation system for military hospitals' response capacity to bio-terrorism. Literature research and Delphi method were utilized to establish the comprehensive evaluation system for military hospitals' response capacity to bio-terrorism. Questionnaires were designed and used to survey the status quo of 134 military hospitals' response capability to bio-terrorism. Survey indicated that factor analysis method was suitable to for analyzing the comprehensive evaluation system for military hospitals' response capacity to bio-terrorism. The constructed evaluation system was consisted of five first-class and 16 second-class indexes. Among them, medical response factor was considered as the most important factor with weight coefficient of 0.660, followed in turn by the emergency management factor with weight coefficient of 0.109, emergency management consciousness factor with weight coefficient of 0.093, hardware support factor with weight coefficient of 0.078, and improvement factor with weight coefficient of 0.059. The constructed comprehensive assessment model and system are scientific and practical.
Full Text Available The purpose of the study was to explore the expectations of women relating to their labor and delivery needs at the 37th Military Hospital, in Ghana. Using a generic or non-categorical qualitative research design women who delivered at the 37th Military Hospital were interviewed. Data was collected by using semi-structured individual interviews. Emerging themes from the data were: the importance of environmental serenity in childbirth, the need to confirm true labor, being in control during labor, the importance of midwives, and childbirth as a sacred and euphoric journey. The findings revealed that not only were the environment serene and devoid of noise but the nurse-midwives were friendly and supportive for the women and were competent in diagnosing the progression of labor. The competencies and attributes that the nurse-midwives possessed at this hospital offered the women with an element of ownership regarding their laboring processes.
The Children's Hospital of Eastern Ontario learned that hosting the wife of the US president is more like a military manoeuvre than a typical VIP visit, but Hillary Rodham Clinton brought a unique perspective on universal health care to the Ottawa hospital. CMAJ Contributing Editor Charlotte Gray, who is also vice-chair of the hospital's board of trustees, recounts the experience of listening to “the sharpest, most intense professor of health care management you've ever met.” Imagesp1299-a
Full Text Available In patients with spinal cord injuries increased length ofhospital stay is often as a result of secondary complications such as pressuresores, urinary tract infection and respiratory infection. An increased lengthof hospital stay was observed at Kanombe Military Hospital in Rwanda.The aim of this study was to determine specific factors affecting length ofhospital stay for individuals with spinal cord injuries at Kanombe MilitaryHospital in Rwanda. The records of 124 individuals with spinal cordinjuries who were discharged from the hospital between 1st January1996and 31st December 2007 were reviewed to collect data. Information collected and captured on a data gathering sheetincluded demographic data, information relating to the injury, occurrence of medical complications and length ofhospital stay. Linear regression analysis was computed in SPSS to determine factors affecting the length of stay.The necessary ethical considerations were adhered to during the implementation of the study. Current employmentstatus and the occurrence of pressure sores were significantly associated with the length of hospital stay (p=0.021 andp=0.000 respectively. A strong relationship was noted between pressure sores and length of stay (R= 0.703. There is aneed for all members of the rehabilitation team to devise and implement effective measures to prevent the developmentof pressure sores, in patients with spinal cord injuries in the study setting.
cryptorchidism [752.89]) 3 Hernia (inguinal [550.9], ventral [553.2]) 3 Vascular (228.01)/lymphatic (457.9) malformation 3 Craniofacial malformation...girl who underwent resection of a cervical cystic hy- groma at our hospital and later received radiofrequency ablation treatment of her enlarged tongue...head and neck mass 2 Orthopedic fixation 2 Hernia repair 2 Computed tomography while under general anesthesia 2 Orchidopexy 1 Repair of rectal
The purpose of this research project was to determine whether Naval Hospital Bremerton could meet the service demands for the care of the over 65 military-Medicare eligible population within the catchment area...
Full Text Available Healthcare wastes are a major challenge in public health and comprise all types of wastes generated by healthcare centers, research facilities, and laboratories. The aim of this study was surveying the knowledge and practice of nursing staff about sharp waste management in selected military (Tehran and non- military (Qom hospitals in 2012. This was a descriptive-analytical study on 143 nursing stuff in Military and Non-Military hospitals. Data was collected using a self-report questionnaire. Statistical tests such as the student t-test, one-way analysis of variance and Pearson correlation were used to data analysis. The mean age of participants was 32(±6.3 and the majority were female. The mean score of knowledge was 54.7(±14.4 and their knowledge classified on a moderate level. Also, the mean score of practice was 65.44(±11.6 and was classified on a moderate level. The means of these variables were higher among personnel of Military than Non-Military. There were positive correlations between knowledge, practice and age variables (P
Pressley, Joyce C; Dawson, Patrick; Carpenter, Dustin J
Military deployment of one or both parents is associated with declines in school performance, behavioral difficulties, and increases in reported mental health conditions, but less is known regarding injury risks in pediatric military dependents. Kid Health Care Cost and Utilization Project 2006 (KID) was used to identify military dependents aged 0.1 year to 17 years through expected insurance payer being CHAMPUS, Tricare, or CHAMPVA (n = 12,310) and similarly aged privately insured nonmilitary in CHAMPUS, Tricare, or CHAMPVA states (n = 730,065). Mental health diagnoses per 1,000 hospitalizations and mechanisms of injury per 1,000 injury-related hospitalizations are reported. Unweighted univariate analyses used Fisher's exact, χ(2), and analysis of variance tests for significance. Odds ratios are age and sex adjusted with 95% confidence intervals. Injury-related admissions were higher in military than in nonmilitary dependents (15.5% vs. 13.2%, p sex-adjusted motor vehicle occupant and pedestrian injuries were significantly lower in all-age military dependents but not in age-stratified categories. Very young military dependents had higher all-cause injury admissions (p < 0.0001), drowning/near drowning (p < 0.0001), and intracranial injury (p < 0.0001) and showed a tendency toward higher suffocation (p = 0.055) and crushing injury (p = 0.065). Military adolescents and teenagers had higher suicide/suicide attempts (p = 0.0001) and poisonings from medicinal substances (p = 0.0001). Mental health diagnoses were significantly higher in every age category of military dependents. All-cause in-hospital mortality tended to be greater in military than in nonmilitary dependents (p = 0.052). This study suggests that military dependents are a vulnerable population with special needs and provides clues to areas where injury prevention professionals might begin to address their needs. Prognostic/epidemiologic study, level II.
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.
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.
Pe, Aye; Saw, Kaythi; Mon, Shu; Aung, Yin Yin [Department of Medical Oncology, Yangon, (Myanmar)
Over 250 cases of carcinoma of Breast in different stages, treated by Joint Cancer Clinic (JCC) of No (2) Military Hospital over 5 years (1987 to 1991) were analysed. Different combination of drugs CMF, CMF(P),CMFVP and COFA regimes were given either alone on in combination with local radiation therapy after surgery- lumpectomy or extended simple mastectomy. Hormonal therapy was also added to the standard method of treatment in most of the cases. Results were evaluated in different arms of treatment. The value of immunotherapy and neochemotherapy were also studied.
Aye Pe; Kaythi Saw; Shu Mon; Yin Yin Aung
Over 250 cases of carcinoma of Breast in different stages, treated by Joint Cancer Clinic (JCC) of No (2) Military Hospital over 5 years (1987 to 1991) were analysed. Different combination of drugs CMF, CMF(P),CMFVP and COFA regimes were given either alone on in combination with local radiation therapy after surgery- lumpectomy or extended simple mastectomy. Hormonal therapy was also added to the standard method of treatment in most of the cases. Results were evaluated in different arms of treatment. The value of immunotherapy and neochemotherapy were also studied
Mohamad, M. Y.
The purpose of this study is to evaluate the Quality Assurance procedures in the Military Corps in Khartoum state, through the comprehensive Quality Control QC procedures of the x-ray machines and darkrooms in the x-ray departments, and to provide a Quality Assurance Manual to support the federal ministry of Health running QA program. This study is the first time that the departments of the Military Corps apply QC tests on their x-ray machines. The total number of x-ray machines in Khartoum state is 10 machines with 4 darkrooms. Only three of the x-ray machines are tested and the results showed that there are unacceptable parameters of the major exposure factors which determine the image quality. The percentage of accuracy defects are 67% for kVp Accuracy, 67% for Time Accuracy, 33% for Relative mA Linearity, 33% for Relative mAs Linearity, 67% for kVp Reproducibility, 67% for Collimator test. Also the tested darkrooms showed that the percentage of unacceptable parameters as: 15% for tested intensifying screens, 18% for tested Cassettes, 100% for light leakage, 67% for Safelight. Reject film Analysis showed that 5.3% and 10% is the reject percentage during four months for the main and casualty centers respectively. Personal monitoring records showed that the dose is within the dose limits the maximum and minimum Dose equivalent in 2001 is 4.231 Sv, 0.154 Sv and in 2002 is 2.736 Sv, 0.167 Sv consequently, and the monitoring has been stopped since July 2002. Also the study reveals that only 4% from the total cost of the x-ray machines owned by the mentioned hospitals is the price of the QC test tools equipments. The study gives a review of all definitions and QC procedures needed for the QA manual and can be referenced as a QA Manual for the Military Corps or any other hospital.
Nizi, M.K.; Ameen, S.S.; Saeed, K.; Yaqub, M.A.; Khan, M.D.; Arain, M.A.
Objective: To determine the frequency and risk factors for severity of retinopathy in diabetic patients referred to a tertiary military hospital. Study Design: Cross-sectional study. Place and duration of study: Armed Forces Institute of Ophthalmology, Rawalpindi from Jun 2008 to Dec 2009. Patients and Methods: Diabetic patients aged 40 to 79, referred for suspected diabetic retinopathy (DR) on fundoscopy from medical outpatient clinic of Military Hospital Rawalpindi were randomly included in the study. Participants underwent a standardized interview and examination. Retinopathy was assessed through dilated pupils, and graded into absent retinopathy, mild to moderate, or advanced. Presence of clinically significant macular edema (CSME) was also recorded. To evaluate the simultaneous effect of significant risk factors on the different stages of DR, multivariate regression analysis was carried out. Results: Out of five hundred and ten patients, DR was confirmed in 63% cases with advanced retinopathy in 21.3%. In univariate analysis, duration of diabetes, fasting blood glucose, and presence of macular oedema were significantly associated with retinopathy (P<0.005). On multivariate analysis, however, only duration of diabetes (Odds Ratio 6.15 for 5 to 10 years and 38.29 for more than 10 years) and macular oedema (OR 6.617 95% CI 3.95-11.07) remained significant. CSME was present in 173 (33%) patients and its frequency increased with the severity of DR (P <0.001). Conclusion: The frequency of DR among military personnel and their dependants was high with strong association to duration of diabetes. This underscores the importance of regular retinal examination to detect DR in the early stages and timely intervention to prevent diabetes related blindness. (author)
Pineda Acero, Gustavo Adolfo; Torres Quintero, Pio
With the purpose of analyzing the experience of the orthopedics service and traumatology of the central military hospital in the treatment of the tumors of soft tissues, it carries out a descriptive observational study, type series of cases and retrospective. The incidence of the tumors of soft tissues compared with carcinomas and other neoplasia, constitutes less than 1% of all cancerous and the benign ones are more common than the wicked ones in a range of 100:1. The knowledge of the classification, stadification, evaluation strategies, previous biopsy, surgical treatment, radiotherapy y/o chemotherapy is vital for a good final result. 29 clinical histories were included of patient with tumoral lesions in the soft tissues, valued in the central military hospital between March of 1996 and March of 2001. The age average was of 39 years and the pursuit of 24 months. In most of the cases the anatomical commitment belonged to the inferior members (93%), 79% for benign tumors and 21% for wicked tumors. To avoid incorrect diagnoses and inappropriate treatments it is necessary the coordinated evaluation of all multidisciplinary team
Qayum, M.; Shaheen, N.; Khan, M.Q.A.; Ali, W.
Frequency of syphilis among pregnant women attending Combined Military Hospital Abbottabad Study Design: Descriptive study. Material and Methods: A screening for syphilis of 500 married pregnant women presenting to antenatal clinics was carried out using the qualitative Rapid Plasma Regent (RPR) test/ Venereal Disease Research Laboratory (VDRL) test. The Treponema Palladium Haem-Agglutination Assay (TPHA) test was used as confirmatory test for all Venereal Disease Research Laboratory (VDRL) test positive cases. Results: A total of 8 women (1.6%) were positive for Venereal Disease Research Laboratory (VDRL) test. Out of these 4 (0.8%) were positive for Treponema Palladium Haem-Agglutination Assay (TPHA) test. All of these cases have bad obstetrical history. Conclusion: The sero-positivity of Venereal Disease Research Laboratory (VDRL) test is (1.6%), considered high among pregnant women reporting in obstetrics clinics of Combined Military Hospital Abbottabad. Similarly sero-positivity of Treponema Palladium Haem-Agglutination Assay (TPHA) test is (0.8%) considered high among the Venereal Disease Research Laboratory (VDRL) test population. Therefore Screening of syphilis in pregnancy especially in patients having bad obstetrical history (BOH) should be incorporated into the study. (author)
the mean maximum temperature was Hypotenson 15 (62.5) 102.0 + 1.3 F. A "saddle back" or dip- Rash (Non- Petechial ) 13 (54.2) hasic fever pattern was not...DENGUE FEVER IN AMERICAN MILITARY PERSONNEL IN THE PHILIPPINES: CLINICAL OBSERVATIONS ON HOSPITALIZED PATIENS DURING A 1984 EPIDEMIC C.G. Hayes, T.F...Accession Tr~I Jti ti DENGUE FEVER IN AMERICAN MILITARY PERSONNEL IN THE PHILIPPINES: CLINICAL OBSERVATIONS ON HOSPITALIZED PATIENTS DURING A 1984
Todorovic, V.; Jevtic, M.; Jovanovic, D.; Jovic-Stosic, J.
Possibility of mass injuries in traffic, industrial accidents or terrorist attack is every day reality. Management of victims may need complex measures including activities on the site, transportation, and hospital care. Preparedness for hospital treatment of mass trauma or poisoning is among the main duties of Military Medical Academy (MMA). It is medical institution of tertiary level with the capacity of 1214 beds in 13 surgical clinics, 12 internal medicine clinics, 2 neuropsychiatry clinics, poison control centre and organ transplantation centre. National Poison Control Centre is the only specialized institution for treatment of adult's acute poisonings in the country. Centre includes: 1. Clinic of Toxicology and Clinical Pharmacology with Intensive Care Unit and Toxicology Information Department; 2. Institute of Experimental Toxicology and Pharmacology; 3. Mobile Toxicological - Chemical Squad. Being a part of MMA, Centre benefits from all advantages of central type hospital, including possibilities for contemporary diagnostic and therapeutic procedures of different specialities, and other necessary medical and logistic support. Except hospital organization and preparedness for admission of mass injuries victims, one of strategic goals of MMA is functional integration in civilian health care system including more detailed planning for collaboration in case of chemical accidents.(author)
Bahadori, Mohammadkarim; Ravangard, Ramin; Yaghoubi, Maryam; Alimohammadzadeh, Khalil
Background: Military hospitals are responsible for preserving, restoring and improving the health of not only armed forces, but also other people. According to the military organizations strategy, which is being a leader and pioneer in all areas, providing quality health services is one of the main goals of the military health care organizations. This study was aimed to evaluate the service quality of selected military hospitals in Iran based on the Joint Commission International (JCI) standards and comparing these hospitals with each other and ranking them using the analytic hierarchy process (AHP) technique in 2013. Materials and Methods: This was a cross-sectional and descriptive study conducted on five military hospitals, selected using the purposive sampling method, in 2013. Required data collected using checklists of accreditation standards and nominal group technique. AHP technique was used for prioritizing. Furthermore, Expert Choice 11.0 was used to analyze the collected data. Results: Among JCI standards, the standards of access to care and continuity of care (weight = 0.122), quality improvement and patient safety (weight = 0.121) and leadership and management (weight = 0.117) had the greatest importance, respectively. Furthermore, in the overall ranking, BGT (weight = 0.369), IHM (0.238), SAU (0.202), IHK (weight = 0.125) and SAB (weight = 0.066) ranked first to fifth, respectively. Conclusion: AHP is an appropriate technique for measuring the overall performance of hospitals and their quality of services. It is a holistic approach that takes all hospital processes into consideration. The results of the present study can be used to improve hospitals performance through identifying areas, which are in need of focus for quality improvement and selecting strategies to improve service quality. PMID:25250364
Bahadori, Mohammadkarim; Ravangard, Ramin; Yaghoubi, Maryam; Alimohammadzadeh, Khalil
Military hospitals are responsible for preserving, restoring and improving the health of not only armed forces, but also other people. According to the military organizations strategy, which is being a leader and pioneer in all areas, providing quality health services is one of the main goals of the military health care organizations. This study was aimed to evaluate the service quality of selected military hospitals in Iran based on the Joint Commission International (JCI) standards and comparing these hospitals with each other and ranking them using the analytic hierarchy process (AHP) technique in 2013. This was a cross-sectional and descriptive study conducted on five military hospitals, selected using the purposive sampling method, in 2013. Required data collected using checklists of accreditation standards and nominal group technique. AHP technique was used for prioritizing. Furthermore, Expert Choice 11.0 was used to analyze the collected data. Among JCI standards, the standards of access to care and continuity of care (weight = 0.122), quality improvement and patient safety (weight = 0.121) and leadership and management (weight = 0.117) had the greatest importance, respectively. Furthermore, in the overall ranking, BGT (weight = 0.369), IHM (0.238), SAU (0.202), IHK (weight = 0.125) and SAB (weight = 0.066) ranked first to fifth, respectively. AHP is an appropriate technique for measuring the overall performance of hospitals and their quality of services. It is a holistic approach that takes all hospital processes into consideration. The results of the present study can be used to improve hospitals performance through identifying areas, which are in need of focus for quality improvement and selecting strategies to improve service quality.
LaCroix, Jessica M; Colborn, Victoria A; Hassen, Helena O; Perera, Kanchana U; Weaver, Jennifer; Soumoff, Alyssa; Novak, Laura A; Ghahramanlou-Holloway, Marjan
Suicide among United States service members is a significant public health concern. Intimate partner relationship stress may contribute to suicide risk, as a failed or failing relationship is the most commonly documented stressor preceding military suicide attempts and deaths. However, little is known about the manner by which relationship stressors are associated with the experience of military suicidality. A sample of 190 psychiatrically hospitalized military personnel and adult dependents enrolled in an ongoing randomized controlled trial evaluating the efficacy of an inpatient cognitive behavioral treatment for suicidality were included in this study. Analyses examined depression, hopelessness, and suicidality among participants with (n = 105) and without (n = 85) self-reported romantic relationship stress. Over half (55%) of the sample reported current romantic relationship stress. Compared to participants without current romantic relationship stress, results indicated that individuals reporting current romantic relationship stress were more hopeless (AOR = 1.07 (95% CI: 1.01-1.12), p = 0.020), more likely to endorse multiple suicide attempts (AOR = 1.96 (95% CI: 1.01-3.79), p = 0.046), had higher overall suicide risk (AOR = 2.49, (95% CI: 1.03-6.06), p = 0.044), and were more likely to report that the reason for their suicidality was at least in part to get a reaction from others. Findings suggest romantic relationship stress is associated with greater suicide risk, and have clinical implications for suicide prevention and intervention. Future research may examine mechanisms and pathways between romantic relationship stress, suicidality, and prevention and intervention strategies. Published by Elsevier Inc.
Satizabal Azuero, Carlos E; Calderon Uribe, Oscar; Naquira Escobar, Luis F
This is an observational retrospective study series of cases carried out between January 1998 and July 2004 in the central military hospital, 13 patients were treated with Girdlestone arthroplasty with external fixation, with a pursuit average of 53 months. Function, return to the daily activities and associate complications was evaluated. They were as complication; pain in the fixator site, osteitis, and fixator broke. All patients report at the end of the treatment no pain in the hip. Shortening in the patient without lenghting was 3,5 cm and in the group with lenghting was 1.5 cm. the obtained results demonstrate that Girdlestone arthroplasty with external fixation, is option, to improve the patient's pain and function of the hip
Tariq, M.; Ishtiaq, S.; Zulfiqar, S.O.
Objective: To determine the difference in the frequency of middle cerebral artery (MCA) ischemic strokes between left and right cerebral hemispheres in the adult patients admitted to the Military Hospital (MH) Rawalpindi. Study Design: A descriptive study. Place and Duration of Study: MH Rawalpindi from 01 Dec 2013 to 30 Mar 2014. Patients and Methods: Seventy eight adult patients admitted to MH Rawalpindi with neurologic deficits consistent with MCA strokes and having no evidence of intracerebral haemorrhage on Computed Tomographic (CT) scan of brain. Descriptive Statistics were calculated using SPSS version 17. Results: A total of 78 patients met the inclusion criteria of the study; 35 (45 percent) patients had right MCA stroke while 43 (55 percent) had left MCA stroke. Conclusion: Left MCA ischemic strokes are more common than right MCA ischemic strokes. (author)
Full Text Available Abstract Background Taiwan’s National Defense Bureau has been merging its hospitals and adjusting hospital accreditation levels since the beginning of 2006. These changes have introduced many stressors to the healthcare workers in these hospitals. This study investigates the association between job stress, psychological morbidity and quality of life in healthcare workers in three military hospitals. Methods We posted surveys to 1269 healthcare workers in three military hospitals located in southern Taiwan. The surveys included the General Health Questionnaire (GHQ, the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF, and the Effort-Reward Imbalance (ERI Questionnaire. High effort-reward (ER ratio and overcommitment were defined when scores fell into the upper tertile of the total distribution. Results The survey was completed by 791 healthcare workers. On average, women reported a higher ERI than men. High ERI was associated with younger age, higher psychological morbidity, and poor physical and psychological QOL domains in this population. High ER ratio and high overcommitment were associated with psychological morbidity and poor QOL in both sexes. However, high ER ratio was not significantly associated with the social QOL domain in either sexes or the physical QOL domain in males. Conclusions There was a clear association between ERI and QOL in the healthcare workers in the military hospitals under reorganization and accreditation in this study. We found ER ratio and overcommitment to be suitable indicators of job stress.
Karakas, Ahmet; Coskun, Omer; Artuk, Cumhur; Savasci, Umit; Gul, Hanefi Cem; Mert, Gurkan; Avci, Ismail Yasar; Besirbellioglu, Bulent Ahmet; Eyigun, Can Polat
This study aimed to review the possible sources of infection of 16 oropharyngeal tularemia hospital cases, and to document their epidemiological and demographical characteristics, laboratory findings, treatment methods, and treatment results. Sixteen cases from a Turkish military hospital between January 2011 and December 2012 were retrospectively evaluated. The age, sex, occupation, place of residence, symptoms, duration of symptoms, laboratory results, treatment and duration, and treatment results were recorded. Tularemia was diagnosed through tularemia-specific tests once the other conditions that may have caused lymphadenopathy were excluded. Twelve of the patients included in this study were males. The average age of the patients was 32.1 ± 17.2 years. Sore throat, fatigue, and fever were the most frequent symptoms. The mean duration of symptoms was 21.6 ± 6.9 days. All the patients had been treated for tonsillopharyngitis in primary healthcare institutions previously. However, despite the treatment, cervical lymphadenopathy had developed in these cases. Patients were given streptomycin, doxycycline, and ciprofloxacin monotherapy or in combination. Ten of the cases fully recovered, while five required surgical lymph node drainage. Spontaneous drainage occurred in the single remaining case. Turkey is considered to be an endemic country with regards to tularemia. Prompt diagnosis and proper treatment of the disease is imperative in providing cure. Since it can be potentially confused with tuberculous lymphadenitis, differential diagnosis is vital. Patients presenting with a condition of tonsillopharyngitis in endemic areas must be carefully monitored.
Juan Baños Sánchez-Matamoros
Full Text Available The present paper deals with one of the most neglected areas of research in accounting, that of the Army. In spite of the literature on industries related to the Army, not too much has been extended on the Army per se. For this reason, this paper analyses the process of rationalization developed in the 18th century in Spanish Army Hospitals, as a result of the bankruptcy of the Royal Finances. Due to this process, the Military Hospitals were the most developed in the country, and it led to the emergence of the Contralor (Controller within the hospital, and thus accounting was considered as an essential matter.
Full Text Available Objectives. To describe reoperative thyroid surgeries in our department. Study Design. Retrospective cross-sectional and descriptive study at the Ouakam Military Hospital in Dakar (Senegal, over a period of eight and a half years. Methods. The study involved all records of patients who had a reoperative thyroidectomy regardless of the indication and time of the second surgery. Parameters evaluated for first and reoperative surgery were time interval between the two surgeries, operative indications, surgical procedures, intraoperative findings, pathological examination, and morbidity. Results. 30 records of patients were selected out of a total of 698 thyroidectomies (4.3%. Thyroid cancers diagnosed on first surgical specimens were the first indications of reoperations (46.67% followed by neck hematoma (20%. Completion thyroidectomy with a prophylactic central lymph nodes dissection was the most performed surgical procedure (43.33% followed by haemostasis (20%. During reoperation, we found active bleeding (20%, textiloma (6.67%, and fourth branchial cleft fistula (3.33%. The morbidity accounted for 10%: lymphorrhea, permanent hypocalcemia, and permanent recurrent nerve palsy, in one case, respectively. There were no statistically significant differences between the morbidity in patients reoperated on and the one for patients operated on once. Conclusion. We did not find an increased risk of postoperative morbidity after reintervention.
Khan, A.U.; Yasmeen, R.; Habib, M.
To analyse the various types of retinopathy in individuals with type 2 DM. Design: Descriptive study. Place and duration of study: Military Hospital Rawalpindi from January 2010 to July 2010 Methods: One hundred and fifty patients with type 2 DM were studied into for different types of retinopathy, based on history, clinical examination (ophthalmological) and laboratory investigations. Results: Out of 150 patients who fulfilled the criteria for study, 93(62%) were male and 57(38%) were female patients, frequency of retinopathy was 28.67%. The duration of diabetes ranged from 5 to 30 years. The frequency of retinopathy was higher in males as compared to females. The mean age of the patients was 51.10 +- 8.33 years with range 36-77 years. Proliferative retinopathy was seen more in those diabetic patients whose duration of disease was more than 10 years. They also showed poor glycaemic control in the form of raised blood glucose and HbA1C levels. Conclusion: About twenty eight percent of our diabetic patients are suffering from diabetic retinopathy. This can be controlled by early detection and effective treatment both in terms of strict glycemic control and laser photocoagulation, thus decreasing the morbidity and mortality due to this chronic disease. (author)
Safety assessment of the operation of the Magnetic Resonance Imaging (MRI) system at 37 Military Hospital was done. Protocols were developed to assess the radiological health and safety impact of some selected MR imaging procedures on patients, staff and the general public. The parameters considered to be assessed were; specific absorption rate (SAR); temperature rise in the body, variation of the magnetic field gradients, RF energy used, sound pressure level and the potential for missile effects. The Smart brain and Routine lumbar Spine examination cards specific to brain and lumbar spine anatomy techniques were used. For brain examinations the T1 W-SE sagittal PH, and the T1 W-SE Tra-PH protocols gave the highest SAR values with a mean value 1.6 W/kg for 3 minutes. For the lumbar spine examinations, the T1 W-TSE axial protocols exposed patients to the highest consistent SAR value of 2.8 W /kg. The T2W-TSE axial protocol gave the highest SAR value of 3.8 W/kg with a mean value of 3.1 W/kg with the highest exposure time of 4 minutes with a mean of 2.5 minutes. These SAR values were within the limits recommended by the United States Food and Drug Administration (USFDA). To optimize patient, staff and public safety, local guidelines for safety assessment were developed which include: in house screening with a metal detector, filling in the screening form and ensuring that safety requirements are met before entering the MR room. The choice of protocols that minimize SAR values and strict compliance to safety protocols developed at the MRI facility therefore should be followed and continuously updated to achieve maximum safety for staff, patient and the general public in and around an MRI facility. (au)
Claude Louis Sommé was born in Paris in 1772. After surgical studies between 1790 and 1792, he successfully embraced a military career in the armies of Napoleon at different fronts and in several hospitals. In 1806 he submitted his doctoral thesis at the Special Medical School of Strasburg, Dissertation upon Pain. The same year he presented his dismissal from he imperial armies and became chief-surgeon at the St Elisabeth hospital of Antwerp where he stayed on duty until his death in 1855. Sommé wrote a lot of medical books: surgical, anatomical and physiological. After the battle of Waterloo one third of the injured soldiers were transferred to Antwerp and were attended in his department. He also played an important role as a professor at the Primary Medical School of Antwerp. Sommé also created the botanical garden of Antwerp, close to the hospital.
Beliakin, S A; Fokin, Iu N; Kokhan, E P; Frolkin, M N
There was congested a wide experience of organization and management of scientific work in the 3rd CMCH by Vishnevsky A.A. for a term of more than 40 years. This experience is subjected to generalization, analyze for the purpose of determination of it's priority orientations of improvement. Scientific-methods work in hospital is rated as a complex of measures, organisationaly-planed and coordinated by purpose and reinforcement of scientific schools of the 3rd CMCH by Vishnevsky A.A., as a basis of effective delivery of specialized medical aid. The vector of scientific researches is directed, generally, to solving questions of military and field medicine.
Wells, Timothy S; Sato, Paul A; Smith, Tyler C; Wang, Linda Z; Reed, Robert J; Kappel Ryan, Margaret A
.... To determine if anthrax vaccination was associated with an increased risk of hospitalization, a historical cohort study utilizing pre- and post-anthrax-vaccination hospitalizations was undertaken...
Safa, Louhichi; Afif, Neffati; Zied, Hajjej; Mehdi, Dridi; Ali, Yousfi Mohamed
Linezolid was introduced in clinical practice in the early 2000s. It was considered to be an ideal reserve drug for treatment of vancomycin-resistant Enterococcus spp. (VRE) and vancomycin-resistant Staphylococcus aureus (VRSA). The aim of our study was to describe and evaluate the use of linezolid in clinical practice at the intensive care unit (ICU) of the Tunisian military hospital. This is a thirty-month retrospective study including patients treated with linezolid at the ICU of the Tunisian military hospital. Data collection was realized using the patients' medical files and prescriptions. A pharmacist conducted an extended medication history and checked if an advice from an infectious disease-physician and a microbiological documentation were requested. A total of 80 patients were included. Forty-one per cent of indications were outside the Marketing Authorization (MA) criteria, and were mainly sepsis and postoperative mediastinitis (32% and 4% of total prescriptions, respectively). This antibiotic was used as a first-line therapy in 58% of cases. The advice from an infectious-disease physician was requested for 33% of prescriptions. Only 20% of infections were documented microbiologically, of which 35% were caused by methicillin resistant coagulase-negative Staphylococcus. Linezolid is an interesting therapeutic alternative in case of infections due to multi-resistant bacteria and/or complex clinical situations. Therefore, its prescription must be rationalized in order to slow down the emergence of resistance to this antibiotic. The high frequency of its use outside the MA criteria shows the importance of carrying out more clinical trials to evaluate its effectiveness and safety for new indications.
Objective: To determine the status of thyroid functions in patients of Beta Thalassemia Major, reporting to OPD of Military Hospital, Rawalpindi. Study Design: Descriptive cross sectional study. Place and Duration of Study: Paediatric Outpatients Department of Military Hospital, Rawalpindi from 1st Jan to 30th Jun 2012. Material and Methods: After taking informed consent from the parents of all the children fulfilling the inclusion criteria, detailed history was taken and blood samples were drawn by strict aseptic means. Samples taken from these patients included complete blood and thyroid profile (serum thyroxine T4, triiodothyronine T3 and thyroid stimulating hormone TSH). These blood samples were labeled and sent to Armed Forces Institute of Pathology (AFIP), Rawalpindi for analysis by enzyme-linked immunosorbent assay (ELISA). Primary hypothyroidism was defined by TSH levels >4IU/ml. Statistical analysis was done at the end of study using SPSS version 10. Significance for association was calculated using student t-test. Results: Sixty patients fulfilled the inclusion criteria out of these sixty four patients lost the follow up while 56 patients completed the study. Out of 56 patients, 21 (37.5 percent) had biochemical evidence of hypothyroidism. Mean Ferritin level was 3924 +- 1247ng/ml in hypothyroid and 3136 +- 1387ng/ml in euthyroid patients indicating a significant difference in mean serum ferritin levels between hypothyroid patients and others. Conclusion: The study demonstrates hypothyroidism in a significant number of hyper transfused Beta- thalassemic patients, emphasizing the importance of monitoring thyroid functions in thalassemic patients, particularly in those receiving suboptimal chelation. (author)
Ghahramanlou-Holloway, Marjan; Lee-Tauler, Su Yeon; LaCroix, Jessica M; Kauten, Rebecca; Perera, Kanchana; Chen, Rusan; Weaver, Jennifer; Soumoff, Alyssa
Personality disorders (PDs) are associated with an increased risk for suicide. However, the association between PDs and suicide risk has not been examined among military personnel. This study evaluated whether endorsement of different PD dysfunctional beliefs was associated with lifetime suicide attempt status. Cross-sectional data were collected during the baseline phase of a randomized controlled trial, evaluating the efficacy of an inpatient cognitive behavior therapy protocol for the prevention of suicide. Participants (N = 185) were military service members admitted for inpatient psychiatric care following a suicide-related event. MANOVA and Poisson regression evaluated the association between each type of PD dysfunctional belief and the number of suicide attempts. Service members' PBQ subscale scores for borderline (p = 0.049) and histrionic PD dysfunctional beliefs (p = 0.034) significantly differed across those with suicide ideation only, single attempt, and multiple attempts. Upon further analysis, histrionic PD dysfunctional beliefs scores were significantly higher among those with multiple suicide attempts than those with single attempts. One point increase of dependent (Incidence Risk Ratio = 1.04, p = 0.009), narcissistic (IRR = 1.07, p histrionic beliefs as part of a psychosocial intervention will be useful. Copyright © 2018. Published by Elsevier Inc.
Beny, K; Piriou, V; Dussart, C; Hénaine, R; Aulagner, G; Armoiry, X
Seven Neuromuscular Blocking Agents (NMBA) are commercialized in France. Four of them have an intermediate duration of action. Sugammadex required the use of NMBA slightly employed in clinical practice in France. Its introduction in routine practice could have an impact on NMBA use in clinical practice. This study was then conducted to assess and compare NMBA use before and after the commercialization of sugammadex. A longitudinal, retrospective, observational study was conducted between 2008 and 2011 in French university hospitals and military hospitals. The consumption data for sugammadex and NMBA were collected using a collection grid which was filled by pharmacists or anesthesiologists. Drug use was measured by the number of vials used divided by the annual number of hospitalizations in surgery and obstetrics (HSO). An overall analysis of the annual frequency of NMBA use was firstly performed, then individual data of each hospital were analyzed. Descriptive statistical analysis including mean, standard deviation, median, minimum and maximum was achieved. Thirty-four out of 39 hospitals participated in the study (87%) and analysis was performed on 26 of them (7%). The data of eight institutions were excluded due to missing values or because of the non-admission of sugammadex in their formulary. The NMBA mostly used were non-steroidal NMBA (75% of market share) with an increased use between 2008 and 2011 concerning atracurium (from 41 to 51 vials of 50mg atracurium used per 100 HSO). The overall analysis revealed an increase of the occurrence of rocuronium (between 2008 and 2011: from 1 to 4.8 vials of 50mg rocuronium used per 100 HSO). Individual analyses on each hospital showed a possible effect of sugammadex introduction on NMBA use in nine hospitals. The commercialization of sugammadex seems to have induced a discrete increase of steroidal NMBA but non-steroidal NMBA remain the leading agent in France. A long-term follow-up is deserved. Copyright © 2013 Soci
Jessica M Hameed
Full Text Available Travelers' diarrhea (TD is the most common ailment affecting travelers, including deployed U.S. military. Continuing Promise 2011 was a 5-month humanitarian assistance/disaster response (HA/DR military and non-governmental organization training mission aboard the hospital ship USNS Comfort, which deployed to Central and South America and the Caribbean between April and September 2011. Enhanced TD surveillance was undertaken during this mission for public health purposes. Passive surveillance (clinic visits, active surveillance (self-reported questionnaires, and stool samples were collected weekly from shipboard personnel. Descriptive statistics and multivariate-logistic regression methods were used to estimate disease burden and risk factor identification. Two polymerase chain reaction methods on frozen stool were used for microbiological identification. TD was the primary complaint for all clinic visits (20% and the leading cause of lost duties days due to bed rest confinement (62%, though underreported, as the active self-reported incidence was 3.5 times higher than the passive clinic-reported incidence. Vomiting (p = 0.002, feeling lightheaded or weak (p = 0.005, and being a food handler (p = 0.017 were associated with increased odds of lost duty days. Thirty-eight percent of self-reported cases reported some amount of performance impact. Based on the epidemiological curve, country of exercise and liberty appeared to be temporally associated with increased risk. From the weekly self-reported questionnaire risk factor analysis, eating off ship in the prior week was strongly associated (adjusted odds ratio [OR] 2.4, p<0.001. Consumption of seafood increased risk (aOR 1.7, p = 0.03, though consumption of ice appeared protective (aOR 0.3, p = 0.01. Etiology was bacterial (48%, with enterotoxigenic Escherichia coli as the predominant pathogen (35%. Norovirus was identified as a sole pathogen in 12%, though found as a copathogen in an additional 6
Elmarjany, Mohammed; Maghous, Abdelhak; Razine, Rachid; Marnouche, Elamin; Andaloussi, Khalid; Bazine, Amine; Lalya, Issam; Zaghba, Noha; Hadadi, Khalid; Sifat, Hassan; Habib, Baba; Kouach, Jaouad; Mansouri, Hamid
Cancer of uterine cervix is the second most common cause of cancer related deaths among women. The aim of this study is to report the experience of Military Hospital Mohamed V in the management of cervical cancer and their results. All cervical cancer managed at the radiotherapy department of Military Hospital Mohamed V between January 2005 and February 2010, were included for investigation of their demographic, histological, therapeutic and follow-up characteristics. Of the 162 cases managed, 151 (93.2 %) cases were treated in our department. In our study the median age was 51.5 years (33-82). The median duration of symptoms before diagnosis was four [3, 7] months. The major presenting complaints were abnormal vaginal bleeding (89.8 %). Squamous cell carcinoma cervix was seen in 86.2 % (n = 137), adenocarcinoma in 11.3 % (n = 18) and adenosquamous carcinoma in 2.4 % (n = 4). One hundred seventeen (84.8 %) cases were seen at late stage. An abdominal and pelvic computed tomography (CT) scan was performed in 34.6 % (n = 56) of cases, magnetic resonance imaging (MRI) in 62.9 % (n = 102). The pelvic lymph nodes were achieved in 16.6 % of cases. Over half of patients 58.3 % (n = 88) were treated with a combination of external beam radiation therapy (EBRT) and a concurrent cisplatin based chemotherapy (40 mg /m2 weekly). With a mean of 51.6 months (2 to 109), we recorded 19 (12.6 %) pelvic relapse and 15 (9.9 %) metastases. The median time to onset was 19.4 months (2-84 months). The local control rate was 63.6 % (n = 96) and 21 (13.9 %) patients were lost to follow-up. The overall survival (OS) at 3 years and 5 years was respectively 78.3 % and 73.6 % and the relapse-free survival (RFS) was respectively 80 % and 77.2 %. Most of cervical cancer patients in Morocco are seen at late stage necessitating referral for radiotherapy, chemotherapy or palliative care. This may reflect lack of cervical screening in order to early
Rehman, M. M. U.; Zakaria, M.; Mustafvi, S. A.
Objective: The purpose of this study was to determine the pattern of clinical presentations, haematological and biochemical abnormalities, and outcome of dengue fever patients admitted in Combined Military Hospital (CMH) Rawalpindi in year 2015. Study Design: A descriptive cross sectional study. Place and Duration of Study: Department of Medicine, CMH Rawalpindi, from January 2015 to December 2015. Material and Methods: Patients meeting the inclusion criteria were admitted at CMH Rawalpindi and blood serology was done to confirm the diagnosis of dengue fever. Cases with positive dengue serology were included in the study. Clinical symptoms, signs, investigations and outcome of these patients were recorded on a proforma. Blood samples were taken for analysis. Chest X-Ray and ultrasound abdomen were done on required basis. Results: Out of forty confirmed cases of dengue fever, there were 25 (62.5 percent) males and 15 (37.5 percent) females. Mean age was 40 years. There were 39 cases (97.5 percent) of dengue fever and one case (2.5 percent) of dengue shock syndrome.There was no case of dengue haemorrhagic syndrome. Maximum cases were seen in the month of October 2015.The clinical features noted were: headache and myalgias 62.5 percent, chills and rigors 57.5 percent, retro-orbital pain 42.5 percent, vomiting 35.0 percent, pruritus 27 percent, skin rash 20 percent, abdominal pain 20 percent, diarrhoea 10 percent, bleeding 2.5 percent, ascites and pleural effusion 2.5 percent, and hepatomegaly 15 percent. The laboratory findings were: leucopenia 85 percent and thrombocytopenia 92.5 percent. Serum alanine transaminase (ALT), urea, and creatinine were raised in 30 percent, 2.5 percent and 7.5 percent cases respectively. Mortality was 2.5 percent. Conclusion: This study showed that patients admitted to CMH hospital had a milder presentation of dengue fever in the year 2015. (author)
Full Text Available The aim of this paper is to investigate medical efforts and injury profiles of victims of the Lushan earthquake admitted to three military hospitals. This study retrospectively investigated the clinical records of 266 admitted patients evacuated from the Lushan earthquake area. The 2005 version of the Abbreviated Injury Scale (AIS-2005 was used to identify the severity of each injury. Patient demographic data, complaints, diagnoses, injury types, prognosis, means of transportation, and cause of injury were all reviewed individually. The statistical analysis of the study was conducted primarily using descriptive statistics. Of the 266 patients, 213 (80.1% were admitted in the first two days. A total of 521 injury diagnoses were recorded in 266 patients. Earthquake-related injuries were primarily caused by buildings collapsing (38.4% and victims being struck by objects (33.8%; the most frequently injured anatomic sites were the lower extremities and pelvis (34.2% and surface area of the body (17.9%. Fracture (41.5% was the most frequent injury, followed by soft tissue injury (27.5%, but crush syndrome was relatively low (1.2% due to the special housing structures in the Lushan area. The most commonly used procedure was suture and dressings (33.7%, followed by open reduction and internal fixation (21.9%.The results of this study help formulate recommendations to improve future disaster relief and emergency planning in remote, isolated, and rural regions of developing countries.
Kang, Peng; Tang, Bihan; Liu, Yuan; Liu, Xu; Liu, Zhipeng; Lv, Yipeng; Zhang, Lulu
The aim of this paper is to investigate medical efforts and injury profiles of victims of the Lushan earthquake admitted to three military hospitals. This study retrospectively investigated the clinical records of 266 admitted patients evacuated from the Lushan earthquake area. The 2005 version of the Abbreviated Injury Scale (AIS-2005) was used to identify the severity of each injury. Patient demographic data, complaints, diagnoses, injury types, prognosis, means of transportation, and cause of injury were all reviewed individually. The statistical analysis of the study was conducted primarily using descriptive statistics. Of the 266 patients, 213 (80.1%) were admitted in the first two days. A total of 521 injury diagnoses were recorded in 266 patients. Earthquake-related injuries were primarily caused by buildings collapsing (38.4%) and victims being struck by objects (33.8%); the most frequently injured anatomic sites were the lower extremities and pelvis (34.2%) and surface area of the body (17.9%). Fracture (41.5%) was the most frequent injury, followed by soft tissue injury (27.5%), but crush syndrome was relatively low (1.2%) due to the special housing structures in the Lushan area. The most commonly used procedure was suture and dressings (33.7%), followed by open reduction and internal fixation (21.9%).The results of this study help formulate recommendations to improve future disaster relief and emergency planning in remote, isolated, and rural regions of developing countries.
Umumararungu, Esperance; Ntaganda, Fabien; Kagira, John; Maina, Naomi
In Rwanda, the prevalence of viral hepatitis (HCV) is poorly understood. The current study investigated the prevalence and risk factors of HCV infection in Rwanda. A total of 324 patients attending Rwanda Military Hospital were randomly selected and a questionnaire was administered to determine the risk factors. Blood was collected and screened for anti-HCV antibodies and seropositive samples were subjected to polymerase chain reaction method. Hematology abnormalities in the HCV infected patients were also investigated. Anti-HCV antibody and active HCV infection were found in 16.0% and 9.6% of total participants, respectively. Prevalence was highest (28.4%; 19/67) among participants above 55 years and least (2.4%; 3/123) among younger participants (18-35 years). There was a significant ( P = 0.031) relationship between place of residence and HCV infection with residents of Southern Province having significantly higher prevalence. The hematological abnormalities observed in the HCV infected patients included leukopenia (48.4%; 15/52), neutropenia (6.5%; 2/52), and thrombocytopenia (25.8%; 8/52). The HCV infection was significantly higher in the older population (>55 years) and exposure to injection from traditional practitioners was identified as a significant ( P = 0.036) risk factor of infection. Further studies to determine the factors causing the high prevalence of HCV in Rwanda are recommended.
Full Text Available AIM: The aim of the study, Coronary Artery Disease (CAD diagnosed with identification of individuals in specific behaviors to improve health, health status and related factors to determine the levels of detection. METHODS: This descriptive study of data types of the Gulhane Military Medical Academy (GATA Hospital cardiology clinic in December 2009 - February 2010 were collected. The study group, at least 6 months before the diagnosis of CAD area, between the ages of 20-65 individuals who accept and participate in the study (n = 300 formed. Sociodemographic characteristics and health behaviors of the personal information form for the 33-item, 52-item scale of a healthy lifestyle behaviors and health status of the single-item scale working group of the detection technique applied to the face-to-face interview. The aim of the study, Coronary Artery Disease (CAD for the development of health behaviors in the case of individuals diagnosed with the identification, health status and related factors to determine the levels of detection. The statistical analysis techniques such as Mann Whitney U and Kruskal-Wallis were used for the comparison. RESULTS: Of the group 57,7% were males, 46,3% were 50-59 years of age and 56,3% were higher education graduates. As regard to total Health Promotion Life-Style Profile Scale scores statistically significant differences had been found between age, gender, education, disease period, occupation and chronic condition groups. As regard to the average PHSS scores statistically significant differences had been found between age, education, body mass index, disease period, occupation, chronic condition and CAD related course groups (p<0.05. CONCLUSION: Healthy lifestyle behaviors before planning training programs, individual models of health behavior and the behavior of individuals using the analyzed factors affecting.. [TAF Prev Med Bull 2012; 11(3.000: 287-298
Hesham I Al-Khashan
Full Text Available Background and Aim: Health reforms that tend to increase the participation of clients in decision-making requires them to be health-literate; hence, the importance of health education. However, not much research has been done to investigate the differences in health education needs according to demographic characteristics of the clients. The aim of this study was to find out any possible gender differences there may be in health education needs and preferences. Subjects and Methods : This cross-sectional study was conducted at Riyadh Military Hospital, Saudi Arabia, on a convenience sample of adult Saudis attending its clinics. Data was collected from April 2009 to May 2010 using a self-administered questionnaire covering demographic data, history and needs of health education, methods, and preferred educator. Results: Of the 1300 forms distributed, 977 were returned completed (75.2% response. Most men (74.0% and women (77.9% had had health education, but more women reported that it had been helpful (P = 0.014. More men mentioned health education needs relating to primary prevention (P = 0.027, and unhealthy practices (P = 0.003, and considered the different language a barrier (P = 0.002 even after adjustment for age and education. The one-to-one method was the most preferred health education method for men (72.7% and women (67.9%. More women preferred group health education (P = 0.02 after adjustment for age and education. Significantly more men preferred pharmacists and dietitians as health educators. Conclusion: The results point to a few significant differences between men and women regarding their health education needs, barriers, and preferences. These must be taken into consideration when planning health education programs.
Full Text Available It is assumed that tactical medicine encompasses all therapeutic activities performed by a military medical service during military and humanitarian missions. Its scope is only apparently limited by the standards which, when referred to the NATO member countries, have been collected in the Joint Theater Trauma System – Clinical Practice Guidelines. The stage-structured character of medical assistance and treatment of the wounded, injured and sick patients assumes that the scope of therapeutic activities performed at each stage is limited only to essential actions. Consequently, more injured patients may be saved – those for whom life-saving activities are performed prior to their transfer to a higher level. The second level is represented by a field hospital. Its first structure is the trauma room in which a rescue team saves and qualifies the injured for further medical activities. Each injured patient undergoes an eFAST ultrasound examination which allows for a quick decision about a surgical treatment to be provided. Moreover, this technique is helpful in vascular cannulation. The authors present their own experiences with using an ultrasound examination during the work in the Field Hospital of the Polish Military Contingent in Afghanistan.
Spinella, Philip C; Perkins, Jeremy G; Grathwohl, Kurt W; Repine, Thomas; Beekley, Alec C; Sebesta, James; Jenkins, Donald; Azarow, Kenneth; Holcomb, John B
United States military doctrine permits the use of fresh whole blood (FWB), donated by U.S. military personnel on site, for casualties with life-threatening injuries at combat support hospitals. U.S. Military Medical Department policy dictates that all patients treated at military facilities during combat (coalition military personnel, foreign nationals, and enemy combatants) are to be treated equally. The objectives of this study were to describe admission vital signs and laboratory values and injury location for patients transfused with FWB, and to determine if FWB was employed equally among all patient personnel categories at a combat support hospital. This retrospective cohort study evaluated admission vital signs and laboratory values, injury location, and personnel category for all patients receiving FWB at a U.S. Army combat support hospital in Baghdad, Iraq, between January and December 2004. Eighty-seven patients received 545 units of FWB. Upon admission, the average (+/-S.D.) heart rate was 144 bpm (+/-25); systolic blood pressure, 106 mmHg (+/-33); base deficit, 9 (+/-6.5); hemoglobin, 9.0 g/dl (+/-2.6); platelet concentration, 81.9 x 10(3)/mm(3) (+/-81); international normalized ratio (INR), 2.0 (+/-1.1); and temperature 95.7 degrees F (+/-2.6). The percentages of intensive care patients who received FWB by personnel category were as follows: coalition soldiers, 51/592 (8.6%); foreign nationals, 25/347 (7.2%); and enemy combatants, 11/128 (8.5% (p = 0.38). The amount of FWB transfused by personnel category was as follows: coalition soldier, 4 units (1-35); foreign national, 4 units (1-36); and enemy combatant, 4 units (1-11) (p = 0.9). Fresh whole blood was used for anemic, acidemic, hypothermic, coagulopathic patients with life-threatening traumatic injuries in hemorrhagic shock, and it was transfused in equal percentages and amounts for coalition soldiers, foreign nationals, and enemy combatants.
Jofre, M J; Sierralta, M P [Military Hospital Nuclear Medicine Department, Santiago (Chile); Del Campo, G; Ide, A; Wiener, R [Department of Endocrinology of the Military Hospital, Santiago (Chile)
An eighteen year experience of differentiated thyroid carcinoma treatment with 131 radioiodine at the Military Hospital Nuclear Medicine Department. Since the beginning of Nuclear Medicine, the thyroid gland has been an important subject for study. In the fifties, the complimentary use of 131 radioiodine after differentiated thyroid carcinoma (DTC) surgery was postulated. The aim of the study was to analyze our experience of the management of patients with DTC. Material and methods: An 18-year retrospective analysis was made including 109 patients with previous diagnosis of DTC, 90 % females, mean age 47 +/- 17 y.o. (range: 19-85 y.o). Tumoral histology was 67 % papillary, 28 % follicular and 5% non-determined in the medical record. First doses of 131 radioiodine were between 50 and 200 mCi. In all, 156 radioiodine doses were given and 6 patients received 4 doses or more, with total doses between 300 and 570 mCi. Results: The distribution of first and total radioiodine doses is presented in the table below. Of the group of patients who received a first radioiodine dose of less than 100 mCi post surgery, 79% were treated before 1990. Those who received 150mCi or more had cervical ganglionar compromise, trachea invasion or subtotal thyroidectomy. In 50% of the patients who received 4 or more doses, the first two doses were 50 mCi. It is important to mention that there was one patient who received 8 radioiodine doses in 4 years , seven of them were 50 mCi ( total dose 438 mCi). This patient presented trachea and larynx invasion in the early stages, with a persistent focus in the left supraclavicular region. She later developed pulmonary fibrosis, for which she was treated with complimentary radiotherapy (30 Gy), before dying. Distribution of radioiodine doses is presented. Conclusion: It is important to emphasize the validity of a first 131 radioiodine dose after surgery of DTC patients of 100 mCi or more, to obtain the ablation of the remaining thyroid tissue. This
Jofre, M.J.; Sierralta, M.P.; Del Campo, G.; Ide, A.; Wiener, R.
An eighteen year experience of differentiated thyroid carcinoma treatment with 131 radioiodine at the Military Hospital Nuclear Medicine Department. Since the beginning of Nuclear Medicine, the thyroid gland has been an important subject for study. In the fifties, the complimentary use of 131 radioiodine after differentiated thyroid carcinoma (DTC) surgery was postulated. The aim of the study was to analyze our experience of the management of patients with DTC. Material and methods: An 18-year retrospective analysis was made including 109 patients with previous diagnosis of DTC, 90 % females, mean age 47 +/- 17 y.o. (range: 19-85 y.o). Tumoral histology was 67 % papillary, 28 % follicular and 5% non-determined in the medical record. First doses of 131 radioiodine were between 50 and 200 mCi. In all, 156 radioiodine doses were given and 6 patients received 4 doses or more, with total doses between 300 and 570 mCi. Results: The distribution of first and total radioiodine doses is presented in the table below. Of the group of patients who received a first radioiodine dose of less than 100 mCi post surgery, 79% were treated before 1990. Those who received 150mCi or more had cervical ganglionar compromise, trachea invasion or subtotal thyroidectomy. In 50% of the patients who received 4 or more doses, the first two doses were 50 mCi. It is important to mention that there was one patient who received 8 radioiodine doses in 4 years , seven of them were 50 mCi ( total dose 438 mCi). This patient presented trachea and larynx invasion in the early stages, with a persistent focus in the left supraclavicular region. She later developed pulmonary fibrosis, for which she was treated with complimentary radiotherapy (30 Gy), before dying. Distribution of radioiodine doses is presented. Conclusion: It is important to emphasize the validity of a first 131 radioiodine dose after surgery of DTC patients of 100 mCi or more, to obtain the ablation of the remaining thyroid tissue. This
provide oversight , foster inclusion and develop an integrated healthcare delivery system within the current Service cultures. In May 2007, NCA military...provides oversight of IM/IT initiatives for the Joint Operating Area (JOA).” (Rowland, 2009) Membership for the JPG includes the Chief Information...professional development; and 4) offering services such as child and elder care programs, telecommuting , flexible work schedules, and employee
Balandiz, Huseyin; Bolu, Abdullah
The definition of psychological trauma has been rephrased with the DSM-5. From now on, witnessing someone else's traumatic event is also accepted as a traumatic life event. Therefore, the psychiatric examination of forensic cases gains importance for not overlooking a psychiatric trauma. This research aims to discuss the psychiatric examinations of military personnel who had a traumatic life event and to reveal psychiatric states of soldiers after trauma. The forensic reports prepared at Gulhane Military Medical Academy (GMMA), Forensic Medicine polyclinic between January 1, 2011 and November 30, 2014 were examined, and among them the cases sent to GMMA Psychiatry polyclinic for psychiatric examination were analyzed retrospectively. There were a total of 2408 cases who applied for the arrangement of a judicial report and 167 of them required a psychological examination. Among 167 cases, 165 were male and 2 were female, and the mean age was 25.6 years. Anxiety disorder (53.9%) was the most common diagnosis as a result of the psychiatric examination, following posttraumatic stress disorder (PTSD) (18.6%), and 3.6% had no psychopathology. It was determined that injuries caused by firearms (38.3%) and explosive materials (26.3%) had caused psychological trauma the most. On the other hand, 11 (6.6%) cases were determined to have undergone a psychological trauma on account of being a witness to their friends' injuries during the conflict without experiencing any physical injury. There were not any statistically significant relationships between the severity of physical injury and being PTSD or anxiety disorder. Development of PTSD risk is directly correlated with the nature of trauma. The trauma types of the cases in our study were in the high-risk group because of the military population. Our study is of importance in terms of putting forward the psychiatric disorders seen in the military population with traumatic life history associated with war (combat-related). In
Duncan, Alaine D; Liechty, Janet M; Miller, Cathy; Chinoy, Gail; Ricciardi, Richard
The objectives of this study were to examine the feasibility of a weekly on-site complementary and alternative medicine (CAM) wellness clinic for staff at a military hospital, and to describe employees' perceptions of program effectiveness. The study setting was the Restore & Renew(®) Wellness Clinic at a United States Department of Defense hospital. The subjects were hospital nurses, physicians, clinicians, support staff, and administrators. The walk-in wellness clinic was open 8:00 am-2:00 pm 1 day a week. Participants selected one or more modalities each visit: ear acupuncture, clinical acupressure, and Zero Balancing.(®) A self-report survey was done after each clinic visit to evaluate clinic features and perceived impact on stress-related symptoms, compassion for patients, sleep, and workplace or personal relationships. Surveys completed after first-time and repeat visits (n=2,756 surveys) indicated that most participants agreed or strongly agreed they felt more relaxed after sessions (97.9%), less stress (94.5%), more energy (84.3%), and less pain (78.8%). Ninety-seven percent (97%) would recommend it to a co-worker. Among surveys completed after five or more visits, more than half (59%-85%) strongly agreed experiencing increased compassion with patients, better sleep, improved mood, and more ease in relations with co-workers. Perceived benefits were sustained and enhanced by number of visits. The most frequently reported health habit changes were related to exercise, stress reduction, diet/nutrition, and weight loss. This evaluation suggests that a hospital-based wellness clinic based on CAM principles and modalities is feasible, well-utilized, and perceived by most participants to have positive health benefits related to stress reduction at work, improved mood and sleep, and lifestyle.
Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...
... OFFICE OF MANAGEMENT AND BUDGET Cost of Hospital and Medical Care Treatment Furnished by the... Third Persons AGENCY: Office of Management and Budget, Executive Office of the President. ACTION: Notice.... 593; 42 U.S.C. 2652), and delegated to the Director of the Office of Management and Budget by the...
Bashir, S.; Bashir, J.
Objective: To determine the frequency of primary uterine malignancy in hysterectomy specimens in women with postmenopausal bleeding. Study Design: A descriptive cross-sectional study. Place and Duration of study: It was conducted in the department of histopathology at Combined Military Hospital, Peshawar from 1st September 2010 to 31st May 2011. Material and Methods: A total of 255 hysterectomy specimens of postmenopausal women were examined grossly and microscopically to analyse the underlying pathology. Results: The mean age of patients with malignant diseases was 56.4 years and with benign diseases 49.3 years. Out of 255 patients 215 (95.6%) were found to have benign pathologies and 10 (4.4%) had malignant lesions. The frequency and histological pattern of primary uterine malignancy was; endometrial carcinoma 3.1%, cervical carcinoma 0.9% and leiomyosarcoma 0.4%. The benign pathologies included leiomyoma 35.6%, atrophic endometritis 16.4%, endometrial hyperplasia 15.1%, adenomysis 11.1%, endometrial polyp 10.2%, adenomyoma 6.7% and endometrial stromal nodule 0.4%. Conclusion: This study shows that frequency of malignancy in postmenopausal women is low in our set up and most of the underlying pathologies are benign. The most frequent malignancy found in postmenopausal women is endometrial carcinoma followed by cervical carcinoma. (author)
The challenge could be briefly seen in these terms: hospitals as places for treatment where there’s a technology focus and hospitals for healing where there’s a human focus. In the 60s - 70s wave of new hospital building, an emphasis on technology can be seen. It’s time to move from the technology...... focus. It is not enough to consider only the factors of function within architecture, hygiene, economy and logistics. We also need to look at aspects of aesthetics, bringing nature into the building, art, color, acoustics, volume and space as we perceive them. Contemporary methods and advances...... placed, accessible, provided with plenty of greenery, and maximize sensory impressions, providing sounds, smells, sight and the possibility to be touched. This is a very well documented area I can say. Hygiene, in terms of architecture can give attention to hand wash facilities and their positioning...
Saleem, T.; Mohammad, Kazim H.; Abdel-Fattah, Moataz M.; Abbasi, Abdul H.
Objective was to analyze the results of exercise tolerance test ETT of Saudi women and assess their exercise capacity. A hospital based retrospective cohort analysis was carried out on all Saudi women referred to the Cardiology Department for ETT from February 2005 to June 2007. They underwent symptom limited treadmill test according to the standard Bruce protocol with exercise electrocardiogram monitoring. One hundred and seventy-six women were included in the study. Fifty-one 31.9% patients did not achieve target heart rate. The mean age +/- SD was 48.3+-9.3 years. There was no association of age, diabetes mellitus, hypertension, positive family history of ischemic heart disease IHD and hyperlipidemia to achieve target heart rate p>0.05. Exercise time was influenced by diabetes mellitus p=0.054 and hyperlipidemia p=0.044. The mean exercise time +/- SD was 5.15+/-2.63 minutes and the mean exercise capacity +/-SD was 6.29+/-2.52 metabolic equivalent. Sensitivity was 36.4%, 95% CI 29.3-44.6, specificity 92.3%, 95% CI 80.5-96.8, positive predictive value 26.7%, 95% CI 21.3-31.4, negative predictive value 95.4%, 95% CI 90.9-98.3, likelihood ratio for positive result was 4.7, 95%CI 3.1-6.2 and likelihood ratio for negative result was 0.69, 95% CI 0.48-0.81. Exercise capacity of Saudi women is less compared to similar studies in women from other regions. Exercise tolerance test can be used to rule out presence of IHD in Saudi women, but value of a positive test is less likely to predict the presence of IHD. (author)
Ma, M.S.; Zalini Yunus; Ahmad Razi Mohamed Yunus; Zukri Ahmad; Farizah Abdul Fatah
Water from the dental unit waterlines (DUWLs) is known to contaminate with microbial from the biofilm that formed in the tubing system. The water quality from DUWLs is important to patients and dental health care professionals as they could be infected either directly from the contaminated water or aerosol that is generated during dental procedures. Suppliers claimed that dental units supplied to the hospital can only use a specific disinfectant which is uneconomic compared with the others. The aims of this study were to evaluate and compare the efficacy of different disinfectant on the water quality of DUWLs. Four disinfectants (Calbenium, A-dec ICX tablet, Dentel 5, Metassys) and distil water were evaluated. 350 mL water sample was collected separately, from the outlet of high-speed hand piece, scaler, 3-ways syringe and cup filler into a sterile thiosulfate bag on the 1st, 2nd, 4th, 8th, 12th and 24th weeks of the study. The samples were tested on the following day for total viable count (TVC). There is significant difference in the efficacies of the different disinfectants. Only one disinfectant consistently produces water quality within the recommended level of American Dental Association (ADA). Within the limitation of this study, it was found that there is alternative disinfectant that can reduce the TVC to the level recommended by ADA. However, the water qualities produced with these disinfectants were not consistent although they did not cause any technical problem to the dental units during the period of study. (author)
The article argues that while doctrine represents the more scientific side of warfare, strategy represents the artistic side. Existing doctrine will almost never meet the requirements for winning the next war; it is through the artistic application of generic peacetime doctrine to the specific st...... strategic and operational context, using doctrine as building blocks for a context specific military strategy, that the military commander outwits and defeats or coerces the adversary and achieves the military objectives....
mother allegedly mistreated for preeclampsia at Tripler Army Medical Center could maintain an action for medical malpractice nothwithstanding Feres.1 2...retardation of unknown etiology in a child; - pregnancy in a woman older than age 35; - specific ethnic background suggestive of a high rate of genetic
Subject outcome measures include blood pressure, waist circumference, weight, body mass index (BMI), body fat, HDL cholesterol, triglycerides , glucose ...master patient index (MPI), 625 duplicate chest x-rays and CT scans of the head between sending and receiving institution (taken within 0-7 days) were... Index (MPI) software. The report included chest x-rays (CPT 71010 and 71020) and CT scans of the head (CPT 70450) for the stated time periods. The
barracks, schools, hospitals, child development centers, and other facilities needed to support U.S. military forces at home and overseas. This military...and programming into the President’s budget could take three or more years. Furthermore, it is important to note that only those projects that have...travel, fuel, minor construction projects of $1M or less, training and education , and depot maintenance, and base operations support. O&M
the relation of religion and politics to seventeenth-century English military history. Frederick II, King of Prussia. Frederick the Great on the Art...Beginning with the reign of King Henry VIII, Barnett’s work explores the history of the British Army as an institution and fighting force. The volume...native clans led by Shaka , to its fall under the guns of the British Army by 1878. The Zulus produced a formidable military force, and this excellent
Klimov, A S; Gromov, M F
In December 2011 marked 80 years of the founding of the Ryazan garrison hospital, originally housed in two buildings: "Redut housed"--a monument of architecture of the XVIII century and the former almshouses room "for the maimed in the war", was built in 1884 now Ryazan garrison hospital (from 2010--Branch No 6 FSI "in 1586 the district military hospital in the Western Military District", the Defense Ministry of Russia)--a multi-field medical preventive institution on the basis of which soldiers, military retirees, family members and military retirees from Ryazan, Moscow, Tambov regions are treated. Every year more than 7 thousand patients get treatment here. During the counterterrorism operations in Chechnya over 800 wounded were brought to the hospital from the battle area.
It is often said that international humanitarian law (IHL) “accounts for” military necessity, but its meaning and normative consequences have remained obscure. This thesis develops a theory that offers a coherent explanation of the process through which IHL generates its rules. To
Historic military uses of radiography are discussed in this chapter: Battle of Adowa in 1986 was the first. Besides describing the early campaigns in which radiography was used, the author discusses the problems faced: a reliable source of electricity; the problems of extreme heat; moving and breakage of equipment. Numerous historical photographs are included. 9 refs
Military facilities provide health care services to an important segment of both themilitary and civil population. Methods: The aim of this study was to evaluate drug prescribing practices at a Nigerian military hospital (MilitaryHospital, Ikoyi, Lagos) and tomake recommendations for its improvement.UsingWHOrational drug use ...
Alexey I. Podberyozkin
Military-political issues is an important area of research work at MGIMO. The difference in this direction from the classical international specialization is that it is at the intersection of several disciplines: military science, military-technical and military-industrial as well as International Relations. A specialist in military and political issues should not only be an expert in the field of international relations and diplomacy, but also have a deep knowledge of military-technical issu...
Valentine, Kovalchuk P; Viacheslav, Kondratiuk M
Microbiology of modern war wounds is unique for each military conflict. Climatic and geographical features of the theater of war, contemporary warfare as well as wound management affect the microbial flora of wounds. This study was designed to determine time-specific microbial flora of combat wounds of upper and lower extremities obtained during the war in eastern Ukraine. The patients enrolled in study had combat wounds of upper or lower extremities which were treated in the Military Medical Clinical Center of Central Region. The wounds were swab-cultured and measured at each surgical debridement. The recovered microorganisms were identified and their antimicrobial resistance profiles were evaluated by disc diffusion method. Forty-nine patients with battle-field wounds were enrolled in the study from July to November 2014; all patients were male with a mean Injury Severity Score and arrival APACHE II scores of 16.2 ± 10.7 and 7.4 ± 4.2 respectively. Among 128 swab cultures, 100 swab cultures were positive. Swab cultures were obtained from 57 wounds of 49 patients. The results of the test showed that 87.7% of all positive swab cultures contained a single-organism while the rest of the swab-culture results showed polymicrobial growth. Among the isolated microorganisms 65% (76 strains) were Gram-negative rods, 22.2% (26 strains) of Gram-positive cocci, followed by Gram-positive rods (12.8%, 15 strains). We found that epidemiology of wound infection changes with the time after injury. The most common bacterial isolates cultured during the first week were Gram-positive microbes with low pathogenicity. The number of Gram-negative rods increased during the wound healing process. The incidence of Gram-positive microorganisms' growth fell after the first week and increased after third week. During wound healing, bacterial microflora of wounds changes with increasing number of Gram-negative rods with predominance of Acinetobacter species. Predominant microorganisms in
. Transparency in Medicine See How We're Doing Compare Military Health System Hospitals and Clinics TRICARE Online | ICE | OWA | Suicide Prevention Lifeline | 1-800-USA-NAVY | Navy Medicine | Military Health Child Street, Jacksonville, Florida 32214 This is an official U.S. Navy website. This is a Department of
Jofre, M.J.; Sierralta, M.P.
During military training, the incidence of overuse injuries like stress fractures increase. The aim of the study was to investigate the utility of bone scan in a military population with clinical suspected stress fractures or periostitis. Material and methods: A three-year retrospective analysis was made on patients who were clinically diagnosed with stress fractures at the Military Hospital Nuclear Medicine Department. Thirty-seven patients were studied (mean age 23. +/- 8 y.o; 31 males), 28 cases of which (76%) had tibial stress syndrome. Other localizations were lumbar spine, femoral, fibular, tarsal or metatarsal. Bone scintigraphy was performed injecting 1036 MBq of Tc99m-MDP i.v. Whole body images and lateral projections of lower extremities were done. Results: Bone scan in tibial syndrome was positive for 23 cases (82%), 65% of them were bilateral and 13% also had femoral injuries. X-rays were done in 10 cases and were all negative. In other localizations, the bone scans were negative, but demonstrated other degenerative lesions. All stress fractures were conservatively treated with non-steroidal anti-inflammatories and suspension of physical activity. Conclusions: Bone scan is a reliable confirmatory tool for tibial stress syndrome diagnosis. In addition, it helps to determine both the severity and extension of the injury as well as support the indication of rest in the military population
Jofre, M J; Sierralta, M P [Military Hospital Nuclear Medicine Department, Santiago (Chile)
During military training, the incidence of overuse injuries like stress fractures increase. The aim of the study was to investigate the utility of bone scan in a military population with clinical suspected stress fractures or periostitis. Material and methods: A three-year retrospective analysis was made on patients who were clinically diagnosed with stress fractures at the Military Hospital Nuclear Medicine Department. Thirty-seven patients were studied (mean age 23. +/- 8 y.o; 31 males), 28 cases of which (76%) had tibial stress syndrome. Other localizations were lumbar spine, femoral, fibular, tarsal or metatarsal. Bone scintigraphy was performed injecting 1036 MBq of Tc99m-MDP i.v. Whole body images and lateral projections of lower extremities were done. Results: Bone scan in tibial syndrome was positive for 23 cases (82%), 65% of them were bilateral and 13% also had femoral injuries. X-rays were done in 10 cases and were all negative. In other localizations, the bone scans were negative, but demonstrated other degenerative lesions. All stress fractures were conservatively treated with non-steroidal anti-inflammatories and suspension of physical activity. Conclusions: Bone scan is a reliable confirmatory tool for tibial stress syndrome diagnosis. In addition, it helps to determine both the severity and extension of the injury as well as support the indication of rest in the military population.
Chapliuk, A L; Brovkin, S G; Kal'manov, A S; Bulavin, V V
The authors showed that at the present time military much more servicemen, suffering from obstructive pulmonary disease, may receive medical examination in outpatient conditions. Series of researches allow us to perform a medical examination on an outpatient basis. The calculation of the cost-effectiveness of health services to such patients during a military medical examination in the hospital and clinics was made. Savings during the examination in the clinic for 1 patient was 2829 rubbles.
Çelen, Özay; Teke, Abdulkadir; Cihangiroglu, Necmettin
In this study, our aim was to determine the effect of the socio-cultural characteristics of health workers on the effectiveness of teamwork. In this study, a questionnaire method was used for data collection. To this end, a scale was first developed to assess the effectiveness of teamwork. The study was conducted in 34 departments/divisions within the GMMF Training Hospital with 423 health workers. "Specialist opinion" was used to determine the content validity of the "Teamwork Effectiveness Scale" developed for this study, while "factor analysis" was used to test the scale's construct validity. Cronbach Alpha values were calculated to test the reliability of the scale. To determine the effect of socio-cultural characteristics on the effectiveness of teamwork, the "Kruskal-Wallis" test, the "Mann-Whitney U" test and "Logistic Regression Analysis" were used within the context of the study. Based on the study results, it was observed that "assignment, "age" and "status" did not have an effect on the effectiveness of teamwork (p > 0.05). On the other hand, a significant and negative relationship was observed between "the obligation to perform compulsory service" and the attitudes that considered teamwork to be effective (p = 0.029). Similarly, a difference was identified between the workers' attitudes towards the effectiveness of teamwork depending on the size of the place of assignment (p = 0,042). It was thus observed that the "effectiveness of teamwork" was affected by the presence or absence of the "obligation to perform compulsory service" and by the "size of the place of assignment.
The People's Republic of China (PRC) is seen by many as an economic powerhouse with the world's largest standing military that has the potential to translate economic power into the military sphere...
Bernasconi, Jeffrey J
.... Two divergent theories cover the ground of military effectiveness. One looks at the interaction of social structures, whereas the other looks at the effect organization has on military effectiveness...
The theoretical results about optimum strategy of use of military uranium confirmed by systems approach accounts are received. The numerical value of the system approach price of the highly enriched military uranium also is given
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Demir, Cesim; Sahin, Bayram; Teke, Kadir; Ucar, Muharrem; Kursun, Olcay
An individual's loyalty or bond to his or her employing organization, referred to as organizational commitment, influences various organizational outcomes such as employee motivation, job satisfaction, performance, accomplishment of organizational goals, employee turnover, and absenteeism. Therefore, as in other sectors, employee commitment is crucial also in the healthcare market. This study investigates the effects of organizational factors and personal characteristics on organizational commitment of military physicians using structural equation modeling (SEM) on a self-report, cross-sectional survey that consisted of 635 physicians working in the 2 biggest military hospitals in Turkey. The results of this study indicate that professional commitment and organizational incentives contribute positively to organizational commitment, whereas conflict with organizational goals makes a significantly negative contribution to it. These results might help develop strategies to increase employee commitment, especially in healthcare organizations, because job-related factors have been found to possess greater impact on organizational commitment than personal characteristics.
this revival of pacifist influence a threat to West- ern military efforts to .... man sacrifice his life even in a cause in which he did not believe. ... by hospital work, civil defence and coal mining.16. The American .... question of balance; no society can contemplate ..... defence, international security, East-West arms control, and ...
Full Text Available What are young Australians’ understandings of, and attitudes to, the military and military service? This article describes a pilot study of 320 young Australian university students’ attitudes to the military and military service during a time when Australia was engaged in the Afghanistan war. The main purpose of this study was to develop a survey instrument for further work in researching civil–military relations in Australia. Civil–military relations describe the complex set of relationships between the civil and military spheres. The role of the military, the relationship between the state and the military, the division of labor between civilian and military entities, foreign policy, and knowledge of military service are some of the fields that constitute a study of civil–military relations. This article reports on beliefs about, and attitudes to the specificities of military service and responses to the broader field of civil–military relations.
elevated plasma glucose levels. One theory states that insulin resistance is the main cause of MS, thus the high correlation of MS to type 2 diabetes...Diabetes Shaw et al. studied the interest and satisfaction of pregnant women who had access to online health information and records in Hamilton...information. Pregnant women are believed to have more motivation to engage in positive health behaviors and providers spend a lot of time answering
activities are selected highlights completed by Northrop Grumman during the year. Cycle 4 development: - Increased the max_allowed_packet size in MySQL ...deployment with the Java install that is required by CONNECT v184.108.40.206. - Updated the MIDHT code base to work with the CONNECT v.220.127.116.11 Core Libraries...Provided TATRC the CONNECTUniversalClientGUI binaries for use with CONNECT v18.104.22.168 − Created and deployed a common Java library for the CONNECT
may annotate a more specific reason by clicking the icon , just as you would for your usual HED charting 9. Click “Save” 10. Review med...SQA5 – A5 (SQ insulin) SQC2 – C2 (SQ insulin) SQRA – right arm (SQ) SQA6 – A6 (SQ insulin) SQC3 – C3 (SQ insulin) Appendix 2 – Injection Site
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Larsen, Josefine Kühnel; Struwe, Lars Bangert
Military capacity building has increasingly become an integral part of Danish defence. Military capacity is a new way of thinking Danish defence and poses a new set of challenges and opportunities for the Danish military and the Political leadership. On the 12th of december, PhD. Candidate Josefine...... Kühnel Larsen and researcher Lars Bangert Struwe of CMS had organized a seminar in collaboration with Royal Danish Defense Colleg and the East African Security Governance Network. The seminar focused on some of the risks involved in Military capacity building and how these risks are dealt with from...
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Rasmussen, Mikkel Vedby
If the military were a business, would you buy shares? Over recent years, Western armed forces, particularly the US, have been costing more yet achieving less. At the same time, austerity measures are reducing defence budgets. This book uses defence data to examine the workings of modern Western...... militaries and explore what kind of strategies can overcome this gap between input and output. Instead of focusing on military strategy, Mikkel Vedby Rasmussen seeks to draw on the ideas of business strategy to assess alternative business cases - reforming military HR to combat instability in the 'Global...
Rasmussen, Mikkel Vedby
If the military were a business, would you buy shares? Over recent years, Western armed forces, particularly the US, have been costing more yet achieving less. At the same time, austerity measures are reducing defence budgets. This book uses defence data to examine the workings of modern Western...... militaries and explore what kind of strategies can overcome this gap between input and output. Instead of focusing on military strategy, Mikkel Vedby Rasmussen seeks to draw on the ideas of business strategy to assess alternative business cases - reforming military HR to combat instability in the 'Global...... to fit within a nation's overall national security system without ever-increasing budgets....
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Alexey I. Podberyozkin
Full Text Available Military-political issues is an important area of research work at MGIMO. The difference in this direction from the classical international specialization is that it is at the intersection of several disciplines: military science, military-technical and military-industrial as well as International Relations. A specialist in military and political issues should not only be an expert in the field of international relations and diplomacy, but also have a deep knowledge of military-technical issues to understand the basic trends in the development of scientific and technological progress and its impact on the balance of forces in the world. Global changes in the balance of power and the nature of the conflict, the emergence of new types of weapons are changing the basic methods and approaches to the art of war, which requires a science-based perspective on problem solving and multi-disciplinary approach in achieving the goals. Military and political studies allow us to understand how the development of military technology and military organization of the state affected by the political situation in the world, the national security of the country and its place in the system of international relations. Military-political research has been developing at MGIMO for a few decades. It laid down the basis for a scientific school of political-military studies. Its founding fathers were such prominent scholars of international affairs, as I.G. Usachyov, A.D. Nikonov, A.G. Arbatov, V.G. Baranovsky, V.M. Kulagin, A.N. Nikitin and other well-known experts. Their work covers a wide range of military and political issues, including the topics of arms control and disarmament, international, and especially European security, military policy, NATO, the Western military-political doctrines and their practical application. Now the lead in the development of this research at MGIMO has taken Center for Military-Political Studies, which became a concentration of relevant
Merridew, C G
"Those wonderful huts…" (Florence Nightingale). This is the story of the British Civil Hospital, erected in 1855 at Renkioi on the south Dardanelles coast of Turkey. The spectacular hospital was a portable one designed by British engineer IK Brunel. It was his only health-related project, and it was known as a Civil Hospital because its staff were all civilians, despite its patients being military.
statute within the military system, persons unfamiliar with the military justice system may find the procedure something of a paradox at first blush...Manual for Courts-Martial) Is RM Nemitafinuestlitimelf.(er- V. GRAD*: c. ORGANIZATION dDT FRPR ast eiRO t: fII) EPR LCDR/ Naval Justice School
... family that loses the active presence of a parent through separation faces significant challenges and stress. During the parent's ... children can and do adjust successfully to the separation and stress involved when a parent in the military is deployed. Visit AACAP's Military ...
Nodar Z. Mossaki
Full Text Available The article analyzes the system of training of officers in military academies in Iraq – in Zakho, Qalacholan, ar-Rustamiyah and an-Nasiriyah. The author describes the history of creation, process of evolution, challenges and features of training in these colleges. Particular attention paid to military academies in the territory of Iraqi Kurdistan, which actually do not obey the central government of Iraq, however, have the highest level of training. Currently, Iraq's military academies operate on the basis of the NATO standards. Iraqi military academies paid miuch attention to the specifics of the military and political situation in Iraq – counterinsurgency and counterterrorism operations, patrolling cities, fighting in an urban environment etc. Significant place in the curriculum take the courses contributing to the formation of pro-Western sentiment.
Avian influenza (Bird flu) is a highly contagious viral disease affecting mainly chickens, turkeys, ducks, other birds and mammals. Reservoirs for HPAI /H5N1 virus are shore birds and waterfowl (asymptomatic, excrete virus in feces for a long periods of time), live bird markets and commercial swine facilities. Virus tends to cycle between pigs and birds. HPAI (H5N1) virus is on every 'top ten' list available for potential agricultural bio-weapon agents. The threat of a HPAI/H5N1 pandemic is a definitively global phenomenon and the response must be global. A number of National plans led to various measures of preventing and dealing with epidemics/pandemics. Lessons learned form the pandemic history indicated essential role of military and military medical support to civil authorities in a crisis situation. Based on International Military Medical Avian Influenza Pandemic workshop (Vienna 2006), an expected scenario would involve 30-50% outpatients, 20-30% hospital admission, 2-3% deaths, 10-20% complicated cases. Activities of civil hospital may be reduced by 50%. Benefits of military support could be in: Transportation of patients (primarily by air); Mass vaccination and provision of all other preventive measures (masks, Tamiflu); Restriction of movements; Infection control of health care facilities; Field hospitals for triage and quarantine, military barracks to treat milder cases and military hospitals for severe cases; Deal with corpses; Stockpiling (vaccines, antiviral, antibiotics, protective equipment, supplies); Training; Laboratories; Ensure public safety, etc. With the aim of minimizing the risk of a pandemic spread by means of rapid and uncomplicated cooperation, an early warning system has to be established to improve surveillance, improve international contacts (WHO, ECDC, CDC), establish Platform for sharing information, close contacts of national and international military and civilian surveillance networks and databases, cooperation between military
Deutsch, Anne-Marie; Lande, R Gregory
Military suicide rates have been rising over the past decade and continue to challenge military treatment facilities. Assessing suicide risk and improving treatments are a large part of the mission for clinicians who work with uniformed service members. This study attempts to expand the toolkit of military suicide prevention by focusing on protective factors over risk factors. In 1983, Marsha Linehan published a checklist called the Reasons for Living Scale, which asked subjects to check the reasons they choose to continue living, rather than choosing suicide. The authors of this article hypothesized that military service members may have different or additional reasons to live which may relate to their military service. They created a new version of Linehan's inventory by adding protective factors related to military life. The purpose of these additions was to make the inventory more acceptable and relevant to the military population, as well as to identify whether these items constitute a separate subscale as distinguished from previously identified factors. A commonly used assessment tool, the Reasons for Living Inventory (RFL) designed by Marsha Linehan, was expanded to offer items geared to the military population. The RFL presents users with a list of items which may be reasons to not commit suicide (e.g., "I have a responsibility and commitment to my family"). The authors used focus groups of staff and patients in a military psychiatric partial hospitalization program to identify military-centric reasons to live. This process yielded 20 distinct items which were added to Linehan's original list of 48. This expanded list became the Reasons for Living-Military Version. A sample of 200 patients in the military partial hospitalization program completed the inventory at time of or close to admission. This study was approved by the Institutional Review Board at Walter Reed National Military Center for adhering to ethical principles related to pursuing research
missions to such regions as Indonesia , Africa, and the South Pacific (Pueschel 2013). The end of the Cold War combined with, heightened global...Navy deployed the carrier Abraham Lincoln and the hospital ship Mercy to Indonesia . . . .Two things became clear very quickly. First, the military can...The samaritan’s dilemma. New York: Oxford University Press. Goodhand, Jonathan, and Mark Sedra. 2007. Bribes or bargains? Peace conditionalities
Ben Wadham; Grace Skrzypiec; Phillip Slee
What are young Australians’ understandings of, and attitudes to, the military and military service? This article describes a pilot study of 320 young Australian university students’ attitudes to the military and military service during a time when Australia was engaged in the Afghanistan war. The main purpose of this study was to develop a survey instrument for further work in researching civil–military relations in Au...
Approved for public release; distribution is unlimited In performing jobs related to national security and defense, personnel must comply with rules and decisions communicated in the form of written legislation, which includes directives, memos, instructions, manuals, standard operating procedures, and reports. Incorrect understanding of legislative provisions may lead to disastrous consequences, making clear communication through these documents paramount. The vast majority of military of...
Full Text Available The actual study is aimed at defining the place and the role of the concepts of authority, management and leadership and their connexions within the recognized military strategic systems. In addition to the above mentioned main objective, the following related aims will be achieved in the present work: - to analyze the command, management and leadership nexus; - to make suggestions for configuring an effective professional framework to address the armed forces leadership challenges and the visionary leader concept. Eventually, the present study will emphasize the need for the military leaders to lead not only the members of the organization but the military organizations themselves.
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Full Text Available To what extent do frequently cited determinants of military spending allow us to predict and forecast future levels of expenditure? The authors draw on the data and specifications of a recent model on military expenditure and assess the predictive power of its variables using in-sample predictions, out-of-sample forecasts and Bayesian model averaging. To this end, this paper provides guidelines for prediction exercises in general using these three techniques. More substantially, however, the findings emphasize that previous levels of military spending as well as a country’s institutional and economic characteristics particularly improve our ability to predict future levels of investment in the military. Variables pertaining to the international security environment also matter, but seem less important. In addition, the results highlight that the updated model, which drops weak predictors, is not only more parsimonious, but also slightly more accurate than the original specification.
Martin, Charmaine L
...: focus, integration, timeliness, security, objective, and centralized control. However, I propose that operational advantage, consisting of surprise, information advantage and security, are essential elements of a successful military deception...
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Renzi, Jr, Alfred E
.... This thesis will describe a structure to assist with both those needs. The premise is that an expanded and improved network of US Military Groups is the weapon of choice for the war on terror, and beyond...
environment such as that in Abu Grahib prison , where military personnel tasked with similar duties to that of contractors have been held legally accountable... Grahib Prison . The Washington Post. Office of Management and Budget Circular A-76. (August 4, 1988. Revised 1999). Performance of Commercial...downsizes the military after the Global War on Terror as it did after the Cold War. Private contractors depend largely upon former service members to
would require of us. (In fact, it could ultimately end up requiring us to do harm.) This is a case of cultural relativism in its least plausible...recent accounts of the PME that seek its source in various artifacts of our military culture and society. Moral obligation is a product of...that seek its source in various artifacts of our military culture and society. Moral obligation is a product of individual abilities and relationships
following questions: In what fields are military personnel most likely to patent, and how do demographics, such as age, race, and gender , along with...technologies, which have transformed how the United States wages war. DARPA continues to develop new technologies and capabilities for the U.S. military today...build the European navies so it instead decided to utilize an innovative ship design to exploit a gap specific to the British Royal Navy. The six
electronic inpa- tient and outpatient medical records from the following sources: Standard Inpatient Data Record, which contains one record for each...Deployment dates to military opera- tions between September 2001 and March 2008 were determined using military electronic data from the Defense... plasms requiring hospitalization in the first year of life among this cohort. Although multivariable statistical modeling was not performed for
Le Vot, J.
Published at the occasion of the centenary of the First World War, this article proposes an historical overview of the emergence and development of military medical radiology during this conflict. The author first describes the situation of radiology in the different armies and countries on the eve of the war as this application of radiology is relatively recent (it is based on Roentgen's discovery in 1895). He indicates the first steps of emergence of radiology department in military hospitals, the interest of military physicians in radiology and the availability of mobile equipment which had been actually presented at the parade on the 14 July 1914. The author then highlights some important personalities who have been important actors of the development, application and use of radiology and of military radiology during the war. He proposes an overview of radiological equipment in 1914, of the variety of vehicles adapted to transport and use such equipment. He also comments how radiology professionals were trained
This article examines what petroleum products and services the US military buys, the contracts awarded to Asian and European refiners for supplies outside the USA, and military specifications and test methods including the specifications of JP-8 battlefield fuel and the JP-8+100 additive package for military aircraft. The way in which the military buys petroleum products is described, and details are given of the types of military contracts, the bidding on Defense Energy Support Center (DESC) petroleum contracts, the performance of military petroleum contracts, socio-economic programmes, the Prompt Payment Act requiring contractors to be paid promptly, and procedures for claims and disputes
work.10 Military history has recorded a strong role for private actors in military affairs firmly ..... Evidence records that, while the state military officers found by a military ... Should it be the chief executive officer (CEO) of .... The Financial Times.
Using a Resource-Based Theory/View of the firm, this study examined if increased inpatient staffing levels at military hospitals can generate a competitive advantage based on better patient quality outcomes...
In this study, Lt Col Karen O. Dunivin, USAF, examines social change in American military culture and explores the current struggle between the military's traditional and exclusionary combat, masculine-warrior (CMW...
Goel, D S; Kumari, Renu; Saldanha, D; Kaushik, A; Gupta, Lalit
A questionnaire designed to assess attitudinal profile was mailed to nursing officers in five representative military hospitals. 158 (77.83%) of 203 addressees responded. Cluster analysis indicated higher level of commitment in nursing officers with over 16 years service as compared to those with less than 5 years. Self-image and job-satisfaction, however tended to be eroded with increasing length of service which was also associated with a more authoritarian attitude, relatively less materialistic outlook and (paradoxically) greater negative attitude towards authority figures. Marriage and having children did not influence any parameter. The feeling of sexual harassment increased with seniority in service, as also a perceived erosion in the authority of the principal matron. Relatively junior nursing officers appeared dissatisfied with "too much paper work" and a felt deterioration in working environment as well as the image of Military Nursing Service.
Kevin M. Beaver
Full Text Available Given that enlistment in the U.S. military is completely voluntary, there has been a great deal of interest in identifying the various factors that might explain why some people join the military, whereas others do not. The current study expanded on this line of literature by estimating the extent to which genetic and environmental factors explained variance in the liability for lifetime participation in the military. Analysis of twin pairs drawn from the National Longitudinal Study of Adolescent to Adult Health (Add Health revealed that 82% of the variance was the result of genetic factors, 18% of the variance was the result of nonshared environmental factors, and none of the variance was accounted for by shared environmental factors. In light of a number of limitations, replication studies are needed to determine the robustness of these findings and whether they are generalizable to other samples and populations.
Recent events suggest that nuclear reactors could make tempting military or terrorist targets. Despite the care with which most reactors are built, studies document their vulnerability to willful destruction through disruption of coolant mechanisms both inside and outside the containment building. In addition to reactors, such nuclear support facilities as fuel fabrication, reprocessing, and waste storage installations may be attractive military targets. A nuclear bomb which exploded in the vicinity of a reactor could increase its lethal effects by one-third. The implications of this is vulnerability for Middle East stability as well as to other volatile regions. The author suggests several avenues for controlling the dangers: international law, military and civil defense, facility siting, increasing plant safety, and the international management of nuclear energy. 21 references
Aizenman, Joshua; Glick, Reuven
This paper clarifies one of the puzzling results of the economic growth literature: the impact of military expenditure is frequently found to be non-significant or negative, yet most countries spend a large fraction of their GDP on defense and the military. We start by empirical evaluation of the non- linear interactions between military expenditure, external threats, corruption, and other relevant controls. While growth falls with higher levels of military spending, given the values of the o...
M. S. Zaitsev
Full Text Available The article analyzes the evolution of military strategy of the Republic of India and key factors that influences its development. New Delhi keeps an eye on the balance of power in South Asia to create favorable conditions for its economic and social development, yet the remaining threats and new challenges still undermine the security and stability in India. The ambitions of China aspiring to power in Asia-Pacific region, combined with its immense military build-up and territorial disputes, cause disturbance in New Delhi. The remaining tensions between India and Pakistan also cause often border skirmishes and medium-scale conflicts. Close relations between China and Pakistan, labeled as “all-weather friendship”, are a source of major concern for India. The fact that both Beijing and Islamabad wield nuclear weapons means that without effective mechanisms of nuclear deterrence any military conflict may turn into a full-scale nuclear war. Terrorist activities and insurgency in the Indian state of Jammu and Kashmir and in the North-Eastern regions of the country, along with maritime piracy and illicit drug trafficking contribute to the complicated nature of the challenges to the Indian security. Indian military strategy is considered as a combination of the army doctrine, maritime doctrine and nuclear doctrine. The Indian political and military leadership wants to meet the challenges of changing geopolitical environment and thus continuously adapts its strategy. However, there is still a gap between theory and practice: Indian armed forces lack the capacity to implement the declared goals because of bulky bureaucratic system, outdated military equipment and insufficient level of command and control. The government needs to mobilize political will and administrative resources to upgrade its defense sector to counter its security threats and challenges.
This SpringerBrief reveals the latest techniques in computer vision and machine learning on robots that are designed as accurate and efficient military snipers. Militaries around the world are investigating this technology to simplify the time, cost and safety measures necessary for training human snipers. These robots are developed by combining crucial aspects of computer science research areas including image processing, robotic kinematics and learning algorithms. The authors explain how a new humanoid robot, the iCub, uses high-speed cameras and computer vision algorithms to track the objec
This background paper does not endorse any military action towards Syria. The document does not reflect or express any official Danish policy or a position of the University of Copenhagen or the Centre for Military Studies. The purpose of this paper is to briefly describe military capabilities...... and options in order to provide a factual background for the ongoing discussion on possible military intervention in the Syrian conflict and Denmark’s possible participation in such an intervention. The paper is primarily based on the Military Balance published by the International Institute for Strategic...
Full Text Available Although there have been studies that focus on the experiences of the gay and lesbian population serving in the United States military, few have focused on the experience of active duty transgender service members. Transgender individuals transgress the binary conception of gender by deviating from societal gender norms associated with assigned sex at birth. The Department of Defense has set policies and standards that reflect a binary conception of gender, with a focus on conformity. We argue that able-bodied gender variant service personnel are just as capable of serving their country as anyone else. Because of the repercussions associated with active duty transgender military personnel, our sample is small and involves nine clandestine service members and two international service members who wanted to share their stories from a different perspective. Snowball sampling was aimed at finding current active duty and reserve transgender service members. Using a combination of telephone interviews and questionnaires, data were collected from active duty transgender service personnel throughout the United States and two from international militaries that allow transgender people to serve. Data collection focused on the overall experiences of the participants along with questions regarding workplace discrimination, suggestions for policy changes, and their views about the overturn of Don’t Ask, Don’t Tell. Our findings add to a growing source of information about the transgender military experience in the U.S. armed forces and the importance of overturning discriminatory workplace policies that negatively impact transgender service members.
briefest life span of any major military equipment type - spanning not ... that country. The disadvantages of this to PLAN ... increasingly hamper the employment of heli- .... time, both attack and medium helicopters could .... balance out his armoured superiority and to im- ... derable flexibility to our operations and enhance.
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supremacy in the world. Like the foreign policies of the USSR and the USA , their military doctrines reveal the objectives they pursue: the Soviet... Gastronom or a Detskiy Mir. In- stallation of the equipment was delayed a long time as a result. The district finance service therefore did not consider
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Easterbrooks, M. Ann; Ginsburg, Kenneth; Lerner, Richard M.
In this article, the authors present their approach to understanding resilience among military connected young people, and they discuss some of the gaps in their knowledge. They begin by defining resilience, and then present a theoretical model of how young people demonstrate resilient functioning. Next they consider some of the research on…
The Ministry of Defence and the military in particular have a very strong commitment to radiation protection of personnel in war and peace. MOD endeavours to do better all the time because it is essential that the armed forces have the confidence to fulfil their role and this is best achieved by providing them with the best possible protection irrespective of the hazard. (author)
Sjøstedt, Peter; Grønlund, Thomas
The Military Instructor's handbook was written for the basic professional training of instructors in the danish defence. The book describes the work of instructors and their areas of responsibility, and it offers guidance and direction on how to plan, conduct and evaluate learning activities...
existential fear of one’s superpower rival. Nor was the Cold War the only arms race in history: naval rivalry in the late 19th and early 20th centuries...Military Review, July-August 2006; Norman Solomon, “The Bogus Blurring of Terrorism and Insurgency in Iraq,” The Humanist , Vol. 66, No. 2, March-April
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Full Text Available After the liberation of Nis from the Turks which took place on January 11th, 1878, there were two military hospitals: one was next to The Skull Tower and the other on the road to Leskovac and there was Islahana the civil institution which was not the forerunner of the district hospital in Nis. At first, they founded the military hospital in Nis in 1878 and then they founded The District Hospital on July 17th in 1881. The first director of the District hospital was Anton Zajicek. He is also the first graduated medical doctor in Nis. The District Hospital was situated on the left bank of the Nisava river in a private house.
Gross, M L; Rendin, R W; Childress, C W; Kerstein, M D
During U.S. Marine Corps Reserve summer 2-week active duty for training periods, 6,482 people were tested for human immunodeficiency virus (HIV). Testing at an initial exercise, Solar Flare, trained a cadre of contact teams to, in turn, train other personnel in phlebotomy and the HIV protocol at three other exercises (141 Navy Reserve and Inspector-Instructor hospital corpsmen were trained). Corpsmen could be trained with an indoctrination of 120 minutes and a mean of 15 phlebotomies. After 50 phlebotomies, the administration, identification, and labeling process plus phlebotomy could be completed in 90 seconds. HIV testing during military exercises is both good for training and cost-effective.
Knezević, Bojana; Belosević, Ljiljana
This preliminary study examined the sources of work stress in military physicians. Forty-eight medical doctors (24 military and 24 civilian) completed a questionnaire on stressors at the work place. The participation in the study was anonymous and voluntary. Out of 24 military physicians, 14 were military general practitioners (mean age 40.5, 14 female), and 10 were consultants of different specialties (mean age 43.5, 7 male and 3 female). Civilian physicians included 13 general practitioners working at primary health care system (mean age 37, 3 male and 10 female), and 11 consultants of different specialties working at out of hospital practice (average age 37, 6 male and 5 female). The questionnaire included items aiming to obtain demographic characteristics (sex, age, marital status, children, academic degree, clinical specialty, work place, average time in practice, average time at current position) and 37 items to determine occupational stressors. The stressors were related to work management, professional demands, interpersonal and patient-doctor relationship. Differences in recognizing work stressors between the groups of civilian and military physicians were statistically analyzed by using chi-squared-test. The leading work stressors identified by military physicians were inadequate salary, being bypassed for promotion, inadequate continuous education, poor resources, poor communication with superiors, poor management, trouble with superiors, excessive paperwork, unpredictable situations, and 24-hour standby. Civilian physicians reported inadequate salary, poor resources, poor management, misinformed patients, lack of co-workers, lack of time, unpredictable situations, exposure to indictment, dealing with incurable patients and exposure to public criticism and judgment. In comparison with civilian physicians, military physicians significantly more frequently reported inadequate salary (pcommunication with superiors (pcommunication with superiors (12
behavior and rights, the values of the military are different and unique. Senior military officers highlight the importance of understanding the...Examples include on-base housing, shopping , schools, children’s sports leagues, and community and social events such as concerts, comedy shows, and movies... mall , a sporting event, or the movies provides a simple, 16 Skelton, “The Civil-Military Gap
Hajjar, Remi M.
This article examines how and why many contemporary US mainstream military advisors—as compared to Special Forces advisors—often work from a position of disadvantage when conducting unconventional advising missions. Post-9/11 deployments to Iraq and Afghanistan have caused the US military to adapt to myriad complexities, including a renewed need for the widespread execution of the unconventional military advising mission by the Special Forces and conventional units. Although Special Forces ty...
funded autism study – it covers autism spectrum disorders . He was not aware that DOD had this subject in their portfolio. He will be working with Dr...serotonin transporter gene and family history of depression? Journal of Affective Disorders , 77, 273-275. 8. Joiner, T., Sheldon, K., Williams, G...the military, impact unit morale, and take a large emotional toll on the involved friends, family , and commanders. As noted before with continued
Van Heerden, Adelaide
Full Text Available are unaware of the causes and symptoms of PTSD, and that awareness training at junior leadership levels could provide commanders with critical skills and insight to identify, manage, coordinate and facilitate such incidents before the situation gets... and group level is discussed in the context of contributing toward the end state of combat readiness. The critical contribution of leadership (p. 263), personal relationships both within the military and personal life as well as the construct of hardiness...
Recreation Centers (AFRCs) and the Army Recreation Machine Program (ARMP), NAF Major Construction program, and NAF employee benefit programs... Bingo . • Bowling Centers (over 12 lanes). • Food, Beverage, and Entertainment Operations. • Golf Courses. • Military Clubs. • Others...nds. ach service has specific policies. (2) Funds must be used for the collective benefit of all unit members for off-duty recreational purposes
Andrus Pedai; Igor Astrov
Nanotechnology is the new cyber, according to several major leaders in this field. Just as cyber is entrenched across global society now, nano is poised to be major capabilities enabler of the next decades. Expert members from the National Nanotechnology Initiative (in U.S.) representing government and science disciplines say nano has great significance for the military and the general public. It is predicted that after next 15 years nanotechnology will replace information technology as the m...
by the hundreds. The most popular subjects were his tor ical dramas, comedies , simplistic versions of the classics, and sentimental domestic and...Germans and the making of a world "safe for democracy." All the war films, even the slapstick comedies , presented a simple view of the conflict-the...an exciting and romantic background for a love story or a musical. The value of military preparedness was implied strongly in these films which
Jurgen Brauer; John Tepper Marlin
As a proportion of gross national product, U.S. military spending has declined steadily since the mid-1980s. The end of the Cold War has given rise to calls for even more cuts in military spending. In early 1992, President George Bush proposed to reduce military spending by 3 percent per year, in real dollars, for the next five years. The Democratic leadership in the House of Representatives countered with a plan calling for substantially deeper cuts. Any substantial changes in military expen...
... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Military pilots or former military pilots... Ratings and Pilot Authorizations § 61.73 Military pilots or former military pilots: Special rules. (a... a disciplinary action involving aircraft operations, a U.S. military pilot or former military pilot...
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.
Walker, R.I.; Conklin, J.J.
Acute medical consequences affecting military personnel fall into two major classes: early events affecting performance and later more lethal events associated with single and combined injuries. If cells survive the radiation insult, they have the capability for repair. But the patient must survive fluid loss, infection, and bleeding defects until this can occur. Although no one can ever eliminate the incomprehensible destruction of human life associated with the use of nuclear weapons, significant medical advances can be achieved that will increase the performance and recovery of persons exposed to these weapons. Furthermore, these medical advances will go far toward improving the life and functioning of persons undergoing radiotherapy, trauma, accidental exposures, or a variety of other clinical situations. In the near future, the military battlefield will move into another dimension - space. Once outside the geomagnetic shield of the earth, military prsonnel will be exposed to a formidable array of new radiations. Among the new radiations will be high solar energy, solar particles and flares, and heavy nuclei from galactic cosmic arrays. Associated stresses will be microgravity, vibration, and isolation. To protect man in these new environments will truly challenge our ingenuity. This book looks at various medical consequences we face as a result of nuclear energy
Raul Caruso; Ilaria Petrarca; Roberto Ricciuti
We show the existence of a diffusion process of military dictatorships in Sub-Saharan Africa from 1972 through 2007, using panel data probit estimation and a Markov chain transition model. This process is shortly-lived, since we observe an overall trend that reduces the number of military regimes. We also find that Manufacturing share of GDP, Primary share of GDP positively affect the probability of military dictatorship, and Openness to trade, whereas the British colonial origin are negative...
Daugaard, Søren Bech; Jacobsen, Karen Vestergård; Aigro, Signe; Skarequist, Anne
This project aims to explain how the military balancing of Russia against NATO can be explained from a neoclassical realist framework. The project consists in three analytical parts of respectively, 1: The military capabilities balance between NATO and Russia; 2: How the international system puts pressure on Russia; and 3: How the strategic culture of Russia can explain its balancing. This project aims to explain how the military balancing of Russia against NATO can be explained from a neo...
to military, and to make them able to operate effectively in multicultural dimensions. This cultural impact forced the military doctrine to adapt...degree the research findings and conclusions. The bibliography reviewed for this thesis is available at the Combined Arms Research Library . Unfortunately...in terms of increased ability of understanding and operating in a different cultural or multicultural setting, led the military decision makers to
Kuvshinov, K E; Klipak, V M; Chaplyuk, A L; Moskovko, V M; Belyshev, D V; Zherebko, O A
The current task of the implementation of medical information systems in the military and medical organizations is an automation of the military-medical expertise as one of the most important activities. In this regard, noteworthy experience of the 9th Medical Diagnostic Centre (9th MDC), where on the basis of medical information system "Interi PROMIS" for the first time was implemented the automation of the work of military medical commission. The given paper presents an algorithm for constructing of the information system for the military-medical examination; detailed description of its elements is given. According to military servicemen the implementation of the Military Medical Commission (MMC) subsystem of the medical information system implemented into the 9th MDC has reduced the time required for the MMC and paperwork, greatly facilitate the work of physicians and medical specialists on military servicemen examination. This software can be widely applied in ambulatory and hospital practice, especially in case of mass military-medical examinations.
Full Text Available The article analyses the situation of abandoned military sites, their value and significance of their conservation. It also reviews their impact on their environment and their potential in tourism, environmental, economic and social spheres. Further the positive experiences in military sites' conversion are studied. The importance of society's involvement in the conversions is discussed. The situation of XIX-XX age's military object's, the significance of their conservation and their potential in tourism market is separately analysed. The results of two researches are introduced, one of which inquires about the Lithuanian military objects' potential in tourism sphere, another one explores the possibilities of conversion. Article in Lithuanian
University of Rhode Island Geospatial Extension Program — Hospital Facilities information was compiled from several various sources. Main source was the RI Department of Health Facilities Regulation database, License 2000....
Changes to the military retirement system in the 1980's and attention by law makers, military leadership, and service members to pay comparability between the private sector and the military indicate...
McNeary, A M; Lomenick, T S
The female military population represents a high-risk group for preterm labor and other adverse pregnancy outcomes. As the number of women entering the armed forces continues to increase, concerns regarding the effects of military service on pregnancy must persist. Although active duty females have access to prenatal care and maintain consistent follow-up, previous research has noted a 5-fold increase in preterm labor compared with civilian working women. Hospitalization and loss of work attributable to pregnancy complications directly affect productivity and mission accomplishment; therefore, it is crucial to identify those at risk to institute measures that will prevent such occurrences and decrease time away from work. This article provides a review of the existing literature concerning preterm labor in military women, comparisons with the civilian population, and recommendations for future research.
receive state-of-the-art physical therapy and occupational therapy , in- cluding demanding and challenging sports equipment and virtual reality systems...Knudson MM. Into the theater: perspectives from a civilian trauma sur- geon’s visit to the combat support hospital in Balad, Iraq. Bull Am Coll Surg...following type III open tibia fracture . J Orthop Trauma. 2012;26:43 47. 52. U.S Army Medical Research and Materiel Command. Armed Forces In- stitute of
Partial Contents: Military Political Issues, Military Science, Warsaw Pact, Armed Forces, Air Forces, Air Defense Forces, Naval Forces, Strategic Rocket Forces, Civil Defense, Rear Services, Defense Industries, DOSAAF...
Jansen, Don J
.... Known as Tricare, this system of military and private health care offers benefits to active duty personnel and other beneficiaries, including dependents of active duty personnel, military retirees...
Gonzalez Requena, J. M.
One of the most justified and pressing demands that society makes of the State, requiring a fast, forceful and effective response, is that it guarantees the safety of people and their assets when a disaster seriously endangers them. At the proposal of the President of the Government, the Cabinet of Ministers, in its meeting held on October 7, 2005, agreed to create the Military Emergency Unit, known since the as the UME. Its mission is to intervene anywhere in the national territory when the President of the Government, or the Minister to whom he delegates, so decides in order to assure the safety and welfare of citizens in cases of serious risk, disaster, catastrophe or any other public need. The UME is organically incorporated into the Ministry of Defense and its actions may be supported with all the available human and material needs of the Armed Forces. Availability and effectiveness, with calmness and humility, have characterized the early actions of the Military Emergency Unit and are the guidelines for future action. The first steps of this military unit have focused on a clear goal: collaboration and participation in situations whose seriousness requires the coordination of different forces in order to immediately respond to them. The UME is the States tool to join forces and, with other administration and institutions, help to rapidly and effectively deal with emergencies. It has taken its first step and achieved the capacity specified in the UME Operations Order for 2007. The 150 men and women per battalion, plus the 80 in the Gando detachment, are on active duty and have sufficient material means to deploy, if necessary and when requested by the regions, town councils an other administrative bodies, to help in the extinction of forest fires. (Author)
Smith, Elizabeth A; Jahnke, Sara A; Poston, Walker S C; Malone, Ruth E; Haddock, Christopher K
Higher tobacco taxes reduce tobacco use. On military installations, cigarettes and other tobacco products are sold tax-free, keeping prices artificially low. Pricing regulations in the military specify that tobacco should be within 5% of the local most competitive price, but prices still average almost 13% lower than those at local Walmarts. To gain insight into policy leaders' ideas and positions on military tobacco pricing, we interviewed members of the Department of Defense (DoD) Addictive Substances Misuse Advisory Committee and the Advisory Committee on Tobacco about tobacco pricing policies (n = 12). Participants frequently lacked specific knowledge of details of military pricing policy, and the impact higher prices might have on military tobacco use. Most participants thought tobacco should not be sold at military stores, but many also felt that this policy change was unlikely due to tobacco industry pressure, and DoD reliance on tobacco profits to support Morale, Welfare, and Recreation funds. Achieving a tobacco-free military will require changing pricing policy, but this study suggests that for effective implementation, military leadership must also understand and articulate more clearly the rationale for doing so. Previous work has found that adherence to military tobacco pricing policy is inconsistent at best. This study suggests that lack of knowledge about the policy and conflicting pressures resulting from the funding stream tobacco sales represent extend to high level military policy leaders. Without clearer information and direction, these leaders are unlikely to be able to establish and implement better tobacco pricing policy. © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: email@example.com.
McLean, A D
Burn injury is a ubiquitous threat in the military environment. The risks during combat are well recognised, but the handling of fuel, oil, munitions and other hot or flammable materials during peacetime deployment and training also imposes an inherent risk of accidental burn injury. Over the last hundred years, the burn threat in combat has ranged from nuclear weapons to small shoulder-launched missiles. Materials such as napalm and white phosphorus plainly present a risk of burn, but the threat extends to encompass personnel in vehicles attacked by anti-armour weapons, large missiles, fuel-air explosives and detonations/conflagrations on weapons platforms such as ships. Large numbers of burn casualties were caused at Pearl Harbor, in Hiroshima and Nagasaki, Vietnam, during the Arab/Israeli Wars and in the Falkland Islands conflict. The threat from burns is unlikely to diminish, indeed new developments in weapons seek to exploit the vulnerability of the serviceman and servicewoman to burns. Clothing can be a barrier to some types of burn--both inherently in the properties of the material, but also by trapping air between clothing layers. Conversely, ignition of the clothing may exacerbate a burn. There is hearsay that burnt clothing products within a wound may complicate the clinical management, or that materials that melt (thermoplastic materials) should not be worn if there is a burn threat. This paper explores the incidence of burn injury, the mechanisms of heat transfer to bare skin and skin covered by materials, and the published evidence for the complication of wound management by materials. Even light-weight combat clothing can offer significant protection to skin from short duration flash burns; the most vulnerable areas are the parts of the body not covered--face and hands. Multilayered combat clothing can offer significant protection for short periods from engulfment by flames; lightweight tropical wear with few layers offers little protection. Under
CTC_depression_family_sheet.pdf U.S. Army War College. Basics from the Barracks: Military Etiquette and Protocol ; A Spouse’s Quick Reference to Its Unique Customs...http://youtu.be/zfTknLkDPTY U.S. Army War College. Military Family Program. Customs & Courtesies/ Protocol . Carlisle Barracks: U.S. Army War College
Hill, Nathan E
.... There is undoubtedly a need for military contractors and there are numerous positive arguments in their favor. However, the negative arguments have not been highlighted enough recently and the scales are now out of balance. The intent of this research paper is to encourage the U.S. military to rebalance the scales and curb the over-reliance on contractors.
Military Court of Appeals ruled in United States v. Beeker that “the use or possession of marihuana was service connected because the use or...possession . . . of marihuana and narcotics has a special military significance since their use has ‘disastrous effects on the health, morale and fitness
Wermser, Frederik; Täuber, Susanne; Essens, Peter; Molleman, Henricus; Beeres, Robert; Bakx, Gwendolyn; de Waard, Erik; Rietjens, Sebastiaan
Increased military cooperation between member states of the European Union is a political given. The Netherlands and Germany form a spearhead in this process by integrating entire military units (i.e., brigades, battalions, companies) into higher-order units of the respective other nation (i.e.,
U.S. environmental issues also have important global implications. This paper analyzes current U.S. Policy as it pertains to global warming and climate...for military involvement to reduce global warming . Global warming and other environmental issues are important to the U.S. military. As the United
Reveals strengths and weaknesses encountered by a psychology teacher involved in the overseas graduate counseling program for Ball State University. Problems included lack of proper teaching and counseling facilities, long teaching hours, and civilian teachers' ignorance of military protocol. Advantages included helping military personnel obtain a…
against the heart of the U.S. Pacific Fleet in 1941. Italy’s uneven naval buildup, stressing submarines and unemployed battleships, posed a particular...military, not to speak of a society which has yet to recover from its psychic wounds. How to arrange our American military institutions so that they
Meyer, Eric G; Writer, Brian W; Brim, William
Military cultural competence has recently gained national attention. Experts have posited that limited outcomes in the treatment of posttraumatic stress disorder and depression in the military may be related to limited familiarity with the military. National surveys have indicated low military cultural competence among providers and limited educational efforts on military culture or pertinent military pathology in medical schools and residency training programs. Military families, with their own unique military cultural identity, have been identified as a population with increased risks associated with deployment. In response to these findings, several curricula regarding military culture have been established and widely distributed. Assessments of military cultural competence have also been developed. The clinical impact of enhanced cultural competence in general has thus far been limited. The military, however, with its highly prescribed cultural identity, may be a model culture for further study.
Bricknell, M C M
This paper examines the challenges involved in commanding a field hospital. There are frequent, dynamic tensions between the military culture that is based on a task-focussed, hierarchical structure and the clinical culture that is based on flat, process-focussed, multidisciplinary teams. The paper outlines the cultural environment of the field hospital and then examines the deployment sequence whereby a functioning clinical facility may be created from a group of disparate individuals. There are a number of tools that may assist with this including the personality of the Commanding Officer, individual skills, the creation of an organizational identity and the choice of command structure.
..., domiciliary or nursing home care of persons discharged or released from active military, naval, or air service... Hospital, Domiciliary and Nursing Home Care § 17.46 Eligibility for hospital, domiciliary or nursing home care of persons discharged or released from active military, naval, or air service. (a) In furnishing...
U.S. Department of Health & Human Services — Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find...
U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...
Full Text Available Hospital ships are operated by the Naval forces in or near war zones to provide medical assistance to the wounded personnel of all nationalities and not be used for any military purpose. Hospital ships possibly existed in ancient times and the Athenian Navy had a ship named Therapia. However, it was only during the 17th century that it became a common practice for the naval squadrons to be accompanied by large ships with the facilities of carrying the wounded after each engagement. In 1860, the steamships HMS Melbourne and HMS Mauritius were equipped with genuine medical facilities. They were manned by the Medical Staff Corps and provided services to the British expedition to China. During the World War I and World War II, passenger ships were converted for use as hospital ships and were started to be used on a massive scale. RMS Aquitania and HMHS Britannic were two famous examples of hospital ships used extensively. Modern US hospital ships USNS Mercy and USNS Comfort are operated by Military Sealift Command of the US Navy. Their primary mission is to provide emergency on-site care for US combatant forces deployed in war or other operations.
Ross, Andrew L
What is military innovation? How should we think about Chinese military innovation? By developing an analytical framework that captures both the components of military innovation (technology, doctrine, and organization) and the continuum of change, we can better assess the nature, extent, and importance of contemporary Chinese military innovation.
the variance in regards to overall satisfaction. 15. SUBJECT TERMS Dentistry, Patient Satisfaction, Military, Consumer Satisfaction, Dental... patient satisfaction in military dental treatment facilities. Dental health is extremely important for the military as dental assets are not always... customer satisfaction is an important component of military dental care. Quarterly patient satisfaction reports are generated for each dental treatment
Kelty, Ryan; Kleykamp, Meredith; Segal, David R.
Ryan Kelty, Meredith Kleykamp, and David Segal examine the effect of military service on the transition to adulthood. They highlight changes since World War II in the role of the military in the lives of young adults, focusing especially on how the move from a conscription to an all-volunteer military has changed the way military service affects…
... 32 National Defense 3 2010-07-01 2010-07-01 true Military Academy. 575.1 Section 575.1 National... MILITARY ACADEMY § 575.1 Military Academy. (a) Organization and administration. (1) The United States Military Academy is under the general direction and supervision of the Department of the Army. The...
... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Military service. 29.333 Section 29... Satisfied by June 30, 1997 § 29.333 Military service. (a) For employees who entered on duty on or before June 30, 1997, and whose military service was performed prior to that date, credit for military service...
This study tests the argument that Foreign Military Assistance and the consequently professionalizing of the recipient military has a positive effect on the process of democratization in Kenya.......This study tests the argument that Foreign Military Assistance and the consequently professionalizing of the recipient military has a positive effect on the process of democratization in Kenya....
Ford, Shannon; Schnitzlein, Carla
With the announcement that members of the military who identify as transgender are allowed to serve openly, the need for Department of Defense behavioral health providers to be comfortable in the assessment, diagnosis, and treatment of this population becomes quickly evident. This population has been seeking care in the community and standards have been developed to help guide decision-making, but a comparable document does not exist for the military population. Previously published papers were written in anticipation of the policy allowing for open service. The civilian sector has treatment guidelines and evidence supporting the same for reference. There is no similar document for the military population, likely due to the recent change and ongoing development. This paper attempts to provide an overview of the recent Department of Defense policy and walks the reader through key considerations when providing care to a transgender member of the military as it relates to those who are currently serving in the military through the use of a case example. The military transgender population faces some unique challenges due to the need to balance readiness and deployability with medically necessary health care. Also complicating patient care is that policy development is ongoing-as of this publication, the decision has not yet been made regarding how people who identify as transgender will access into the military nor is there final approval regarding coverage for surgical procedures. Unique circumstances of this population are brought up to generate more discussion and encourage further evaluation and refinement of the process.
Acemoglu, Daron; Ticchi, Davide; Vindigni, Andrea
We investigate how nondemocratic regimes use the military and how this can lead to the emergence of military dictatorships. Nondemocratic regimes need the use of force in order to remain in power, but this creates a political moral hazard problem; a strong military may not simply work as an agent of the elite but may turn against them in order to create a regime more in line with their own objectives. The political moral hazard problem increases the cost of using repression in nondemocratic r...
, governments and military services hope to introduce game-changing military technologies that are ‘better, faster and cheaper’, investing heavily in research and development of AWS. In this paper, I wish to map the different and competing practices of critique and justification that shape the technopolitical...... controversy of AWS, showing its complexity and internal contradictions. In addition to identifying the dominant regimes of justification, that organize the discourse of AWS, I argue that the military bureau and its officeholders become technopolitical mediators and translators of risk in an emergent practice...
The author addresses three questions about military spending in developing countries: What are the levels of (and trends in) military spending as a percentage of gross national product? What impact does peacetime military spending have on growth, government spending on social welfare and infrastructure, and other key economic variables? What major factors influence the level of military spending? The author finds that military spending as a share of GNP generally fell in the 1980s, even in th...
Palmer, William A., Jr; Hanna, Marcia
The Military Librarian Workshop(MLW) is an annual meeting that brings together civilian and military personnel who serve as special librarians, library supervisors, or technical information officers in military or governmental...
Jorgensen, Brent M
"Outsourcing Small Wars: Expanding the Role of Private Military Companies in U.S. Military Operations" argues that, under current domestic and international laws, and current military regulations and doctrine...
MILITARY FORCES(FOREIGN), *MILITARY ORGANIZATIONS, MILITARY ENGINEERING , INFANTRY, AMPHIBIOUS OPERATIONS, MINELAYING, ARMORED VEHICLES, NUCLEAR...RADIATION, DOSIMETERS, CHEMICAL WARFARE, PROTECTIVE CLOTHING, DECONTAMINATION, HEALTH PHYSICS.
Department of Veterans Affairs — Supports operations to access/update data related to (Compensation and Pension) Awards. This service will also support business processes such as reading military...
Tharion, William J; Lieberman, Harris R; Montain, Scott J; Young, Andrew J; Baker-Fulco, Carol J
...) have been measured while training under various conditions. Group mean total energy expenditures for 424 male military personnel from various units engaged in diverse missions ranged from 13.0 to 29.8 MJ per day...
.... It is particularly concerned with issues relating to the recruitment and retention within the military of homosexuals, that is, those individuals who have a sexual propensity for persons of their own gender...
France refuses to rule out military use of the plutonium produced by the planned breeder reactor Superphenix, although other nations, including the US, have contributed nuclear materials to it. US policy has been to separate military and civilian nuclear programs to set an example. France has not stated an intention to use Superphenix for military purposes, but is reserving the right to do so. It does not separate the two kinds of nuclear materials for economic reasons. The Non-Proliferation Treaty (NPT) does not address the possibility that plutonium pledged to peaceful use might be commingled with plutonium for military use in a civilian facility within a weapons state. The US could work to strengthen the US-Euratom Agreement on the basis of the contamination principle. 11 references
.... Its purpose is to provide reviews and recommendations to the Commander, U.S. Army Medical Research and Materiel Command, on research projects, programs, and products as they relate to the nutrition and performance of military personnel...
with a threat both abroad and within their homeland societies. Civilians fulfil a ..... we have now with the use of force and forces is their persistent structuring ... advanced equipment remains the main feature of Western military culture. Western.
sea power introducing education as an additional population characteristic , a review of education philosophy, education trends, impact of education on the knowledge military, and the impact of the knowledge on the joint force.
Shams-White, Marissa; Deuster, Patricia
The objective was to review prevention efforts and approaches attempting to limit the problem of obesity in the military. Various individual-level initiatives have emerged, including programs promoting healthy cooking, meal planning, and other behavior changes among service members. Importantly, the military is attempting to tackle environmental factors contributing to the rise of obesity, by focusing on many recent environmental-level interventions and initiatives to improve military dining facilities and examine and modify other aspects of installations' built environments. Although published research within the military setting directed towards obesity prevention is limited, many innovative programs have been launched and need to be followed forward. The review of past and ongoing efforts can be an important step in identifying specific areas needing improvement, gaps that should be considered, lessons learned, and characteristics of successful programs that should be disseminated as best practices and further expanded.
Federal Geographic Data Committee — This data set is part of a collection of real estate data concerning current and historic military installations whose real property interests are managed by the...
Zabel, Sarah E
.... The 9/11 attacks set this plan in motion. In the years leading up to and following the 9/11 attacks, global jihadis have written copiously on their military strategy for creating an Islamic state...
Bermann, S; Escudero, J C
The socioeconomic policies of Argentina's Military Junta, in power since March 1976, have led to a sharp impoverishment of the vast majority of the population. In the health sector, facilities which previously were public are being transferred to the private sector, and public hospitals formerly providing free services to the population now charge patients for the care received. As a necessary counterpart to these unpopular measures, a regime of terror has been waged against members of the health team--both those politically active and those considered potentially subversive, particularly the psychiatrists and workers in community health. Differences between the Argentinian situation and previous European fascist patterns are noted, and the possibility of use of the "Argentinian model" in other capitalist countries in crisis is discussed.
War has at some point touched every nation. Beginning with ancient history and following through to the present, this book addresses the question of why war exists, and explains the shapes in which it occurs. It will lead young readers on a journey through time by tracing weapons from the earliest stones and clubs to modern technological military warfare. Along with the evolution of weaponry through the ages, it also goes into the development of protective gear, transportation, communication, and military strategies.
Gullaksen, Rasmus; Nielsen, Kristoffer Merrild; Siegel, Viktor; Labuz, Patrick Ravn
This project is sparked by the contemporary evolvement that has been happening with consumer Virtual Reality technology and an interest for looking into the military industrial complex. The paper describes how Virtual Reality as a concept has evolved historically since the 19th century and how it has since entered the military and consumer market. The implementation of Virtual Reality is described in order to analyse it by using Technology-Oriented Scenario Analysis, as described by Francesco...
Bardwell, Andrew; Buggy, Sean; Walls, Remuis
Approved for public release; distribution is unlimited Cyber threats are a growing concern for our military, creating a need for cybersecurity education. Current methods used to educate students about cyber, including annual Navy Knowledge Online training, are perceived to be ineffective. The Naval Postgraduate School developed an All hands pilot cybersecurity course with the objective of increasing military officers' cybersecurity awareness. The three of us participated in the ten-week co...
Else, Daniel H; Scott, Christine; Panangala, Sidath V
... construction, military housing allowances, military installation maintenance and operation, the Department of Veterans Affairs, and other veteran-related agencies, rested in the House Committee...
.... This report reviews military options open to each side as the United Nations, United States, and South Korea explore ways to resolve the resultant crisis peacefully despite threats of war from Pyongyang...
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.
Rychnovsky, Jacqueline D
(a) To describe fatigue levels in military active-duty women, (b) to describe the relationship among selected predictor variables of fatigue, and (c) to examine the relationship between predictor variables, fatigue levels, and performance (as measured by functional status) after childbirth. Based on the Theory of Unpleasant Symptoms, a longitudinal, prospective design. A large military medical facility in the southwest United States. A convenience sample of 109 military active-duty women. Postpartum fatigue. Women were found to be moderately fatigued across time, with no change in fatigue levels from 2 to 6 weeks after delivery. All variables correlated with fatigue during hospitalization and at 2 weeks after delivery, and depression, anxiety, maternal sleep, and functional status correlated with fatigue at 6 weeks after delivery. Regression analyses indicated that maternal anxiety predicted fatigue at 6 weeks after delivery. Over half the women had not regained full functional status when they returned to work, and 40% still displayed symptoms of postpartum depression and anxiety. Military women continue to experiencing postpartum fatigue when they return to the workplace. Future research is needed to examine issues surrounding fatigue and its associated variables during the first year after delivery.
Full Text Available The transition requirement for post communism countries, especially the part that is about military forces is to establish those civil-military relation that will have prepared projects for awareness evolving of society and military about necessity of democratic control over military sector of country through development of many different communication forms and shapes. Before everything, it means the entire freedom and independence of media at access to military forces as the topic and subject of its interests and also the organization of public military communication system as integral part of information-communication system in society
Pavel V. Didov
Full Text Available The article analyzes the phenomenon of "polite people" from the point of view of the history and theory of ethical thought. Identify and specify ethical principles that form the basis of military courtesy. On the basis of the revealed regularities, the study proves that ethics is impossible without a certain power attributes, which constitute its core. In relation to the traditions of Russian warriors revealed the key role to their formation of the Orthodox ethics and the military of meekness. The obtained results can serve as material for educational activities for the formation of fighting spirit.
techniques have been extremely effective for acute pain management, especially pain from ex- tremity injuries and rib fractures . Such techniques...temporary stabilization of a fracture to minimize blood loss, then physiologic stabilization, and finally definitive orthopedic management.35 The...particularly in the most severe wounds and results in low complication rates. Regional Anesthesia and Total Intravenous Anesthesia Combat pain management
ISAAC ENRIQUE HERNÁNDEZ TÉLLEZ
Full Text Available ABSTRACT Objective: To compare the measurement of the Cobb angle in printed radiographs and digitalized radiographs displayed with the "PixViewer" tool. Methods: Pre-operative radiographs of 23 patients were performed in printed films and using the software "PixViewer". The same evaluator, a spine surgeon, chose the proximal and distal end vertebrae at the limit of the main curve in printed radiographs without identifying patients, and measured the Cobb angle based on these parameters. The same parameters and measurements were performed in digitalized radiographs. The measurements were compared, as well as the choice of end vertebrae. Results: The average change in the Cobb angle between the methods was 1.48±1.73°. The intraclass correlation coefficient (ICC was 0.99, demonstrating excellent reproducibility. Conclusion: The Cobb method can be used to evaluate scoliosis through the "PixViewer" tool with the same reliability of the classic method on printed radiographs.
...-AA00 Safety Zone; Military Ocean Terminal Concord Safety Zone, Suisun Bay, Military Ocean Terminal... Guard is establishing a safety zone in the navigable waters of Suisun Bay near Military Ocean Terminal Concord, CA in support of military onload and offload operations. This safety zone is established to...
... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Military riggers or former military riggers: Special certification rule. 65.117 Section 65.117 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... Riggers § 65.117 Military riggers or former military riggers: Special certification rule. In place of the...
...%). Only 4 percent of youth volunteered that they might be joining the military. Overall, youth mentioned family, friends and acquaintances, and movies and television most often as influencing their impression of the military...
Mait, Joseph N
.... This report is a primer for commercial providers to gain some understanding of the military's thinking about military information technology and some of the programs it foresees for the future...
Chizek, Judy G
.... As the military services attempt to increase the agility and versatility of their weapon systems, they also see a need to increase the capabilities of military intelligence, surveillance and reconnaissance (ISR...
Goldberg, Adam M
This study explores the Jewish experience within the American military. The history of military service by persons of the Jewish faith corresponds roughly to that of persons from many other ethnic or religious groups...
.... It describes a program sponsored by the Department of Defense and supported by the Department of the Army in which military installations, military units, clubs, and volunteer licensed amateur radio...
Partial Contents: Military Political Issues, Ministry Of Defense and General Staff, Warsaw Pact and Groups of FOrces, Armed Forces, Ground Forces, Air Defense Forces, Naval Forces, Civil Defense, DOSAAF and Military...
This publication, Military Sfrategies for Sustainment of Nufrition and Immune Function in the Field, is the latest in a series of reports based on workshops sponsored by the Committee on Military Nutrition Research (CMNR...
the various security forces, policy reviews and the introduction of a human ...... Military legal practitioners must become experts in the land, air, maritime and cyber- ... private military companies, non-governmental organisations, transnational.
Best Jr, Richard A
... carry out their military missions, and to be prepared to deliver health care during wartime. The military health system also provides, where space is available, health care services in Department of Defense (DOD...
Vincent, Stéphanie; Weatherall, Cecilie Dohlmann; W. Jepsen, Peter
Public concern about soldiers’ mental health has increased over the last decade. Yet the large literature on the mental health problems of returning soldiers relies primarily on self-reported measures that may suffer from non-response bias, usually refers to older conflicts, and focuses mainly...... on specific diagnoses such as PTSD. Another challenge is that the differences between soldiers and non-soldiers are not necessarily causal, instead possibly reflecting an underlying propensity towards active military service. Using the objective measures of hospitalizations and the purchase of mental health...... medication, this paper is the first to investigate the effect of recent military deployments on a broader measure of mental health, for a full population of Danish soldiers and a comparison group of eligible men. We exploit a panel of Danish health administrative records and use propensity score matching...
Čabarkapa Milanko M.
Full Text Available Suicide of soldiers has its own specifics, because not only it represents the tragedy for the individuals and their family, but also has great psychological effect on social environment and military unit in which it occurs. Suicide can be caused by variety of factors, as reported in the literature. The case reviewed in this article presents multilateral determination of suicide, with particular stress on the character of each individual and social interaction of soldiers. Psychological complex of basic inferiority, low educational level, family problems, and poor integration into military unit could be considered the leading determinants of this suicide. This emphasizes the importance of certain preventive measures such as more rigorous psychological selection for specific military duty, and the education of non-commissioned officers for better recognition and understanding of pre-suicidal syndrome.
Jamison, David; Cohen, Steven P.
As in the general population, chronic pain is a prevalent and burdensome affliction in active-duty military personnel. Painful conditions in military members can be categorized broadly in terms of whether they arise directly from combat injuries (gunshot, fragmentation wound, blast impact) or whether they result from non-combat injuries (sprains, herniated discs, motor vehicle accidents). Both combat-related and non-combat-related causes of pain can further be classified as either acute or chronic. Here we discuss the state of pain management as it relates to the military population in both deployed and non-deployed settings. The term non-battle injury (NBI) is commonly used to refer to those conditions not directly associated with the combat actions of war. In the history of warfare, NBI have far outstripped battle-related injuries in terms not only of morbidity, but also mortality. It was not until improvements in health care and field medicine were applied in World War I that battle-related deaths finally outnumbered those attributed to disease and pestilence. However, NBI have been the leading cause of morbidity and hospital admission in every major conflict since the Korean War. Pain remains a leading cause of presentation to military medical facilities, both in and out of theater. The absence of pain services is associated with a low return-to-duty rate among the deployed population. The most common pain complaints involve the low-back and neck, and studies have suggested that earlier treatment is associated with more significant improvement and a higher return to duty rate. It is recognized that military medicine is often at the forefront of medical innovation, and that many fields of medicine have reaped benefit from the conduct of war.
Full Text Available The aim of the paper is to discuss the role of communication in military leadership. First of all, basic terms related to communication, command and military leadership are explained. In the following parts of the paper it is intended to answer the question contained in the title: what is the role of communication in the military leadership? To precise the issue: is the role of communication in military organisations similar to civilian leadership and management or does it significantly differ?
Jerald A Schiff; Benedict J. Clements; Sanjeev Gupta
The decline in military spending that began in the mid-1980s continued through 1995, and this decline was widespread both geographically and by level of development. Cuts in military spending appear to have potentially important implications for nonmilitary spending and fiscal adjustment. In contrast to findings for previous periods, military spending has declined more than proportionately in those countries that have reduced total spending. Countries with Fund programs have reduced military ...
Roberts, Gordon R
.... The cause for this apparent mental reservation on the part of military leaders can be found in their organizational bias and environmental influences, but the solution can be found in history. It is vital for the military to understand that a currency of truth is the most important contribution it can make to the civilian-military relationship.
performance measures: customer satisfaction , flexibility, visibility, and trust. If we apply this explanation of Li and Schulze (2011) to the military...unmanned systems, initially, we aimed to define current and proposed unmanned applications in civilian-sector logistics and current military...aimed to define current and proposed unmanned applications in civilian-sector logistics and current military logistics challenges. Then, justifying
Poliakov, R. Iu.
The subcultures that develop among military students have a powerful influence on their values and behavior, and in some situations are more influential than the official, military culture. Any attempt to improve levels of discipline in the military cannot afford to ignore these subcultures. [This article was translated by Kim Braithwaite.
.... If the Military Citation and The Bluebook do not address a source of authority used in military practice, the author should attempt to maintain uniformity in citation style by adapting the most analogous and useful citation form that Military Citation and The Bluebook do address. Most importantly, the author should provide the reader with sufficient information to locate the referenced material swiftly.
... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Military service. 842.306 Section 842.306... EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Credit for Service § 842.306 Military service. (a) Except as...' Retirement System Act of 1986, an employee's or Member's military service is creditable if it was performed...
... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Military service. 831.301 Section 831.301...) RETIREMENT Credit for Service § 831.301 Military service. (a) Service of an individual who first became an... is not receiving military retired pay awarded for reasons other than (i) service-connected disability...
Tanofsky-Kraff, Marian; Sbrocco, Tracy; Theim, Kelly R.; Cohen, L. Adelyn; Mackey, Eleanor R.; Stice, Eric; Henderson, Jennifer L.; McCreight, Sarah J.; Bryant, Edny J.; Stephens, Mark B.
Objective This review discusses the current knowledge and future directions regarding obesity within the US military family (i.e., active-duty servicemembers, as well as military spouses, children, retirees, and veterans). The increasing rates of overweight and obesity within the US military adversely impact military readiness, limit recruitment, and place a significant financial burden on the Department of Defense. Design and Methods The following topics are reviewed: 1) The prevalence of and the financial, physical, and psychological costs associated with overweight in military communities; 2) military weight regulations, and challenges faced by the military family related to overweight and disordered eating; 3) the continued need for rigorous program evaluations and new intervention development. Results Overweight and its associated sequelae impact the entire military family. Military families share many similarities with their civilian counterparts, but they face unique challenges (e.g., stress related to deployments and relocations). Although the military has weight management resources, there is an urgent need for rigorous program evaluation and the development of enhanced obesity prevention programs across the lifespan of the military family–several of which are proposed herein. Conclusions Interdisciplinary and collaborative research efforts and team-based interventions will continue to inform understanding of obesity treatment and prevention within military and civilian populations. PMID:23836452
... 32 National Defense 6 2010-07-01 2010-07-01 false Military service. 1602.17 Section 1602.17 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM DEFINITIONS § 1602.17 Military service. The term military service includes service in the Army, the Navy, the Air Force...
Kleinreesink, E.; Soeters, J.M.M.L.
It can be difficult for researchers from outside the military to gain access to the field. However, there is a rich source on the military that is readily available for every researcher: military memoirs. This source does provide some methodological challenges with regard to truth and (self)
the Brazilian military.57 The establishment of an enduring program, even after the departure of US personnel, indicated the successful nature of...United States, coming to support the United States in a time of crisis went a long way to begin rebuilding a relationship that was in decline since the
Scientia Militaria: South African Journal of Military Studies. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 8, No 4 (1978) >. Log in or Register to get access to full text downloads.
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
Andrew, R R
A comparative study of costs per bed per day in teaching hospitals affiliated with Monash University compared with large non-teaching metropolitan hospitals (1964 to 1974) shows they are much higher in teaching hospitals. There is no evidence that this is due to the additional costs arising from the clinical schools. Research in the teaching hospitals and the accompanying high professional standards and demands on services are major factors accounting for the difference. Over the decade studied, the resident staff have increased by 77% and other salaried staff by 24%. The index of expenditure for the three teaching hospitals in the decade has increased by 386%.
Breland, Jessica Y; Donalson, Rosemary; Nevedal, Andrea; Dinh, Julie V; Maguen, Shira
Disordered eating, ranging from occasional binge eating or restriction to behaviors associated with eating disorder diagnoses, is common among military personnel and veterans. However, there is little information on how military service affects eating habits. To describe possible pathways between military service and disordered eating among women veterans, a high risk group. Twenty women veterans who reported changing eating habits in response to stress participated in audio-recorded focus groups or dyadic interviews between April 2013 and October 2014. We used thematic analysis of transcripts to identify and understand women's self-reported eating habits before, during, and after military service. Participants reported entering the military with varied eating habits, but little disordered eating. Participants described several ways military environments affected eating habits, for example, by promoting fast, irregular, binge-like eating and disrupting the reward value of food. Participants believed military-related stressors, which were often related to gender, also affected eating habits. Such stressors included military sexual trauma and the need to meet military weight requirements in general and after giving birth. Participants also reported that poor eating habits continued after military service, often because they remained under stress. For some women, military service can result in socialization to poor eating habits, which when combined with exposure to stressors can lead to disordered eating. Additional research is needed, including work to understand possible benefits associated with providing support in relation to military weight requirements and the transition out of military service. Given the unique experiences of women in the military, future work could also focus on health services surrounding pregnancy-related weight change and the stress associated with being a woman in predominantly male military environments. Published by Elsevier Ltd.
Culture analysis seems to create friction when we try to introduce academic concepts relating to culture to military planners. This friction might be related to the fact that officers and academics do their thinking in different 'spaces'. This paper argues the interface or overlapping space between...
...: quality of scholarship, point of view subject matter, and readability. They are categorized by period and subject matter, and given a rating by the author. The first chapter contains an annotated list of twenty-five books that Dr. Murray considers essential to the library of a warfighter, scholar, or student of military history.
militarization Union. I have concluded that the disappeared. 5 Indeed, a de -militarization military’s opportunity and motivation to of Soviet society and... sindrom 41-go." Novoe vremya, No. 8 (February volunteers over conscripts, and the Navy 1991); Maj. Gen. V.G. Strekozov, "Zakony ob oborone i statuse
In Private Military and Security Contractors: Controlling the Corporate Warrior a multinational team of 16 scholars and a practitioner from political science, sociology, and law address a developing phenomenon: controlling the use of privatized force by states in international politics. Robust...
Rossen, Eric; Carter, Courtney D.
In the last decade, more than 800,000 parents of school-age children have been deployed by the U.S. military. Many have deployed more than once and for extended periods, often longer than a year. As a result, increasing numbers of students experience significant distress on a daily basis and are at increased risk for behavioral problems, decreased…
Full Text Available Attractions such as military history museums which exhibit a wide range of important historical artefacts are fundamental sub-elements in any tourism systems, and yet their study suffers from lack of theoretical depth. Military history is an integral element of the history of any nation and countless varieties of tourists both local and international, visit military museums whenever the opportunity presents itself because museums are generally stimulating places of interest. This article focuses predominantly on international tourists visiting the Ditsong National Museum of Military History. In addition to the interest that such museums generate, they play a key role as the organizational foundation stones of modernity. It is via their many interesting exhibits that museums enlighten us about the past that intrinsically highlights its distance from the present era. Museums also selectively reconstitute aspects of history and in so doing alienate many artefacts from their original context and yet manage to impart deep understanding of events that shaped the modern world. Museums of all types thus impart knowledge and have a wide range of tales to tell concerning the many and diverse assortments of objects they hold. National pride is an obvious reason for having a military museum where the comprehensive display of military equipment is exceptionally unique while exhibition halls also offer an educational narrative of a nation’s history. What is also of interest to many visitors is the type of research that is carried out in a multiplicity of ways. The huge global growth in tourism in recent years has contributed to many museums radically altering their exhibits in both content and manner of exhibition. This is significant given the reciprocal impact that museums and tourism have on one another. The attractions in museums are regarded by many to be central to the tourism process and these are very often the main reason for many tourists visiting
Mahlen, Steven D.
Summary: Serratia species, in particular Serratia marcescens, are significant human pathogens. S. marcescens has a long and interesting taxonomic, medical experimentation, military experimentation, and human clinical infection history. The organisms in this genus, particularly S. marcescens, were long thought to be nonpathogenic. Because S. marcescens was thought to be a nonpathogen and is usually red pigmented, the U.S. military conducted experiments that attempted to ascertain the spread of this organism released over large areas. In the process, members of both the public and the military were exposed to S. marcescens, and this was uncovered by the press in the 1970s, leading to U.S. congressional hearings. S. marcescens was found to be a certain human pathogen by the mid-1960s. S. marcescens and S. liquefaciens have been isolated as causative agents of numerous outbreaks and opportunistic infections, and the association of these organisms with point sources such as medical devices and various solutions given to hospitalized patients is striking. Serratia species appear to be common environmental organisms, and this helps to explain the large number of nosocomial infections due to these bacteria. Since many nosocomial infections are caused by multiply antibiotic-resistant strains of S. marcescens, this increases the danger to hospitalized patients, and hospital personnel should be vigilant in preventing nosocomial outbreaks due to this organism. S. marcescens, and probably other species in the genus, carries several antibiotic resistance determinants and is also capable of acquiring resistance genes. S. marcescens and S. liquefaciens are usually identified well in the clinical laboratory, but the other species are rare enough that laboratory technologists may not recognize them. 16S rRNA gene sequencing may enable better identification of some of the less common Serratia species. PMID:21976608
Full Text Available Objective To investigate the current global status of military ocular injury for the purpose of improving the level of domestic epidemiological investigation,in order to improve treatment strategies,and to prevent and reduce the incidence of military ocular injury in Chinese PLA.Methods The epidemiological literature concerning military ocular injury occurring in our country and abroad in recent five years was retrieved by information research;the problems and experiences in the aspects of epidemiological survey,registry,data collection,systematic treatment and prevention of military ocular injury existed in PLA were also summarized and analyzed.Results There were currently no systematic epidemiological data about ocular injury in PLA.A few articles about epidemiological study on ocular injury showed that servicemen were the high risk population of ocular injury.Both in peacetime or wartime the ocular injury was the primary cause leading to monocular blindness of soldiers.As to the ocular injury,in 51.55% of the patients,it occurred in the military operations and work,and 30.31% in military training.The incidence of ocular injury was different in various services,for example,the incidence in the internal security forces of armed police could be as high as 78.85% due to training of martial arts and boxing and wrestling.The deficiency of microsurgery equipments and untimely evacuation were the main causes affecting prognosis during treatment course in primary military hospitals.Conclusions Military affairs,physical training,military maneuver and defense constructions are the main causes of ocular injury in servicemen,and young male soldiers are the main group for prevention and treatment for military ocular injury.More attention should be paid to the epidemiological survey of military ocular injury to find out the causes leading to ocular injury,to improve treatment strategies,to formulate feasible protective measures and then military ocular
There are 9.4 million military veterans receiving Social Security benefits, which means that almost one out of every four adult Social Security beneficiaries has served in the United States military. In addition, veterans and their families make up almost 40 percent of the adult Social Security beneficiary population. Policymakers are particularly interested in military veterans and their families and have provided them with benefits through several government programs, including Social Security credits, home loan guarantees, and compensation and pension payments through the Department of Veterans Affairs. It is therefore important to understand the economic and demographic characteristics of this population. Information in this article is based on data from the March 2004 Current Population Survey, a large, nationally representative survey of U.S. households. Veterans are overwhelmingly male compared with all adult Social Security beneficiaries who are more evenly split between males and females. Military veterans receiving Social Security are more likely to be married and to have finished high school compared with all adult Social Security beneficiaries, and they are less likely to be poor or near poor than the overall beneficiary population. Fourteen percent of veterans receiving Social Security benefits have income below 150 percent of poverty, while 25 percent of all adult Social Security beneficiaries are below this level. The higher economic status among veterans is also reflected in the relatively high Social Security benefits they receive. The number of military veterans receiving Social Security benefits will remain high over the next few decades, while their make-up and characteristics will change. In particular, the number of Vietnam War veterans who receive Social Security will increase in the coming decades, while the number of veterans from World War II and the Korean War will decline.
Full Text Available The origins of military leadership are rooted in ancient times and its embodiment are great chieftains and commanders. However, since the moment when in organisation and management sciences the civil theories of leadership started to emerge, the military forces have incorporated their solutions to structure the assumptions of new, coherent and effective models of military leadership. A good example of such solutions is the Canadian model of military leadership, competently merging the civil theories with experience and needs of the military environment. This solution may be a perfect example of effective application of leadership theory to modify the existing national model of military leadership and construct a more efficient one.
support from the lesbian, gay, bi-sexual, transgender ( LGBT ) community and in return made several campaign promises along the way. One of the campaign ...Lesbian, Gay, Bi-sexual, Transgender] ( LGBT ) rights is exploited by those seeking to divide us. But at its core, this issue is about who we are as...No. 85. July 2007. Donnelly, Elaine. Who Will Confront the “ LGBT Left?”. Center for Military Readiness. (5 February 2008). Frank
Chang, Bei-Hung; Stein, Nathan R; Skarf, Lara M
Although combat experiences can have a profound impact on individuals' spirituality, there is a dearth of research in this area. Our recent study indicates that one unique spiritual need of veterans who are at the end of life is to resolve distress caused by combat-related events that conflict with their personal beliefs. This study sought to gain an understanding of chaplains' perspectives on this type of spiritual need, as well as the spiritual care that chaplains provide to help veterans ease this distress. We individually interviewed five chaplains who have provided spiritual care to veterans at the end of life in a Veterans Administration hospital. The interviews were recorded, transcribed, and analyzed based on "grounded theory." Chaplains reported that they frequently encounter veterans at the end of life who are still suffering from thoughts or images of events that occurred during their military career. Although some veterans are hesitant to discuss their experiences, chaplains reported that they have had some success with helping the veterans to open up. Additionally, chaplains reported using both religious (e.g., confessing sins) and nonreligious approaches (e.g., recording military experience) to help veterans to heal. Our pilot study provides some insight into the spiritual distress that many military veterans may be experiencing, as well as methods that a chaplain can employ to help these veterans. Further studies are needed to confirm our findings and to examine the value of integrating the chaplain service into mental health care for veterans.
Full Text Available Background/Aim. In December 2001, an outbreak of trichinellosis spreaded in a military unit. The aim of this paper was to show possibilities and consequences of trichinellosis infestations in military units during peace time, as well as to improve knowledge and awareness of medical corps personnel, commanders and soldiers about this disease. Methods. A descriptive and analytical epidemiological models were used to find out a source of outbreak and to identify the ways of its transmission. Results. This outbreak was caused by the contaminated raw smoked sausage which had not undergone health inspection and brought from civilians to a military unit. Thirty-eight persons were exposed, twenty-one affected and hospitalized. The most frequent symptoms reported were fever (76.2%, myalgia (76.2%, palpebral edema (42.8%, face edema (19.0% and diarrhea (14.3%. Test for indirect immunofluorescence was positive in 14.3% and ELISA test was positive in 28.6% of the patients. Eosinophilia was present in 85.7% of the affected. IgE values were increased in 28.6% and CPK values were increased in 61.9% of the diseased. All of the 17 exposed undiseased had negative laboratory analyses for trichinellosis. Conclusion. We propose intensifying health education and continuing the implementation of duly supervised and evaluated self-check programs. A well-tuned, fast-reacting epidemiological monitoring system has to be obligatory.
Apgar, Mahlon; Keane, John M
A $200 billion market has appeared on your business horizon, but you may not have noticed it. It's the U.S. military--the new U.S. military. Virtually all aspects of the military are changing to ensure it can fight unpredictable threats while sustaining the infrastructure needed to support and train forces. The military is turning to non-traditional business partners to meet a wide range of needs, from health care to housing to information technology. The Defense Department is yielding its monopoly on every aspect of national security and adopting a more businesslike model in which the military's warfighting capabilities are supported through outsourcing and business alliances. Civilians are replacing military personnel in many noncombat roles. Military functions with corporate equivalents are candidates for outsourcing and privatization. Market standards are replacing the heavy customization that has locked many companies out of this marketplace. The authors have participated in the transformation process from different perspectives--one civilian, the other military. Together, they highlight the prospects that transformation is creating for companies outside the traditional defense industry and reveal paths to success in this complex market. They also present six principles for doing business with the military that require persistence, integrity, and a willingness to master the intricacies of a distinctive culture. By understanding the logic of military transformation, executives can identify and create vast new business opportunities. And by mastering the six principles, they can build profitable long-term relationships.
Meadows, Sarah O.; Beckett, Megan K.; Bowling, Kirby; Golinelli, Daniela; Fisher, Michael P.; Martin, Laurie T.; Meredith, Lisa S.; Osilla, Karen Chan
Abstract Military life presents a variety of challenges to military families, including frequent separations and relocations as well as the risks that service members face during deployment; however, many families successfully navigate these challenges. Despite a recent emphasis on family resilience, the U.S. Department of Defense (DoD) does not have a standard and universally accepted definition of family resilience. A standard definition is a necessary for DoD to more effectively assess its efforts to sustain and improve family resilience. RAND authors reviewed the literature on family resilience and, in this study, recommend a definition that could be used DoD-wide. The authors also reviewed DoD policies related to family resilience, reviewed models that describe family resilience and identified key family resilience factors, and developed several recommendations for how family-resilience programs and policies could be managed across DoD. PMID:28083409
Full Text Available One of the main goals for human resources management structures and for armed forces leaders is to maintain all necessary personnel, both qualitatively and quantitatively for operational needs or for full required capabilities. The retention of military personnel is essential to keep morale and unit readiness and to reduce the costs for recruiting, training, replacement of manpower. Retention rates depend not only on money or other social measures. The goal for retention is to keep in use the most valuable resource that belongs to an organization: the human beings and their knowledge. The aim pf this paper is to provide a comparative analysis of retention measures in various countries based on Research and Technology Organisation report released in 2007 and, thus, provide more examples of retention measures as far as the Romanian military system is concerned.
Beaumont, Steven P; Allan, Helen T
To explore how peacetime employment of military nurses in the UK National Health Service Medical Defence Hospital Units prepares them to be competent to practise in their role on deployment. Military secondary care nurses are employed within UK National Health Service Trusts to gain clinical experience that will be relevant to their military nursing role. A two-stage grounded theory study using mixed methods: postal questionnaire survey and in-depth interviews. In stage one a postal questionnaire was distributed to all serving military nurses. Stage two involved 12 semi-structured interviews. The data from both parts of the study were analysed using grounded theory. Four categories and one core category were identified, which suggested that participants did not feel fully prepared for deployment. Their feelings of preparedness increased with deployment experience and decreased when the nature of injuries seen on deployment changed. Respondents argued that even when unprepared, they did not feel incompetent. The findings suggest that the peacetime clinical experience gained in the National Health Service did not always develop the necessary competencies to carry out roles as military nurses on deployment. This study highlights the unique role of military nurses. We discuss these findings in the light of the literature on competency and expertise. The military nurses in this study did not feel fully prepared for deployed operations. We propose a new model for how military nurses could gain relevant experience from their National Health Service placements. National Health Service clinical placements need to be reassessed regularly to ensure that they are meeting military nurses' clinical requirements. Experiences of nurses returning from deployment could be shared and used as a basis for reflection and learning within National Health Service Trusts and also inform decisions regarding the appropriateness of clinical placements for qualified military nurses. © 2012
SGVU SUBJECT: Professional Presentation Approval 8 APR2016 1. Your paper, entitled Statistical Challenges in Military Research presented at Joint...Statistical Meetings, Chicago, IL 30 July - 4 Aug 2016 and Proceedings of the Joint Statistical Meetings with MDWI 41-108, and has been assigned ...charges (to include costs for tables and black and white photos). We cannot pay for reprints. If you are 59 MDW staff member, we can forward your request
automated artificial intelligence to act at the speed of cyber (S. Jasper, class notes, September 12, 2017). The idea is to limit damage inside your network...we would not want artificial intelligence conducting counter attacks; there needs to be a human in the loop in order to prevent terrible decisions...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT CYBERSECURITY EDUCATION FOR MILITARY OFFICERS
federal subsidies have promoted produc- tion and use of biodiesel, which is not a hydrocarbon but rather a fatty acid methyl ester ( FAME ) unsuitable for... methyl ester ( FAME ). FAME and blends of FAME with petroleum-derived fuels are currently banned from use in all deployable, tactical DoD military...fatty acid methyl ester FT Fischer-Tropsch FY fiscal year ISBL inside battery limit Navy Fuels Team Naval Fuels and Lubricants Cross-Functional Team
or position of the Department of the Army, Department of Defense, or the U.S. Government. MILITARY ENGAGEMENT WITH SOCIAL MEDIA BY...been the Army’s best and most effective messengers. Every time a member of the Army family joins Army social media , it increases the timely and...transparent dissemination of information. Social media is a cheap, effective , and measurable form of communication.”6 The Deputy Secretary of Defense
attack birds move in, it realizes the reserve must finish the fight. TF Sa- is over.., the senior controller calls "change of ber is alerted to recycle ...concentrate on field S1 must then take the casualties and recycle exerise performance alone, measwing it them as replacements. objectively against a...degenerate into a formal rehash of military history and the causes and consequences of common places and a plodding through trivia , tension between
comment directly on the moral dimensions of military deception is the great Roman orator, Marcus Tullius Cicero (106-43 B.C.). Of paramount...action is to be commended, if what is 1 Marcus Tullius Cicero, De Officiis, I.xiii.40, trans. Walter Miller (Cambridge: Harvard University Press, 1913... Aurelius Augustinus (A.D. 354-430), later known as Saint Augustine, the Catholic bishop of Hippo in North Africa, is in many ways the pivotal
Talas, Laszlo; Baddeley, Roland J; Cuthill, Innes C
While one has evolved and the other been consciously created, animal and military camouflage are expected to show many similar design principles. Using a unique database of calibrated photographs of camouflage uniform patterns, processed using texture and colour analysis methods from computer vision, we show that the parallels with biology are deeper than design for effective concealment. Using two case studies we show that, like many animal colour patterns, military camouflage can serve multiple functions. Following the dissolution of the Warsaw Pact, countries that became more Western-facing in political terms converged on NATO patterns in camouflage texture and colour. Following the break-up of the former Yugoslavia, the resulting states diverged in design, becoming more similar to neighbouring countries than the ancestral design. None of these insights would have been obtained using extant military approaches to camouflage design, which focus solely on concealment. Moreover, our computational techniques for quantifying pattern offer new tools for comparative biologists studying animal coloration.This article is part of the themed issue 'Animal coloration: production, perception, function and application'. © 2017 The Author(s).
The central problem of modern military art is defined as the development of new methods of conducting armed conflict. The changes involving the radical military technical re-equipping of Soviet Armed Forces, are described.
Kutz, Gregory D; Causseaux, Bruce A; Dorn, Terrell G
The Kaiserslautern Military Community Center (KMCC) is one of many projects initiated at Ramstein Air Base to upgrade capabilities of the base as a result of the consolidation of military bases in Europe...
This thesis analyzes the civil-military relations of the growing U.S. military presence in Romania and the implications of this development for bi-lateral relations beyond the barracks and the maneuver field...
This research thesis is a study through a military commercial industry partnership to seek whether investments in military modeling and simulation can be easily transferred to benefit commercial industry...
Nikolai P. Kovalev
Full Text Available One of peculiar features of the military criminal justice system in Russia is that in some cases military defendants may apply for trial by jury. Unlike the existing U.S. court-martial jury and the Russian military jury of the early 1900s (World War I period which were comprised of the members of the armed forces, in modern Russia jurors trying military defendants are civilians. This article aims to provide a brief history of military jury in Russia and identify issues of independence and impartiality in Russian military courts with participation of lay decision-makers. In particular, the article will analyze two high-profile cases which resulted in acquittals of Russian officers accused of killing several Chechen civilians during counter-terrorist operations in Chechnya.
U.S. Department of Health & Human Services — Welcome to hospitalinspections.org, a website run by the Association of Health Care Journalists (AHCJ) that aims to make federal hospital inspection reports easier...
This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation.
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...
Bolin, Phil Warren
Approved for public release; distribution is unlimited. The influence of military service and military vocational training on post-service earnings was analyzed using the National Longitudinal Survey of young men (14-24 years of age in 1966) . When individuals were classified by their propensity to use training neither military service nor military vocational training was a significant determinant of post-service earnings. A disaggregation of the sample IQ revealed that m...
Anxiety, Life Satisfaction , Addiction, Trauma 4 The Military Family Coping Project reflects two phases. The first consisted of a series of focus...need for and guided the work of the Military Family Coping Project Phase II funded by TATRC. The Military Family Coping Project Phase II was...solidarity. For the purposes of family functioning analyses, married and unmarried soldiers were analyzed separately because marital status affects
Petrov, G M; Moretskiĭ, A A
There are discussed the problems of military treatment and prophylactic institution (TPI) functioning under conditions of market reform of Russian public health. Main marketing concepts in military health are determined and some recommendations on work improvement in TPI of the Armed Forces in the system of obligatory medical insurance are presented, granting population paid medical services. It is necessary to form a new type of director--military and medical manager.
Abu-Qarn, A. S.; Dunne, J. P.; Abdelfattah, Y.; Zaher, S.
Egypt plays a pivotal role in the security of the Middle East as the doorway to Europe and its military expenditure reflects its involvement in the machinations of such an unstable region, showing considerable variation over the last forty years. These characteristics make it a particularly interesting case study of the determinants of military spending. This paper specifies and estimates an econometric model of the Egyptian demand for military spending, taking into account important strategi...
Jie, Wan; Wen, Wang
The building of military logistics network is an important issue for the construction of new forces. This paper has thrown out a concept model of 6R military logistics network model based on JIT. Then we conceive of axis spoke y logistics centers network, flexible 6R organizational network, lean 6R military information network based grid. And then the strategy and proposal for the construction of the three sub networks of 6Rmilitary logistics network are given.
Sun, Yong; Shao, Yani; Zhang, Zhiguo; Wang, Lianfen; Mariga, Alfred M.; Pang, Guangchang; Geng, Chaoyu; Ho, Chi-Tang; Hu, Qiuhui; Zhao, Liyan
Cordyceps (Cordyceps militaris) exhibits many biological activities including antioxidant, inhibition of inflammation, cancer prevention, hypoglycemic, and antiaging properties, etc. However, a majority of studies involving C. militaris have focused only on in vitro and animal models, and there is a lack of direct translation and application of study results to clinical practice (e.g., health benefits). In this study, we investigated the regulatory effects of C. militaris micron powder (3 dos...
Hiring Expectancies – Expectancy (VIE) Theory ( Vroom , 1996) states individuals choose among a set of employment alternatives on the basis of the...A Conceptual Model of Military Recruitment Presented at NATO Technical Course HFM 180 – Strategies to Address Recruiting and Retention Issues in...the Military Fariya Syed October, 2009 Based on A Proposed Model Of Military Recruitment (Schreurs & Syed, 2007) Report Documentation Page
basis of military economics. As is known, the modern scientific and technological revolution has strengthened even more the dependence of war and...investment spheres of an academy’s graduates must also be consider- ed The teaching of political and military economies would border on enlight - enment...dynamics of its military, economic, scientific and technological potential without mastering the changes in the industrial structure of physical
Full Text Available After the peace bonus era, global military expenditures have escalated sharply despite some worldwide declines in military personnel. Theories on the economic impacts of the military institution and escalated military spending greatly differ and include arguments that they either improve domestic economic performance or crowd out growth-inducing processes. Empirical findings on this matter are inconclusive, in part due to a failure to disentangle the various dimensions of military expenditures. We further suggest that modern sociology's relative inattention to such issues has contributed to these shortcomings. We explore a new dimension of military spending that clarifies this issuemilitary expenditures per soldier which captures the capital intensiveness of a countrys military organization. Our cross-national panel regression and causal analyses of developed and less developed countries from 1990 to 2003 show that military expenditures per soldier inhibit the growth of per capita GDP, net of control variables, with the most pronounced effects in least developed countries. These expenditures inhibit national development in part by slowing the expansion of the labor force. Labor-intensive militaries may provide a pathway for upward mobility, but comparatively capital-intensive military organizations limit entry opportunities for unskilled and under- or unemployed people. Deep investments in military hardware also reduce the investment capital available for more economically productive opportunities. We also find that arms imports have a positive effect on economic growth, but only in less developed countries.
Ott, Laura E.; Kellley Morgan, Jessica; Akroyd, H. Duane
The military lifestyle imposes unique challenges for military spouses in regards to their education and careers. To help alleviate these challenges, military spouses are encouraged to pursue portable career paths. This causes one to question whether spouses desire these portable careers and what influences spouses place on pursuing specific…
Hospenthal, Duane R; Green, Andrew D; Crouch, Helen K; English, Judith F; Pool, Jane; Yun, Heather C; Murray, Clinton K
Infections have complicated the care of combat casualties throughout history and were at one time considered part of the natural history of combat trauma. Personnel who survived to reach medical care were expected to develop and possibly succumb to infections during their care in military hospitals. Initial care of war wounds continues to focus on rapid surgical care with debridement and irrigation, aimed at preventing local infection and sepsis with bacteria from the environment (e.g., clostridial gangrene) or the casualty's own flora. Over the past 150 years, with the revelation that pathogens can be spread from patient to patient and from healthcare providers to patients (including via unwashed hands of healthcare workers, the hospital environment and fomites), a focus on infection prevention and control aimed at decreasing transmission of pathogens and prevention of these infections has developed. Infections associated with combat-related injuries in the recent operations in Iraq and Afghanistan have predominantly been secondary to multidrug-resistant pathogens, likely acquired within the military healthcare system. These healthcare-associated infections seem to originate throughout the system, from deployed medical treatment facilities through the chain of care outside of the combat zone. Emphasis on infection prevention and control, including hand hygiene, isolation, cohorting, and antibiotic control measures, in deployed medical treatment facilities is essential to reducing these healthcare-associated infections. This review was produced to support the Guidelines for the Prevention of Infections Associated With Combat-Related Injuries: 2011 Update contained in this supplement of Journal of Trauma.
Hall, Lynn K
Social workers can make a significant contribution to military service members and their families, but first it is essential that the worldview, the mindset, and the historical perspective of life in the military are understood. Unless we understand how the unique characteristics of the military impact the service members and their families, we cannot work effectively with them. In addition, unless we understand their language, their structure, why they join, their commitment to the mission, and the role of honor and sacrifice in military service, we will not be able to adequately intervene and offer care to these families.
Partial Contents: Military Political Issues, Warsaw Pact, Armed Forces, Ground Forces, Air Force, Air Defense Forces, Naval Forces, Strategic Rocket Forces, Civil Defense , Rear Services, Defense Industries, DOSAAF...
.... In addition to definitions specific to auditory displays, speech communication, and audio technology, the lexicon includes several terms unique to military operational environments and human factors...
authorities, military support to civilian law enforcement agencies, and military assistance for civil disturbances. Also called MACA . (DODD 3025.1...Center MACA military assistance to civil authorities MACB multinational acquisition and contracting board MACCS Marine air command and control
... DEPARTMENT OF DEFENSE Office of the Secretary Military Leadership Diversity Commission Meeting... will take place: 1. Name of Committee: Military Leadership Diversity Commission (MLDC). 2. Date... Military Leadership Diversity Commission to continue their efforts to address congressional concerns as...
power interplay between the civil elites and the military elites using the term 'civil- military relations' ..... the American military, whose 5th Fleet is headquartered in Bahrain. The advice was that the ..... Embassy Madrid. 23 Danopoulos, C (ed).
... DEPARTMENT OF DEFENSE Office of the Secretary Military Leadership Diversity Commission (MLDC....150, the Department of Defense announces that the Military Leadership Diversity Commission (MLDC) will... commissioners of the Military Leadership Diversity Commission to continue their efforts to address congressional...
Maloney, J P; Anderson, F D; Gladd, D L; Brown, D L; Hardy, M A
The purpose of this study was to describe health care providers' perceptions of their work environment at a large U.S. Army medical center, and to compare the findings to other military medical centers. The sample (N = 112) consisted of the professional nursing staff working on the nine inpatient units. The Work Environmental Scale (WES) was used to measure perceptions of the workplace relative to gender, position (head nurses, staff nurses, and agency nurses), specialty nursing (intensive care unit [ICU] versus non-ICU), education (MSN, BSN, and ADN), and patterns of differences between the WES subscales of four military medical centers. Results of the study indicate that there were no significant gender differences. Head nurses, non-ICU nurses, and MSN nurses perceived their environment more positively. There were significant differences in the WES subscales between the military hospitals. Implications for nursing using the WES were recommended.
Army Dental Centre, Military Hospital, Awolowo Road, Ikoyi, 1Department of ... Correspondence to: Dr. E. Taiwo Adebayo, General Post Office Box 3338, Kaduna – 800 001, Nigeria. .... meet their individual requirements for an adequate ..... reference materials such as essential drugs list, ... and sterilization equipment.
Sambu R. Tsyrendorzhjyev
Full Text Available The notion of "military danger, military threats, military and non-military measures to Parry, and other definitions from the policy of the State to ensure the military security of the now widely used in journalism, conceptual, other documents and research. The attentive reader it is not difficult to notice the ambiguity in the interpretation of these concepts. This makes it difficult to not only the perception of the relevant topics for ensuring military security publications, but also the development of the theory and practice of ensuring the defence and security of the State. The author's view on the essence of the reasoning logic of non-military measures to counter military threats, as the ultimate goal of the article is the following.First the task of analyzing the concept of "national security", "object of national security" and understand the functions of the State, society and the individual to ensure national security. Decomposition of an object of national security, which is "national property" (the content of the concepts described in the article has made it possible to substantiate the basis for classification of national security threats and with better understanding of the nature, variety, Genesis. This provided a rationale for the role and the place of the tasks ensuring military security in the common task of ensuring national security, the correlation of military and non-military threats.The final phase of the research, the results of which are set out in the article is devoted to analysis of military threats, which made it possible to identify their main structural elements: source, media, military-political and strategic nature, install the main factors defining the content of these elements and their interaction. Based on these results, the proposed definition of the essence of non-military measures for counteracting of military threats, as well as guidelines for developing these measures.
Henderson, Jr, Ronald H
The story of Regulus, while certainly apocryphal, nevertheless illustrates a fundamental tension of military leadership -- the moral imperative for military leaders to tell the truth, even when that...
Field, Kimberly C
The unique characteristics of the "Global War on Terrorism" have implications for the relationship society has with its military, and therefore, for military effectiveness in achieving political ends...
Liang, Chun-Yang; Yang, Yang; Shen, Chun-Sen; Wang, Hai-Jiang; Liu, Nai-Ming; Wang, Zhi-Wen; Zhu, Feng-Lei; Xu, Ru-Xiang
Secondary brain injury is the main cause of mortality from traumatic brain injury (TBI). One hallmark of TBI is intracranial hemorrhage, which occurs in 40-50% of severe TBI cases. Early identification of intracranial hematomas in TBI patients allows early surgical evacuation and can reduce the case fatality rate of TBI. As pre-hospital care is the weakest part of Chinese emergency care, there is an urgent need for a capability to detect brain hematomas early. In China, in addition to preventing injuries and diseases in military staff and in enhancing the military armed forces during war, military medicine participates in actions such as emergency public health crises, natural disasters, emerging conflicts, and anti-terrorist campaigns during peacetime. The purpose of this observational study is to evaluate in the Chinese military general hospital the performance of a near-infrared (NIR)-based portable device, developed for US Military, in the detection of traumatic intracranial hematomas. The endpoint of the study was a description of the test characteristics (sensitivity, specificity, and positive and negative predictive values [NPV]) of the portable NIR-based device in identification of hematomas within its detection limits (volume >3.5 mL and depth hematoma detection in patients sustaining TBI. Data were collected in the People's Liberation Army General Hospital in Beijing using the NIR device at the time of CT scans, which were performed to evaluate suspected TBI. One hundred and twenty seven patients were screened, and 102 patients were included in the per protocol population. Of the 102 patients, 24 were determined by CT scan to have intracranial hemorrhage. The CT scans were read by an independent neuroradiologist who was blinded to the NIR measurements. The NIR device demonstrated sensitivity of 100% (95% confidence intervals [CI] 82.8-100%) and specificity of 93.6% (95%CI 85-97.6%) in detecting intracranial hematomas larger than 3.5 mL in volume and that
professional military. It simultaneously undermines a military’s commitment to protect the country and its citizens. Plato noted some 2,400 years ago...stepping down from his post as Senior Advisor to the President on Defence and Security.42 He procured not only spoiled food rations for the Ugandan... Plato , The Republic, tr. G.M.A. Grube (Hacket, 1992), 417b and 434a-b. 17 “Above the State: The Officers’ Republic in Egypt,” Carnegie Middle East Center
Bourrelier, P.; Kassel, Ch.
The site of Pierrelatte in France, receives since 1958 gaseous diffusion plants assigned to the uranium enrichment for military uses. Since 1996 Cogema implements, by order of the Cea, a dismantling operation of the site. The operation which will begin in 2000, is going to last ten years. This project shows difficulties that make it innovative. Its originality, the planning, the risks, the program progressing and the regulation aspects are detailed in this paper. Beyond the complicated technical operations, the wastes management is of primary importance for the good development of the operations. (A.L.B.)
This paper reports that soon after Roentgen's discovery, physicians in the armed services of the major powers grasped the importance of x-ray sin military surgery. By May of 1896, radiographic examinations were being performed on Italian soldiers returning from the ill-fated Ethiopian campaign. Initially, radiographs were used for foreign body localization and the detection of fractures; later, a full range of diagnostic services was offered. The early challenges of obtaining x-ray examinations in the field - fragility of tubes and plates, mobility of machines and patients, and unpredictability of radiation dosage - became the basis for innovations that would fundamentally alter the daily practice of radiology in civilian life
Spent fuel elements contain the largest amount of radioactivity, but commercial spent fuel is not presently being reprocessed in the US, so the wastes are left contained within spent fuel assemblies and are not immediately accessible to the environment. By reprocessing military spent fuel to separate plutonium and unspent uranium from the highly radioactive and high-heat fission product waste, known as high-level waste (99.5% fission products and about 0.5% plutonium and uranium), nuclear weapons manufacture produces more dangerous radioactive wastes than do current commercial processes. The Department of Energy standards should be subject to an environmental impact study. 27 references
Muller, Kurt E.
Argues that facility in a foreign language contributes to the nation's military capability in command, intelligence, operations, logistics, survival skills and in community and official relations. After reviewing relevant historical episodes, suggests that an effort should be made to improve U.S. military personnel language skills. (MES)
Muhr, Sara Louise; Sløk-Andersen, Beate
Purpose The purpose of this paper is to examine why and how past stories of women’s insufficiency for military work survive and how they come to form a gendered organizational narrative dominant in constructing current opinions on women in the military. Design/methodology/approach The analysis is...
Rodt, Annemarie Peen
This book provides the first comprehensive review of the European Union’s role in military conflict management beyond its borders and makes an important contribution to debates on the EU’s role in global security governance. The EU has launched five military operations within the framework of its...
Meetings of students and veterans, militarized physical culture celebrations , department and school activities which develop a sense of patriotism, formal...they capable of making military affairs interesting to a young men in Adidas jackets with dyed- hackle hairdos, of getting them to love military
Veestraeten, Marlies; Kyndt, Eva; Dochy, Filip
As teams have become fundamental parts of today's organisations, the need for these teams to function and learn efficiently and effectively is widely emphasised. Also in military contexts team learning is vital. The current article examines team learning behaviour in military teams as it aims to cross-validate a team learning model that was…
of rich and poor – suffice it to refer to Meggitt (1998), in particular, who made ... was poised to use its military prowess ruthlessly when its preferred option. 4 Oakes' ..... 23 The military terms in 1 Peter's moral instruction, στρατεύονται (2:11) and ...
lithium -ion battery that may be replaced by the user (unlike Apple iPod Touch devices), thus spare batteries can be carried. If there is only sporadic...Android Smartphone Relevance to Military Weather Applications by David Sauter ARL-TR-5793 October 2011...Android Smartphone Relevance to Military Weather Applications David Sauter Computational and Information Sciences Directorate, ARL
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.
Phelps, Terri; Dunham, Mardis; Lyons, Robert
This study investigated the impact that military deployment has upon academic achievement of elementary school students. TerraNova test scores of 137 fourth and fifth grade students in two elementary schools with a high proportion of military dependent children were examined for two consecutive years. Although the academic test performance fell…
Sexual Harassment 1 Contrapower Sexual Harassment of Military Officers Sexual harassment is generally categorized in one of two ways: quid pro quo ...power or status over the victim (McKinney, 1992). The very definition of quid pro quo sexual harassment generally necessitates a superior harassing a...Contrapower Sexual Harassment of Military Officers A Thesis Presented by Sarah K. Clapp to the
The relationship between military expenditure and the stimulation of aggregate demand, inflation, investment, trade balance, foreign exchange, the improvement of taxation, and employment creation and industrialization in the Third World is analyzed. To some extent military expenditure does promote economic growth, but it does not automatically…
A key issue in the study of civil-military relations has been how to create a military sufficiently strong to ensure security from external threats while simultaneously preventing the military from using its preponderance of power in the domestic arena. This dilemma arises from the fear engendered by a large armed force created to combat foreign threats, but which is also inherently a threat to the society that created it. In Russia, however, the question is not how the civilian leadership can keep the military out of politics, but how the military can keep the leadership from politicizing the armed forces. The Russian military has no interest in resolving Russia`s domestic political problems. It is a professional military that prefers to leave politics to the politicians, and to carry out its mission of defending the nation against external attack. But the lack of responsible central leadership and the poor state of the economy are driving the military toward involvement in domestic politics if for no other reason than to ensure its own survival.
as any to borrow from other countries’ experiences. In order to do so, this article introduces the concept of ‘selective emulation’, and compares the French and German military adaptation processes in Afghanistan. The article argues that there is indeed something distinctive about French military...
Delahaij, R.; Gaillard, A.W.K.; Soeters, J.M.L.M.
The new environment in which current military operations take place is often characterized by unpredictable and ambiguous situations. This places new demands on military personnel. In combination with high levels of violence and threat, these situations will elicit acute stress reactions, which can
Ighoyota B. AJENAGHUGHRURE
Full Text Available Military infantry recruits, although trained, lacks experience in real-time combat operations, despite the combat simulations training. Therefore, the choice of including them in military operations is a thorough and careful process. This has left top military commanders with the tough task of deciding, the best blend of inexperienced and experienced infantry soldiers, for any military operation, based on available information on enemy strength and capability. This research project delves into the design of a mission combat efficiency estimator (MCEE. It is a decision support system that aids top military commanders in estimating the best combination of soldiers suitable for different military operations, based on available information on enemy’s combat experience. Hence, its advantages consist of reducing casualties and other risks that compromises the entire operation overall success, and also boosting the morals of soldiers in an operation, with such information as an estimation of combat efficiency of their enemies. The system was developed using Microsoft Asp.Net and Sql server backend. A case study test conducted with the MECEE system, reveals clearly that the MECEE system is an efficient tool for military mission planning in terms of team selection. Hence, when the MECEE system is fully deployed it will aid military commanders in the task of decision making on team members’ combination for any given operation based on enemy personnel information that is well known beforehand. Further work on the MECEE will be undertaken to explore fire power types and impact in mission combat efficiency estimation.
The history of military surgery claims many forebears. The first surgeon-soldiers were Homer's Machaon and Podalirius, followed a thousand years later by the Roman surgeons-general, Antonius Musa and Euphorbus; and later, e.g. Ambrose Paré, John Hunter and Sir John Pringle; and the 19th century innovators, Dominique-Jean Larrey (France), Friedrich von Esmarch (Prussia) and the Russian, Nikolai Pirogoff. The singular feature that distinguished modern military surgery from its earlier practice was the use of gunpowder. It was one of two inventions (the other was printing) that by the empowerment of individuals, lifted Western humankind from the medieval to the modern era. Research of primary and secondary archives. Gunpowder was first used in European warfare at Algeceras (1344-1368). Hitherto, the destruction of tissue had been the result of (relative) low-energy wounding with tissue damage caused by incisional or crushing wounds. The founder of modern surgery, Master John of Arderne (1307-1380), wrote of his experience gained as a military surgeon on the battlefield at Crecy (1346). Following Crecy, Arderne was the only chronicler who described the origins of the Prince of Wales's feathers as a royal and later commercial symbol, and the motto 'Ich Dien', 'I serve', as that of hospitals in the Western World. Later advances in military surgery incorporated both clinical experimentation and the innovation of new systems of pre-hospital battlefield care. © 2012 The Author. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons.
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.
Phipps, Alison; Barnett, Ronald
Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…
Jensen, Tina Blegind; Aanestad, Margunn
The purpose of this paper is to discuss the adoption of healthcare information systems (HIS) from a user perspective. Our case study concerns how a group of orthopaedic surgeons experienced and reacted to the adoption and mandatory use of an Electronic Patient Record system in a Danish hospital. We...... propose to use the concepts of hospitality and hostility to turn our attention to the interaction between the host (the surgeons) and the guest (the information system) and consider how the boundaries between them evolved in the everyday work practices. As an alternative to previous studies on technology...
requirements. Paula C. Lodi in her monogram “The Army Medical Department and Full Spectrum Operations” written for the School of Advanced Military...Center, 2004), 2.1-2.10. 14Paula C. Lodi, The Army Medical Department and Full Spectrum Operations, ( Monogram , School of Advanced Military Studies...paper in the past ten years on the level III hospital. Paula C. Lodi in her monogram “The Army Medical Department and Full Spectrum Operations” written
military intervention in the politics of some West African states and this calls for ... experienced military coup leading to military rule in most cases. ... study, we shall examine the closely knit nature of inter-state relationships in West ... It is instructive to note that the military juntas did not fare better in office. ..... Sweden: SIPRI.
... 32 National Defense 4 2010-07-01 2010-07-01 true Military Police and the USACIDC. 637.4 Section... ENFORCEMENT AND CRIMINAL INVESTIGATIONS MILITARY POLICE INVESTIGATION Investigations § 637.4 Military Police and the USACIDC. (a) The military police or the USACIDC are authorized to investigate allegations of...
Grigoryev O. V.
the article deals with the problem of changing the approaches to military discipline. Analyzed and its inextricable link with the military law, the role and place of discipline in strengthening statehood and the suppression of the destructive manifestations. The analysis of the modern understanding of military discipline in passing of military service in the Russian Federation.
... 7 Agriculture 15 2010-01-01 2010-01-01 false Active military duty. 3550.158 Section 3550.158... AGRICULTURE DIRECT SINGLE FAMILY HOUSING LOANS AND GRANTS Regular Servicing § 3550.158 Active military duty...-time active military duty after a loan is closed not exceed six percent. Active military duty does not...
... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Use of military service. 226.61 Section 226... § 226.61 Use of military service. (a) Claim for use of military service. An employee is deemed to have filed a claim for the use of military service and earnings as service and compensation under the...
... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Findings of Federal military agency. 614.21... UNEMPLOYMENT COMPENSATION FOR EX-SERVICEMEMBERS Responsibilities of Federal Military Agencies and State Agencies § 614.21 Findings of Federal military agency. (a) Findings in military documents. Information...
... 32 National Defense 4 2010-07-01 2010-07-01 true Clearance of military scrap. 644.522 Section 644... Excess Land and Improvements § 644.522 Clearance of military scrap. Military scrap can contain or be... destruction, by using command, of all military scrap and scrap metal from lands suitable for cultivation or...
Malnutrition seen in hospitals usually occurs as some form of protein-energy malnutrition (PEM). Primary PEM results from an acute or chronic deficiency of both protein and calories. Secondary PEM, or cachexia, results from a disease or medical condition such as cancer or gastrointestinal disease that alters requirements or impairs utilization of nutrients. This record was migrated from the OpenDepot repository service in June, 2017 before shutting down.
Theeler, Brett J; Kenney, Kimbra; Prokhorenko, Olga A; Fideli, Ulgen S; Campbell, William; Erickson, Jay C
Headaches can be triggered by a variety of factors. Military service members have a high prevalence of headache but the factors triggering headaches in military troops have not been identified. The objective of this study is to determine headache triggers in soldiers and military beneficiaries seeking specialty care for headaches. A total of 172 consecutive US Army soldiers and military dependents (civilians) evaluated at the headache clinics of 2 US Army Medical Centers completed a standardized questionnaire about their headache triggers. A total of 150 (87%) patients were active-duty military members and 22 (13%) patients were civilians. In total, 77% of subjects had migraine; 89% of patients reported at least one headache trigger with a mean of 8.3 triggers per patient. A wide variety of headache triggers was seen with the most common categories being environmental factors (74%), stress (67%), consumption-related factors (60%), and fatigue-related factors (57%). The types of headache triggers identified in active-duty service members were similar to those seen in civilians. Stress-related triggers were significantly more common in soldiers. There were no significant differences in trigger types between soldiers with and without a history of head trauma. Headaches in military service members are triggered mostly by the same factors as in civilians with stress being the most common trigger. Knowledge of headache triggers may be useful for developing strategies that reduce headache occurrence in the military.
Dave, Ajal; Cagniart, Kendra; Holtkamp, Matthew D
The development of primary stroke centers has improved outcomes for stroke patients. Telestroke networks have expanded the reach of stroke experts to underserved, geographically remote areas. This study illustrates the outcome and cost differences between neurology and primary care ischemic stroke admissions to demonstrate a need for telestroke networks within the Military Health System (MHS). All adult admissions with a primary diagnosis of ischemic stroke in the MHS Military Mart database from calendar years 2010 to 2015 were reviewed. Neurology, primary care, and intensive care unit (ICU) admissions were compared across primary outcomes of (1) disposition status and (2) intravenous tissue plasminogen activator administration and for secondary outcomes of (1) total cost of hospitalization and (2) length of stay (LOS). A total of 3623 admissions met the study's parameters. The composition was neurology 462 (12.8%), primary care 2324 (64.1%), ICU 677 (18.7%), and other/unknown 160 (4.4%). Almost all neurology admissions (97%) were at the 3 neurology training programs, whereas a strong majority of primary care admissions (80%) were at hospitals without a neurology admitting service. Hospitals without a neurology admitting service had more discharges to rehabilitation facilities and higher rates of in-hospital mortality. LOS was also longer in primary care admissions. Ischemic stroke admissions to neurology had better outcomes and decreased LOS when compared to primary care within the MHS. This demonstrates a possible gap in care. Implementation of a hub and spoke telestroke model is a potential solution. Published by Elsevier Inc.
Full Text Available the article analyzes the reasons, course and results of the military campaign of the Athenian military commander Kimon in the southwest of Asia Minor. The author provides a brief comparative-historical and textual analysis of written sources and archaeological materials testifying the military-political activity of Athens in Caria and Lycia. An attempt is made to analyze the evolution of views on the problem within the framework of classical and modern historiography. Based on the involvement of a wide range of data, an attempt is made to analyze the evolution of the political influence of Athens in southwestern Anatolia.
Albæk, Karsten; Leth-Petersen, Søren; le Maire, Daniel
Draft lottery data combined with Danish longitudinal administrative records show that military service can reduce criminal activity for youth offenders. For this group, property crime is reduced, and our results indicate that the effect is unlikely to be the result of incapacitation only. We find...... no effect of military service on violent crime, on educational attainment, or on employment and earnings, either in the short run or in the long run. These results suggest that military service does not upgrade productive human capital directly, but rather affects criminal activity through other channels (e...
Albæk, Karsten; Leth-Petersen, Søren; le Maire, Christian Daniel
Draft lottery data combined with Danish longitudinal administrative records show that military service can reduce criminal activity for youth offenders who enter service at ages 19-22. For this group property crime is reduced for up to five years from the beginning of service, and the effect...... is therefore not only a result of incapacitation while enrolled. We find no effect of service on violent crimes. We also find no effect of military service on educational attainment and unemployment, but we find negative effects of service on earnings. These results suggest that military service does...
Albæk, Karsten; Leth-Petersen, Søren; le Maire, Daniel
Draft lottery data combined with Danish longitudinal administrative records show that military service can reduce criminal activity for youth offenders who enter service at ages 19-22. For this group property crime is reduced for up to five years from the beginning of service, and the effect...... is therefore not only a result of incapacitation while enrolled. We find no effect of service on violent crimes. We also find no effect of military service on educational attainment and unemployment, but we find negative effects of service on earnings. These results suggest that military service does...
Coldefy, Alain; Wodka-Gallien, Philippe; Tertrais, Bruno; Rouillard, Gwendal; Widemann, Thierry; Guillaume, Louis-Michel; Steininger, Philippe; Guillemette, Alain; Amabile, Jean-Christophe; Granger-Veyron, Nicolas; Carbonnieres, Hubert de; Roche, Nicolas; Guillou, Herve; Bouvier, Antoine; Pastre, Bertrand; Baconnet, Alexis; Monsonis, Guillem; Brisset, Jean-Vincent; Hemez, Remy; Tchernega, Vladimir; Wedin, Lars; Dumoulin, Andre; Razoux, Pierre; Migault, Philippe; Wilson, Ward; Maillard, Benjamin de; Aichi, Leila; Charvoz, Ivan; Rousset, Valery; Lespinois, Jerome de; Kempf, Olivier; Dufourcq, Jean; Gere, Francois; Mauro, Frederic; Delort Laval, Gabriel; Charaix, Patrick; Norlain, Bernard; Collin, Jean-Marie; Jourdier, Francois
This special dossier aims at providing some key articles about France's deterrence doctrine. It provides a comprehensive overview of the challenges and questions about military nuclear activities and opens up some future prospects about this question. The dossier comprises 37 papers dealing with: 1 - Military nuclear activities: yesterday, today, tomorrow (Coldefy, A.); 2 - Deterrence according to French President Francois Hollande: continuation, precision and inflexions (Tertrais, B.); 3 - French deterrence warrantor of our independence in the 21. century (Rouillard, G.); 4 - The deterrence concept prior to the nuclear weapon era (Widemann, T.); 5 - France: the strategic marine force in operation (Guillaume, L.M.); 6 - Relevance of the airborne component in the nuclear deterrence strategy (Steininger, P.); 7 - Deterrence stakes for the Directorate General of Armaments (Guillemette, A.); 8 - The Charles-de-Gaulle aircraft carrier: the deterrence voice from the sea (Wodka-Gallien, P.); 9 - Deterrence: missions of the army's radiation protection department (Amabile, J.C.; Granger-Veyron, N.; Carbonnieres, H. de); 10 - The French Atomic Energy Commission (CEA) and the French defense strategy (Roche, N.); 11 - DCNS, general contractor in the service of deterrence (Guillou, H.); 12 - The airborne nuclear component for MBDA (Bouvier, A.); 13 - Ballistic missile of the marine nuclear component: industrial stakes (Pastre, B.); 14 - Beyond defense against missiles: a US anti-deterrence strategy (Baconnet, A.); 15 - Deterrence dynamics in South Asia (Monsonis, G.); 16 - Military nuclear activities in East Asia (Brisset, J.V.); 17 - North Korea would own nuclear weapons, so what? (Hemez, R.); 18 - About the risk of nuclear warfare in Europe (Tchernega, V.); 19 - Present day nuclear activities: deterrence and gesticulation (Wedin, L.); 20 - Belgian F-16 replacement: nuclear dimension (Dumoulin, A.); 21 - Israel and nuclear deterrence (Razoux, P.); 22 - Nuclear
Ravangard, Ramin; Bahadori, Mohammadkarim; Raadabadi, Mehdi; Teymourzadeh, Ehsan; Alimomohammadzadeh, Khalil; Mehrabian, Fardin
This study aimed to identify and prioritize factors affecting the development of military hospital beds and provide a model using fuzzy analytical hierarchy process (Fuzzy AHP). This applied study was conducted in 2016 in Iran using a mixed method. The sample included experts in the field of military health care system. The MAXQDA 10.0 and Expert Choice 10.0 software were used for analyzing the collected data. Geographic situation, demographic status, economic status, health status, health care centers and organizations, financial and human resources, laws and regulations and by-laws, and the military nature of service recipients had effects on the development of military hospital beds. The military nature of service recipients (S=0.249) and economic status (S=0.040) received the highest and lowest priorities, respectively. Providing direct health care services to the military forces in order to maintain their dignity, and according to its effects in the crisis, as well as the necessity for maintaining the security of the armed forces, and the hospital beds per capita based on the existing laws, regulations and bylaws are of utmost importance.
Edwin, James; McKinley, Steve; Talbert, B. Allen
Extension needs new venues to promote their programming skills to unfamiliar audiences. One new audience Extension is currently reaching is military children. By partnering with Operation: Military Kids to offer a Speak Out for Military Kids training, Extension supports military children and document changes in the behavior of this audience.…
2012, Vol. 65, No. 2 Mackubin Thomas Owens ivil-military relations describe the interactions among the people of a state, the institutions of that...civilians for the unexpect- edly difficult occupation of Iraq,” one close observer—U.S. Army major Isaiah Wilson III, an official historian of the...U.S. Civil- Military Relations. 4. I have addressed these questions in depth in Mackubin Thomas Owens, US Civil-Military Relations after 9/11
Khrushchov, D. P.; Yushchenko, Yu. V.; Shekhunova, S. B.
Major part of Eastern Europe countries meet environmental problems related to sites of military activity. Major part of these sites is characterised with degradation of natural landscapes and contamination of geological environment with toxic and hazardous waste representing actual and potential danger for population and environment. Actual danger is caused with localisation of toxic waste, hazardous materials and waste which are preventing normal land use. Potential danger is related to successive dispersion of contamination in biosphere as well as origin of new derivatives and products having toxic and hazardous properties. The list of such sites and objects comprises bases of land, air and naval forces. These objects include a network of infrastructures: storages of fuels and lubricants (surface, underground), filling stations, pipe lines, reparation stations, garages, decontamination stations, underground storages of different purposes, depots (for ammunition, chemical products), hospitals, constructions, firing grounds (tank, artillery, aircraft bombing etc.) and waste disposal sites. Special programs aimed at military industries and bases contaminated sites remediation have been carrying out in developed countries (USA, United Kingdom, Germany etc.). This experience was used in the frames of joint programs having been founded in several countries of Central and Eastern Europe (Chesh Republic, Slovakia, Lithuania etc.). (author)
Finnegan, Alan; Finnegan, Sara; Bates, David; Ritsperis, Debra; McCourt, Kath; Thomas, Mike
This paper forms part of the first British Armed forces qualitative nursing research study undertaken on deployment. To provide an analysis of the impact and effectiveness of the pre-deployment educational preparation and clinical placements provided for military nurses. A Constructivist Grounded Theory was utilised with data collected through semi-structured interviews with 18 nurses based in Camp Bastion Hospital, Afghanistan during 2013. Initial coding indicated 21 educational preparation and clinical placement categories that influenced the delivery of nursing care. Analysis of these elements led to the identification of four major clusters: Military Nursing Care; Military Nurse Education; Unique Hospital Environment and Clinical Placements. Educational preparation consists of completing deployable operational nursing competencies, specialist training and individual tailored courses. This strategy was viewed as proving the appropriate academic requirement. However, training would be enhanced by introducing a formalised military preceptorship programme focussing on fundamental nursing skills. Caring for children was a particular concern, and it was emphasised that educational courses must be combined with a standardised clinical placement policy. Adequate clinical exposure can be challenging as nurses are not routinely exposed to War Zone levels of trauma in the UK. Clinical placements need to be standardised and harmonised, and located in areas where nurses cared for patients with similar injury patterns to those witnessed on deployment. Current NHS Trust placements can reduce the opportunities for employment in suitable clinical environments and diminishing the openings for collective military training. Better use should be made of clinical rotation programmes, including high dependency units, elective surgery, medical assessment units, paediatrics, and outreach teams such as burns and plastic surgery and pain management. Practice Educators should be utilised
Gallup, Heather L
.... Key factors contributing to the growth include declines in military budgets, reductions in active duty end-strength, increases in operational deployments, advancements in weapon system technology...
Full Text Available Background: The man-made and natural disasters have adverse effects with sound, apparent, and unknown consequences. Among various components of disaster management in health sector, the most important role is performed by health-treatment systems, especially hospitals. Therefore, the present study aimed to evaluate the surge capacity of hospitals of Kerman Province in disaster in 2015. Materials and Methods: This is a quantitative study, conducted on private, military, and medical sciences hospitals of Kerman Province. The sampling method was total count and data collection for the research was done by questionnaire. The first section of the questionnaire included demographic information of the studied hospitals and second part examined the hospital capacity in response to disasters in 4 fields of equipment, physical space, human resources, and applied programs. The extracted data were analyzed by descriptive statistics. Results: The mean capability of implementing the surge capacity programs by hospitals of Kerman Province in disasters and in 4 fields of equipment, physical space, human resources, and applied programs was evaluated as 7.33% (weak. The surge capacity capability of state hospitals in disasters was computed as 8% and compared to private hospitals (6.07% had a more suitable condition. Conclusion: Based on the results of study and significance of preparedness of hospitals in response to disasters, it is proposed that managers of studied hospitals take measures to promote the hospital response capacity to disasters based on 4 components of increasing hospital capacity.
Finnegan, Alan; Finnegan, Sara; McKenna, Hugh; McGhee, Stephen; Ricketts, Lynda; McCourt, Kath; Warren, Jem; Thomas, Mike
Between 2001 and 2014, British military nurses served in Afghanistan caring for both Service personnel and local nationals of all ages. However, there have been few research studies assessing the effectiveness of the military nurses' operational role and no papers naming the core values and characteristics. This paper is from the only qualitative nursing study completed during this period where data was collected in the War Zone. To explore the characteristics and values that are intrinsic to military nurses in undertaking their operational role. A constructivist grounded theory was utilised. The authors designed the interview schedule, and then following a pilot study, conducted and transcribed the discussions. Informed consent and UK Ministry of Defence Research Ethical Committee approval was obtained. Camp Bastion Hospital, Afghanistan, in 2013. Semi-structured interviews were conducted with 18 British Armed Forces nurses. A theoretical model was developed that identifies the intrinsic characteristics and values required to be a military nurse. Nursing care delivered within the operational environment was perceived as outstanding. Nurses consciously detached themselves from any legal processes and treated each casualty as a vulnerable patient, resulting in care, compassion and dignity being provided for all patients, irrespective of their background, beliefs or affiliations. The study findings provide military nurses with a framework for a realistic personal development plan that will allow them to build upon their strengths as well as to identify and ameliorate potential areas of weakness. Placing nurses first, with a model that focusses on the requirements of a good nurse has the potential to lead to better patient care, and improve the quality of the tour for defence nurses. These findings have international implications and have the potential for transferability to any level of military or civilian nursing practice. Crown Copyright © 2015. Published by
.... In particular, it focuses upon civil-military relationships in the League of Nations and the United Nations, the North Atlantic Treaty Organization and The International Committee of Red Cross...
The military professional is a practically-minded individual. This is not, stereotypes aside, the result of an inflexible, unimaginative nature, but comes from pursuing a profession that emphasizes mission accomplishment above all else...
The military requirements of NATO Enlargement should be tied to NATO's overall goal of seeking stability in all of Europe such that it does not undermine political and economic success in new member countries...
Full Text Available The article focuses on the impact of various factors on the process of communication between military specialists and with the local civilians during peace support operations. The importance of religion, national and ethnic identities, military subculture, social status, and personal characteristics for achieving success or failure in interactions is underlined. Some differences between civil culture and military culture are disclosed and the need for cultural knowledge of the military members is stressed. The study is based on presenting and analysing situations of current intercultural interactions in Afghanistan, which deal with various problems that could be encountered by servicemen on a daily basis, i.e. body language differences, expression of friendly, unfriendly or indifferent attitude, typical reactions to gestures, common everyday topics for informal chats. Although the cultural interactions take place in present-day Afghanistan, the conclusions and suggestions are applicable to a much wider context of interacting between people with different cultural background.
.... I argue that the local military commander is relatively autonomous and therefore can and should aid the community in rebuilding durable, longterm institutions such as police, judiciary and local...
Federal Laboratory Consortium — The Center for Military Biomechanics Research is a 7,500 ft2 dedicated laboratory outfitted with state-of-the-art equipment for 3-D analysis of movement, measurement...
Swofford, Wayne; Hanrahan, William; Centola, Duane; Isenhour, Crystal; Smith, Hoshus; Ramey, David; Chandler, Jeff
... desired in combat environments. The objective of this research was to identify, incorporate, and evaluate emerging and promising, commercially available antimicrobial treatments/technologies on military items to provide...
This report presents the results of the first youth poll in a series that looked at propensity, employment status, education status, impressions of the military, attitudes toward teams, influencers...
Bond, F. E.
Commercial and military satellite communication systems are addressed, with a review of current applications and typical communication characteristics of the space and earth segments. Drivers for the development of future commercial systems include: the pervasion of digital techniques and services, growing orbit and frequency congestion, demand for more entertainment, and the large potential market for commercial 'roof-top' service. For military systems, survivability, improved flexibility, and the need for service to small mobile terminals are the principal factors involved. Technical trends include the use of higher frequency bands, multibeam antennas and a significant increase in the application of onboard processing. Military systems will employ a variety of techniques to counter both physical and electronic threats. The use of redundant transmission paths is a particularly effective approach. Successful implementation requires transmission standards to achieve the required interoperability among the pertinent networks. For both the military and commercial sectors, the trend toward larger numbers of terminals and more complex spacecraft is still persisting.
Full Text Available to set up in time for scenarios which require real time information. This may force communications to utilise public infrastructure. Securing communications for military mobile and Web based systems over public networks poses a greater challenge compared...
Defense Systems & Assessments About Defense Systems & Assessments Program Areas Accomplishments Audit Sandia's Economic Impact Licensing & Technology Transfer Browse Technology Portfolios ; Culture Work-Life Balance Special Programs Integrated Military Systems (IMS) Capabilities Facilities
The purpose of this report is to explore the issue of Hispanic propensity in more depth than has previously been available, and to identify possible causes of Hispanic youths' declining interest in military service...
Thompson, Megan M; McCreary, Donald R
In this paper we explore how the psychological literature on stress and coping might inform military training programs to enhance "mental readiness" as a method to develop the baseline psychological...
unifying leadership related mechanism, which will provide for the military milieu ... leadership development.5 The army is by far the largest service in the United ..... character will be better developed over a longer period of training than over a.
.... Today we are so far removed from the classical form of warfare, such as World War II, that we cannot compare the role of the military leader in those conflicts with the situation leaders face in Iraq...
...) provides many factors needed in the assessment of human health risk that were derived from general population studies or studies involving relatively small groups that may not be representative of military populations...
Crane, Keith; Cliff, Roger; Medeiros, Evan; Mulvenon, James; Overholt, William
The purpose of this study is to assess future resource constraints on, and potential domestic economic and industrial contributions to, the ability of the Chinese military to become a significant threat to U.S. forces by 2025...
Soils and ground water at many military facilities throughout the United States have been contaminated with petroleum based products, such as engine oils, greases, hydraulic fluids, and fuels, often...
in corrupt military institutions to move towards an ethical role-modelling environment. ... transparency, according to Klaus9) is not surviving the hard facts and media reports ..... has authority linked to rank; relies on one-way communication –.
As the Department of Defense (DoD) transforms itself from a forces-based, materiel-centric Cold War posture to a capabilities-based, mission-centric asymmetric-warfare posture, it is increasingly vital that military planners...
National Oceanic and Atmospheric Administration, Department of Commerce — Military regulated airspace areas depict the Air Traffic Control Assigned Airspace (ATCAA) and Airspace Corridor areas. The MarineCadastre.gov team worked with the...
... from 1990 through 1998. The history of noncitizen service corresponds roughly to the nation's history of immigration and naturalization policy, with military service having offered immigrants economic benefits, as well...
Dr. Joel Gaydos, science advisor for the Armed Forces Health Surveillance Center, and Dr. Robert Potter, a research associate for the Armed Forces Medical Examiner System, discuss deaths from adenovirus in the US military.
Delahaij, R; Soeters, J. M
.... This places new demands on military personnel. In combination with high levels of violence and threat, these situations will elicit acute stress reactions, which can impair performance and the ability to operate effectively...
Full Text Available Integration of the Russian Federation in the international community, to find the most effective ways to implement the military and land reforms require a comprehensive study. The paper identifies the main problems that hinder the effective implementation of the reform of the conversion, the ways of their solutions, including use of the experience of the advanced countries of the European Union. Identified military objects to be conversion, shown combining them into groups according to various criteria. Proposed a typology of ex-military territories. Notes the role of the organization of effective land use conversion in the areas of land use planning, identifies the main documents required for the implementation of planned activities. The problems of land use planning conversion ex-military territories.
... Chapters Certified Centers and Clinics Support Groups About ALS About Us Our Research In Your Community Advocate ... Veterans Resources for Military Veterans, Families & Survivors The ALS Association is working everyday to support people with ...
served after December 31, 2014. 9 Department of Defense, Valuation of the Military Retirement System, September 30, 2006, DOD Office of the Actuary...provision twice; first in 2014 (P.L. 113-82 §10001; formerly known as South Utah Valley Electric Conveyance Act) to apply only to servicemembers...Actuary, Valuation of the Military Retirement System, September 30, 2014, rev. June 2016. DOD budget authority and outlays in each fiscal year that
be made. However, others have argued that past modifications intended to save money have had a deleterious effect on military recruiting and...Savings Plan (TSP) coupled with government matching and early vesting. It will also reduce the defined benefit multiplier for calculating the retirement...In addition, some have argued that past modifications to the system intended to save money have had a deleterious effect on military recruiting and
Miramax Books, 2002. Goleman , Daniel . Emotional Intelligence . New York: Bantam Books, 1997. Goleman , Daniel , Richard Boyatzis, and Annie McKee...or position of the Department of the Army, Department of Defense, or the U.S. Government. ARMY RESERVE MILITARY INTELLIGENCE : TIME FOR CHANGE...Research Project 3. DATES COVERED 00-00-2009 to 00-00-2010 4. TITLE AND SUBTITLE Army Reserve Military Intelligence : Time for Change 5a
Approved for public release; distribution is unlimited The thesis describes how civil-military relations at the international level enhance international security, in particular, the way of development of international society in trying to orient its progress towards international peace, security and sustainable development. It focuses upon civil-military relationships in the League of Nations and the United Nations, the North Atlantic Treaty Organization, The International Committee of Re...
military service, specifically, and (2) develop research-based communications strategies and recommendations for each market . The Defense Manpower...military, their recommendations to youth regarding post-high school options, and research-based message strategies that would resonate with each market ...of Defense’s recruitment advertising and market research programs. • The Research Methodology section provides details on the design of the
Military: Where They Stand, 5th ed. Washington, DC: WREI [Women’s Research and Education Institute], April 2005. 37pp. (UB418 .W65M14 2005) Oliver...34Women in War: Operational Issues of Menstruation and Unintended Pregnancy." Military Medicine 172 (January 2007): 9-16. Ingenta Dove, Mary Baker, and...Publishing Group, 2004. 112pp. (D790 .D66 2004) Fort Des Moines Museum & Education Center. Fort Des Moines Museum & Education Center Home Page. http
USASAC leads the AMC Security Assistance Enterprise, develops and manages security assistance programs and foreign military sales cases to build...that leads to cost savings and cost avoidance. The Shadow’s FMS sales are currently 1.6% of the total units in operation and accounts for the same...SPONSORED REPORT SERIES Economic Value of Army Foreign Military Sales December 2015 MAJ James P. Allen, USA MAJ Scott A. Bailey, USA CPT
The concepts of stress and stress management have drawn increasing attention as the issues they adress seem set to become a major part of man's response to the future shock of rapid, threatening change. As with other established institutions, the military is immune neither from the vast currents of change characteristic of the twentieth-century nor consequent pressures for adaptation.Since World War II, the rate of technological advancement in the military sphere has been accelerated to the p...
SOMMARIO: 1. Riforma dell’assistenza spirituale nelle Forze armate e impegni pattizi - 2. L’evoluzione dei sistemi di difesa in Europa e la sua incidenza sull’assistenza spirituale: il passaggio dalla coscrizione obbligatoria a un servizio di tipo professionale - 3. L’assistenza spirituale tra modello confessionista e modello pluralista. Le ragioni del ritardo legislativo - 4. L’inquadramento dei cappellani militari all’interno delle Forze armate, tra esigenze di ammodernamento e tendenze alla smilitarizzazione - 5. Inquadramento gerarchico dei cappellani militari e tradizione storica - 6. Inquadramento militare dei cappellani, principio di laicità ed esigenze funzionali - 7. Compiti delle Forze armate, principi costituzionali e nuovo ruolo dei cappellani militari - 8. La recente valorizzazione del ruolo dei cappellani militari nel sistema di difesa NATO. Osservazioni conclusive. Abstract: Military Chaplaincy in the process of reform This paper examines the service of spiritual assistance in the State military forces according to the Italian system of law, in the context of their current evolution given to the principles of the Constitution and the changing international situation and policy. After some preliminary remarks about the origins of the present debate, it compares the models of other countries concerning the service of military chaplains and focuses on the issue of their juridic status as commissioned officers in the Army, taking into consideration the advantages and disadvantages of this legal framework. In the end it makes some conclusive remarks about the new role of chaplains in military organizations, not only religious support but also advisor to the command on issue of religion and ethics and liaison with local religious leaders in an effort to understand the role of religion as both a factor in hostility and war and as a force for reconciliation and peace.
reflect the opinions of its research clients and sponsors. Support RAND Make a tax -deductible charitable contribution at www.rand.org/giving...mandated accrual account - ing to fund the military retirement benefit liability and specified the use of the aggregate entry-age normal accounting ...tary retirees; military retirement was a pay-as-you-go (PAYGO) system. The shift to accrual accounting sought to meet the objective of recog- nizing
Christopherson, Gregory T; Nesti, Leon J
There are many similarities between health issues affecting military and civilian patient populations, with the exception of the relatively small but vital segment of active soldiers who experience high-energy blast injuries during combat. A rising incidence of major injuries from explosive devices in recent campaigns has further complicated treatment and recovery, highlighting the need for tissue regenerative options and intensifying interest in the possible role of stem cells for military m...
Full Text Available The military networks, contrary to commercial ones, require standards which provide the highest level of security and reliability. The process to assuring redundancy of the main connections through applying various protocols and transmission media causes problem with time needed to re-establish virtual tunnels between different locations in case of damaged link. This article compares reliability of different IP (Internet Protocol tunnels, which were implemented on military network devices.
On May 29, 1987, the Warsaw Pact's Political Consultative Committee issued a communique proclaiming that the military doctrine of the Warsaw Pact member states is strictly defensive and proceeds from the fact that the application of military means to resolve any dispute is inadmissible under current conditions. Following this declaration, a corresponding redefinition of Soviet military doctrine to emphasize defensiveness and war prevention has evoke lively commentary and debate in both the West and the East. Because doctrinal issues are likely to retain significance during arms control and security negotiations. The purpose of this paper is to highlight important trends associated with a continuing dialogue over Soviet military doctrine and to assess what the future portends as doctrinal discussions unfold. Since 1987 the accelerating pace of change has accentuated the importance of doctrinally related concerns. As a result of the INF Treaty and the Stockholm agreement, there has been greater transparency regarding Soviet and Warsaw Pact military developments. On December 7, 1988, General Secretary Mikhail Gorbachev announced unilateral troop reduction over the next two years, which, when completed, would reduce the offensive capabilities of Soviet forces in Eastern Europe. In March 1989 talks on Confidence- and Security-Building Measures (CSBM) opened in Vienna, with suggestions for exchanges of views on military policy. At the very same time, NATO and the Warsaw Pact began formal negotiations on reduction of Conventional Forces in Europe (CFE) with a specific mandate to reduce those asymmetries that most favored prosecution of deep operations
Leitch, Robert A; Moses, Gerald R; Magee, Harvey
The U.S. military currently faces serious difficulties in training medical personnel in peacetime for the tasks of war. The military beneficiary population comprises fit young service men and women, their dependents, and retirees. Their peacetime care, although vital, does little to prepare military medical personnel for war. Medical commanders have instituted an array of training programs to compensate for this shortfall, but there remains a large gap between operational medical needs and training opportunities in peacetime. The military has begun to examine whether simulation can fill this gap. An array of commercial, off-the-shelf technologies are already being used with varying degrees of success, and major initiatives are under way in both academia and industry, supported by the military, to develop virtual reality products for combat medical training. Even as the military exploits emerging technology and begins to articulate a simulation strategy, there is a growing interest in civilian medicine in the potential for simulation to affect patient safety--how medical simulation might mitigate the injuries and deaths caused by medical errors--and how it might also improve the quality of medical education and training.
Sun, Yong; Shao, Yani; Zhang, Zhiguo; Wang, Lianfen; Mariga, Alfred M; Pang, Guangchang; Geng, Chaoyu; Ho, Chi-Tang; Hu, Qiuhui; Zhao, Liyan
Cordyceps (Cordyceps militaris) exhibits many biological activities including antioxidant, inhibition of inflammation, cancer prevention, hypoglycemic, and antiaging properties, etc. However, a majority of studies involving C. militaris have focused only on in vitro and animal models, and there is a lack of direct translation and application of study results to clinical practice (e.g., health benefits). In this study, we investigated the regulatory effects of C. militaris micron powder (3 doses) on the human immune system. The study results showed that administration of C. militaris at various dosages reduced the activity of cytokines such as eotaxin, fibroblast growth factor-2, GRO, and monocyte chemoattractant protein-1. In addition, there was a significant decrease in the activity of various cytokines, including GRO, sCD40L, and tumor necrosis factor-α, and a significant downregulation of interleukin-12(p70), interferon-γ inducible protein 10, and macrophage inflammatory protein-1β activities, indicating that C. militaris at all three dosages downregulated the activity of cytokines, especially inflammatory cytokines and chemokines. Different dosages of C. militaris produced different changes in cytokines. Copyright © 2014. Published by Elsevier B.V.
Full Text Available Cordyceps (Cordyceps militaris exhibits many biological activities including antioxidant, inhibition of inflammation, cancer prevention, hypoglycemic, and antiaging properties, etc. However, a majority of studies involving C. militaris have focused only on in vitro and animal models, and there is a lack of direct translation and application of study results to clinical practice (e.g., health benefits. In this study, we investigated the regulatory effects of C. militaris micron powder (3 doses on the human immune system. The study results showed that administration of C. militaris at various dosages reduced the activity of cytokines such as eotaxin, fibroblast growth factor-2, GRO, and monocyte chemoattractant protein-1. In addition, there was a significant decrease in the activity of various cytokines, including GRO, sCD40L, and tumor necrosis factor-α, and a significant downregulation of interleukin-12(p70, interferon-γ inducible protein 10, and macrophage inflammatory protein-1β activities, indicating that C. militaris at all three dosages downregulated the activity of cytokines, especially inflammatory cytokines and chemokines. Different dosages of C. militaris produced different changes in cytokines.
Elder, William B; Domino, Jessica L; Rentz, Timothy O; Mata-Galán, Emma L
Male sexual trauma is understudied, leaving much to be known about the unique mental health needs of male survivors. This study examined veteran men's perceptions of the effects of military sexual trauma. Military sexual trauma was defined as physically forced, verbally coerced, or substance-incapacitated acts experienced during military service. Interviews were conducted with 21 male veterans who reported experiencing military sexual trauma. Data were drawn together using a grounded theory methodology. Three categories emerged from data analysis, including (a) types of military sexual trauma (being touched in a sexual way against their will [N = 18]; sexual remarks directed at them [N = 15]; being physically forced to have sex [N = 13]); (b) negative life effects (difficulty trusting others [N = 18]; fear of abandonment [N = 17]; substance use [N = 13]; fear of interpersonal violence [N = 12]; conduct and vocational problems [N = 11]; irritability/aggression [N = 8]; insecurity about sexual performance [N = 8]; difficulty managing anger [N = 8]); and (c) posttraumatic growth (N = 15). Results from this study suggest sexual trauma in the military context may affect systems of self-organization, specifically problems in affective, self-concept, and relational domains, similar to symptoms of those who have experienced prolonged traumatic stressors. This model can be used by clinicians to select treatments that specifically target these symptoms and promote posttraumatic growth. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Bonar, Ted C.; Domenici, Paula L.
The majority of military undergraduates at universities are National Guard and Reserve personnel and prior-service military veterans, all difficult to identify on campus. These students face unique cultural challenges. Though the academic literature primarily addresses disability services and administrative programs often focus on "wounded…
... DEPARTMENT OF STATE [Public Notice: 7312] Notice of Certification; Foreign Military Financing, and International Military Education and Training; Guatemala AGENCY: Department of State. ACTION: Notice. The... internationally recognized human rights; (B) the Guatemalan Air Force, Navy, and Army Corps of Engineers are...
Kudro, Nataliya M.; Puzikova, Svetlana M.
In the Republic of Kazakhstan military service becomes attractive primarily for that category of people who have no opportunity to acquire high quality vocational or higher education, decent income by the speciality available, or those who have not yet identified themselves professionally and socially. Its a serious problem how to ensure ability of military units to execute their service duties in conditions of more and more increasing requirements for professional competences of military personnel, increased intellectualization of military service when the quality of "human material" often is not corresponding to the required standards. This problem in the national and foreign science is still being developed and has no final solutions accessible for the scientific society. This article presents an effort to offer specialists in the military administration area one of probable tools to forecast successfulness of execution of professional tasks by military units based on results of sociometric studies and algorithms of plotting Bayesian networks. Using these tools a military leader will be able to evaluate effectiveness of his managerial activity, correct mechanisms of individual and mentoring activity with regard to individual servicemen, provide an opportunity to eliminate risks of failing to fulfill professional tasks on time and failing to ensure combat readiness of entrusted military team.
Downs, Donald Alexander; Murtazashvili, Ilia
Alienation between the U.S. military and society has grown in recent decades. Such alienation is unhealthy, as it threatens both sufficient civilian control of the military and the long-standing ideal of the "citizen soldier." Nowhere is this issue more predominant than at many major universities, which began turning their backs on the…
Smit, Hennie A. P.
Globally there is a growing environmental awareness among all segments of society, but research on the effect of environmental education in shaping the attitude of military students is lacking. Tertiary environmental education to officers of the South African Department of Defence is seated in the Department of Military Geography at the South…
Khan, A.Z.; Razzaq, K.; Ansari, J.K.; Niazzi, S.K.
Objective: To determine the frequency of anti Hepatitis C Virus antibodies in sanitary workers at Military Hospital Rawalpindi and to identify additional risk factors in them for hepatitis C infection. Cross sectional study Place and Duration of Study: Department of medicine, Military Hospital (M.H.), Rawalpindi, Pakistan over six months. Patients and Methods: All sanitary workers working at Military Hospital Rawalpindi were tested for anti HCV antibodies by third generation ELISA. Results: Six percent of the study population was found to be positive for anti HCV antibodies. Conclusion: The frequency of anti HCV antibodies is fairly high in sanitary workers, working in this tertiary care hospital studied. HCV infection is more frequent in those sanitary workers who have longer duration of service. (author)
The objective of this paper is to propose and discuss a solution which enables storing as quickly as possible all weapons-grade plutonium from Russian military program in a way which would prevent diversion. Two main conditions apply to this solution. First, it should be achieved in a manner acceptable to Russian government, notably by preserving plutonium for possible future energy production, and second, the economics of the total system should be good enough to ensure no charge or limited charge for the storage of plutonium. A proposal is made to store plutonium in a specially designed fast reactor or specially designed reactor core. This solution could be favorable in comparison to other solutions applying the above mentioned goal and conditions. Additionally the proposed solution would have the following side advantages: utilizing available personnel and installations of the Russian nuclear complex; providing possible basis for decommissioning of older and less safe Russian reactors; giving experience of construction and operation of a series of sodium-cooled fast reactors. The major problem however is the need for large capital investment with the risk of getting no adequate return on investment due to difficult political and economic situation in Russia
Goodman, Petra; Turner, Annette; Agazio, Janice; Throop, Meryia; Padden, Diane; Greiner, Shawna; Hillier, Shannon L
Military mothers and their children cope with unique issues when mothers are deployed. In this article, we present mothers' perspectives on how military resources affected them, their children, and their caregivers during deployment. Mothers described beneficial features of military programs such as family readiness groups and behavioral health care, processes such as unit support, and policies on length and timing of deployments. Aspects that were not supportive included inflexibility in family care plans, using personal leave time and funds for transporting children, denial of release to resolve caretaker issues, and limited time for reintegration. We offer recommendations for enhanced support to these families that the military could provide. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.
Yalch, Matthew M; Hebenstreit, Claire L; Maguen, Shira
Servicewomen exposed to traumatic stressors over the course of their military service are at increased risk of developing symptoms of substance use disorder (SUD) and posttraumatic stress (PTS). They are also at risk for exposure to military sexual assault (MSA), which is also associated with SUD and PTS symptomology. Research is unclear about the incremental contributions of different forms of traumatic stressors on co-occurring SUD and PTS symptomology. In this study we examined the independent and combined effects of MSA and other military stressors on SUD and PTS symptomology in a sample of female veterans (N=407). Results indicate that MSA and other military stressors exhibit incremental effects on SUD and PTS symptomology. Results further suggest that women exposed to both MSA and other military stressors are at increased risk for developing co-occurring SUD and PTSD. These findings extend previous research on comorbid SUD and PTSD, highlighting the cumulative effects of traumatic stressors on posttraumatic psychopathology, and have implications for future research and clinical practice with female veterans. Copyright © 2017 Elsevier Ltd. All rights reserved.
Briusov, P G; Efimenko, N A
In article results of activity of the military surgeons on rendering of the surgical care to wounded and sick in 1996 are analyzed. During combat actions in Chechnya despite of severe forms of wounds and significant increase of combined battle traumas lethality among heavy wounded was reduced in 2 times. At common lethality rate in 1.3%, in hospitals from wounds 1.5% of wounded died, from traumas--0.7%, burns--2.9%, frostbitten--0.5%. As to peace time surgery, the analysis of main parameters of surgical work in military medical establishments, structure of diseases of servicemen, surgical activity, average terms of treatment, lethality after operations, defects in rendering of the surgical care is given. In conclusions the authors say about problems, that the military surgeons have today.
al., 1969; Faringer et al., 1993; Brohi et al., 2003; MacLeod et al., 2003). All these findings suggest that there is a need for the early use of...fre- quency and serious implications for survival had not been widely appreciated (Simmons et al., 1969; Faringer et al., 1993). Coagulopathy had...Scalea, T.M. (2002) Hypotensive resuscitation during active hemorrhage: its impact on in hospital mortality. Journal of Trauma, 52, 1141 1146. Faringer
Full Text Available Serbia is the only state in the Western Balkans that is not seeking NATO membership. In December 2007, Serbia declared military neutrality and in spite of its EU membership aspirations, developed very close relations with Moscow. The objective of this paper is threefold. First, I argue that in order to understand why Serbia declared military neutrality, one has to look both at the discursive terrain and domestic power struggles. The key narrative that was strategically used by mnemonic entrepreneurs, most importantly by the former Prime Minister Vojislav Koštunica, to legitimize military neutrality was the trauma of NATO intervention in 1999 and the ensuing secession of Kosovo. In the second part of the paper, I discuss the operational consequences of the military neutrality policy for Serbia's relations with NATO and Russia, as well as for military reform and EU accession. Finally, I spell out the challenges ahead in Serbia's neutrality policy and argue that its decision makers will increasingly be caught between pragmatic foreign policy requirements on the one hand and deeply entrenched traumatic memories on the other.
Stannard, Adam; Tai, Nigel R; Bowley, Douglas M; Midwinter, Mark; Hodgetts, Tim J
Key performance indicators (KPI) are tools for assessing process and outcome in systems of health care provision and are an essential component in performance improvement. Although KPI have been used in British military trauma for 10 years, they remain poorly defined and are derived from civilian metrics that do not adjust for the realities of field trauma care. Our aim was to modify current trauma KPI to ensure they more faithfully reflect both the military setting and contemporary evidence in order to both aid accurate calibration of the performance of the British Defence Medical Services and act as a driver for performance improvement. A workshop was convened that was attended by senior, experienced doctors and nurses from all disciplines of trauma care in the British military. "Speciality-specific" KPI were developed by interest groups using evidence-based data where available and collective experience where this was lacking. In a final discussion these were streamlined into 60 KPI covering each phase of trauma management. The introduction of these KPI sets a number of important benchmarks by which British military trauma can be measured. As part of a performance improvement programme, these will allow closer monitoring of our performance and assist efforts to develop, train, and resource British military trauma providers.
The primary object of this paper is to give a retrospective of hospital development in Europe and Yugoslavia for the past twenty-five centuries. The earliest records of hospitals called the "iatreia" date back to the V century B.C., ancient Greece. The sick in those hospitals were treated with drugs as well operated on. The Romans, during the reign of the emperor Augustus, built valetudinaries within military camps. The name "hospital" was introduced in the IV century A.D. and has been used ever since. The first hospital was founded in Cesarea, i.e. in the East Roman Empire in Asia Minor. The chronology of the hospital development in the Middle Ages is given in table 1--"Chronology of Hospital Development in the Middle Ages." St. Sava (Nemanjić) founded the first Serbian hospital in the Monastery of Hilandar about 1199 and in 1208/1209 a hospital in the Monastery of Studenica. In the hospital of the Monastery of St. Arhangel in Prizren, according to the regulations prescribed by tzar Dusan, only curable patients were to be treated. The first hospital in Vojvodina in Bac near Novi Sad dates back to 1234. More data about hospitals in former Yugoslavia are given in table 2--"The Oldest Hospitals in former Yugoslavia" and about the Frontier Hospitals in Vojvodina in table 3--"Frontier Hospitals for the Wounded and Sick in Vojvodina". The first medical high school was established in Salerno in the IX century and the first European University in Bologna in 1088, where the School of Medicine was founded in 1156. The University in Paris was founded in 1107 and in Oxford in 1145.
Bates, Madeleine; Ellard, Dan; Peterson, Pat; Shaked, Varda
.... In an effort to demonstrate the relevance of SIS technology to real-world military applications, BBN has undertaken the task of providing a spoken language interface to DART, a system for military...
Gillies, J. A; Etyemezian, V; Kuhns, H; Moosmueller, H; Engelbrecht, J; King, J; Uppapalli, S; Nikolich, G; McAlpine, J. D; Gillette, D. A; Allwine, K. J
...). PM emitted during DoD testing and training activities threatens the safety and respiratory health of military personnel and can impact the health of urban populations encroaching on military installations...
Alden, James G; Hopeman, Amber L; Neff, Jodi A
Why are military organizations resistant to change? In an attempt to answer this question, this thesis proposes the use of systems thinking to evaluate the military and its ability to effect change...
.... While the evidence reveals the benefits of military-related training and education, there is no research consensus on whether veterans in general receive a positive or negative return to military service...
PENs) within the military health service. The purpose of the research was to explore and describe the learning experiences of PENs within the Military health clinical learning environment. An explorative, descriptive, contextual design which is ...
Henning, Charles A
.... The change to the system that has generated the most recent legislative activity involves whether some or all military retirees should be allowed to receive both military retired pay and any VA...
The military's growing dependence on commercial satellite communications systems will become a strength or vulnerability based on how well the right balance is achieved between commercial and military systems...
Boris, John J
... from co-production of weapons systems to officer exchanges, and can include, inter alia, military sales financing, joint exercises, and professional military education programs It is often assumed...
Items 1 - 50 of 122 ... Archives: Scientia Militaria: South African Journal of Military Studies. Journal Home > Archives: Scientia Militaria: South African Journal of Military Studies. Log in or Register to get access to full text downloads.
Greenfield, Victoria; Dunn, Richard L; Parsons, Jeffrey P
.... One chart contains a table of the numbers of civilians and military personnel who participated in various wars or conflicts over the years along with the ratio of civilians to military personnel for each conflict...
EPA and the Department of Defense (DoD) must address the contamination legacy left by military munitions and explosives of concern (MEC) and other hazardous munitions materials from military live-fire training or testing.
Snider, Don M
...." It was unexpected because the professional ethic of the Army in the modern era has held that, in civilian-military relations, the military is the servant of its Constitutionally-mandated civilian...
The argument in this thesis is that the Mexican military stands as a hindrance in Mexico's consolidation because of the lack of executive and legislative controls over the armed forces, and military prerogatives...
The Department of Defense Dictionary of Military and Associated Terms set forth standard US military and associated terminology to encompass the joint activity of the Armed Forces of the United States...
The 1999 air war over Kosovo re-ignited a feud between the military and the news media that is generally believed to have been a permanent undercurrent of media-military relations since the Vietnam War...
Moore, Melinda; Fisher, Gail
... operations, all core missions and of equal importance. In active theaters such as Afghanistan and Iraq, medical civil-military stability operations figure prominently and include activities carried out by military veterinarians...
.... In an article entitled "Out of Control: The Crisis in Civil-Military Relations," Kohn identifies "warning signs" indicative of the increasing alienation of the US military from its civilian leadership...
Petrina, Gilbert E
...: Agency, Oversight, and Civil-Military Relations, political scientist Peter Feaver proposes a theory of civil- military relations based on principal-agent theory called Agency theory which defines...
Full Text Available This article explores the complicated phenomenon of military spending among a sample of eight Western democracies in the interwar period by analyzing especially the possibility of economic and/or military competition between the Western Great Powers and the ensuing impacts on the smaller states included here. The hegemonic paradigm suggested by e.g. Paul Kennedy predicts that the economic leader in a system will increasingly invest on maintaining security; thus eventually bringing economic growth to a halt. The military spending patterns respective of economic growth at first seem to suggest that not only the totalitarian states, as is the traditional view, but also the UK and France stepped in to fill the void created by the lack of American leadership. However, the military expenditures of these nations were too low to warrant the conclusion that they had any impact on their respective economic performance. This result is also verified here by employing Granger non-causality tests between the military spending and economic growth variables. Moreover, regression analysis on the military spending variables for the UK and France points towards competition on the level. The smaller states, respectively, seemed to follow the UK and France fairly closely in their military spending decisions.
Adesoye, Taiwo; Kimsey, Linda G; Lipsitz, Stuart R; Nguyen, Louis L; Goodney, Philip; Olaiya, Samuel; Weissman, Joel S
To compare geographic variation in healthcare spending and utilization between the Military Health System (MHS) and Medicare across hospital referral regions (HRRs). Retrospective analysis. Data on age-, sex-, and race-adjusted Medicare per capita expenditure and utilization measures by HRR were obtained from the Dartmouth Atlas for 2007 to 2010. Similarly, adjusted data from 2007 and 2010 were obtained from the MHS Data Repository and patients assigned to HRRs. We compared high- and low-spending regions, and computed coefficient of variation (CoV) and correlation coefficients for healthcare spending, hospital inpatient days, hip surgery, and back surgery between MHS and Medicare patients. We found significant variation in spending and utilization across HRRs in both the MHS and Medicare. CoV for spending was higher in the MHS compared with Medicare, (0.24 vs 0.15, respectively) and CoV for inpatient days was 0.36 in the MHS versus 0.19 in Medicare. The CoV for back surgery was also greater in the MHS compared with Medicare (0.47 vs 0.29, respectively). Per capita Medicare spending per HRR was significantly correlated to adjusted MHS spending (r = 0.3; P spending markets in both systems were not comparable; lower spending markets were located mostly in the Midwest. In comparing 2 systems with similar pricing schemes, differences in spending likely reflect variation in utilization and the influence of local provider culture.
Full Text Available Nursing career professionals with solid-humanistic way scientific, ethical and basis in order that they can properly integrate the multidisciplinary team to creatively solve health problems through nursing care. This article analyzes the formation of the military nurse in Venezuela, with the help of logical historical method to uncover trends and regularities that characterize this process. The nurse is a professional attitudes, values, knowledge and skills to assume their social responsibility, applying theories and models of discipline in the promotion, prevention, recovery and rehabilitation of health. Similarly, military nurse career provides to the military institution and especially health institutions of the country leadership training in the management of custodial care, management and research on health and committed to education continues in his practice.
Wang, Lin; Elder, Glen H; Spence, Naomi J
The U.S. Armed Forces offer educational and training benefits as incentives for service. This study investigates the influence of status configurations on military enlistment and their link to greater educational opportunity. Three statuses (socioeconomic status of origin, cognitive ability and academic performance) have particular relevance for life course options. We hypothesize that young men with inconsistent statuses are more likely to enlist than men with consistent status profiles, and that military service improves access to college for certain configurations. Analyses of the National Longitudinal Study of Adolescent Health (Add Health) show (1. that several status configurations markedly increased the likelihood of military enlistment and (2. within status configurations, recruits were generally more likely to enroll in higher education than nonveterans, with associate degrees being more likely.
Conard, Patricia L; Young, Cathy; Hogan, LaMicha; Armstrong, Myrna L
As women veterans (WVs) are returning from Operation Iraqi Freedom and Operation Enduring Freedom with military sexual trauma (MST), the purpose of this article is twofold. First, important exploratory questions that can assist with a thorough assessment and history are presented as well as the applicable treatment for any new, recurrent, or unresolved symptoms that involve MST. Review of multiple literary materials, as well as a clinical situation. WVs will be encountered in a variety of military or civilian primary and community care healthcare settings. Every woman (and man) in the civilian sector should be asked, "Have you ever served in the military?" Recognition, acknowledgment, and applicable interventions for MST and associated comorbidities, especially post-traumatic stress disorder, are presented as currently 80-90% of MST experiences have gone unreported. Immediate treatment and follow-up are critical for the well-being of the WVs. © 2014 Wiley Periodicals, Inc.
Full Text Available The Russia-Ukraine conflict is the most serious test of European security in the 21st century and the forgone conclusion is that Russia can easily prevail in the conflict, but this has not been the case. This article uses balance of military power analysis to report findings on the plausible outcome of a war between Ukraine and Russia. I report findings based on realist theoretical perspectives that indicate Russian victory is unlikely because of relative balance of power where Russia has to face multiple threats diverting its military power while Ukraine can concentrate its military power for a single purpose. The findings suggest implication for policy in Russia, Ukraine, EU and the United States of America.
in the South African government’s foreign policy drive in Africa. However, the new foreign policy role prerequisite that the state uses it military tool, the SANDF, in accordance with internal law and dominant norms. The role of the defence force stand in stark contrast to the role played by the old South...... African Defence Force (SADF) during the apartheid era. The transition to peacemaker has imposed constraints on the use of force and required fundamental changes to the way military force is employed. South Africa’s transition has therefore transformed the international role of the SANDF. The destabilizing....... Introduction – Setting the Scene Chapter 2. Foreign Policy and Military Power in South Africa – framing the debate on RSA foreign policy in relation to Africa, Chapter 3. South Africa and the Concept of National Security Chapter 4. The SANDF: Capacity and Capabilities Chapter 5. Sorry Mr. Chairman, can we stop...
Wang, Lin; Elder, Glen H.; Spence, Naomi J.
The U.S. Armed Forces offer educational and training benefits as incentives for service. This study investigates the influence of status configurations on military enlistment and their link to greater educational opportunity. Three statuses (socioeconomic status of origin, cognitive ability and academic performance) have particular relevance for life course options. We hypothesize that young men with inconsistent statuses are more likely to enlist than men with consistent status profiles, and that military service improves access to college for certain configurations. Analyses of the National Longitudinal Study of Adolescent Health (Add Health) show (1. that several status configurations markedly increased the likelihood of military enlistment and (2. within status configurations, recruits were generally more likely to enroll in higher education than nonveterans, with associate degrees being more likely. PMID:24511161
MITCHELL PETER DZHONOVICH
Global instability with military interventions in various Muslim countries by coalitions headed by the USA has led to an increase in interest toward the armed forces of the United States and their coalition partners -foremost, the UK and other countries of the (British) Commonwealth of Nations. For those working in the sphere of military interpreting, the interest is in language and, in particular, military speak. The article considers the notion of English military slang as a separate vocabu...
Coups d'etat continue to be common around the world, often leading to changes in leaders and institutions. We examine the relationship between military spending and coups and find that (i) successful coups increase military spending by more than failed attempts, and (ii) coups are more likely when military spending as a share of GDP is relatively low. Our identification strategy exploits the conditional independence between a coup's outcome and the change in military spending that follows it....
Full Text Available The article focuses on the amount of military spending in the Slovak Republic. In the first part, the terms of defense expenditure and military spending are defined. The second part focuses on the evolution of military spending in the Slovak Republic so far and the future prospects, as well as on the structure of military spending. The final part covers the amount of defense expenditure in relation to the objectives and tasks of the Armed Forces of the Slovak Republic.
Nagibovich, O A; Golota, A S; Krassiĭ, A B
The article is dedicated to the current state and prospectives of military endocrinology demonstrated on the examples of the endocrinology services of armed forces of Serbia, Poland, France, and USA. It is shown that this branch of military healthcare receives much attention abroad. The prospectives of military endocrinology are demonstrated in the context of two nosological forms which dominate in this section of military medicine, namely, primary hypothyroidism an diabetes mellitus.
Civil-military relationships constitute a crucial element in the transition to substantive democracy all over the world. During periods of authoritarianism or civil war, the military in Latin America has historically speaking been responsible for extensive violations of human rights and humanitarian law. Since the reintroduction of democracy in the region in the 1980s and 1990s, the military has gradually been brought back under civilian rule. The balance of power between military and civil p...
Imam, Windi Arini
Indonesia embarks on transitioning period in 1998 after 32 years under authoritarian regime led by General Suharto. Since then the country has seen rapid changes particularly in relation to the Indonesian military (TNI). The military no longer plays role in day-to-day politics and has been returned to the barrack. New laws were enacted aiming at reforming the military and increase their professionality. Despite these positive notes, however, the military has been involved in several human rig...
Robin Orr; Ben Schram; Rodney Pope
Law-enforcement officers increasingly wear body armour for protection; wearing body armour is common practice in military populations. Law-enforcement and military occupational demands are vastly different and military-styled body armour may not be suitable for law-enforcement. This study investigated differences between selected military body armour (MBA: 6.4 kg) and law-enforcement body armour (LEBA: 2.1 kg) in impacts on postural sway, vertical jump, agility, a functional movement screen (...
Paz, Rachael; Rouhanian, Minoo; Vogt, Karen
Disparities in glycemic control are reported in children with type 1 diabetes related to differences in access to health care and socioeconomic status. In the US military, rank is an indicator of socioeconomic status, but all have complete health care access without cost. We sought to determine if glycemic control in children with type 1 diabetes differs if their sponsor (parent) is an officer vs. enlisted military service member. We performed a cross-sectional retrospective chart review of children with type 1 diabetes >1 yr duration whose parent is a military service member. A total of 281 subjects met study criteria, 136 (48.4%) having an enlisted and 145 (51.6%) having an officer sponsor. The groups differed by race with 38.2% black in the enlisted and 9% black in the officer group (p 1). The median enlisted average hemoglobin A1c (HbA1c) over the most recent year of available data was significantly higher than the officer group (9.2 vs. 8.4%, p 1). The difference remained significant when controlled for age and race. Diabetes-related hospitalizations were greater in the enlisted group (39.0 vs. 19.3%, p 1). More subjects in the officer group were on insulin pumps (54.5 vs. 28.7%, p 1). Dependent children of enlisted service members with type 1 diabetes have higher HbA1c levels, more diabetes-related hospitalizations, and are less likely to use insulin pumps than children of officers. These differences are likely linked to socioeconomic status and education levels given the universal access to health care within the military system. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.
Chaudhry, M.A.; Khokhar, M.M.; Haq, A.I.U.; Alvi, Z.Z.
To determine the frequency of factors contributing to burnout among military Physicians in Lahore, Pakistan. Study Design: Cross-sectional analytical study. Place and Duration of Study: Combined Military Hospital (CMH) Lahore and CMH Lahore Medical and Dental College from March 2014 to September 2014. Methodology: Sample consisted of 133 physicians (n=66) males and n=67 females). Convenient sampling procedure was used. Mashlach Burnout Inventory (MBI) which included 22 questions was used to measure emotional exhaustion, depersonalization and personal accomplishment. The questionnaire also elicited information about socio-demographic and work characteristics. Data was entered and analyzed by using Statistical Package for Social Sciences (SPSS version 20.0). Chi-square test of significance was used to see the significance of association between age, gender, duration of service in years and working hours per week. p value <0.05 was considered statistically significant. Results: On the MBI, 29 (21.8%) physicians showed high emotional exhaustion, 22 (16.6%) showed high depersonalization and 34 (25.6%) showed low personal accomplishment. Thirty-seven physicians (27.8%) were identified as experiencing a high degree of burnout (high emotional exhaustion and depersonalization and low personal accomplishment). The frequency of high degree of burnout was higher among males (36.4%) as compared to females (17.9%) and this difference was statistically borderline significant (p = 0.057). However, there was statistically significant difference (p = 0.03) of burnout between those working = 41 hours per week as compared to working = 40 hours per week. Conclusion: The prevalence of high degree of burnout in Pakistani military physicians was higher than those reported internationally. Work redesign plans as well as early assessment and intervention may be helpful in the reduction of job burnout in physicians working in military hospitals. (author)
Fures, Rajko; Habek, Dubravko; Kozina, Drago
Red Cross Hospital in Krapina, during the First World War, was active from 1914 to 1918. Hospital led by Dr. Mirko Crkvenac, oriented humanist. The hospital is operated thanks to the help of municipalities and citizens. The hospital staff concern is for civilian and military victims of the First World War. Dr. Crkvenac, with the support of the City of Krapina and Mayor Vilibald Sluga, he succeeds to the organization and operation of the hospital to an enviable level. Across the Austro-Hungarian Empire and Croatian, Hospitals Red Cross, had a significant role in caring for the wounded, injured and sick soldiers and civilians. Red Cross Hospital in Krapina, is an example of a well-organized hospital in the toughest conditions. Such an organization was not simple in its implementation, and left the valuable lessons and experience.
U.S. Department of Health & Human Services — Hospital Outpatient Prospective Payment System (OPPS) Partial Hospitalization Program LDS This file contains select claim level data and is derived from 2010 claims...
Sadat, Somayeh; Abouee-Mehrizi, Hossein; Carter, Michael W
In this paper, we consider two hospitals with different perceived quality of care competing to capture a fraction of the total market demand. Patients select the hospital that provides the highest utility, which is a function of price and the patient's perceived quality of life during their life expectancy. We consider a market with a single class of patients and show that depending on the market demand and perceived quality of care of the hospitals, patients may enjoy a positive utility. Moreover, hospitals share the market demand based on their perceived quality of care and capacity. We also show that in a monopoly market (a market with a single hospital) the optimal demand captured by the hospital is independent of the perceived quality of care. We investigate the effects of different parameters including the market demand, hospitals' capacities, and perceived quality of care on the fraction of the demand that each hospital captures using some numerical examples.
Jakobsen, Peter Viggo
by coercion theorists is that coercion is hard and that miscalculation, misperception, or practical problems can defeat even a perfectly executed strategy. What they ignore is that the problem also stems from the limits of coercion theory, which has left us with an unnecessarily poor understanding of how...... military coercion works and how the practical problems involved could be addressed. Our understanding of military coercion would be increased markedly if only coercion theorists would make a greater efforts to do three things, namely (1) provide clear operational definitions of key concepts and variables...
Airaghi, A.; Corsi, C.
Experience of the Italian aerospace, defense, energy, transportation and automation group Finmeccanica in military conversion is presented. The defence activities represent about 30% of the total turnover. The group involves 100 laboratories, 7000 fully dedicated employees and several centers of excellence. Since defense market is declining, production volumes are smaller, there is a decline in research and development public expenditures and there are less programs. The industry's challenge is how to survive since conversion in principle is not viable and diversification does not defend the high technology content. Some examples are described which show the possibility of convergence from military to commercial requirements
... authorities as soon as possible. (c) Military forces will ordinarily exercise police powers previously... 32 National Defense 6 2010-07-01 2010-07-01 false Military commanders' responsibilities. 809a.10... Disturbance Intervention and Disaster Assistance § 809a.10 Military commanders' responsibilities. (a...
Kudler, Harold; Porter, Rebecca I.
Military children don't exist in a vacuum; rather, they are embedded in and deeply influenced by their families, neighborhoods, schools, the military itself, and many other interacting systems. To minimize the risks that military children face and maximize their resilience, write Harold Kudler and Colonel Rebecca Porter, we must go beyond…
Given that a masculinised institution like the military presents an exaggerated picture of hegemonic masculinities, and particularly emphasising physical fitness as one of the multiple ways in achieving masculinity, this paper provides an overview of how men in the military construct women's role in the military.
Background: The peculiar characteristics of a military career, such as the specific professional military aims or tasks, working environment, strict subordination typical to military structures and formal and informal relationships, influence the type of coping strategies employed by individuals. The authors present the first study ...
... Military Craft Act AGENCY: Coast Guard, DHS. ACTION: Notice. SUMMARY: The Coast Guard is announcing that a C-130 aircraft which crashed off the coast of California is a sunken military craft. It is therefore... is announcing that the wreckage of CG 1705 is a sunken military craft, and is therefore protected...
to prevent tension and promote cohesive teams. While historians trace civil-military theory to Sun Tzu and Carl von Clausewitz, the beginning of...Conclusion – A Mission Command Approach .............................................................................. 34 Bibliography ...Civil-Military Relations,” Monograph, (School of Advanced Military Studies, Fort Leavenworth, KS, 2010): 3. 64 Bennett, 3. 36 Bibliography
Redmond, S A; Wilcox, S L; Campbell, S; Kim, A; Finney, K; Barr, K; Hassan, A M
Military culture and workplace are areas of interest for researchers across disciplines. However, few publications on military culture exist. The purpose of this article is to introduce general concepts regarding the structure and culture of the United States Military and discuss how this creates challenges for reintegrating into the civilian world. Topics that will be covered in this article include an overview of the Department of Defense (DoD) and Department of Veterans Affairs (VA), socialization to military culture, the unique features of the military as a workplace, the cultural experiences of military personnel reintegrating back into the community, and the challenges faced by military members and their spouses. The provided information on military culture will expand military cultural competency so that civilian employers can enhance their ability to create supportive workplaces for veterans and military spouses during times of transition and reintegration. The unique characteristics of the military culture should be understood by those who work with or plan to work with military populations.
Green, Rita; Wall, Dianne
There appears to be little literature available -- either descriptive or research-related -- on language testing in the military. This form of specific purposes assessment affects both military personnel and civilians working within the military structure in terms of posting, promotion and remuneration, and it could be argued that it has serious…
... 32 National Defense 4 2010-07-01 2010-07-01 true Reciprocal state-military action. 634.16 Section... Reciprocal state-military action. (a) Commanders will recognize the interests of the states in matters of POV... formal military reciprocity, the procedures below will be adopted: (1) Commanders will recognize official...
Robertson, Heather C.; Brott, Pamelia E.
Many military veterans face the challenging transition to civilian employment. Military veteran members of a national program, Troops to Teachers, were surveyed regarding life satisfaction and related internal/external career transition variables. Participants included military veterans who were currently or had previously transitioned to K-12…
Ford, Kate; Vignare, Karen
This literature review examines the evolving online military learner population with emphasis on current generation military learners, who are most frequently Post-9/11 veterans. The review synthesizes recent scholarly and grey literature on military learner demographics and attributes, college experiences, and academic outcomes against a backdrop…
sacrificed at the altar of soldiers' constitutional rights to form and join trade unions .... includes a rights-based culture, a rise in individualism, a change in the acceptance of ... military leadership with the military unions that poses the greatest threat to civil– ... 10 European Organisation of Military Associations, available at ...
Sonesson, Linda; Boffard, Kenneth; Lundberg, Lars; Rydmark, Martin; Karlgren, Klas
In the field of advanced care of the complex trauma patient, there is an emerging need for focused education and training. However, several hospitals do not support further education and training in this field, and the challenge of releasing time for physicians and nurses is well-known. Educational strategies using blended learning, which combines traditional classroom methods with modern computer-assisted methods and media, have not yet been widely used. This study analysed the educational challenges and areas for improvement, according to senior physicians and nurses, and investigated the potential use of blended learning. The setting was an international course, Definitive Surgical Trauma Care (DSTC) - Military Version, part of a programme which prepares health professionals for work during extreme conditions. The sample consisted of senior physicians and nurses, participating in the course in September 2015. A survey was completed, interviews were performed and a post-course survey was conducted 18 months later in March 2017. The most difficult aspect of learning how to manage the complex trauma patient, was the lack of real practice. Even though the respondents were knowledgeable in advanced trauma, they lacked personal experience in managing complex trauma cases. Cases presented during the course represented significantly greater complexity of injury compared to those usually seen in hospitals and during military deployment. The following educational challenges were identified from the study: (1) Lack of experience and knowledge of advanced trauma care. (2) Lack of the use of blended learning as support for education and training. (3) Limited time available for preparation and reflection in the education and training process. (4) Lack of support for such education and training from home hospitals. (5) The unfulfilled requirement for multidisciplinary team-training in the military medical environment. Educational strategies and methods, such as blended
organizations for facility support of bulk petrole - um products if necessary. Military construction of petroleum storage terminals is a joint responsibili...and MSC in arranging for domestic transport of petrole - um products. These two TOAs have specific responsibilities, depending on the type of vehicle...Military Liaison Office, Kuwait U.S. Liaison Office, Tunisia U.S. Mutual Defense Assistance Office U.S. Military Group U.S. Military Liaison Office U.S
Natalia V. V.
The article is devoted to the topical issues of the search and detention of the military personnel who has avoided the military service. On the basis of official information, the author gave a short historical digression, the analysis of a current state of the problem of evasion of the military personnel from military service is carried out and possible ways of its solutions are proposed
ethical , and political. 22 Pfaff 1999, 8). The beliefs of egoism and post-modern relativism can be...MILITARY DISSENT: WHAT ARE THE ETHICAL IMPLICATIONS OF TENSIONS IN U.S. CIVIL-MILITARY RELATIONS? A thesis presented to the...JUN 2013 4. TITLE AND SUBTITLE Military Dissent: What are the Ethical Implications of Tensions in U.S. Civil-Military Relations? 5a. CONTRACT
... this page: //medlineplus.gov/ency/patientinstructions/000618.htm Help prevent hospital errors To use the sharing features ... in the hospital. If You Are Having Surgery, Help Keep Yourself Safe Go to a hospital you ...
Full Text Available Objective To investigate the epidemiological characters of ocular injuries related to military training and operations in Chinese army.Methods The data of servicemen with ocular injuries,hospitalized in 11 military evacuation hospitals from 2005-01-01 to 2009-12-31,were entered into a registration table.The data included the time and place when the injury happened,type and cause of injury,examination records,treatment,rehabilitation level,etc.All data were input into the database for statistical analysis.Results Of all the cases of ocular injuries,189(45.5% were related to military training and operations.The mean age of the 189 cases was 23.4±5.4 years,all of them were men,and soldiers accounted for 91.0% and officers accounted for 9.0%.The incidence declined in 2006 compared with that in 2005,and then rose gradually thereafter year by year.Eight patients(4.2% were complicated with bodily injuries,and 4.2% of patients had the history of eye surgery or eye disease before the ocular injury.Of the 189 cases,in 172(91.0% one eye was injured while in 17(9.0% both eyes were injured.After injury,in 35.0% of patients sight restoration to grade 1,in 20.6% to grade 2,in 13.6% to grade 3,in 25.7% to grade 4,and in 4.4% to grade 5.In 87.3% of patients injuries were due to mechanical forces and in 12.7% ocular injuries were not mechanical.Most patients with eye injury occurring in military training and operations were sent to evacuation hospital and treated timely,and good results were obtained.Conclusions Military training and operations related ocular injury is a prevalent ocular injury occurring in Chinese armed forces,and should be paid more attention in prevention.One important measure is to improve the prevention awareness of Chinese servicemen,and a detailed prevention measures should be further studied.
... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Foreign-owned military aircraft and naval vessels, and the Foreign Military Sales program. 126.6 Section 126.6 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS GENERAL POLICIES AND PROVISIONS § 126.6 Foreign-owned military...
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...
Gibbons, Susanne W; Barnett, Scott D; Hickling, Edward J
This study uses data from the 2005 Department of Defense Survey of Health-Related Behaviors Among Military Personnel to examine relationships between family stress and posttraumatic stress symptoms across 4 subgroups of Operation Iraqi Freedom-deployed (i.e., war in Iraq) or Operation Enduring Freedom-deployed (i.e., war in Afghanistan) active-duty military service members. Results suggest the following: (a) the greatest positive correlation of family stressors with posttraumatic stress symptoms was found within the military health care officer group, and (b) these military health care officers differed in family stressors mediating posttraumatic stress with divorce and financial problems accounting for significant and unique portions of the variance. Implications for care of service members and their families are discussed. Published by Elsevier Inc.
The Department of Defense's military health care system, entitled TRICARE, brings together the direct health care resources of the Department of Defense and supplements this capability through the use...
Ford, Christopher T
Military contacts between the United States and the People s Republic of China have presented opportunities for leaders in both countries defense community to share information and promote transparency...
Successful recruiting and retention of the active duty force relies in large part on the extent to which service members and their spouses experience both job satisfaction and contentment with life in the military...
...) This revision, in conformity with the Military Justice Act of 1983 and Manual for Courts-Martial 1984, changes past practice and procedures in several significant areas, and alters other procedures...
Barsoumian, Alice E; Hartzell, Joshua D; Bonura, Erin M; Ressner, Roseanne A; Whitman, Timothy J; Yun, Heather C
Nationally, the number of internal medicine physicians practicing in primary care has decreased amidst increasing interest in hospitalist medicine. Current priorities in the Military Health System include access to primary care and retention of trained personnel. Recently, we have conducted a study of military internal medicine residents' decision to enter infectious disease. As part of our larger effort, we saw an opportunity to characterize factors impacting decision making of internal medicine residents' desire to apply for subspecialty training and to extend active duty service obligations. Questions were developed after discussion with various military graduate medical education and internal medicine leaders, underwent external review, and were added to a larger question set. The survey link was distributed electronically to all U.S. military affiliated residencies' graduating internal medicine residents in December 2016-January 2017. Data were analyzed by decision to apply to fellowship and decision to extend military obligation using Fisher's exact test or Pearon's chi-square test. Sixty-eight residents from 10 of 11 military residency programs responded, for a response rate of 51%. The majority (62%) applied to fellowship to start after residency completion. Reasons cited for applying to fellowship included wanting to become a specialist as soon as possible (74%), wishing to avoid being a general internist (57%), and because they are unable to practice as a hospitalist in the military (52%). Fellowship applicants were more likely to plan to extend their military obligation than non-applicants, as did those with longer duration of military commitments. No other factors, including Uniformed Services University attendance or participation in undergraduate military experiences, were found to impact plan to extend active duty service commitment. The majority of graduating internal medicine residents apply for fellowship and report a desire to avoid being a
refused to support Obreg6n’s campaign and attempted to impose a relative unknown, Ignacio Bonillas , as the next president. 2 0 When Carranza...from military forces that claimed to be followers of such revolutionary leaders as Carranza, Villa, and Pablo Gonzalez. These armies were led by...was busy as the Director of Military Education, his successor as Secretary of War, General Pablo Quiroga (and for a short period, General Ldzaro C
reintegration. Communication and Generalized Anxiety The emotional cycle of deployment model provides a descrip- tive framework for understanding the...counseling. Thus, communication can have a reciprocal influence on the very appraisals and emotions that motivate interaction in the first place. Communication...of service members back into family life after deployment can be extremely challenging for military couples. Understanding the factors that
Commercial (717) 245-3660. "A healthy family environment is a force multiplier." - General John A. Wickham, Jr. NTiS C’. - Statement "A" per telecon...11. Kreyche, Gerald F. "Day Care: The New Surrogacy ." USA TODAY, Vol. 118, September 1989, pp. 91-93. Landrum, Cecile S. "The Changing Military
FGAN FORSCHUNGSINSTITUT FÜR KOMMUNIKATION, INFORMATIONSVERARBEITUNG UND ERGONOMIE KIEKOMMUNIKATION Resource Management in Tactical Military Networks...Martin Lies, Peter Sevenich, Christoph Karg, Christoph Barz Nr: 2 FGAN FORSCHUNGSINSTITUT FÜR KOMMUNIKATION, INFORMATIONSVERARBEITUNG UND ERGONOMIE ...Communication with IPSec in Tunnelmode Nr: 3 FGAN FORSCHUNGSINSTITUT FÜR KOMMUNIKATION, INFORMATIONSVERARBEITUNG UND ERGONOMIE KIEKOMMUNIKATION IPSec in
Kime, Steve F.; Anderson, Clinton L.
Civilian educators have long argued that the U.S. armed forces must be maintained as a reflection of society and that civilian education institutions must share responsibility in educating servicemembers. Political changes and technological advances have made education a strategic issue in structuring military forces for the third millennium. In…
the most vicious and xenophobic brand of Russian chauvinism, complete with witch-hunts and spymania. Secrecy was also important for enhancing the...the Soviet Armed Forces, a significant factor tor a military establishment historically used to ’ie position of the underdog because of the Soviet
having high levels of clustering and a short path length for efficient global and local communications (Latora and Marchiori, 2001; Watts and Strogatz ...Warden, D.L., 2006. Military TBI during the Iraq and Afghanistan wars. J. Head Trauma Rehabil. 21, 398–402. Watts, D.J., Strogatz , S.H., 1998. Collective
Crosbie, Thomas Alexander; Kleykamp, Meredith
In a recent issue of this journal, we published an article titled “Fault Lines of the American Military Profession”. Donald S. Travis subsequently wrote a Dipustatio Sine Fine rejoinder that raised a number of criticisms of our piece and suggested several ways forward. For our part, we detect thr...
Smelik, R.M.; Tutenel, T.; Kraker, J.K.. de; Bidarra, R.
Military training instructors increasingly often employ computer games to train soldiers in all sorts of skills and tactics. One of the difficulties instructors face when using games as a training tool is the creation of suitable content, including scenarios, entities, and corresponding terrain
NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT ECONOMIC VALUE OF ARMY FOREIGN MILITARY SALES ...this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data...sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden
arms) between the USSR and the United States. To me, it appears as unthinkable as a skirmish between an ele- phant and a whale . However, our military...have described them as racketeers, drug addicts , and have represented them as people who will potentially commit suicide. In fact it has always
The section on ethics covers the question “ What is mercenaries?, whether private contractors can be ethical, regulating private militaries, bringing just war theory into step with shifts in warfare proper, and efforts to point out the social responsibilities that now seem to accrue. The authors covering policies and law primarily ...
Determination of cordycepin content of Cordyceps militaris recombinant rice by high performance liquid chromatography. ... Relative standard deviation (RSD), precision and repeatability RSD was 2.38, 0.76 and 1.46 %, respectively. Conclusion: The HPLC method is simple, fast, accurate and reproducible. It is suitable for ...
objectives? The question also posed itself this way: Is the importation of notions among our military leaders which contradict that "heritage" an unethical ...to the support of the cause of secession and slavery in the 1850’s -- have given an extended, if undistinguished, lineage to the views of those most