WorldWideScience

Sample records for inadequate military strategy

  1. Military Strategy vs. Military Doctrine

    DEFF Research Database (Denmark)

    Barfoed, Jacob

    2015-01-01

    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....

  2. Military Strategy Of India

    Directory of Open Access Journals (Sweden)

    M. S. Zaitsev

    2017-01-01

    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.

  3. Ethnic Conflict: Imperatives for US Military Strategy

    National Research Council Canada - National Science Library

    Lohide, Kurtis D

    1999-01-01

    .... Recent fighting in Bosnia, Central Africa, and Kosovo seems to provide this context. Such outbreaks of internecine fighting present compelling evidence that ethnic warfare will be a major source of conflict in the new millennium. Therefore, if 21st century American military thinkers are to craft a successful strategy, they must address the imperatives of ethnic conflict. This paper discusses the theoretical imperatives, doctrinal imperatives, and force structure imperatives of ethnic warfare.

  4. A National Military Strategy Process for the Future

    Science.gov (United States)

    1994-04-18

    NATIONAL MILITARY - Strategic Direction ESTRATEGY Military Strategy Strategic Landscape Security Needs fDEF PLAN GUID (DPG) JOIN PLANNING DOCUMENT...United States Government has not attempted to codify a national security strategy nor has the Department of Defense published a document entitled National...Military Strategy. Certainly, the government has developed security policies for using the elements of national power. In June, 1986 the President’s

  5. The philanthropic string: medical aspects of military strategy.

    Science.gov (United States)

    Dressler, D P; Hozid, J L

    2001-04-01

    Since antiquity, medical care has played an important role in both military strategy and conflict resolution. Although this is usually a negative and an unintended event, medical care can be a positive and a rational alternative to present-day weapons of mass destruction. Yet, military and civilian planners have not traditionally accepted, recognized, and used a "philanthropic string." Nevertheless, medical care can be an important factor in resolving international conflict, either in support of military operations or as a separate function. Therefore, it is timely, and pragmatic, to include humanitarian medical care in strategic military planning.

  6. Late Diagnosis Due to Missed Opportunities and Inadequate Screening Strategies in HIV Infected Mexican Women.

    Science.gov (United States)

    Martin-Onraët, Alexandra; Volkow-Fernández, Patricia; Alvarez-Wyssmann, Victoria; González-Rodríguez, Andrea; Casillas-Rodríguez, Jesús; Rivera-Abarca, Lesvia; Torres-Escobar, Indiana; Sierra-Madero, Juan

    2017-02-01

    Late diagnosis of HIV remains a public health issue in Mexico. Most national programs target high-risk groups, not including women. More data on factors associated with late diagnosis and access to care in women are needed. In 2012-2013, Mexican women recently diagnosed with HIV were interviewed. Socio-cultural background, household-dynamics and clinical data were collected. Of 301 women, 49 % had primary school. Physical/sexual violence was reported by 47/30 %; 75 % acquired HIV from their stable partners. Prenatal HIV screening was not offered in 61 %; 40 % attended consultation for HIV-related symptoms without being tested for HIV. Seeking medical care ≥3 times before diagnosis was associated with baseline CD4 care. Primary care needs to be improved and new strategies implemented for early diagnosis in women.

  7. National Military Strategy: Determinant, Resultant, or Figment.

    Science.gov (United States)

    1981-01-01

    White Rouse Fellow: as a . Research Assistant to the DOD Comittee on Excellence in Education ; and on the Faculty of the Air Force Acadiny. Colonel Roe is...observation; a viable strategy process depends on having people in. each bureaucracy at key functional levels who are adequately prepared by education ...consideration of the force demands to meet the strategy. Perhaps having a cluster of talented and institucionally -respected strategists at each of the key

  8. IDegLira Versus Alternative Intensification Strategies in Patients with Type 2 Diabetes Inadequately Controlled on Basal Insulin Therapy

    DEFF Research Database (Denmark)

    Freemantle, Nick; Mamdani, Muhammad; Vilsbøll, Tina

    2015-01-01

    glycated hemoglobin (HbA1c) and other outcomes. METHODS: A pooled analysis of five completed Novo Nordisk randomized clinical trials in patients with type 2 diabetes inadequately controlled on basal insulin was used to compare indirectly IDegLira (N = 199) with: addition of liraglutide to basal insulin (N...... = 225) [glucagon-like peptide-1 receptor agonist (GLP-1RA) add-on strategy]; basal-bolus (BB) insulin [insulin glargine (IGlar) + insulin aspart] (N = 56); or up-titration of IGlar (N = 329). A supplementary analysis was performed with the BB arm including patients who received IGlar or IDeg as basal...... of study, differences between IDegLira and BB or up-titrated IGlar, respectively, were as follows: reduction in HbA1c -0.30%, 95% confidence interval (-0.58; -0.01) and -0.65% (-0.83; -0.47); change in body weight -6.89 kg (-7.92; -5.86) and -4.04 kg (-4.69; -3.40) all in favor of IDegLira. Confirmed...

  9. Military Strategies for Sustainment of Nutrition and Immune Function in the Field

    National Research Council Canada - National Science Library

    1999-01-01

    This publication, Military Strategies for Sustainment of Nutrition 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...

  10. Risk Factors for Inadequate Defibrillation Safety Margins Vary With the Underlying Cardiac Disease: Implications for Selective Testing Strategies

    NARCIS (Netherlands)

    Bonnes, J.L.; Westra, S.W.; Bouwels, L.H.; Boer, M.J. de; Brouwer, M.A.; Smeets, J.L.R.M.

    2016-01-01

    INTRODUCTION: In view of the shift from routine toward no or selective defibrillation testing, optimization of the current risk stratification for inadequate defibrillation safety margins (DSMs) could improve individualized testing decisions. Given the pathophysiological differences in myocardial

  11. Risk Factors for Inadequate Defibrillation Safety Margins Vary With the Underlying Cardiac Disease: Implications for Selective Testing Strategies.

    Science.gov (United States)

    Bonnes, Judith L; Westra, Sjoerd W; Bouwels, Leon H R; DE Boer, Menko Jan; Brouwer, Marc A; Smeets, Joep L R M

    2016-05-01

    In view of the shift from routine toward no or selective defibrillation testing, optimization of the current risk stratification for inadequate defibrillation safety margins (DSMs) could improve individualized testing decisions. Given the pathophysiological differences in myocardial substrate between ischemic and nonischemic heart disease (IHD/non-IHD) and the accompanying differences in clinical characteristics, we studied inadequate DSMs and their predictors in relation to the underlying etiology. Cohort of routine defibrillation tests (n = 785) after first implantable cardioverter defibrillator (ICD)-implantations at the Radboud UMC (2005-2014). A defibrillation threshold >25 J was regarded as an inadequate DSM. In total, 4.3% of patients had an inadequate DSM; in IHD 2.5% versus 7.3% in non-IHD (P = 0.002). We identified a group of non-IHD patients at high risk (13-42% inadequate DSM); the remainder of the cohort (>70%) had a risk of only 2% (C-statistic entire cohort 0.74; C-statistic non-IHD 0.82). This was based upon two identified interaction terms: (1) non-IHD and age (aOR 0.94 [95% CI 0.91-0.97]); (2) non-IHD and the indexed left ventricular (LV) internal diastolic diameter (aOR 3.50 [95% CI 2.10-5.82]). The present study on risk stratification for an inadequate DSM not only confirms the importance of making a distinction between IHD and non-IHD, but also shows that risk factors in an entire cohort (LV dilatation, age) may only apply to a subgroup (non-IHD). Appreciation of this concept could favorably affect current risk stratification. If confirmed, our approach may be used to optimize individualized testing decisions in an upcoming era of non-routine testing. © 2016 Wiley Periodicals, Inc.

  12. Traditional Military Thinking and the Defensive Strategy of China

    National Research Council Canada - National Science Library

    Jijun, Li

    1997-01-01

    ... education institutions. In support of China's policies of 'reform and opening up,' the People's Liberation Army is actively seeking military-to-military relations with other nations, particularly with the United States...

  13. The Army National Guard: Meeting the Needs of The National Military Strategy

    Science.gov (United States)

    1993-05-13

    AD-A274 443 "The Army National Guard: Meeting the Needs of The National Military Strategy A Monograph by Lieutenant Colonel John P. Lewis Infantry...Leave bldnk) 2. REPORT DATE 3. REPORT TYPE AND DATES COVERED 4. TITLE AND SUBTITLE S. FUNDING NUMBERS THE ARMY NATIONAL GUARD: MEETING THE NEEDS OF...NATIONAL GUARD: MEETING THE NEEDS OF THE NATIONAL MILITARY STRATEGY by LTC John P. Lewis, USA 67 pages. The strategic environment significantly changed

  14. MILITARY AIRCRAFT: Services Need Strategies to Reduce Cannibalizations

    National Research Council Canada - National Science Library

    2001-01-01

    .... This would impair aircraft and other equipment readiness. To compensate for shortfalls in logistics, all the military services Army, Air Force, Navy, and Marine Corps have resorted to cannibalization...

  15. Strategy for a Military Spiritual Self-Development Tool

    Science.gov (United States)

    2008-12-12

    Piaget , Kohlberg, and Erikson in a comprehensive theory directly applicable to the topic of spiritual development in the military. Therefore, the... theories due to its high user acceptability (“the most widely used personality instrument in the world--2 million administrations are given each year...simplicity, privacy, immediate feedback, basis in scientific theory , statistical development, and data collected regarding cross- cultural

  16. A global epidemiological survey and strategy of treatment of military ocular injury

    Directory of Open Access Journals (Sweden)

    Mao-nian ZHANG

    2011-10-01

    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

  17. The cooperative monitoring of military forces: An exercise in strategy

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    This exercise examines a hypothetical security problem associated with conventional military forces and border security: a surprise attack. The goal of the exercise is to provide an opportunity to think about how cooperative monitoring can be part of regional security. Two hypothetical countries, VOLCANOES and MOUNTAINS, have been created for this exercise based on the US states of Arizona and New Mexico. They were selected for their size and variety of terrain. Hypothetical background information and characteristics of the two countries are provided. An outline of activities is given, including prioritization of security concerns and monitoring of objectives for security concerns. 6 tabs.

  18. English Learning Strategies of Various Nations: A Study in Military Context

    Science.gov (United States)

    Solak, Ekrem

    2014-01-01

    How successful learners learn English has been one of the primary interest of scientists and researchers in recent years. Therefore, this study aimed to determine what language learning strategies the military personnel from different nations used while learning English. 56 subjects from 14 different nations deployed in three different military…

  19. Coping strategies of Nigerian Military Service Personnel: A Survey ...

    African Journals Online (AJOL)

    Alcohol/drug use (mean:- 5.65 ±2.566) was the least used coping strategy among respondents. A statistically significant relationship was found between some coping strategies and gender (“Emotion Focussed Coping” greater among females, P= 0.017), educational status (“Denial”:- P=0.004, “Mental Disengagement ...

  20. Time and the Question of Unintended Impact on Military Strategy

    DEFF Research Database (Denmark)

    Nielsen, Thomas Galasz

    2014-01-01

    CHAPTER TEN: Unintended impact on the strategy This chapter identifies two aspects in the variable “time” to address unintended impact on a strategy: Short versus long term focus and predictability. The International Security Stabilisation Force’s focus on the tactical level successes to secure...... that the short term objectives is reached has gradually changed the objective on the grand strategy level clouding the end state. At the same time the predictability focus contributed to prioritization of short-term tactical objectives, as they were easier to benchmark rather than grand strategic objectives....... This changed the end state from eradication of the Taliban to nation-building to transition of security responsibilities. The result is a strategy that has become focused on tactical level objective. This has blurred the understanding of the end state in a pursuit of tactical successes....

  1. Time and the Question of Unintended Impact on Military Strategy

    DEFF Research Database (Denmark)

    Nielsen, Thomas Galasz

    2014-01-01

    . This changed the end state from eradication of the Taliban to nation-building to transition of security responsibilities. The result is a strategy that has become focused on tactical level objective. This has blurred the understanding of the end state in a pursuit of tactical successes....

  2. Inadequate housing in Ghana

    Directory of Open Access Journals (Sweden)

    Franklin Obeng-Odoom

    2011-01-01

    Full Text Available Two themes are evident in housing research in Ghana. One involves the study of how to increase the number of dwellings to correct the overall housing deficit, and the other focuses on how to improve housing for slum dwellers. Between these two extremes, there is relatively little research on why the existing buildings are poorly maintained. This paper is based on a review of existing studies on inadequate housing. It synthesises the evidence on the possible reasons for this neglect, makes a case for better maintenance and analyses possible ways of reversing the problem of inadequate housing.

  3. Evaluation of methicillin-resistant Staphylococcus aureus skin and soft-tissue infection prevention strategies at a military training center.

    Science.gov (United States)

    Morrison, Stephanie M; Blaesing, Carl R; Millar, Eugene V; Chukwuma, Uzo; Schlett, Carey D; Wilkins, Kenneth J; Tribble, David R; Ellis, Michael W

    2013-08-01

    Military trainees are at high risk for skin and soft-tissue infections (SSTIs), especially those caused by methicillin-resistant Staphylococcus aureus (MRSA). A multicomponent hygiene-based SSTI prevention strategy was implemented at a military training center. After implementation, we observed 30% and 64% reductions in overall and MRSA-associated SSTI rates, respectively.

  4. Optimizing Preventive Strategies and Malaria Diagnostics to Reduce the Impact of Malaria on US Military Forces

    Science.gov (United States)

    2012-05-01

    quinine (Q), intramuscular artemether, intravenous AS, and AS suppositories are used to treat severe malaria ; all are efficacious and should be...DOD Malaria Stakeholder Meeting May 30-31, 2012 Bethesda, MD Optimizing Preventive Strategies and Malaria Diagnostics to Reduce the Impact...of Malaria on US Military Forces The Armed Forces Health Surveillance Center, the U.S. Army Medical Research and Materiel Command and OSD/Health

  5. National Military Strategy in the Post Cold War Era: Nuclear Deterrence or an Alternative

    Science.gov (United States)

    1993-04-15

    service or government agency. N-ATIONAL MILITARY STRATEGY IN THE POST COLD WAR ERA: NULEAR DETERRENCE OR AK ALTERNATIVE AN JNDIVIDUAL STUDY PROJECT by , Ltc...Atomic Energy Agency have thus far demonstrated the North Koreans to be abiding by their agreement &t this facility.’ 0 However, there are no guarantees...subsequently began cooperation with the International Atomic Energy Agency (IAEA).21 It may have been the attitude of most whites regarding the future of

  6. Personality profiles and stress-coping strategies of Slovenian military pilots

    Directory of Open Access Journals (Sweden)

    Maja Meško

    2009-07-01

    Full Text Available The performance of a pilot also depends on the pilot's personality profile and their stresscoping style. In our study we aimed to analyze, by means of the Big Five Questionnaire (BFQ and the Coping Responses Inventory (CRI, the personality profiles, stress-coping strategies and the relationship between them among Slovenian military pilots. The study involved 120 respondents: 30 of whom were military pilots in the experimental group, while the other 90 were in the control groups. The control groups included sport pilots, the general population and soldiers with no involvement in aviation. The members of the control group were selected with regard to the characteristics of the experimental group members, so that both groups were equivalent in terms of relevant factors (e.g. gender, age, health state, level of education etc, thus participating in a study of equivalent pairs. A statistical analysis identified statistically significant differences between the groups in the following BFQ dimensions: energy, conscientiousness and emotional stability; in the dimensions of CRI 'cognitive avoidance' (cognitive effort to avoid realistic consideration of a problem; and 'emotional discharge or emptying' (behavioural attempts to alleviate tension by venting negative emotions. Results revealed that certain personality characteristics were differentially and significantly related to specific stress coping strategies adopted by military pilots.

  7. Military Strategy,

    Science.gov (United States)

    1968-01-01

    overpopulation of the earth (Malthuslans and neo-Malthuslans), and in racist geopolitics. Such theories always played Into the hands of extreme...will be 90 percent destroyed, and a large quantity of medicine will become unusable. Natur- ally, under these conditions mass fatal infectious...administrators) equipped with supplies of medicines , instruments, and in part, soft goods. These detachments must be capable of organizing a "hospital" at

  8. Insufficient amounts and inadequate distribution of dietary protein intake in apparently healthy older adults in a developing country: implications for dietary strategies to prevent sarcopenia

    Directory of Open Access Journals (Sweden)

    Ruiz Valenzuela RE

    2013-09-01

    Full Text Available Roxana E Ruiz Valenzuela, José A Ponce, Gloria Guadalupe Morales-Figueroa, Karina Aguilar Muro, Virginia Ramírez Carreón, Heliodoro Alemán-Mateo Nutrition and Metabolism Department, Division of Nutrition, Research Center for Food and Development, Hermosillo, Sonora, México Background: Both low dietary protein intake and inadequate distribution of protein over the three mealtimes have been reported in older Caucasian adults, but the association between protein intake at each meal and muscle mass has not been studied. The purpose of this study was to evaluate dietary protein intake and distribution by mealtimes, and to explore their association with appendicular skeletal muscle mass in apparently healthy older adults. Methods: This was a cross-sectional pilot study that included 78 people over the age of 60 years. Caloric and protein intake were estimated on the basis of three nonconsecutive 24-hour diet recalls and appendicular skeletal muscle mass by dual-energy X-ray absorptiometry. Results: Men consumed 13.4 g of protein/day more than women (P < 0.05. The estimated value of dietary protein intake was 0.9 g/kg/day. In this sample, 28% of subjects did not cover 100% of the dietary reference intake for protein. Lower consumption of dietary protein was found at breakfast and dinnertime compared with the recommended amount of 25–30 g (P < 0.05. Also, the study observed that appendicular skeletal muscle mass in men and women who consumed <25 g of protein at each mealtime was different from that found in the group that consumed >25 g of protein at one, two, or three mealtimes. Conclusion: While protein intake was higher than current recommendations, it failed to achieve the values reported as necessary to prevent sarcopenia. In addition, there was under-consumption of protein per mealtime, especially at breakfast and dinner. Keywords: dietary protein intake, older adults, appendicular skeletal muscle mass

  9. The Bush/Cheney Energy Strategy: Implications for U.S. Foreign and Military Policy

    Energy Technology Data Exchange (ETDEWEB)

    Klare, Michael T. [Hampshire College, Amherst, MA (United States). Peace and World Security Studies

    2003-07-01

    The 'National Energy Policy' (NEP) released by the Bush Administration on May 17, 2001 was supposedly intended to meet growing U.S. energy requirements in the first two decades of the 21st Century while also diminishing U.S. dependence on imported oil. This was to be accomplished, the White House suggested, by increasing production at existing oil fields in the United States and by commencing drilling on the Artic National Wildlife Refuge (ANWR) in Alaska. So great was the furor over drilling on ANWR that most people never bothered to examine the NEP closely. This is unfortunate, as a close reading of the NEP report reveals a very different picture than that suggested by White House pronouncements: far from promoting energy 'independence', the NEP assumes that the United States will become MORE, not less dependent on imported petroleum in the years ahead and therefore calls on the Federal Government to take whatever steps are necessary to promote enhanced U.S. access to foreign oil. In particular, the NEP calls on the U.S. Government to seek additional petroleum from the Persian Gulf area, Russia, the Caspian Sea basin, Mexico, Venezuela, Angola, and Nigeria. As is implied by the report, the United States must acquire more oil from these countries in order to permit increased oil consumption in the United States at a time of declining domestic production. Even leaving aside the question of whether these countries will be able to boost their production sufficiently to satisfy steadily rising demand in the United States, this strategy poses enormous challenges for the United States because most of these areas are highly unstable and house anti-American governments and forces. It is likely, then, that U.S. efforts to acquire more oil from these countries will entail the increased presence of U.S. military forces in the area and periodic U.S. military intervention. Indeed, the requirement for increased military action in support of U.S. foreign

  10. Civil Discourse or Civil War? The Influence of Civil-Military Relations on Iraq and Afghanistan War Strategy

    Science.gov (United States)

    2011-05-04

    Hopkins Univ. Press, 2009), 44. 10 Mackubin T. Owens (professor, Naval War College, Newport, RI), interview by the author, 5 April 2011. 11 Risa A...www.esquire.com/features/fox-fallon (accessed 18 March 2011). Brooks, Risa A. Shaping Strategy: The Civil-Military Politics of Strategic Assessment

  11. Caring for the Veteran, military and family member nursing competencies: Strategies for integrating content into nursing school curricula.

    Science.gov (United States)

    McMillan, Libba Reed; Crumbley, David; Freeman, Julie; Rhodes, Marilyn; Kane, Michele; Napper, Joy

    In the United States, one in every 15 persons is a Veteran (U. S. Department of Veterans Affairs, 2016; U. S. News & World Report, 2017). An estimated 27% of these Veterans receive healthcare through the Veteran's Health Administration (VHA), leaving 73% to seek care in civilian hospitals (Bagalman, 2014). Realistically, most nurses in the United States will care for military members, Veterans or family members in a variety of healthcare systems and settings. Nurse educators are positioned to lead efforts in providing nursing students with the knowledge necessary to provide competent care and serve as advocates for our nation's heroes. Recent military deployments and news about the VHA have increased awareness of this population. This article describes competency development resulting from an academic-practice partnership experience between two baccalaureate programs and a national military medical center. Project SERVE, Students' Education Related to the Veteran Experience, utilizes a didactic-experiential model consisting of activities designed to teach students core concepts, including understanding military culture, poly-trauma, traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), and issues facing families and care-givers. This article includes competencies, delineating the Knowledge, Skills, Attitudes, and resources for the provision of care to the Veteran population. The authors offer strategies to integrate care of Veterans, and military/family members content into nursing programs and replicate similar experiences. Opportunities for future development, challenges, faculty resources for curricular inclusion, and student reflections of the experience are presented. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. The PLA and Chinas Rejuvenation: National Security and Military Strategies, Deterrence Concepts, and Combat Capabilities

    Science.gov (United States)

    2016-01-01

    domestic stability. To that end, the PLA is expected to perform a range of operations, including HADR. During the 2008 Sichuan earth - quake , for...to Congress on China’s military power notes that U.S.-China military-to-military rela- tions have increased in frequency , and the types of activities...cyber- attacks from China on U.S. government institutions occur with increasing frequency , with no 52 The PLA and China’s Rejuvenation clear

  13. Utility of Military Strategy as an Instrument of Foreign Policy | Ebaye ...

    African Journals Online (AJOL)

    This research has taken a critical appraisal of state actors in the international system, and the utility of military power as an instrument of foreign policy. The paper asserts as Osgood did, that one of the main prerequisite of a credible state actor is to develop the military compatibilities and political will, to back its diplomacy by ...

  14. Foreign Policy, National Security Strategy, and Morality: The Enduring Relevance of the Just War Theory to Military Strategy and Intervention

    National Research Council Canada - National Science Library

    Rathbun, Cheryl J

    1997-01-01

    .... The United States' political tradition, at least since 1945, has encompassed the imperative to not only maintain its power -- political, economic and military -- but also to project its values...

  15. Strategy to Minimize Energetics Contamination at Military Testing/Training Ranges

    National Research Council Canada - National Science Library

    Lamontagne, Colette; Mahannah, Janet; Jasinkiewicz, Kristin; Hogrelius, Kimberly

    2005-01-01

    The ARDEC is sponsoring the GAT Program. One important goal under the GAT program umbrella is to minimize the impacts of energetics contamination on military ranges resulting from testing and training activities...

  16. Strategies for Allocation of the US Federal Budget: Military and Innovative Dimension

    Directory of Open Access Journals (Sweden)

    Glukhova Darya A.

    2015-11-01

    Full Text Available The aim of the article is to define the conceptual framework and features of priority directions in redistribution of the US federal funds. This subject is very relevant because it discloses a system of financing and allocations of the most powerful state in the world in many aspects. The article describes the structure of government funding of the national military sector and directions of the modernization of the US military-industrial complex. It has been determined that in the global expansion of military actions the USA in no case remain aloof from the given events. Manufacturing the US military products plays a key role in the defense industry not only of the country itself but also the international community as a whole. For Ukraine, with the complications in its military-political situation, the cooperation with the United States and inclusion of the financial assistance to our country in its federal budget are very important. The mentioned directions for allocating the received funds in the amount of $ 300 mln by the Ukrainian government confirm the support by the American state of our military equipment and modernization of the national defense industry

  17. Consequences of Inadequate Physical Activity

    Centers for Disease Control (CDC) Podcasts

    2018-03-27

    Listen as CDC Epidemiologist Susan Carlson, PhD, talks about her research, which estimates the percentage of US deaths attributed to inadequate levels of physical activity.  Created: 3/27/2018 by Preventing Chronic Disease (PCD), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 3/27/2018.

  18. Radiologists' responses to inadequate referrals

    International Nuclear Information System (INIS)

    Lysdahl, Kristin Bakke; Hofmann, Bjoern Morten; Espeland, Ansgar

    2010-01-01

    To investigate radiologists' responses to inadequate imaging referrals. A survey was mailed to Norwegian radiologists; 69% responded. They graded the frequencies of actions related to referrals with ambiguous indications or inappropriate examination choices and the contribution of factors preventing and not preventing an examination of doubtful usefulness from being performed as requested. Ninety-five percent (344/361) reported daily or weekly actions related to inadequate referrals. Actions differed among subspecialties. The most frequent were contacting the referrer to clarify the clinical problem and checking test results/information in the medical records. Both actions were more frequent among registrars than specialists and among hospital radiologists than institute radiologists. Institute radiologists were more likely to ask the patient for additional information and to examine the patient clinically. Factors rated as contributing most to prevent doubtful examinations were high risk of serious complications/side effects, high radiation dose and low patient age. Factors facilitating doubtful examinations included respect for the referrer's judgment, patient/next-of-kin wants the examination, patient has arrived, unreachable referrer, and time pressure. In summary, radiologists facing inadequate referrals considered patient safety and sought more information. Vetting referrals on arrival, easier access to referring clinicians, and time for radiologists to handle inadequate referrals may contribute to improved use of imaging. (orig.)

  19. Strategy of administration of the environmental education to mitigate the inadequate handling of residuals in the community Raúl Maqueira in Consolación del Sur, Pinar del Rio province, Cuba

    Directory of Open Access Journals (Sweden)

    Alba Marina Lezcano Gil

    2015-07-01

    Full Text Available The concern for the environment has been present in the humanity for all the generations and the current environmental problems constitute one of the biggest political, economic and social concerns, depending its solution of the own human existence. It was presented in the community Raúl Maqueira of the municipality Consolación del Sur an unfavorable environmental situation regarding to the handling of residuals, to those which, according to the preliminary diagnosis that was carried out, it was not given the appropriate treatment, for the lack of knowledge, convocation and cohesion among the factors. Under this context a process of administration of the environmental education was promoted in the community that propitiated the cognitive development on the handling of residuals, the integration of the different efforts in the attainment of the strategic objectives and to elevate the protagonism of the social actors by means of the participative practices. In the diagnosis of the current state of the selected community the necessity of elaborating a Strategy of administration of the environmental education was evidenced to mitigate the inadequate handling of residuals in the community and its application, raise levels of communication, commitment, participation and integration of its members as a contribution to local development. This research is validated by the experience in the framework of the community; the process ensured the solution of the problem through transformative results.

  20. Price of military uranium

    International Nuclear Information System (INIS)

    Klimenko, A.V.

    1998-01-01

    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

  1. Operating in the Gray Zone: An Alternative Paradigm for U.S. Military Strategy

    Science.gov (United States)

    2016-04-01

    phases is an outcome of a self-reinforcing cycle , one that mirrors what the services value most while re- inforcing their expectations about what is...been both to punish Mos- cow and to make sustaining the invasion of Ukraine economically untenable. Accordingly, a military strat- egy aimed at causing

  2. Cognitive basis of military strategy: I.Kant and C.von Clausewitz

    Directory of Open Access Journals (Sweden)

    Yu. O. Loboda

    2014-05-01

    C. von Clausewitz follows the I.Kant’s transcendental rationalism building his own system not being based on the practical experience, but on the pure theory, as a result of rationalistic speculations. This approach caused formation of the academic school of military science in Germany, which entailed fatal consequences during World wars in Europe in the XXth century.

  3. The effect of a team strategy discussion on military team performance

    NARCIS (Netherlands)

    Dalenberg, S.; Vogelaar, A.L.W.; Beersma, B.

    2009-01-01

    In modern military operations, people from diverging backgrounds often have to work together in ad hoc teams. These team members are often well trained to perform their own part of the teamwork. However, for optimal performance they should also act as a team. The question is how optimal team

  4. Understanding and Accounting for National Will in Strategies that Use Military Forces

    Science.gov (United States)

    2015-05-23

    military force in support of US interests. A brief 19 President Bill Clinton, Transcript of...impact on the time 62 Smith, 291-294. 63 Kubiak, 149. 64 Roger H. Nye , The Challenge of Command...and translated by Michael Howard and Peter Paret. Princeton: Princeton University Press, 1976. Clinton, Bill . Transcript of President’s Speech on

  5. Physical Training Strategies for Military Women's Performance Optimization in Combat-Centric Occupations.

    Science.gov (United States)

    Nindl, Bradley C

    2015-11-01

    The physiological differences, particularly of upper-body strength and power, between women and men, and the rigors of combat-centric occupational demands would seem to place women at a significant disadvantage, as the U.S. military opens up previously closed combat-arms military occupational specialties (MOSs) to women. This inherent disadvantage can be significantly mitigated by implementing effective and comprehensive physical training (PT) regimens for women targeting those fitness components most critical for those tasks considered most essential for solider warfighting duties (i.e., strength and power). Regrettably, the military historical and legacy overemphasis on aerobic fitness and on "field expediency" as the major criteria for implementing training have limited the extent to which the military has fully operationalized state-of-the-science PT policies. This continued legacy approach could be problematic regarding fully enhancing women's abilities to perform physically demanding combat-centric occupations and could place the successful integration of women into ground combat MOSs at significant risk. Seminal studies from the literature indicate that (a) a minimum of 6 months of periodized combined resistance/endurance training preparedness is recommended for untrained women considering entering combat-arms MOS training; (b) any comprehensive PT program should incorporate and emphasize progressive load carriage training; (c) a greater emphasis on upper body on strength/power development in military women is needed; (d) heavy resistance training in the range of 3-8 repetition maximum sets should be incorporated into training programs to target type II motor units and muscle fibers (those fibers that produce the most force and have the greatest capacity to hypertrophy); (e) low-volume, high-intensity interval training should be considered as a time-efficient training method to improve aerobic fitness while protecting against lower-body musculoskeletal

  6. The U.S. Quest for New Technological Foundations of Military Superiority: Dilemmas of the Third Offset Strategy

    Directory of Open Access Journals (Sweden)

    Vladimir I. Bartenev

    2016-01-01

    Full Text Available The last decades have witnessed a remarkable surge of interest in studying the influence of science and technology on world politics. However, not all channels of such influence have been examined with equal rigor. Whereas numerous researchers have explored meticulously the impact of technologies on warfare, the issues of using military-technological breakthroughs to achieve political goals have been addressed less frequently. This paper seeks to fill this gaping niche by decomposing the Third Offset Strategy (TOS, a recent initiative of the U.S. Department of Defense (DoD aimed at ensuring military-technological superiority of the United States in the XXI century, predominantly, by offsetting the new capabilities of the Russian Federation and the Popular Republic of China. The first section unveils a conceptual framing of the TOS, the second section examines a variety of technological priorities, and the final section identifies key uncertainties around implementation of this initiative in the mid-term and long-term perspective. The conclusion postulates that the emergence of the TOS was determined by both an erosion of the U.S. military superiority and budget constraints, and, therefore, its content might change if budget austerity imperatives will stop dominating the DoD strategists' thinking. The launch of the third offset strategy has also important international-political aspects. First, the TOS fits in the context of the U.S. rebalance to the Asia-Pacific. Second, the American allies in Europe might face a threat of a widening technological gap with the United States and a need to boost their spending on defense research and development, which might be unfeasible in the current fiscal environment. Third, the concentration of the United States on countering high-end opponents might lead to a further marginalization of the Middle East. Fourth, the TOS is likely to contain a disinformation component and aim at dragging the peer competitors

  7. [Inadequate treatment of affective disorders].

    Science.gov (United States)

    Bergsholm, P; Martinsen, E W; Holsten, F; Neckelmann, D; Aarre, T F

    1992-08-30

    Inadequate treatment of mood (affective) disorders is related to the mind/body dualism, desinformation about methods of treatment, the stigma of psychiatry, low funding of psychiatric research, low educational priority, and slow acquisition of new knowledge of psychiatry. The "respectable minority rule" has often been accepted without regard to the international expertise, and the consequences of undertreatment have not been weighed against the benefits of optimal treatment. The risk of chronicity increases with delayed treatment, and inadequately treated affective disorders are a leading cause of suicide. During the past 20 years the increase in suicide mortality in Norway has been the second largest in the world. Severe mood disorders are often misclassified as schizophrenia or other non-affective psychoses. Atypical mood disorders, notably rapid cycling and bipolar mixed states, are often diagnosed as personality, adjustment, conduct, attention deficit, or anxiety disorders, and even mental retardation. Neuroleptic drugs may suppress the most disturbing features of mood disorders, a fact often misinterpreted as supporting the diagnosis of a schizophrenia-like disorder. Treatment with neuroleptics is not sufficient, however, and serious side effects may often occur. The consequences are too often social break-down and post-depression syndrome.

  8. Putting a Price on Strategy: Implementing a Prediction Market in a Modern Military Unit

    Science.gov (United States)

    2012-06-01

    Major, United States Army B.A., University of Nevada -Reno, 2000 John M. Wear Gunnery Sergeant, United States Marine Corps B.S., Joint Military...Quarterback for the NY Jets first regular season game? 9 14 1.56 Will “The Hunger Games” bring in more than $120 million in its opening weekend? 7 13...Who will start at Quarterback for the NY Jets first regular season game? - - - - - - - 5 9 2 300 $11,784.80 1 Will "The Hunger Games" bring in more

  9. The Military's Business

    DEFF Research Database (Denmark)

    Rasmussen, Mikkel Vedby

    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......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...

  10. The Military's Business

    DEFF Research Database (Denmark)

    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...

  11. The New Soviet Military Doctrine and the Future of the Maritime Strategy

    Science.gov (United States)

    1988-09-01

    introduced as a coherent plan by the Secretary of the Navy John Lehman in March, 1984. Secretary Lehman described the strategy a s the maritime...that the supporters of a different naval strategy could make themselves heard. As a result the newly appointed Secretary of the Navy, John Lehman...criticisms. The primary objections to the strategy can be broken down into two fundamental categories: conventional and nuclear. 9Thomas B. Haward

  12. Strategies to Improve Management of Acute Watery Diarrhea during a Military Deployment: A Cost Effectiveness Analysis.

    Science.gov (United States)

    Schrader, Andrew J; Tribble, David R; Riddle, Mark S

    2017-12-01

    To inform policy and decision makers, a cost-effectiveness model was developed to predict the cost-effectiveness of implementing two hypothetical management strategies separately and concurrently on the mitigation of deployment-associated travelers' diarrhea (TD) burden. The first management strategy aimed to increase the likelihood that a deployed service member with TD will seek medical care earlier in the disease course compared with current patterns; the second strategy aimed to optimize provider treatment practices through the implementation of a Department of Defense Clinical Practice Guideline. Outcome measures selected to compare management strategies were duty days lost averted (DDL-averted) and a cost effectiveness ratio (CER) of cost per DDL-averted (USD/DDL-averted). Increasing health care and by seeking it more often and earlier in the disease course as a stand-alone management strategy produced more DDL (worse) than the base case (up to 8,898 DDL-gained per year) at an increased cost to the Department of Defense (CER $193). Increasing provider use of an optimal evidence-based treatment algorithm through Clinical Practice Guidelines prevented 5,299 DDL per year with overall cost savings (CER -$74). A combination of both strategies produced the greatest gain in DDL-averted (6,887) with a modest cost increase (CER $118). The application of this model demonstrates that changes in TD management during deployment can be implemented to reduce DDL with likely favorable impacts on mission capability and individual health readiness. The hypothetical combination strategy evaluated prevents the most DDL compared with current practice and is associated with a modest cost increase.

  13. Primena koncepta marketinga za poboljšanje online nastupa Vojne akademije / Using marketing strategy to improve the online presentation of the Military Academy

    Directory of Open Access Journals (Sweden)

    Dragan S. Pamučar

    2009-01-01

    Full Text Available Internet, elektronsko poslovanje, cyber marketing, nove tehnologije - svakako su termini novog vremena, koje je neophodno primeniti i u poslovanje vojne organizacije. U radu je analiziran dosadašnji rejting i način rada web prezentacije Vojne akademije. Definisane su i ciljne grupe sajta Vojne akademije i predložena strategija promocije web adrese Vojne akademije. / Internet, e-business, cyber marketing and new technologies are some of the characteristics of modern times which should be applied in military organisation management as well. The rating and organization of the Military Academy web presentation have been analyzed. Target groups have been defined and a strategy to promote the Military Academy web address has been proposed.

  14. Analysis of inadequate cervical smears using Shewhart control charts

    Directory of Open Access Journals (Sweden)

    Wall Michael K

    2004-06-01

    Full Text Available Abstract Background Inadequate cervical smears cannot be analysed, can cause distress to women, are a financial burden to the NHS and may lead to further unnecessary procedures being undertaken. Furthermore, the proportion of inadequate smears is known to vary widely amongst providers. This study investigates this variation using Shewhart's theory of variation and control charts, and suggests strategies for addressing this. Methods Cervical cytology data, from six laboratories, serving 100 general practices in a former UK Health Authority area were obtained for the years 2000 and 2001. Control charts of the proportion of inadequate smears were plotted for all general practices, for the six laboratories and for the practices stratified by laboratory. The relationship between proportion of inadequate smears and the proportion of negative, borderline, mild, moderate or severe dyskaryosis as well as the positive predictive value of a smear in each laboratory was also investigated. Results There was wide variation in the proportion of inadequate smears with 23% of practices showing evidence of special cause variation and four of the six laboratories showing evidence of special cause variation. There was no evidence of a clinically important association between high rates of inadequate smears and better detection of dyskaryosis (R2 = 0.082. Conclusions The proportion of inadequate smears is influenced by two distinct sources of variation – general practices and cytology laboratories, which are classified by the control chart methodology as either being consistent with common or special cause variation. This guidance from the control chart methodology appears to be useful in delivering the aim of continual improvement.

  15. Defeating Terrorism through a Politico-Military Strategy: The Sri Lankan Experience

    Science.gov (United States)

    2012-03-21

    discontent between Tamils on the issue of their share of governance. The Tamils and Sinhalese communities observed the double standards of the colonial...living in countries such as India, Sri Lanka, Malaysia , Singapore, Mauritius and Fiji. Additionally, the nationalist wave has spread to diaspora...banks, taxation system, shadow services and armed forces in order to legitimize the separate state. The LTTE strategy further destabilizes the

  16. The State of Western Research on Soviet Military Strategy and Policy.

    Science.gov (United States)

    1984-10-01

    34 Ritz - Carlton theory," which speculates about the sort of caricature untutored Soviet analysts 41 might form of the American "threat" were they to be...notion, it may warrant reexamination in coming years as the Soviets strive to diversify their employment concepts and allow room for greater adaptability...34 It was completed as a concept development effort under the Project AIR FORCE National Security Strategies Program. With modest revisions, it will

  17. Armed to farm: Veteran labeled marketing, education and research strategies to soldier success for military veteran farmers

    Science.gov (United States)

    Farming opportunities for veterans are a natural fit and capitalize on skills that made them successful in the military. The project is specifically designed to develop comprehensive training and technical assistance programs and enhance market profitability for military veteran farmers. The project...

  18. Coming Home to School: Challenges and Strategies for Effective Teaching with Military Veterans

    Directory of Open Access Journals (Sweden)

    Michel A. Sportsman, PhD

    2015-08-01

    Full Text Available This article is an analysis of the unique needs of returning service members at the college or university level that impact the teaching decisions made by instructors. The article also discusses the challenges that service members are individually addressing while acclimating themselves to their new environment of learning. With the reduction in forces occurring after the Iraq and Afghanistan wars, many higher level learning institutions are struggling to adequately meet the needs of returning veterans. In turn, veterans often find that the style of instruction and the general college-level universe are difficult to negotiate. The combination of these factors can often result in veteran students performing below expectation or leaving school without finishing. The article proposes a variety of ways to understand and address these challenges including the use of Scholarship of Teaching and Learning (SoTL strategies and characteristics.

  19. Aircrew Performance Cutting-Edge Tech: Emerging Human Performance Enhancement Technology Vision in Support of Operational Military Aviation Strategy

    National Research Council Canada - National Science Library

    Belland, Kris

    2002-01-01

    Using cutting-edge technology to create a human factors advantage in military operations will contribute to success on the battlefield of the future whether below the surface, on the surface, in the air, or in space...

  20. Aircrew Performance Cutting-Edge Technology: Emerging Human Performance Enhancement Technology Vision in Support of Operational Military Aviation Strategy

    National Research Council Canada - National Science Library

    Belland, Kris M

    2003-01-01

    Using cutting-edge technology to create a human factors advantage in military operations will contribute to success on the battlefield of the future whether below the surface, on the surface, in the air, or in space...

  1. Inadequate sleep and muscle strength: Implications for resistance training.

    Science.gov (United States)

    Knowles, Olivia E; Drinkwater, Eric J; Urwin, Charles S; Lamon, Séverine; Aisbett, Brad

    2018-02-02

    Inadequate sleep (e.g., an insufficient duration of sleep per night) can reduce physical performance and has been linked to adverse metabolic health outcomes. Resistance exercise is an effective means to maintain and improve physical capacity and metabolic health, however, the outcomes for populations who may perform resistance exercise during periods of inadequate sleep are unknown. The primary aim of this systematic review was to evaluate the effect of sleep deprivation (i.e. no sleep) and sleep restriction (i.e. a reduced sleep duration) on resistance exercise performance. A secondary aim was to explore the effects on hormonal indicators or markers of muscle protein metabolism. A systematic search of five electronic databases was conducted with terms related to three combined concepts: inadequate sleep; resistance exercise; performance and physiological outcomes. Study quality and biases were assessed using the Effective Public Health Practice Project quality assessment tool. Seventeen studies met the inclusion criteria and were rated as 'moderate' or 'weak' for global quality. Sleep deprivation had little effect on muscle strength during resistance exercise. In contrast, consecutive nights of sleep restriction could reduce the force output of multi-joint, but not single-joint movements. Results were conflicting regarding hormonal responses to resistance training. Inadequate sleep impairs maximal muscle strength in compound movements when performed without specific interventions designed to increase motivation. Strategies to assist groups facing inadequate sleep to effectively perform resistance training may include supplementing their motivation by training in groups or ingesting caffeine; or training prior to prolonged periods of wakefulness. Copyright © 2018. Published by Elsevier Ltd.

  2. Military and Strategy (Denmark)

    DEFF Research Database (Denmark)

    Clemmesen, Michael Hesselholt

    2017-01-01

    Den danske regering lod to hensyn vejlede sin tøvende anvendelse af de væbnede styrker. For det første skulle anvendelsen være acceptabel for Tyskland. For det andet skulle en reaktion på neutralitetskrænkelser aldrig kunne lede til en ødelæggende forsvarskrig. De to hensyn var ikke nødvendigvis ...

  3. Italian retail gasoline activities: inadequate distribution network

    International Nuclear Information System (INIS)

    Verde, Stefano

    2005-01-01

    It is common belief that competition in the Italian retail gasoline activities is hindered by oil companies' collusive behaviour. However, when developing a broader analysis of the sector, low efficiency and scarce competition could results as the consequences coming from an inadequate distribution network and from the recognition of international markets and focal point [it

  4. Barriers to Mammography among Inadequately Screened Women

    Science.gov (United States)

    Stoll, Carolyn R. T.; Roberts, Summer; Cheng, Meng-Ru; Crayton, Eloise V.; Jackson, Sherrill; Politi, Mary C.

    2015-01-01

    Mammography use has increased over the past 20 years, yet more than 30% of women remain inadequately screened. Structural barriers can deter individuals from screening, however, cognitive, emotional, and communication barriers may also prevent mammography use. This study sought to identify the impact of number and type of barriers on mammography…

  5. Radiologists' responses to inadequate referrals

    Energy Technology Data Exchange (ETDEWEB)

    Lysdahl, Kristin Bakke [Oslo University College, Faculty of Health Sciences, Oslo (Norway); University of Oslo, Section for Medical Ethics, Faculty of Medicine, P.O. Box 1130, Blindern, Oslo (Norway); Hofmann, Bjoern Morten [University of Oslo, Section for Medical Ethics, Faculty of Medicine, P.O. Box 1130, Blindern, Oslo (Norway); Gjoevik University College, Faculty of Health Care and Nursing, Gjoevik (Norway); Espeland, Ansgar [Haukeland University Hospital, Department of Radiology, Bergen (Norway); University of Bergen, Section for Radiology, Department of Surgical Sciences, Bergen (Norway)

    2010-05-15

    To investigate radiologists' responses to inadequate imaging referrals. A survey was mailed to Norwegian radiologists; 69% responded. They graded the frequencies of actions related to referrals with ambiguous indications or inappropriate examination choices and the contribution of factors preventing and not preventing an examination of doubtful usefulness from being performed as requested. Ninety-five percent (344/361) reported daily or weekly actions related to inadequate referrals. Actions differed among subspecialties. The most frequent were contacting the referrer to clarify the clinical problem and checking test results/information in the medical records. Both actions were more frequent among registrars than specialists and among hospital radiologists than institute radiologists. Institute radiologists were more likely to ask the patient for additional information and to examine the patient clinically. Factors rated as contributing most to prevent doubtful examinations were high risk of serious complications/side effects, high radiation dose and low patient age. Factors facilitating doubtful examinations included respect for the referrer's judgment, patient/next-of-kin wants the examination, patient has arrived, unreachable referrer, and time pressure. In summary, radiologists facing inadequate referrals considered patient safety and sought more information. Vetting referrals on arrival, easier access to referring clinicians, and time for radiologists to handle inadequate referrals may contribute to improved use of imaging. (orig.)

  6. Financial incentives are inadequate for most companies

    Indian Academy of Sciences (India)

    Financial incentives are inadequate for most companies. market far less lucrative than for other diseases, which results in chronic underinvestment; reduced investment in TB drug R&D,. Pfizer withdrawal from TB R&D; AstraZeneca abandon TB R&D & close site; Novartis pull out; 4/22 Big Pharma producing antibacterials ...

  7. Transpacific Partnership (TPP Agreement. Is the commercial solution for political-military tension at the region? or Is an american strategy to diminish China influence in Asia?

    Directory of Open Access Journals (Sweden)

    Eduardo Ramírez Zamudio

    2015-07-01

    Full Text Available China and the United States have had a difficult relation over the past 10 years. First of all, the rise of China as a military and economic superpower on the world´s stage is seen under suspicion and discontent by the American political, military and even economic authorities. The United States government does not fully believe China´s intention of pacific rise and has perceived the Chinese government more as a strategic rival than a partner. On the economic field the Americans manufacturing companies complain of China´s distorted economic policies that keep its currency undervalued and subsidise its own companies at the expense of foreign enterprises. On the political side, the American Congress has repeatedly accused the Chinese government of systematically violating its people´s fundamental Human Rights and has pointed out the Chinese governments´ attempts to stop democratic manifestations in the country. As for the military, the U.S. Pentagon publishes each year an updated document on the Chinese military capabilities, rising concerns about China´s fast-growing military modernisation.All these accusations have been replied by the Chinese counterparts of Commerce, Military and Political agencies, whose general answer is to point out the American’s lack of knowledge about China’s development. Whenever the Pentagon makes a statement about China’s military capabilities; the Chinese Military Speaker replies that his country has no intention to compete militarily with the United States army. Whenever the U.S. Secretary of State argues that China does not respect Human Rights; the Chinese government question the American interference in other countries’ internal affairs. Whenever the American industrialists complain about China’s economic subsidies; the Chinese government remind them about the United States’ tendency of subsidising its own economic sectors, such as the agriculture. China and the United States disagree upon

  8. Design of Tactical Support Strategies in Military Logistics: Trade-offs Between Efficiency and Effectiveness. A Column and Cut Generation Modeling Methods

    Science.gov (United States)

    2011-12-01

    Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2011 Abstract Military tactical logistics planning is...serviront ensuite à composer la flotte de soutien optimale en fonction des caractéristiques réelles du terrain et du défi consistant à répondre aux...between the efficiency and effectiveness in the resulting sustainment strategies. Résumé Le problème propre à la planification de la logistique tactique

  9. Women’s Work: Incorporating Females into the United States Military Strategy to Contain and Degrade Boko Haram

    Science.gov (United States)

    2017-06-09

    view. My most important source of support this year came from my family. Being dual military with two young kids it quickly became apparent that it...ARCIC). 2017. “Army Warfighting Challenges.” January 26. Accessed January 26, 2017. https://www.milsuite.mil/ book /servlet/ JiveServlet /preview Body

  10. Net Zero Fort Carson: Integrating Energy, Water, and Waste Strategies to Lower the Environmental Impact of a Military Base

    Science.gov (United States)

    Military bases resemble small cities and face similar sustainability challenges. As pilot studies in the U.S. Army Net Zero program, 17 locations are moving to 100% renewable energy, zero depletion of water resources, and/or zero waste to landfill by 2020. Some bases target net z...

  11. Inadequate control of world's radioactive sources

    International Nuclear Information System (INIS)

    2002-01-01

    The radioactive materials needed to build a 'dirty bomb' can be found in almost any country in the world, and more than 100 countries may have inadequate control and monitoring programs necessary to prevent or even detect the theft of these materials. The IAEA points out that while radioactive sources number in the millions, only a small percentage have enough strength to cause serious radiological harm. It is these powerful sources that need to be focused on as a priority. In a significant recent development, the IAEA, working in collaboration with the United States Department of Energy (DOE) and the Russian Federation's Ministry for Atomic Energy (MINATOM), have established a tripartite working group on 'Securing and Managing Radioactive Sources'. Through its program to help countries improve their national infrastructures for radiation safety and security, the IAEA has found that more than 100 countries may have no minimum infrastructure in place to properly control radiation sources. However, many IAEA Member States - in Africa, Asia, Latin America, and Europe - are making progress through an IAEA project to strengthen their capabilities to control and regulate radioactive sources. The IAEA is also concerned about the over 50 countries that are not IAEA Member States (there are 134), as they do not benefit from IAEA assistance and are likely to have no regulatory infrastructure. The IAEA has been active in lending its expertise to search out and secure orphaned sources in several countries. More than 70 States have joined with the IAEA to collect and share information on trafficking incidents and other unauthorized movements of radioactive sources and other radioactive materials. The IAEA and its Member States are working hard to raise levels of radiation safety and security, especially focusing on countries known to have urgent needs. The IAEA has taken the leading role in the United Nations system in establishing standards of safety, the most significant of

  12. Evidence Report: Risk Factor of Inadequate Nutrition

    Science.gov (United States)

    Smith, Scott M.; Zwart, Sara R.; Heer, Martina

    2015-01-01

    The importance of nutrition in exploration has been documented repeatedly throughout history, where, for example, in the period between Columbus' voyage in 1492 and the invention of the steam engine, scurvy resulted in more sailor deaths than all other causes of death combined. Because nutrients are required for the structure and function of every cell and every system in the body, defining the nutrient requirements for spaceflight and ensuring provision and intake of those nutrients are primary issues for crew health and mission success. Unique aspects of nutrition during space travel include the overarching physiological adaptation to weightlessness, psychological adaptation to extreme and remote environments, and the ability of nutrition and nutrients to serve as countermeasures to ameliorate the negative effects of spaceflight on the human body. Key areas of clinical concern for long-duration spaceflight include loss of body mass (general inadequate food intake), bone and muscle loss, cardiovascular and immune system decrements, increased radiation exposure and oxidative stress, vision and ophthalmic changes, behavior and performance, nutrient supply during extravehicular activity, and general depletion of body nutrient stores because of inadequate food supply, inadequate food intake, increased metabolism, and/or irreversible loss of nutrients. These topics are reviewed herein, based on the current gap structure.

  13. The U.S. Quest for New Technological Foundations of Military Superiority: Dilemmas of the Third Offset Strategy

    OpenAIRE

    Vladimir I. Bartenev

    2016-01-01

    The last decades have witnessed a remarkable surge of interest in studying the influence of science and technology on world politics. However, not all channels of such influence have been examined with equal rigor. Whereas numerous researchers have explored meticulously the impact of technologies on warfare, the issues of using military-technological breakthroughs to achieve political goals have been addressed less frequently. This paper seeks to fill this gaping niche by decomposing the Thir...

  14. An Economic Evaluation of a Vaccine Acquisition Strategy to Mitigate Acute Diarrheal Illness Among Deployed US Military Forces

    Science.gov (United States)

    2007-06-27

    Guillian Barre syndrome has been estimated at 30.4 per 100,000 cases of Campylobacter infection [206], and reactive arthritis is known to be a sequelae of...17D (2000). 206. McCarthy, N. and J. Giesecke, Incidence of Guillain- Barre syndrome following infection with Campylobacter jejuni. Am J Epidemiol...Military Infectious Diseases Research Program NV Norovirus PI-IBS Post-infectious irritable bowel syndrome QALY Quality-adjusted life year RV

  15. Influence of French Air Power Strategy in the European Union’s Military Operations in Africa (2003-2009)

    Science.gov (United States)

    2011-06-01

    each function separately . French airlift capabilities are the first under scrutiny. French Military Airlift in Africa Boosted by its long...of bombs has been rare . 46 Furthermore, deploying attack aircraft capable of bombing missions is a strong message France sends to the political...the Aviation Légere de l‟Armée de Terre (ALAT, French Army aviation) operates attack helicopters, the air force is specialized in CSAR missions

  16. French Military Strategy of the End of XIX – First Half of XX Centuries: between Descartes and Bergson?

    Directory of Open Access Journals (Sweden)

    Y. O. Loboda

    2017-03-01

    Full Text Available Was observed the issue of correlation of tradition of philosophic research in France on the end of the 19 century – first half of 20 century with particularities of elaboration and realization of national military doctrines, which were the basic plans of preparation for the both world wars. Were establishes parallels between intuitivism of Bergson, rationalism of Descartes and plans of the French supreme command, which failed during the world wars of the 20 century. Was concluded that given correlations do not have essential personal character; more fundamental influences on the strategic culture should be searched in the ways of cognition, which have been basic for philosophy during all her history, which is intended to be realized in discipline «strategic epistemology».

  17. Limits of Military Power for National Security.

    Science.gov (United States)

    Melman, Seymour

    1981-01-01

    Reviews the post World War II nuclear-military arms race and claims that it is possible to define significant limits of military power for national security. Topics discussed include public opinion regarding the arms race, constraints on military power, conventional forces, checkmating conventional strategy, and the seriousness of nuclear false…

  18. 9 CFR 417.6 - Inadequate HACCP Systems.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Inadequate HACCP Systems. 417.6... ANALYSIS AND CRITICAL CONTROL POINT (HACCP) SYSTEMS § 417.6 Inadequate HACCP Systems. A HACCP system may be found to be inadequate if: (a) The HACCP plan in operation does not meet the requirements set forth in...

  19. Military Force and Culture Change: Systems, Narratives, and the Social Transmission of Behavior in Counter-Terrorism Strategy

    National Research Council Canada - National Science Library

    Casebeer, William D

    2006-01-01

    .... In particular, this thesis explores the narrative and storytelling dimensions of culture, offering a theory of story that can be used to drive innovative counter-terrorism strategies and structure...

  20. Guidelines for Developing Historic Urban Growth Series for Military Installation Risk Assessment

    National Research Council Canada - National Science Library

    Timlin, Diane

    2002-01-01

    .... One approach to the problem is to track historical urban growth in areas surrounding military installations so that military and civilian planners can anticipate and devise appropriate strategies...

  1. Inadequate Nutritional Status of Hospitalized Cancer Patients

    Directory of Open Access Journals (Sweden)

    Ali Alkan

    2017-03-01

    Full Text Available Objective: In oncology practice, nutrition and also metabolic activity are essential to support the nutritional status and prevent malignant cachexia. It is important to evaluate the patients and plan the maneuvers at the start of the therapy. The primary objective of the study is to define the nutritional status of hospitalized patients and the factors affecting it in order to define the most susceptible patients and maneuvers for better nutritional support. Methods: Patients hospitalized in oncology clinic for therapy were evaluated for food intake and nutritional status through structured interviews. The clinical properties, medical therapies, elements of nutritional support were noted and predictors of inadequate nutritional status (INS were analyzed. Results: Four hundred twenty three patients, between 16-82 years old (median: 52 were evaluated. Nearly half of the patients (185, 43% reported a better appetite at home than in hospital and declared that hospitalization is an important cause of loss of appetite (140/185, 75.6%. Presence of nausea/vomiting (N/V, depression, age less than 65 and use of non-steroidal anti-inflammatory drugs (NSAIDs were associated with increased risk of INS in hospitalized cancer patients. On the contrary, steroid medication showed a positive impact on nutritional status of cancer patients. Conclusion: N/V, younger age, presence of depression and NSAIDs medication were associated with INS in hospitalized cancer patients. Clinicians should pay more attention to this group of patients. In addition, unnecessary hospitalizations and medications that may disturb oral intake must be avoided. Corticosteroids are important tools for managing anorexia and INS.

  2. Military Vortices

    National Research Council Canada - National Science Library

    Lovell, D

    2003-01-01

    .... This topic area will not be considered further in this paper, but results from current research indicate that military organizations should derive large potential benefits from this technology when it reaches maturity...

  3. Aging Ergonomics: A Field with Inadequate Notice

    Directory of Open Access Journals (Sweden)

    Saeed Ghaneh

    2016-12-01

    Full Text Available World population aging is a phenomenon we are confronting with, more than past. This fact has different implications for today’s societies. One of these aspects is workforce (1. Some factors have resulted in more tendencies of workers to remain in their works including: Economic, societal, cultural factors, and social trends and laws such as increasing age of retirement in the middle twentieth century, which recently increased more (2.      Productive workforce is one of major assets of each country. So, in one hand we have older adults in our workplaces and in other hand, we are following to retain employee’s productivity at first, and then, improve it. Ergonomics as a multidisciplinary science, attempts to make balance between human capabilities and its limitations by fitting the task to the person or fitting the person to the task. In this way, workers’ fatigue and errors are minimized and productivity and well-being optimized (3.     In more developed countries like United States, approximately 66.3 percent of adults aged 55-64 years are in the workforce (4. In our country, Iran, 7.3% of populations were more than 60 yrs. in 2006 (5 which indicate our population is aging, though accurate number of those people in work is lacking. Older adults have physical and mental changes as a common result of aging. Physical changes show itself as decline in physical capabilities, and mental changes involved in sensation and perception, cognition, and motor control (6. So, it is essential to acknowledge these changes and adopt suitable strategies and accommodations for job circumstances and living environments when considering older adults.     In general, a few ergonomics studies explored the effect of aging on environmental modifications and job adaptation. To best of my knowledge, also in Iran there are few studies that presented in conferences or published in journals. Therefore, as a closing remark, it is widely needed to pay more

  4. United States Military Assistance Programs C-130B's to Sub-Saharan Africa: A Case Study in Policy, Decision Making & Strategy

    National Research Council Canada - National Science Library

    Schroer, D. J

    1997-01-01

    This case study will examine decision making in U.S. Military Assistance Programs in the form of C-l3OB transfers to the Sub-Saharan countries of Zimbabwe, Botswana and South Africa from 1994 to present...

  5. The Marine Corps Civil Military Operations (CMO) Capability: Inadequate for Current and Future Irregular Environments

    Science.gov (United States)

    2011-05-02

    34drug lord" Pablo Escobar , who is still considered SOI)1ething of a "saint" in Medellin, Colombia, for the number of schools, soccer fields, hospitals...34 Roberto Escobar Gaviria and David Fisher, The Accountant’s Story; Inside the violent world of the Medellin Cartel (New York: Grand Central...Co liege, Countering Irregulal· Threats Elective, Quantico, VA, Jan 20, 20 1.1. Escobar , Roberto Gaviria and David Fisher. The Accountant’s Story

  6. Research on 6R Military Logistics Network

    Science.gov (United States)

    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.

  7. The Link Between Inadequate Sleep and Obesity in Young Adults.

    Science.gov (United States)

    Vargas, Perla A

    2016-03-01

    The prevalence of obesity has increased dramatically over the past decade. Although an imbalance between caloric intake and physical activity is considered a key factor responsible for the increase, there is emerging evidence suggesting that other factors may be important contributors to weight gain, including inadequate sleep. Overall research evidence suggests that inadequate sleep is associated with obesity. Importantly, the strength and trajectory of the association seem to be influenced by multiple factors including age. Although limited, the emerging evidence suggests young adults might be at the center of a "perfect health storm," exposing them to the highest risk for obesity and inadequate sleep. Unfortunately, the methods necessary for elucidating the complex relationship between sleep and obesity are lacking. Uncovering the underlying factors and trajectories between inadequate sleep and weight gain in different populations may help to identify the windows of susceptibility and to design targeted interventions to prevent the negative impact of obesity and related diseases.

  8. Dilemmas of Polish Military Strategy

    Science.gov (United States)

    2008-03-05

    Stanislaw Koziej, Teoria Sztuki Wojenne, (Warsw: Wydawnictwo Bellona, 1993),105-109. 49 William S. Lind. Maneuver Warfare Handbook. (Boulder, Colorado...Printing Office, June 2000), 1-3. 64 Stanislaw Koziej. Teoria Sztuki Wojennej (The Theory of Art of War) (Warszawa: Wydawnictwo Bellona, 1993), 105-109

  9. Military Strategy of Global Jihad

    National Research Council Canada - National Science Library

    Zabel, Sarah E

    2007-01-01

    .... Al-Qaeda plays a leading role in the larger movement of global jihad, a splinter faction of militant Islamism intent on establishing its vision of strict Islamic rule in the Muslim world through armed action...

  10. Military Strategy of Global Jihad

    Science.gov (United States)

    2007-03-23

    Third, our ultimate objective of these painful strikes against the head of the serpent was to prompt it to come out of its hole. This would make it...sciences; 7) construct an intelligence agency; 8) unite the people through money and shari’a governance; 9) force domestic hypocrites to hide their...Pakistan, from where he has been studying Western intelligence services. 30 Al-Suri, 1392. 31 Al-Suri, 1367-1368. 32 Naji, 7. 33 Open Source

  11. Civil-Military Relations: A Selected Bibliography

    Science.gov (United States)

    2011-05-01

    2009) Brooks, Risa . Political-Military Relations and the Stability of Arab Regimes. New York: Oxford University Press for the International...Press, 2005. 270pp. (UA23 .B333 2005) Brooks, Risa A. Shaping Strategy: The Civil-Military Politics of Strategic Assessment. Princeton: Princeton

  12. Physiological Readiness and Resilience: Pillars of Military Preparedness.

    Science.gov (United States)

    Szivak, Tunde K; Kraemer, William J

    2015-11-01

    Warfighters require a range of physical capabilities to meet the demands of the military profession, and physical training must address performance along an entire continuum, depending on individual needs and mission requirements. Strength and power capabilities are needed for optimal performance of anaerobic tasks such as heavy load carriage, sprinting under load, and maneuvering over uneven terrain. For optimal performance, soldiers must also be able to recover from mission demands and strenuous training. The demands placed on a soldier can result in a chronic stress, leading to decreased mission performance, increased injury risk, and increased susceptibility to illness. These factors are exacerbated by inappropriate training strategies such as overemphasis on endurance exercise combined with other stressors such as lack of sleep or inadequate nutrition. Chronic stress has been linked to overreaching/overtraining and to the development of comorbidities such as metabolic syndrome, insulin resistance, and hypertension and has adverse effects on memory and cognitive function. Resistance exercise is an effective method to improve warfighter physical performance and resilience to stress, thereby impacting mission readiness. Resistance exercise in particular confers many benefits to include increased strength and power, improved body composition, and protective effects on tendons, ligaments, and bone. Physically fit individuals not only benefit from improved mission performance but also are more resilient to operational stressors faced during combat. Ultimately, resilient soldiers are better able to cope with the physical and mental demands of the military profession and over the long term will perform better while maintaining health and well-being.

  13. The use of prosthetic grafts in complex military vascular trauma: a limb salvage strategy for patients with severely limited autologous conduit.

    Science.gov (United States)

    Vertrees, Amy; Fox, Charles J; Quan, Reagan W; Cox, Mitchell W; Adams, Eric D; Gillespie, David L

    2009-04-01

    The use of prosthetic grafts for reconstruction of military vascular trauma has been consistently discouraged. In the current conflict, however, the signature wound involves multiple extremities with significant loss of soft tissue and potential autogenous venous conduits. We reviewed the experience with the use of prosthetic grafts for the treatment of vascular injuries sustained during recent conflicts in Iraq and Afghanistan. Trauma registry records with combat-related vascular injuries repaired using prosthetic grafts were retrospectively reviewed from March 2003 to April 2006. Data collected included age, gender, mechanism of injury, vessel injured, conduit, graft patency, complications, including amputation and eventual outcome of repair. Prosthetic grafts were placed in 14 of 95 (15%) patients undergoing extremity bypass for vascular injuries. Patients were men with an average age of 25 years (range, 19-39 years). All prosthetic grafts in this series were made of polytetrafluoroethylene. Mechanism of injury included blast (n = 6), gunshot wounds (n = 6), and blunt trauma (n = 2), resulting in prosthetic repair of injuries to the superficial femoral (n = 8), brachial (n = 3), common carotid (n = 1), subclavian (n = 1), and axillary (n = 1) arteries. Mean evacuation time from injury to stateside arrival was 7 days (range, 3-9 days). Twelve grafts were placed initially at the time of injury, and two after vein graft blow out with secondary hemorrhage. The mean follow-up period was 427 days (range, 49-1,285 days). Seventy-nine percent of prosthetic grafts stayed patent in the short term, allowing patient stabilization, transport to a stateside facility, and elective revascularization with the remaining autologous vein graft. Three prosthetic grafts were replaced urgently for thrombosis. The remaining seven grafts were replaced electively for severe stenosis (3) or exposure (4) with presumed infection. There were no prosthetic graft blow outs or deaths in this

  14. Self-esteem, social support, and satisfaction differences in women with adequate and inadequate prenatal care.

    Science.gov (United States)

    Higgins, P; Murray, M L; Williams, E M

    1994-03-01

    This descriptive, retrospective study examined levels of self-esteem, social support, and satisfaction with prenatal care in 193 low-risk postpartal women who obtained adequate and inadequate care. The participants were drawn from a regional medical center and university teaching hospital in New Mexico. A demographic questionnaire, the Coopersmith self-esteem inventory, the personal resource questionnaire part 2, and the prenatal care satisfaction inventory were used for data collection. Significant differences were found in the level of education, income, insurance, and ethnicity between women who received adequate prenatal care and those who received inadequate care. Women who were likely to seek either adequate or inadequate prenatal care were those whose total family income was $10,000 to $19,999 per year and high school graduates. Statistically significant differences were found in self-esteem, social support, and satisfaction between the two groups of women. Strategies to enhance self-esteem and social support have to be developed to reach women at risk for receiving inadequate prenatal care.

  15. Military Periodicals.

    Science.gov (United States)

    1983-05-01

    Frances Roedy Global Defense Roport (Q) Defense Research International, Inc. 1905 Kalorama Rd., #3 Washington, D.C. 20009 Telephone: (202) 232-8426...Benning, Georgia 31905 Telephone: (404) 544-4951 AUTOVON 784-4951 Editor: CPT Michael D. Bollinger $10.00 -"- r r •~ "• • • • Military Chaplains...Joffre 75700 Paris, France Telephone: 555-92-30 Editor-in-Chief: Contre-Amiral 0. Sevaistre Fr. 75 Europaische Wehrkunde (M) (Formerly

  16. Online Reporting of Military Sexual Trauma.

    Science.gov (United States)

    Burgess, Ann W; Lee, Wendy J; Carretta, Carrie M

    2016-04-01

    Case finding and treatment of military sexual trauma (MST) remains a serious problem in military and veteran populations as well as in the civilian population. This report provides descriptive examples, with statistics, of persons serving in the military or while living/working on a military base when they experienced unwanted sex. Males, more than females, never disclosed MST before online survey, had more physical injuries as a result and reported chronic disturbing thoughts of the experience. Undisclosed and unreported intrafamilial childhood sexual experiences were cited before an MST by some respondents. Interprofessional collaboration is recommended between military nurse practitioners and behavioral health clinicians as well as innovative strategies using telecommunication and online counseling. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

  17. Defense Infrastructure: DOD Needs to Improve Oversight of Relocatable Facilities and Develop a Strategy for Managing Their Use across the Military Services

    Science.gov (United States)

    2009-06-01

    Army Facilities Management ” (Feb. 12, 2008); and Army Memorandum, “Interim Policy Change on Relocatable Buildings for Paragraphs 6-13 through 6...17 in AR 420-1, Army Facilities Management ” (Feb. 19, 2008). Page 8 GAO-09-585 Defense Infrastructure uses funds from its Military

  18. The Role of Corporate Defense Services in International Security Strategy

    National Research Council Canada - National Science Library

    Baroody, J. R

    2000-01-01

    National military strategy involves evaluating all elements of power, analyzing their capabilities and limitations, and incorporating these tools into a course of military action to secure political goals...

  19. Managing inadequate responses to frontline treatment of chronic myeloid leukemia: a case-based review.

    Science.gov (United States)

    Bixby, Dale L

    2013-05-01

    The tyrosine kinase inhibitors (TKIs) imatinib, nilotinib, and dasatinib are the standard of care for treating patients with newly diagnosed chronic-phase chronic myeloid leukemia (CML). Compared with interferon-based treatment, the previous standard of care, imatinib is associated with significantly higher cytogenetic response rates and prolonged overall survival. Nilotinib and dasatinib, both newer and more potent TKIs, significantly improve cytogenetic and molecular response rates compared with imatinib. Despite significant advances in CML treatment enabled by the TKIs, a fraction of patients who receive frontline treatment with a TKI demonstrate inadequate response. The reasons for this vary, but in many cases, inadequate response can be attributed to non-adherence to the treatment regimen, intolerance to the drug, intrinsic or acquired resistance to the drug, or a combination of reasons. More often than not, strategies to improve response necessitate a change in treatment plan, either a dose adjustment or a switch to an alternate drug, particularly in the case of drug intolerance or drug resistance. Improved physician-patient communication and patient education are effective strategies to address issues relating to adherence and intolerance. Because inadequate response to TKI treatment correlates with poor long-term outcomes, it is imperative that patients who experience intolerance or who fail to achieve appropriate responses are carefully evaluated so that appropriate treatment modifications can be made to maximize the likelihood of positive long-term outcome. Copyright © 2012. Published by Elsevier Ltd.

  20. 'Tone at the top': Fighting military corruption in Latin America | Klaus ...

    African Journals Online (AJOL)

    This essay aims to discuss how tone at the top works in the traditional military contexts found in Latin America, and how the right tone could be adopted in corrupt military institutions to move towards an ethical role-modelling environment. For this endeavour, several strategies that can help military generals to fight military ...

  1. Can NATO Practice Grand Strategy?

    DEFF Research Database (Denmark)

    Barfoed, Jacob

    2014-01-01

    In its intervention in Libya, not only did NATO fail to produce a military strategy and a campaign plan before commencing military operations, what is more worrisome was the lack of political guidance to and control of the Joint Task Force.......In its intervention in Libya, not only did NATO fail to produce a military strategy and a campaign plan before commencing military operations, what is more worrisome was the lack of political guidance to and control of the Joint Task Force....

  2. The impact of inadequate wastewater treatment on the receiving ...

    African Journals Online (AJOL)

    The impact of inadequate wastewater treatment on the receiving water bodies – Case study: Buffalo City and Nkokonbe Municipalities of the Eastern Cape ... into their respective receiving water bodies (Tembisa Dam, the Nahoon and Eastern Beach which are part of the Indian Ocean; the Tyume River and the Kat River).

  3. The impact of inadequate wastewater treatment on the receiving ...

    African Journals Online (AJOL)

    7950 = Water SA (on-line). 687. The impact of inadequate wastewater treatment on the receiving water bodies – Case study: Buffalo City and. Nkokonbe Municipalities of the Eastern Cape Province. MNB Momba1*, AN Osode2 and M Sibewu1.

  4. Inadequate cerebral oxygen delivery and central fatigue during strenuous exercise

    DEFF Research Database (Denmark)

    Nybo, Lars; Rasmussen, Peter

    2007-01-01

    Under resting conditions, the brain is protected against hypoxia because cerebral blood flow increases when the arterial oxygen tension becomes low. However, during strenuous exercise, hyperventilation lowers the arterial carbon dioxide tension and blunts the increase in cerebral blood flow, which...... can lead to an inadequate oxygen delivery to the brain and contribute to the development of fatigue....

  5. Inadequate Information in Laboratory Test Requisition in a Tertiary ...

    African Journals Online (AJOL)

    Aim: Laboratory investigations are important aspect of patient management and inadequate information or errors arising from the process of filling out laboratory Request Forms can impact significantly on the quality of laboratory result and ultimately on patient care. Objectives: This study examined the pattern of deficiencies ...

  6. National Service Programs and Their Effects on Military Manpower and Civilian Youth Problems. Budget Issue Paper for Fiscal Year 1979.

    Science.gov (United States)

    1978-01-01

    Office Washington, D.C. 20402’ PREFACE The related problems of military recruitment and civilian youth unemployment and inadequate education and...as a means of dealing with the continuing, severe problem of youth unemployment CURRENT YOUTH PROBLEMS AND POLICIES Many issues and problems...concerning youth persist. These include: requirements for military manpower, unemployment among teenagers and young adults, unequal and inadequate

  7. Inadequate Empirical Antibiotic Therapy in Hospital Acquired Pneumonia.

    Science.gov (United States)

    Dahal, S; Rijal, B P; Yogi, K N; Sherchand, J B; Parajuli, K; Parajuli, N; Pokhrel, B M

    2015-01-01

    Inadequate empirical antibiotic therapy for HAP is a common phenomena and one of the indicators of the poor stewardship. This study intended to analyze the efficacy of empirical antibiotics in the light of microbiological data in HAP cases. Suspected cases of HAP were followed for clinico-bacterial evidence, antimicrobial resistance and pre and post culture antibiotic use. The study was taken from February,2014 to July 2014 in department of Microbiology and department of Respiratory medicine prospectively. Data was analyzed by Microsoft Office Excel 2007. Out of 758 cases investigated, 77(10 %) cases were HAP, 65(84%) of them were culture positive and 48(74 %) were late in onset. In early onset cases, isolates were Acinetobacter 10(42%), Escherichia coli 5(21%), S.aureus 4(17%), Klebsiella 1(4%) and Pseudomonas 1(4%). From the late onset cases Acinetobacter 15(28%), Klebsiella 17(32%) and Pseudomonas 13(24%) were isolated. All Acinetobacter, 78% Klebsiella and 36% Pseudomonas isolates were multi drug resistant. Empirical therapies were inadequate in 12(70%) of early onset cases and 44(92%) of late onset type. Cephalosporins were used in 7(41%) of early onset infections but found to be adequate only in 2(12%) cases. Polymyxins were avoided empirically but after cultures were used in 9(19%) cases. Empirical antibiotics were vastly inadequate, more frequently so in late onset infections. Use of cephalosporins empirically in early onset infections and avoiding empirical use of polymyxin antibiotics in late onset infections contributed largely to the findings. Inadequate empirical regimen is a real time feedback for a practitioner to update his knowledge on the local microbiological trends.

  8. A Military History of Modern Egypt from the Ottoman Conquest to the Ramadan War

    National Research Council Canada - National Science Library

    Shams El-Din, Osama

    2007-01-01

    ...-Israeli conflict of 1973. This monograph provides an overview of Egypt's military history, including strategies and tactics used in decisive campaigns, and characteristics of the ancient Egyptian military that could be...

  9. Military Engagement with Social Media

    Science.gov (United States)

    2011-05-06

    take advantages of the many languages supported by these social media tools to communicate with brothers in different regions of the continent. On...needs to properly engage and develop a comprehensive social media strategy to utilize the available social networks and stay current with the ever...or position of the Department of the Army, Department of Defense, or the U.S. Government. MILITARY ENGAGEMENT WITH SOCIAL MEDIA BY

  10. China's Military Potential

    National Research Council Canada - National Science Library

    Wortzel, Larry

    1998-01-01

    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...

  11. Military Psychology for Africa

    CSIR Research Space (South Africa)

    Van Heerden, Adelaide

    2016-12-01

    Full Text Available African Military Psychology community. Twenty-two years into democracy, this book Military psychology for Africa brings ‘wholeness’ for African soldiers, their families, psychological scientists, university scholars and practitioners. The scope...

  12. Deferasirox pharmacokinetics in patients with adequate versus inadequate response

    Science.gov (United States)

    Chirnomas, Deborah; Smith, Amber Lynn; Braunstein, Jennifer; Finkelstein, Yaron; Pereira, Luis; Bergmann, Anke K.; Grant, Frederick D.; Paley, Carole; Shannon, Michael

    2009-01-01

    Tens of thousands of transfusion-dependent (eg, thalassemia) patients worldwide suffer from chronic iron overload and its potentially fatal complications. The oral iron chelator deferasirox has become commercially available in many countries since 2006. Although this alternative to parenteral deferoxamine has been a major advance for patients with transfusional hemosiderosis, a proportion of patients have suboptimal response to the maximum approved doses (30 mg/kg per day), and do not achieve negative iron balance. We performed a prospective study of oral deferasirox pharmacokinetics (PK), comparing 10 transfused patients with inadequate deferasirox response (rising ferritin trend or rising liver iron on deferasirox doses > 30 mg/kg per day) with control transfusion-dependent patients (n = 5) with adequate response. Subjects were admitted for 4 assessments: deferoxamine infusion and urinary iron measurement to assess readily chelatable iron; quantitative hepatobiliary scintigraphy to assess hepatic uptake and excretion of chelate; a 24-hour deferasirox PK study following a single 35-mg/kg dose of oral deferasirox; and pharmacogenomic analysis. Patients with inadequate response to deferasirox had significantly lower systemic drug exposure compared with control patients (P deferasirox must be determined. This trial has been registered at http://www.clinicaltrials.gov under identifier NCT00749515. PMID:19724055

  13. National Military Family Association

    Science.gov (United States)

    ... Take Action Volunteer Mark Your Calendar Donate Twitter Facebook Instagram Donate Appreciating Military Families: Meet the Wilsons This ... MilitaryFamily.org © 2017 - National Military Family Association Twitter Facebook Pinterest Instagram Charity Navigator Four Star Charity GuideStar Exchange Better ...

  14. Young Australians’ Attitudes to the Military and Military Service

    Directory of Open Access Journals (Sweden)

    Ben Wadham

    2014-08-01

    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.

  15. Internet addiction: reappraisal of an increasingly inadequate concept.

    Science.gov (United States)

    Starcevic, Vladan; Aboujaoude, Elias

    2017-02-01

    This article re-examines the popular concept of Internet addiction, discusses the key problems associated with it, and proposes possible alternatives. The concept of Internet addiction is inadequate for several reasons. Addiction may be a correct designation only for the minority of individuals who meet the general criteria for addiction, and it needs to be better demarcated from various patterns of excessive or abnormal use. Addiction to the Internet as a medium does not exist, although the Internet as a medium may play an important role in making some behaviors addictive. The Internet can no longer be separated from other potentially overused media, such as text messaging and gaming platforms. Internet addiction is conceptually too heterogeneous because it pertains to a variety of very different behaviors. Internet addiction should be replaced by terms that refer to the specific behaviors (eg, gaming, gambling, or sexual activity), regardless of whether these are performed online or offline.

  16. Inadequate doses of hemodialysis. Predisposing factors, causes and prevention

    Directory of Open Access Journals (Sweden)

    Pehuén Fernández

    2017-04-01

    Full Text Available Patients receiving sub-optimal dose of hemodialysis have increased morbidity and mortality. The objectives of this study were to identify predisposing factors and causes of inadequate dialysis, and to design a practical algorithm for the management of these patients. A cross-sectional study was conducted. Ninety patients in chronic hemodialysis at Hospital Privado Universitario de Córdoba were included, during September 2015. Twenty two received sub-optimal dose of hemodialysis. Those with urea distribution volume (V greater than 40 l (72 kg body weight approximately are 11 times more likely (OR = 11.6; CI 95% = 3.2 to 51.7, p < 0.0001 to receive an inadequate dose of hemodialysis, than those with a smaller V. This situation is more frequent in men (OR = 3.5; 95% CI 1.01-15.8; p = 0.0292. V greater than 40 l was the only independent predictor of sub-dialysis in the multivariate analysis (OR = 10.3; 95% CI 2.8-37; p < 0.0004. The main cause of suboptimal dialysis was receiving a lower blood flow (Qb than the prescribed (336.4 ± 45.8 ml/min vs. 402.3 ± 28.8 ml/min respectively, p < 0.0001 (n = 18. Other causes were identified: shorter duration of the session (n = 2, vascular access recirculation (n = 1, and error in the samples (n = 1. In conclusion, the only independent predisposing factor found in this study for sub-optimal dialysis is V greater than 40 l. The main cause was receiving a slower Qb than prescribed. From these findings, an algorithm for the management of these patients was developed

  17. Evidence Report: Risk of Inadequate Human-Computer Interaction

    Science.gov (United States)

    Holden, Kritina; Ezer, Neta; Vos, Gordon

    2013-01-01

    Human-computer interaction (HCI) encompasses all the methods by which humans and computer-based systems communicate, share information, and accomplish tasks. When HCI is poorly designed, crews have difficulty entering, navigating, accessing, and understanding information. HCI has rarely been studied in an operational spaceflight context, and detailed performance data that would support evaluation of HCI have not been collected; thus, we draw much of our evidence from post-spaceflight crew comments, and from other safety-critical domains like ground-based power plants, and aviation. Additionally, there is a concern that any potential or real issues to date may have been masked by the fact that crews have near constant access to ground controllers, who monitor for errors, correct mistakes, and provide additional information needed to complete tasks. We do not know what types of HCI issues might arise without this "safety net". Exploration missions will test this concern, as crews may be operating autonomously due to communication delays and blackouts. Crew survival will be heavily dependent on available electronic information for just-in-time training, procedure execution, and vehicle or system maintenance; hence, the criticality of the Risk of Inadequate HCI. Future work must focus on identifying the most important contributing risk factors, evaluating their contribution to the overall risk, and developing appropriate mitigations. The Risk of Inadequate HCI includes eight core contributing factors based on the Human Factors Analysis and Classification System (HFACS): (1) Requirements, policies, and design processes, (2) Information resources and support, (3) Allocation of attention, (4) Cognitive overload, (5) Environmentally induced perceptual changes, (6) Misperception and misinterpretation of displayed information, (7) Spatial disorientation, and (8) Displays and controls.

  18. Sensemaking in Military Critical Incidents: The Impact of Moral Intensity

    NARCIS (Netherlands)

    de Graaff, Miriam; Giebels, Ellen; Meijer, Dominique J.W.; Verweij, Desiree E.M.

    2016-01-01

    This study explores the relationship between moral intensity and the use of different sensemaking strategies in military critical incidents. First, narratives of military personnel were used to select prototypical high/low moral intensity critical incidents. In a follow-up, a scenario study was

  19. Performance measures for combat-ready forces in the military

    CSIR Research Space (South Africa)

    Engelbrecht, GN

    2009-09-01

    Full Text Available The development of performance indicators in the military is dependent on the measurability of its associated strategies. Von Clausewitz (1976) argues that nations are either at war or preparing for war. It follows that military forces should have a...

  20. strategic military colonisation: the cape eastern frontier 1806 – 1872

    African Journals Online (AJOL)

    Linda

    British military strategy as well as colonial development. ..... a military fort. The first era of frontier forts. From the earliest British administration, fortifications were planned. Colonel. Graham instituted a series of frontier posts from which ..... the up-keep of the garrisons expensive and water supply at the towers was always a.

  1. Exploring military performance motivation from an African Ubuntu perspective

    CSIR Research Space (South Africa)

    Van Heerden, Adelai

    2017-09-01

    Full Text Available The purpose of this study was to use a Positive Psychology lens to explore the perceptions of elite military candidates about motivational strategies that assisted them to cope with the challenges of specialized military selection. Results from our...

  2. Transitioning from Military Interventions to a Long-Term Counter-Terrorism Policy

    Directory of Open Access Journals (Sweden)

    Sergei Boeke

    2014-08-01

    Full Text Available The past two decades have shown that it is arguably easier to start a military intervention than to end one. This Research Paper looks at exit strategies from a counter-terrorism perspective, focussing on the link between the end of military interventions and the establishment and implementation of a long term counter-terrorism strategy. While the entry strategy of an intervention is preferred to be clearly defined, Research Fellow Mr. Boeke shows that the exit strategy Dapoxetine UK requires more flexibility. Using examples from recent military operations, he identifies four types of military exits and their consequences for implementing a long-term counter-terrorism policy. Where before military strategies mostly focussed on the actual war, this Paper shows the importance of combining traditional military actions with comprehensive counter-terrorism strategies in order to address the root of the issues.

  3. Organizational commitment of military physicians.

    Science.gov (United States)

    Demir, Cesim; Sahin, Bayram; Teke, Kadir; Ucar, Muharrem; Kursun, Olcay

    2009-09-01

    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.

  4. International Military Education and Multinational Military Cooperation

    National Research Council Canada - National Science Library

    Moskos, Charles

    2004-01-01

    .... This report is based on interviews with international officers (IOs) at American war, command and staff colleges in each of the services who participate in International Military and Education and Training (IMET...

  5. Initial treatment of severe malaria in children is inadequate – a study ...

    African Journals Online (AJOL)

    -medicated at home. Initial consultations are at primary local health facilities where less effective drugs are prescribed at inadequate dosages. Recommended ACTs were also often prescribed at inadequate dosages. Education in the use of ...

  6. Return to Clark Air Force Base: Establishing Permanent Military Bases in the Philippines as part of the United States Grand Strategy in the South China Sea

    Science.gov (United States)

    2016-02-16

    Philippines’ South China Sea concerns and why it is now attempting to actively deter China. This paper will provide justification for why the US and the...ultimate strategic objectives in the region. The idea of the “China Dream ” has been advocated which means that China’s grand strategy is to become...build a lasting partnership with China. Another credible argument against reestablishing permanent US bases in the Philippines is why build up

  7. Newcastle disease virus outbreaks: vaccine mismatch or inadequate application?

    Science.gov (United States)

    Dortmans, Jos C F M; Peeters, Ben P H; Koch, Guus

    2012-11-09

    Newcastle disease (ND) is one of the most important diseases of poultry, and may cause devastating losses in the poultry industry worldwide. Its causative agent is Newcastle disease virus (NDV), also known as avian paramyxovirus type 1. Many countries maintain a stringent vaccination policy against ND, but there are indications that ND outbreaks can still occur despite intensive vaccination. It has been argued that this may be due to antigenic divergence between the vaccine strains and circulating field strains. Here we present the complete genome sequence of a highly virulent genotype VII virus (NL/93) obtained from vaccinated poultry during an outbreak of ND in the Netherlands in 1992-1993. Using this strain, we investigated whether the identified genetic evolution of NDV is accompanied by antigenic evolution. In this study we show that a live vaccine that is antigenically adapted to match the genotype VII NL/93 outbreak strain does not provide increased protection compared to a classic genotype II live vaccine. When challenged with the NL/93 strain, chickens vaccinated with a classic vaccine were completely protected against clinical disease and mortality and virus shedding was significantly reduced, even with a supposedly suboptimal vaccine dose. These results suggest that it is not antigenic variation but rather poor flock immunity due to inadequate vaccination practices that may be responsible for outbreaks and spreading of virulent NDV field strains. Copyright © 2012 Elsevier B.V. All rights reserved.

  8. The Military and The Drug War: Operational Art at an Impasse?

    National Research Council Canada - National Science Library

    Guse, Stephen

    1997-01-01

    ... to translate the stated national strategy into achievable military objectives, absence of a flexible infrastructure, limited diplomatic success, lack of a unified command structure, and widespread...

  9. About Military Sexual Trauma

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  10. Vedr.: Military capacity building

    DEFF Research Database (Denmark)

    Larsen, Josefine Kühnel; Struwe, Lars Bangert

    2013-01-01

    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...

  11. About Military Sexual Trauma

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  15. Metabolic regulation during sport events: factual interpretations and inadequate allegations

    Directory of Open Access Journals (Sweden)

    Jacques Remy Poortmans

    2013-09-01

    Full Text Available Different fuels are available to generate ATP for muscle activities during sport events. Glycogen from striated muscles and liver stores may be converted to lactic acid or almost completely oxidized to carbon dioxide (CO2, triacylglycerol within the muscle itself and fatty acids from adipose tissue could be converted to CO2 in acting muscles, some free amino acids can be released within the muscle itself and from intestinal stores to sustain the amount of ATP generation indispensable for muscle contraction. All single biochemical reactions, but one, need one or several enzymes to activate the conversion of a substrate into a product. The energy transformation in biochemical reactions is led by application of so-called free energy. Reversible and non-reversible reactions within a metabolic pathway are dependent on specific enzymes near or far from equilibrium. Allosteric enzymes are regulatory enzymes that provide the direction in the pathway. A regulatory enzyme is either activated or inhibited by small regulators (ligands. A reversible substrate cycle between A and B is catalyzed by two enzymes with different fluxes. The need of ATP production for muscle contraction is under the leadership of regulatory enzymes and available substrate stores. The improvement of adapted metabolic reactions under sport training depends on the appropriate increase of regulatory enzymes within the glycolytic and oxidative pathways. The amount of some specific enzymes is increased by training in order to improve the maximum activity of the metabolic pathway. Unfortunately, several publications do not precisely implicate the appropriate enzyme(s to explain or reject the adaptation induced by the training schedule. A few examples will illustrate the factual interpretation and the inadequate allegation.

  16. The association of xerostomia and inadequate intake in older adults.

    Science.gov (United States)

    Rhodus, N L; Brown, J

    1990-12-01

    Recent studies indicate that nearly one in five older adults has xerostomia (dry mouth). Salivary gland dysfunction and/or inadequate saliva increases the difficulty of these older adults in obtaining proper nutrition. Problems in lubricating, masticating, tolerating, tasting, and swallowing food contribute notably to the complex physiological and psychological manifestations of aging. To our knowledge, the literature has not demonstrated an association between xerostomia and malnutrition in the elderly. We randomly selected 67 older adults from institutionalized and free-living geriatric populations. Nutritional intake analysis was performed on both groups of study subjects, who were found to have xerostomia by use of sialometry, and on control subjects matched for age, sex, and physical status. Intake of total energy, protein, dietary fiber, total fat, saturated fat, cholesterol, sodium, potassium, vitamin A, vitamin C, thiamin, riboflavin, vitamin B-6, calcium, iron, and zinc was compared with the 1989 Recommended Dietary Allowances. Subjects' intakes were also compared with that of a control group. Medical systemic information and number and types of medications were compared among the groups. Statistical analysis of the data indicated significant (p less than .001) inadequacies in the nutritional intake patterns of institutionalized and free-living older adults with xerostomia. Subjects with xerostomia (more than 75% of the free-living and institutionalized seniors) had significant deficiencies of fiber, potassium, vitamin B-6, iron, calcium, and zinc. Taste and food perception were significantly reduced in the elders with xerostomia. Our study indicates the potential contribution of xerostomia to the high prevalence of geriatric malnutrition in the United States.

  17. Inadequate pain relief among patients with primary knee osteoarthritis.

    Science.gov (United States)

    Laires, Pedro A; Laíns, Jorge; Miranda, Luís C; Cernadas, Rui; Rajagopalan, Srini; Taylor, Stephanie D; Silva, José C

    Despite the widespread treatments for osteoarthritis (OA), data on treatment patterns, adequacy of pain relief, and quality of life are limited. The prospective multinational Survey of Osteoarthritis Real World Therapies (SORT) was designed to investigate these aspects. To analyze the characteristics and the patient reported outcomes of the Portuguese dataset of SORT at the start of observation. Patients ≥50 years with primary knee OA who were receiving oral or topical analgesics were eligible. Patients were enrolled from seven healthcare centers in Portugal between January and December 2011. Pain and function were evaluated using the Brief Pain Inventory (BPI) and WOMAC. Quality of life was assessed using the 12-Item Short Form Health Survey (SF-12). Inadequate pain relief (IPR) was defined as a score >4/10 on item 5 of the BPI. Overall, 197 patients were analyzed. The median age was 67.0 years and 78.2% were female. Mean duration of knee OA was 6.2 years. IPR was reported by 51.3% of patients. Female gender (adjusted odds ratio - OR 2.15 [95%CI 1.1, 4.5]), diabetes (OR 3.1 [95%CI 1.3, 7.7]) and depression (OR 2.24 [95%CI 1.2, 4.3]) were associated with higher risk of IPR. Patients with IPR reported worst outcomes in all dimensions of WOMAC (p<0.001) and in all eight domains and summary components of SF-12 (p<0.001). Our findings indicate that improvements are needed in the management of pain in knee OA in order to achieve better outcomes in terms of pain relief, function and quality of life. Copyright © 2016 Elsevier Editora Ltda. All rights reserved.

  18. American Military History: A Selected Bibliography

    Science.gov (United States)

    2013-04-01

    showfile.exe?CISOROOT=/ndupress&CISOPTR=40021&CISOMODE= print Puryear, Edgar F., Jr. Nineteen Stars: A Study in Military Character and Leadership...A469-633) http://handle.dtic.mil/100.2/ADA469633 Toner , Sheila C. George Washington: America’s First Strategic Leader. Strategy Research Project

  19. Counterproliferation strategy: The influence of technology, budget, and arms control on theater missile defenses. Strategic research project

    Energy Technology Data Exchange (ETDEWEB)

    Parlier, G.H.

    1996-05-20

    This paper describes the historical evolution of the theater missile threat during World War II and the Persian Gulf War, and analyzes current technological challenges, budgetary pressures, and arms control restraints which constrain the development and deployment of effective theater missile defenses. The impact of these trends on strategic concepts as outlined in the National Military Strategy and their implications for attaining national policy objectives is assessed. A systems approach is used to described analyze, and evaluate the effectiveness of emerging counterproliferation strategy within the framework of an ends-ways-means strategy formulation paradigm. I conclude that current trends will lead to a self-deterring strategy: resources are inadequate to support the ways we intend to achieve our national objectives. Recommendations are made to eliminate unacceptable risk and enhance the concept of `extended conventional deterrence` consistent with U.S. national values and security interests for our role in a new world order.

  20. Military and Political Studies

    Directory of Open Access Journals (Sweden)

    Alexey I. Podberyozkin

    2014-01-01

    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

  1. Associations between Inadequate Parenting Practices and Behavioral Problems in Children and Adolescents with Attention Deficit Hyperactivity Disorder.

    Science.gov (United States)

    Teixeira, Maria Cristina Triguero Veloz; Marino, Regina Luisa de Freitas; Carreiro, Luiz Renato Rodrigues

    2015-01-01

    Children and adolescents with ADHD present behaviors such as impulsiveness, inattention, and difficulties with personal organization that represent an overload for parents. Moreover, it also increases their level of stress and leads them to resort to inadequate educational strategies. The present study verifies associations between inadequate parenting practices and behavioral profiles of children and adolescents with ADHD. The sample was composed of 22 children with ADHD (age range 6-16 years) and their mothers. Spearman correlation analyses were made with the scores of Parenting Style Inventory (PSI) and Child Behavior Checklist for ages 6-18 (CBCL/6-18). Results indicate statistically significant associations between behavioral problems and the use of punishment practices and negligence. When assessing a child with ADHD, it is important to verify the predominant types of parenting practices that can influence both immediate interventions and the prognosis of the disorder.

  2. Stress, Sleep and Depressive Symptoms in Active Duty Military Personnel.

    Science.gov (United States)

    Chou, Han-Wei; Tzeng, Wen-Chii; Chou, Yu-Ching; Yeh, Hui-Wen; Chang, Hsin-An; Kao, Yu-Chen; Huang, San-Yuan; Yeh, Chin-Bin; Chiang, Wei-Shan; Tzeng, Nian-Sheng

    2016-08-01

    The military is a unique occupational group and, because of this, military personnel face different kinds of stress than civilian populations. Sleep problems are an example. The purpose of this study was to investigate the relationship between sleep problems, depression level and coping strategies among military personnel. In this cross-sectional study, military personnel completed the Beck Depression Inventory, the Pittsburgh Sleep Quality Index and the Jalowiec Coping Scale. An evaluation of the test scores showed that officers had better sleep quality and fewer depressive symptoms than enlisted personnel. Military personnel with higher educational levels and less physical illness also had fewer depressive symptoms. Officers and noncommissioned officers preferred problem-focused strategies. Those with higher Beck Depression Inventory and Pittsburgh Sleep Quality Index scores and those who drank alcohol frequently preferred affective-focused strategies. Our results revealed that sleep quality, physical illness and alcohol consumption were associated with the mental health of military personnel. Treating these factors may improve the mental health of military personnel and enhance effective coping strategies. Copyright © 2016 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

  3. Chinese National Strategy of Total War

    National Research Council Canada - National Science Library

    Good, Michael J

    2008-01-01

    ...?s efforts to modernize its military and economy through technological advancement. The results of this research indicates that China does possess a long term national strategy for engagement in a total war with the United States consistent with Chinese military strategy, and is actively pursuing this strategy across all elements of national power.

  4. Defining localities of inadequate treatment for childhood asthma: A GIS approach

    Directory of Open Access Journals (Sweden)

    Pliskin Joseph S

    2006-01-01

    Full Text Available Abstract Background The use of Geographic Information Systems (GIS has great potential for the management of chronic disease and the analysis of clinical and administrative health care data. Asthma is a chronic disease associated with substantial morbidity, mortality, and health care use. Epidemiologic data from all over the world show an increasing prevalence of asthma morbidity and mortality despite the availability of effective treatment. These facts led to the emergence of strategies developed to improve the quality of asthma care. The objective To develop an efficient tool for quality assurance and chronic disease management using a Geographic Information System (GIS. Geographic location The southern region of Israel. January 1998 – October 2000. Databases Administrative claims data of the largest HMO in Israel: drug dispensing registry, demographic data, Emergency Room visits, and hospitalization data bases. Methods We created a list of six markers for inadequate pharmaceutical treatment of childhood asthma from the Israeli clinical guidelines. We used this list to search the drug dispensing registry to identify asthmatic children who received inadequate treatment and to assess their health care utilization and bad outcomes: emergency room visits and hospitalizations. Using GIS we created thematic maps on which we located the clinics with a high percentage of children for whom the treatment provided was not in adherence with the clinical guidelines. Results 81% of the children were found to have at least one marker for inadequate treatment; 17.5% were found to have more than one marker. Children with markers were found to have statistically significant higher rates of Emergency Room visits, hospitalizations and longer length of stay in hospital compared with children without markers. The maps show in a robust way which clinics provided treatment not in accord with the clinical guidelines. Those clinics have high rates of Emergency Room

  5. Psychological distress is associated with inadequate dietary intake in Vietnamese marriage immigrant women in Korea.

    Science.gov (United States)

    Hwang, Ji-Yun; Lee, Sang Eun; Kim, Sun Hye; Chung, Hye Won; Kim, Wha Young

    2010-05-01

    Previous studies have reported that the nutritional status of Vietnamese female marriage immigrants in Korea is inadequate. And the mediation of acculturation stress can contribute to problems in their eating practices and dietary intakes. This study examines an association between psychological distress and inadequate dietary intake in Vietnamese female marriage immigrants living in Korea. A cross-sectional study analyzed baseline data (n=570) from the Cohort of Intermarried Women in Korea. Daily nutrient intakes were compared according to the quartiles of distress scores assessed by the Psychological Well-Being Index-Short Form. One-way analysis of variance and chi(2) tests were used to compare eating practices and nutrient intake across quartiles of psychological distress. Subjects in the highest stress scores were more likely to skip breakfast and to change their dietary habits after living in Korea than those in groups with low stress scores. Analyses of the subjects' Mini Dietary Assessments revealed that those with the highest stress scores were less likely to consume milk or dairy products, eat regular meals, or have balanced diets than those with the lowest stress scores. Nutrient intakes were found to be inadequate in the subjects, and those with the highest stress scores showed lower consumptions of energy, carbohydrate, protein, fat, calcium, zinc, thiamin, riboflavin, and folate compared to those with the lowest scores. The prevalence of underweight (body mass index [calculated as kg/m(2)] <18.5) increased from the lowest to highest quartiles of psychological distress scores. Psychological distress in Vietnamese female marriage immigrants living in Korea was negatively associated with dietary intake. These findings can assist dietetics practitioners working with minority immigrants because such information is important in designing appropriate strategies for dietary counseling. A follow-up study should address the underlying mechanisms of the observed

  6. Iraqi Military Academies

    Directory of Open Access Journals (Sweden)

    Nodar Z. Mossaki

    2015-03-01

    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.

  7. An Analysis of the Military Family Housing Construction Contractor Supplier Base at MCB Camp Pendleton and a Report on How an Understanding of These Trends May Improve the Acquisition Strategy for the Department of Defense

    National Research Council Canada - National Science Library

    Cannon, Stephen

    2001-01-01

    ...? The study surveyed potential Public Private Venture (PPV) developers and current housing construction contractors' attitudes towards the Navy's recent trend in the design, construction, and maintenance of Marine Corps military family housing...

  8. Access issues associated with U.S. military presence in Thailand and the Philippines

    OpenAIRE

    Dilag, Bayani C.

    2005-01-01

    Approved for public release, distribution is unlimited In pursuit of the objectives of the U.S. National Security Strategy and the National Military Strategy, the U.S. Armed Forces require access to military and logistics facilities overseas to be able to support and sustain its combat power projection. Access to these places translates into capabilities. An American military forward presence in time of peace as well as during a regional crisis lends credibility to U.S. diplomacy. Moreover...

  9. Nocturia is often inadequately assessed, diagnosed and treated by physicians

    DEFF Research Database (Denmark)

    Oelke, Matthias; Anderson, Peter; Wood, Robert

    2016-01-01

    strategies. Regardless the type of LUTS and physician, 59% of men received α-blockers and 76% of women antimuscarinics. CONCLUSIONS: Data show that patients with nocturia and LUTS accept their symptoms for a considerable period before they seek help or ultimately receive treatment. They may therefore......AIMS: The aim of this study was to investigate the quality and timing of the diagnosis and treatment of nocturia in real-life practice in European and US-American patients to obtain better insights into the management of nocturia in different Western healthcare systems. METHODS: Data were drawn...

  10. Risk of Performance Decrement and Crew Illness Due to an Inadequate Food System

    Science.gov (United States)

    Douglas, Grace L.; Cooper, Maya; Bermudez-Aguirre, Daniela; Sirmons, Takiyah

    2016-01-01

    NASA is preparing for long duration manned missions beyond low-Earth orbit that will be challenged in several ways, including long-term exposure to the space environment, impacts to crew physiological and psychological health, limited resources, and no resupply. The food system is one of the most significant daily factors that can be altered to improve human health, and performance during space exploration. Therefore, the paramount importance of determining the methods, technologies, and requirements to provide a safe, nutritious, and acceptable food system that promotes crew health and performance cannot be underestimated. The processed and prepackaged food system is the main source of nutrition to the crew, therefore significant losses in nutrition, either through degradation of nutrients during processing and storage or inadequate food intake due to low acceptability, variety, or usability, may significantly compromise the crew's health and performance. Shelf life studies indicate that key nutrients and quality factors in many space foods degrade to concerning levels within three years, suggesting that food system will not meet the nutrition and acceptability requirements of a long duration mission beyond low-Earth orbit. Likewise, mass and volume evaluations indicate that the current food system is a significant resource burden. Alternative provisioning strategies, such as inclusion of bioregenerative foods, are challenged with resource requirements, and food safety and scarcity concerns. Ensuring provisioning of an adequate food system relies not only upon determining technologies, and requirements for nutrition, quality, and safety, but upon establishing a food system that will support nutritional adequacy, even with individual crew preference and self-selection. In short, the space food system is challenged to maintain safety, nutrition, and acceptability for all phases of an exploration mission within resource constraints. This document presents the

  11. GENERAL MILITARY HUMAN RESOURCE MANAGEMENT AND SPECIAL FORCES HUMAN RESOURCE MANAGEMENT. A COMPARATIVE OUTLOOK

    Directory of Open Access Journals (Sweden)

    Marius Emil PATRICHI

    2015-10-01

    Full Text Available The switch from conscript’s army to an all volunteer force military brought new challenges for the military organization. This is more obvious in the human resource domain than in any other area. In the competition to recruit and retain quality personnel, the military organizations should strategically align the human resource management to the overall strategy. The challenges are greater for the Special Forces because the need for a rigorous selection process to recruit from within the military. The rift already in place between the conventional military and the Special Forces need to be overcome to transform the strain relationship into a positive sum game..

  12. About Military Sexual Trauma

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  14. About Military Sexual Trauma

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  15. The Military Cooperation Group

    National Research Council Canada - National Science Library

    Renzi, Jr, Alfred E

    2006-01-01

    .... 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...

  16. Transforming Military Leaders

    National Research Council Canada - National Science Library

    Weiss, Bartholomew W

    2006-01-01

    ... a catastrophic event in another part. Consequentially, the United States must transform its military instrument of power to defeat its enemies and show its alliance with friends to defeat this adverse aspect of globalization...

  17. About Military Sexual Trauma

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  18. Managing Military Readiness

    Science.gov (United States)

    2017-02-01

    Managing Military Readiness by Laura J. Junor STRATEGIC PERSPECTIVES 23 Center for Strategic Research Institute for National Strategic Studies...Marine Corps) Managing Military Readiness Institute for National Strategic Studies Strategic Perspectives, No. 23 Series Editor: Laura J. Junor National...discussion is a basic tenet of production theory , it had not been commonly applied to readiness management until recently. The important point here is that

  19. Soviet Union, Military Affairs.

    Science.gov (United States)

    1987-07-08

    officers in the field of military art but also to contribute to the mastery of effective forms and methods of training and educating personnel of units...into account the latest achievements of military thought, and high competence in questions of tactics and operational art are the foremost qualities...first time, and the new embroidery had to be interspersed with the old canvas. In spite of everything they decided to continue the experiment. 84

  20. Military Working Dog Procurements

    Science.gov (United States)

    2000-03-14

    1998 and 1999 showed that the Europeans did not have an advantage in the selection of their dogs . Officials of the 341st TRS offered two possible...DISTRIBUTION STATEMENT A Approved for Public Release Distribution Unlimited MILITARY WORKING DOG PROCUREMENTS Report No. D-2000-102 March 14...A . Report Title: Military Working Dog Procurements B. DATE Report Downloaded From the Internet: 03/28/99 C. Report’s Point of Contact: (Name

  1. Inadequate humidification of respiratory gases during mechanical ventilation of the newborn.

    Science.gov (United States)

    Tarnow-Mordi, W O; Sutton, P; Wilkinson, A R

    1986-01-01

    Proximal airway humidity was measured during mechanical ventilation in 14 infants using an electronic hygrometer. Values below recommended minimum humidity of adult inspired gas were recorded on 251 of 396 occasions. Inadequate humidification, largely due to inadequate proximal airway temperature, is commoner than recognised in infants receiving mechanical ventilation. PMID:3740912

  2. Inadequate humidification of respiratory gases during mechanical ventilation of the newborn.

    OpenAIRE

    Tarnow-Mordi, W O; Sutton, P; Wilkinson, A R

    1986-01-01

    Proximal airway humidity was measured during mechanical ventilation in 14 infants using an electronic hygrometer. Values below recommended minimum humidity of adult inspired gas were recorded on 251 of 396 occasions. Inadequate humidification, largely due to inadequate proximal airway temperature, is commoner than recognised in infants receiving mechanical ventilation.

  3. The Military Strategy of Global Jihad

    National Research Council Canada - National Science Library

    Zabel, Sara E

    2007-01-01

    .... Al-Qaeda plays a leading role in the larger movement of global jihad, a splinter faction of militant Islamism intent on establishing its vision of strict Islamic rule in the Muslim world through armed action...

  4. Extremist Religious Ideologies and Military Strategy

    National Research Council Canada - National Science Library

    Phillips, William

    2006-01-01

    .... They are extreme because they conduct or sponsor violent acts and because they seek to undermine the legitimacy of a nation's government while instilling fear in the hearts and minds of the population...

  5. The Military Strategy of Global Jihad

    Science.gov (United States)

    2007-10-01

    leadership for this world. . . . Third, our ultimate objective of these painful strikes against the head of the serpent was to prompt it to come out of its...work for the spread of shari’a science and worldly sciences, (7) construct an intelligence agency, (8) unite the people through money and shari’a...the frontier region between Afghanistan and Pakistan, from where he has been studying Western intelligence services. 30. Al-Suri, p. 1392. 31. Ibid

  6. Explanatory factors for first and second-generation non-western women's inadequate prenatal care utilisation: a prospective cohort study.

    Science.gov (United States)

    Boerleider, Agatha W; Manniën, Judith; van Stenus, Cherelle M V; Wiegers, Therese A; Feijen-de Jong, Esther I; Spelten, Evelien R; Devillé, Walter L J M

    2015-04-21

    Little research into non-western women's prenatal care utilisation in industrialised western countries has taken generational differences into account. In this study we examined non-western women's prenatal care utilisation and its explanatory factors according to generational status. Data from 3300 women participating in a prospective cohort of primary midwifery care clients (i.e. women with no complications or no increased risk for complications during pregnancy, childbirth and the puerperium who receive maternity care by autonomous midwives) in the Netherlands (the DELIVER study) was used. Gestational age at entry and the total number of prenatal visits were aggregated into an index. The extent to which potential factors explained non-western women's prenatal care utilisation was assessed by means of blockwise logistic regression analyses and percentage changes in odds ratios. The unadjusted odds of first and second-generation non-western women making inadequate use of prenatal care were 3.26 and 1.96 times greater than for native Dutch women. For the first generation, sociocultural factors explained 43% of inadequate prenatal care utilisation, socioeconomic factors explained 33% and demographic and pregnancy factors explained 29%. For the second generation, sociocultural factors explained 66% of inadequate prenatal care utilisation. Irrespective of generation, strategies to improve utilisation should focus on those with the following sociocultural characteristics (not speaking Dutch at home, no partner or a first-generation non-Dutch partner). For the first generation, strategies should also focus on those with the following demographic, pregnancy and socioeconomic characteristics (aged ≤ 19 or ≥ 36, unplanned pregnancies, poor obstetric histories (extra-uterine pregnancy, molar pregnancy or abortion), a low educational level, below average net household income and no supplementary insurance.

  7. The Scroll and the Sword: Synergizing Civil-Military Power

    Science.gov (United States)

    2006-03-14

    scroll is indeed mightier than the sword , both are mightiest in unison. This synergy, more than anything else, will help ensure that America and its...USAWC STRATEGY RESEARCH PROJECT THE SCROLL AND THE SWORD : SYNERGIZING CIVIL-MILITARY POWER by Colonel Christopher J. Holshek United States Army... Sword Synergizing Civil-Military Power 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Christopher Holshek 5d. PROJECT

  8. Selling petroleum to the military

    International Nuclear Information System (INIS)

    Uscher, R.H.

    1999-01-01

    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

  9. Motivational Interventions to Reduce Alcohol Use in a Military Population

    Science.gov (United States)

    2010-01-01

    alcohol from the earliest days of military service, in part because heavy drinking has been an accepted custom and tradition (Bryant, 1979; Schuckit...dealing with trouble spots 10 Appropriate Motivational Strategies for Each Stage of Change (adapted from CSAT TIP #35) Precontemplation Goals...Appropriate Motivational Strategies for Each Stage of Change (adapted from CSAT TIP #35) Preparation Goals: Help person resolve

  10. Military Personnel Who Seek Health and Mental Health Services Outside the Military.

    Science.gov (United States)

    Waitzkin, Howard; Cruz, Mario; Shuey, Bryant; Smithers, Daniel; Muncy, Laura; Noble, Marylou

    2018-02-27

    (OR 0.70, 95% CI 0.49, 0.99, p = 0.05). Significant predictors were not found for major depression, alcohol use disorder, or suicidal ideation. Clients' narrative themes included fear of reprisal for seeking services, mistrust of command, insufficient and unresponsive services, cost as a barrier to care, deception in recruitment, voluntary enlistment remorse, guilt about actual or potential killing of combatants or non-combatant civilians, preexisting mental health disorders, family and household challenges that contributed to distress, and military sexual trauma. Our work clarified substantial unmet needs for services among active duty military personnel, the limitations of programs based in the military sector, and the potential value of civilian sector services that are not linked to military goals. We and our institutional review board opted against using a control group that would create ethical problems stemming from the denial of needed services. For future research, an evaluative strategy that can assess the impact of civilian services and that reconciles ethical concerns with study design remains a challenge. Due to inherent contradictions in the roles of military professionals, especially the double agency that makes professionals responsible to both clients and the military command, the policy alternative of providing services for military personnel in the civilian sector warrants serious consideration, as do preventive strategies such as non-military alternatives to conflict resolution. © Association of Military Surgeons of the United States 2018. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. The significance of inadequate transcranial Doppler studies in children with sickle cell disease.

    Directory of Open Access Journals (Sweden)

    Simon Greenwood

    Full Text Available Sickle cell disease (SCD is a common cause of cerebrovascular disease in childhood. Primary stroke prevention is effective using transcranial Doppler (TCD scans to measure intracranial blood velocities, and regular blood transfusions or hydroxycarbamide when these are abnormal. Inadequate TCD scans occur when it is not possible to measure velocities in all the main arteries. We have investigated the prevalence and significance of this in a retrospective audit of 3915 TCD scans in 1191 children, performed between 2008 and 2015. 79% scans were normal, 6.4% conditional, 2.8% abnormal and 12% inadequate. 21.6% of 1191 patients had an inadequate scan at least once. The median age of first inadequate scan was 3.3 years (0.7-19.4, with a U-shaped frequency distribution with age: 28% aged 2-3 years, 3.5% age 10 years, 25% age 16 years. In young children reduced compliance was the main reason for inadequate TCDs, whereas in older children it was due to a poor temporal ultrasound window. The prevalence of inadequate TCD was 8% in the main Vascular Laboratory at King's College Hospital and significantly higher at 16% in the outreach clinics (P<0.0001, probably due to the use of a portable ultrasound machine. Inadequate TCD scans were not associated with underlying cerebrovascular disease.

  12. Serum 25-Hydroxyvitamin D Levels and Stress Fractures in Military Personnel: A Systematic Review and Meta-analysis.

    Science.gov (United States)

    Dao, Dyda; Sodhi, Sukhmani; Tabasinejad, Rasam; Peterson, Devin; Ayeni, Olufemi R; Bhandari, Mohit; Farrokhyar, Forough

    2015-08-01

    Low serum 25-hydroxyvitamin D (25(OH)D) levels have been associated with stress fractures in various physically active populations such as the military. To examine the association between serum 25(OH)D levels and stress fractures in the military. Systematic review and meta-analysis. Relevant studies were identified through searching multiple databases and manually screening reference lists. Two reviewers independently selected the included studies by applying the eligibility criteria to the title, abstract, and/or full text of the articles yielded in the search. Two reviewers also independently conducted the methodological quality assessment and data extraction. A random-effects model was used to calculate the mean difference (MD) with 95% CI in serum 25(OH)D levels between stress fracture cases and controls. Nine observational studies on lower extremity stress fractures were eligible, and 1 was excluded due to inadequate data. A total of 2634 military personnel (age, 18-30 years; 44% male) with 761 cases (16% male) and 1873 controls (61% male) from 8 studies were included in the analysis. Three of the 8 studies measured serum 25(OH)D levels at the time of stress fracture diagnosis, and the 5 remaining studies measured serum 25(OH)D levels at the time of entry into basic training. The mean serum 25(OH)D level was lower in stress fracture cases than in controls at the time of entry into basic training (MD, -2.63 ng/mL; 95% CI, -5.80 to 0.54; P = .10; I(2) = 65%) and at the time of stress fracture diagnosis (MD, -2.26 ng/mL; 95% CI, -3.89 to -0.63; P = .007; I(2) = 42%). Despite the inherent limitations of the included studies, the study results suggest some association between low serum 25(OH)D levels and lower extremity stress fractures in military personnel. Given the rigorous training of military personnel, implementing strategies to ensure sufficient 25(OH)D levels may be beneficial for reducing the risk of stress fractures. © 2014 The Author(s).

  13. Predictors of Inadequate Inpatient Colonoscopy Preparation and Its Association with Hospital Length of Stay and Costs.

    Science.gov (United States)

    Yadlapati, Rena; Johnston, Elyse R; Gregory, Dyanna L; Ciolino, Jody D; Cooper, Andrew; Keswani, Rajesh N

    2015-11-01

    Adequate bowel preparation is essential to safe and effective inpatient colonoscopy. Predictors of poor inpatient colonoscopy preparation and the economic impacts of inadequate inpatient preparations are not defined. The aims of this study were to (1) determine risk factors for inadequate inpatient bowel preparations, and (2) examine the association between inadequate inpatient bowel preparation and hospital length of stay (LOS) and costs. We performed a retrospective cohort study of adult patients undergoing inpatient colonoscopy preparation over 12 months (1/1/2013-12/31/2013). Of 524 identified patients, 22.3% had an inadequate preparation. A multiple logistic regression model identified the following potential predictors of inadequate bowel preparation: lower income (OR 1.11; 95% CI 1.04, 1.22), opiate or tricyclic antidepressant (TCA) use (OR 1.55; 0.98, 2.46), and afternoon colonoscopy (OR 1.66; 1.07, 2.59); as well as American Society of Anesthesiologists (ASA) class ≥3 (OR 1.15; 1.05, 1.25) and symptoms of nausea/vomiting (OR 1.14; 1.04, 1.25) when a fair preparation was considered inadequate. Inadequate bowel preparation was associated with significantly increased hospital LOS (model relative mean estimate 1.25; 95% CI 1.03, 1.51) and hospital costs (estimate 1.31; 1.03, 1.67) when compared to adequate preparations. The rate of inadequate inpatient bowel preparations is high and associated with a significant increase in hospital LOS and costs. We identified five potential predictors of inadequate inpatient preparation: lower socioeconomic class, opiate/TCA use, afternoon colonoscopies, ASA class ≥3, and pre-preparation nausea/vomiting; these data should guide future initiatives to improve the quality of inpatient bowel preparations.

  14. Military nuclear activities. Strategic prospects

    International Nuclear Information System (INIS)

    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

    2015-01-01

    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

  15. Enlisting in the Military

    Directory of Open Access Journals (Sweden)

    Kevin M. Beaver

    2015-04-01

    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.

  16. Current military laser applications

    Energy Technology Data Exchange (ETDEWEB)

    Flinchbaugh, D.E.

    1975-08-01

    Several important military applications with the predominant laser type used are reviewed. Most of these lasers are infrared lasers of one sort or another. Airborne tactical programs utilizing laser designator/illuminators are pictorially summarized, including range finding, target seeking, designation, tracking, reconnaissance, and surveillance. A typical designator optical system configuration is presented and discussed. Examples of operational laser systems are given. It is seen that many of the laser applications in the civilian community have either direct or indirect analogs in the military field. A self-contained HF/DF chemical laser weapon that recirculates its by-products is examined.

  17. Autonomous military robotics

    CERN Document Server

    Nath, Vishnu

    2014-01-01

    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

  18. Military wheeled vehicles

    CERN Document Server

    Hansen, Grace

    2016-01-01

    Wheeled vehicles are used in militaries around the world every single day. Readers will learn that wheeled vehicles in the military are not just for getting from place-to-place, but can also act as necessary protection for soldiers travelling through dangerous areas. Big full-bleed photographs, new glossary terms, and a close up look at a vehicle will keep readers wanting more! Aligned to Common Core Standards and correlated to state standards. Abdo Kids Jumbo is an imprint of Abdo Kids, a division of ABDO.

  19. United States military posture for FY 1989

    Energy Technology Data Exchange (ETDEWEB)

    1989-01-01

    The primary purpose of this statement on the military posture of the United States is to supplement testimony by the Chairman and other members of the Joint Chiefs of Staff at congressional hearings in support of the FY 1989 Defense Budget. Chapter I is an overview that describes the main challenges to US national security, outlines objectives and elements of US military strategy, and highlights continuing efforts to field the best possible armed forces for the protection of US national interests. Chapter II compares US defense requirements and resource commitment with those of the Soviet Union. Chapter III provides an overview of the global military environment by comparing US and allied forces with Soviet and Warsaw Pact forces. Chapter IV assesses the current and projected capability of the US Armed Forces to meet the Soviet nuclear threat. Chapter V assesses the current and projected capability of the US Armed Forces, in concert with friends and allies, to meet the Soviet conventional military threat. This chapter deals primarily with joint perspectives that have increased the capabilities and efficiency of our forces. Chapter VI addresses other topics of interest. Unless otherwise noted, data shown in this report have used operational as opposed to treaty inventories for strategic weapon systems, a fiscal year cutoff date of 30 September 1987, and mobilized forces. Additionally, data have been developed based on a global as opposed to regional war scenario.

  20. Military Intervention in South America,

    Science.gov (United States)

    1975-01-01

    size and com- position of the armed forces, and the traditional role of the 3 military in the political system. A third approach to military intervention...Structure and Military Intervention in Latin America," Archives Europeenes de Sociologie , 1I (Spring, 1961), 62-81; Ernest A. Duff and John F. McCamant

  1. Syria’s Military Capabilities and Options for Military Intervention

    DEFF Research Database (Denmark)

    Pradhan-Blach, Flemming

    2012-01-01

    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...

  2. Russia’s Military Economy and Military Security in 2007

    OpenAIRE

    Vasily Zatsepin; Vitaly Tsymbal

    2008-01-01

    The development of the RF military economy in 2007 was mainly determined by the economic and political factors typical of the Russian economy as a whole and also by the necessity to carry on a struggle against terrorist bands. At the same time, the military economy was to a certain extent influenced (at least conceptually) by the military-political declarations and unfriendly intentions on the part of NATO and the USA, as well as by the requirements of military and military-technological coop...

  3. Strategy; Strategies

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2005-07-15

    Francois Loos, Minister of Industry, explains the French energy policy in the frame of Europe. ONERC is a French public body in charge of defining a national strategy against climate changes. It submits its first strategic elements to the Government. (authors)

  4. from strategy formulation to strategy formation

    African Journals Online (AJOL)

    Gerhard Louw;Abel Esterhuyse

    policy and intended military strategy have produced neither the results the South. African government .... interfaces, increasing entropy, and eventual stagnation and decline, strategists are lately obliged to adopt a ...... choice of strategic management model, the subconscious beliefs of decision-makers will therefore have a ...

  5. Inadequate functional health literacy in Spanish as a barrier to cervical cancer screening among immigrant Latinas in New York City.

    Science.gov (United States)

    Garbers, Samantha; Chiasson, Mary Ann

    2004-10-01

    The objective of this study was to examine the association between inadequate functional health literacy in Spanish among low-income Latinas aged 40 and older and cervical cancer screening knowledge and behavior. Spanish-speaking Latinas aged 40-78 of various nationalities (n = 205) participated in a study that included a survey on cervical cancer knowledge and behavior administered in Spanish and the Spanish version of the Test of Functional Health Literacy in Adults. Compared to those with adequate and marginal health literacy, women with inadequate functional health literacy in Spanish were significantly less likely to have ever had a Papanicolaou (Pap) test (odds ratio, 0.12; 95% confidence interval [CI], 0.04-0.37) or in the last three years (odds ratio, 0.35; 95% CI, 0.18-0.68) and were significantly more likely to have had their last Pap test at a local public hospital (odds ratio, 2.43; 95% CI, 1.18-4.97). Even when controlling for other factors, women with inadequate health literacy were 16.7 times less likely (adjusted odds ratio, 0.06; 95% CI, 0.01-0.55) to have ever had a Pap test. Almost half of the population we studied will have difficulty interpreting written medical materials, even in Spanish. When developing efforts to reach women who have not been screened, programs and service providers need to be aware that the women most in need of information about screening may be more likely to be unable to read any written materials provided to them, regardless of the language or level of simplicity of the materials. Programs and strategies need to be implemented to increase screening prevalence and to minimize the identified gaps in regular screening for Latinas who have low health literacy.

  6. Military-geographic evaluation of the Julian Alps area

    Directory of Open Access Journals (Sweden)

    Zvonimir Bratun

    1999-12-01

    Full Text Available The Julian Alps have been of military significance since Roman times in a military geographic sense because of its valleys, mountain passes and lines of defence on mountain ridges. They became especially important in the 19th and 20th century. The largest mountain front in World War I was located there,and evidence of that front is still visible today. The border between Italy and Yugoslavia in the heart of the Julian Alps was clearly a line of demarcation along the Soča and Sava watersheds and was reinforced with fortification, obstacles and trenches. During the Cold War, there was an ideological line of demarcation along the western edge of the Julian Alps as well. Military strategy in that area included the use of military geographic approaches in both westerly and easterly directions. After the geopolitical changes of 1991, the Julian Alps no longer had same military geographic significance in terms of Slovenian national security. Today other military activities are more important: training under mountains conditions for NATO soldiers, non-commissioned and commissioned officers takes place in the Pokljuka region and on the Triglav mountain chain. Military facilities have been taken on significance in the terms of tourism as well.

  7. Behaviorally inadequate

    DEFF Research Database (Denmark)

    Kasperbauer, Tyler Joshua

    2014-01-01

    According to situationism in psychology, behavior is primarily influenced by external situational factors rather than internal traits or motivations such as virtues. Environmental ethicists wish to promote pro-environmental behaviors capable of providing adequate protection for the environment......, but situationist critiques suggest that character traits, and environmental virtues, are not as behaviorally robust as is typically supposed. Their views present a dilemma. Because ethicists cannot rely on virtues to produce pro-environmental behaviors, the only real way of salvaging environmental virtue theory...... positive results. However, because endorsing behaviorally ineffective virtues, for whatever reason, entails that environmental ethicists are abandoning the goal of helping and protecting the environment, environmental ethicists should consider looking elsewhere than virtues and focus instead on the role...

  8. LANGUAGE IN MILITARY SERVICE

    African Journals Online (AJOL)

    Dictionary in 1954, the product of the Military. Language Board (Krygstaalraad). During World War II the men in the forces con- tinued the development of the two official lan- ... words and terms reflecting typical South African conditions: Sonfontein (solar still), pantserbreek- granate (armour-piercing squash head shells),.

  9. The Military's Business

    DEFF Research Database (Denmark)

    Rasmussen, Mikkel Vedby

    South' or utilising new technologies to overcome the prohibitive costs of current systems. Analysing the philosophical, strategic and budgetary underpinnings of these alternatives, he concludes that a more radical break from current military organisational practices is needed which would allow them...

  10. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... count__/__total__ Find out why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans ... views 4:50 Prolonged Exposure for PTSD - Duration: 2:45. Veterans Health Administration 53,436 views 2: ...

  11. Selected WDM Military Interests

    Science.gov (United States)

    2001-06-28

    Photonic Networks BACKGROUND IP ATM (QOS) SONET SONET WDM 200420011998 WDM IP w/ MPLS 10Gb Ethernet WDM LAN / MAN IP Along with Ethernet technology, WDM...technology will become prominent in Metro Area Networking (MAN) and Local Area Networking (LAN) topologies. ---------------------------- Military...APPROVED FOR PUBLIC RELEASE, DISTRIBUTION UNLIMITED Research and Development – Components – Applications, e.g., CWDM Ethernet ; optical packet

  12. About Military Sexual Trauma

    Medline Plus

    Full Text Available ... count__/__total__ Find out why Close About Military Sexual Trauma Veterans Health Administration Loading... Unsubscribe from Veterans ... MST. http://www.mentalhealth.va.gov/msthom... Category Education License Standard YouTube License Show more Show less ...

  13. The Transgender Military Experience

    Directory of Open Access Journals (Sweden)

    Michelle Dietert

    2015-04-01

    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.

  14. USSR Report, Military Affairs

    Science.gov (United States)

    1984-12-20

    Democratic Revolution in Ethiopia"] [Excerpts] On 12 September 1974, a Volkswagen escorted by military vehicles left the gates of the Imperial...time. ,. The question that comes up is how long will the KRASNAYA ZVEZDA delivery to Kamchatka be treated so scandalously ? 12511 CSO:1801/14 48

  15. Resilience among Military Youth

    Science.gov (United States)

    Easterbrooks, M. Ann; Ginsburg, Kenneth; Lerner, Richard M.

    2013-01-01

    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…

  16. The Military Instructor's Handbook

    DEFF Research Database (Denmark)

    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...

  17. Military purges and the recurrence of civil conflict

    Directory of Open Access Journals (Sweden)

    Jessica Maves Braithwaite

    2016-02-01

    Full Text Available Literature on coup-proofing often suggests that such activities reduce military effectiveness, which could provide an environment ripe for civil conflict. However, if coup-proofing is dangerous, why do leaders engage in these strategies? We argue that a specific type of coup-proofing, military purges, deters domestic unrest by demonstrating the strength of the regime via the removal of powerful but undesirable individuals from office. We use original data on military purges in non-democracies from 1969–2003 to assess quantitatively how this type of coup-proofing activity affects the likelihood of civil conflict recurrence. We find support for our expectation that purges of high-ranking military officials do in fact help prevent further civil conflict. Purges appear to provide real benefits to dictators seeking to preserve stability, at least in post-conflict environments.

  18. Emotional Reactions and Moral Judgment: the Effects of Morally Challenging Interactions in Military Operations

    NARCIS (Netherlands)

    de Graaff, Miriam; Schut, M; Verweij, D.E.M.; Vermetten, H.G.J.M.; Giebels, Ellen

    2016-01-01

    This study explores the association between different types of morally challenging interactions during military deployment and response strategies (e.g., moral justification), as well as the mediating role of moral emotions. Interviews with Dutch servicemen who participated in military operations

  19. Military Social Work as an Exemplar in Teaching Social Work Competencies

    Science.gov (United States)

    Daley, James G.; Carlson, Joan; Evans, Pinkie

    2015-01-01

    This article is for social work educators unfamiliar with military social work and receptive to a number of exemplars to enhance teaching strategies within their courses. Because examples of military social work are directly tied to the Council on Social Work Education competencies, this article offers a number of suggested teaching strategies…

  20. The association between inadequate prenatal care and future healthcare use among offspring in the Bedouin population.

    Science.gov (United States)

    Estis-Deaton, Asia; Sheiner, Eyal; Wainstock, Tamar; Landau, Daniella; Walfisch, Asnat

    2017-12-01

    To evaluate the impact of inadequate prenatal care on long-term morbidity among the offspring of an ethnic minority population. A retrospective population-based cohort analysis was performed among all Bedouin women with singleton pregnancies who delivered in a tertiary medical center in Israel between January 1, 1991, and January 1, 2014. Morbidity was defined as pediatric hospitalization across six distinct disease categories before 18 years of age. The cumulative morbidity rates were compared for offspring born following pregnancies with either inadequate (prenatal care facility) or adequate prenatal care. Overall, 127 396 neonates were included; 19 173 (15.0%) were born following inadequate prenatal care. Pediatric hospitalizations for all morbidities other than cardiovascular ones were less frequent among the inadequate prenatal care group than the adequate prenatal care group (Pprenatal care group, with the exception of cardiovascular disease. Inadequate prenatal care correlated with reduced pediatric hospitalization rates among offspring, possibly owing to a lack of child healthcare service utilization within the Bedouin population. © 2017 International Federation of Gynecology and Obstetrics.

  1. Consequences of Inadequate Staffing Include Missed Care, Potential Failure to Rescue, and Job Stress and Dissatisfaction.

    Science.gov (United States)

    Simpson, Kathleen Rice; Lyndon, Audrey; Ruhl, Catherine

    2016-01-01

    To evaluate responses of registered nurse members of the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) to a survey that sought their recommendations for staffing guidelines and their perceptions of the consequences of inadequate nurse staffing. The goal was to use these member data to inform the work of the AWHONN nurse staffing research team. Secondary analysis of responses to the 2010 AWHONN nurse staffing survey. Online. AWHONN members (N = 884). Review of data from an online survey of AWHONN members through the use of thematic analysis for descriptions of the consequences of inadequate nurse staffing during the childbirth process. Three main themes emerged as consequences of inadequate staffing or being short-staffed: Missed Care, Potential for Failure to Rescue, and Job-Related Stress and Dissatisfaction. These themes are consistent with those previously identified in the literature related to inadequate nurse staffing. Based on the responses from participants in the 2010 AWHONN nurse staffing survey, consequences of inadequate staffing can be quite serious and may put patients at risk for preventable harm. Copyright © 2016 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  2. Psychostimulants and military operations.

    Science.gov (United States)

    Eliyahu, Uri; Berlin, Shai; Hadad, Eran; Heled, Yuval; Moran, Daniel S

    2007-04-01

    Sleep-deprived individuals appear to have decreased psychological and physical capabilities. Studies have shown how major psychological aspects, such as alertness, complex mental performance, and memory, are strongly affected by sleep deprivation. Military use of psychostimulants dates back many years, especially in units that operate over long hours and deprive soldiers of sleep. During prolonged military operations, pilots are regularly kept awake for hours and days without fulfilling their biological sleep requirements. This consequently affects their natural circadian rhythm. This article deals with both the benefits and the side effects of two kinds of psychostimulants, namely, dextroamphetamine, which is more popular and is most widely used, and modafinil, which is a relatively newer type. There is growing evidence that modafinil has fewer side effects, in comparison with its predecessor dextroamphetamine, while still maintaining all of the latter's beneficial characteristics.

  3. Military amphibious vehicles

    CERN Document Server

    Hansen, Grace

    2016-01-01

    Amphibious vehicles are necessary for militaries that need to get men and supplies from sea to shoreline. Readers will learn about the different kinds of amphibious vehicles and how they move over water and land! Big full-bleed photographs, new glossary terms, and a close up look at a vehicle will keep readers wanting more! Aligned to Common Core Standards and correlated to state standards. Abdo Kids Jumbo is an imprint of Abdo Kids, a division of ABDO.

  4. Slowing Military Change

    Science.gov (United States)

    2008-10-01

    subjective. More objective measurements, such as statistics on youth crime, teenage pregnancy , drug use, literacy, and educational achievement...SLOWING MILITARY CHANGE Zhivan J. Alach October 2008 This publication is a work of the U.S. Government as defined in Title 17, United States Code...those of the author and do not necessarily reflect the official policy or position of the New Zealand Defence Force, the New Zealand Government , the

  5. Acupuncture in Military Medicine

    Science.gov (United States)

    2013-01-01

    Soldiers and family members, and to reduce excessive use, or supplement judicious use of pain medications. The Acupuncture in Modern Medicine336 Army ... acupuncture . Acupuncture in Military Medicine http://dx.doi.org/10.5772/55146 331 3. A Holistic approach to pain Complementary and integrative (CI...medical care. More than other CI therapies, acupuncture has undergone a significant integration particularly as a complement to traditional pain manage

  6. Military Hybrid Vehicle Survey

    Science.gov (United States)

    2011-08-03

    III Composite 4.3% Integrated starter generator for engine shut down, regenerative braking and avoidance of inefficient engine operation [28]. FMTV...eliminating the inefficiencies associated with idling, vehicle braking and low engine speed part load efficiency, many improvements can be realized...batteries or delivering power back into an electrical grid . Additionally, new military vehicles are demanding an excess of 100kW, which can only be

  7. Military Effectiveness: A Reappraisal

    Science.gov (United States)

    2007-07-01

    policy of recruiting units on a national basis, with the old Germanic nations of Württemberg, Bavaria, Saxony , and especially Prussia all sending their...the landed nobility or the recent relevant tactical experience of the combat officer. From a synthesis of the two approaches emerges a picture of...complete picture of overall military effectiveness. One must address the interrelationship between the four levels of war. Without this aspect, one can

  8. The "war on terror" and the military-archaeology complex: Iraq, ethics, and neo-colonialism

    OpenAIRE

    Hamilakis, Yannis

    2009-01-01

    The archaeological response to the 2003 invasion and occupation of Iraq is often portrayed as a crusade to rescue antiquities, destroyed either directly by the military action itself or indirectly by the looting of archaeological sites and museums. I argue in this paper that this narrative is awfully inadequate, and masks the ethical and political dimensions at the core of this historical episode. I contend that, in their often well-intended attempts to rescue antiquities, most archaeologists...

  9. Military radiobiology: A perspective

    International Nuclear Information System (INIS)

    Walker, R.I.; Conklin, J.J.

    1987-01-01

    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

  10. [Civilian-military coordination].

    Science.gov (United States)

    de Montravel, G

    2002-01-01

    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.

  11. Triage in military settings.

    Science.gov (United States)

    Falzone, E; Pasquier, P; Hoffmann, C; Barbier, O; Boutonnet, M; Salvadori, A; Jarrassier, A; Renner, J; Malgras, B; Mérat, S

    2017-02-01

    Triage, a medical term derived from the French word "trier", is the practical process of sorting casualties to rationally allocate limited resources. In combat settings with limited medical resources and long transportation times, triage is challenging since the objectives are to avoid overcrowding medical treatment facilities while saving a maximum of soldiers and to get as many of them back into action as possible. The new face of modern warfare, asymmetric and non-conventional, has led to the integrative evolution of triage into the theatre of operations. This article defines different triage scores and algorithms currently implemented in military settings. The discrepancies associated with these military triage systems are highlighted. The assessment of combat casualty severity requires several scores and each nation adopts different systems for triage on the battlefield with the same aim of quickly identifying those combat casualties requiring lifesaving and damage control resuscitation procedures. Other areas of interest for triage in military settings are discussed, including predicting the need for massive transfusion, haemodynamic parameters and ultrasound exploration. Copyright © 2016 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

  12. Strategy-to-Task Resource Management: Application of Hierarchies in Defense Resource Planning

    National Research Council Canada - National Science Library

    Gaspar, Tamas

    1999-01-01

    .... The Strategy-to-Task method provides a framework for solving this deficiency by establishing a hierarchy, starting from national objectives, through military objectives and missions to military tasks...

  13. The Association Between Quality of Sleep and Health-related Quality of Life in Military and Non-military Women in Tehran, Iran.

    Science.gov (United States)

    Roustaei, Narges; Jamali, Hajar; Jamali, Mohammad Reza; Nourshargh, Pegah; Jamali, Jamshid

    2017-03-01

    Quality of sleep (QoS) in individuals is affected by their occupation and is one of the factors affecting the quality of life (QoL). Few studies have evaluated the relationship between QoS and QoL in military women personnel. The aim of this study was to assess QoL and QoS, and compare their relationship among military and non-military women in Tehran. This cross-sectional study was carried out on 90 women working in Tehran during 2014, 30 were military forces, 30 were military staff, and 30 were civilian organizations staff. The female subjects were selected from Amin Police University and Tehran Health Insurance Organization using simple random sampling. The 36-Item Short Form Health Survey (SF-36) and Pittsburgh Sleep Quality Index (PSQI) were used to measure QoL and QoS, respectively. The relationship between QoL and QoS was assessed using Pearson's correlation coefficient. The mean scores of QoL in the military forces, military staff, and civilian organizations staff were 58.94±17.71, 67.18±13.52, and 69.10±12.51, respectively. Among the study participants, 62.9% of military forces, 20.0% of military staff, and 17.1% of the civilian organizations staff had poor QoS. Mental health as one of the dimensions of QoL was significantly different between military forces and civilian organizations staff. The association between QoL and QoS was statistically significant in military forces and military staff women. Low QoS and QoL in the army necessitates that the authorities offer programs and appropriate strategies to improve mental health of QoL and promotion of QoS.

  14. The Association Between Quality of Sleep and Health-related Quality of Life in Military and Non-military Women in Tehran, Iran

    Directory of Open Access Journals (Sweden)

    Narges Roustaei

    2017-03-01

    Full Text Available Objectives: Quality of sleep (QoS in individuals is affected by their occupation and is one of the factors affecting the quality of life (QoL. Few studies have evaluated the relationship between QoS and QoL in military women personnel. The aim of this study was to assess QoL and QoS, and compare their relationship among military and non-military women in Tehran. Methods: This cross-sectional study was carried out on 90 women working in Tehran during 2014, 30 were military forces, 30 were military staff, and 30 were civilian organizations staff. The female subjects were selected from Amin Police University and Tehran Health Insurance Organization using simple random sampling. The 36-Item Short Form Health Survey (SF-36 and Pittsburgh Sleep Quality Index (PSQI were used to measure QoL and QoS, respectively. The relationship between QoL and QoS was assessed using Pearson’s correlation coefficient. Results: The mean scores of QoL in the military forces, military staff, and civilian organizations staff were 58.94±17.71, 67.18±13.52, and 69.10±12.51, respectively. Among the study participants, 62.9% of military forces, 20.0% of military staff, and 17.1% of the civilian organizations staff had poor QoS. Mental health as one of the dimensions of QoL was significantly different between military forces and civilian organizations staff. The association between QoL and QoS was statistically significant in military forces and military staff women. Conclusions: Low QoS and QoL in the army necessitates that the authorities offer programs and appropriate strategies to improve mental health of QoL and promotion of QoS.

  15. Skull-base Osteomyelitis: a Dreaded Complication after Trivial Fall and Inadequate Management

    Directory of Open Access Journals (Sweden)

    Kundan Mittal

    2015-10-01

    Full Text Available Introduction: Skull-based osteomyelitis is bony infection which generally originates from inadequately treated chronic infection, adjoining tissue infection or after trauma.Case: 11 month female child had a trivial fall while standing near a bucket. The child developed fracture of right clavicle and left orbital swelling which was inadequately treated. This resulted in in spread of infection to adjoining tissues, skull bones, sinuses and brain.Conclusion: Cranial base osteomyelitis is rare but dreaded condition which requires early diagnosis and prompt treatment to avoid mortality and morbidity in form of neurological deficits and permanent disability

  16. Civil military operations in Ecuador

    OpenAIRE

    Camacho, Carlos Eduardo Paladines.

    2003-01-01

    Approved for public release; distribution in unlimited. Civil Military Operations (CMO) has often been blamed for the politicization of the armed forces and a loss of civilian control. This thesis confronts this traditional approach and argues that CMO need not lead to these outcomes. It introduces democratic civilian control of the armed forces, a well-established military mission, and civilian and military expertise as the basic requirements for the application of CMO. If the requirement...

  17. Systematic review of military motor vehicle crash-related injuries.

    Science.gov (United States)

    Krahl, Pamela L; Jankosky, Christopher J; Thomas, Richard J; Hooper, Tomoko I

    2010-01-01

    Motor vehicle crashes account for nearly one third of U.S. military fatalities annually. The objective of this review is to summarize the published evidence on injuries due specifically to military motor vehicle (MMV) crashes. A search of 18 electronic databases identified English language publications addressing MMV crash-related injuries between 1970 and 2006 that were available to the general public. Documents limited in distribution to military or government personnel were not evaluated. Relevant articles were categorized by study design. The search identified only 13 studies related specifically to MMV crashes. Most were case reports or case series (n=8); only one could be classified as an intervention study. Nine of the studies were based solely on data from service-specific military safety centers. Few studies exist on injuries resulting from crashes of military motor vehicles. Epidemiologic studies that assess injury rates, type, severity, and risk factors are needed, followed by studies to evaluate targeted interventions and prevention strategies. Interventions currently underway should be evaluated for effectiveness, and those proven effective in the civilian community, such as graduated driver licensing, should be considered for implementation and evaluation in military populations. Published by Elsevier Inc.

  18. Using a Competitive Approach to Improve Military Simulation Artificial Intelligence Design

    National Research Council Canada - National Science Library

    Stoykov, Sevdalin

    2008-01-01

    ...) design can lead to improvement of the AI solutions used in military simulations. To demonstrate the potential of the competitive approach, ORTS, a real-time strategy game engine, and its competition setup are used...

  19. Globalization: U.S. Export Control Policy and Implications for U.S. Military Dominance

    National Research Council Canada - National Science Library

    Bennett, Philip

    2003-01-01

    The very success of a nation's national military strategy is dependent upon superior technology, the operational capability of its armed forces, and the capacity to sustain those forces to achieve national objectives...

  20. Civil-Military Relations and Gen. Maxwell Taylor: Getting It Right and Getting It Wrong

    National Research Council Canada - National Science Library

    Tart, Randal

    1997-01-01

    ... are paid. In the first situation, Taylor got his civil-military relations right, even though he fought a losing battle with President Eisenhower over Ike's dangerous defense strategy of 'massive retaliation...

  1. Sexual Victimization and the Military Environment: Contributing Factors, Vocational, Pyschological, and Medical Sequelae

    National Research Council Canada - National Science Library

    Sadler, Anne

    1996-01-01

    ... (such as Post-Traumatic Stress Disorder). Such information could lead to the development of specific prevention strategies and thereby directly improve service women's safety, health, and military effectiveness...

  2. Moral Courage or Heresy: The Benefits and Pitfalls of Military Leaders Speaking Out

    National Research Council Canada - National Science Library

    Matt, Jacob M

    2008-01-01

    Thesis: Military leaders who allow their experience and loyalty to their oath guide their actions when speaking out in the proper forums for or against policies, strategies, or ideals can positively affect...

  3. Long-Term Military Contingency Operations: Identifying the Factors Affecting Budgeting in Annual or Supplemental Appropriations

    National Research Council Canada - National Science Library

    Evans, Amanda B

    2006-01-01

    .... The results show that planning, timing, accountability, visibility, politics and policy, stakeholder influence, military objectives, and fear of change are the most important factors. These findings can help stakeholders shape funding strategy.

  4. Conversion of Abbandoned Military Areas

    Directory of Open Access Journals (Sweden)

    Daiva Marcinkevičiūtė

    2011-03-01

    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

  5. Considerations for incorporating eicosapentaenoic and docosahexaenoic omega-3 fatty acids into the military food supply chain.

    Science.gov (United States)

    Ismail, Adam; Rice, Harry B

    2014-11-01

    The U.S. military may consider exploring the inclusion of the long-chain omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), in the diets of active duty military personnel. To be successful, certain challenges must be overcome including determining appropriate dosage, ensuring cost efficiency, and optimizing stability. To increase EPA and DHA intake, the military should consider using one of three strategies, including mandates or recommendations on omega-3 supplement usage, contracts to purchase commercially available foods for distribution in the food supply chain, or direct addition of EPA and DHA into currently consumed foods. This review presents the challenges and strategies and provides potential suggestions to the military to increase the likelihood of success. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

  6. Technology support for military capability based acquisition

    CSIR Research Space (South Africa)

    Thaba, Mphahlela

    2017-05-01

    Full Text Available The evolution of military warfare and its increasing complexity has made planning for future military deployments more difficult. The need to plan for more uncertain military operating environments makes it more complex. There exists a significant...

  7. Military experience and levels of stress and coping in police officers.

    Science.gov (United States)

    Hartley, Tara A; Violanti, John M; Mnatsakanova, Anna; Andrew, Michael E; Burchfiel, Cecil M

    2013-01-01

    Policing is a stressful occupation and working in this environment may make officers more vulnerable to adverse psychological and physiological outcomes. The impact of prior military experience on work stress and coping strategies has not been well-studied in police. The purpose of this cross-sectional study was to examine differences in levels of police-related stress and coping in officers with and without military experience. Participants were 452 police officers from the Buffalo Cardio-metabolic Occupational Police Stress Study Officers were categorized into three groups: non-military (n = 334), non-combat military (n = 84), and military with combat (n = 34). Age, sex and education adjusted levels of psychological stress and coping measures were compared across the three groups using ANCOVA. P-values were derived from post-hoc comparisons. Non-military police officers had significantly higher stress levels for physically and psychological threatening events compared to non-combat officers (p = 0.019). Non-military officers also reported experiencing significantly more organizational stressors and physically and psychologically threatening events in the past year than combat and non-combat officers (p military officers (p = 0.010, p = 0.005, respectively). In summary, police officers without military experience reported experiencing more organizational and life-threatening events than officers who served in the military. Yet combat officers were less likely to utilize positive coping than non-combat and non-military officers. These findings demonstrate the potential positive influence of military experience on police stress. Further research is needed as military veterans return to police work.

  8. Cast Iron Versus Creativity: Fostering Balanced Thinking in Military Professionals

    Science.gov (United States)

    2015-06-01

    bridge: Theory for practice . Oxford, UK: Oxford University Press. Greene, R. (2006). The 33 strategies of war. New York, NY: Penguin. Joint Special... THEORY ............................................................................................................................7 A. LINEAR AND...and entrepreneurship to exploit effectively the tools of the revolution in military affairs. Particularly when forced to make rapid decisions with

  9. Strategic Military Colonisation: The Cape Eastern Frontier 1806–1872

    African Journals Online (AJOL)

    The Cape Eastern Frontier of South Africa offers a fascinating insight into British military strategy as well as colonial development. The Eastern Frontier was for over 100 years a very turbulent frontier. It was the area where the four main population groups (the Dutch, the British, the Xhosa and the Khoikhoi) met, and in many ...

  10. Military involvement in post-conflict transformation in African peace ...

    African Journals Online (AJOL)

    Post-conflict transformation is a difficult task, since renewed violence frequently flares up after peace treaties have been signed. Failure to end conflict often results from misinterpretations of the roots or an inability of the conflict to create suitable exit strategies for military forces. Reintegration of soldiers and non-state armed ...

  11. Knowledge, Perception and Adaptation Strategies to Climate ...

    African Journals Online (AJOL)

    Knowledge, Perception and Adaptation Strategies to Climate Change among Farmers in Southern Agricultural Zone of Nasarawa State, Nigeria. ... The major constraints to adaptation by the respondents were inadequate finance, poor infrastructures, unfavourable government/trade policies and poor technology.

  12. Randomized Trial of Once-Daily Fluticasone Furoate in Children with Inadequately Controlled Asthma

    DEFF Research Database (Denmark)

    Oliver, Amanda J.; Covar, Ronina A.; Goldfrad, Caroline H.

    2016-01-01

    Objective To evaluate the dose-response, efficacy, and safety of fluticasone furoate (FF; 25 µg, 50 µg, and 100 µg), administered once daily in the evening during a 12-week treatment period to children with inadequately controlled asthma. Study design This was a Phase IIb, multicenter, stratified...

  13. Wearable Devices for Classification of Inadequate Posture at Work Using Neural Networks.

    Science.gov (United States)

    Barkallah, Eya; Freulard, Johan; Otis, Martin J-D; Ngomo, Suzy; Ayena, Johannes C; Desrosiers, Christian

    2017-09-01

    Inadequate postures adopted by an operator at work are among the most important risk factors in Work-related Musculoskeletal Disorders (WMSDs). Although several studies have focused on inadequate posture, there is limited information on its identification in a work context. The aim of this study is to automatically differentiate between adequate and inadequate postures using two wearable devices (helmet and instrumented insole) with an inertial measurement unit (IMU) and force sensors. From the force sensors located inside the insole, the center of pressure (COP) is computed since it is considered an important parameter in the analysis of posture. In a first step, a set of 60 features is computed with a direct approach, and later reduced to eight via a hybrid feature selection. A neural network is then employed to classify the current posture of a worker, yielding a recognition rate of 90%. In a second step, an innovative graphic approach is proposed to extract three additional features for the classification. This approach represents the main contribution of this study. Combining both approaches improves the recognition rate to 95%. Our results suggest that neural network could be applied successfully for the classification of adequate and inadequate posture.

  14. The Inadequacy of Academic Environment Contributes to Inadequate Teaching and Learning Phenomena

    Science.gov (United States)

    Quasim, Shahla; Arif, Muhammad Shahbaz

    2014-01-01

    This study aims at the inadequacy of academic environment as an indicator contributing to the inadequate teaching and learning situation in Pakistan. The main focus is to look into the low proficiency of students in the subject of English at secondary school level. A comprehensive questionnaire was designed from the literature concerned and The…

  15. 25 CFR 170.811 - What happens if lack of funds results in inadequate maintenance?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What happens if lack of funds results in inadequate maintenance? 170.811 Section 170.811 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.811 What happens if lack of funds...

  16. Do infants with cow's milk protein allergy have inadequate levels of vitamin D?

    Science.gov (United States)

    Silva, Cristiane M; Silva, Silvia A da; Antunes, Margarida M de C; Silva, Gisélia Alves Pontes da; Sarinho, Emanuel Sávio Cavalcanti; Brandt, Katia G

    To verify whether infants with cow's milk protein allergy have inadequate vitamin D levels. This cross-sectional study included 120 children aged 2 years or younger, one group with cow's milk protein allergy and a control group. The children were recruited at the pediatric gastroenterology, allergology, and pediatric outpatient clinics of a university hospital in the Northeast of Brazil. A questionnaire was administered to the caregiver and blood samples were collected for vitamin D quantification. Vitamin D levels <30ng/mL were considered inadequate. Vitamin D level was expressed as mean and standard deviation, and the frequency of the degrees of sufficiency and other variables, as proportions. Infants with cow's milk protein allergy had lower mean vitamin D levels (30.93 vs.35.29ng/mL; p=0.041) and higher deficiency frequency (20.3% vs.8.2; p=0.049) than the healthy controls. Exclusively or predominantly breastfed infants with cow's milk protein allergy had higher frequency of inadequate vitamin D levels (p=0.002). Regardless of sun exposure time, the groups had similar frequencies of inadequate vitamin D levels (p=0.972). Lower vitamin D levels were found in infants with CMPA, especially those who were exclusively or predominantly breastfed, making these infants a possible risk group for vitamin D deficiency. Copyright © 2017 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  17. Sleep deprivation in the last trimester of pregnancy and inadequate vitamin D: Is there a relationship?

    Directory of Open Access Journals (Sweden)

    Suzan Gunduz

    2016-01-01

    Conclusion: Inadequate vitamin D and poor sleep quality are prevalent in pregnant women, but low levels of vitamin D are not associated with poor sleep quality. Further studies with larger sample sizes and studies that include preterm deliveries and special sleep disorders should be performed to understand this issue better.

  18. Inadequate Evidence for Multiple Intelligences, Mozart Effect, and Emotional Intelligence Theories

    Science.gov (United States)

    Waterhouse, Lynn

    2006-01-01

    I (Waterhouse, 2006) argued that, because multiple intelligences, the Mozart effect, and emotional intelligence theories have inadequate empirical support and are not consistent with cognitive neuroscience findings, these theories should not be applied in education. Proponents countered that their theories had sufficient empirical support, were…

  19. Perspectives on Aerobic and Strength Influences on Military Physical Readiness: Report of an International Military Physiology Roundtable.

    Science.gov (United States)

    Friedl, Karl E; Knapik, Joseph J; Häkkinen, Keijo; Baumgartner, Neal; Groeller, Herbert; Taylor, Nigel A S; Duarte, Antonio F A; Kyröläinen, Heikki; Jones, Bruce H; Kraemer, William J; Nindl, Bradley C

    2015-11-01

    Physical fitness training of military recruits is an enduring focus of armies. This is important for safe and effective performance of general tasks that anyone may have to perform in a military setting as well as preparation for more specialized training in specific job specialties. Decades of studies on occupationally specific physical requirements have characterized the dual aerobic and strength demands of typical military tasks; however, scientifically founded strategies to prepare recruits with a good mix of these 2 physiologically opposing capabilities have not been well established. High levels of aerobic training can compromise resistance training gains and increase injury rates. Resistance training requires a greater commitment of time and resources as well as a greater understanding of the science to produce true strength gains that may be beneficial to military performance. These are critical issues for modern armies with increased demands for well-prepared soldiers and fewer injury losses. The actual physical requirements tied to metrics of success in military jobs are also under renewed examination as women are increasingly integrated into military jobs previously performed only by men. At the third International Congress on Soldiers' Physical Performance, a roundtable of 10 physiologists with military expertise presented comparative perspectives on aerobic and strength training. These topics included the physiological basis of training benefits, how to train effectively, how to measure training effectiveness, considerations for the integration of women, and the big perspective. Key discussion points centered on (a) the significance of findings from research on integrated training, (b) strategies for effective strength development, and (c) injury reduction in training as well as the benefits of improved fitness to injury reduction across the force.

  20. The Military Emergency Unit

    International Nuclear Information System (INIS)

    Gonzalez Requena, J. M.

    2007-01-01

    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)

  1. Burns and military clothing.

    Science.gov (United States)

    McLean, A D

    2001-02-01

    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

  2. Military Mail Radio

    Directory of Open Access Journals (Sweden)

    Bîlbîie Răduţ

    2015-12-01

    Full Text Available Cultural and scientific personalities from the army, military experts and creators of the doctrine have collaborated with the radio from the beginnings of radiophony, the educational role of this new, persuasive communication channel being evident not only for Romania or the Romanian army but also for all the countries that had radiophony services. This happens in the context of the end of the crisis and the start of economic and social development, promoting culture, creating a solid class of peasants with a certain social status, in villages, together with the priest, teacher and gendarme, increasing of the number of subscriptions and development of the Romanian radiophony.

  3. Military tracked vehicles

    CERN Document Server

    Hansen, Grace

    2016-01-01

    Tracked vehicles are important to militaries around the world, since they're usually supporting and carrying ground troops. Readers will learn what tracks are and why they're necessary for large, frontline battle tanks like the Bradley M2 Abrams. Big full-bleed photographs, new glossary terms, and a close up look at a vehicle will keep readers wanting more! Aligned to Common Core Standards and correlated to state standards. Abdo Kids Jumbo is an imprint of Abdo Kids, a division of ABDO.

  4. Psychological Safety During Military Integrations

    NARCIS (Netherlands)

    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.,

  5. The Death of Military Justice

    Science.gov (United States)

    2010-01-01

    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

  6. The Importance of Military Cultural Competence.

    Science.gov (United States)

    Meyer, Eric G; Writer, Brian W; Brim, William

    2016-03-01

    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.

  7. Impact of Diversity on the Civil-Military Relationship

    Science.gov (United States)

    2013-05-23

    and formed the foundation for the early professional education of America’s military leaders.42 The writings of Clausewitz and his contemporary, Baron ...1991). Cohen , Eliot A. “Making Do with Less, or Coping with Upton’s Ghost.” Report presented at the U.S. Army War College Sixth Annual Strategy...Military Conflict. New York: Simon & Schuster, 2002. Luis Martinez and Amy Bingham, “U.S. Veterans by the Numbers.” ABC News (11 November 2011

  8. American Grand Strategy in an Age of Terrorism

    National Research Council Canada - National Science Library

    Brooks, Paul T

    2006-01-01

    ...: diplomatic, informational, military, economic, and law enforcement. It develops seven fundamental features of a grand strategy, and compares thirteen national strategy documents to these fundamentals to determine areas for future refinement...

  9. Donepezil: A cause of inadequate muscle relaxation and delayed neuromuscular recovery

    Directory of Open Access Journals (Sweden)

    Alka Bhardwaj

    2011-01-01

    Full Text Available A 74-year-old female with diabetes mellitus type II and Alzheimer′s disease, taking donepezil for 4 months was operated for right modified radical mastectomy under general anesthesia. During the procedure a higher dose of non-depolarizing muscle relaxant was required than those recommended for her age yet the muscle relaxation was inadequate intra-operatively. Residual neuromuscular blockade persisted postoperatively, due to the cumulative effect of large doses of non-depolarizing muscle relaxant, needing post-operative ventilatory assistance. After ruling out other causes of resistance to non-depolarizing muscle relaxants, we concluded that acetylcholinesterase inhibitor donepezil was primarily responsible for inadequate muscle relaxation and delayed post-operative neuromuscular recovery.

  10. Role of Sex and the Environment in Moderating Weight Gain Due to Inadequate Sleep.

    Science.gov (United States)

    Coborn, Jamie E; Houser, Monica M; Perez-Leighton, Claudio E; Teske, Jennifer A

    2017-12-01

    The growing prevalence of obesity, inadequate sleep and sleep disorders together with the negative impact of lack of sleep on overall health highlights the need for therapies targeted towards weight gain due to sleep loss. Sex disparities in obesity and sleep disorders are present; yet, the role of sex is inadequately addressed and thus it is unclear whether sensitivity to sleep disruption differs between men and women. Like sex, environmental factors contribute to the development of obesity and poor sleep. The obesogenic environment is characterized by easy access to palatable foods and a low demand for energy expenditure in daily activities. These and other environmental factors are discussed, as they drive altered sleep or their interaction with food choice and intake can promote obesity. We discuss data that suggest differences in sleep patterns and responses to sleep disruption influence sex disparities in weight gain, and that enviromental disturbances alter sleep and interact with features of the obesogenic environment that together promote obesity.

  11. OCCUPATIONAL ACCIDENTS AS INDICATORS OF INADEQUATE WORK CONDITIONS AND WORK ENVIRONMENT

    OpenAIRE

    Petar Babović

    2009-01-01

    Occupational accidents due to inadequate working conditions and work environment present a major problem in highly industrialised countries, as well as in developing ones. Occupational accidents are a regular and accompanying phenomenon in all human activities and one of the main health related and economic problems in modern societies.The aim of this study is the analysis of the connections of unfavourable working conditions and working environment on occupational accidents. Occurrence of oc...

  12. Global trends in dietary micronutrient supplies and estimated prevalence of inadequate intakes.

    Directory of Open Access Journals (Sweden)

    Ty Beal

    Full Text Available Understanding dietary patterns is vital to reducing the number of people experiencing hunger (about 795 million, micronutrient deficiencies (2 billion, and overweight or obesity (2.1 billion. We characterize global trends in dietary quality by estimating micronutrient density of the food supply, prevalence of inadequate intake of 14 micronutrients, and average prevalence of inadequate intake of these micronutrients for all countries between 1961 and 2011. Over this 50-year period, the estimated prevalence of inadequate intakes of micronutrients has declined in all regions due to increased total production of food and/or micronutrient density. This decline has been particularly strong in East and Southeast Asia and weaker in South Asia and sub-Saharan Africa. Sub-Saharan Africa is the only region where dietary micronutrient density has declined over this 50-year period. At the global level, micronutrients with the lowest levels of adequate estimated intake are calcium, iron, vitamin A, and zinc, but there are strong differences between countries and regions. Fortification has reduced the estimated prevalence of inadequate micronutrient intakes in all low-income regions, except South Asia. The food supply in many countries is still far below energy requirements, which suggests a need to increase the availability and accessibility of nutritious foods. Countries where the food energy supply is adequate show a very large variation in dietary quality, and in many of these countries people would benefit from more diverse diets with a greater proportion of micronutrient-dense foods. Dietary quality can be improved through fortification, biofortification, and agricultural diversification, as well as efforts to improve access to and use of micronutrient-dense foods and nutritional knowledge. Reducing poverty and increasing education, especially of women, are integral to sustainably addressing malnutrition.

  13. Global trends in dietary micronutrient supplies and estimated prevalence of inadequate intakes.

    Science.gov (United States)

    Beal, Ty; Massiot, Eric; Arsenault, Joanne E; Smith, Matthew R; Hijmans, Robert J

    2017-01-01

    Understanding dietary patterns is vital to reducing the number of people experiencing hunger (about 795 million), micronutrient deficiencies (2 billion), and overweight or obesity (2.1 billion). We characterize global trends in dietary quality by estimating micronutrient density of the food supply, prevalence of inadequate intake of 14 micronutrients, and average prevalence of inadequate intake of these micronutrients for all countries between 1961 and 2011. Over this 50-year period, the estimated prevalence of inadequate intakes of micronutrients has declined in all regions due to increased total production of food and/or micronutrient density. This decline has been particularly strong in East and Southeast Asia and weaker in South Asia and sub-Saharan Africa. Sub-Saharan Africa is the only region where dietary micronutrient density has declined over this 50-year period. At the global level, micronutrients with the lowest levels of adequate estimated intake are calcium, iron, vitamin A, and zinc, but there are strong differences between countries and regions. Fortification has reduced the estimated prevalence of inadequate micronutrient intakes in all low-income regions, except South Asia. The food supply in many countries is still far below energy requirements, which suggests a need to increase the availability and accessibility of nutritious foods. Countries where the food energy supply is adequate show a very large variation in dietary quality, and in many of these countries people would benefit from more diverse diets with a greater proportion of micronutrient-dense foods. Dietary quality can be improved through fortification, biofortification, and agricultural diversification, as well as efforts to improve access to and use of micronutrient-dense foods and nutritional knowledge. Reducing poverty and increasing education, especially of women, are integral to sustainably addressing malnutrition.

  14. Cognitive Dissonance, Confirmatory Bias and Inadequate Information Processing: Evidence from Experimental Auctions

    OpenAIRE

    Cao, Ying; Just, David R.; Wansink, Brian

    2014-01-01

    Using psychological terms such as cognitive dissonance and confirmation bias, this study reveals how individual consumers inadequately process (food safety) information, pay limited attention to signals, and make purchase decisions that are bias towards their initial choices. While it is expected that reading extra information about potential risk associated with the food decreases consumers' willingness to pay (WTP), the magnitude of the impact varies across individuals. In general, consumer...

  15. Growth inhibition in rats fed inadequate and incomplete proteins: repercussion on mandibular biomechanics

    OpenAIRE

    Bozzini, Clarisa; Champin, Graciela Monica; Bozzini, Carlos Eduardo Jose; Alippi, Rosa Maria

    2015-01-01

    This study describes the effects of feeding growing rats with a diet containing inadequate and incomplete proteins on both the morphological and the biomechanical properties of the mandible. Female rats aged 30 d were fed freely with one of two diets, control (CD, 301 Cal/100g) and experimental (ED, 359 Cal/100g). CD was a standard laboratory diet, while ED was a synthetic diet containing cornflower supplemented with vitamins and minerals. Both diets had the same physical characteristics. Con...

  16. Inadequate management of pregnancy-associated listeriosis: lessons from four case reports.

    Science.gov (United States)

    Charlier, C; Goffinet, F; Azria, E; Leclercq, A; Lecuit, M

    2014-03-01

    Listeria monocytogenes infection during pregnancy can lead to dramatic fetal or neonatal outcomes. No clinical trial has evaluated treatment options, and retrospective studies of cases are therefore important to define optimal regimens. We report four cases of materno-neonatal listeriosis illustrating inadequate antimicrobial therapy management and discuss recommended treatment options. © 2013 The Authors Clinical Microbiology and Infection © 2013 European Society of Clinical Microbiology and Infectious Diseases.

  17. The Ambiguity of Foreign Military Assistance

    DEFF Research Database (Denmark)

    Laugesen, Henrik

    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....

  18. Gender Dysphoria in the Military.

    Science.gov (United States)

    Ford, Shannon; Schnitzlein, Carla

    2017-11-07

    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.

  19. Strategy: The logic of war and peace

    Energy Technology Data Exchange (ETDEWEB)

    Luttwak, E.N.

    1987-01-01

    This book expounds a new way of thinking about the conduct of war and the diplomacy of peace, a theory Luttwak calls ''paradoxical logic,'' and illustrates, through abundant historical examples, the failure of commonsense logic in matters of military strategy and international politics. Topics considered include nuclear weapons, military strategy, decision making, historical aspects, political aspects, global aspects, and warfare.

  20. Inadequate vocal hygiene habits associated with the presence of self-reported voice symptoms in telemarketers.

    Science.gov (United States)

    Fuentes-López, Eduardo; Fuente, Adrian; Contreras, Karem V

    2017-12-18

    The aim of this study is to determine possible associations between vocal hygiene habits and self-reported vocal symptoms in telemarketers. A cross-sectional study that included 79 operators from call centres in Chile was carried out. Their vocal hygiene habits and self-reported symptoms were investigated using a validated and reliable questionnaire created for the purposes of this study. Forty-five percent of telemarketers reported having one or more vocal symptoms. Among them, 16.46% reported that their voices tense up when talking and 10.13% needed to clear their throat to make their voices clearer. Five percent mentioned that they always talk without taking a break and 40.51% reported using their voices in noisy environments. The number of working hours per day and inadequate vocal hygiene habits were associated with the presence of self-reported symptoms. Additionally, an interaction between the use of the voice in noisy environments and not taking breaks during the day was observed. Finally, the frequency of inadequate vocal hygiene habits was associated with the number of symptoms reported. Using the voice in noisy environments and talking without taking breaks were both associated with the presence of specific vocal symptoms. This study provides some evidence about the interaction between these two inadequate vocal hygiene habits that potentiates vocal symptoms.

  1. Predictors of inadequate initial echocardiography in suspected Kawasaki disease: Criteria for sedation.

    Science.gov (United States)

    Lorenzoni, Raymond P; Choi, Jaeun; Choueiter, Nadine F; Munjal, Iona M; Katyal, Chhavi; Stern, Kenan W D

    2018-03-09

    Kawasaki disease is the primary cause of acquired pediatric heart disease in developed nations. Timely diagnosis of Kawasaki disease incorporates transthoracic echocardiography for visualization of the coronary arteries. Sedation improves this visualization, but not without risks and resource utilization. To identify potential sedation criteria for suspected Kawasaki disease, we analyzed factors associated with diagnostically inadequate initial transthoracic echocardiography performed without sedation. This retrospective review of patients Kawasaki disease from 2009 to 2015 occurred at a medium-sized urban children's hospital. The primary outcome was diagnostically inadequate transthoracic echocardiography without sedation due to poor visualization of the coronary arteries, determined by review of clinical records. The associations of the primary outcome with demographics, Kawasaki disease type, laboratory data, fever, and antipyretic or intravenous immunoglobulin treatment prior to transthoracic echocardiography were analyzed. In total, 112 patients (44% female, median age 2.1 years, median BSA 0.54 m 2 ) underwent initial transthoracic echocardiography for suspected Kawasaki disease, and 99 were not sedated. Transthoracic echocardiography was diagnostically inadequate in 19 out of these 99 patients (19.2%) and was associated with age ≤ 2.0 years, weight ≤ 10.0 kg, and antipyretic use ≤ 6 hours before transthoracic echocardiography (all P Kawasaki disease. These factors should be considered when deciding which patients to sedate for initial Kawasaki disease transthoracic echocardiography. © 2018 Wiley Periodicals, Inc.

  2. Factors associated with inadequate work ability among women in the clothing industry.

    Science.gov (United States)

    Augusto, Viviane Gontijo; Sampaio, Rosana Ferreira; Ferreira, Fabiane Ribeiro; Kirkwood, Renata Noce; César, Cibele Comini

    2015-01-01

    Work ability depends on a balance between individual resources and work demands. This study evaluated factors that are associated with inadequate work ability among workers in the clothing industry. We conducted a cross-sectional observational study of 306 workers in 40 small and medium-sized enterprises. We assessed work ability, individual resources, physical and psychosocial demands, and aspects of life outside work using a binary logistic regression model with hierarchical data entry. The mean work ability was 42.5 (SD=3.5); when adjusted for age, only 11% of the workers showed inadequate work ability. The final model revealed that smoking, high isometric physical load, and poor physical environmental conditions were the most significant predictors of inadequate work ability. Good working conditions and worker education must be implemented to eliminate factors that can be changed and that have a negative impact on work ability. These initiatives include anti-smoking measures, improved postures at work, and better physical environmental conditions.

  3. Military laser weapons: current controversies.

    Science.gov (United States)

    Seet, B; Wong, T Y

    2001-09-01

    Military laser weapons systems are becoming indispensable in most modern armies. These lasers have undergone many stages of development, and have outpaced research on eye protection measures, which continue to have inherent limitations. Eye injuries caused by military lasers are increasingly reported, leading to speculation that these would become an important cause of blinding in modern conflicts. As part of the effort to ban inhumane weapons, international laws have been passed to restrict the proliferation of such blinding weapons. However, there are controversies concerning the interpretation, implementation and effectiveness of these laws. The ophthalmic community can play a greater role in highlighting ocular morbidity from military lasers, and in preventing their further proliferation.

  4. A Study of Military Technopolitics

    DEFF Research Database (Denmark)

    Nørgaard, Katrine

    , 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...

  5. Stigma of mental illness and service use in the military.

    Science.gov (United States)

    Ben-Zeev, Dror; Corrigan, Patrick W; Britt, Thomas W; Langford, Linda

    2012-06-01

    Many service members do not utilize the available services designed to assist them in coping with post-traumatic stress disorder and other mental health problems that emerge during active duty. In the current paper, we discuss the possible role stigma plays in the underutilization of treatments in the military, and attempt to transfer a well-articulated framework for understanding stigma and stigma-change in civilian populations to the military context. The literature was searched for papers reviewing negative beliefs about mental illness and fears of stigmatization and underutilization of treatments, especially as relevant to service members. We explain how public stigma, self stigma, and label avoidance may emerge as barriers to care seeking and service participation in soldiers, and propose approaches/strategies for change. We then discuss a number of recent applications of these approaches in both civilian and military initiatives. Stigma-change programs specifically created by/for the military that integrate components of education and direct contact with respected peers or veterans who have coped with mental health problems may have great utility at both the early stages of military training and later, when soldiers return from theatres of operation.

  6. Military Economy and the Military Reform in Russia in 2011

    OpenAIRE

    Vasily Zatsepin; Elena Trofimova; Vitaly Tsymbal

    2012-01-01

    The transition to “a new image” of the Armed Forces of the Russian Federation that started back in 2008 and continued through 2011 was clearly planned, as the Russian top military leaders affirmed. In practice, however, these plans proved to be “unbaked” and required online corrections and removal of deficiencies. This paper deals with the acute issues of the Russian Military Reform throughout 2011.

  7. Profile of New Mexico Military Institute's Toles Learning Center: Marketing the LRC into the Twenty-First Century.

    Science.gov (United States)

    McLaren, M. Bruce

    1987-01-01

    Describes New Mexico Military Institute (NMMI), a state-supported combined military high school/junior college. Discusses its new learning resources center, the impact of the center on the community, and efforts to promote a greater demand for center services and raise funds for the facility. Recommends 14 marketing strategies. (DMM)

  8. Outsourcing Small Wars: Expanding the Role of Private Military Companies in U.S. Military Operations

    National Research Council Canada - National Science Library

    Jorgensen, Brent M

    2005-01-01

    "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...

  9. Military Librarians Workshop: A Premier Gathering of Military Librarians, 1957-1999

    National Research Council Canada - National Science Library

    Palmer, William A., Jr; Hanna, Marcia

    2000-01-01

    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...

  10. Obesity Prevention in the Military.

    Science.gov (United States)

    Shams-White, Marissa; Deuster, Patricia

    2017-06-01

    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.

  11. Cohesion in Multinational Military Units

    Science.gov (United States)

    2010-12-10

    might be focused on these dimensions. Is cohesion more difficult to build in multinational units comprised of contingents that come from individualistic ...societies or collectivistic societies? How the PD, uncertainty avoidance, and other dimensions affect multinational unit cohesion? Are military

  12. French military plans for Superphenix

    International Nuclear Information System (INIS)

    Albright, D.

    1984-01-01

    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

  13. Military Officer Appraisal, An Examination

    National Research Council Canada - National Science Library

    Lewis, Jay

    1999-01-01

    .... One unfailing theme is that each service s goal is to document an individuals military career and provide a consistent stream of reliable information to promotion, administrative, and command selection boards...

  14. Army Military Land Tracts (AMLT)

    Data.gov (United States)

    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...

  15. Homosexuality, Morality, and Military Policy

    National Research Council Canada - National Science Library

    Peterson, Michael

    1997-01-01

    .... The objective of this thesis is to determine if personal religious beliefs of military members influence their responses to policies that they perceive to involve morality, specifically with regard...

  16. Military fathers' perspectives on involvement.

    Science.gov (United States)

    Willerton, Elaine; Schwarz, Rona L; Wadsworth, Shelley M Macdermid; Oglesby, Mary Schultheis

    2011-08-01

    Military fathers endure repeated separations from their children. In this qualitative study we describe military fathers' range of involvement with their children, paying special attention to the implications of deployment separation and reintegration. We discuss father involvement using three overlapping major domains of functioning: cognitive, affective, and behavioral. Additionally, we consider how types of father involvement differ vis-à-vis child age. Data were gathered via focus groups conducted with 71 fathers at 14 U.S. military installations. Descriptions of involvement were rich and varied. Involvement with children was a major concern for fathers, despite or perhaps because of the challenges of military careers. We discuss factors that help explain variations in involvement and offer insights about the conceptualization of father involvement for occupations requiring prolonged absences from home.

  17. Energy Requirements of Military Personnel

    National Research Council Canada - National Science Library

    Tharion, William J; Lieberman, Harris R; Montain, Scott J; Young, Andrew J; Baker-Fulco, Carol J

    2005-01-01

    ...) 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...

  18. Comparative International Military Personnel Policies

    National Research Council Canada - National Science Library

    Harries-Jenkins, Gwyn

    1998-01-01

    .... 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...

  19. Genetic Counseling in Military Hospitals

    Science.gov (United States)

    1987-04-01

    mother allegedly mistreated for preeclampsia at Tripler Army Medical Center could maintain an action for medical malpractice nothwithstanding Feres.1 2...perinatologists at most military hospitals perform genetic counseling. Due to their primary responsibilities fo management of high risk pregnancies

  20. MilitaryPayDecnService

    Data.gov (United States)

    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...

  1. Military Adaptation to Climate Change

    Science.gov (United States)

    2011-05-01

    of Defense United States of America Environment, Energy Security and Sustainability Symposium (May 9-12, 2011) Military Adaptation to Climate Change ...2011 2. REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE Military Adaptation to Climate Change 5a. CONTRACT NUMBER... climate change . …” Remarks at the Halifax International Security Forum, Halifax, Nova Scotia Nov 2009 2010 Quadrennial Defense Review For the first

  2. Military Influence in Russian Politics

    Science.gov (United States)

    1992-09-01

    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...for the military was 35 per of servicemen had such "backward" cent ( down from 44 per cent in political view•.iii One tends to agree December, 1989

  3. ?-Alanine supplementation and military performance

    OpenAIRE

    Hoffman, Jay R.; Stout, Jeffrey R.; Harris, Roger C.; Moran, Daniel S.

    2015-01-01

    During sustained high-intensity military training or simulated combat exercises, significant decreases in physical performance measures are often seen. The use of dietary supplements is becoming increasingly popular among military personnel, with more than half of the US soldiers deployed or garrisoned reported to using dietary supplements. ?-Alanine is a popular supplement used primarily by strength and power athletes to enhance performance, as well as training aimed at improving muscle grow...

  4. Inter-Korean military confidence building after 2003.

    Energy Technology Data Exchange (ETDEWEB)

    Tae-woo, Kim (Korea Institute for Defense Analyses, Seoul, Republic of Korea); Littlefield, Adriane C.; Vannoni, Michael Geoffrey; Sang-beom, Kim (Korea Institute for Defense Analyses, Seoul, Republic of Korea); Koelm, Jennifer Gay; Olsen, John Norman; Myong-jin, Kim (Korea Institute for Defense Analyses, Seoul, Republic of Korea); Sung-tack, Shin (Korea Institute for Defense Analyses, Seoul, Republic of Korea)

    2003-08-01

    Tensions on the Korean Peninsula remain high despite a long-term strategy by South Korea to increase inter-Korean exchanges in economics, culture, sports, and other topics. This is because the process of reconciliation has rarely extended to military and security topics and those initiatives that were negotiated have been ineffective. Bilateral interactions must include actions to reduce threats and improve confidence associated with conventional military forces (land, sea, and air) as well as nuclear, chemical, and biological activities that are applicable to developing and producing weapons of mass destruction (WMD). The purpose of this project is to develop concepts for inter-Korean confidence building measures (CBMs) for military and WMD topics that South Korea could propose to the North when conditions are right. This report describes the historical and policy context for developing security-related CBMs and presents an array of bilateral options for conventional military and WMD topics within a consistent framework. The conceptual CBMs address two scenarios: (1) improved relations where construction of a peace regime becomes a full agenda item in inter-Korean dialogue, and (2) continued tense inter-Korean relations. Some measures could be proposed in the short term under current conditions, others might be implemented in a series of steps, while some require a higher level of cooperation than currently exists. To support decision making by political leaders, this research focuses on strategies and policy options and does not include technical details.

  5. Inadequate emergence after anesthesia: emergence delirium and hypoactive emergence in the Postanesthesia Care Unit.

    Science.gov (United States)

    Xará, Daniela; Silva, Acácio; Mendonça, Júlia; Abelha, Fernando

    2013-09-01

    To evaluate the frequency, determinants, and outcome of inadequate emergence after elective surgery in the Postanesthesia Care Unit (PACU). Prospective observational study. 12-bed PACU of a tertiary-care hospital in a major metropolitan area. 266 adult patients admitted to the PACU. To evaluate inadequate emergence, the Richmond Agitation and Sedation Scale (RASS) was administered to patients 10 minutes after their admission to the PACU. Demographic data, perioperative variables, and postoperative length of stay (LOS) in the PACU and the hospital were recorded. 40 (15%) patients showed symptoms of inadequate emergence: 17 patients (6.4%) screened positive for emergence delirium and 23 patients (8.6%) showed hypoactive emergence. Determinants of emergence delirium were longer duration of preoperative fasting (P = 0.001), higher visual analog scale (VAS) scores for pain (P = 0.002), and major surgical risk (P = 0.001); these patients had a higher frequency of postoperative delirium (P = 0.017) and had higher nausea VAS score 6 hours after surgery (P = 0.001). Determinants of hypoactive emergence were duration of surgery (P = 0.003), amount of crystalloids administered during surgery (P = 0.002), residual neuromuscular block (P < 0.001), high-risk surgery (P = 0.002), and lower core temperature on PACU admission (P = 0.028); these patients also had more frequent residual neuromuscular block (P < 0.001) postoperative delirium (P < 0.001), and more frequent adverse respiratory events (P = 0.02). Patients with hypoactive emergence had longer PACU and hospital LOS. Preventable determinants for emergence delirium were higher postoperative pain scores and longer fasting times. Hypoactive emergence was associated with longer postoperative PACU and hospital LOSs. © 2013 Elsevier Inc. All rights reserved.

  6. Risk factors for and consequences of inadequate surgical margins in oral squamous cell carcinoma

    DEFF Research Database (Denmark)

    Lawaetz, Mads; Homøe, Preben

    2014-01-01

    OBJECTIVE: The purpose of this study was to examine which factors are associated with inadequate surgical margins and to assess the postoperative consequences. STUDY DESIGN: A retrospective cohort of 110 patients with oral squamous cell carcinoma treated with surgery during a 2-year period...... was examined. Clinical, histopathologic, and operative variables were related to the surgical margin status. Furthermore postoperative treatment data were compared with margin status. RESULTS: Univariate statistically significant associations were found between the tumor site in the floor of mouth, more...

  7. The role of abutment-attachment selection in resolving inadequate interarch distance: a clinical report.

    Science.gov (United States)

    Alsiyabi, Abdullah S; Felton, David A; Cooper, Lyndon F

    2005-09-01

    A critical factor that needs to be evaluated during the diagnosis and treatment planning phase for patients seeking an implant-tissue-supported overdenture or metal-resin implant fixed denture is the presence of adequate interarch distance. The amount of interarch distance is critical to the selection of appropriate implant abutments and attachments for both implant-tissue-supported overdentures and metal-resin implant fixed complete dentures. This clinical report describes a patient with complications related to the failure to diagnose inadequate interarch distance, and the methods used to resolve the patient's chief complaint. A guide for abutment-attachment selection using one commercially available implant system is given.

  8. Military psychology and police psychology: mutual contributions to crisis intervention and stress management.

    Science.gov (United States)

    Miller, Laurence

    2008-01-01

    Like siblings separated at birth, military psychology and police psychology have each independently addressed the cognitive, perceptual, emotional, and behavioral aspects of men and women performing extreme service in defense of their neighborhood or their country. This article reviews the major areas of commonality in the work of military and police psychologists in the areas of crisis intervention and stress management, and provides practical strategies for handling these operational and clinical challenges. The article makes specific recommendations for how police and military psychologists can cross-contribute to each other's fields for the overall enhanced provision of services to the men and women who wear uniforms of all kinds.

  9. Military Experience and Levels of Stress and Coping in Police Officers

    OpenAIRE

    Hartley, Tara A.; Violanti, John M.; Mnatsakanova, Anna; Andrew, Michael E.; Burchfiel, Cecil M.

    2013-01-01

    Policing is a stressful occupation and working in this environment may make officers more vulnerable to adverse psychological and physiological outcomes. The impact of prior military experience on work stress and coping strategies has not been well-studied in police. The purpose of this cross-sectional study was to examine differences in levels of police-related stress and coping in officers with and without military experience. Participants were 452 police officers from the Buffalo Cardio-me...

  10. THE DEMOCRATIC CONTROL OF MILITARY FORCES

    Directory of Open Access Journals (Sweden)

    Smail Oštraković

    2011-04-01

    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

  11. Nonoclusive thrombosis of mechanical mitral valve prosthesis caused by inadequate treatment of anticoagulant therapy resistance

    Directory of Open Access Journals (Sweden)

    Ivanović Branislava

    2008-01-01

    Full Text Available Background. Oral anticoagulants have been used in the prevention of thromboembolic complications for over six decades. A rare, but possible problem in the application of these medications could be resistance to them. Case report. We presented a patient with nonocclusive thrombosis of the mechanical mitral prosthesis due to inadequately treated resistance to peroral anticoagulant therapy. Resistance to oral anticoagulant medications was proven by an increased dosage of warfarin up to 20 mg and, after that, acenokumarol to 15 mg over ten days which did not lead to an increase in the international normalized ratio (INR value over 1.2. On the basis of information that she did not take food rich in vitamin K or medications which could reduce effects of oral anticoagulants, and that she did not have additional illnesses and conditions that could cause an inadequate response to anticoagulant therapy, it was circumstantially concluded that this was a hereditary form of resistance. Because of the existing mechanical prosthetics on the mitral position, low molecular heparin has been introduced into the therapy. The patient reduced it on her own initiative, leading to nonocclusive valvular thrombosis. Conclusion. When associated complications like absolute arrhithmia does not exist, the finding of resistance to oral anticoagulant agents is an indication for the replacement of a mechanical prosthetic with a biological one which has been done in this patients.

  12. Approach to the patients with inadequate response to colchicine in familial Mediterranean fever.

    Science.gov (United States)

    Gül, Ahmet

    2016-04-01

    Familial Mediterranean fever (FMF) is the most common form of monogenic autoinflammatory conditions, and response to colchicine has been considered as one of its distinctive features among other hereditary periodic fever disorders. Prophylactic colchicine has been shown to be effective in the prevention of inflammatory attacks and development of amyloidosis. However, the highest tolerable doses of colchicine may not be adequate enough to manage these goals in approximately 5% of FMF patients. Inadequate response to colchicine in fully compliant FMF patients may be associated with genetic and/or environmental factors affecting disease severity and colchicine bioavailability. Clarification of the molecular pathogenic mechanisms of FMF has revealed that interleukin-1 beta (IL-1β) cytokine is the most likely target to attack, and several case reports and case series have already documented the efficacy and safety of available anti-IL-1 agents, such as anakinra, rilonacept, and canakinumab in those patients inadequately responding to colchicine. Characterization and early identification of those FMF patients with uncontrolled inflammatory activity have become more important after the availability of new treatment options for the prevention of disease-associated complications and permanent damages. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Inadequate Sleep and Exercise Associated with Burnout and Depression Among Medical Students.

    Science.gov (United States)

    Wolf, Megan R; Rosenstock, Jason B

    2017-04-01

    The authors studied whether low levels of exercise or inadequate sleep correlated with higher levels of burnout and depression in medical students. Medical students of all years at the University of Pittsburgh School of Medicine, Pittsburgh, PA, USA, were invited to participate in an anonymous online survey in Fall 2012 and Winter 2013. Validated measures were used to assess exercise, sleep, burnout, and depression. Response rates were 28.7 % at the beginning of the school year and 22.6 % at the middle of the school year. Burnout rates overall were 22.4 % at the beginning of the year and 19.2 % in the middle of the year. Eight percent of students screened positive for depression at the beginning of the year and 9.3 % in the middle of the year. Decreased exercise frequency was significantly correlated with lower professional efficacy. Pathological sleepiness was significantly associated with a higher prevalence of burnout. Inadequate sleep correlated with significantly lower professional efficacy and higher exhaustion scores. Burnout was associated with a positive depression screen. Positive depression screening, pathological sleepiness, and sleeping less than 7 h a night were independent predictors of burnout. Sleep habits, exercise, and a positive depression screen were associated with burnout risk within the medical student population.

  14. Inadequate ventilation for nosocomial tuberculosis prevention in public hospitals in Central Thailand.

    Science.gov (United States)

    Jiamjarasrangsi, W; Bualert, S; Chongthaleong, A; Chaindamporn, A; Udomsantisuk, N; Euasamarnjit, W

    2009-04-01

    Forty-two community and general hospitals in central Thailand. To examine the adequacy of indoor ventilation for nosocomial tuberculosis (TB) prevention in public hospitals in central Thailand. A cross-sectional survey was conducted among 323 patient care and ancillary areas in the target hospitals. Data on indoor ventilation rate were collected by the tracer gas method and reported as air changes per hour (ACH). The adequacy of the measured ventilation rates were then determined by comparison with the international recommended standard values. Indoor ventilation rates were inadequate in almost half of the studied areas (144/323, 44.6%). The inadequacy was particularly serious in the emergency rooms (ERs) and radiological areas, where 73.8% (31/42 each) of the rooms had ACH below the recommended standards. Detailed analysis showed that most of the rooms with natural ventilation had air exchange rates that exceeded the recommended standards, while the opposite was the case for rooms with air-conditioning, particularly the window or wall-mount type. Indoor ventilation in high-risk nosocomial TB areas in public hospitals in Thailand was inadequate due to the installation of air-conditioning systems in modern buildings.

  15. Household Response to Inadequate Sewerage and Garbage Collection Services in Abuja, Nigeria.

    Science.gov (United States)

    Abubakar, Ismaila Rimi

    2017-01-01

    Provision of sanitation and garbage collection services is an important and yet challenging issue in the rapidly growing cities of developing countries, with significant human health and environmental sustainability implications. Although a growing number of studies have investigated the consequences of inadequate delivery of basic urban services in developing countries, few studies have examined how households cope with the problems. Using the Exit, Voice, Loyalty, and Neglect (EVLN) model, this article explores how households respond to inadequate sewerage and garbage collection services in Abuja, Nigeria. Based on a qualitative study, data were gathered from in-depth interviews with sixty households, complemented with personal observation. The findings from grounded analysis indicated that majority (62%) and about half (55%) of the respondents have utilized the informal sector for sewerage services and garbage collection, respectively, to supplement the services provided by the city. While 68% of the respondents reported investing their personal resources to improve the delivery of existing sewerage services, half (53%) have collectively complained to the utility agency and few (22%) have neglected the problems. The paper concludes by discussing the public health and environmental sustainability implications of the findings.

  16. Military Applicability of Interval Training for Health and Performance.

    Science.gov (United States)

    Gibala, Martin J; Gagnon, Patrick J; Nindl, Bradley C

    2015-11-01

    Militaries from around the globe have predominantly used endurance training as their primary mode of aerobic physical conditioning, with historical emphasis placed on the long distance run. In contrast to this traditional exercise approach to training, interval training is characterized by brief, intermittent bouts of intense exercise, separated by periods of lower intensity exercise or rest for recovery. Although hardly a novel concept, research over the past decade has shed new light on the potency of interval training to elicit physiological adaptations in a time-efficient manner. This work has largely focused on the benefits of low-volume interval training, which involves a relatively small total amount of exercise, as compared with the traditional high-volume approach to training historically favored by militaries. Studies that have directly compared interval and moderate-intensity continuous training have shown similar improvements in cardiorespiratory fitness and the capacity for aerobic energy metabolism, despite large differences in total exercise and training time commitment. Interval training can also be applied in a calisthenics manner to improve cardiorespiratory fitness and strength, and this approach could easily be incorporated into a military conditioning environment. Although interval training can elicit physiological changes in men and women, the potential for sex-specific adaptations in the adaptive response to interval training warrants further investigation. Additional work is needed to clarify adaptations occurring over the longer term; however, interval training deserves consideration from a military applicability standpoint as a time-efficient training strategy to enhance soldier health and performance. There is value for military leaders in identifying strategies that reduce the time required for exercise, but nonetheless provide an effective training stimulus.

  17. Psychological distress and coping in military cadre candidates

    Directory of Open Access Journals (Sweden)

    Nakkas C

    2016-08-01

    Full Text Available Can Nakkas,1 Hubert Annen,1 Serge Brand2,3 1Department of Military Psychology Studies, Military Academy at ETH Zurich, Zurich, 2Psychiatric Clinics of the University of Basel, Center for Affective, Stress and Sleep Disorders, 3Department of Sport, Exercise and Health, Sport Science Section, University of Basel, Basel, Switzerland Background: Soldiers must cope with stressors during both military operations and training if they are to accomplish their missions successfully and stay mentally stable. This holds true particularly for military superiors, as they bear greater responsibilities and must meet greater demands during both deployment and training. Accordingly, in the present study, we investigated whether recruits chosen for further promotion at the end of basic training differed with regard to psychological distress and coping strategies from those not chosen for promotion, and whether recruits’ coping styles and distress levels were associated. Methods: A total of 675 Swiss recruits took part in the study. At the beginning of basic training, recruits filled out self-rating questionnaires covering demographic data, psychological distress (depression, somatization, anxiety, interpersonal sensitivity, and hostility, and coping styles. Results were compared between those recruits who received a recommendation for further promotion at the end of basic training and those who did not. Results: Recruits selected for promotion had lower scores for depressive symptoms and hostility, engaged more in active coping, and considered their coping to be more effective. Dysfunctional and functional coping were associated with higher and lower distress levels, respectively. Conclusion: Recruits recommended for promotion exhibited less psychological distress during basic training and exhibited a socially more conducive profile of distress. They also endorsed more efficient and more prosocial coping strategies than those recruits not recommended for

  18. Ethics and the Military Profession. Sports and the Military

    Science.gov (United States)

    1980-01-01

    s/V iJ SThe similarities-betWeen athletic competition and comibat have been frequently cited by both military and sports figures. The labels used in...oi’ punishing, is not -war; -and War, obviously,,, i’s never sImply a game . The feature rticle addresses the connection between sports and war Sand... competition and combat have been frequently cited by ,both military and sports figures. The labels used in -ne activity have bee6me metaphor s in the

  19. "Polite People" and Military Meekness: the Attributes of Military Ethics

    Directory of Open Access Journals (Sweden)

    Pavel V. Didov

    2016-12-01

    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.

  20. Information Management: Military Affiliate Radio System (MARS)

    National Research Council Canada - National Science Library

    1986-01-01

    .... 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...

  1. Committee on Military Nutrition Research Proposal

    National Research Council Canada - National Science Library

    Poos, Mary

    1999-01-01

    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...

  2. Military Social Work Thinking in South Africa

    Directory of Open Access Journals (Sweden)

    Adrian D. van Breda

    2012-03-01

    Full Text Available Military social workers in South Africa have developed distinctive ways of thinking about military social work. These developments have been influenced by various contextual factors, such as the transition of South Africa to a non-racial democracy in 1994 and the establishment of a military social work research capacity. These factors contributed to new ways of thinking, such as the recognition that military social work has a mandate to facilitate organizational change and the adoption of a resilience perspective. A central development in military social work thinking in South Africa was the formulation of a Military Social Work Practice Model, which is described and illustrated in some detail. This model emphasizes binocular vision (focusing on the interface between soldiers and the military organization and four practice positions, derived from occupational social work theory. The author notes the importance of creating appropriate contexts that facilitate further developments in military social work theory.

  3. Military Courts-Martial: An Overview

    National Research Council Canada - National Science Library

    Velez Pollack, Estela I

    2004-01-01

    The recent reports of abuse of prisoners held by the military in Iraq have raised questions about how the Armed Forces discipline and punish those who commit crimes or violate the rules and regulations of the military...

  4. Adult Attitudes Toward the Military: Poll Two

    National Research Council Canada - National Science Library

    Wang, Amie

    2002-01-01

    The Department of Defense s (DoD) is conducting a series of adult polls focused on attitudes of those who influence youth about the military and their likelihood to recommend military service to youth...

  5. Jewish Culture and the American Military

    National Research Council Canada - National Science Library

    Goldberg, Adam M

    2006-01-01

    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...

  6. Education of Military Strategists.

    Science.gov (United States)

    1982-06-01

    neophyte in a few spare hours. Few people possess, by virtue of background and education, the requisite skills. Strategic planning requires a type of...States and Europe . Society was becoming more complex, and so were ideas of varfare. Conse- quently, strategy acquired a broader definition. It became

  7. Avoidable waste of research related to inadequate methods in clinical trials.

    Science.gov (United States)

    Yordanov, Youri; Dechartres, Agnes; Porcher, Raphaël; Boutron, Isabelle; Altman, Douglas G; Ravaud, Philippe

    2015-03-24

    To assess the waste of research related to inadequate methods in trials included in Cochrane reviews and to examine to what extent this waste could be avoided. A secondary objective was to perform a simulation study to re-estimate this avoidable waste if all trials were adequately reported. Methodological review and simulation study. Trials included in the meta-analysis of the primary outcome of Cochrane reviews published between April 2012 and March 2013. We collected the risk of bias assessment made by the review authors for each trial. For a random sample of 200 trials with at least one domain at high risk of bias, we re-assessed risk of bias and identified all related methodological problems. For each problem, possible adjustments were proposed that were then validated by an expert panel also evaluating their feasibility (easy or not) and cost. Avoidable waste was defined as trials with at least one domain at high risk of bias for which easy adjustments with no or minor cost could change all domains to low risk. In the simulation study, after extrapolating our re-assessment of risk of bias to all trials, we considered each domain rated as unclear risk of bias as missing data and used multiple imputations to determine whether they were at high or low risk. Of 1286 trials from 205 meta-analyses, 556 (43%) had at least one domain at high risk of bias. Among the sample of 200 of these trials, 142 were confirmed as high risk; in these, we identified 25 types of methodological problem. Adjustments were possible in 136 trials (96%). Easy adjustments with no or minor cost could be applied in 71 trials (50%), resulting in 17 trials (12%) changing to low risk for all domains. So the avoidable waste represented 12% (95% CI 7% to 18%) of trials with at least one domain at high risk. After correcting for incomplete reporting, avoidable waste due to inadequate methods was estimated at 42% (95% CI 36% to 49%). An important burden of wasted research is related to inadequate

  8. A Framework for NGO-Military Collaboration

    Science.gov (United States)

    2013-12-13

    NGO-military collaboration during operations. Rietjens, Van Fenema , and Essens write about the incorporation of military, NGOs, and others during...in HADR, conflict, and post-conflict operations. Rietjens, Van Fenema , and Essens point out that for NGOs collaboration with the military can be...Rietjens, Van Fenema , and Essens 2013, 20). Common Effort was an attempt to familiarize NGOs, IGOs, and militaries with each other’s practices and

  9. Children of Military Service Members Resource Guide

    Science.gov (United States)

    2012-01-01

    www.aap.org developed by military pediatricians and adolescent-medicine specialists, this animated film, hosted by mr. poe, is designed to provide...military Communities youth ministries url: http://www.mcym.org/ url: http://www.aap.org time: 92 minutes developed by military pediatricians and...www.mcym.org/ developed by military pediatricians and adolescent-medicine specialists, this film is designed for older children and adolescents to help

  10. The Role of Communication in Military Leadership

    Directory of Open Access Journals (Sweden)

    Monika Lewińska

    2015-06-01

    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?

  11. A Descriptive Study on the Military Leadership

    OpenAIRE

    Muhammed Kürşad Özlen; Anes Zukic

    2013-01-01

    This study provides more complete deliberation of the current practices of leadership in the surveyed Armed Forces. This study aims to descriptively identify the degree of motivating military leadership, military environment, characteristics of military leaders and military leadership benefits in the selected army. The research method conducted was based on survey of 200 respondents in Armed Forces of Bosnia and Herzegovina and descriptive analyses of the survey data. According to the results...

  12. Follow-up of abnormal or inadequate test results in the Danish Cervical Cancer Screening Program

    DEFF Research Database (Denmark)

    Kristiansen, Bettina Kjær

    2014-01-01

    Denmark has a higher incidence of cervical cancer than other Nordic countries, although all Danish women (aged 23–65) are screened regularly to identify possible cervical dysplasia or asymptomatic invasive cancer. Annually 40 000 women receives an abnormal or inadequate test result and a follow......-up recommendation. However problems with delayed follow-up may threaten the effectiveness of the Danish Cervical Cancer Screening Program, as 20% of women are delayed and dysplasia potentially can progress into cancer. Delayed follow-up is found in situations where women either consciously or unconsciously postpone...... will be of great importance to the future organisation of cervical and colorectal cancer screening programmes in Denmark, but will also have international interest because of their similar challenges....

  13. 2013 Nutrition Risk Evidence Review Panel. Evidence Review for: The Risk Factor of Inadequate Nutrition

    Science.gov (United States)

    2014-01-01

    The 2013 Nutrition Risk Standing Review Panel (from here on referred to as the SRP) met for a site visit in Houston, TX on November 20 - 21, 2013. The SRP reviewed the new Evidence Report for the Risk Factor of Inadequate Nutrition (from here on referred to as the 2013 Nutrition Evidence Report), as well as the Research Plan for this Risk. Overall, the SRP thinks the well-qualified research team has compiled an excellent summary of background information in the 2013 Nutrition Evidence Report. The SRP would like to commend the authors in general and particularly note that while the 2013 Nutrition Evidence Report has been written using a single nutrient approach, the research plan takes a much more integrated and physiologically based approach.

  14. Private Military and Security Contractors

    DEFF Research Database (Denmark)

    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...... analyses of the evolving, multi-layered tapestry of formal and informal mechanisms of control include addressing the microfoundations of the market: the social and role identities of contract employees, their acceptance by military personnel, and potential tensions between them. The extent and willingness...

  15. Microbiological changes after periodontal therapy in diabetic patients with inadequate metabolic control

    Directory of Open Access Journals (Sweden)

    Carina Maciel Silva-Boghossian

    2014-05-01

    Full Text Available The present study investigated the effect of non-surgical periodontal treatment (SRP on the composition of the subgingival microbiota of chronic periodontitis (CP in individuals with type 2 diabetes (DM2 with inadequate metabolic control and in systemically healthy (SH individuals. Forty individuals (20 DM2 and 20 SH with CP underwent full-mouth periodontal examination. Subgingival plaque was sampled from 4 deep sites of each individual and tested for mean prevalence and counts of 45 bacterial taxa by the checkerboard method. Clinical and microbiological assessments were performed before and 3 months after SRP. At baseline, those in the DM2 group presented a significantly higher percentage of sites with visible plaque and bleeding on probing compared with those in the SH group (p < 0.01. Those in the DM2 group presented significantly higher levels of C. rectus and P. gingivalis, and lower prevalence of P. micra and S. anginosus, compared with those in the SH group (p ≤ 0.001. At the 3-month visit, both groups showed a significant improvement in all clinical parameters (p < 0.01. Those in the DM2 group showed significantly higher prevalence and/or levels of A. gerencseriae, A. naeslundii I, A. oris, A. odontolyticus, C. sputigena, F. periodonticum, and G. morbillorum compared with those in the SH group (p ≤ 0.001. However, those in the DM2 group showed a significant reduction in the levels of P. intermedia, P. gingivalis, T. forsythia, and T. denticola (p ≤ 0.001 over time. Those in the SRP group showed improved periodontal status and reduced levels of putative periodontal pathogens at 3 months’ evaluation compared with those in the DM2 group with inadequate metabolic control.

  16. 78 FR 43796 - Indebtedness of Military Personnel

    Science.gov (United States)

    2013-07-22

    ... Department of the Army 32 CFR Part 513 Indebtedness of Military Personnel AGENCY: Department of the Army, DoD. ACTION: Final rule; removal. SUMMARY: This action removes regulations concerning indebtedness of military... CFR Part 112, ``Indebtedness of Military Personnel,'' and DoD Financial Management Review (FMR...

  17. Truth and (self) censorship in military memoirs

    NARCIS (Netherlands)

    Kleinreesink, E.; Soeters, J.M.M.L.

    2016-01-01

    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)

  18. 5 CFR 831.301 - Military service.

    Science.gov (United States)

    2010-01-01

    ... disability retirement, who is receiving a Veterans Administration pension or compensation in lieu of military... Administration pension or compensation and have the military service added to civilian service for annuity... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Military service. 831.301 Section 831.301...

  19. The Barracks Subculture of Military School Students

    Science.gov (United States)

    Poliakov, R. Iu.

    2011-01-01

    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.

  20. National Leadership Summit on Military Families

    Science.gov (United States)

    2009-01-01

    now offering a full range of services for military families, including nutrition programs, financial planning services, and other support. The...has a huge breadth of capacities to support military families, including nutrition programs, financial literacy report, community health and well...would develop policies, programs, and services for children with special needs, including those with autism (the autism rate among military children is

  1. 32 CFR 724.215 - Military representation.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Military representation. 724.215 Section 724.215... BOARD Authority/Policy for Departmental Discharge Review § 724.215 Military representation. Military... consult legal counsel before undertaking such representation. Such representation may be prohibited by 18...

  2. Mental Reservation and Military Testimony before Congress

    National Research Council Canada - National Science Library

    Roberts, Gordon R

    2008-01-01

    .... 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.

  3. The evolution of Islamic State's strategy | Solomon | Scientia Militaria ...

    African Journals Online (AJOL)

    With these funds, IS has deployed soft power – digging sewage systems and providing stipends to families – to earn the loyalty of its 'citizens'. IS has also displayed superior military strategy combining conventional military doctrine with asymmetric warfare. As IS are confronted with superior conventional forces in their ...

  4. Military coups and military regimes in Africa | Japhet | Scientia ...

    African Journals Online (AJOL)

    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.

  5. Predictors of an inadequate defibrillation safety margin at ICD implantation: insights from the National Cardiovascular Data Registry.

    Science.gov (United States)

    Hsu, Jonathan C; Marcus, Gregory M; Al-Khatib, Sana M; Wang, Yongfei; Curtis, Jeptha P; Sood, Nitesh; Parker, Matthew W; Kluger, Jeffrey; Lampert, Rachel; Russo, Andrea M

    2014-07-22

    Defibrillation testing is often performed to establish effective arrhythmia termination, but predictors and consequences of an inadequate defibrillation safety margin (DSM) remain largely unknown. The aims of this study were to develop a simple risk score predictive of an inadequate DSM at implantable cardioverter-defibrillator (ICD) implantation and to examine the association of an inadequate DSM with adverse events. A total of 132,477 ICD Registry implantations between 2010 and 2012 were analyzed. Using logistic regression models, factors most predictive of an inadequate DSM (defined as the lowest successful energy tested 3 days (odds ratio: 1.24; 95% confidence interval: 1.19 to 1.30; p < 0.0001), and in-hospital mortality (odds ratio: 1.96; 95% confidence interval: 1.63 to 2.36; p < 0.0001). A simple risk score identified ICD recipients at risk for an inadequate DSM. An inadequate DSM was associated with an increased risk for in-hospital adverse events. Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  6. Complementary foods consumed by 6-12-month-old rural infants in South Africa are inadequate in micronutrients.

    Science.gov (United States)

    Faber, Mieke

    2005-06-01

    To determine the nutrient composition of complementary foods consumed by 6-12-month-old South African infants. Nutrient intake was determined for infants who were recruited to participate in a randomised controlled trial using a single 24-hour dietary recall. Infants aged 6-12 months (n=475) residing in The Valley of a Thousand Hills, a rural area in KwaZulu-Natal, South Africa. Energy and protein intakes from complementary foods were adequate. Infants who consumed infant products (commercially available fortified infant cereals/ready-to-eat canned baby foods/formula milk powder) had significantly higher intakes of calcium, iron, zinc, vitamin A, thiamine, riboflavin, niacin, vitamin B6, vitamin B12 and vitamin C than infants who did not consume any infant products. For infants who consumed infant cereals (n=142), these cereals provided 51% of total iron intake. Infant cereals provided more than 25% of total intake for magnesium, thiamine, niacin and vitamin B12. For infants consuming ready-to-eat canned baby foods (n=77), these products contributed less than 15% of total intake for all the micronutrients. The nutrient density of the complementary diet was less than half the desired density for calcium, iron and zinc. Animal products were consumed by 17% of infants, 26% consumed dairy products and 18% consumed vitamin-A-rich fruit and vegetables during the 24-hour recall period. The nutrient composition of complementary foods among rural South African infants was inadequate, especially for iron, zinc and calcium. Strategies should be developed to improve the nutritional quality of their diets.

  7. Sexual trauma in the military: Exploring PTSD and mental health care utilization in female veterans.

    Science.gov (United States)

    Kintzle, Sara; Schuyler, Ashley C; Ray-Letourneau, Diana; Ozuna, Sara M; Munch, Christopher; Xintarianos, Elizabeth; Hasson, Anthony M; Castro, Carl A

    2015-11-01

    Sexual trauma remains a pervasive problem in the military. The deleterious mental health outcomes related to incidents of sexual assault have been well-documented in the literature, with particular attention given to the development of posttraumatic stress disorder (PTSD) and utilization of mental health services. Much effort has focused on addressing issues of sexual trauma in the military. The purpose of this study was to examine the incidences of sexual assault in female veterans, the relationship to PTSD and mental health care utilization. The research explored differences in pre- and post-9/11 veterans. Data were collected using a 6-prong recruitment strategy to reach veterans living in Southern California. A total of 2,583 veterans completed online and in-person surveys, of which 325 female veterans were identified for inclusion in the analysis. Forty percent of the sample reported experiencing sexual assault during their military service. A history of military sexual trauma was found to be a substantial contributor to symptoms of PTSD. A majority of female veterans who indicated being sexually assaulted during their military service met the cutoff for a diagnosis of PTSD. Although only a minority of participants who indicated being a victim of sexual assault reported receiving immediate care after the incident, most had received mental health counseling within the past 12 months. Findings point to the need for additional prevention programs within the military and opportunities for care for victims of military sexual assault. (c) 2015 APA, all rights reserved).

  8. Military experience can influence Women's eating habits.

    Science.gov (United States)

    Breland, Jessica Y; Donalson, Rosemary; Nevedal, Andrea; Dinh, Julie V; Maguen, Shira

    2017-11-01

    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.

  9. Relationship between general nutrition knowledge and diet quality in Australian military personnel.

    Science.gov (United States)

    Kullen, Charina J; Farrugia, Jamie-Lee; Prvan, Tania; O'Connor, Helen T

    2016-04-01

    A balanced diet informed by sound nutrition knowledge is key for operational readiness and the health of military personnel. Unfortunately, research suggests that military personnel have inadequate dietary intakes. This study assessed general nutrition knowledge, diet quality and their association in Australian military personnel. A convenience sample of male military personnel (n 211) including Army soldiers and officers completed a validated general nutrition knowledge questionnaire (GNKQ) and FFQ. The GNKQ assessed knowledge of dietary guidelines (Section A), sources of nutrients (Section B), choosing everyday foods (Section C) and diet-disease relationships (Section D). The Australian Recommended Food Score (ARFS) was used to assess diet quality from FFQ data. Statistical analyses included the χ 2 test, Spearman's correlation test, t test, median test, ANCOVA and ordinal logistic regression. The mean total GNKQ score was 52·7 %. Participants performed best on Section A (58·5 %) followed by Sections B (57·3 %) and C (57·0 %) and worst on Section D (31·0 %). Overall, officers scored significantly higher than soldiers (58·7 v. 51·9 %, P=0·001). Age was weakly but positively correlated with GNKQ total scores (r 0·307; Pdiet quality are recommended in this population, especially in soldiers.

  10. Inadequate recording of alcohol-drinking, tobacco-smoking and discharge diagnosis in medical in-patients: failure to recognize risks including drug interactions.

    Science.gov (United States)

    Bairstow, B M; Burke, V; Beilin, L J; Deutscher, C

    1993-11-01

    The records of 62 men and 43 women, 14-88 years old, admitted to general medical wards in a public teaching hospital during 1991 were examined for discharge medications and for the recording of alcohol-drinking, tobacco-smoking and discharge diagnosis. Drinking and smoking status was unrecorded in 22.9% and 21.9% of patients respectively. Twenty-four patients had 31 potential drug interactions which were related to the number of drugs prescribed and to drinking alcohol; 10.5% of the patients had interactions involving alcohol and 2.9% tobacco. Six patients received relatively or absolutely contraindicated drugs, including one asthmatic given two beta-blockers. The drugs prescribed indicated that some patients had conditions such as gastro-oesophageal disorders, diabetes and obstructive airways disease which had not been recorded. Inadequate recording of diagnoses, alcohol and smoking status creates risks to patients and may cause opportunities for preventive care to be missed. This study provides the basis for the development of undergraduate and postgraduate education programmes to address these issues and so decrease risks to patients which arise from inadequate recording practices. Incomplete diagnoses also adversely affect hospital funding where this depends on case-mix diagnostic groups. Quality assurance programmes and other strategies are being implemented to improve medical recording and prescribing habits.

  11. Pushing the Limits of Military Coercion Theory

    DEFF Research Database (Denmark)

    Jakobsen, Peter Viggo

    2011-01-01

    The centrality of military coercion in contemporary Western crisis and conflict management constitutes a major policy problem because the United States and its allies are poor at translating their overwhelming military superiority into adversary compliance. The standard explanation provided...... 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...... the principal theoretical propositions with a firmer empirical foundation and make military coercion theory more useful for policy makers....

  12. Military Construction: FY2017 Appropriations

    Science.gov (United States)

    2016-10-04

    were codified by the Budget Control Act (BCA) of 2011(P.L. 112-25). 1 The effect on appropriations in general, with specific emphasis on defense, has...FY2015 Appropriations, by Sidath Viranga Panangala. CRS Report RL34024, Veterans and Homelessness , by Libby Perl. Military Construction: FY2017

  13. 'Military Thinkers and Academic Thinkers'

    DEFF Research Database (Denmark)

    Haugegaard, Rikke

    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...

  14. Stress fractures in military training

    International Nuclear Information System (INIS)

    Jofre, M.J.; Sierralta, M.P.

    2002-01-01

    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

  15. Cultural Dimensions of Military Training

    Science.gov (United States)

    2014-06-13

    cross-cultural awareness training in various commercial sectors, the field of cross-cultural communication (also known as intercultural communication...advanced language skills, and culture and regional expertise with the goals to promote a rethinking of culture and intercultural competence, and how... Intercultural Competence” (Center for Languages, Cultures, and Regional Studies, United States Military Academy, West Point, NY), 4. 34Headquarters

  16. Military Review: Airland Battle Future

    Science.gov (United States)

    1991-02-01

    of inc to the exclusion of other factors may be ideal for enemy forces). Since Anglo-American military a bar room brawl, but should it be the pnme...our periods of war, featuring such stars as Bob Hope, Bing Crosby, Martha Raye , Marilyn Monroe, and more recently,Lee Greenwood, Steve Martin and Jay

  17. Hypersonic Technology for Military Application

    Science.gov (United States)

    1989-04-14

    TechnologyL . for Military Application Air Force Studies Board Commission on Engineering and Technical Systems National Research Council .iA -iorn For NTIS CNA...because coinp:’ters can simulate fraction of the vehicle, simultaneously twe hypQ rsonic flighi parameters of velccit;, free stream 7) The laige fuel

  18. Father Absence in Military Families

    Science.gov (United States)

    Hillenbrand, Elizabeth D.

    1976-01-01

    A sample of 73 boys and 53 girls in the sixth grade of a school for military dependents were assessed on intelligence, classroom behavior, parental dominance, parental identification and family constellation. Differences in how children cope with stress are discussed. (Author)

  19. National Museum of Military History

    Directory of Open Access Journals (Sweden)

    A Nicolaides

    2011-01-01

    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

  20. THE EUROPEAN UNION MILITARY POWER: THE NEW CHALLENGES WITH OLD DILEMMAS

    Directory of Open Access Journals (Sweden)

    Blerim Ramadani

    2015-09-01

    Full Text Available Recent crises show clearly that Europeans security depends on external developments. The Common Security and Defense Policy failed to provide security, while the European Union military missions were limited in terms of their scope. This inability threatens the interests and security of the member states. Exactly, this research explores the concept of military power of the EU. In order to elaborate anatomy of military power of the EU, the descriptive-analytic method is used. Military performance analysis proves that the EU is able to have the greatest impact in the global arena. The research shows that with the achievement of a political strategy among the stakeholder, on which the replacement of the consensus mechanism with an ordinary majority is predicted, the EU would be able to lead a proactive and efficient security policy.

  1. The conversion of military science and technology: Former Soviet Union case

    International Nuclear Information System (INIS)

    Martellini, M.

    1998-01-01

    The end of the Cold War which has brought deep changes in the very concept of defence, requires fundamental changes in the defence strategies of all nations, the new international situation is encouraging the conversion of the military sector for the benefit of the civilian economy. This process involves many companies that have previously worked mostly or exclusively on the basis of military orders. In particular, from the nuclear non-proliferation point of view and environmental safety standpoint, some urgent problems arise: civilian management of military nuclear technologies, management and storage of weapon-grade materials, namely plutonium and highly enriched uranium from dismantled nuclear warheads, cleaning and reusing large areas which have been taken up for the production of weapon-grade plutonium and uranium enrichment (in Soviet Union so called 'atomic sites'), retraining scientific personnel and engineers in the nuclear military industry

  2. Principles for developing animal models of military PTSD

    Directory of Open Access Journals (Sweden)

    Nikolaos P. Daskalakis

    2014-08-01

    Full Text Available The extent to which animal studies can be relevant to military posttraumatic stress disorder (PTSD continues to be a matter of discussion. Some features of the clinical syndrome are more easily modeled than others. In the animal literature, a great deal of attention is focused on modeling the characteristics of military exposures and their impact on measurable behaviors and biological parameters. There are many issues to consider regarding the ecological validity of predator, social defeat or immobilization stress to combat-related experience. In contrast, less attention has been paid to individual variation following these exposures. Such variation is critical to understand how individual differences in the response to military trauma exposure may result to PTSD or resilience. It is important to consider potential differences in biological findings when comparing extremely exposed to non-exposed animals, versus those that result from examining individual differences. Animal models of military PTSD are also critical in advancing efforts in clinical treatment. In an ideal translational approach to study deployment related outcomes, information from humans and animals, blood and brain, should be carefully considered in tandem, possibly even computed simultaneously, to identify molecules, pathways and networks that are likely to be the key drivers of military PTSD symptoms. With the use novel biological methodologies (e.g., optogenetics in the animal models, critical genes and pathways can be tuned up or down (rather than over-expressed or ablated completely in discrete brain regions. Such techniques together with pre-and post-deployment human imaging will accelerate the identification of novel pharmacological and non-pharmacological intervention strategies.

  3. Metabolic Syndrome in Military Aircrew Using a Candidate Definition.

    Science.gov (United States)

    Sharma, Sanjiv; Chandrashekar, A M; Singh, Vishal

    2016-09-01

    Prevalence of metabolic syndrome (MetS) in the Indian population varies from 31.6 to 41.1%. Indians, without being conventionally obese, but inherently insulin resistant, have higher risk of developing cardiovascular diseases and diabetes. Since military aircrew, belonging to the same ethnic pool, may reflect similar prevalence of MetS as the general Indian populace, this study was undertaken to find the prevalence of MetS among Indian military aircrew using one candidate definition. In this cross sectional descriptive study, 210 military aircrew voluntarily participated. Besides demographic and lifestyle related details, their anthropometric measurements, including height, weight, waist circumference, hip circumference, and skin fold thickness were recorded. Body mass index and waist-to-hip ratio were deduced from the recorded measurements. Resting heart rate and blood pressure were recorded and appropriate laboratory investigations were undertaken. Prevalence of MetS, as per chosen definition, was 33.3% (N = 70), which had moderate, fair, and slight agreement with NCEP ATP III (k = 0.43), IDF (k = 0.27), and WHO (k = 0.15) definitions, respectively. Decadal prevalence of MetS was found to be highest in the fourth decade (46.8%), followed by the third decade (41.3%). Reported prevalence of MetS highlights an urgent need to define preventive strategies to minimize loss of trained manpower among military aircrew. Flight surgeons have an important role to play to educate aircrew about modifying their lifestyle to reduce morbidity and mortality among themselves in the future. Sharma S, Chandrashekar AM, Singh V. Metabolic syndrome in military aircrew using a candidate definition. Aerosp Med Hum Perform. 2016; 87(9):790-794.

  4. Maxillofacial Gunshot Injuries: A Comparison of Civilian and Military Data.

    Science.gov (United States)

    Guevara, Carlo; Pirgousis, Phillip; Steinberg, Barry

    2016-04-01

    To compare military with civilian gunshot wounds (GSWs) in the maxillofacial region in order to establish differences in presentation, morbidity, and surgical management. A cross-sectional study design was used. The University of Florida at Jacksonville oral and maxillofacial surgery operating room census and hospital trauma registry were both reviewed to identify maxillofacial GSW cases from 2005 through 2011. Military GSW data (2005 through 2011) were obtained from the US Department of Defense (DOD). The predictor variables were civilian versus military GSW events. The outcome variables of interest included the region of the face involved, race, gender, death during admission, hospital length of stay, and number of days in the intensive care unit (ICU). Descriptive statistics were computed. The sample was divided into military maxillofacial GSWs (n = 412) and civilian maxillofacial GSWs (n = 287 treated of 2,478 presented). A significant difference was measured between study groups regarding the region of the face involved (P = .0451), gender (P ≤ .0001), and race (P ≤ .0001). No significant relationship was measured regarding deaths during admission (P = .6510) for either study group. No standard deviation values for hospital length of stay or number of ICU days were provided by the DOD. The mean hospital length of stay for the military group was within the 95% confidence interval of the civilian group findings (6.0-7.6). The mean number of ICU days for the military group was not within the civilian group's 95% confidence interval (1.9-2.9). These data showed important differences in anatomic location, gender, and race distribution of maxillofacial GSWs between military and civilian populations. Limited analysis of hospital length of stay and number of ICU days might indicate no meaningful difference in hospital length of stay, although there was a statistical difference in the number of ICU days between the 2 populations. Future research comparing

  5. Racial and Social Class Differences in How Parents Respond to Inadequate Achievement: Consequences for Children's Future Achievement.

    Science.gov (United States)

    Robinson, Keith; Harris, Angel L

    2013-12-01

    Despite numerous studies on parental involvement in children's academic schooling, there is a dearth of knowledge on how parents respond specifically to inadequate academic performance. This study examines whether 1) racial differences exist in parenting philosophy for addressing inadequate achievement, 2) social class has implications for parenting philosophy, and 3) parents' philosophies are consequential for children's academic achievement. Using data from the Child Development Supplement (N=1041) to the Panel Study of Income Dynamics, we sort parents into two categories-those whose parenting repertoires for addressing poor achievement include punitive responses and those whose repertoires do not. We then determine whether racial differences exist between these categories and how various responses within the aforementioned categories are related to students' academic achievement. The findings show that white and black parents have markedly different philosophies on how to respond to inadequate performance, and these differences appear to impact children's achievement in dramatically different ways. Educators and policy makers should pay particular attention to how parents respond to inadequate achievement as imploring parents of inadequately performing students to be more involved without providing them with some guidance might exacerbate the problem.

  6. Public health safety and environment in inadequate hospital and healthcare settings: a review.

    Science.gov (United States)

    Baguma, D

    2017-03-01

    Public health safety and environmental management are concerns that pose challenges worldwide. This paper briefly assesses a selected impact of the environment on public health. The study used an assessment of environmental mechanism to analyse the underlying different pathways in which the health sector is affected in inadequate hospital and health care settings. We reviewed the limited available evidence of the association between the health sector and the environment, and the likely pathways through which the environment influences health. The paper also models the use of private health care as a function of costs and benefits relative to public care and no care. The need to enhancing policies to improve the administration of health services, strengthening interventions on environment using international agreements, like Rio Conventions, including measures to control hospital-related infection, planning for human resources and infrastructure construction development have linkage to improve environment care and public health. The present study findings partly also demonstrate the influence of demand for health on the environment. The list of possible interventions includes enhancing policies to improve the administration of health services, strengthening Rio Conventions implementation on environmental concerns, control of environmental hazards and public health. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  7. Effects of inadequate maternal dietary protein:carbohydrate ratios during pregnancy on offspring immunity in pigs

    Directory of Open Access Journals (Sweden)

    Tuchscherer Margret

    2012-11-01

    Full Text Available Abstract Background Inadequate nutrition in utero may retard foetal growth and alter physiological development of offspring. This study investigated the effects of low and high protein diets fed to primiparous German Landrace sows throughout pregnancy on the immune function of their offspring at different ages. Sows were fed diets with adequate (AP, 12.1%; n = 13, low (LP, 6.5%; n = 15, or high (HP, 30%; n = 14 protein content, made isoenergetic by varying carbohydrate levels. Cortisol, total protein and immunoglobulin (IgG, IgM, IgA concentrations were measured in the blood of sows over the course of pregnancy. Cortisol, total protein, immunoglobulins, lymphocyte proliferation, immune cell counts, and cytokines were assessed in the blood of offspring at baseline and under challenging conditions (weaning; lipopolysaccharide (LPS administration. Results In sows, the LP diet increased cortisol (P P P P + cell percentage and the CD4+/CD8+ ratio increased after weaning (P P = 0.09 and HP (P P  Conclusions Our results indicate that both low and high protein:carbohydrate ratios in the diet of pregnant sows can induce short-term as well as long-lasting effects on immune competence in piglets that may have serious consequences for host defence against bacterial pathogens.

  8. Dutch healthcare professionals inadequately perceived if three- and four-year-old preschool children were overweight.

    Science.gov (United States)

    Bocca, Gianni; Corpeleijn, Eva; Broens, Jasper; Stolk, Ronald P; Sauer, Pieter J

    2016-10-01

    We studied whether healthcare professionals adequately perceived if preschool children were overweight and whether this was influenced by their own body mass index (BMI). We sent 716 Dutch healthcare professionals questionnaires containing seven pictures and seven sketches of three- and four-year-old children showing body weights from underweight to morbidly obese. The professionals rated the pictures on a five-point scale from too heavy to too light and chose the sketch that they felt best depicted the child's body shape. They also reported their own height and weight and their BMI was calculated. Of the 716 questionnaires, 346 (48.3%) were returned with complete information and analysed. Healthcare professionals mostly chose sketches that showed children as being lighter than they really were. Depending on their own BMI group, the overweight child was perceived as having a normal weight by 74-79% of the healthcare professionals. The obese children were rated correctly by 44-52% of the professionals, but 14-15% said their weight was normal. The morbidly obese child was adequately assessed by 93-98% of the professionals. Healthcare professionals inadequately perceived whether three- and four-year-old children were overweight and this may have hindered early interventions, leading to overweight children becoming overweight adolescents. ©2015 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  9. Inadequate child supervision: The role of alcohol outlet density, parent drinking behaviors, and social support.

    Science.gov (United States)

    Freisthler, Bridget; Johnson-Motoyama, Michelle; Kepple, Nancy J

    2014-08-01

    Supervisory neglect, or the failure of a caregiver to appropriately supervise a child, is one of the predominant types of neglectful behaviors, with alcohol use being considered a key antecedent to inadequate supervision of children. The current study builds on previous work by examining the role of parental drinking and alcohol outlet densities while controlling for caregiver and child characteristics. Data were obtained from 3,023 participants via a telephone survey from 50 cities throughout California. The telephone survey included items on neglectful parenting practices, drinking behaviors, and socio-demographic characteristics. Densities of alcohol outlets were measured for each of the 202 zip codes in the study. Multilevel Bernoulli models were used to analyze the relationship between four supervisory neglect parenting practices and individual-level and zip code-level variables. In our study, heavy drinking was only significantly related to one of our four outcome variables (leaving a child where he or she may not be safe). The density of on premise alcohol outlets was positively related to leaving a child home alone when an adult should be present. This study demonstrates that discrete relationships exist between alcohol related variables, social support, and specific supervisory neglect subtypes at the ecological and individual levels.

  10. Increasing Trends in Orthopedic Fellowships Are Not due to Inadequate Residency Training

    Directory of Open Access Journals (Sweden)

    K. A. Almansoori

    2015-01-01

    Full Text Available Orthopedic residents have one of the highest fellowship participation rates among medical specialities and there are growing concerns that inadequate residency training may be contributing to this trend. Therefore, a mixed-exploratory research survey was distributed to all 148 graduating Canadian orthopedic residents to investigate their perceptions and attitudes for pursuing fellowships. A response rate of 33% (n=49 was obtained with the majority of residents undertaking one (27% or two (60% fellowships. Surgical-skill development was reported as the most common motivating factor, followed by employment and marketability; malpractice protection and financial reasons were the least relevant. The overwhelming majority of residents (94%, n=46 felt adequately prepared by their residency training for independent general practice, and 84% (n=41 of respondents did not feel that current fellowship trends were due to poor residency training. Three common themes were expressed in their comments: the growing perceived expectation by healthcare professionals and employers to be fellowship-certified, the integration of fellowship training into the surgical education hierarchy, and the failure of residency training curriculums to accommodate for this trend. In conclusion, Canadian orthopedic residents are confident of their residency training and are increasingly pursuing fellowships to primarily develop their surgical skills and expertise.

  11. The challenge of inadequate achievement in mathematics: Focus on a meta-approach

    Directory of Open Access Journals (Sweden)

    Kobus Maree

    2009-09-01

    Full Text Available As is the case elsewhere in the world, all stakeholders in South Africa are deeply concerned about the level and scope of underachievement in mathematics, not only at Grade 12 level, but, indeed, at University, University of Technology and Further Education and Training levels. These concerns assume a deeper dimension in light of the fact that inadequate achievement in mathematics inevitably will have a ripple effect on the academic situation in any country: inadequate achievement in mathematics precludes learners from applying for admission to sought-after fi elds of study, which, in turn, prevents numerous learners from realising their true potential and, eventually, from being happy and successful in careers that they might otherwise have been able to execute successfully. It goes without saying that inadequate achievement in mathematics will impact negatively on the overall economic situation in any country (even more so in a developing country such as South Africa. Truth being, achievement in mathematics amounts to equipping oneself with survival skills. In this article, the spotlight shifts from a narrow and outdated focus on problems that are associated with inadequate achievement in mathematics to possible solutions for this disconcerting situation and the implied challenge it raises. The focus is thus on three levels that collectively underpin and impact on achievement in mathematics, viz. the macro level, the meso level and the micro level. The macro level refers mainly to the input by the national government (and, by default, the National Department of Education. In the fi rst instance, it is the responsibility of the state to provide adequate schooling facilities for all learners, irrespective of where they fi nd themselves. Furthermore, it is the duty of the state to ensure that every learner has access to basic facilities, including food, water, sanitation and housing. The state (via the National Department of Education is also

  12. Fossil fuel subsidy removal and inadequate public power supply: Implications for businesses

    International Nuclear Information System (INIS)

    Bazilian, Morgan; Onyeji, Ijeoma

    2012-01-01

    We briefly consider the impact of fossil fuel subsidy removal policies in the context of inadequate power supply, with a focus on the implications for businesses. In doing so, we utilize the case of the early 2012 fuel subsidy removal in Nigeria. The rationale for such subsidy-removal policies is typically informed by analysis showing that they lead to an economically inefficient allocation of resources and market distortions, while often failing to meet intended objectives. However, often the realities of infrastructural and institutional deficiencies are not appropriately factored into the decision-making process. Businesses in many developing countries, already impaired by the high cost of power supply deficiencies, become even less competitive on an unsubsidized basis. We find that justifications for removal often do not adequately reflect the specific environments of developing country economies, resulting in poor recommendations – or ineffective policy. - Highlights: ► We consider the impact of fuel subsidy removal in the context of energy poverty. ► Calls for subsidy removal often do not reflect the developing country realities. ► Businesses impaired by power supply deficiencies, become even less competitive.

  13. An Enduring Framework for Assessing the Contributions of Force Structure to a Coercive Strategy

    National Research Council Canada - National Science Library

    Beene, Eric

    2002-01-01

    .... With a strategy and force structure review occurring on average every two years, the military has still not been able to generate a consistent basis on which to justify its force structure or its strategy...

  14. Canadian Model of Military Leadership as a Successful Mixture of Civilian and Military Experiences

    Directory of Open Access Journals (Sweden)

    Piotr Malinowski

    2015-06-01

    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.

  15. Engagement: The Nations Premier Grand Strategy, Who's In Charge?

    National Research Council Canada - National Science Library

    Derrick, Robert

    1998-01-01

    Selective Engagement, one of the premiere post cold war grand strategies, refers to activities between the US and other nations ranging from trade relations to diplomatic recognition to combined military exercises...

  16. Military Gay Ban Revisited: Is our Military Ready for Change?

    Science.gov (United States)

    2009-02-20

    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...support from the lesbian, gay, bi-sexual, transgender ( LGBT ) community and in return made several campaign promises along the way. One of the campaign...No. 85. July 2007. Donnelly, Elaine. Who Will Confront the “ LGBT Left?”. Center for Military Readiness. (5 February 2008). Frank

  17. Shrinking the Civil-Military Divide: A Military Perspective

    Science.gov (United States)

    2015-04-13

    steps can military members take to ensure their actions contribute to a strong relationship with their civilian leaders? Is it incumbent on...was Africa-American. Campbell Gibson and Kay Jung . Historical Census Statistics on Population Totals by Race, 1790 to 1990, and by Hispanic Origin...such as the MV-22 Osprey, the perceived obtuseness to the problem of sexual assault, and the leaking of sensitive information to media outlets by

  18. U.S. - Mexico Military to Military Cooperation Revisited

    Science.gov (United States)

    2003-06-01

    level – as well as between officeholders to one another on a “horizontal” basis. Accountability measures in the US/ Mexico Bi- National Performance ...Code, Title 32, Chapter 1, Section 112 64 U.S.- Mexico Bi-National Cooperation Against Illicit Drugs, Main Results and Performance Measures of...NAVAL POSTGRADUATE SCHOOL Monterey, California THESIS Approved for public release; distribution is unlimited. U.S. - MEXICO MILITARY TO

  19. [Psychopathological and psychosocial aspects of military crimes].

    Science.gov (United States)

    Woś, Jarosław; Florkowski, Antoni; Zboralski, Krzysztof

    2013-03-01

    Crimes in the military, as well as criminal behaviors in the civilian community are determined by multiple factors. However, in case of military crimes committed by soldiers on active duty, an important part of forensic psychiatric opinion, is to assess whether occurring mental disorder resulted in inability to perform military duties. was to investigate the psychopathological and psychosocial determinants of criminal behavior in soldiers who committed military crime. The study included 122 soldiers who committed military crime. Material for this study consisted of forensic psychiatric opinions formed on the order of military prosecutor and the military judicial authorities. The results indicate that military crimes are determined by multiple factors. In most cases, the criminal behavior was associated with personality disorder (70%), alcohol problems (43%) and psychoactive substance use (30%). Psychosocial factors analysis revealed more frequent behavioral problems during childhood and adolescence (51%), history of parental alcohol problem (31%) and previous criminal record (29%). Forensic psychiatric examinations revealed that military crimes are more frequent in soldiers on compulsory military service, and in those with personality disorder or/and alcohol problems.

  20. High Prevalence of Inadequate Calcium and Iron Intakes by Mexican Population Groups as Assessed by 24-Hour Recalls.

    Science.gov (United States)

    Sánchez-Pimienta, Tania G; López-Olmedo, Nancy; Rodríguez-Ramírez, Sonia; García-Guerra, Armando; Rivera, Juan A; Carriquiry, Alicia L; Villalpando, Salvador

    2016-09-01

    A National Health and Nutrition Survey (ENSANUT) conducted in Mexico in 1999 identified a high prevalence of inadequate mineral intakes in the population by using 24-h recall questionnaires. However, the 1999 survey did not adjust for within-person variance. The 2012 ENSANUT implemented a more up-to-date 24-h recall methodology to estimate usual intake distributions and prevalence of inadequate intakes. We examined the distribution of usual intakes and prevalences of inadequate intakes of calcium, iron, magnesium, and zinc in the Mexican population in groups defined according to sex, rural or urban area, geographic region of residence, and socioeconomic status (SES). We used dietary intake data obtained through the 24-h recall automated multiple-pass method for 10,886 subjects as part of ENSANUT 2012. A second measurement on a nonconsecutive day was obtained for 9% of the sample. Distributions of usual intakes of the 4 minerals were obtained by using the Iowa State University method, and the prevalence of inadequacy was estimated by using the Institute of Medicine's Estimated Average Requirement cutoff. Calcium inadequacy was 25.6% in children aged 1-4 y and 54.5-88.1% in subjects >5 y old. More than 45% of subjects >5 y old had an inadequate intake of iron. Less than 5% of children aged 12 y had inadequate intakes of magnesium, whereas zinc inadequacy ranged from <10% in children aged <12 y to 21.6% in men aged ≥20 y. Few differences were found between rural and urban areas, regions, and tertiles of SES. Intakes of calcium, iron, magnesium, and zinc are inadequate in the Mexican population, especially among adolescents and adults. These results suggest a public health concern that must be addressed. © 2016 American Society for Nutrition.

  1. Estimating the global prevalence of inadequate zinc intake from national food balance sheets: effects of methodological assumptions.

    Directory of Open Access Journals (Sweden)

    K Ryan Wessells

    Full Text Available The prevalence of inadequate zinc intake in a population can be estimated by comparing the zinc content of the food supply with the population's theoretical requirement for zinc. However, assumptions regarding the nutrient composition of foods, zinc requirements, and zinc absorption may affect prevalence estimates. These analyses were conducted to: (1 evaluate the effect of varying methodological assumptions on country-specific estimates of the prevalence of dietary zinc inadequacy and (2 generate a model considered to provide the best estimates.National food balance data were obtained from the Food and Agriculture Organization of the United Nations. Zinc and phytate contents of these foods were estimated from three nutrient composition databases. Zinc absorption was predicted using a mathematical model (Miller equation. Theoretical mean daily per capita physiological and dietary requirements for zinc were calculated using recommendations from the Food and Nutrition Board of the Institute of Medicine and the International Zinc Nutrition Consultative Group. The estimated global prevalence of inadequate zinc intake varied between 12-66%, depending on which methodological assumptions were applied. However, country-specific rank order of the estimated prevalence of inadequate intake was conserved across all models (r = 0.57-0.99, P<0.01. A "best-estimate" model, comprised of zinc and phytate data from a composite nutrient database and IZiNCG physiological requirements for absorbed zinc, estimated the global prevalence of inadequate zinc intake to be 17.3%.Given the multiple sources of uncertainty in this method, caution must be taken in the interpretation of the estimated prevalence figures. However, the results of all models indicate that inadequate zinc intake may be fairly common globally. Inferences regarding the relative likelihood of zinc deficiency as a public health problem in different countries can be drawn based on the country

  2. Family Resilience in the Military

    Science.gov (United States)

    Meadows, Sarah O.; Beckett, Megan K.; Bowling, Kirby; Golinelli, Daniela; Fisher, Michael P.; Martin, Laurie T.; Meredith, Lisa S.; Osilla, Karen Chan

    2016-01-01

    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

  3. Military Retention. A Comparative Outlook

    Directory of Open Access Journals (Sweden)

    Vasile Sminchise

    2016-06-01

    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.

  4. 32 CFR 635.17 - Military Police Report.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Military Police Report. 635.17 Section 635.17... CRIMINAL INVESTIGATIONS LAW ENFORCEMENT REPORTING Offense Reporting § 635.17 Military Police Report. (a... received or observed by military police. (2) Serve as a record of all military police and military police...

  5. Physical Performance and Attrition Among U.S. Air Force Trainees Participating in the Basic Military Training Fueling Initiative.

    Science.gov (United States)

    Bartlett, Carrissa G; Stankorb, Susan

    2017-01-01

    Dietary intake of military initial entry trainees is often inadequate because of the structured food environment, lack of snacking, and limited time for meals. Inadequate intake during training increases risk for injury, poor performance, and attrition from training. A performance nutrition initiative was implemented at Joint Base San Antonio Lackland to mitigate this inadequacy in Air Force trainees and better reflect recommendations for active populations and mitigate nutritional inadequacy. Trainees (N = 867) in two squadrons either received a nutrition bar before bed (snack squadron n = 423) or did not (standard squadron n = 444). This study retrospectively compared trainees' attrition and fitness measures as recorded in the Basic Military Training (BMT) Surveillance database. Both groups had similar rates of attrition and graduation at the end of 8 weeks (p = 0.23). At the start of training, only one out of four trainees in either Squadron passed the Physical Fitness Assessment (PFA). Although both squadrons' fitness measures improved as a result of the effects of training, the snack squadron had a significantly greater percent improvement in all PFA categories (p interval: 1.2-2.2) times more likely to pass the PFA at 4 weeks than those who did not receive the snack. This study shows that military trainees' fitness improves with a modest nutritional supplement and suggests that optimizing overall nutrition benefits trainees. Attrition from BMT costs the U.S. Air Force up to $22,000 per trainee lost. In contrast, a trainee could receive one nutrition bar per day during BMT for $34. As the nutrition bar initiative improves fitness as well as costs less than recruiting and medically treating trainees whom ultimately attrite from training, the snack intervention was beneficial. Future studies of strategic nutrition interventions in military training populations can help trainees to better meet their macronutrient and micronutrient needs and further optimize

  6. Afghanistan: Military Occupation and Ethnocracy

    OpenAIRE

    Goodman, James; Razi, Wahid

    2017-01-01

    Afghanistan has been a key site of state-building, founded on pragmatic ethno-military consociationalism. The 2001 invasion and subsequent occupation consolidated ethnicity as a political force in Afghanistan. Inter-ethnic elite bargaining instituted an ethnocratic oligarchy, grounded in militarism. Against this, everyday politics in Afghanistan has centred on social clientelism, founded on kinship networks rather than ethnicity. At the same time, formal political structures, expressed in the...

  7. Military Suicide Research Consortium (MSRC)

    Science.gov (United States)

    2013-10-01

    Osman, A., Gilpin , A. R., Panak, W. F., Kopper, B. A., Barrios, F. X., Gutierrez, P. M., & Chiros, C. E. (2000). The Multi-Attitude Suicide Tendency...Psychological Association Annual Conference, Chicago, IL, May 4, 2000. Kopper, B. A., Osman, A., Gilpin , A. R., Panak, W. F., Barrios, F. X., Gutierrez...investigator (PIs Robert Bossarte, Ph.D. & Ira Katz, MD); $569,222 for Patient Safety Center of Inquiry. 3/11-2/13 Department of Defense, Military

  8. LOYALTY AND THE MILITARY PROFESSION

    Science.gov (United States)

    2017-04-06

    limits to one’s loyalty. An understanding of the conflicting and competing values service members may possess because of religion , family, friends... School . He then continued his military education at the Army’s Command and Staff College in Fort Leavenworth, KS. From 2009-2011, LTC Gipson served...trust. It necessarily traverses the boundaries of family, friendship, country, and religion by requiring the service members to subordinate

  9. Advancing Military Professionalism in Africa

    Science.gov (United States)

    2014-07-01

    A modern example of a military that became more inclusive is the South African National Defence Force (SANDF). A concerted post- apartheid effort...its commandos in the post- apartheid transition. Upon creating the newly integrated SANDF, South Africa disbanded the country’s commando system...because of their apartheid origination. Unfortunately, however, the vacuum left by their departure has contributed to the skyrocketing criminality.71

  10. Civil Military Operations In Ecuador

    Science.gov (United States)

    2003-03-01

    103 "Alarma por avance de la delincuencia", El Comercio, 28 of January of 2003 104 "Vaca: "Existen indicios de actividades terroristas...nation support (FNS). FNS refers to identifying, coordinating, and acquiring foreign nation (FN) resources such as supplies, materiel, and labor to...indigenous military forces as labor and is planned as short-term projects... The Projects should be useful to the local populace at all levels in

  11. Income-related inequalities in inadequate dentition over time in Australia, Brazil and USA adults.

    Science.gov (United States)

    Peres, Marco A; Luzzi, Liana; Peres, Karen G; Sabbah, Wael; Antunes, Jose L; Do, Loc G

    2015-06-01

    To assess changes over time of the absolute and relative household income-related inequalities in inadequate dentition (ID) among Australians, Brazilians and USA adults. This study used nationwide oral health survey data from Australia (n = 1200 in 1999; n = 2729 in 2005), Brazil (n = 13 431 in 2003; n = 9779 in 2010) and USA (n = 2542 in 1999; n = 1596 in 2005). Absolute income inequalities were calculated using Absolute Concentration Index (ACI) and Slope Index of Inequality (SII), while relative inequalities were calculated using Relative Concentration Index (RCI) and Relative Index of Inequality (RII). Prevalence of ID in the studied period dropped from 8.7% to 3.1% in Australia; from 42.1% to 22.4% in Brazil; and remained stable in USA, nearly 8.0%. Absolute income inequalities were highest in Brazil, followed by the USA and Australia; relative inequalities were lower in Brazil than in Australia and the USA. ID was higher among Brazilian females (2010) and for the poorest group in all countries and periods. A remarkable reduction in absolute inequalities were found in Australia [Slope Index of Inequality (SII) and AIC 60%] and in Brazil (SII 25%; ACI 33%) while relative inequalities increased both in Australia (RCI and RII 40%) and in Brazil (RCI 24%; RII 38%). No changes in absolute and relative income inequalities were found in the USA. There were still persistent absolute and relative income inequalities in ID in all examined countries. There has been a reduction in absolute income inequalities in ID but an increase in relative income inequalities. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Inadequate dietary intake of children and adolescents with juvenile idiopathic arthritis and systemic lupus erythematosus.

    Science.gov (United States)

    Caetano, Michelle C; Ortiz, Thaís T; Terreri, Maria Teresa S R L A; Sarni, Roseli O S; Silva, Simone G L; Souza, Fabíola I S; Hilário, Maria Odete E

    2009-01-01

    To evaluate the dietary intake of children and adolescents with juvenile idiopathic arthritis (JIA) and juvenile systemic lupus erythematosus (JSLE) using a 24-hour diet recall and relating it to the patients' clinical and anthropometric characteristics and to the drugs used in their treatment. By means of a cross-sectional study, we assessed the 24-hour diet recalls of outpatients. Their nutritional status was classified according to the CDC (2000). The computer program NutWin UNIFESP-EPM was used for food intake calculation. The Recommended Dietary Allowances and the Brazilian food pyramid were used for quantitative and qualitative analysis. Median age was 12 years for JIA patients and 16.5 years for JSLE patients. Among the JIA patients, 37.5% had active disease, and among the JSLE patients, 68.2% showed Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) > 4. Malnutrition was found in 8.3 and 4.5% of the JIA and JSLE patients, respectively, and obesity was present in 16.7 and 18.2%. For JIA patients, the excessive intake of energy, protein, and lipids was 12.5, 75, and 31.3%, respectively. For JSLE patients, the excessive intake of energy, protein, and lipids was 13.6, 86.4, and 36.4%, respectively. Low intake of iron, zinc, and vitamin A was found in 29.2 and 50, 87.5 and 86.4, and 87.5 and 95.2% of the JIA and JSLE patients, respectively. There was not a significant association between intake, disease activity, and nutritional status. Patients with rheumatic diseases have inadequate dietary intake. There is excessive intake of lipids and proteins and low intake of micronutrients.

  13. Proposed biodiversity conservation areas: gap analysis and spatial prioritization on the inadequately studied Qinghai Plateau, China

    Directory of Open Access Journals (Sweden)

    Renqiang Li

    2018-01-01

    Full Text Available Global biodiversity priorities are primarily addressed through the establishment or expansion of conservation areas (CAs. Spatial prioritization of these CAs can help minimize biodiversity loss by accounting for the uneven distribution of biodiversity and conservation considerations (e.g., accessibility, cost, and biodiversity threats. Furthermore, optimized spatial priorities can help facilitate the judicious use of limited conservation resources by identifying cost effective CA designs. Here, we demonstrate how key species and ecosystems can be incorporated into systematic conservation planning to propose the expansion and addition of new CAs in the biodiversity-unique and data-poor region of Qinghai Plateau, China. We combined species distribution models with a systematic conservation planning tool, MARXAN to identify CAs for biodiversity on Qinghai Plateau. A set of 57 optimal CAs (273,872 km2, 39.3 % of this Province were required to achieve the defined conservation targets in Qinghai Province. We also identified 29 new CAs (139,216 km2, 20% of Qinghai Province outside the existing nature reserve (NRs that are necessary to fully achieve the proposed conservation targets. The conservation importance of these 29 new CAs was also indicated, with 10 labeled as high priority, 11 as medium priority, and 8 as low priority. High priority areas were more abundant in the eastern and southeastern parts of this region. Our results suggest that many species remain inadequately protected within the Qinghai Plateau, with conservation gaps in eastern and northwestern regions. The proposed more representative and effective CAs can provide useful information for adjusting the existing NRs and developing the first National Park in China.

  14. Comparison of Vildagliptin and Pioglitazone in Korean Patients with Type 2 Diabetes Inadequately Controlled with Metformin

    Directory of Open Access Journals (Sweden)

    Jong Ho Kim

    2016-04-01

    Full Text Available BackgroundWe compared the efficacies of vildagliptin (50 mg twice daily relative to pioglitazone (15 mg once daily as an add-on treatment to metformin for reducing glycosylated hemoglobin (HbA1c levels in Korean patients with type 2 diabetes.MethodsThe present study was a multicenter, randomized, active-controlled investigation comparing the effects of vildagliptin and pioglitazone in Korean patients receiving a stable dose of metformin but exhibiting inadequate glycemic control. Each patient underwent a 16-week treatment period with either vildagliptin or pioglitazone as an add-on treatment to metformin.ResultsThe mean changes in HbA1c levels from baseline were –0.94% in the vildagliptin group and –0.6% in the pioglitazone group and the difference between the treatments was below the non-inferiority margin of 0.3%. The mean changes in postprandial plasma glucose (PPG levels were –60.2 mg/dL in the vildagliptin group and –38.2 mg/dL in the pioglitazone group and these values significantly differed (P=0.040. There were significant decreases in the levels of total, low density lipoprotein, high density lipoprotein (HDL, and non-HDL cholesterol in the vildagliptin group but increases in the pioglitazone group. The mean change in body weight was –0.07 kg in the vildagliptin group and 0.69 kg in the pioglitazone group, which were also significantly different (P=0.002.ConclusionAs an add-on to metformin, the efficacy of vildagliptin for the improvement of glycemic control is not inferior to that of pioglitazone in Korean patients with type 2 diabetes. In addition, add-on treatment with vildagliptin had beneficial effects on PPG levels, lipid profiles, and body weight compared to pioglitazone.

  15. Inadequately marketing our brand: Medical student awareness of acute care surgery.

    Science.gov (United States)

    Montgomery, Stephanie C; Privette, Alicia R; Ferguson, Pamela L; Mirdamadi, Meena; Fakhry, Samir M

    2015-11-01

    Despite focused national efforts to promote acute care surgery (ACS), little is known about medical student awareness of ACS as a career choice. The impending shortage of general surgeons emphasizes the need to increase interest in this comprehensive surgical specialty. The goal of this study was to determine whether students would be more likely to consider choosing ACS if they were aware of the specialty and its benefits. A survey was distributed electronically to medical students at our institution, a Level I trauma center with an active ACS service. The survey asked questions regarding specialty choice and factors that were used in making that decision. Also included were questions regarding their familiarity and affinity for ACS. The survey was returned by 518 students. Each medical school year was proportionately represented. Twenty-one percent of the students reported surgery as their career choice; however, women were half as likely to choose surgery as men. When asked to define ACS, 23% of all students gave the correct response. Only 8.9% of the students in the preclinical years correctly defined ACS. Even in the clinical years, 54% were unaware of ACS as a specialty. Students reported that the top factors that influenced their choice were controllable lifestyle, predictable schedule, and a positive medical school role model. When asked to identify what would make ACS appealing, a 50-hour work week was deemed most influential. When given the definition of ACS with approximate pay and on-call hours, 41.5% of the students and 75% of those interested in surgery would be likely to choose ACS as a career. This study highlights that awareness of ACS as a specialty is lacking. This may reflect inadequate marketing of our "brand" both locally and nationally. Focused efforts at familiarizing students with ACS and increased role modeling may increase interest in ACS.

  16. Anemia in ST-Elevation Myocardial Infarction Patients with Markers of Inadequate Bone Marrow Response.

    Science.gov (United States)

    Arbel, Yaron; Milwidsky, Assi; Finkelstein, Ariel; Halkin, Amir; Revivo, Miri; Berliner, Shlomo; Ellis, Martin; Herz, Itzhak; Keren, Gad; Banai, Shmuel

    2015-08-01

    Anemia confers an adverse prognosis in patients with ST-elevation myocardial infarction (STEMI). Several mechanisms have been implicated in the etiology of anemia in this setting, including inflammation, blood loss, and the presence of comorbidities such as renal failure. To evaluate the adequacy of bone marrow response as potentially reflected by elevation in blood and reticulocyte counts. Consecutive men with STEMI who underwent primary percutaneous intervention within 6 hours of symptom onset and who presented to our catheterization laboratory during a 36 month period were included in the study. The cohort was divided into quartiles according to hemoglobin concentration, and differences in clinical and laboratory characteristics between the groups were evaluated. A total of 258 men with STEMI were recruited, 22% of whom suffered from anemia according to the World Health Organization classification (hemoglobin < 13 g/dl). Men in the lowest quartile of hemoglobin concentration presented with significantly lower white blood cell and platelet counts (9.6 ± 2.9 vs. 12.6 ± 3.6 x 103/μl, P < 0.001) and (231 ± 79 vs. 263 ± 8 x 103/μl, P < 0.01), respectively, despite higher inflammatory biomarkers (C-reactive protein and fibrinogen) compared with patients in the upper hemoglobin concentration quartile. Reticulocyte production index was not significantly higher in anemic patients, with a value of 1.8, 1.4, 1.5 and 1.6 in the ascending hemoglobin quartiles, respectively (P = 0.292). Anemic men with STEMI have relatively lower leukocyte and platelet counts as well as a reduced reticulocyte count despite higher inflammatory biomarkers. These findings might suggest inadequate bone marrow response.

  17. An overview of the sustainability of solid waste management at military installations

    Energy Technology Data Exchange (ETDEWEB)

    Borglin, S.; Shore, J.; Worden, H.; Jain, R.

    2009-08-15

    Sustainable municipal solid waste management at military solutions necessitates a combined approach that includes waste reduction, alternative disposal techniques, and increased recycling. Military installations are unique because they often represent large employers in the region in which they are located, thereby making any practices they employ impact overall waste management strategies of the region. Solutions for waste sustainability will be dependent on operational directives and base location, availability of resources such as water and energy, and size of population. Presented in this paper are descriptions of available waste strategies that can be used to support sustainable waste management. Results presented indicate source reduction and recycling to be the most sustainable solutions. However, new waste-to-energy plants and composting have potential to improve on these well proven techniques and allow military installations to achieve sustainable waste management.

  18. A Military and Industry Partnership Program: The Transfer of Military Simulation Technology Into Commercial Industry

    National Research Council Canada - National Science Library

    McGuire, William

    1997-01-01

    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...

  19. Trial by Jury in Russian Military Courts

    Directory of Open Access Journals (Sweden)

    Nikolai P. Kovalev

    2008-07-01

    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.

  20. Military service and military vocational training effects on post-service earnings

    OpenAIRE

    Bolin, Phil Warren

    1980-01-01

    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...

  1. A Review of Military Recruiting Research.

    Science.gov (United States)

    1984-06-01

    military, primarily youth unemployment rates and military/civilian pay ratios. Youth awareness of the military and the propensity of the youth cohort to...youth, Youth unemployment rate, and Federal spending for youth training programs by the Employment and Training Administration (ZTA). -.- Summary: - Study...Another factor that has a sizable effect is unemployment. A one point increase in the youth unemployment rate generates about 1700 high school graduate

  2. Democratic civilian control of the military

    OpenAIRE

    Petri, Jack

    2001-01-01

    The paper discusses civilian control of the military. The aims of such control include disabling competition between armed forces and democratically elected government. Civilian control of the military is characterised by a degree of disharmony and tension, in even the best of circumstances, in democratic nations. Democratic control of the armed forces provides legitimacy to the military, and when it works well, credibility. At the highest level of the democratic control of the armed forces s...

  3. Regulation of human cytokines by Cordyceps militaris

    OpenAIRE

    Sun, Yong; Shao, Yani; Zhang, Zhiguo; Wang, Lianfen; Mariga, Alfred M.; Pang, Guangchang; Geng, Chaoyu; Ho, Chi-Tang; Hu, Qiuhui; Zhao, Liyan

    2014-01-01

    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...

  4. Determining optimal clothing ensembles based on weather forecasts, with particular reference to outdoor winter military activities.

    Science.gov (United States)

    Morabito, Marco; Pavlinic, Daniela Z; Crisci, Alfonso; Capecchi, Valerio; Orlandini, Simone; Mekjavic, Igor B

    2011-07-01

    Military and civil defense personnel are often involved in complex activities in a variety of outdoor environments. The choice of appropriate clothing ensembles represents an important strategy to establish the success of a military mission. The main aim of this study was to compare the known clothing insulation of the garment ensembles worn by soldiers during two winter outdoor field trials (hike and guard duty) with the estimated optimal clothing thermal insulations recommended to maintain thermoneutrality, assessed by using two different biometeorological procedures. The overall aim was to assess the applicability of such biometeorological procedures to weather forecast systems, thereby developing a comprehensive biometeorological tool for military operational forecast purposes. Military trials were carried out during winter 2006 in Pokljuka (Slovenia) by Slovene Armed Forces personnel. Gastrointestinal temperature, heart rate and environmental parameters were measured with portable data acquisition systems. The thermal characteristics of the clothing ensembles worn by the soldiers, namely thermal resistance, were determined with a sweating thermal manikin. Results showed that the clothing ensemble worn by the military was appropriate during guard duty but generally inappropriate during the hike. A general under-estimation of the biometeorological forecast model in predicting the optimal clothing insulation value was observed and an additional post-processing calibration might further improve forecast accuracy. This study represents the first step in the development of a comprehensive personalized biometeorological forecast system aimed at improving recommendations regarding the optimal thermal insulation of military garment ensembles for winter activities.

  5. Evaluation of a psychological health and resilience intervention for military spouses: A pilot study.

    Science.gov (United States)

    Kees, Michelle; Rosenblum, Katherine

    2015-08-01

    The decade long conflicts in Iraq and Afghanistan have placed considerable strain on military families. Given robust data showing high rates of deployment-related psychological health problems in spouses and children, and the near absence of evidence-based psychological health programs for military families in the community, interventions are urgently needed to support and strengthen spouses as they adjust to deployment transitions and military life experiences. This Phase 1 pilot study evaluated the feasibility and acceptability of a resiliency intervention for military spouses in civilian communities (HomeFront Strong; HFS), and generated preliminary efficacy data regarding impacts on psychological health and adjustment. Through two group cohorts, 14 women completed the intervention, with 10 women providing pre- and postgroup assessment data. Findings support feasibility of the intervention and high rates of program satisfaction. Participants reported learning new strategies and feeling more knowledgeable in their ability to use effective coping skills for managing deployment and military-related stressors. Participation in HFS was also associated with reduction in levels of anxiety and perceived stress, and improvements in life satisfaction and life engagement. HFS is a promising community-based intervention for military spouses designed to enhance resiliency, reduce negative psychological health symptoms, and improve coping. (c) 2015 APA, all rights reserved).

  6. The importance of understanding military culture.

    Science.gov (United States)

    Hall, Lynn K

    2011-01-01

    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.

  7. Pastoral Care and Counseling with Military Families.

    Science.gov (United States)

    Moon, Zachary

    2016-06-01

    The complex human experience of military service and the stress suffered by millions of military families each time a loved one deploys present unique challenges and opportunities in providing pastoral care and counseling. War and military service impact many facets of our society, as well as generational and interpersonal relationships. This article speaks to both academic and practitioner communities, and provides a vision for effective pastoral care and counseling with military families drawing on resources from family systems theory. © The Author(s) 2016.

  8. China's Military Modernization Effects on Operational Art

    National Research Council Canada - National Science Library

    Abitante, George

    1999-01-01

    China is developing capabilities with its ongoing military modernization that, when combined with regional diplomatic and economic initiatives, will affect the Operational Art of the Geographic Commander (CINC...

  9. The European Union and Military Conflict Management

    DEFF Research Database (Denmark)

    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...... Common Security and Defence Policy with the explicit purpose to help manage violent conflicts beyond its borders. This book develops a definition and a set of criteria for success in military conflict management and applies this new analytical framework in a comparative case study of the five EU military...

  10. Human Factors Military Lexicon: Auditory Displays

    National Research Council Canada - National Science Library

    Letowski, Tomasz

    2001-01-01

    .... 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...

  11. 14 CFR 61.73 - Military pilots or former military pilots: Special rules.

    Science.gov (United States)

    2010-01-01

    ... a disciplinary action involving aircraft operations, a U.S. military pilot or former military pilot... U.S. Armed Forces undergraduate pilot training school and received a rating qualification as a... person graduated from a military undergraduate pilot training school from the Armed Forces from a foreign...

  12. Greenhouse gas emissions from alternative strategies for waste management in the military - climate account for five selected localities; Klimagassutslipp fra alternative strategier for avfallsh#Latin Small Letter A With Ring Above#ndtering i Forsvaret #En Dash# et klimaregnskap for fem utvalgte lokaliteter

    Energy Technology Data Exchange (ETDEWEB)

    Myhre, Oddvar; Reistad, Trine; Longva, Kjetil

    2011-02-15

    Greenhouse gas (GHG) emissions emanating from waste management practices in the Norwegian Armed Forces were assessed. Focus was on use of a material recovery facility (MRF) where the initial sorting of waste takes place. The MRF upgrades the waste before it is delivered to other industries to produce new products; alternatively, it undergoes incineration with energy recovery as an alternative to burning fossil fuel. The GHG emissions accounting practices examined in this paper included upstream emissions from fuel consumption of collection and transport of waste, operational activities at the MRF, and downstream processes. The latter means recycling of waste (glass, plastics, paper, ferrous metal, electrical and electronic equipment, and tires) compared to primary production using virgin materials, or the incineration of waste with energy recovery (mixed waste, food waste, wood waste, and infectious waste) compared to energy production from sources of fossil origin. The results show that recycling proves to be beneficial over primary production, and incineration of waste in waste to energy plants is favorable compared to the use of fossil fuel (savings of 0.9 and 0.3 kg Co2-equivalents kg#Minus Sign#1 waste, respectively). Sorting of all the mixed waste at military camp collection sites followed by recycling of the separated fractions at MRF would result in avoided GHG emissions of 44%, compared to the current practice of incineration with energy recovery. Further research is needed to fully elucidate the importance and benefits of increased sorting of mixed waste in the Norwegian Armed Forces seen from a GHG perspective. (author)

  13. 75 FR 81244 - Military Leadership Diversity Commission Meeting

    Science.gov (United States)

    2010-12-27

    ... 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...

  14. 75 FR 2114 - Military Leadership Diversity Commission (MLDC); Meeting

    Science.gov (United States)

    2010-01-14

    ... 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...

  15. Cancers in Australia in 2010 attributable to inadequate consumption of fruit, non-starchy vegetables and dietary fibre

    Science.gov (United States)

    Nagle, Christina M; Wilson, Louise F; Hughes, Maria Celia B; Ibiebele, Torukiri I; Miura, Kyoko; Bain, Christopher J; Whiteman, David C; Webb, Penelope M

    2015-01-01

    Objectives To estimate the number and proportion of cancers occurring in Australia in 2010 attributable to consumption deficits in fruit, non-starchy vegetables and dietary fibre. Methods We estimated the population attributable fraction (PAF) for cancers causally associated with inadequate intake of fruit and non-starchy vegetables (oral cavity, pharynx, oesophageal squamous cell carcinoma, stomach, larynx); inadequate intake of fruit (lung); and insufficient intake of fibre (colorectum). We used standard formulae incorporating prevalence of exposure (1995 National Nutrition Survey) and relative risks from independent studies. Results Overall, 1,555 (1.4% of all) and 311 (0.3% of all) cancers were attributable to inadequate intakes of fruit and non-starchy vegetables, respectively. A further 2,609 colorectal cancers (18% of colorectal) were attributable to insufficient fibre intake. If Australians increased their fibre intake by eating the recommended daily intakes of fruit and vegetables, an estimated 1,293 (8.8%) colorectal cancers could be prevented. Conclusions One in six colorectal cancer cases was attributable to inadequate intake of dietary fibre and about 1,800 cancers at other sites were attributable to insufficient fruit and non-starchy vegetable consumption. Implications Increasing the proportion of Australians who consume the recommended intake of fruit, vegetables and fibre could prevent up to 4% of all cancers. PMID:26437726

  16. 20 CFR 411.321 - Under what conditions will SSA terminate an agreement with an EN due to inadequate performance?

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Under what conditions will SSA terminate an agreement with an EN due to inadequate performance? 411.321 Section 411.321 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Networks § 411.321 Under...

  17. Safety and efficacy of twice-daily exenatide in Taiwanese patients with inadequately controlled type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Chieh-Hsiang Lu

    2013-03-01

    Conclusion: This subgroup analysis of Taiwanese patients was consistent with the overall study results, which showed that exenatide BID is superior to placebo for improving glycemic control in Asian patients with type 2 diabetes who experienced inadequate glycemic control when using oral antidiabetic therapy.

  18. Loss of integrity of thyroid morphology and function in children born to mothers with inadequately treated Graves' disease

    NARCIS (Netherlands)

    Kempers, Marlies J. E.; van Trotsenburg, A. S. Paul; van Rijn, Rick R.; Smets, Anne M. J. B.; Smit, Bert J.; de Vijlder, Jan J. M.; Vulsma, Thomas

    2007-01-01

    Context: Central congenital hypothyroidism (CH-C) in neonates born to mothers with inadequately treated Graves' disease usually needs T-4 supplementation. The thyroid and its regulatory system have not yet been extensively studied after T-4 withdrawal, until we observed disintegrated thyroid glands

  19. Dialysis Hypotension : A Role for Inadequate Increase in Arginine Vasopressin Levels? A Systematic Literature Review and Meta-Analysis

    NARCIS (Netherlands)

    Ettema, Esmee M.; Zittema, Debbie; Kuipers, Johanna; Gansevoort, Ron T.; Vart, Priya; de Jong, Paul E.; Westerhuis, Ralf; Franssen, Casper F. M.

    2014-01-01

    Background: Intradialytic hypotension is a common complication of hemodialysis (HD). Some studies have suggested that inadequate arginine vasopressin (AVP) increase could play a role in the pathogenesis of intradialytic hypotension. However, AVP levels during HD and its relation to hypotension has

  20. Risk factors for inadequate TB case finding in Rural Western Kenya: a comparison of actively and passively identified TB patients

    NARCIS (Netherlands)

    van't Hoog, Anna H.; Marston, Barbara J.; Ayisi, John G.; Agaya, Janet A.; Muhenje, Odylia; Odeny, Lazarus O.; Hongo, John; Laserson, Kayla F.; Borgdorff, Martien W.

    2013-01-01

    The findings of a prevalence survey conducted in western Kenya, in a population with 14.9% HIV prevalence suggested inadequate case finding. We found a high burden of infectious and largely undiagnosed pulmonary tuberculosis (PTB), that a quarter of the prevalent cases had not yet sought care, and a

  1. Factors explaining inadequate prenatal care utilization by first and second generation non-western women in The Netherlands.

    NARCIS (Netherlands)

    Boerleider, A.W.; Manniën, J.; Wiegers, T.A.; Francke, A.L.; Devillé, W.L.J.M.

    2013-01-01

    Background: In many industrialized western countries non-western women constitute a substantial part of the prenatal care client population. In The Netherlands, these women have also been shown to be more likely to make inadequate use of prenatal care. Explanatory factors for this include, among

  2. Confidence versus Performance as an Indicator of the Presence of Alternative Conceptions and Inadequate Problem-Solving Skills in Mechanics

    Science.gov (United States)

    Potgieter, Marietjie; Malatje, Esther; Gaigher, Estelle; Venter, Elsie

    2010-01-01

    This study investigated the use of performance-confidence relationships to signal the presence of alternative conceptions and inadequate problem-solving skills in mechanics. A group of 33 students entering physics at a South African university participated in the project. The test instrument consisted of 20 items derived from existing standardised…

  3. Inadequate dietary calcium and vitamin D intakes in renal-transplant recipients in Ireland.

    LENUS (Irish Health Repository)

    Lynch, Irene T

    2012-02-03

    vitamin D intakes in adult renal-transplant patients are in many cases inadequate.

  4. The inadequate liability and compensation regime for damage caused by nuclear activities

    International Nuclear Information System (INIS)

    Dyke, Jon M. Van

    2010-09-01

    The specific obligation to provide restitution and compensation when nuclear activities cause injuries has been recognized repeatedly and is now certainly part of customary international law. But problems remain regarding how to measure damages, how to implement the duty to repair the injuries, and what specific obligations exist to protect neighboring states from transboundary pollution. Although some treaties exist governing liability for harm resulting from nuclear accidents, they are not adequate to protect victims and have not been widely ratified. The failure to require nuclear operators to prepare for damage that may result from accidents constitutes a subsidy to the nuclear industry and makes it difficult to compare the real costs of nuclear energy with the costs of other energy sources. This survey of settled norms and unresolved issues demonstrates that further work is needed to develop a comprehensive and authoritative regime to govern harm from nuclear activities. Although it is clear that both the operators of nuclear facilities and the states that have jurisdiction over them would be responsible to provide restitution and compensation for such harm under a strict liability regime, the types of injuries that must be compensated and the range of damages that must be covered remain subjects of controversy. Although the underlying customary international law principles (the no-harm principle and the polluter-pays principle) are clear, the actual treaties that have been drafted are inadequate and they have not been widely ratified. Victims of damage from nuclear activities would have difficulty finding a neutral tribunal in which to bring their claims and would face procedural obstacles including caps on liabilities and inappropriately short statutes of limitations as well as difficulties regarding proof of damages. The failure to develop a proper regime that would ensure full restitution and compensation for harm resulting from nuclear facilities

  5. Inadequate treatment of ventilator-associated and hospital-acquired pneumonia: Risk factors and impact on outcomes

    Directory of Open Access Journals (Sweden)

    Piskin Nihal

    2012-10-01

    Full Text Available Abstract Background Initial antimicrobial therapy (AB is an important determinant of clinical outcome in patients with severe infections as pneumonia, however well-conducted studies regarding prognostic impact of inadequate initial AB in patients who are not undergoing mechanical ventilation (MV are lacking. In this study we aimed to identify the risk factors for inadequate initial AB and to determine its subsequent impact on outcomes in both ventilator associated pneumonia (VAP and hospital acquired pneumonia (HAP. Methods We retrospectively studied the accuracy of initial AB in patients with pneumonia in a university hospital in Turkey. A total of 218 patients with HAP and 130 patients with VAP were included. For each patient clinical, radiological and microbiological data were collected. Stepwise multivariate logistic regression analysis was used for risk factor analysis. Survival analysis was performed by using Kaplan-Meier method with Log-rank test. Results Sixty six percent of patients in VAP group and 41.3% of patients in HAP group received inadequate initial AB. Multiple logistic regression analysis revealed that the risk factors for inadequate initial AB in HAP patients were; late-onset HAP (OR = 2.35 (95% CI, 1.05-5.22; p = 0.037 and APACHE II score at onset of HAP (OR = 1.06 (95% CI, 1.01-1.12; p = 0.018. In VAP patients; antibiotic usage in the previous three months (OR = 3.16 (95% CI, 1.27-7.81; p = 0.013 and admission to a surgical unit (OR = 2.9 (95% CI, 1.17-7.19; p = 0.022 were found to be independent risk factors for inadequate initial AB. No statistically significant difference in crude hospital mortality and 28-day mortality was observed between the treatment groups in both VAP and HAP. However we showed a significant increase in length of hospital stay, duration of mechanical ventilation and a prolonged clinical resolution in the inadequate AB group in both VAP and HAP. Conclusion Our data

  6. Inadequate treatment of ventilator-associated and hospital-acquired pneumonia: risk factors and impact on outcomes.

    Science.gov (United States)

    Piskin, Nihal; Aydemir, Hande; Oztoprak, Nefise; Akduman, Deniz; Comert, Fusun; Kokturk, Furuzan; Celebi, Guven

    2012-10-24

    Initial antimicrobial therapy (AB) is an important determinant of clinical outcome in patients with severe infections as pneumonia, however well-conducted studies regarding prognostic impact of inadequate initial AB in patients who are not undergoing mechanical ventilation (MV) are lacking. In this study we aimed to identify the risk factors for inadequate initial AB and to determine its subsequent impact on outcomes in both ventilator associated pneumonia (VAP) and hospital acquired pneumonia (HAP). We retrospectively studied the accuracy of initial AB in patients with pneumonia in a university hospital in Turkey. A total of 218 patients with HAP and 130 patients with VAP were included. For each patient clinical, radiological and microbiological data were collected. Stepwise multivariate logistic regression analysis was used for risk factor analysis. Survival analysis was performed by using Kaplan-Meier method with Log-rank test. Sixty six percent of patients in VAP group and 41.3% of patients in HAP group received inadequate initial AB. Multiple logistic regression analysis revealed that the risk factors for inadequate initial AB in HAP patients were; late-onset HAP (OR = 2.35 (95% CI, 1.05-5.22; p = 0.037) and APACHE II score at onset of HAP (OR = 1.06 (95% CI, 1.01-1.12); p = 0.018). In VAP patients; antibiotic usage in the previous three months (OR = 3.16 (95% CI, 1.27-7.81); p = 0.013) and admission to a surgical unit (OR = 2.9 (95% CI, 1.17-7.19); p = 0.022) were found to be independent risk factors for inadequate initial AB. No statistically significant difference in crude hospital mortality and 28-day mortality was observed between the treatment groups in both VAP and HAP. However we showed a significant increase in length of hospital stay, duration of mechanical ventilation and a prolonged clinical resolution in the inadequate AB group in both VAP and HAP. Our data suggests that the risk factors for inadequate initial AB

  7. The National Military Strategy of the United States of America: Redefining America’s Military Leadership

    Science.gov (United States)

    2011-02-08

    and exercises with the Philippines, Thailand, Vietnam, Malaysia , Pakistan, Indonesia, Singapore, and other states in Oceania – working with them...preventive actions to diminish the tragic risks of suicide, traumatic brain injury, substance abuse, homelessness , domestic violence, and other challenges

  8. The U.S. Army in a Civil-Military Support Role in Latin America

    Science.gov (United States)

    1992-06-01

    American countries, but if 3 106 Carta de Conducta de Riobamba [Charter of Conduct] presented to the United Nations General Assembly by the Permanent...34Perspectives on Nationbuilding in Low-Intensity/High-Probability Conflicts: Medical Strategy." Military Review 2 (February 1989). Carta de Conducta

  9. Changes in LASSI Scores Among Reading and Study Skills Students at the United States Military Academy.

    Science.gov (United States)

    Ince, Elizabeth J.; Priest, Robert

    1998-01-01

    Describes administration of the Learning and Study Strategies Inventory (LASSI) to three groups of United States Military Academy students in order to evaluate changes in student performance as a result of taking a student-success course (RS101). LASSI measures students' affective growth upon completion of the RS101 course and their growth in…

  10. Predictors of Continued Problem Drinking and Substance Use Following Military Discharge

    Science.gov (United States)

    2014-07-01

    playing a role (e.g., Hasking and Oei , 2004). Military experiences may further add to this complexity. More work is needed to understand the best way...coping strategies, alcohol expectancies, drinking motives and drinking behaviour. Addictive Behaviors, 36, 479–487. Hasking, P. A., & Oei , T. (2004). The

  11. The Role of the Military Construction Engineers in the Hybrid War

    Science.gov (United States)

    2015-06-12

    integration of civilian and military instruments is sensible . In the quest for successful strategies, R. Scott Moore at the Center for Complex Operations in...Provide Support to Civil Law Enforcement Provide Other Support as Required Train and indigenous construction forces Identify, rehabilitate , secure

  12. Assessment of quality indicators in spanish higher military education

    Directory of Open Access Journals (Sweden)

    Olmos Gómez Maria del Carmen

    2016-01-01

    Full Text Available The quality assessment is subject to multiple interpretations of its content and purpose, and also regarding to methods and techniques used to develop it. Although purposes of assessment are varied, usually pursuit three goals: Improvement, accountability and information. Currently, the concept of quality evaluation has been replaced by the management of educational quality, as Matthew [6] point “the new culture of evaluation is no longer oriented to penalty, ranking or selection of people, as provide a reasoned and reasonable information to guide the management of educational improvement”. Military Training Centres are externally evaluated by an experts External Evaluation Unit to identify strengths and weaknesses on their self-evaluation system and focus on important aspects related to the organization of the Centre, development of work plans, teacher’s style and students learning strategies, system of evaluation and qualification and accurate recommendations to improve all that. This research focuses on the evaluation of quality indicators for the external evaluation of higher education at Military Education Centres in Spain and it is funded by a joint project between University of Granada and MADOC. The technique used for collecting and analysing information was a content description of several documents provided by these military educational authorities, arising the identification and extraction of relevant indicators on the evaluation of higher education. This analysis was primarily based on standards and indicators systems by ANECA (National Agency for Quality Assessment and Accreditation adapted to the Military Higher Education, but also it was consider other standards by international agencies and evaluative institutions, such as University of Chile, University of Paraguay, Canarias Agency for Quality Assessment and Accreditation and Agency for Quality Education System University of Castilla y León. The analysis realize a usual

  13. Cost-Effectiveness Analysis of a Military Hearing Conservation Program.

    Science.gov (United States)

    Garcia, Seth L; Smith, Kenneth J; Palmer, Catherine

    2018-02-07

    pay $64,172 per case of hearing loss prevented. Conceding a lifetime cost for service-related compensation for hearing loss per individual of $64,172, the Department of Defense Hearing Conservation Program is an economically reasonable program relative to no intervention, if a case of hearing loss avoided costs $10,657. Considering the net difference of the costs and comparative benefits of both treatment strategies, providing a hearing conservation program for all active duty military workers may be a cost-effective intervention for the Department of Defense. © Association of Military Surgeons of the United States 2018. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  14. Assessment of quality indicators in Spanish higher military education

    Directory of Open Access Journals (Sweden)

    Olmos Gómez Maria del Carmen

    2016-01-01

    Full Text Available The quality assessment is subject to multiple interpretations of its content and purpose, and also regarding to methods and techniques used to develop it. Although purposes of assessment are varied, usually pursuit three goals: Improvement, accountability and information. Currently, the concept of quality evaluation has been replaced by the management of educational quality, as Matthew [6] point “the new culture of evaluation is no longer oriented to penalty, ranking or selection of people, as provide a reasoned and reasonable information to guide the management of educational improvement”. Military Training Centres are externally evaluated by an experts External Evaluation Unit to identify strengths and weaknesses on their self-evaluation system and focus on important aspects related to the organization of the Centre, development of work plans, teacher’s style and students learning strategies, system of evaluation and qualification and accurate recommendations to improve all that. This research focuses on the evaluation of quality indicators for the external evaluation of higher education at Military Education Centres in Spain and it is funded by a joint project between University of Granada and MADOC. The technique used for collecting and analysing information was a content description of several documents provided by these military educational authorities, arising the identification and extraction of relevant indicators on the evaluation of higher education. This analysis was primarily based on standards and indicators systems by ANECA (National Agency for Quality Assessment and Accreditation adapted to the Military Higher Education, but also it was consider other standards by international agencies and evaluative institutions, such as University of Chile, University of Paraguay, Canarias Agency for Quality Assessment and Accreditation and Agency for Quality Education System University of Castilla y León. The analysis realize a usual

  15. World atlas of nuclear industry: civil and military

    International Nuclear Information System (INIS)

    Alexandre, Nicolas

    2011-01-01

    Todays, with the energy supplies and global warming concerns, nuclear energy in making a come-back, witness the numerous nuclear programs launched or re-launched in the US, in Europe, China and India. In parallel, on the military side, the deterrence strategy remains in the center of security politics of big powers. This atlas takes stock of the overall issues linked with the nuclear technology: production, civil applications (power generation, medicine etc..), military usages (naval propulsion, weapons). It answers the main questions of this complex world, often dominated by secrecy: who does what in the nuclear domain in France? Is an accident, like the Chernobyl's one, possible today in Europe? What solutions for radioactive wastes? Do we take risks when we export our reactor technologies to Middle-East countries? Are we at the dawn of a new arms rush? What do international agreements foresee in this domain? Taking into account the costs, the hazards and the advantages of nuclear industry, the atlas shows that it is possible to establish solid technical and legal barriers between its civil and military sides. (J.S.)

  16. Military service absences and family members' mental health: A timeline followback assessment.

    Science.gov (United States)

    Rodriguez, Aubrey J; Margolin, Gayla

    2015-08-01

    Although military service, and particularly absence due to deployment, has been linked to risk for depression and anxiety among some spouses and children of active duty service members, there is limited research to explain the heterogeneity in family members' reactions to military service stressors. The current investigation introduces the Timeline Followback Military Family Interview (TFMFI) as a clinically useful strategy to collect detailed time-linked information about the service member's absences. Two dimensions of parent absence--the extent to which absences coincide with important family events and cumulative time absent--were tested as potential risks to family members' mental health. Data from 70 mother-adolescent pairs revealed that the number of important family events missed by the service member was linked to elevated youth symptoms of depression, even when accounting for the number of deployments and cumulative duration of the service member's absence. However, youth who reported more frequent contact with the service member during absences were buffered from the effects of extensive absence. Mothers' symptoms were associated with the cumulative duration of the service members' time away, but not with family events missed by the service member. These results identify circumstances that increase the risk for mental health symptoms associated with military family life. The TFMFI provides an interview-based strategy for clinicians wishing to understand military family members' lived experience during periods of service-member absence. (c) 2015 APA, all rights reserved).

  17. Predictors of Inadequate Prenatal Care in Methamphetamine-Using Mothers in New Zealand and the United States

    Science.gov (United States)

    LaGasse, Linda L.; Wouldes, Trecia A.; Arria, Amelia M.; Wilcox, Tara; Derauf, Chris; Newman, Elana; Shah, Rizwan; Smith, Lynne M.; Neal, Charles R.; Huestis, Marilyn A.; DellaGrotta, Sheri; Lester, Barry M.

    2013-01-01

    This study compared patterns of prenatal care among mothers who used methamphetamine (MA) during pregnancy and non-using mothers in the US and New Zealand (NZ), and evaluated associations among maternal drug use, child protective services (CPS) referral, and inadequate prenatal care in both countries. The sample consisted of 182 mothers in the MA-Exposed and 196 in the Comparison groups in the US, and 107 mothers in the MA-Exposed and 112 in the Comparison groups in NZ. Positive toxicology results and/or maternal report of MA use during pregnancy were used to identify MA use. Information about sociodemographics, prenatal care and prenatal substance use was collected by maternal interview. MA-use during pregnancy is associated with lower socio-economic status, single marital status, and CPS referral in both NZ and the US. Compared to their non-using counterparts, MA-using mothers in the US had significantly higher rates of inadequate prenatal care. No association was found between inadequate care and MA-use in NZ. In the US, inadequate prenatal care was associated with CPS referral, but not in NZ. Referral to CPS for drug use only composed 40 % of all referrals in the US, but only 15 % of referrals in NZ. In our study population, prenatal MA-use and CPS referral eclipse maternal sociodemographics in explanatory power for inadequate prenatal care. The predominant effect of CPS referral in the US is especially interesting, and should encourage further research on whether the US policy of mandatory reporting discourages drug-using mothers from seeking antenatal care. PMID:22588827

  18. To the Question on the Nature of Military Threats and Non-Military Responses

    Directory of Open Access Journals (Sweden)

    Sambu R. Tsyrendorzhjyev

    2015-01-01

    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.

  19. Sex Differences in Coping Strategies in Military Survival School

    Science.gov (United States)

    2015-01-01

    and rumination ( Lazarus Folkman , 1984; Pacella et al., 2011; Pineles et al., 2011; Schnider, lhai, & Gray, 2007; Tamres, Janicki, & Helgeson, 2002...posttraumatic stress disorder, and women’s health. Behavioral Medicine, 33, 125–135. azarus, R. S., & Folkman , S. (1984). Stress, appraisal, and coping

  20. War in Afghanistan: Strategy, Military Operations, and Issues for Congress

    Science.gov (United States)

    2010-06-08

    Agribusiness Development Teams................................................................................. 56 A Civilian Surge...be good potential for drawing Hekmatyar away from the insurgent fight and into a constructive role.89 Others caution that his reputation for Islamic...U.S. officials as critical to security, governance and development. Agribusiness Development Teams Supplementing the work of battlespace owners

  1. United States Military Strategy in the Persian Gulf

    Science.gov (United States)

    1989-03-27

    500.000 ASA 25.000-100.000 ~ gra - - Bhbah~nhSdn Under 25,000 Day,- A N 0 so 100 dmtr KU IT KNTI n uwait Tris I’IF I / Gahiiat. 00ye m\\lL AM Ata ae Prsi~ean ’eua ret ihwr peetto Aid Strai ofer~ abntai 50U22(S474GulfS O-45

  2. On the Foundations of National Military Strategy: Past and Present.

    Science.gov (United States)

    1990-12-31

    Trends and realities that suggest we are at a point of paradigm shift. FVffj4hb4 ;s mov;1Vd brn staysti Heraclitus Fragments The Hobbesian model and the...characterized by .. fragmentation and diversity ൥ Almost half the Frenen tanks were emplkwed in an infantry support role. 30 The French emploved

  3. Towards 2000: Directions for Australia’s Military Strategy

    Science.gov (United States)

    1985-03-01

    the Fifth Division 4600 casualties between 7-15 August. "Ihe thirty acres around Pozieres windmill were soaked with more Australian blood than any...Defence Report 1982-83 (AGPS, Canberra, 1983)»pi. IM. Scholes, op cit. p5. 1^2. See Gabriel A. Almond and G. Bingham Powell, Comparative

  4. Military Strategy of Bangladesh to Counter Terrorism in Near Future

    Science.gov (United States)

    2011-06-10

    From the earliest years of Bangladesh‘s existence, a countrywide muscleman culture, political rifts, cadre politics, hooliganism , and extortion have... hooliganism , and muscleman culture mostly sponsored by politically influential people have also contributed to undermine the security situation of

  5. To Tell the Truth: The Challenge of Military Leadership

    National Research Council Canada - National Science Library

    Henderson, Jr, Ronald H

    1998-01-01

    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...

  6. Military Observers 1815-1975

    Science.gov (United States)

    1988-03-16

    where he made reconnaissance of the Amazonas and upper Madeira River Regions; As a Colonel, in Venezuela as military attache from 1942 to 1943; At...absence in Europe I examining means for protecting Delta Rivers from inundation in I 1853-54. Brigadier General and Chief Engineer of the U.S. Army...of Delta Rivers from Jul, : to November .9, D7: n Isave of absencm in Europe from June 17. 1S77 to jL’n5Z 1--33 -olanei on April 7, 19E8. 1704 William

  7. Spain: Democracy and the Military.

    Science.gov (United States)

    1981-12-01

    1980, p.54. 68. Los Angeles Times, June 10, 1981, p.2 . 69. Ibid. 70. Christian Science Monitor, December 11, 1981, p.3 . 71. Lt. Col. J. Sanchez Mendez ...Institute for Strategic Studies (IISS), The Military Balance, 1980-1981, IISS, 1980, p.36 . 75. Sanchez Mendez , p.1490-1491. 76. Ibid, p.1491-1493. 77. Ibid...transformation in which King Juan Carlos I, Franco’s handpicked successor, inherited the authoritarian powers of a dictator and promptly used them to turn

  8. [The military-medical commission FSI "1586th Military Hospital", Russian Ministry of Defence--90 years].

    Science.gov (United States)

    Andronenkov, I A; Rybakov, O A; Makhson, I P

    2012-02-01

    The military-medical commission FSI "1586th Military Hospital" of the Ministry of Defense undertakes a significant part of the activities of the entire military medical expertise in the Armed Forces. The commission covers the territory of the Central and Volga Federal Districs (19 subordinate entities of the Russian Federation). Currently, the committee consists of three functional departments: recruitment examination and acquisition of military schools, separation of military and military service examination, and examination of the medical department, flight and selection of specialists. A significant component in the military-medical commission is inspection of flight and flight-lift Air Force, for which the commission has a staff department of medical-flight examination, in which medical examination of pilots is carried out (annually--about 500 people).

  9. MILITARY LAW PRACTITIONERS AND ACADEMIC DISCOURSE: A ...

    African Journals Online (AJOL)

    military law is understood as the criminal law of the soldier, limiting it to the realm of military justice. Considering the expanding role of armed forces internationally, and the secondary roles of their employment, there is a clear need for a ..... operations, whether in international waters or on the borders of the Republic, is.

  10. Resuscitation Training at Rwanda Military Hospital

    African Journals Online (AJOL)

    Learning the C-A-Bs: Resuscitation Training at Rwanda Military Hospital. Kathryn Norgang1, Auni Idi Muhire1, Sarah Howrath1. 1Rwanda Military Hospital, Rwanda. Background. There is a lack of trained staff to respond to critically ill patients and cardiac and respiratory arrests in a health facility in Rwanda. This lack of ...

  11. Military Versus Civilian Murder-Suicide.

    Science.gov (United States)

    Patton, Christina L; McNally, Matthew R; Fremouw, William J

    2015-07-03

    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.

  12. JPRS Report, Soviet Union, Military Affairs.

    Science.gov (United States)

    1988-01-07

    they capable of making military affairs interesting to a young men in Adidas jackets with dyed- hackle hairdos, of getting them to love military...of an emergency situation from its origins to the end result, hone the personnel’s interaction in the course of a specific modeled emergency, and

  13. On the Military Significance of Language Competence.

    Science.gov (United States)

    Muller, Kurt E.

    1981-01-01

    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)

  14. Sociological Research in a Military School

    Science.gov (United States)

    Ignat'ev, V. V.

    2008-01-01

    What is the content of a system of sociological support for the administration of a higher military educational institution, and what problems are involved? From October 2006 to February 2007, instructors in the department of the humanities and the social-economic disciplines at Eisk F. M. Komarov Higher Military Aviation School (EVVAU) carried…

  15. Optimization-Based Military Capital Planning

    National Research Council Canada - National Science Library

    Brown, Gerald

    2004-01-01

    ..., and the sheer scale of the endeavor. Mathematical optimization models have long played a key role in unraveling the complexities of capital planning, and the military has lead the development and use of such models. We survey the history of optimizing civilian and military capital plans and then present prototypic models exhibiting features that render these models useful for real-world decision support.

  16. The European Union and Military Conflict Management

    DEFF Research Database (Denmark)

    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...

  17. International Military Practice Amidst Ethical Heterogeneity

    Science.gov (United States)

    2013-12-13

    essays prescribing ideal military structures, sociological and social- psychological inquiries focused on professionalism, and personal...essential to have the trust of the participants, to ensure humanistic and scientific ethical obligations, and to protect and treat people with dignity...within military academies delivering PMEE. How can Christians, Jews, humanists , Muslims, Hindus, and nontheists represented in these institutions

  18. Pending crisis in Russian civil military relations

    Energy Technology Data Exchange (ETDEWEB)

    Ball, D.Y.

    1997-10-01

    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.

  19. Construction contracting and civil-military interaction

    NARCIS (Netherlands)

    Kremers, Jasper; Rietjens, S.J.H.; Voordijk, Johannes T.; de Boer, S.J.

    2010-01-01

    There is a need for improved insights into the contracting process for construction projects that the military contract out to civil contractors in the specific setting of civil–military interaction (CMI) in regions that are suffering from instability and armed conflict. The core questions are: what

  20. Stress Training and the New Military Environment

    NARCIS (Netherlands)

    A.W.K. Gaillard; prof. dr. J.M.L.M. Soeters; R. Delahaij

    2006-01-01

    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

  1. Stress training and the new military environment

    NARCIS (Netherlands)

    Delahaij, R.; Gaillard, A.W.K.; Soeters, J.M.L.M.

    2006-01-01

    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

  2. National Military Diplomacy and its Prospects

    Directory of Open Access Journals (Sweden)

    Grina Gediminas

    2017-12-01

    Full Text Available This article presents the development of modern Lithuanian military diplomacy, the future priority trends, and examines the features of service organizations. It is demonstrated that organizing military diplomacy is a totality of political provisions, encompassing the preparedness of the Lithuanian officer corps, activity support and supply chain, and the position of a military diplomacy organization in a system of national diplomacy. According to the author, the scope of military diplomacy is determined by the provisions of political leadership of the national defence system on the implementation of Lithuania’s foreign policy in the defence sphere, as well as by the extent of representing departmental interests in similar systems in foreign countries. The article presents the specifics of military diplomacy and that of officers’ service within allied (NATO or EU countries and the peculiarities of service in other states often displaying pugnacious interests to Lithuania. The author sets forth arguments concerning the priorities of military diplomatic representation in the mid-term, and concludes that the significance of military diplomacy, in light of recently developing trends of an international framework, will further expand whereas fully-fledged diplomacy will be incapacitated to function without qualified military advice.

  3. MILITARY MISSION COMBAT EFFICIENCY ESTIMATION SYSTEM

    Directory of Open Access Journals (Sweden)

    Ighoyota B. AJENAGHUGHRURE

    2017-04-01

    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.

  4. 78 FR 66607 - Military Family Month, 2013

    Science.gov (United States)

    2013-11-05

    ... times of war. Yet the courageous men and women of the United States military do not serve alone..., and expands access to wellness and education programs for military families. Since the initiative... Administration is also taking action to improve mental health care and education for veterans, service members...

  5. Investigating Team Learning in a Military Context

    Science.gov (United States)

    Veestraeten, Marlies; Kyndt, Eva; Dochy, Filip

    2014-01-01

    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…

  6. Youth Attitudes Toward the Military: Poll Two

    Science.gov (United States)

    2002-04-01

    the youth population, unemployment rates, world events and attitudes on continuing education. Like the recruitment environment, advertising approaches... Youth Attitudes Toward the Military Poll Two DMDC Report No. 2002-028 April 2002 For additional copies of this report, contact: Defense Technical...for Report by ADA- DMDC Report No. 2002-028 April 2002 YOUTH ATTITUDES TOWARD THE MILITARY: POLL TWO

  7. Military Expenditure and Socio-Economic Development.

    Science.gov (United States)

    Ball, Nicole

    1983-01-01

    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…

  8. Military and civilian media coverage of suicide.

    Science.gov (United States)

    Edwards-Stewart, Amanda; Kinn, Julie T; June, Jennifer D; Fullerton, Nicole R

    2011-01-01

    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.

  9. Roman Military Medicine and Croatian Archaeological Perspectives.

    Science.gov (United States)

    Cesarik, Marijan; Cesarik, Nikola; Duplančić, Darko; Štrmelj, David

    2016-09-01

    This article offers a general examination of the sources responsible for understanding Roman military medicine, starting with literal and epigraphical sources all the way to archaeological remains consisting of hospitals, the infrastructure of military garrisons and small medical tools. Given that not one of the literary sources does not directly mention the medical personnel within the various military units, epigraphical discoveries widely represent the main source of our knowledge on the subject. On the other hand, the archaeological exploration of military garrisons offers proof of the medical care of Roman soldiers. If at first it appears that Roman military medicine is perfectly obvious and clear, actually this is not the case as many questions remain to be answered and debated. In all this, Croatia has its own archaeological perspective, where notably, one site stands out, which could hold a key role according to the layout of buildings within the garrison including its hospital.

  10. [Nutrition support for patients-servicemen in military-medical organizations of the Ministry of Defence].

    Science.gov (United States)

    Strukov, E Yu; Kuvshinov, K E; Shchegolev, A V; Shestopalov, A E; Stets, V V; Petrakov, V A

    2015-10-01

    Analysis of the state of nutritional support in military medical institutions of the Ministry of Defence of the Russian Federation. In order to study the state of nutritional support chiefs (heads) of anaesthesiology and resuscitation military medical organizations of the Ministry of Defense of the Russian Federation on the practice of Clinical Nutrition were interviewed. These amounts reflect the organization, strategy, equipment and the need for means and methods of nutritional support, depending on the level of the organization, as well as provide a basis for improving the practice of nutritionally metabolic support in critically ill patients.

  11. Military service and crime: new evidence.

    Science.gov (United States)

    Snowden, David L; Oh, Sehun; Salas-Wright, Christopher P; Vaughn, Michael G; King, Erika

    2017-05-01

    Evidence indicates that a substantial proportion of military personnel are involved in high-risk and antisocial behaviors that place them at jeopardy for criminal justice system involvement. However, prior research on military service and crime has disproportionately focused on veterans from the Vietnam War era (1955-1975), and has tended to focus on either current or former military members. This study employed data from a population-based study (i.e., National Study on Drug Use and Health [NSDUH] between 2002 and 2014). It systematically examines the prevalence of self-reported antisocial behaviors, criminal justice system involvement, and substance abuse among the US civilian population and military service members, including reservists (n = 2206) and those who reported having been separated or retired from military service (n = 20,551). These factors are further examined across the developmental spectrum of adulthood (ages 18-34, 35-49, and 50-64). Results showed that military members were more prone to lifetime arrests and overall substance misuse. However, additional findings emerged suggesting that, while the military population overall seems to be positively associated with higher criminal activity than that found in the civilian population, these findings were based on a specific subgroup of the veteran population. This subgroup is comprised of individuals who likely did not fit in with the military culture and were discharged from the military early in their careers. Additional research on identifying this subgroup of military members is encouraged to better concentrate on prevention and treatment measures.

  12. Brazilians' experiences with iron fortification: evidence of effectiveness for reducing inadequate iron intakes with fortified flour policy.

    Science.gov (United States)

    Vieira, Diva Aliete Dos Santos; Steluti, Josiane; Verly, Eliseu; Marchioni, Dirce Maria; Fisberg, Regina Mara

    2017-02-01

    To assess Fe intake, calculate the prevalence of inadequate Fe intake and identify food contributors to Fe intake during 2003 and 2008 in a population-based study, reflecting before and after the mandatory fortification of flour with Fe. Two cross-sectional population-based studies conducted in 2003 and 2008. Dietary intake was evaluated by 24 h recall and the Software for Intake Distribution Estimation (PC-SIDE) was used to estimate within-person variance and prevalence of inadequate Fe intake. The statistical analysis was conducted considering the complex survey design. São Paulo, Brazil. Adolescents, adults and elderly adults of both sexes, interviewed in 2003 (n 2386) and 2008 (n 1661). The Fe intake mean increased in all populations in the post-fortification period. A reduction of over 90 % was observed in the prevalence of inadequate Fe intake among men for all age groups analysed. When evaluating women, despite the substantial reduction (over 63 %), prevalence of inadequate Fe intake remained high (34 %) in those aged 19-50 years. Major food contributors to Fe intake before fortification were beans, beef, vegetables and dairy. There was an alteration in the contributors in the post-fortification period, with bread, beef, beans and biscuits as main contributors. The mandatory fortification with Fe significantly furthered the reduction in the prevalence of inadequacy, except among women of reproductive age, and changed the main contributors to this nutrient in the studied population. Therefore, monitoring of Fe addition in flour is essential to assess compliance to the fortified flour policy and to guarantee a safe Fe intake for all the population.

  13. An implant-supported removable partial denture on milled bars to compromise the inadequate treatment plan: a clinical report

    OpenAIRE

    Kim, Jee-Hwan; Lee, Jae-Hoon

    2010-01-01

    Presurgical prosthetic treatment planning is critical for the success of the implant prosthesis. Inadequate treatment plan, due to insufficient discussion between prosthodontist, and surgeon, may result in poor prognosis. A 26-year-old male patient was referred for prosthodontic treatment after implant was placed in the area of teeth #17, 16, 22, 25 and 27, without adequate discussion nor the treatment planning between oral surgeon and prosthodontist. It was found that the patient had two hop...

  14. Prevalence and risk factors of inadequate cervical dilation following laminaria insertion in second-trimester abortion--case control study.

    Science.gov (United States)

    Ben-Ami, Ido; Stern, Sharon; Vaknin, Zvi; Smorgick, Noam; Schneider, David; Halperin, Reuvit

    2015-04-01

    The objective was to explore the prevalence of and risk factors for inadequate cervical dilation following insertion of a single set of laminaria in women scheduled for dilation & evacuation (D&E) at 14-24 weeks' gestation. We retrospectively reviewed all cases of women who underwent pregnancy termination by D&E at 14-24 weeks' gestation between January 2003 and December 2013. All cases in which the surgical procedure was cancelled due to failure to achieve adequate cervical dilation after a single set of laminaria inadequate cervical dilation were included. The control group was women who underwent D&E following adequate cervical dilation after a single set of laminaria, and were matched according to gestational week in a ratio of 1:3. The overall dilation failure rate was 3.2%, with 4.0% among the induced-abortion patients and 1.5% among the patients with fetal demise (p=.002). Patients who had inadequate cervical dilation had lower rates of gravidity (p=.002) and previous spontaneous vaginal delivery (plaminaria insertion, namely, previous cesarean section (p=.002) and previous cervical procedure (plaminaria. Women who are scheduled for D&E, and in whom one of these risk factors exists, might benefit from additional interventions to achieve better cervical preparation. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Inadequate vertical bone dimension managed by bone-added osteotome sinus floor elevation (BAOSFE): a literature review and case report.

    Science.gov (United States)

    Kolhatkar, Shilpa; Cabanilla, Leyvee; Bhola, Monish

    2009-05-01

    The purpose of this report is to provide a brief literature review of the bone-added osteotome sinus floor elevation (BAOSFE) procedure and to present a case utilizing this technique. Implant placement in the posterior maxillary region is often compromised due to anatomic limitations. In clinical situations where there is inadequate vertical bone dimension, the BAOSFE technique can be employed to increase bone height and allow placement of implants with an appropriate length dimension. A case of a 60-year-old female with inadequate vertical bone dimension in the area of an extracted #13 is presented. The BAOSFE technique was performed which facilitated the placement of a 3.75 X 13 mm implant. Anatomic limitations such as inadequate vertical bone dimension in the posterior maxillary region may result in placement of shorter implants. Sinus floor elevation (SFE) procedures using a crestal approach such as the BAOSFE, in certain selected cases, can effectively and predictably increase bone height. The BAOSFE technique is an excellent procedure that can overcome limitations associated with the posterior maxillary region.

  16. Inadequate housing among families under investigation for child abuse and neglect: prevalence from a national probability sample.

    Science.gov (United States)

    Fowler, Patrick J; Henry, David B; Schoeny, Michael; Landsverk, John; Chavira, Dina; Taylor, Jeremy J

    2013-09-01

    This study aimed to estimate the prevalence of inadequate housing that threaten out-of-home placement among families under investigation by child welfare. Data came from the National Survey of Child and Adolescent Well-Being, a nationally representative longitudinal survey of child welfare-involved families. Child protective services caseworkers as well as caregivers provided information on families whose child remained in the home after initial investigation (N = 3,867). Multilevel latent class analyses tested the presence of inadequately housed subgroups using 4 housing problem indicators at baseline. Logistic regressions assessed convergent and predictive validity. A two class latent solution best fit the data. Findings indicated that inadequate housing contributed to risk for out-of-home placement in approximately 16 % of intact families under investigation by child protective services. These families were 4 times more likely to need housing services 12 months later. Federal legislation emphasizes integration of social services as necessary to end homelessness. This study demonstrates overlap across public agencies. Enhanced coordination of child welfare and housing services facilitates interventions to prevent and mitigate homelessness.

  17. A JURIDICAL-ADMINISTRATIVE COMPARISON BETWEEN THE MILITARY AND THE MEDICAL OPERATION

    Directory of Open Access Journals (Sweden)

    Georgel RUSU

    2016-03-01

    Full Text Available To bring together the word operation and opera and/or accomplishing an opera is not at all improper. Defining a (military operation as ”the total amount of the military actions performed by large operative and strategic units, according to an unique plan, for attaining an operative or strategic objective....”[1], coldly and exhaustively developed along almost two pages, may provide sufficient arguments for correctly anchoring the action within the domain of military practice, in spite of the shortcoming of not having a more synthetic form, with valid landmarks for other disciplines, as well. Frequently, both the medical and the military operations exceed their routine, deserving artistic appreciations. It is not accidental that analysis and preparation of any military combat includes the field of military art, defined as ”a compounding part of the military science, a specialized domain of organization and management of armed conflicts. It includes both the principles, methods, procedures and rules for the preparation and development of military actions, and the personal endowments (talent, mastership, skill expected from the part of leaders and troops for attaining success in the battle...”[2] More than that, the operative art is defined as ”a component of military art ... created and developed as an intermediary domain between strategy and tactics...”[3]. Continuing to lay stress on the parallelism to which the study is devoted, the author considers that actions that may be related to or may be appreciated as possessing artistic characteristics occur even beyond the field of aesthetic or reparatory surgery. The definitions provided by medical dictionaries do not eliminate, yet encourage similarities. The operation is ”s.f./operation, (Lat. operatio, -onis = work, operation, derived from operari = to work, and opus, operis = labour, work, a medical act performed by the surgeon with his hands, by means of adequate instruments, for

  18. The mathematics of games of strategy

    CERN Document Server

    Dresher, Melvin

    1981-01-01

    A noted research mathematician explores decision making in the absence of perfect information. His clear presentation of the mathematical theory of games of strategy encompasses applications to many fields, including economics, military, business, and operations research. No advanced algebra or non-elementary calculus occurs in most of the proofs.

  19. Rio Branco, grand strategy and naval power

    Directory of Open Access Journals (Sweden)

    João Paulo Alsina Jr.

    2014-12-01

    Full Text Available This article addresses Baron of Rio Branco's grand strategy and the role played by the naval reorganization program (1904-1910 in this context. The ensuing case study determined the domestic and international constraints that affected the program, as well as the worldview of the patron of Brazilian diplomacy regarding military power's instrumentality to foreign policy.

  20. Adaptation Strategies to Climate Change by Food Crop Farmers in ...

    African Journals Online (AJOL)

    ... constraints to farmers adaptation strategies. Inputs supply to the local farmers should also come with government subsidy. This will go a long way in alleviating the sufferings of the farmers, as regards inadequate supply and delivery of agricultural inputs. Key words: Adaptation, Strategies, Climate, Change, Food, Crop,

  1. Effects of winter military training on energy balance, whole-body protein balance, muscle damage, soreness, and physical performance.

    Science.gov (United States)

    Margolis, Lee M; Murphy, Nancy E; Martini, Svein; Spitz, Marissa G; Thrane, Ingjerd; McGraw, Susan M; Blatny, Janet-Martha; Castellani, John W; Rood, Jennifer C; Young, Andrew J; Montain, Scott J; Gundersen, Yngvar; Pasiakos, Stefan M

    2014-12-01

    Physiological consequences of winter military operations are not well described. This study examined Norwegian soldiers (n = 21 males) participating in a physically demanding winter training program to evaluate whether short-term military training alters energy and whole-body protein balance, muscle damage, soreness, and performance. Energy expenditure (D2(18)O) and intake were measured daily, and postabsorptive whole-body protein turnover ([(15)N]-glycine), muscle damage, soreness, and performance (vertical jump) were assessed at baseline, following a 4-day, military task training phase (MTT) and after a 3-day, 54-km ski march (SKI). Energy intake (kcal·day(-1)) increased (P soreness increased and performance decreased progressively (P < 0.05). The physiological consequences observed during short-term winter military training provide the basis for future studies to evaluate nutritional strategies that attenuate protein loss and sustain performance during severe energy deficits.

  2. Principles of Mission Command Applied to Civil Military Relationships

    Science.gov (United States)

    2017-05-25

    ability to see things from another’s perspective with an open mind . Herspring applied his theory to case studies using two questions, does the...military, in turn, needs to reciprocate this effort to create cohesion which builds effective civil-military teams. Civil-military relations theory ...Civil-Military Theory Literature Review ......................................................................................... 2 Dominant Views and

  3. an overview of military social work: the case of zimbabwe

    African Journals Online (AJOL)

    Mugumbate

    Military social work is a branch of the social work profession which provides services to soldiers and their spouses and dependents ... and functions of military social workers so as to advance our thinking about military social work practice. MILITARY ..... with social problems is comparable to squeezing water out of a stone.

  4. 32 CFR 637.4 - Military Police and the USACIDC.

    Science.gov (United States)

    2010-07-01

    ... 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...

  5. 75 FR 50773 - Invocation of Sunken Military Craft Act

    Science.gov (United States)

    2010-08-17

    ... SECURITY Coast Guard Invocation of Sunken Military Craft Act AGENCY: Coast Guard, DHS. ACTION: Notice... a sunken military craft. It is therefore prohibited for any person to engage or attempt to engage... military craft, and is therefore protected under the Sunken Military Craft Act (10 U.S.C. 113 note; Pub. L...

  6. Hidden Heroes: America's Military Caregivers - Executive Summary.

    Science.gov (United States)

    Ramchand, Rajeev; Tanielian, Terri; Fisher, Michael P; Vaughan, Christine Anne; Trail, Thomas E; Epley, Caroline; Voorhies, Phoenix; Robbins, Michael; Robinson, Eric; Ghosh-Dastidar, Bonnie

    2014-01-01

    While much has been written about the role of caregiving for the elderly and chronically ill and for children with special needs, little is known about "military caregivers"-the population of those who care for wounded, ill, and injured military personnel and veterans. These caregivers play an essential role in caring for injured or wounded service members and veterans. This enables those for whom they are caring to live better quality lives, and can result in faster and improved rehabilitation and recovery. Yet playing this role can impose a substantial physical, emotional, and financial toll on caregivers. This article distills a longer report, Hidden Heroes: America's Military Caregivers , which describes the results of a study designed to describe the magnitude of military caregiving in the United States today, as well as to identify gaps in the array of programs, policies, and initiatives designed to support military caregivers. Improving military caregivers' well-being and ensuring their continued ability to provide care will require multifaceted approaches to reducing the current burdens caregiving may impose, and bolstering their ability to serve as caregivers more effectively. Given the systematic differences among military caregiver groups, it is also important that tailored approaches meet the unique needs and characteristics of post-9/11 caregivers.

  7. Psychological distress and coping in military cadre candidates.

    Science.gov (United States)

    Nakkas, Can; Annen, Hubert; Brand, Serge

    2016-01-01

    Soldiers must cope with stressors during both military operations and training if they are to accomplish their missions successfully and stay mentally stable. This holds true particularly for military superiors, as they bear greater responsibilities and must meet greater demands during both deployment and training. Accordingly, in the present study, we investigated whether recruits chosen for further promotion at the end of basic training differed with regard to psychological distress and coping strategies from those not chosen for promotion, and whether recruits' coping styles and distress levels were associated. A total of 675 Swiss recruits took part in the study. At the beginning of basic training, recruits filled out self-rating questionnaires covering demographic data, psychological distress (depression, somatization, anxiety, interpersonal sensitivity, and hostility), and coping styles. Results were compared between those recruits who received a recommendation for further promotion at the end of basic training and those who did not. Recruits selected for promotion had lower scores for depressive symptoms and hostility, engaged more in active coping, and considered their coping to be more effective. Dysfunctional and functional coping were associated with higher and lower distress levels, respectively. Recruits recommended for promotion exhibited less psychological distress during basic training and exhibited a socially more conducive profile of distress. They also endorsed more efficient and more prosocial coping strategies than those recruits not recommended for promotion. These cognitive-emotional features not only contribute to resilience but are also consistent with leadership research, indicating the importance of emotional stability and prosocial behavior in successful leaders.

  8. Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy.

    Science.gov (United States)

    Doran, Kelly M; McCormack, Ryan P; Johns, Eileen L; Carr, Brendan G; Smith, Silas W; Goldfrank, Lewis R; Lee, David C

    2016-04-01

    Hurricane Sandy struck New York City on October 29, 2012, causing not only a large amount of physical damage, but also straining people's health and disrupting health care services throughout the city. In prior research, we determined that emergency department (ED) visits from the most vulnerable hurricane evacuation flood zones in New York City increased after Hurricane Sandy for several medical diagnoses, but also for the diagnosis of homelessness. In the current study, we aimed to further explore this increase in ED visits for homelessness after Hurricane Sandy's landfall. We performed an observational before-and-after study using an all-payer claims database of ED visits in New York City to compare the demographic characteristics, insurance status, geographic distribution, and health conditions of ED patients with a primary or secondary ICD-9 diagnosis of homelessness or inadequate housing in the first week after Hurricane Sandy's landfall versus the baseline weekly average in 2012 prior to Hurricane Sandy. We found statistically significant increases in ED visits for diagnosis codes of homelessness or inadequate housing in the week after Hurricane Sandy's landfall. Those accessing the ED for homelessness or inadequate housing were more often elderly and insured by Medicare after versus before the hurricane. Secondary diagnoses among those with a primary ED diagnosis of homelessness or inadequate housing also differed after versus before Hurricane Sandy. These observed differences in the demographic, insurance, and co-existing diagnosis profiles of those with an ED diagnosis of homelessness or inadequate housing before and after Hurricane Sandy suggest that a new population cohort-potentially including those who had lost their homes as a result of storm damage-was accessing the ED for homelessness or other housing issues after the hurricane. Emergency departments may serve important public health and disaster response roles after a hurricane, particularly for

  9. When civil registration is inadequate: interim methods for generating vital statistics.

    Science.gov (United States)

    AbouZahr, Carla; Rampatige, Rasika; Lopez, Alan; deSavigny, Don

    2012-04-01

    Comprehensive guidelines and tools to help countries rapidly improve their vital statistics systems, based on international best practice are now available. For many countries, however, attainment of timely, accurate statistics on births and deaths and causes of death will require years of strategic and prioritized investment, with technical assistance from WHO, the United Nations, and academia. In the meantime, however, countries will need accurate and unbiased data in order to measure progress with their health programs and broader development goals, such as the MDGs and the growing crisis of non-communicable diseases. This article has introduced some interim strategies that can yield adequate vital statistics and cause of death data as countries work to strengthen their civil registration systems. These methods mirror the skills, practices and advantages of complete and functioning civil registration and vital statistics systems, but for a sample of the population. They are based on the principle of rigorous and continuous data collection for a defined and manageable part of the population. Doing "smaller, representative" populations well rather than "larger populations poorly" will reduce the biases that would otherwise occur from missing data, incorrect application of data management procedures, poor data quality checking and lack of medical certification of causes of death. A critical component of this strategy is to routinely apply verbal autopsy methods to collect essential cause of death data. When properly applied, VA can yield population-based cause of death data of comparable quality to what is typically collected in hospitals in developing countries. Moreover, with the availability of automated methods to diagnose causes of death, it is now possible to obtain accurate cause of death data routinely, cheaply and quickly in resource-poor settings. The long-term goal of strengthening civil registration and vital statistics systems is to ensure that every

  10. Occupational Stress and Coping among Portuguese Military Police Officers

    Directory of Open Access Journals (Sweden)

    A. Rui Gomes

    2016-01-01

    Full Text Available This study describes the professional experience of military police officers from the Portuguese Republican National Guard (N = 95. We focused on the main sources and consequences of stress and the coping strategies used to deal with stress. The evaluation protocol included one closed-ended question and four open-ended questions. Data analysis of meaningful text segments was conceptually based and data categorization followed deductive content analysis. Results allowed the identification of 483 meaning units. Factors intrinsic to the job and the relationships at work were the main stressors referred by participants. The consequences of stressors were evident at an individual level, affecting family, psychological, and physical/health domains. The coping strategies used to deal with the main source of stress in the professional career were focused on problem solving (e.g., active confrontation and emotional regulation (e.g., situation acceptance. Practical implications and future avenues of research with these professionals are discussed.

  11. Clinical toxicology and military application.

    Science.gov (United States)

    Bland, S A

    2006-01-01

    The changing operational tempo and types of deployment have, since the end of the Cold War, required a change in CBRN training. The threat from weapons of mass destruction has been replaced with the threat from improvised explosive devices and insurgent attempts to develop asymmetric weapons to target military and civilian populations. In addition exposure to hazardous materials as well as environmental hazards and natural toxins requires a greater awareness of the necessary supportive and definitive management. Developing a cadre of specialists with an interest in toxicology and environmental medicine, within either emergency or acute medicine, would be advantageous to deployed units as well as specialised units, including those tasked in support of UK homeland security. An established pathway for sub-specialisation in clinical toxicology does not yet exist. With the establishment of the College of Emergency Medicine, as well as the Acute Medicine Society and Intensive Care Society further development of clinical toxicology is likely.

  12. Environmental information for military planning.

    Science.gov (United States)

    Doherty, Victoria; Croft, Darryl; Knight, Ashley

    2013-07-01

    A study was conducted to consider the implications of presenting Environmental Information (EI; information on current environmental features including weather, topography and visibility maps) for military planning to the growing audience of non-technical users; to provide guidance for ensuring usability and for development of a suitable EI interface, and to produce an EI concept interface mock-up to demonstrate initial design ideas. Knowledge was elicited from current EI users and providers regarding anticipated use of EI by non-specialists. This was combined with human factors and cognition expertise to produce guidance for data usability and development of an EI interface. A simple mock-up of an EI concept interface was developed. Recommendations for further development were made including application of the guidance derived, identification of a user test-bed and development of business processes. Copyright © 2012 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  13. Does Peacetime Military Service Affect Crime

    DEFF Research Database (Denmark)

    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...

  14. Does Peacetime Military Service Affect Crime?

    DEFF Research Database (Denmark)

    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...

  15. Does Peacetime Military Service Affect Crime?

    DEFF Research Database (Denmark)

    Albæk, Karsten; Leth-Petersen, Søren; le Maire, Daniel

    2017-01-01

    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...

  16. Kimon's military campaign in Caria and Lycia

    Directory of Open Access Journals (Sweden)

    Baranov D.A.

    2017-08-01

    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.

  17. Cooperative Extension Training Impact on Military Youth and 4-H Youth: The Case of Speak Out for Military Kids

    Science.gov (United States)

    Edwin, James; McKinley, Steve; Talbert, B. Allen

    2010-01-01

    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.…

  18. Matching military skills to civilian jobs: does military training enhance veteran's civilian wage rates?

    OpenAIRE

    Olsen, Karl R.

    1995-01-01

    This thesis statistically analyzes the transferability of military skills to civilian job markets and the relationship between acquired military training and civilian wages. It also assesses the extent to which military training is utilized by veterans currently employed in the civilian labor force and analyzes the process by which veterans assimilate into the civilian work force, including the role geographic migration plays in this process. The relationship between veteran status and post-s...

  19. Trichomoniasis and bacterial vaginosis in pregnancy: inadequately managed with the syndromic approach.

    Science.gov (United States)

    Romoren, M; Velauthapillai, M; Rahman, M; Sundby, J; Klouman, E; Hjortdahl, P

    2007-04-01

    To measure the prevalence of Trichomonas vaginalis (TV) infection and bacterial vaginosis (BV) among pregnant women in Botswana, and to evaluate the syndromic approach and alternative management strategies for these conditions in pregnancy. In a cross-sectional study, 703 antenatal care attendees were interviewed and examined, and specimens were collected to identify TV, BV, Candida species, Chlamydia trachomatis and Neisseria gonorrhoeae. Information on reproductive tract infections earlier in pregnancy was obtained from a structured interview and the antenatal record. TV was found in 19% and BV in 38% of the attendees. Three-fourths of women with TV or BV were asymptomatic. Syndromic management according to the vaginal discharge algorithm would lead to substantial under-diagnosis and over-treatment of TV and BV. Signs of vaginal discharge were more predictive of the presence of these conditions than were symptoms. Among the 546 attendees on a repeat antenatal visit, 142 (26%) had been diagnosed with vaginal discharge earlier in their pregnancy--14 of them twice. In 143 cases, an attendee was diagnosed with vaginal discharge in the second or third trimester; however, metronidazole had been prescribed only 17 times (12%). Diagnosis and treatment of TV and BV among pregnant women in sub-Saharan Africa presents major challenges. Half the pregnant women in this study were diagnosed with TV or BV, but these conditions were not detected and treated during antenatal care with syndromic management. Also, health workers did not adhere to treatment guidelines. These results indicate that management guidelines for TV and BV in antenatal care should be revised.

  20. Inadequate sleep as a contributor to type 2 diabetes in children and adolescents.

    Science.gov (United States)

    Dutil, C; Chaput, J-P

    2017-05-08

    Lack of sleep is a modifiable risk factor for adverse health in humans. Short sleep duration and poor sleep quality are common in the pediatric population; the largest decline in sleep duration over the past decades has been seen in children and adolescents. The objective of the present narrative review was to provide for the first time an overview of the literature on sleep and its association with type 2 diabetes mellitus (T2D) biomarkers in children and adolescents. For this narrative review, 23 studies were retained (21 observational and 2 experimental studies). Notwithstanding the conflicting results found in these studies and despite being attenuated by adiposity level, maturity, sex and age, there is still some compelling evidence for an association between sleep duration (for both objective or subjective measurements of duration) and architecture with one or more T2D biomarkers in children and adolescents. The majority of the studies reviewed did focus on sleep duration and one or more T2D biomarkers in children and adolescents, but sleep architecture, more precisely the suppression of slow wave sleep and rapid eye movement sleep, has also been shown to be associated with insulin resistance. Only two studies looked at sleep quality, and the association between sleep quality and insulin resistance was not independent of level of adiposity. Future experimental studies will help to better understand the mechanisms linking insufficient sleep with T2D. Work also needs to be carried out on finding novel and effective strategies aimed at improving sleep hygiene and health outcomes of children and adolescents.

  1. Blending the Battlefield: An Analysis of Using Private Military Companies To Support Military Operations In Iraq

    National Research Council Canada - National Science Library

    Gallup, Heather L

    2008-01-01

    .... 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...

  2. Patients with Crohn's disease on anti-tumor necrosis factor therapy are at significant risk of inadequate response to the 23-valent pneumococcal polysaccharide vaccine.

    Science.gov (United States)

    Lee, Chang Kyun; Kim, Hyun-Soo; Ye, Byong Duk; Lee, Kang-Moon; Kim, You Sun; Rhee, Sang Youl; Kim, Hyo-Jong; Yang, Suk-Kyun; Moon, Won; Koo, Ja-Seol; Lee, Suck-Ho; Seo, Geom Seog; Park, Soo Jung; Choi, Chang Hwan; Jung, Sung-Ae; Hong, Sung Noh; Im, Jong Pil; Kim, Eun Soo

    2014-05-01

    The effect of immunosuppressants on the efficacy of a variety of vaccines is a controversial issue in patients with inflammatory bowel disease (IBD). In this study we determined whether specific immunosuppressants impair the serological response to the standard 23-valent pneumococcal polysaccharide vaccine (PPSV23) in a large cohort of patients with Crohn's disease (CD). This was a multi-center, prospective observational study of adult patients with CD at 15 academic teaching hospitals in Korea. The study population received one intramuscular injection of PPSV23. Anti-pneumococcal IgG antibody titers were measured by immunoassay prior to and 4weeks after vaccination. All vaccination-related adverse events and the effect of the vaccine on disease activity were also evaluated. The overall serological response rate was 67.5% (133/197). The serological response rate was significantly lower in patients on anti-tumor necrosis factor (anti-TNF) therapy (50.0% on anti-TNF alone; 58.0% on anti-TNF combined with an immunomodulator, IM) than patients on 5-aminosalicylate (78.4%; all P-values vs. 5-aminosalicylaterisk of an inadequate response to PPSV23. The pneumococcal vaccination strategy should be optimized for patients with CD on anti-TNF therapy. © 2013 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved.

  3. Benefits for Military Veterans with ALS

    Science.gov (United States)

    ... 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 ...

  4. Bridging Boundaries in Networked Military Organizations

    NARCIS (Netherlands)

    Kleij, R. van der; Broek, J. van den; Cornelissen, M.; Essens, P.J.D.M.

    2010-01-01

    One of the challenges facing networked military organizations is to coordinate and integrate activities of organization components. Several studies have demonstrated the importance of boundary spanning as integrative mechanism, and, more specifically, individual communication holes within

  5. Smooth School Transitions: Tips for Military Families

    Science.gov (United States)

    ... Life Listen Text Size Email Print Share Smooth School Transitions: Tips for Military Families Page Content Article ... Internet is a great resource for this. District & School Web sites Parents and children can visit the ...

  6. Military-Specific Exposure Factors Study

    National Research Council Canada - National Science Library

    Lurker, Peter

    1998-01-01

    ...) 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...

  7. Civil-Military Relations in Japan

    National Research Council Canada - National Science Library

    Dunn, Timothy

    2003-01-01

    ... instrument of Japanese foreign and domestic policy My purpose in this thesis is to examine Japanese civil-military relations by tracing why and how Japan has successfully subordinated its armed forces...

  8. Chaos Theory for the Practical Military Mind

    National Research Council Canada - National Science Library

    Durham, Susan

    1997-01-01

    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...

  9. Field Demonstration for Biodegradable Military Multipurpose Grease

    National Research Council Canada - National Science Library

    Rhee, In-Sik

    2001-01-01

    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...

  10. Hispanic Youth and Military Enlistment Propensity

    National Research Council Canada - National Science Library

    O'Connor

    1999-01-01

    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...

  11. Youth Attitudes Toward the Military: Poll One

    National Research Council Canada - National Science Library

    Bailey, Robert

    2002-01-01

    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...

  12. Protecting Crew Members Against Military Vehicle Noise

    National Research Council Canada - National Science Library

    van Wijngaarden, Sander J; James, Soo

    2004-01-01

    Military vehicles can be extremely noisy working environments. Noise impairs vehicle crews in various ways, for instance through its effect on speech intelligibility and the audibility of other useful sounds...

  13. THE CENTER FOR MILITARY BIOMECHANICS RESEARCH

    Data.gov (United States)

    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...

  14. Military Tribunals: Historical Patterns and Lessons

    National Research Council Canada - National Science Library

    Fisher, Louis

    2004-01-01

    After the terrorist operations of September 11, 2001, President George W. Bush authorized the creation of military tribunals to try individuals who offered assistance to the attacks on New York City and Washington, D.C...

  15. 75 FR 67897 - Military Family Month, 2010

    Science.gov (United States)

    2010-11-04

    ... together to support these patriots. By offering job opportunities and workplace flexibility, businesses and companies can benefit from the unparalleled dedication and skills of a service member or military spouse...

  16. Communication in Civil-Military Cooperation

    National Research Council Canada - National Science Library

    Aniola, Jaroslaw

    2007-01-01

    ..., and other individuals, has proved to be very challenging. Moreover, considering the nature of contemporary international interventions, any CIMIC staff is required to adapt to a wide range of new, non-military skills that would constitute a necessary "toolbox...

  17. Agile Control of Military Operations (JFACC)

    National Research Council Canada - National Science Library

    Logan, David

    2001-01-01

    ... readily adapted in the presence of contingencies. The primary benefit of this technology is agile and stable control of distributed and dynamic military operations conducted in inherently uncertain, hostile, and rapidly changing environments...

  18. Military Leadership Preparedness to Meet Counterinsurgency Requirements

    National Research Council Canada - National Science Library

    Svystak, Oleh

    2008-01-01

    .... 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...

  19. Modernizing China's Military: Opportunities and Constraints

    National Research Council Canada - National Science Library

    Crane, Keith; Cliff, Roger; Medeiros, Evan; Mulvenon, James; Overholt, William

    2005-01-01

    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...

  20. Land rover military one-tonne

    CERN Document Server

    Taylor, James

    2015-01-01

    A fully illustrated history of the Land Rover 101 One-Tonne - the forward-control military vehicle developed as a gun tractor for the British Army, in production from 1975-1978. This essential guide to these small yet powerful 4 x 4 vehicles covers: production histories; design and prototypes; specification guides; the 101 in British military service between 1975 and 1998; the 101 variants - ambulances, Rapier tractors, hard-bodied versions for electronic warfare and special field conversions; sales to overseas military authorities and, finally, advice on buying and owning a 101 today. Of great interest to Land Rover and military vehicle enthusiasts, historians and owners' clubs and illustrated with 207 original colour photographs.