organizations for facility support of bulk petrole - um products if necessary. Military construction of petroleum storage terminals is a joint responsibili...and MSC in arranging for domestic transport of petrole - um products. These two TOAs have specific responsibilities, depending on the type of vehicle...Military Liaison Office, Kuwait U.S. Liaison Office, Tunisia U.S. Mutual Defense Assistance Office U.S. Military Group U.S. Military Liaison Office U.S
... Committee; Department of Defense Military Family Readiness Council AGENCY: Department of Defense (DoD... renewing the charter for the Department of Defense Military Family Readiness Council (hereafter referred to... requirements for the support of military family readiness by the Department of Defense; and (c) evaluate and...
Tennant, Michele R; Cataldo, Tara Tobin; Sherwill-Navarro, Pamela; Jesano, Rae
This paper describes a survey-based evaluation of the five-year old Liaison Librarian Program at the University of Florida. Liaison librarians, faculty, students, staff, residents, and post-doctoral associates were queried via Web-based surveys. Questions addressed client and liaison perspectives on a variety of issues, including program and service awareness and usage, client-library relations and communication, client support for the program, and liaison workload. Approximately 43% of the 323 client respondents were aware of liaison services; 72% (n = 163) of these clients had had contact with their liaison. Ninety-five percent (n = 101) of faculty and students who reported contact with their liaison supported the continuation of the program. Liaison services were used by a greater percentage of faculty than students, although they had similar patterns of usage and reported the same "traditional" services to be most important. Liaisons indicated that communications with clients had increased, the reputation of the library was enhanced, and their workloads had increased as a result of the Liaison Librarian Program. Survey results suggest that the Liaison Librarian Program has a core set of clients who use and highly value the services provided by liaisons. Recommendations addressing workload, training, marketing, and administrative support are provided.
Agyapong, Vincent I O
Several factors may predict adherence with psychiatric follow-up appointment for patients seen in the emergency department (ED) by liaison psychiatric teams. Awareness of these factors would allow for interventions targeted at vulnerable groups.
Crossno, Jon E; DeShay, Claudia H; Huslig, Mary Ann; Mayo, Helen G; Patridge, Emily F
What type of liaison program would best utilize both librarians and other library staff to effectively promote library services and resources to campus departments? The case is an academic medical center library serving a large, diverse campus. The library implemented a "facilitator model" program to provide personalized service to targeted clients that allowed for maximum staff participation with limited subject familiarity. To determine success, details of liaison-contact interactions and results of liaison and department surveys were reviewed. Liaisons successfully recorded 595 interactions during the program's first 10 months of existence. A significant majority of departmental contact persons (82.5%) indicated they were aware of the liaison program, and 75% indicated they preferred email communication. The "facilitator model" provides a well-defined structure for assigning liaisons to departments or groups; however, training is essential to ensure that liaisons are able to communicate effectively with their clients.
Yrondi, A; Petiot, D; Arbus, C; Schmitt, L
In times of fiscal restraint for health structures, apart from the clinical input, it seems important to discuss the economic impact of liaison psychiatry. There are only a few studies on the economic added value provided by a liaison psychiatry team. In addition to this, only a few psychiatric pathologies are coded as they should be, hence we make the assumption of an additional development provided by a specialised team. Over a short period of 4months, in three departments of the Toulouse University Hospital Centre, the added value to the general pricing system of liaison psychiatry was studied. The population was represented by all the consecutive requests for consultations from patients over 18years old, men and women, hospitalised at that time. These three departments frequently request consultations with the psychiatry liaison team. They set a diagnostic, and if this is associated with a higher Homogeneous Group of Patients (HGP), it provides added value. Fifty-two patients benefited from a psychiatric consultation over 4months. The results highlight a development of € 8630.43 for the traumatology department, € 3325.03 for the internal medicine department, and € 513.61 for the haematology department over the study period. The overall development over this period was € 12,469.07. To our knowledge, this approach is one of the first in France to highlight an economic impact of the intervention of liaison psychiatry in the claiming departments. Copyright © 2014 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.
The Department of Defense Dictionary of Military and Associated Terms set forth standard US military and associated terminology to encompass the joint activity of the Armed Forces of the United States...
Barrimi, M; Elghazouani, F; Aarab, C; Tliji, A; Rharrabti, S; Lahlou, F; Rammouz, I; Aalouane, R
Liaison psychiatry is a discipline caring for psychiatric disorders in patients of general hospitals. It involves clinical, educational, and research aspects. The liaison psychiatry supports patients hospitalized for full-time in medical and surgical departments, patients admitted in day-hospital and patients treated in the emergency department. In this transversal study, we assessed the liaison psychiatry impact that is still in development stage in Morocco. This study lasted 24 months, and was conducted at the University Hospital in Fez, Morocco. The goal of this work was to evaluate the prevalence of psychiatric disorders managed by liaison psychiatry, identify those requiring medical and surgical departments of such psychiatric support, and classify the motivations involved in their needs. This transversal study was initiated in January 2010 and has lasted 24 months. The study recruited 180 patients requiring psychiatric consultation from different medical and surgical departments at the University Hospital in Fes, Morocco. The psychiatric assessment was based on a psychiatric interview using the MINI. The data were collected by a certified psychiatrist using a questionnaire containing 24 items. After initial psychiatric assessment, the follow-up was proposed to the patient in the psychiatric department. During this study, 22 medical and surgical departments of our University Hospital had requested a psychiatric assessment for their patients. Most demands were respectively emitted by the Department of Dermatology (16%) and Nephrology (11%). The most common motivations for psychiatric consultations were respectively psychomotor agitation (17%) and an evaluation of suicide attempts (17%). Depressive and psychotic disorders were the most diagnosed disorders with 47% and 11% respectively. The psychiatric support was based on pharmacological treatment in 60% of cases. Finally, the outcome was favourable in 80% of followed cases. Hospitalized patients in different
The U.S. Department of Defense has awarded a $246,000 Defense University Research Instrumentation Program (DURIP) grant to researchers in Virginia Tech's Bradley Department of Electrical and Computer Engineering for advanced research on wireless communications networks that are critical during military maneuvers.
Ames, A.; Kholwadwala, D.; Wilson, R.H.
Liaison Based Assembly Design extends the current information infrastructure to support design in terms of kinematic relationships between parts, or liaisons. These liaisons capture information regarding contact, degrees-of-freedom constraints and containment relationships between parts in an assembly. The project involved defining a useful collection of liaison representations, investigating their properties, and providing for maximum use of the data in downstream applications. We tested our ideas by implementing a prototype system involving extensions to Pro/Engineer and the Archimedes assembly planner. With an expanded product model, the design system is more able to capture design intent. When a product update is attempted, increased knowledge availability improves our ability to understand the effect of design changes. Manufacturing and analysis disciplines benefit from having liaison information available, so less time is wasted arguing over incomplete design specifications and our enterprise can be more completely integrated.
Social Security Administration — SSA initiated this agreement with the Department of Defense (DOD) to transmit to SSA information that will identify military personnel injured or taken ill while in...
Full Text Available A Review of: O’Toole, E., Barham, R., & Monahan, J. (2016. The impact of physically embedded librarianship on academic departments. portal: Libraries and the Academy, 16(3, 529-556. http://dx.doi.org/10.1353/pla.2016.0032 Objective – To examine whether liaison librarian interactions increase when librarians are physically embedded in their liaison areas. Design – Natural experiment using quantitative measures. Setting – A large, public university in the United States of America. Subjects – Liaison librarian reference interactions. Methods – This research is organized around four primary research questions that examine the effect of liaison librarian physical, co-located embeddedness on the following: 1 the frequency of walk-up reference transactions of the embedded location versus the service desk; 2 the frequency of reference and instructional transactions with liaison areas after the implementation of embedded services; 3 the frequency of walk-up transactions at embedded sites compared to the number of reference and instructional transactions after embeddedness began; and 4 liaison librarian participation in new collaborative or integrative activities with their liaison areas. Researchers used data collected between Fall 2012 and Spring 2014 and compared this to data collected in the pre-embedded period for Fall 2010 to Fall 2011. Data sources included the library’s locally developed reference services statistics tracking tool, individual librarians’ calendar appointment records, and librarian performance agreements. The analysis uses descriptive statistics. Main Results – Researchers discovered a decrease in the frequency of liaison librarians’ walk-up reference transactions at the service desk, as tracked by transactions per hour, occurring before the transition, during the transition, and after the transition to embedded librarianship. They note a decrease of 45% in the number of walk-up interactions at service points
U.S. Department of Health & Human Services — This file contains U.S. military hospital data for timely & effective care (process of care) measures collected by the Department of Defense (DoD). DoD collects...
... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false APHIS liaison with PTO. 124.10 Section 124.10 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF... period was the first permitted commercial marketing or use of the product under the provision of law...
Aimed at practitioners and students of librarianship, this book is about interesting and unusual practical projects currently being run by academic liaison librarians. It shows how liaison librarians can extend their roles beyond the established one of information literacy teaching and showcases areas in which they can engage in collaborative ventures with academic and administrative staff. Designed to excite and inspire, New Directions for Academic Liaison Librarians demonstrates the potential of the liaison role and emphasises the need for flexibility, imagination and initiative in those who
U.S. Department of Health & Human Services — This file contains U.S. military hospital data from the TRICARE Inpatient Satisfaction Survey (TRISS) administered by the Department of Defense (DoD). TRISS data do...
Full Text Available Purpose: to test effectiveness of applied physical training program for military officers, called up to military service after graduation from reserve officers’ departments. Material: the research was conducted on the base of Educational center 184 from June 2014 to December 2015. In the research 80 military officers participated (n=30 - graduates of military higher educational establishments; n=26, n=24 - graduates of reserve officers’ departments of 22-27 years’ age. Results: we fulfilled analysis of military officers’ physical fitness by exercises, which characterize general physical fitness and military applied skills (100 meters’ run, chin ups, 3000 meters’ run, passing obstacles course, grenade throws for distance and for accuracy, 5 km march-rush. We worked out the program, the essence of which implies ensuring of physical fitness and acceleration of reserve officers-graduates’ adaptation to professional (combat functioning. Conclusions: it was proved that implementation of the author’s program influenced positively on perfection of general physical qualities and military applied skills of military officers-graduated of reserve officers’ departments (р-0.05-0.001.
Based on the activities associated with the recent recovery of the eight armored personnel carriers, a review was conducted of the Department`s controls over arms and military-type equipment in its possession. The objects were to determine whether (1) the quantity of arms and military-type equipment on hand was justified by mission needs, (2) inventory listings of arms were accurate, (3) property disposals were properly controlled and executed, and (4) loans and borrowed equipment were appropriate and accounted for accurately. The purpose of this report is to summarize the most significant issues identified and point out where the Department needs stronger controls over its inventory of arms and military-type property.
... DEPARTMENT OF STATE [Public Notice 7189] Determination Concerning the Bolivian Military and Police Under the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2010... investigating, prosecuting, and punishing military and police personnel who have been credibly alleged to have...
competitive U 1 : E x t r e m i s m d i s e m p o w e r e d / p a s s i v e s u p e r e m p o w e r e d...Current Military Needs War Gaming Department Perspectives Connections 2008 Stephen Downes-Martin, Ph.D. Professor, Center for Naval Warfare Studies...policy of the War Gaming Department, the CNWS, the U.S. Naval War College, the U.S. Navy,
Bourgeois, James A; Hilty, Donald M; Klein, Sally C; Koike, Alan K; Servis, Mark E; Hales, Robert E
The perspective of the contemporary Consultation-Liason Service (CLS) psychiatrist is increasingly one of consultant to medical and surgical colleagues in models other than inpatient medical and surgical units. Simultaneously, the need for a clinically and educationally robust inpatient CLS persists despite funding pressures. The University of California, Davis Medical Center Department of Psychiatry has made use of creative organizational and financial models to accomplish the inpatient CLS clinical and educational missions in a fiscally responsible manner. In addition, the department has in recent years expanded the delivery of psychiatry consultation-liaison clinical and educational services to other models of care delivery, broadening the role and influence of the CLS. Several of the initiatives described in this paper parallel an overall evolution of the practice of consultation-liaison psychiatry in response to managed care influences and other systems pressures. This consultation-liaison paradigm expansion with diversified sources of funding support facilitates the development of consultation-liaison psychiatry along additional clinical, administrative, research, and educational dimensions. Other university medical centers may consider adaptation of some of the initiatives described here to their institutions.
of the Army, U.S. Army Audit Agency, Budgeting for the Military Personnel, Army Appropriation, Report No. A-2010-0028- FFM (Jan. 6, 2010); Department...of the Army, U.S. Army Audit Agency, Military Personnel, Army FY 05 Subsistence Charges, Report No. A-2008-0037- FFM (Feb. 12, 2008); Department of
Delegard, C.H.; Elovich, R.J.
The Institute of Physical Chemistry of the Russian Academy of Sciences is conducting a program of fundamental and applied research into the chemistry of the actinides and technetium in alkaline media such as are present in the Hanford Site underground waste storage tanks. This work is being coordinated and the results disseminated through a technical liaison maintained at the Pacific Northwest National Laboratory. The technical liaison is performing laboratory studies on plutonium chemistry in alkaline media. The activities at the Institute of Physical Chemistry and through the liaison are pursued to improve understanding of the chemical behavior of key long-lived radioactive elements under current operating and proposed tank waste processing conditions. Both activities are supported by the Efficient Separations and Processing Crosscutting Program under the Office of Science and Technology of the U.S. Department of Energy
Greefhorst, A.P.M.; Bosch, A.P.J. van den
Predicting liaison in French is a non-trivial problem to model. We compare a memory-based machine-learning algorithm with a rule-based baseline. The memory-based learner is trained to predict whether liaison occurs between two words on the basis of lexical, orthographic, morphosyntactic, and
Reports research on the nature of enduring sexual liaisons among homosexual men. Such relationships vary widely and may be subinstitutional adaptions to lack of community support. Gay men committed to the heterosexual world were less likely to enter enduring relationships. Open marriage is the more enduring form of gay male liaisons. (Author)
... from the inventory control points of the military departments. 101-26.606 Section 101-26.606 Public... § 101-26.606 Supply support available from the inventory control points of the military departments. Federal civil agencies may obtain items of supply which are procured and managed by the inventory control...
Weston, Victoria; Jain, Sushil K; Gottlieb, Michael; Aldeen, Amer; Gravenor, Stephanie; Schmidt, Michael J; Malik, Sanjeev
Emergency department (ED) crowding is associated with detrimental effects on ED quality of care. Triage liaison providers (TLP) have been used to mitigate the effects of crowding. Prior studies have evaluated attending physicians and advanced practice providers as TLPs, with limited data evaluating resident physicians as TLPs. This study compares operational performance outcomes between resident and attending physicians as TLPs. This retrospective cohort study compared aggregate operational performance at an urban, academic ED during pre- and post-TLP periods. The primary outcome was defined as cost-effectiveness based upon return on investment (ROI). Secondary outcomes were defined as differences in median ED length of stay (LOS), median door-to-provider (DTP) time, proportion of left without being seen (LWBS), and proportion of "very good" overall patient satisfaction scores. Annual profit generated for physician-based collections through LWBS capture (after deducting respective salary costs) equated to a gain (ROI: 54%) for resident TLPs and a loss (ROI: -31%) for attending TLPs. Accounting for hospital-based collections made both profitable, with gains for resident TLPs (ROI: 317%) and for attending TLPs (ROI: 86%). Median DTP time for resident TLPs was significantly lower (phistorical control. Proportion of "very good" patient satisfaction scores and LWBS was improved for both resident and attending TLPs over historical control. Overall median LOS was not significantly different. Resident and attending TLPs improved DTP time, patient satisfaction, and LWBS rates. Both resident and attending TLPs are cost effective, with residents having a more favorable financial profile.
The objective of the present study was to assess the activity of the Liaison Psychiatry service of Cork University Hospital in relation to all in-patient neurology referrals over a 12-month period. Of 1685 neurology admissions, 106 (6%) were referred to liaison psychiatry for assessment. 91 referrals (86%) met criteria for a psychiatric disorder according to DSM-IV, the commonest being major depression (24%) and somatoform disorder (23%). Patients with multiple sclerosis or epilepsy comprised nearly half of all referrals (48 cases; 45%). Approximately 20% of M.S. in-patients (21 cases) were referred for psychiatric assessment, with the corresponding figure in epilepsy being 25% (18 cases). Although only 106 (6%) neurology in-patients were referred to liaison psychiatry, psychiatric diagnoses were documented in 327 (20%) discharge forms, presumably reflecting previous diagnosis. The above findings indicate that psychiatric illness is common among neurology inpatients screened by liaison psychiatry yet referral rates are relatively low in terms of the overall number of neurology in-patients. Psychiatric disorders were diagnosed in 86% of referrals indicating high concordance between neurologists and liaison psychiatry regarding the presence of a psychiatric disorder.
Library School Curricula in the US Should Address Liaison Responsibilities for Students Interested in Academic Librarianship, A Review of: Attebury, R. I., & Finnell, J. (2009. What do LIS students in the United States know about liaison duties? New Library World, 110(7, 325‐340.
Full Text Available Objectives – The two main objectives of this study were to determine the level of prevalence of liaison work in academic library job advertisements and to investigate whether the current library & information science (LIS students are aware of liaison duties.Design – The mixed methods used in this study are job postings analysis and online survey.Setting – The research settings were the following:(1Online academic job advertisements published between November 15, 2007 and January 15, 2008 and collected from Chronicle of Higher Education’s Web site and lisjobs.com;(2Fifty‐three electronic mail lists of ALA‐accredited library schools in the US.Subjects – The subjects of the study were 313 online academic job advertisements and 516 LIS students.Methods – The sample size and methodology for the first part of this study were based on four previously published studies. Duplicated job postings were removed and the remaining were organized into 15 categories of access/public services, reference, instruction, bibliographer/subject specialist, combination (instruction and reference, archives/special collections, special libraries, director/dean, department head or coordinator, interlibrary loan (ILL, systems/web development, cataloguing, outreach, and acquisitions/collection‐development. Only those job ads containing the term “liaison” were included in the analysis.For the second part of the study, the authors conducted an online survey. They attempted to investigate the knowledge of LIS students on liaison librarianship, to measure the level of exposure to liaison responsibilities in their course work, and to gauge the confidence of the individual in their ability to become successful liaison librarians. The survey was distributed among 53 LIS school electronic mail lists, resulting in 516 respondents.Main Results – The job ad analysis revealed that 29% of job postings were directly related to liaison duties. The liaison component
Full Text Available Introduction: Emergency department (ED crowding is associated with detrimental effects on ED quality of care. Triage liaison providers (TLP have been used to mitigate the effects of crowding. Prior studies have evaluated attending physicians and advanced practice providers as TLPs, with limited data evaluating resident physicians as TLPs. This study compares operational performance outcomes between resident and attending physicians as TLPs. Methods: This retrospective cohort study compared aggregate operational performance at an urban, academic ED during pre- and post-TLP periods. The primary outcome was defined as cost-effectiveness based upon return on investment (ROI. Secondary outcomes were defined as differences in median ED length of stay (LOS, median door-to-provider (DTP time, proportion of left without being seen (LWBS, and proportion of “very good” overall patient satisfaction scores. Results: Annual profit generated for physician-based collections through LWBS capture (after deducting respective salary costs equated to a gain (ROI: 54% for resident TLPs and a loss (ROI: −31% for attending TLPs. Accounting for hospital-based collections made both profitable, with gains for resident TLPs (ROI: 317% and for attending TLPs (ROI: 86%. Median DTP time for resident TLPs was significantly lower (p<0.0001 than attending or historical control. Proportion of “very good” patient satisfaction scores and LWBS was improved for both resident and attending TLPs over historical control. Overall median LOS was not significantly different. Conclusion: Resident and attending TLPs improved DTP time, patient satisfaction, and LWBS rates. Both resident and attending TLPs are cost effective, with residents having a more favorable financial profile.
... the United States Military Academy Board of Visitors (hereafter referred to as the ``Board''). FOR FURTHER INFORMATION CONTACT: Jim Freeman, Deputy Committee Management Officer for the Department of... on matters relating to the U.S. Military Academy, including the following: morale and discipline...
Bates, Sarah R; McHugh, Wendy J; Carbo, Alexander R; O'Neill, Stephen F; Forrow, Lachlan
Ethicists often struggle to maintain institution-wide awareness of and commitment to medical ethics. At Beth Israel Deaconess Medical Center (BIDMC), we created the Ethics Liaison Program to address that challenge by making ethics part of the moral culture of the institution. Liaisons represent clinical and non-clinical areas throughout the medical centre. The liaison has a four-part role: to spread awareness and understanding of Ethics Programs among their coworkers; share information regarding ethical dilemmas in their work area with the members of the Ethics Support Service; review ethics activities and needs within their area; and undertake ethics-related projects. This paper lists the notable attributes of the Ethics Liaison Program, and describes the purpose and structure of the programme, its advantages and the challenges to implementing it. The Ethics Liaison Program has helped to make ethics part of the everyday culture at BIDMC, and other medical centres might benefit from the establishment of similar programmes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison... such as toxicology, pharmacology, pathology, biochemistry, epidemiology, risk assessment, carcinogenesis, mutagenesis, molecular biology, behavioral toxicology, neurotoxicology, immunotoxicology...
not bring them together, for they disliked each other’s cuisine . When, owing to the sudden German onslaught on Verdun, the Tenth French Army was...and strategies, and personalities into a cohesive fighting force. BRITISH/ FRENCH The most complete recount of liaison in WW I (or any other conflict for...that matter) is that written by E. Spears concerning his activities as a young lieutenant liaison officer from the British to the French Army. In the
... 45 Public Welfare 3 2010-10-01 2010-10-01 false Agency and legislative liaison. 604.200 Section 604.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 604.200 Agency and legislative liaison. (a...
The Department of Energy Organization Act of 1977 brought together for the first time in one department most of the government's energy programs. With these programs came a score of organizational entities, each with its own history and traditions, from a dozen departments and independent agencies. This report traces the history of the Office of Military Application, from its inception as the Division of Military Application in the Atomic Energy Commission, through the Energy Research and Development Administration to its present status as an office in the Department of Energy
... 1974; Department of Homeland Security U.S. Coast Guard DHS/USCG--014 Military Pay and Personnel System... Security U.S. Coast Guard--014 Military Pay and Personnel System of Records.'' This system of records allows the Department of Homeland Security U.S. Coast Guard to collect and maintain records regarding pay...
... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Agency and legislative liaison. 411.200 Section 411.200 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 411.200 Agency and legislative liaison. (a) The prohibition on the use of...
... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP): Office of Liaison... Materials The agenda topic is the peer review of the findings and conclusions of draft NTP TRs of toxicology... advisory committees. Dated: February 3, 2011. John R. Bucher, Associate Director, National Toxicology...
Full Text Available The Digital Curation Centre’s promotion of expertise and good practice in digital data curation is no mere exercise in theory. Through its new eScience Liaison initiative the DCC has kept a close eye on its founding principle, that the necessity for the physical and life sciences to share access to digital research resources is due mainly to issues characteristic of eScience. This article describes some of the principal liaison activities that have been addressed within that community since the summer of 2007.
... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the Scientific Advisory Committee on Alternative Toxicological Methods... Director, National Toxicology Program. [FR Doc. 2010-11318 Filed 5-11-10; 8:45 am] BILLING CODE 4140-01-P ...
Special issue on Military Operations Research Society (MORS) Symposium (80th): Expanding the Boundaries of National Security Analysis (Phalanx: The Bulletin of Military Operations Research. Volume 45, Number 2, June 2012)
probability from rifles. He also served with the ORO field teams in Korea , was liaison from RAC and the Army to the Federal Republic of Germany military...Gunny_Sack writes: WHAT! WHAT! WHAT! VIDEO GAMER ! PUNK! JOIN NAVY! WHAT! WHAT! CDRQueeg writes: need someone to run your seabase? I’m an experienced SWO
Bolivar, S.L.; Day, J.L.
This paper describes the role of the quality assurance liaison, the responsibilities of this position, and the evolutionary changes in duties over the last six years. The role of the quality assurance liaison has had a very positive impact on the Los Alamos Yucca Mountain Site Characterization (YW) quality assurance program. Having both technical and quality assurance expertise, the quality assurance liaisons are able to facilitate communications with scientists on quality assurance issues and requirements, thereby generating greater productivity in scientific investigations. The quality assurance liaisons help ensure that the scientific community knows and implements existing requirements, is aware of new or changing regulations, and is able to conduct scientific work within Project requirements. The influence of the role of the quality assurance liaison can be measured by an overall improvement in attitude of the staff regarding quality assurance requirements and improved job performance, as well as a decrease in deficiencies identified during both internal and external audits and surveillances. This has resulted in a more effective implementation of quality assurance requirements
... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP): Office of Liaison... Materials The agenda topic is the peer review of the findings and conclusions of draft NTP TRs of toxicology.... Bucher, Associate Director, National Toxicology Program. [FR Doc. 2010-29945 Filed 11-26-10; 8:45 am...
... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison... preliminary study recommendations (see ``Request for Comments'' below). The NTP welcomes toxicology study... in toxicology that could be appropriately addressed through studies on the nominated substance(s...
Dretzke, Beverly J.; Rickers, Susan R.
This study examined the roles and responsibilities of family liaisons working in urban schools with enrollments characterized by high poverty, high mobility, and ethnic diversity. Results indicated that the major responsibilities of the liaisons were creating a trusting and welcoming environment, facilitating parent involvement in the school,…
... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the NTP Board of Scientific Counselors: Amended Notice AGENCY: National....gov ). Dated: October 21, 2010. John R. Bucher, Associate Director, National Toxicology Program. [FR...
... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison... toxicology study information from completed, ongoing, or anticipated studies, as well as information on... issues or topics in toxicology that could be appropriately addressed through studies on the nominated...
Full Text Available In Brief Liaison librarians are assuming a wide variety of new roles that serve their institutions’ students, staff, and faculty. An essential foundation of these new roles is the ability to engage with the liaison’s user community. These engagement skills are not necessarily natural or innate, nor are they skills that most liaison librarians have had an opportunity to learn and develop. This article adapts a practical selling framework for the liaison context with examples that demonstrate how this framework can lead to improved communication, engagement, and problem-solving with liaison user communities.
Vaile, J H; Sullivan, L; Connor, D; Bleasel, J F
Our fracture liaison service identifies patients with low trauma fractures, determines the need for osteoporosis therapy and instigates therapy if necessary. We describe the tracking and outcome of 768 patients attending our emergency department over 1 year and discuss the problems we encountered and potential solutions. Osteoporotic fractures result in substantial morbidity, mortality and economic cost, and patients sustaining a first fracture are known to be at higher risk of sustaining future fracture. Treatment of at-risk patients has been shown to assist in prevention of future fracture including hip fracture. We established a "First Fracture Project" to identify and treat these patients in 2003. We assessed "A Year of Fractures": the logistics, outcome and problems in tracking patients presenting to our emergency department with a low trauma fracture by our fracture liaison service, over 1 year from July 2008 to June 2009. Patients were tracked by our osteoporosis nurse and offered assessment, and treatment where necessary. In 1 year, 768 patients aged 50 or over were identified from emergency department records as attending with a low trauma fracture. About 84 % of patients eventually received assessment. Of the162 patients progressing through the entire process, 74 % had osteoporosis treatment planned and/or commenced. Our fracture liaison service was effective at identifying most low trauma fracture patients at risk of further fracture and providing access to osteoporosis assessment. There were many difficulties: we outline logistic and practical issues in delivering our service and suggest potential improvements.
.... Accurate reporting of real property on the Military Departments' real property databases is essential to DoD and the Federal Government receiving favorable audit opinions on their financial statements...
authorities, military support to civilian law enforcement agencies, and military assistance for civil disturbances. Also called MACA . (DODD 3025.1...Center MACA military assistance to civil authorities MACB multinational acquisition and contracting board MACCS Marine air command and control
transformation as high risk in 2005 because DOD had not taken steps to achieve business reform on a strategic , department-wide basis. This report (1...Government Accountability Office Highlights of GAO-17-9, a report to congressional addresses December 2016 DEFENSE BUSINESS TRANSFORMATION DOD Should... strategic or business transformation plans, but DOD has not coordinated with the military departments to align their strategic planning efforts for
Attorney General Opinions Executive Branch Ethics Criminal Justice Alaska Medicaid Fraud Control Anchorage department and other agencies on the management, retention, communication, and disclosure of information matters. In addition, the legislative liaison coordinates responses to media requests. Natural Resources
SOMMARIO: 1. Riforma dell’assistenza spirituale nelle Forze armate e impegni pattizi - 2. L’evoluzione dei sistemi di difesa in Europa e la sua incidenza sull’assistenza spirituale: il passaggio dalla coscrizione obbligatoria a un servizio di tipo professionale - 3. L’assistenza spirituale tra modello confessionista e modello pluralista. Le ragioni del ritardo legislativo - 4. L’inquadramento dei cappellani militari all’interno delle Forze armate, tra esigenze di ammodernamento e tendenze alla smilitarizzazione - 5. Inquadramento gerarchico dei cappellani militari e tradizione storica - 6. Inquadramento militare dei cappellani, principio di laicità ed esigenze funzionali - 7. Compiti delle Forze armate, principi costituzionali e nuovo ruolo dei cappellani militari - 8. La recente valorizzazione del ruolo dei cappellani militari nel sistema di difesa NATO. Osservazioni conclusive. Abstract: Military Chaplaincy in the process of reform This paper examines the service of spiritual assistance in the State military forces according to the Italian system of law, in the context of their current evolution given to the principles of the Constitution and the changing international situation and policy. After some preliminary remarks about the origins of the present debate, it compares the models of other countries concerning the service of military chaplains and focuses on the issue of their juridic status as commissioned officers in the Army, taking into consideration the advantages and disadvantages of this legal framework. In the end it makes some conclusive remarks about the new role of chaplains in military organizations, not only religious support but also advisor to the command on issue of religion and ethics and liaison with local religious leaders in an effort to understand the role of religion as both a factor in hostility and war and as a force for reconciliation and peace.
Miroslav R. Terzić
Full Text Available The historical development of the Bluetooth module is given in the introduction of this paper. The importance of the Bluetooth standard for wireless connection on small distances is shown as well. The organization of the Department of Military Electronic Systems is presented with its area of duties, subordinate sections and deployment. The concept of a local area network for this Department, using Bluetooth technology, includes network topology and working regimes based on the main characteristics and technical specifications for the connection with Bluetooth technology. The Department's disperse computer network is proposed as a scatter net where one piconetwork includes the Head of Department and the Heads of Sections while other piconetworks are formed from the Heads of Sections and their subordinates. The security aspect of the presented network deals with basic computer network attack categories, protection methods and aspects. The paper concludes with some recommendations for the local area network using Bluetooth technology with respect to its economical and security aspects as well as to the managing principles of the Department.
Atkinson, Paula; Mukaetova-Ladinska, Elizabeta B
Liaison Psychiatric Services for Older Adults in the UK have been established over the last decade, with rather divergent team composition and involvement. The latest documents (National Dementia Strategy, Who Cares Wins) set the gold standard for liaison services for older adults in England, requiring a proactive approach to services and integrating assessment and treatment of mental disorder into routine general hospital practice. This requires a physical presence of liaison services in the hospital, with collaboration with medical colleagues. We have adopted the above strategy in a nurse-led liaison service working in a General District Hospital, and used the Toyota Production System. In the current study we reflect on the 5 day rapid progress improvement workshops event for the liaison branch of the project, and describe the process of identifying real situation problems for the care of the medically ill, the involvement of the liaison team in their clinical care, and a feedback on the change in practice. The novel approach of identifying areas for change in an ongoing nurse-led Liaison service for Older Adults resulted in improving access to mental health services for elderly medically ill inpatients and improved quality of their overall care. Copyright Â© 2011 Elsevier Inc. All rights reserved.
The task 'IPC/RAS Liaison and Tank Waste Testing' is a program being conducted in fiscal year (FY) 1996 with the support of the U.S. Department of Energy (DOE) Office of Science and Technology, EM-53 Efficient Separations and Processing (ESP) Crosscutting Program, under the technical task plan (TTP) RLA6C342. The principal investigator is Cal Delegard of the Westinghouse Hanford Company. The task involves a technical liaison with the Institute of Physical Chemistry of the Russian Academy of Sciences (IPC/RAS) and their DOE-supported investigations into the fundamental and applied chemistry of the transuranium elements (primarily neptunium, plutonium, and americium) and technetium in at sign ine media. The task has three purposes: 1. Providing technical information and technical direction to the IPC/RAS. 2. Disseminating IPC/RAS data and information to the DOE technical community. 3. Verifying IPC/RAS results through laboratory testing and comparison with published data
Wilkins, Brittany Taylor; Mullins, Mary H.; Mahan, Amber; Canfield, James P.
The federal government enacted the McKinney--Vento Homeless Assistance Act (MVA) to equip schools with services to help alleviate the many barriers students experiencing homelessness face in pursuit of educational opportunities. Educational agencies use federally mandated liaisons to uphold the provisions of the MVA. Despite the homeless liaisons'…
The NCI Office of Communications and Public Liaison (OCPL) supports NCI by disseminating cancer research findings, providing evidence-based information on cancer for the public, including patients, caregivers, health professionals, researchers, advocates, the news media, and other stakeholders, and disseminating cancer research findings, clinical trials and funding opportunities.
Tabanejad, Zeinab; Pazokian, Marzieh; Ebadi, Abbas
This review focuses on the impact of liaison nurse in nursing care of patient after ICU discharge on patient's outcomes, compared with patients that are not taken care of by liaison nurses. The role of the ICU liaison nurse has transpired to solve the gap between intensive care unit and wards. Therefore, we aimed to review the outcomes of all studies in this field. A systematic review of intervention studies between 2004 and 2013 was undertaken using standard and sensitive keywords such as liaison nurse, intensive care unit, and patient outcomes in the following databases: Science direct, PubMed, Scopus, Ovid, Oxford, Wiley, Scholar, and Mosby. Then, the articles which had the inclusion criteria after quality control were selected for a systematic review. From 662 retrieved articles, six articles were analyzed in a case study and four articles showed a statistically significant effect of the liaison nurse on the patient's outcomes such as reducing delays in patient discharge, effective discharge planning, improvement in survival for patients at the risk for readmission. Liaison nurses have a positive role on the outcomes of patients who are discharged from the ICU and more research should be done to examine the exact function of liaison nurses and other factors that influence outcomes in patients discharged from ICU.
Else, Daniel H; Scott, Christine; Panangala, Sidath V
... construction, military housing allowances, military installation maintenance and operation, the Department of Veterans Affairs, and other veteran-related agencies, rested in the House Committee...
Full Text Available In the light of the changing tertiary education arena in South Africa, the Department of Public Management and Governance in the School for Social and Government Studies of the Arts Faculty, North-West University (NWU had to revisit its policy on macro organisational aspects. Issues such as more effective communication mediums, the merging and alignment of the University’s three campuses, the nature of the ever-increasing competition in the tertiary residential and distance teaching environment, the range, variety and quality of its products and the facilitation and rendering of an improved tertiary teaching service were identified. In this article the typical nature of the intra, inter and extra academic liaison regarding the Department at NWU are highlighted and some recommendations on more effective communication and work procedures as a result of academic liaison are presented. Examples being that academics and practitioners need to meet more frequently, upgrade effective communication media among them and undertake joint research in a more cooperative manner.
... DEPARTMENT OF STATE [Public Notice: 7312] Notice of Certification; Foreign Military Financing, and International Military Education and Training; Guatemala AGENCY: Department of State. ACTION: Notice. The... internationally recognized human rights; (B) the Guatemalan Air Force, Navy, and Army Corps of Engineers are...
Le présent document présente la technique de modulation duale Fréquence - Amplitude dans le cas d'une liaison optique du type IM-DD. Ce travail révèle que la modulation duale Fréquence - Amplitude permet de générer un signal à bande latérale unique. Les performances d'une liaison optique IM-DD basée sur cette ...
Natalia Cámara Conde
Full Text Available We show a proposal to increase the quality of nursing cares, improving mental health care of hospitalized patients by creating the figure of the liaison nurse within the liaison psychiatry team. This nurse would not only be a reference to support the nursing staff at the level of patient care, but also the psycho-emotional self-care professional.Objectives: Justifying the need to include the figure of the specialist mental health team liaison psychiatry nurse. Method: The rotation as residents, for a month, with the interconsultation team psychiatric hospital Gregorio Marañón and literature review. Results: There have been partially unmet needs, these could be covered with the existence of a nurse specialist in mental health consultation in this hospital. Discussion: Possibly it poses difficulties in defining the roles of various liaison team professionals, which we expect can be defined at the start implementing the new member.The hospital itself has an own field defined, articulated through the NANDA, NIC, NOC methodology, which covers aspects that so far have not being made, there is not a nurse figure into the psychiatric consultation liaison team.
OSOCC and the NEOC. The MNMCC organizational structure has four cells; Reception cell, Planning cell, Coordination cell, and the Liaison cell, as...shown in figure 4. Reception cell is responsible for receive and conducts initial orientation briefing to the assisting military teams. Planning cell...earthquake. The target audience for this research is primarily the NA and the GoN. The involvement of the researcher during the operation
Vance, Charles; Vaiman, Vlad; Andersen, Torben
This paper builds on the existing conceptualization of MNC knowledge transfer by exploring the all-important liaison role in global knowledge management played by host country nationals (HCNs), especially those working directly to with expatriate managers. We first discuss this proposed HCN local...... liaison role between expatriate and local employees within theoretical constructs of network theory and absorptive capacity. Then we consider several possible important components and related behavioral functions of this liaison role, including cultural interpreter, communication manager, information...... resource broker, talent developer, and internal change agent. We also consider benefits and limitations of this HCN local liaison role, as well as areas for future exploratory field research to help validate and elucidate this present model of the HCN local liaison role. This model also provides some...
Previous research has shown that patients seen by liaison psychiatry services are a complex and expensive patient group and that the psychiatric co-morbidities of hospital inpatients are poorly attested at discharge for assignment to diagnosis-related groups (DRGs). The aim of this study was to investigate the accuracy of discharge coding in a neuropsychiatry liaison population. We also aimed to establish whether or not, had the correct diagnosis been assigned, additional funding would have been allocated to the hospital.
Ellen, Steven; Lacey, Cameron; Kouzma, Nadya; Sauvey, Nick; Carroll, Rhonda
To evaluate the usefulness of Casemix as a data collection system for consultation-liaison psychiatry services. Health information staff were requested to code psychiatric assessments and diagnosis prospectively for admissions to the Alfred Hospital, Melbourne, between July 2002 and June 2004 using Casemix. Psychiatric assessments were requested on 2.5% of all hospital admissions (n = 2575). Casemix provided extensive demographic and hospital unit data for referred patients, is easy to set up, and is cost-free for the psychiatry service. Casemix can provide extensive meaningful data for consultation-liaison psychiatry services that could assist in the argument for greater funding of these services.
Smit, Hennie A. P.
Globally there is a growing environmental awareness among all segments of society, but research on the effect of environmental education in shaping the attitude of military students is lacking. Tertiary environmental education to officers of the South African Department of Defence is seated in the Department of Military Geography at the South…
.... 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...
Beck, Anne Marie; Tolstrup Andersen, Ulla; Leedo, Eva
(70 + years and at nutritional risk) at discharge. INTERVENTIONS: Participants were randomly allocated to receive discharge Liaison-Team vs. discharge Liaison-Team in cooperation with a dietician. The dietician performed a total of three home visits with the aim of developing and implementing......OBJECTIVES: The objective was to test whether adding a dietician to a discharge Liaison-Team after discharge of geriatric patients improves nutritional status, muscle strength and patient relevant outcomes. DESIGN: Twelve-week randomized controlled trial. SETTING AND SUBJECTS: Geriatric patients...... an individual nutritional care plan. The first visit took place at the day of discharge together with the discharge Liaison-Team while the remaining visits took place approximately three and eight weeks after discharge and were performed by a dietician alone. MAIN MEASURES: Nutritional status (weight...
Bugaj, Stephen J.
The US Department of Defense Education Activity (DoDEA) is a federal agency that provides educational services to military dependents in 12 foreign countries, seven states, Cuba, and Puerto Rico. Perhaps due to its restricted audience, the general public has limited knowledge of DoDEA services; moreover, empirical information about these services…
The paper discusses the events of the last ten years concerned with the liaison between education in schools and industry. The article, written from the secondary schools' viewpoint, is aimed at those interested in the future of engineering in the United Kingdom. (U.K.)
It is recognised that children attending paediatric services have an increased rate of mental health (MH) problems1. Hospital based Mental Health services, interchangeably termed Psychiatric Consultation Liaison Services (PCLS), or Psychological Medicine, exist in the large hospitals, and collaborate with their paediatric colleagues, offering assessment and intervention as required. However, PCLS may also have a role in providing Emergency MH assessments for young people presenting to the Emergency Department (ED), a role independent of their paediatric colleagues. In some cases, these children will need to be admitted to an acute paediatric bed for the management of their mental health illness or psychological distress, awaiting transfer to a child psychiatry specialised bed, or discharge to community services. The profile and costs of these cases are inadequately captured by both HSE CAMHS Annual Reporting System3,4 and the Healthcare Pricing Office (HIPE)2 as they often inadequately record MH referrals. This study explores the costs associated with a cohort of patients presenting to a large paediatric hospital ED, and managed by PCLS, in a one-year period.
... 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...
... 32 National Defense 3 2010-07-01 2010-07-01 true Military Academy. 575.1 Section 575.1 National... MILITARY ACADEMY § 575.1 Military Academy. (a) Organization and administration. (1) The United States Military Academy is under the general direction and supervision of the Department of the Army. The...
Redmond, S A; Wilcox, S L; Campbell, S; Kim, A; Finney, K; Barr, K; Hassan, A M
Military culture and workplace are areas of interest for researchers across disciplines. However, few publications on military culture exist. The purpose of this article is to introduce general concepts regarding the structure and culture of the United States Military and discuss how this creates challenges for reintegrating into the civilian world. Topics that will be covered in this article include an overview of the Department of Defense (DoD) and Department of Veterans Affairs (VA), socialization to military culture, the unique features of the military as a workplace, the cultural experiences of military personnel reintegrating back into the community, and the challenges faced by military members and their spouses. The provided information on military culture will expand military cultural competency so that civilian employers can enhance their ability to create supportive workplaces for veterans and military spouses during times of transition and reintegration. The unique characteristics of the military culture should be understood by those who work with or plan to work with military populations.
Tabanejad, Zeinab; Pazokian, Marzieh; Ebadi, Abbas
Background: This review focuses on the impact of liaison nurse in nursing care of patient after ICU discharge on patient’s outcomes, compared with patients that are not taken care of by liaison nurses. The role of the ICU liaison nurse has transpired to solve the gap between intensive care unit and wards. Therefore, we aimed to review the outcomes of all studies in this field. Methods: A systematic review of intervention studies between 2004 and 2013 was undertaken using standard and sensitiv...
... 45 Public Welfare 4 2010-10-01 2010-10-01 false Agency and legislative liaison. 1230.200 Section 1230.200 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1230.200 Agency and legislative...
non-possible assembly sequences using liaison graph. In this paper a new ... Applications (CATIA) software is a user friendly CAD tool with the feasibility of .... to perform the contact analysis to check the possibility of interference. Table 5.
Opmeer, Brent C.; Hollingworth, William; Marques, Elsa M. R.; Margelyte, Ruta; Gunnell, David
Objectives To evaluate the impact of an expansion of liaison psychiatry services (LPS) on patient management, outcomes and treatment costs for emergency department (ED) attendances for self-harm. Design Retrospective before and after cohort study using routinely collected Self-Harm Surveillance
Lyne, John; Hill, Michelle; Burke, Patricia; Ryan, Martina
The purpose of this paper is to examine an audit that was performed of all patients referred to a liaison psychiatry inpatient consultation service which sought to establish a baseline for demographics, type of referral, and management of referrals, with a view to introducing improved evidence-based treatments. It also aims to examine timeliness of response to referrals benchmarked against published standards. All inpatient referrals to a liaison psychiatry service were recorded over a six-month period, including demographics, diagnosis, management and timeliness of response to referrals. The data were retrospectively analysed and compared against international standards. A total of 172 referrals were received in the six months. Commonest referral reasons included assessments regarding depressive disorders (23.8 per cent), delirium/other cognitive disorders (19.2 per cent), alcohol-related disorders (18.6 per cent), anxiety disorders (14.5 per cent), and risk management (12.2 per cent). Evidence-based practices were not utilised effectively for a number of different types of presentations. A total of 40.1 per cent of referrals were seen on the same day, 75.4 per cent by the end of the next day, and 93.4 per cent by the end of the following day. Use of a hospital protocol for management of delirium may improve outcomes for these patients. Evidence-based techniques, such as brief intervention therapies, may be beneficial for referrals involving alcohol dependence. Referrals were seen reasonably quickly, but there is room for improvement when compared with published standards. This paper provides valuable information for those involved in management of liaison psychiatry consultation services, providing ideas for development and implementation of evidence based practices.
Vanessa de Albuquerque Citero
Full Text Available ABSTRACT CONTEXT: An almost 50% prevalence of psychiatric disorders among cancer patients has prompted a series of studies on consultation-liaison psychiatry. Nonetheless, there are few reports on the epidemiological factors involving comorbidity between cancer and psychiatric disorders. OBJECTIVE: To evaluate the epidemiological profile of cancer inpatients referred to the consultation-liaison psychiatric service in an oncology hospital during its first year of activity. TYPE OF STUDY: Descriptive study. SETTING: Tertiary-care teaching hospital. PARTICIPANTS: 319 patients referred 412 times to the consultation-liaison psychiatry service. PROCEDURES: From August 97 to July 98, an appraisal was made of data on all admissions registered at the Hospital do Câncer, and also all referrals registered at the consultation-liaison psychiatry service. MAIN MEASUREMENTS: The demographics and patients' clinical data, the type and flow of the request, and the evaluation conducted by the service were analyzed and comparisons with the hospital data were made. The distribution of the number of referrals was used to construct a profile of patients who had repeatedly used the service. RESULTS: Psychiatric diagnoses were found in 59% of the cases. Forty-three percent of these required medication, 18.3% needed psychotherapy, 22.1% family intervention and 20.5% guidance from the staff. Over 22.8% of the consultations were reevaluations, mainly involving younger male patients with worst prognoses. These patients required lengthier and more elaborate intervention, and had higher prevalence of depressive and behavioral disorders. CONCLUSION: A younger and mainly male population of non-surgical oncological cases was referred to the consultation-liaison psychiatric service during its first year of activity. The psychiatric disorder prevalence was higher than expected, and consisted predominantly of mood disorders. We detected a priority group, namely the reevaluated
Officer AVN : Aviation M&M: Movement and Manuever CBRN: Chemical, Biological, Radiological, Nuclear MP: Military Police 128Department of the Army...Missile Defense KM: Knowledge Management AVN : Aviation CMD GRP: Command Group M&M: Movement And Maneuver CA: Civil Affairs NETOPS: Network...ADA: Air Defense Artillery LNO: Liaison Officer AVN : Aviation M&M: Movement and Manuever CBRN: Chemical, Biological
Hourani, Laurel L; Williams, Thomas V; Kress, Amii M
This study examined the extent to which high levels of occupational and family stress were associated with mental health problems and productivity loss among active duty military personnel. We analyzed data from the 2002 Department of Defense Survey of Health-Related Behaviors among Military Personnel, which provided extensive population-based information on 12,756 active duty personnel in all branches of the military worldwide. Military personnel reported higher levels of stress at work than in their family life. The personnel reporting the highest levels of occupational stress were those 25 or younger, those who were married with spouses not present, and women. Personnel with high levels of stress had significantly higher rates of mental health problems and productivity loss than those with less stress. We recommend that prevention and intervention efforts geared toward personnel reporting the highest levels of stress be given priority for resources in this population.
Brennan, Sue E.; Cumpston, Miranda; Misso, Marie L.; McDonald, Steve; Murphy, Matthew J.; Green, Sally E.
The Policy Liaison Initiative (PLI) is a long-term knowledge translation initiative designed to support the use of Cochrane systematic reviews in health policy. A joint initiative between the Australasian Cochrane Centre and Australian Government Department of Health and Ageing, the PLI includes: 1) a community of practice for evidence-informed…
Haynes, Abby; Butow, Phyllis; Brennan, Sue; Williamson, Anna; Redman, Sally; Carter, Stacy; Gallego, Gisselle; Rudge, Sian
This paper explores the enormous variation in views, championing behaviours and impacts of liaison people: staff nominated to facilitate, tailor and promote SPIRIT (a research utilisation intervention trial in six Australian health policy agencies). Liaison people made cost/benefit analyses: they weighed the value of participation against its…
Poloméni, P; Cleirec, G; Icard, C; Ramos, A; Rolland, B
Since the 1970s, the concept of "consultation/liaison (CL) psychiatry" has pertained to specialized mobile teams which meet inpatients hospitalized in non-psychiatric settings to offer them on-the-spot psychiatric assessment, treatment, and, if needed, adequate referral. Since the birth of CL psychiatry, a long set of theoretical books and articles has aimed at integrating CL psychiatry into the wider scope of psychosomatic medicine. In the year 2000, a circular issued by the Health Ministry defined the organization of "CL addiction services" in France. Official CL addiction teams are named "Équipes de Liaison et de Soins en Addictologie" (ELSAs) which are separated from CL psychiatry units. Though this separation can be questioned, it actually emphasizes that the work provided by CL addiction teams has some very specific features. The daily practice of ELSAs somewhat differs from that of psychiatric CL teams. Addictive behaviors often result from progressive substance misuse. In this respect, the ELSAs' practice frequently involves screening, brief intervention, and referral to treatment (SBIRT) interventions, which are rather specific of addiction medicine and consist more of prevention interventions than actual addiction treatment. Moreover, for patients with characterized substance use disorders substantial skills in motivational interviewing are required in ELSA consultations. Though motivational interviewing is not specific to addiction medicine, its regular use is uncommon for other liaison teams in France. Furthermore, substance misuse can induce many types of acute or delayed substance-specific medical consequences. These consequences are often poorly known and thus poorly explored by physicians of other specialties. ELSAs have therefore the role of advising their colleagues for a personalized somatic screening among patients with substance misuse. In this respect, the service undertaken by ELSAs is not only based on relational skills but also comprises a
PURPOSE: The purpose of this paper is to examine an audit that was performed of all patients referred to a liaison psychiatry inpatient consultation service which sought to establish a baseline for demographics, type of referral, and management of referrals, with a view to introducing improved evidence-based treatments. It also aims to examine timeliness of response to referrals benchmarked against published standards. DESIGN\\/METHODOLOGY\\/APPROACH: All inpatient referrals to a liaison psychiatry service were recorded over a six-month period, including demographics, diagnosis, management and timeliness of response to referrals. The data were retrospectively analysed and compared against international standards. FINDINGS: A total of 172 referrals were received in the six months. Commonest referral reasons included assessments regarding depressive disorders (23.8 per cent), delirium\\/other cognitive disorders (19.2 per cent), alcohol-related disorders (18.6 per cent), anxiety disorders (14.5 per cent), and risk management (12.2 per cent). Evidence-based practices were not utilised effectively for a number of different types of presentations. A total of 40.1 per cent of referrals were seen on the same day, 75.4 per cent by the end of the next day, and 93.4 per cent by the end of the following day. PRACTICAL IMPLICATIONS: Use of a hospital protocol for management of delirium may improve outcomes for these patients. Evidence-based techniques, such as brief intervention therapies, may be beneficial for referrals involving alcohol dependence. Referrals were seen reasonably quickly, but there is room for improvement when compared with published standards. ORIGINALITY\\/VALUE: This paper provides valuable information for those involved in management of liaison psychiatry consultation services, providing ideas for development and implementation of evidence based practices.
... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Foreign-owned military aircraft and naval vessels, and the Foreign Military Sales program. 126.6 Section 126.6 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS GENERAL POLICIES AND PROVISIONS § 126.6 Foreign-owned military...
... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Liaison with other governmental agencies and submission of views by interested persons. 19.4 Section 19.4 Public Lands: Interior Office of the Secretary of the Interior WILDERNESS PRESERVATION National Wilderness Preservation System § 19.4 Liaison with other governmental agencies and...
... internal DoD difficulties, beyond the control of the Military Leadership Diversity Commission or its... DEPARTMENT OF DEFENSE Office of the Secretary Federal Advisory Committee; Military Leadership...), and 41 CFR 102-3.150, the Department of Defense announces that the Military Leadership Diversity...
Davidson, Fiona; Heffernan, Ed; Greenberg, David; Butler, Tony; Burgess, Philip
The aim of this paper is to describe the development and technical specifications of a framework and national key performance indicators (KPIs) for Australian mental health Court Liaison Services (CLSs) by the National Mental Health Court Liaison Performance Working Group (Working Group). Representatives from each Australian State and Territory were invited to form a Working Group. Through a series of national workshops and meetings, a framework and set of performance indicators were developed using a review of literature and expert opinion. A total of six KPIs for CLSs have been identified and a set of technical specifications have been formed. This paper describes the process and outcomes of a national collaboration to develop a framework and KPIs. The measures have been developed to support future benchmarking activities and to assist services to identify best practice in this area of mental health service delivery.
Best Jr, Richard A
... carry out their military missions, and to be prepared to deliver health care during wartime. The military health system also provides, where space is available, health care services in Department of Defense (DOD...
... 32 National Defense 4 2010-07-01 2010-07-01 true Military Police Report. 635.17 Section 635.17 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW ENFORCEMENT AND CRIMINAL INVESTIGATIONS LAW ENFORCEMENT REPORTING Offense Reporting § 635.17 Military Police Report. (a) General Use. DA form 3975 is a...
... 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...
The Department of Defense's military health care system, entitled TRICARE, brings together the direct health care resources of the Department of Defense and supplements this capability through the use...
... 32 National Defense 4 2010-07-01 2010-07-01 true Military Police Codes (MPC). 635.20 Section 635.20 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW ENFORCEMENT AND CRIMINAL INVESTIGATIONS LAW ENFORCEMENT REPORTING Offense Reporting § 635.20 Military Police Codes (MPC). (a) MPCs identify individual Provos...
recipient nations." The Foreign Military Sales Act of 1968 consolidated and revised provisions of the Foreign Assistance Act on reimburs - able military...RCCOVER FULL . COSTS OF REIMBURSABLE SATELLITE LAUNCHES. \\ Report to the Congtess. May 6, 1975, LCD- 7 4 -1. 0 7 • Defeuse and NASI\\ !National...Require that cost estimates and billings for reimburs - able launches be reviewed by internal .auditors to insure they are in ac~ord with agency
Full Text Available Abstract Background There are only a few reports on issues related to patient transfer from medical and surgical departments to the psychiatric ward by the consultation-liaison psychiatry service, although it is a common practice. Here, we present a study assessing the factors that influence such transfers. Method We examined the demographic and clinical backgrounds of a group of patients transferred from internal medicine and surgery to the psychiatric ward over an 11-year period. A comparison was made of this data with data obtained from a group of non-transferred patients, also seen by the same consultation-liaison psychiatry service. Results According to our findings, the typical transferred patient, either female or male, is single, divorced or widowed, lives alone, belongs to a lower socioeconomic class, presents initially with (on the whole a disturbed and disruptive behaviour, has had a recent suicide attempt with persistent suicidal ideas, suffers from a mood disorder (mainly depressive and dysthymic disorders, has a prior psychiatric history as well as a prior psychiatric inpatient treatment, and a positive diagnosis on axis II of the five axis system used for mental health diagnosis. Conclusion The transfer of a patient to the psychiatric ward is a decision depending on multiple factors. Medical diagnoses do not seem to play a major role in the transfer to the psychiatric ward. From the psychiatric diagnosis, depressive and dysthymic disorders are the most common in the transferred population, whilst the transfer is influenced by social factors regarding the patient, the patient's behaviour, the conditions in the ward she/he is treated in and any recent occurrence(s that increase the anxiety of the staff.
... DEPARTMENT OF DEFENSE Office of the Secretary Federal Advisory Committee; Military Leadership... of Defense established the Military Leadership Diversity Commission (hereafter referred to as the... INFORMATION CONTACT: Jim Freeman, Deputy Committee Management Officer for the Department of Defense, 703-601...
Meetings of students and veterans, militarized physical culture celebrations , department and school activities which develop a sense of patriotism, formal...they capable of making military affairs interesting to a young men in Adidas jackets with dyed- hackle hairdos, of getting them to love military
Miramax Books, 2002. Goleman , Daniel . Emotional Intelligence . New York: Bantam Books, 1997. Goleman , Daniel , Richard Boyatzis, and Annie McKee...or position of the Department of the Army, Department of Defense, or the U.S. Government. ARMY RESERVE MILITARY INTELLIGENCE : TIME FOR CHANGE...Research Project 3. DATES COVERED 00-00-2009 to 00-00-2010 4. TITLE AND SUBTITLE Army Reserve Military Intelligence : Time for Change 5a
The IAEA’s mandate to “foster the exchange of scientific and technical information on peaceful uses of atomic energy”, as stated in Article III, paragraph A.3 of the Statute of the Agency, and in Article VIII, paragraph C that the “Agency …shall take positive steps to encourage the exchange among its members of information relating to the nature and peaceful uses of atomic energy and shall serve as an intermediary among its members for this purpose” , was the catalyst in the 1960’s for the Agency’s undertaking to provide a comprehensive computerized system for the retrieval and storage of information related to the peaceful uses of nuclear science and technology. The establishment of an International Nuclear Information System, a decentralized information system to foster the exchange of nuclear information, began to take concrete shape in 1966 with the formation, at the direction of the IAEA’s Director General, Dr. Eklund, of a Working Group on International Nuclear Information System (INIS). The vision was to centralize the processing of the information, as well as the output products, while decentralizing the selection, scanning, cataloguing, indexing and abstracts of the information, which would be done by participating Member States and international organizations. Each country would provide bibliographic input for literature produced within their geographic territories. Following the approval of INIS by the IAEA’s Board of Governors in 1969 and at the invitation of the IAEA’s Director General, Member States (MS) were invited to designate a national INIS Liaison Officer (ILO) to act as the official contact for the INIS Secretariat, which would be located at IAEA Headquarters in Vienna. The Member States were encouraged to submit input to the system by April 1970. Thus began many years of fruitful partnership and cooperation between INIS and its Members. INIS Liaison Officers are instrumental in deciding the path along which INIS evolves
Full Text Available The aim of this study was to evaluate the long term effects after discharge of a hospital-based geriatric liaison intervention to prevent postoperative delirium in frail elderly cancer patients treated with an elective surgical procedure for a solid tumour. In addition, the effect of a postoperative delirium on long term outcomes was examined.A three month follow-up was performed in participants of the Liaison Intervention in Frail Elderly study, a multicentre, prospective, randomized, controlled trial. Patients were randomized to standard treatment or a geriatric liaison intervention. The intervention consisted of a preoperative geriatric consultation, an individual treatment plan targeted at risk factors for delirium and daily visits by a geriatric nurse during the hospital stay. The long term outcomes included: mortality, rehospitalisation, Activities of Daily Living (ADL functioning, return to the independent pre-operative living situation, use of supportive care, cognitive functioning and health related quality of life.Data of 260 patients (intervention n = 127, Control n = 133 were analysed. There were no differences between the intervention group and usual-care group for any of the outcomes three months after discharge. The presence of postoperative delirium was associated with: an increased risk of decline in ADL functioning (OR: 2.65, 95% CI: 1.02-6.88, an increased use of supportive assistance (OR: 2.45, 95% CI: 1.02-5.87 and a decreased chance to return to the independent preoperative living situation (OR: 0.18, 95% CI: 0.07-0.49.A hospital-based geriatric liaison intervention for the prevention of postoperative delirium in frail elderly cancer patients undergoing elective surgery for a solid tumour did not improve outcomes 3 months after discharge from hospital. The negative effect of a postoperative delirium on late outcome was confirmed.Nederlands Trial Register, Trial ID NTR 823.
Ford, Shannon; Schnitzlein, Carla
With the announcement that members of the military who identify as transgender are allowed to serve openly, the need for Department of Defense behavioral health providers to be comfortable in the assessment, diagnosis, and treatment of this population becomes quickly evident. This population has been seeking care in the community and standards have been developed to help guide decision-making, but a comparable document does not exist for the military population. Previously published papers were written in anticipation of the policy allowing for open service. The civilian sector has treatment guidelines and evidence supporting the same for reference. There is no similar document for the military population, likely due to the recent change and ongoing development. This paper attempts to provide an overview of the recent Department of Defense policy and walks the reader through key considerations when providing care to a transgender member of the military as it relates to those who are currently serving in the military through the use of a case example. The military transgender population faces some unique challenges due to the need to balance readiness and deployability with medically necessary health care. Also complicating patient care is that policy development is ongoing-as of this publication, the decision has not yet been made regarding how people who identify as transgender will access into the military nor is there final approval regarding coverage for surgical procedures. Unique circumstances of this population are brought up to generate more discussion and encourage further evaluation and refinement of the process.
Cullum, Sarah; Tucker, Sue; Todd, Chris; Brayne, Carol
To compare liaison psychiatric nursing with usual medical care in the management of older medical inpatients who screen positive for depression. Pragmatic randomised controlled trial. Medical wards of UK district general hospital in rural East Anglia. One hundred and thirty-eight medical inpatients aged 65+ screened positive on the 15-item geriatric depression scale (GDS). One hundred and twenty-one out of 138 screen positives entered the trial (58/121 fulfilled criteria for depressive disorder at baseline). (i) A liaison psychiatric nurse assessed participants, formulated a care plan for treatment of their depression, ensured its implementation through liaison with appropriate agencies, and monitored participants' mood and response to treatment for up to 12 weeks. (ii) Usual treatment by hospital and primary care staff. ICD-10 depressive disorder, change in GDS-15 score, quality-adjusted life weeks (QALWs) and patient satisfaction rating. Eighty-six out of 121 participants completed the 16-week trial. Participants in the intervention group were more satisfied with their care, but no significant differences in depressive disorder, depression rating or QALWs gained were found between groups. However, there was a trend towards improvement in the intervention group and effect sizes were higher in the subgroup with depressive disorder. This study is the first RCT to evaluate liaison psychiatric nursing specifically for depression in older medical inpatients; the findings suggest improvement in mental health and quality of life, but a larger trial is required to provide convincing evidence.
Following previous meetings held in 1996 in San Diego and in 1997 in Tokyo, the Third ITER International Industry Liaison Meeting (IILM) meeting was held under the European Chairmanship in Toronto, Canada, November 7-9, 2000. The intention of such meetings is to provide a forum for industrialists of the ITER EDA parties and other interested countries to develop common understandings on important issues of the timing and nature of Industry involvement in the ITER project. This article describes the main views from Industry on the preconstruction and construction phases and the cost and benefit schemes, while summarizing the progress made by the ITER project since the Tokyo meeting
Chang, Y -F; Huang, C -F; Hwang, J -S; Kuo, J -F; Lin, K -M; Huang, H -C; Bagga, S; Kumar, A; Chen, F -P; Wu, C -H
The analysis aimed to identify the treatment gaps in current fracture liaison services (FLS) and to provide recommendations for best practice establishment of future FLS across the Asia-Pacific region. The findings emphasize the unmet need for the implementation of new programs and provide recommendations for the refinement of existing ones. The study's objectives were to evaluate fracture liaison service (FLS) programs in the Asia-Pacific region and provide recommendations for establishment of future FLS programs. A systematic literature review (SLR) of Medline, PubMed, EMBASE, and Cochrane Library (2000-2017 inclusive) was performed using the following keywords: osteoporosis, fractures, liaison, and service. Inclusion criteria included the following: patients ≥ 50 years with osteoporosis-related fractures; randomized controlled trials or observational studies with control groups (prospective or retrospective), pre-post, cross-sectional and economic evaluation studies. Success of direct or indirect interventions was assessed based on patients' understanding of risk, bone mineral density assessment, calcium intake, osteoporosis treatment, re-fracture rates, adherence, and mortality, in addition to cost-effectiveness. Overall, 5663 unique citations were identified and the SLR identified 159 publications, reporting 37 studies in Asia-Pacific. These studies revealed the unmet need for public health education, adequate funding, and staff resourcing, along with greater cooperation between departments and physicians. These actions can help to overcome therapeutic inertia with sufficient follow-up to ensure adherence to recommendations and compliance with treatment. The findings also emphasize the importance of primary care physicians continuing to prescribe treatment and ensure service remains convenient. These findings highlight the limited evidence supporting FLS across the Asia-Pacific region, emphasizing the unmet need for new programs and/or refinement of
... DEPARTMENT OF DEFENSE Federal Advisory Committee; Military Leadership Diversity Commission (MLDC..., the Department of Defense announces that the Military Leadership Diversity Commission (MLDC) will meet... Federal Officer (DFO) opens meeting. Commission Chairman opening remarks. Deliberation on the definition...
Smith, Elizabeth A; Jahnke, Sara A; Poston, Walker S C; Malone, Ruth E; Haddock, Christopher K
Higher tobacco taxes reduce tobacco use. On military installations, cigarettes and other tobacco products are sold tax-free, keeping prices artificially low. Pricing regulations in the military specify that tobacco should be within 5% of the local most competitive price, but prices still average almost 13% lower than those at local Walmarts. To gain insight into policy leaders' ideas and positions on military tobacco pricing, we interviewed members of the Department of Defense (DoD) Addictive Substances Misuse Advisory Committee and the Advisory Committee on Tobacco about tobacco pricing policies (n = 12). Participants frequently lacked specific knowledge of details of military pricing policy, and the impact higher prices might have on military tobacco use. Most participants thought tobacco should not be sold at military stores, but many also felt that this policy change was unlikely due to tobacco industry pressure, and DoD reliance on tobacco profits to support Morale, Welfare, and Recreation funds. Achieving a tobacco-free military will require changing pricing policy, but this study suggests that for effective implementation, military leadership must also understand and articulate more clearly the rationale for doing so. Previous work has found that adherence to military tobacco pricing policy is inconsistent at best. This study suggests that lack of knowledge about the policy and conflicting pressures resulting from the funding stream tobacco sales represent extend to high level military policy leaders. Without clearer information and direction, these leaders are unlikely to be able to establish and implement better tobacco pricing policy. © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: email@example.com.
Massey, Suena H; Norris, Lorenzo; Lausin, Melissa; Nwaneri, Chinyere; Lieberman, Daniel Z
Harmful drinking is common in medical inpatients, yet commonly missed due in part to time pressures. A screening question about past year heavy drinking recommended by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) has been validated in primary care and emergency room settings. We tested the psychometric properties of a modified single screening question (SSQ) in hospitalized patients referred to a consultation-liaison service. A psychiatry attending (n = 40), a psychiatry resident (n = 30) and a medical student (n = 30) administered the SSQ, followed by a self-report 10-item Alcohol Use Disorders Identification Test (AUDIT) to a sample of 100 consultation-liaison patients who were able to give informed consent for participation. Using the AUDIT as a reference, the sensitivity and specificity of the SSQ to detect harmful drinking in this sample were .96 and .82, respectively. Gender differences in specificity were not found. The single question also had a strong correlation with dependence (r(b) = .457, p past year heavy drinking can rapidly identify harmful drinking in alert nonpsychotic consultation-liaison patients. Copyright © 2011 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.
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...
Cragun, Joshua N; April, Michael D; Thaxton, Robert E
Compassion fatigue is a problem for many health care providers manifesting as physical, mental, and spiritual exhaustion. Our objective was to evaluate the association between prior combat deployment and compassion fatigue among military emergency medicine providers. We conducted a nonexperimental cross-sectional survey of health care providers assigned to the San Antonio Military Medical Center, Department of Emergency Medicine. We used the Professional Quality of Life Scale V survey instrument that evaluates provider burnout, secondary traumatic stress, and compassion satisfaction. Outcomes included burnout, secondary traumatic stress, and compassion satisfaction raw scores. Scores were compared between providers based on previous combat deployments using two-tailed independent sample t tests and multiple regression models. Surveys were completed by 105 respondents: 42 nurses (20 previously deployed), 30 technicians (11 previously deployed), and 33 physicians (16 previously deployed). No statistically significant differences in burnout, secondary traumatic stress, or compassion satisfaction scores were detected between previously deployed providers versus providers not previously deployed. There was no association between previous combat deployment and emergency department provider burnout, secondary traumatic stress, or compassion satisfaction scores. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.
... DEPARTMENT OF DEFENSE Office of the Secretary Federal Advisory Committee; Military Leadership... amended), and 41 CFR 102-3.150, the Department of Defense announces that the Military Leadership Diversity... diversity management Mr. Mario L. Barnes briefs the MLDC on legal issues related to diversity management...
Tanofsky-Kraff, Marian; Sbrocco, Tracy; Theim, Kelly R.; Cohen, L. Adelyn; Mackey, Eleanor R.; Stice, Eric; Henderson, Jennifer L.; McCreight, Sarah J.; Bryant, Edny J.; Stephens, Mark B.
Objective This review discusses the current knowledge and future directions regarding obesity within the US military family (i.e., active-duty servicemembers, as well as military spouses, children, retirees, and veterans). The increasing rates of overweight and obesity within the US military adversely impact military readiness, limit recruitment, and place a significant financial burden on the Department of Defense. Design and Methods The following topics are reviewed: 1) The prevalence of and the financial, physical, and psychological costs associated with overweight in military communities; 2) military weight regulations, and challenges faced by the military family related to overweight and disordered eating; 3) the continued need for rigorous program evaluations and new intervention development. Results Overweight and its associated sequelae impact the entire military family. Military families share many similarities with their civilian counterparts, but they face unique challenges (e.g., stress related to deployments and relocations). Although the military has weight management resources, there is an urgent need for rigorous program evaluation and the development of enhanced obesity prevention programs across the lifespan of the military family–several of which are proposed herein. Conclusions Interdisciplinary and collaborative research efforts and team-based interventions will continue to inform understanding of obesity treatment and prevention within military and civilian populations. PMID:23836452
Olley, Hannah; Psaila, Kim; Fowler, Cathrine; Kruske, Sue; Homer, Caroline; Schmied, Virginia
This article explores the characteristics and functions of the liaison role in child and family health services in Australia. Liaison roles are increasingly being used to improve communication between health services and professionals and to facilitate access to support for individuals and families in need. Nurses are commonly, although not always, the professionals who undertake these roles. Research on the role and outcomes of liaison positions in child and family health services is limited in Australia and internationally. A qualitative interpretive design informed this study. Interviews and focus groups were conducted with 40 liaison and other health professionals, primarily nurses, working with families with newborn and young children in two Australian States. Data were analysed thematically. Three major themes were identified reflecting the importance of defining the role and tasks which included building bridges between services and professionals, supporting families during transition between services and supporting clinicians. Several facilitators and barriers were identified, including concerns about sustainability of the roles. Professionals working in a liaison role in child and family health services emphasise that these positions have the potential to link services and professionals, thereby providing more effective care pathways for children and families especially for those with complex and multiple vulnerabilities. While a few children and family health services in Australia provide liaison services, the extent of liaison support and the outcomes for families in Australia is unknown. Nurses working with children and families are the most likely health professionals to undertake a liaison role. In many nursing contexts, liaison roles are relatively new and those in the role have the responsibility to define the key purpose of their role. Liaison roles are multifaceted requiring the nurse to have excellent communication and negotiation skills to
Mihara, Naoki; Manabe, Shiro; Takeda, Toshihiro; Shinichirou, Kitamura; Junichi, Murakami; Kouji, Kiso; Matsumura, Yasushi
We developed a system that transfers images via network and started using them in our hospital's PACS (Picture Archiving and Communication Systems) in 2006. We are pleased to report that the system has been re-developed and has been running so that there will be a regional liaison in the future. It has become possible to automatically transfer images simply by selecting the destination hospital that is registered in advance at the relay server. The gateway of this system can send images to a multi-center, relay management server, which receives the images and resends them. This system has the potential to be useful for image exchange, and to serve as a regional medical liaison.
The Department of Defense (DOD) spends more than $17 billion annually for military schools that offer nearly 30,000 military training courses to almost 3 million military personnel and DOD civilians, much of it to maintain readiness...
Gibbons, Susanne W; Barnett, Scott D; Hickling, Edward J
This study uses data from the 2005 Department of Defense Survey of Health-Related Behaviors Among Military Personnel to examine relationships between family stress and posttraumatic stress symptoms across 4 subgroups of Operation Iraqi Freedom-deployed (i.e., war in Iraq) or Operation Enduring Freedom-deployed (i.e., war in Afghanistan) active-duty military service members. Results suggest the following: (a) the greatest positive correlation of family stressors with posttraumatic stress symptoms was found within the military health care officer group, and (b) these military health care officers differed in family stressors mediating posttraumatic stress with divorce and financial problems accounting for significant and unique portions of the variance. Implications for care of service members and their families are discussed. Published by Elsevier Inc.
McBride, Jacquie; Russo, Alana; Block, Andrew
Asylum seekers and refugees experience a range of barriers to health service access and competent use. The Refugee Health Nurse Liaison initiative was piloted at a hospital in a high-settlement region of Victoria, Australia. This initiative aimed to build capacity within the health sector to more effectively respond to the needs of asylum seekers and refugees. A mixed-methods evaluation was undertaken to: describe issues encountered by asylum seekers and refugees within the hospital setting; capture the nature of the Refugee Health Nurse Liaison position; and document key outputs. Throughout the pilot period, 946 patients were referred to the role, of which 99% received an assessment of physical, mental, and social health. Refugee Health Nurse Liaisons effectively provided clinical support, advocacy, education, referrals, and both formal and informal capacity building. Learnings from this model are transferable to services in high-settlement regions, and could have application in improving patient care more broadly.
EPA and the Department of Defense (DoD) must address the contamination legacy left by military munitions and explosives of concern (MEC) and other hazardous munitions materials from military live-fire training or testing.
Investigations into the chemistry of alkaline Hanford Site tank waste (TTP RL4-3-20-04) were conducted in Fiscal Year 1995 at Westinghouse Hanford Company under the support of the Efficient Separations and Processing Crosscutting Program (EM-53). The investigation had two main subtasks: liaison with the Institute of Physical Chemistry of the Russian Academy of Science and further laboratory testing of the chemistry of thermal reconstitution of Hanford Site tank waste. Progress, which was achieved in the liaison subtask during Fiscal Year 1995, is summarized as follows: (1) A technical dialogue has been established with Institute scientists. (2) Editing was done on a technical literature review on the chemistry of transuranic elements and technetium in alkaline media written by researchers at the Institute. The report was issued in May 1995 as a Westinghouse Hanford Company document. (3) Four tasks from the Institute were selected for support by the U.S. Department of Energy. Work on three tasks commenced on 1 March 1995; the fourth task commenced on 1 April 1995. (4) Technical information describing the composition of Hanford Site tank waste was supplied to the Institute. (5) A program review of the four tasks was conducted at the Institute during a visit 25 August to 1 September, 1995. A lecture on the origin, composition, and proposed treatment of Hanford Site tank wastes was presented during this visit. Eight additional tasks were proposed by Institute scientists for support in Fiscal Year 1996. (6) A paper was presented at the Fifth International Conference on Radioactive Waste Management and Environmental Remediation (ICEM'95) in Berlin, Germany on 3 to 9 September, 1995 on the solubility of actinides in alkaline media
PLAN COST ANALYSIS ABSTRACT The new military retirement system is advertised to significantly reduce the Department of Defense’s (DOD...200 words) The new military retirement system is advertised to significantly reduce the Department of Defense’s (DOD) monetary outlays over the...determine how changing the value of the following planning assumptions in the MCRMC report will impact the estimated cost savings of this new plan through
Hofer, P.; Wolff, H.; Franzen, D.
The study aimed at working out a catalogue of criteria for the effective work of a liaison center for the machine building industry within the planned system of information and documentation of the German Government. By selecting this objective, the investigation methodically demanded a continuous change between theoretical analysis (study of literature, analytical deduction of the framework for a user-oriented information system) and empirical observation of information behaviour in the machine building industry (personal interviews with enterprises and important information sources for the machine building industries). An information system keyed to the information needs of the machine building industry must cover three main phases: Collection and documentation of information, selecting and procuring the needed information as well as encouraging and consulting the clients on the use of information. These different tasks complement one another, they correspond to different functions within enterprises: management, staff, and information function. Central point of a liaison center must be the task of selecting the required information (making information available, selling good information, analysing the information needs of clients), completed by fields of activity in documenting information (specifically for the machine building industry) and consulting clients on the use of information (agency for contacts, drawing the clients' attention to the complexity of machine building problems). A concrete catalogue of criteria for an effective conception of a liaison center for the machine building industry has been worked out. (orig.) [de
Hofer, P.; Wolff, H.; Franzen, D.; Schlichting, J.; Weidig, I.
The study aimed at working out a catalogue of criteria for the effective work of a liaison center for the machine building industry within the planned system of information and documentation of the German Government. By selecting this objective, the investigation methodically demanded a continuous change between theoretical analysis (study of literature, analytical deduction of the framework for a user-oriented information system) and empirical observation of information behaviour in the machine building industry (personal interviews with enterprises and important information sources for the machine building industries). An information system keyed to the information needs of the machine building industry must cover three main phases: Collection and documentation of information, selecting and procuring the needed information as well as encouraging and consulting the clients on the use of information. These different tasks complement one another, they correspond to different functions within enterprises: management, staff, and information function. Central point of a liaison center must be the task of selecting the required information (making information available, selling good information, analysing the information needs of clients), completed by fields of activity in documenting information (specifically for the machine building industry) and consulting clients on the use of information (agency for contacts, drawing the client's attention to the complexity of machine building problems). A concrete catalogue of criteria for an effective conception of a liaison center for the machine building industry has been worked out. (orig.) [de
... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Charter exemptions (except military). 399.21 Section 399.21 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION... Authority § 399.21 Charter exemptions (except military). In deciding applications for exemptions from...
Chevrot, Jean-Pierre; Dugua, Celine; Fayol, Michel
In the linguistics field, liaison in French is interpreted as an indicator of interactions between the various levels of language organization. The current study examines the same issue while adopting a developmental perspective. Five experiments involving children aged two to six years provide evidence for a developmental scenario which…
The Bank of England recently initiated a new survey of the sterling money market on behalf of the Money Market Liaison Group. This market — where short-term wholesale borrowing and lending in sterling takes place — plays a central role in the Bank’s pursuit of its monetary and financial stability objectives. Participants include banks, other financial institutions and non-financial companies, who use the market to manage their liquidity, by investing over short periods and raising short-term ...
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Full Text Available Cette étude compare trois modes de caractérisation mécanique des propriétés de la liaison fibre matrice dans un composite d’argile ciment fibre d’acier. Des essais ont été effectués avec différents diamètres de fibres afin de mesurer une contrainte d’adhérence. Les différents résultats montrent la nature complexe de la liaison avec chacune des trois méthodes. Une explication du mécanisme et de la divergence des résultats est proposée, qui conduit à préférer l’un des trois tests vis-à-vis de son utilisation pour prévoir les qualités du composite.
... DEPARTMENT OF DEFENSE Office of the Secretary Federal Advisory Committee; Military Leadership..., as amended), and 41 CFR 102-3.150, the Department of Defense announces that the Military Leadership... commission process management DFO adjourns the meeting March 17, 2010 (open to the public) 8 a.m.-12 p.m. DFO...
served after December 31, 2014. 9 Department of Defense, Valuation of the Military Retirement System, September 30, 2006, DOD Office of the Actuary...provision twice; first in 2014 (P.L. 113-82 §10001; formerly known as South Utah Valley Electric Conveyance Act) to apply only to servicemembers...Actuary, Valuation of the Military Retirement System, September 30, 2014, rev. June 2016. DOD budget authority and outlays in each fiscal year that
Wilson, Nick; Clement, Christine; Summers, Jennifer A; Bannister, John; Harper, Glyn
To identify the impact of the first world war on the lifespan of participating military personnel (including in veterans who survived the war). Comparison of two cohorts of military personnel, followed to death. Military personnel leaving New Zealand to participate in the first world war. From a dataset of the New Zealand Expeditionary Forces, we randomly selected participants who embarked on troopships in 1914 and a comparison non-combat cohort who departed on troopships in late 1918 (350 in each group). Lifespan based on dates of birth and death from a range of sources (such as individual military files and an official database of birth and death records). A quarter of the 1914 cohort died during the war, with deaths from injury predominating (94%) over deaths from disease (6%). This cohort had a significantly shorter lifespan than the late 1918 "non-combat" cohort, with median ages of death being 65.9 versus 74.2, respectively (a difference of 8.3 years shown also in Kaplan-Meier survival curves, log rank Pworld war in 1914 from New Zealand lost around eight years of life (relative to a comparable military cohort). In the postwar period they continued to have an increased risk of premature death. © Wilson et al 2014.
MacArthur, Juliet; Brown, Michael; McKechanie, Andrew; Mack, Siobhan; Hayes, Matthew; Fletcher, Joan
To examine the role of learning disability liaison nurses in facilitating reasonable and achievable adjustments to support access to general hospital services for people with learning disabilities. Mixed methods study involving four health boards in Scotland with established Learning Disability Liaison Nurses (LDLN) Services. Quantitative data of all liaison nursing referrals over 18 months and qualitative data collected from stakeholders with experience of using the liaison services within the previous 3-6 months. Six liaison nurses collected quantitative data of 323 referrals and activity between September 2008-March 2010. Interviews and focus groups were held with 85 participants included adults with learning disabilities (n = 5), carers (n = 16), primary care (n = 39), general hospital (n = 19) and liaison nurses (n = 6). Facilitating reasonable and achievable adjustments was an important element of the LDLNs' role and focussed on access to information; adjustments to care; appropriate environment of care; ensuring equitable care; identifying patient need; meeting patient needs; and specialist tools/resources. Ensuring that reasonable adjustments are made in the general hospital setting promotes person-centred care and equal health outcomes for people with a learning disability. This view accords with 'Getting it right' charter produced by the UK Charity Mencap which argues that healthcare professionals need support, encouragement and guidance to make reasonable adjustments for this group. LDLNs have an important and increasing role to play in advising on and establishing adjustments that are both reasonable and achievable. © 2015 John Wiley & Sons Ltd.
... valid OMB control number. Proposed Collection: Title: NCCAM Office of Communications and Public Liaison...; members of the public; health care professionals; organizational representatives. The annual reporting...
... valid OMB control number. Proposed Collection: Title: NCCAM Office of Communications and Public Liaison...; members of the public; health care professionals; organizational representatives. The annual reporting...
Bierenbaum, Melanie L; Katsikas, Steven; Furr, Allen; Carter, Bryan D
The aim of this study was to identify factors contributing to clinician time spent in non-reimbursable activity on an inpatient pediatric consultation-liaison (C-L) service. A retrospective study was conducted using inpatient C-L service data on 1,246 consecutive referrals. For this patient population, the strongest predictor of level of non-reimbursable clinical activity was illness chronicity and the number of contacts with C-L service clinicians during their hospital stay. Patients with acute life-threatening illnesses required the highest mean amount of non-reimbursable service activity. On average, 28 % of total clinician time in completing a hospital consultation was spent in non-reimbursable activity. Effective C-L services require a proportion of time spent in non-reimbursable clinical activity, such as liaison and coordinating care with other providers. Identifying referral and systemic factors contributing to non-reimbursable activity can provide insight into budgeting/negotiating for institutional support for essential clinical and non-clinical functions in providing competent quality patient care.
Fracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.
Apgar, Mahlon; Keane, John M
A $200 billion market has appeared on your business horizon, but you may not have noticed it. It's the U.S. military--the new U.S. military. Virtually all aspects of the military are changing to ensure it can fight unpredictable threats while sustaining the infrastructure needed to support and train forces. The military is turning to non-traditional business partners to meet a wide range of needs, from health care to housing to information technology. The Defense Department is yielding its monopoly on every aspect of national security and adopting a more businesslike model in which the military's warfighting capabilities are supported through outsourcing and business alliances. Civilians are replacing military personnel in many noncombat roles. Military functions with corporate equivalents are candidates for outsourcing and privatization. Market standards are replacing the heavy customization that has locked many companies out of this marketplace. The authors have participated in the transformation process from different perspectives--one civilian, the other military. Together, they highlight the prospects that transformation is creating for companies outside the traditional defense industry and reveal paths to success in this complex market. They also present six principles for doing business with the military that require persistence, integrity, and a willingness to master the intricacies of a distinctive culture. By understanding the logic of military transformation, executives can identify and create vast new business opportunities. And by mastering the six principles, they can build profitable long-term relationships.
Otani, Victor Henrique Oyamada; Otani, Thaís Zélia Dos Santos; Freirias, Andrea; Calfat, Elie Leal de Barros; Aoki, Patricia Satiko; Cordeiro, Quirino; Kanaan, Richard A A; Cross, Sean; Liersch-Sumskis, Susan; Uchida, Ricardo Riyoiti
To identify predictors of misidentification of organic mental disorders and delirium in patients undergoing psychiatric liaison consultation. Data were collected at Santa Casa de São Paulo between July of 2009 and March of 2013. We included in our analysis all inpatients for whom the requesting service judged that a psychiatric consultation was required for a possible mental health condition. Outcomes of interest were the instances of misidentification where a condition was initially deemed to be of a psychiatric nature, whereas the final diagnosis by the liaison psychiatric team was of an organic disease or delirium. Our predictors were the clinical specialty of the requesting service, requester and patient characteristics. A series of generalised linear models were used to evaluate misidentification risks. A total of 947 subjects met our inclusion criteria, 14.6% having a final liaison diagnosis of organic mental disorder and 8.1% of delirium. Older patients were significantly associated with increased risk of misidentification for both organic conditions (OR 3.01 - 95% CI 2.01, 4.5) and delirium (OR 3.92 - 2.4, 6.39). Educational interventions in general hospitals focused on preventing psychiatric misdiagnosis should target in-hospital services where patients tend to be older.
... DEPARTMENT OF DEFENSE Department of the Army Interim Change to the Military Freight Traffic Unified Rules Publication (MFTURP) No. 1 AGENCY: Department of the Army, DoD. SUMMARY: The Military... Eustis, VA 23604-1644. Request for additional information may be sent by e-mail to: [email protected]us...
... will also include pilot testing of recently developed messages and communication products. The data... Research SUMMARY: In compliance with the requirement of Section 3506(c)(2)(A) of the Paperwork Reduction... Public Liaison Communications Program Planning and Evaluation Research. Type of Information Collection...
... DEPARTMENT OF DEFENSE Department of the Army Interim Change to the Military Freight Traffic Unified Rules Publication (MFTURP) No. 1 AGENCY: Department of the Army, DoD. SUMMARY: The Military..., Scott AFB 62225. Request for additional information may be sent by e-mail to: [email protected]us.army.mil...
LEGION 64 (March 1958): 12-13+. 131 Goldich, Robert L. "Mobilization for the Apocalypse." ARMY 28 (May 1978): 22-25+. 132 Gray, Colin S. "The Military...Decerber 8, 1942): 5-7. 632 Drury , V.M. "Too Little, Too Late Again (Coordination Detween Armed Services for Peacetirme Planning of Industrial...System." ". Military Review 57 (November, 1977): 76-82. Gray, Colin S. "Military Requirements for U. S. Strategy." MiltarReview 59 (September 1979): 2
... DEPARTMENT OF DEFENSE Department of the Army Interim Change to the Military Freight Traffic Unified Rules Publication (MFTURP) No. 1 AGENCY: Department of the Army, DoD. SUMMARY: The Military.... Request for additional information may be sent by e-mail to: [email protected]us.army.mil or [email protected]us...
... DEPARTMENT OF DEFENSE Department of the Army Interim Change to the Military Freight Traffic Unified Rules Publication (MFTURP) No. 1 AGENCY: Department of the Army, DoD. SUMMARY: The Military... information may be sent by e-mail to: [email protected]us.army.mil or [email protected]us.army.mil . FOR FURTHER...
... DEPARTMENT OF DEFENSE Department of the Army Interim Change to the Military Freight Traffic Unified Rules Publication (MFTURP) NO. 1 AGENCY: Department of the Army, DoD. SUMMARY: The Military.... Request for additional information may be sent by e-mail to: [email protected]us.army.mil or [email protected]us...
... 10 Energy 4 2010-01-01 2010-01-01 false Military and merchant marine educational institutions. 1042.210 Section 1042.210 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE....210 Military and merchant marine educational institutions. These Title IX regulations do not apply to...
... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Military and merchant marine educational institutions. 54.210 Section 54.210 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) NONDISCRIMINATION... Coverage § 54.210 Military and merchant marine educational institutions. These Title IX regulations do not...
and gives substance to tradition and enhances esprit de corps. The museum consists of a trailer complex and a warehouse which provide...and DV receptions . The museum provides safe, professional archival storage and exhibition of rare military cultural artifacts. The museum’s Spanish...built in the 1960s as a movie theater, classroom and auditorium used for basic training during the Vietnam War. Don F. Pratt Memorial Museum The
The Department of Defense policy of excluding known homosexuals from military service is partially based on the assumption that homosexual service members pose a threat to the cohesion of a military unit...
or position of the Department of the Army, Department of Defense, or the U.S. Government. MILITARY ENGAGEMENT WITH SOCIAL MEDIA BY...been the Army’s best and most effective messengers. Every time a member of the Army family joins Army social media , it increases the timely and...transparent dissemination of information. Social media is a cheap, effective , and measurable form of communication.”6 The Deputy Secretary of Defense
... DEPARTMENT OF STATE [Public Notice 7128] Bureau of Political-Military Affairs; Lifting of Policy... Controls Compliance, Bureau of Political-Military Affairs, Department of State, (202) 663-2980..., identify compliance problems, and resolve alleged violations. Xe replaced senior management; established...
.... This report reviews energy conservation legislation and Executive Orders that apply to the Department of Defense, directives and instructions to the military departments and agencies on implementing...
... DEPARTMENT OF STATE [Public Notice 8118] Determination Concerning the Bolivian Military and Police Pursuant to the authority vested in the Secretary of State, including that set forth in the ``International... for assistance for Bolivian military and police are in the national security interest of the United...
Zeliff, Barbara Hundley.
The Department of Defense's military health care system, entitled TRICARE, brings together the direct health care resources of the Department of Defense and supplements this capability through the use of managed care support services contracts and purchased care. This blended system is charged with providing a comprehensive health benefit to approximately 8.9 million beneficiaries, including active duty and retired uniformed services members, their families, and survivors, while also providin...
As the Department of Defense (DoD) transforms itself from a forces-based, materiel-centric Cold War posture to a capabilities-based, mission-centric asymmetric-warfare posture, it is increasingly vital that military planners...
White, T; Ramsay, L; Morrison, R
This study seeks to describe the demographic, offence, and diagnostic details of subjects referred by the Procurator Fiscal at Glasgow Sheriff Court to the Forensic Psychiatry Liaison between 1994 and 1997. The initial outcome of the assessment and an assessment of medical time involved is presented. This study is a retrospective review of audit forms completed between 1993 and 1994 and once more in 1997. The referral criteria, age structure and offence pattern was broadly similar to that reported in court diversion schemes in England. A primary diagnosis of alcohol and/or drug dependence was seen in one third of referrals during both years of the audit. A marked increase (250%) in referrals between 1994 and 1997 resulted in a marked reduction of those admitted to hospital, and an increase in the percentage who had 'no psychiatric diagnosis'. The need for ongoing liaison between the Procurators Fiscal and the Forensic Psychiatrists involved would appear important in modifying referral criteria.
ACSC/Williams, Ja Rai A./AY16 1 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY Dual-Military Couples, Child Care & Retention...academic research paper are those of the author( s ) and do not reflect the official policy or position of the US government or the Department of Defense...inclusion. A number of Airmen are married to other military members—a phenomenon coined as “dual-military” marriages. Specifically, 11.3% (35,239) of
Joseph, Anne M; Muggli, Monique; Pearson, Kathryn C; Lando, Harry
This article describes findings from review of tobacco industry documents regarding promotion of tobacco to the military, and efforts to influence Department of Defense policies regarding the use and sale of tobacco products. The documents reveal that the industry has targeted the military for decades for reasons including: (1) the volume of worldwide military personnel; (2) the opportunity to attract young men who fit a specific socioeconomic and cultural profile; (3) potential carryover of profits to civilian markets; and (4) the unusual price structure of commissaries and exchanges. The industry used distinctive promotion methods such as in-store merchandising, sponsorships, and even brand development to target the military, both in the United States and abroad during times of conflict. Legislative activity to protect tobacco promotion to this vulnerable population was carried out in response to smoking policy changes proposed by the Department of Defense. The tobacco industry has contributed to the high prevalence of smoking in the military and among veterans.
... DEPARTMENT OF STATE [Public Notice: 7301] Bureau of Political-Military Affairs: Directorate of..., Managing Director, Directorate of Defense Trade Controls, Bureau of Political- Military Affairs, Department... services to support the design, manufacture and delivery of the Anik G1 Commercial Communication Satellite...
... DEPARTMENT OF DEFENSE Office of the Secretary Meeting of the Military Leadership Diversity... Committee meeting of the Military Leadership Diversity Commission (MLDC) will take place: DATES: December 2... Leadership Diversity Commission about its mission and functions. Written statements may be submitted at any...
Ellis, Graham; Mant, Jonathan; Langhorne, Peter; Dennis, Martin; Winner, Simon
Many patients experience depression, social isolation and anxiety post stroke. These are associated with a poorer outcome. Ameliorating these problems may improve patient wellbeing. To evaluate the impact of a healthcare worker or volunteer whose multi-dimensional roles have been grouped under the title 'stroke liaison worker'. We searched the Cochrane Stroke Group Trials Register (searched February 2009), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 1, 2009), MEDLINE (1966 to 2009), EMBASE (1980 to 2009) and four other databases. We performed a cited reference search, searched conference proceedings and trials registers, checked reference lists and contacted authors and trial investigators. Randomised controlled trials investigating the impact of a stroke liaison worker versus usual care. We invited trialists to participate in a review of individual patient data. Primary outcomes for patients were subjective health status and extended activities of daily living. Primary outcomes for carers were subjective health status including measures of carer strain. We included 16 trials involving 4759 participants. Analysis did not show a significant overall difference for subjective health status (standardised mean difference (SMD) -0.03, 95% confidence interval (CI) -0.11 to 0.04, P = 0.34) or extended activities of daily living (SMD 0.04, 95% CI -0.03 to 0.11, P = 0.22). There was no overall significant effect for the outcome of carer subjective health status (SMD 0.04, 95% CI -0.05 to 0.14, P = 0.37). Patients with mild to moderate disability (Barthel 15 to 19) had a significant reduction in dependence (odds ratio (OR) 0.62, 95% CI 0.44 to 0.87, P = 0.006). This would equate to 10 fewer dependent patients (95% CI 17 fewer to 4 fewer) for every 100 patients seen by the stroke liaison worker. Similar results were seen for the outcome of death or dependence for the subgroup with Barthel 15 to 19 (OR 0.55, 95% CI 0.38 to 0.81, P
... DEPARTMENT OF STATE [Public Notice 8512] Bureau of Political-Military Affairs; Statutory Debarment... Compliance, Bureau of Political- Military Affairs, Department of State (202) 632-2872. SUPPLEMENTARY... required. Statutory debarment is based solely upon conviction in a criminal proceeding, conducted by a...
... DEPARTMENT OF STATE [Public Notice 6924] Bureau of Political-Military Affairs; Statutory Debarment... Trade Controls Compliance, Bureau of Political-Military Affairs, Department of State, (202) 663-2980... criminal proceeding, conducted by a United States Court, and as such the administrative debarment...
I rerr syttemn an do wlon t P ontimal military inter-instittiuonal patient referral systems model for DOD Military Medical Region III. A convenience...Dactin- on the Armed Services Medical Regulating Office and Patient Airlift "lc rcsusl.s of :his study indicated that the single largest breakdown...and the requirement to regulate to the closest medical facility with capability to care for the patient . L! / I Ii I i A STUDY TO DEVELOP THE OPTIMAL
Hurley, Jennifer J.; Clark, David W.; Fonseca-Foster, Katherine A.; Pyne, Sabina K.; Warren, Rachel A.
Teachers working with refugee families who are culturally and linguistically diverse (CLD) and receiving special education services often rely on cultural liaisons to provide interpreter and translator services during Individualized Educational Program (IEP) and Individualized Family Service Plan (IFSP) meetings. The purpose of this qualitative…
Huded, Jill M.; Dresden, Scott M.; Gravenor, Stephanie J.; Rowe, Theresa; Lindquist, Lee A.
Introduction: Seniors represent the fasting growing population in the U.S., accounting for 20.3 million visits to emergency departments (EDs) annually. The ED visit can provide an opportunity for identifying seniors at high risk of falls. We sought to incorporate the Timed Up & Go Test (TUGT), a commonly used falls screening tool, into the ED encounter to identify seniors at high fall risk and prompt interventions through a geriatric nurse liaison (GNL) model. Methods: P...
... DEPARTMENT OF STATE [Public Notice 7962] Bureau of Political-Military Affairs; Statutory Debarment..., Bureau of Political-Military Affairs, Department of State (202) 632-2798. SUPPLEMENTARY INFORMATION... based solely upon conviction in a criminal proceeding, conducted by a United States Court, and as such...
National Oceanic and Atmospheric Administration, Department of Commerce — Military regulated airspace areas depict the Air Traffic Control Assigned Airspace (ATCAA) and Airspace Corridor areas. The MarineCadastre.gov team worked with the...
DOE has engaged the IPC/RAS to study the fundamental and applied chemistry of the transuranium actinide elements (primarily neptunium, plutonium, and americium) and technetium in alkaline media. This work is supported by DOE because the alkaline radioactive wastes stored in underground tanks at DOE sites (Hanford, Savannah River, and Oak Ridge) contain TRUs and technetium, and these radioelements must be partitioned to the HLW fraction in planned waste processing operations. The chemistries of the TRUs and technetium are not well developed in this system. Previous studies at the IPC/RAS centered on the fundamental chemistry of the TRUs and technetium in alkaline media, and on their coprecipitation reactions. During FY 1996, further studies of fundamental and candidate process chemistries were pursued with continuing effort on coprecipitation. The technical liaison was established at Westinghouse Hanford Company to provide information to the IPC/RAS on the Hanford Site waste system, define and refine the work scope, publish IPC/RAS reports in open literature documents and presentations, provide essential materials and equipment to the IPC/RAS, compare IPC/RAS results with results from other sources, and test chemical reactions or processes proposed by the IPC/RAS with actual Hanford Site tank waste. The liaison task was transferred to the Pacific Northwest Laboratory (PNNL) in October 1996
Delegard, C.H. [Pacific Northwest National Lab., Richland, WA (United States)
DOE has engaged the IPC/RAS to study the fundamental and applied chemistry of the transuranium actinide elements (primarily neptunium, plutonium, and americium) and technetium in alkaline media. This work is supported by DOE because the alkaline radioactive wastes stored in underground tanks at DOE sites (Hanford, Savannah River, and Oak Ridge) contain TRUs and technetium, and these radioelements must be partitioned to the HLW fraction in planned waste processing operations. The chemistries of the TRUs and technetium are not well developed in this system. Previous studies at the IPC/RAS centered on the fundamental chemistry of the TRUs and technetium in alkaline media, and on their coprecipitation reactions. During FY 1996, further studies of fundamental and candidate process chemistries were pursued with continuing effort on coprecipitation. The technical liaison was established at Westinghouse Hanford Company to provide information to the IPC/RAS on the Hanford Site waste system, define and refine the work scope, publish IPC/RAS reports in open literature documents and presentations, provide essential materials and equipment to the IPC/RAS, compare IPC/RAS results with results from other sources, and test chemical reactions or processes proposed by the IPC/RAS with actual Hanford Site tank waste. The liaison task was transferred to the Pacific Northwest Laboratory (PNNL) in October 1996.
... items having taken into account political, military, economic, human rights and arms control... the export of these items having taken into account political, military, economic, human rights and... DEPARTMENT OF STATE [Public Notice 7125] Bureau of Political-Military Affairs: Directorate of...
13. SUPPLEMENTARY NOTES A paper submitted to the Naval War College faculty in partial satisfaction of the requirements of the Joint Military...partial satisfaction of the requirements of the Department of Joint Military Operations. The contents of this paper reflect my own personal views...soldiers continued to conduct “large-scale abuses such as land confiscation, informal taxation, and forced labour .” 26 However, in the current
... applicable military centers; c. Assessing the DoD approach to planning and programming facility improvements...; and facility programming responsibilities between the Assistant Secretary of Defense for Health...(P&R)) and in coordination with the appropriate Military Departments and installation commanders. The...
Tenconi, Juan Cristóbal
The purpose of this paper is to differentiate crisis, emergencies and urgencies within the frame of Liaison psychiatry. It begins with the definition of each one of the terms, later the emphasis is put in the clinical characteristics of each one of these situations. These characteristics are determined by the patient and the therapeutic team. At last therapeutic guidelines are stated, which allow more precision in the intervention, in function of the direct involvement of these situations in the development and evolution of the patients.
... DEPARTMENT OF DEFENSE Office of the Secretary Federal Advisory Committee; Military Leadership... Military Leadership Diversity Commission (MLDC) on July 7 and 8, 2010, in Baltimore, MD. This document... topic ``Deliberation of decision paper for definition of diversity.'' and add in its place the topic...
Booth, S.; Barnett, J.; Burman, K.; Hambrick, J.; Westby, R.
The U.S. Department of Defense (DoD) recognizes the strategic importance of energy to its mission, and is working to reduce energy consumption and enhance energy self-sufficiency by drawing on local clean energy sources. A joint initiative formed between DoD and the U.S. Department of Energy (DOE) in 2008 to address military energy use led to a task force to examine the potential for net zero energy military installations, which would produce as much energy on site as they consume in buildings, facilities, and fleet vehicles. This report presents an assessment and planning process to examine military installations for net zero energy potential. Net Zero Energy Installation Assessment (NZEIA) presents a systematic framework to analyze energy projects at installations while balancing other site priorities such as mission, cost, and security.
Le Vot, J.
Published at the occasion of the centenary of the First World War, this article proposes an historical overview of the emergence and development of military medical radiology during this conflict. The author first describes the situation of radiology in the different armies and countries on the eve of the war as this application of radiology is relatively recent (it is based on Roentgen's discovery in 1895). He indicates the first steps of emergence of radiology department in military hospitals, the interest of military physicians in radiology and the availability of mobile equipment which had been actually presented at the parade on the 14 July 1914. The author then highlights some important personalities who have been important actors of the development, application and use of radiology and of military radiology during the war. He proposes an overview of radiological equipment in 1914, of the variety of vehicles adapted to transport and use such equipment. He also comments how radiology professionals were trained
[email protected]us.army.mil . 7. Due to the lapse of appropriations, the Department of Defense cancelled the... DEPARTMENT OF DEFENSE Department of the Army Board of Visitors, United States Military Academy... the Sunshine Act of 1976 (5 U.S.C. 552b, as amended), and 41 CFR 102-3.150, the Department of Defense...
Smith, Tyler C
To describe current and future career-span health research in the US Department of Defense Millennium Cohort Study. Collaborating with all military service branches and the Department of Veterans Affairs, the Millennium Cohort Study launched in 2001, before September 11 and the start of deployments in Afghanistan and Iraq, to conduct coordinated strategic research to determine any effects of military occupational and deployment-related exposures, on long-term health. More than 150,000 consenting members represent demographic, occupational, military, and health characteristics of the US military. More than 70% of the first two panels have submitted follow-up questionnaires and >50% have deployed since 2001. Prospective cohort data have identified subgroups of military populations at higher risk or more resilient to decrements in mental and physical health. Continued career span and beyond follow-up will answer long-term health questions related to military service.
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.
Chan, Tom; de Lusignan, Simon; Cooper, Alun; Elliott, Mary
Osteoporosis and associated fragility fractures are a major health problem; they are more common in women over 50 years old. Fracture liaison nurses have been widely used in secondary care to promote the recognition of fragility fractures and to promote the use of bone-sparing medication to reduce the risk of recurrent facture. Audit the impact of a primary care based fracture liaison nurse on the detection of fragility fractures in people with osteoporosis and their treatment with a bone-sparing medication. This audit took place in 12 GP practices using 'before and after' cross-sectional extractions of anonymised routine data. We report, for females 50-74 years and ≥ 75 years old, socio-economic deprivation index, the prevalence of osteoporosis, recording of fragility fractures, dual-energy X-ray absorptiometry (DXA), smoking, and body-mass index (BMI) and use of appropriate bone-sparing medication. We used Altman's test of independent proportions to compare before and after data. Recording of the diagnosis of osteoporosis increased from 1.5% to 1.7% (p = 0.059); the rate of DXA scans fell (1.8% to 1.4%; p = 0.002); recording of fractures and fragility fractures more than doubled (0.8% to 2.0%; p<0.001 and 0.5% to 1.5%; p<0.001, respectively) with approximate doubling of the recording of smoking, and BMI (p<0.001 level). Fragility fracture recording rose from 8.8% to 15% in females aged 50 to 74, and from 0.8% to 2.3% in people aged ≥ 75 years old (p<0.001). There appeared to be inequity in the service, people who were least deprived were more likely to receive DXA scans and the more deprived to be prescribed bone sparing agents. A fracture liaison nurse in primary care has been associated with a period of improved management. Liaison nurses based in different parts of the health system should be tested in a prospective trial.
Full Text Available Osteoporosis and associated fragility fractures are a major health problem; they are more common in women over 50 years old. Fracture liaison nurses have been widely used in secondary care to promote the recognition of fragility fractures and to promote the use of bone-sparing medication to reduce the risk of recurrent facture.Audit the impact of a primary care based fracture liaison nurse on the detection of fragility fractures in people with osteoporosis and their treatment with a bone-sparing medication.This audit took place in 12 GP practices using 'before and after' cross-sectional extractions of anonymised routine data. We report, for females 50-74 years and ≥ 75 years old, socio-economic deprivation index, the prevalence of osteoporosis, recording of fragility fractures, dual-energy X-ray absorptiometry (DXA, smoking, and body-mass index (BMI and use of appropriate bone-sparing medication. We used Altman's test of independent proportions to compare before and after data.Recording of the diagnosis of osteoporosis increased from 1.5% to 1.7% (p = 0.059; the rate of DXA scans fell (1.8% to 1.4%; p = 0.002; recording of fractures and fragility fractures more than doubled (0.8% to 2.0%; p<0.001 and 0.5% to 1.5%; p<0.001, respectively with approximate doubling of the recording of smoking, and BMI (p<0.001 level. Fragility fracture recording rose from 8.8% to 15% in females aged 50 to 74, and from 0.8% to 2.3% in people aged ≥ 75 years old (p<0.001. There appeared to be inequity in the service, people who were least deprived were more likely to receive DXA scans and the more deprived to be prescribed bone sparing agents.A fracture liaison nurse in primary care has been associated with a period of improved management. Liaison nurses based in different parts of the health system should be tested in a prospective trial.
Workplace role of the offender(s) among men who experienced sexual harassment or gender discrimination in the past year, by service... Sexual Assault and Sexual Harassment in the U.S. Military: Annex to Volume 2 Table B.10.f Workplace role of the offender(s) among men who experienced... SEXUAL ASSAULT AND SEXUAL HARASSMENT IN THE U.S. MILITARY Annex to Volume 2. Tabular Results from the 2014 RAND Military Workplace
Kunst, Maarten; Saan, M.C.; Bollen, Lidewij; Kuijpers, Karlijn
This study investigated secondary traumatic stress (STS) and secondary posttraumatic growth (SPG) in a sample of Dutch police family liaison officers (N = 224). Our study had two aims: (a) to identify potential risk and protective factors for STS and (b) to investigate the association between STS
Marechal, Y [Commissariat a l' Energie Atomique, Grenoble (France). Centre d' Etudes Nucleaires
A new theory of the infrared spectra of H-bonded systems is presented, which analyses the different stretching motions in an X-H...Y bond, and studies the validity of their separation. We attribute the structure in the spectra of H-bond stretching motions to the anharmonic coupling of the modes X-H...Y with the modes X-H...H. Starting with the hypothesis that the X-H...Y motion is harmonic, but depends parametrically upon the X...Y distance, and taking into account the interaction between different H-bonds, we have been able to simulate quantitatively (intensity and position) the I.R. spectra of species such as imidazole and acetic acid dimers, which are the experimentally best resolved spectra. The isotope effect (substitution of H by D) is explained quite naturally, and the experimental spectrum of deuterated species is simulated quantitatively, without introducing any other hypothesis; this fact gives us a positive test for the validity of our theory. We have extended those previous considerations to the case of H-bonded crystals, in view of a future reconstitution of their I.R. spectra. The physical meaning of our theory is quite different to most of the previously proposed theories, which have not been confirmed quantitatively, to the best of our knowledge. Those theories did not take into account the interactions between different H-bonds. Thus our quantitative simulation of complex spectra of imidazole and acetic acid, together with the correct prediction of the isotope effect, help us thinking that the proposed mechanism is responsible for the different stretching motions in H-bonded systems. (author) [French] Nous exposons une nouvelle theorie des spectres infra-rouge de la liaison hydrogene, basee sur l'analyse des mouvements d'elongation des atomes d'une liaison X-H...Y, et nous recherchons les conditions de la separabilite de ces differents mouvements. L'origine de la structure des spectres d'elongation de l'hydrogene est attribuee au couplage des modes
requirements. Paula C. Lodi in her monogram “The Army Medical Department and Full Spectrum Operations” written for the School of Advanced Military...Center, 2004), 2.1-2.10. 14Paula C. Lodi, The Army Medical Department and Full Spectrum Operations, ( Monogram , School of Advanced Military Studies...paper in the past ten years on the level III hospital. Paula C. Lodi in her monogram “The Army Medical Department and Full Spectrum Operations” written
Full Text Available Modern progress of military-sports-round trends are considered. Influence of informing tests is rotined on a selection and put in the separation of military-sports-round. 180 (n = 180 students of the not special faculties took part in research. On results testing 18 students which rotined the level of preparedness above average were selected. 72 students were yet selected with a low level, 54 - below the average and to 36 middle. The optimum distributing has testing and it is counted on two days. It is set that the selection of these tests helps to define the level of physical preparedness of students and take away physically geared-up for future fruitful work. Directions and examples of planning of educational training process are rotined for achievement of certain results.
Military children living in the United States generally attend a local public school and have a portion of their education expenses paid by the federal government through the Department of Education's Impact Aid program...
over the past 3 years are mainly driven by military retirement benefit costs, Global War on Terror costs, and depreciation expense on military...Generating Resources: Depreciation and amortization $ 65,116.2 $ 48,944.0 Revaluation of...accounting principles ( GAAP ). The accompanying financial statements account for all resources for which the Department is responsible. Information
van Bakel, Marian; Andersen, Torben; Vance, Charles
resource for guiding the selection, training, and management of HCNL performance to ultimately benefit the local subsidiary. However, although the development of this local HCNL role model was based both on theoretical constructs and the authors’ international experience, it remains to be validated......Recent conceptual work by Vance et al. (2014) has explored various aspects of the important liaison role of HCN managers and other HCN support staff between the assigned expatriate and local employees as well as the surrounding host country work environment. They identified five different...... components for this important HCNL role, including cultural interpreter, communication manager, information resource broker, talent manager, and internal change agent. They further identified specific behavioral functions for each role component. This behavior-based model provides a potentially valuable...
National Oceanic and Atmospheric Administration, Department of Commerce — Military Special Use Airspace is airspace of defined dimensions identified by an area on the surface of the earth wherein activities must be confined because of...
Trofimovich, Lily; Reger, Mark A.; Luxton, David D.; Oetjen-Gerdes, Lynne A.
Suicide risk based on occupational cohorts within the U.S. military was investigated. Rates of suicide based on military occupational categories were computed for the Department of Defense (DoD) active component population between 2001 and 2010. The combined infantry, gun crews, and seamanship specialist group was at increased risk of suicide…
... DEPARTMENT OF THE INTERIOR National Park Service [NPS-SER-CHCH-10687; 5220-726] Minor Boundary Revision at Chickamauga and Chattanooga National Military Park AGENCY: National Park Service, Interior.... 460l- 9(c)(1)(ii), the boundary of Chickamauga and Chattanooga National Military Park is modified to...
...); indeed, without this capability NCW would be impossible. In addition to customized military-specific solutions, the Department looks to a variety of commercially available wireless products to meet much of its enterprise mobility needs...
Bogdanova-Mihaylova, Petya; Burke, David; O'Dwyer, John P; Bradley, David; Williams, Jennifer A; Cronin, Simon J; Smyth, Shane; Murphy, Raymond P; Murphy, Sinead M; Wall, Catherine; McCabe, Dominick J H
Patients with 'suspected viral encephalitis' are frequently empirically treated with intravenous aciclovir. Increasing urea and creatinine are 'common', but rapidly progressive renal failure is reported to be 'very rare'. To describe the clinical course and outcome of cases of aciclovir-induced acute kidney injury (AKI) encountered by the Liaison Neurology Service at AMNCH and to highlight the importance of surveillance and urgent treatment of this iatrogenic complication. Retrospectively and prospectively collected data from the Liaison Neurology Service at AMNCH on patients who received IV aciclovir for suspected viral encephalitis and developed AKI were analysed. Aciclovir-induced AKI was defined by a consultant nephrologist in all cases as a rise in serum creatinine of > 26 μmol/L in 48 h or by ≥ 1.5 times the baseline value. Renal function, haematocrit, and fluid balance were monitored following AKI onset. Data from 10 patients were analysed. Median time to AKI onset was 3.5 days (range: 1-6 days). Aciclovir was stopped or the dose adjusted. All patients recovered with IV normal saline, aiming for a urine output > 100-150 ml/h. The interval between first rise in creatinine and return to normal levels varied between 5 and 19 days. Liaison neurologists and general physicians need to be aware that aciclovir may cause AKI attributed to distal intra-tubular crystal nephropathy. Daily fluid balance and renal function monitoring are essential because AKI may arise even with intensive pre-hydration. Prognosis is good if identified early and actively treated.
Wahlström, Lars; Blomdahl-Wetterholm, Margareta
The mental health needs of patients receiving physical health care often remain undiagnosed and untreated, resulting in significant costs to the health care system. However, some countries have recently seen fast progress with the development of consultation liaison psychiatry. In Sweden, this service has developed quite slowly, but a breakthrough may be imminent. There is evidence that providing better support for co-morbid health problems may improve the psychological quality of care and reduce physical health care costs in acute hospitals. Consultation liaison psychiatry fits well with the current trends of value-based health care, personalized care, and an emphasis on networking in care.
...) and theater commander in chiefs (CINCs) in military operations other than war (MOOTW). The examination included a study into the recent history of military HUMINT, and the Department of Defense's (DoD's...
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.
Eckerlin, Denise M; Kovalesky, Andrea; Jakupcak, Matthew
: The experience of military sexual trauma (MST), which can result from assault, battery, or harassment of a sexual nature, may jeopardize the mental health of service members as well as that of their family members, colleagues, and community members. Although a greater proportion of female than male service members are subjected to MST, the Department of Defense estimates that the absolute numbers of affected men and women, across all ranks and branches of military service, are nearly equal because roughly 85% of military members are men. Little research has explored the effects of MST on men. This article discusses the unique ways in which men may experience MST, and examines how social stereotypes of masculinity, myths surrounding sexual assault, and military culture and structure often influence a man's interpretation of an attack and his likelihood of reporting the incident or seeking treatment. It describes current treatments for MST-related mental health conditions and addresses implications for nurses and other health care professionals.
Scheuller, H Samuel; Park, Jisuk; Lott, Lisa; Tavish, Michele; Danaher, Patrick
Upper respiratory tract infection (URI) is a well-documented cause of morbidity, extra expense, and lost training time among basic military trainees (BMTs). The goal of this study was to characterize the clinical presentation of influenza in the BMT population and to better understand how this presentation differs from that of the general Department of Defense (DoD) beneficiary population (non-BMTs). Clinical and demographic data were collected in a prospective study that enrolled DoD beneficiaries presenting to medical treatment facilities in San Antonio, Texas, with URI symptoms between January 2005 and March 2011. Vital signs and symptom duration were collected at the time of enrollment along with basic demographic information. Among 4,448 participants enrolled, 466 (10.5%) tested positive for influenza: 198 of 3,103 BMTs (6.4%) vs. 268 of 1,345 non-BMTs (20%) (p 0.5°F, p 0.5, 95% CI = 0.3-0.8, p 0.5, 95% CI = 0.3-0.8, p standard deviation = 1.4) symptoms, whereas non-BMTs presented with a mean of 6.9 (standard deviation = 1.3) symptoms (p < 0.01). The pretest probability of a BMT presenting with URI symptoms having influenza is significantly lower than that for the general DoD beneficiary population. BMTs with influenza presented sooner, with higher fever, and with fewer overall symptoms than the general DoD beneficiary population. These differences are likely attributable to early reporting and response bias and less likely attributed to age. Military efforts to identify BMTs with suspected influenza infection early and to refer them for treatment promptly are efficacious. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.
.... These secondary collectors, such as the Military Police, Psychological Operations, Civil Affairs and Line Units conduct liaison with international and local police forces, host-government official...
Shrader, Angela; Casero, Kellie; Casper, Bethany; Kelley, Mary; Lewis, Laura; Calohan, Jess
Lesbian, gay, bisexual, and transgender (LGBT) individuals serving within the U.S. military and their beneficiaries have unique health care requirements. Department of Defense Directive 1304.26 "Don't Ask, Don't Tell" created a barrier for service members to speak candidly with their health care providers, which left specific health care needs unaddressed. There are no standardized cultural education programs to assist Military Health System (MHS) health care providers in delivering care to LGBT patients and their beneficiaries. The purpose of this project was to develop, implement, and evaluate the effectiveness of an LGBT educational program for health care providers within the MHS to increase cultural awareness in caring for this special population. This multisite educational program was conducted at Travis Air Force Base and Joint Base Lewis-McChord from November 15, 2014, to January 30, 2015. A 15-question multiple-choice questionnaire was developed based on the education program and was administered before and after the education program. A total of 51 individuals completed the program. Overall posttest scores improved compared to pretest scores. This program was designed to begin the process of educating health care providers about the unique health care issues of military LGBT Service Members and their beneficiaries. This program was the first to address the disparities in LGBT health care needs within the Department of Defense. It also provided a platform for facilitating open communication among providers regarding LGBT population health needs in the military.
Austin, Tricia M; Richter, Randy R; Frese, Tracy
Evidence-based practice (EBP) in rehabilitation is increasingly recognized as important. Despite the importance of EBP, physical therapists' knowledge of EBP varies. Journal clubs have been used to educate clinicians about EBP. This discussion paper describes the partnership between academic faculty members and a physical therapist at a community hospital, and the process used to develop a framework to implement an evidence-based journal club. The partnership blended the expertise of academic faculty members and a physical therapist with knowledge of EBP who served as the liaison between members of the partnership team and the clinicians at the community hospital. The three-step framework developed enabled the clinicians to learn about critical appraisal, participate in guided practice of critical appraisal with the liaison, and lead critical appraisal of a paper with the assistance of the liaison as needed. This process could be easily replicated by other partnerships between academic faculty members and clinicians. Developing partnerships like the one described enables academicians to provide service to the profession, may enhance physical therapists' knowledge of the principles of EBP and may encourage EBP.
Noblett, J; Caffrey, A; Deb, T; Khan, A; Lagunes-Cordoba, E; Gale-Grant, O; Henderson, C
Explore the experiences of liaison psychiatry professionals, to gain a greater understanding of the quality of care patients with mental illness receive in the general hospital setting; the factors that affect the quality of care; and their insights on interventions that could improve care. A survey questionnaire and qualitative in depth interviews were used to collect data. Data collection took place at the Royal College of Psychiatrists Faculty of Liaison Psychiatry Annual conference. Qualitative analysis was done using thematic analysis. Areas of concern in the quality of care of patients with co-morbid mental illness included 'diagnostic overshadowing', 'poor communication with patient', 'patient dignity not respected' and 'delay in investigation or treatment'. Eleven contributing factors were identified, the two most frequently mentioned were 'stigmatising attitudes of staff towards patients with co-morbid mental illness' and 'complex diagnosis'. The general overview of care was positive with areas for improvement highlighted. Interventions suggested included 'formal education' and 'changing the liaison psychiatry team'. The cases discussed highlighted several areas where the quality of care received by patients with co-morbid mental illness is lacking, the consequences of which could be contributing to physical health disparities. It was acknowledged that it is the dual responsibility of both the general hospital staff and liaison staff in improving care. Copyright © 2017 Elsevier Inc. All rights reserved.
A program of investigation into the chemistry of alkaline Hanford Site tank waste is being conducted. The investigations have two main subtasks: liaison with the Institute of Physical Chemistry of the Russian Academy of Sciences and further laboratory testing of the chemistry of thermal reconstitution of Hanford Site tank waste. Progress to date includes: (1) a technical dialogue has been established with the Institute scientists; (2) editing of a technical literature review on the chemistry of the transuranic elements and technetium in alkaline media written by researchers at the Institute is complete; (3) four tasks from the Institute have been selected for support by the US Department of Energy; (4) technical information has been supplied to the Institute describing the composition of Hanford Site tank waste; (5) tests, using genuine waste from tank 104-S (a REDOX Process sludge), comparing the performance of thermal reconstitution with enhanced sludge washing show markedly improved dissolution of aluminum achieved by the thermal treatment; (6) a reduction/coprecipitation method was tested and shown to remove plutonium, solubilized by thermal treatment, rapidly and efficiently from solution; (7) technical chemistry support was provided to calciner kinetics tests at the University of Idaho; (8) tests to determine the speciation of plutonium and neptunium solubilized by thermal treatment show dissolved Pu(V) and Np(V) hydroxide complexes are produced, a Np(V) peroxide complex also was identified; (9) recently published data on Pu(IV) carbonate complexation in moderately alkaline (pH 12 to 13) solution led to reexamination of previous investigations of plutonium complexation in highly alkaline (3 to 5 molar NaOH) solutions
Jofre, M.J.; Sierralta, M.P.
During military training, the incidence of overuse injuries like stress fractures increase. The aim of the study was to investigate the utility of bone scan in a military population with clinical suspected stress fractures or periostitis. Material and methods: A three-year retrospective analysis was made on patients who were clinically diagnosed with stress fractures at the Military Hospital Nuclear Medicine Department. Thirty-seven patients were studied (mean age 23. +/- 8 y.o; 31 males), 28 cases of which (76%) had tibial stress syndrome. Other localizations were lumbar spine, femoral, fibular, tarsal or metatarsal. Bone scintigraphy was performed injecting 1036 MBq of Tc99m-MDP i.v. Whole body images and lateral projections of lower extremities were done. Results: Bone scan in tibial syndrome was positive for 23 cases (82%), 65% of them were bilateral and 13% also had femoral injuries. X-rays were done in 10 cases and were all negative. In other localizations, the bone scans were negative, but demonstrated other degenerative lesions. All stress fractures were conservatively treated with non-steroidal anti-inflammatories and suspension of physical activity. Conclusions: Bone scan is a reliable confirmatory tool for tibial stress syndrome diagnosis. In addition, it helps to determine both the severity and extension of the injury as well as support the indication of rest in the military population
Jofre, M J; Sierralta, M P [Military Hospital Nuclear Medicine Department, Santiago (Chile)
During military training, the incidence of overuse injuries like stress fractures increase. The aim of the study was to investigate the utility of bone scan in a military population with clinical suspected stress fractures or periostitis. Material and methods: A three-year retrospective analysis was made on patients who were clinically diagnosed with stress fractures at the Military Hospital Nuclear Medicine Department. Thirty-seven patients were studied (mean age 23. +/- 8 y.o; 31 males), 28 cases of which (76%) had tibial stress syndrome. Other localizations were lumbar spine, femoral, fibular, tarsal or metatarsal. Bone scintigraphy was performed injecting 1036 MBq of Tc99m-MDP i.v. Whole body images and lateral projections of lower extremities were done. Results: Bone scan in tibial syndrome was positive for 23 cases (82%), 65% of them were bilateral and 13% also had femoral injuries. X-rays were done in 10 cases and were all negative. In other localizations, the bone scans were negative, but demonstrated other degenerative lesions. All stress fractures were conservatively treated with non-steroidal anti-inflammatories and suspension of physical activity. Conclusions: Bone scan is a reliable confirmatory tool for tibial stress syndrome diagnosis. In addition, it helps to determine both the severity and extension of the injury as well as support the indication of rest in the military population.
Aspects of safety at Dounreay Nuclear Establishment, including legislation, design safety, industrial safety and radiation monitoring procedures, are discussed. The arrangements for action in an emergency are outlined. Liaison between DNE and the local community, formal and informal, is summarised. (U.K.)
... 32 National Defense 5 2010-07-01 2010-07-01 false Origin and authority of the Department of the... The Department of the Navy § 700.201 Origin and authority of the Department of the Navy. (a) The naval... Executive Departments by the 1947 Act) as military departments within the Department of Defense. (c) The...
BACKGROUND: Despite understaffing of neurology services in Ireland, the demand for liaison neurologist input into the care of hospital inpatients is increasing. This aspect of the workload of the neurologist is often under recognised. AIMS\\/METHODS: We prospectively recorded data on referral and service delivery patterns to a liaison neurology service, the neurological conditions encountered, and the impact of neurology input on patient care. RESULTS: Over a 13-month period, 669 consults were audited. Of these, 79% of patients were seen within 48 h and 86% of patients were assessed by a consultant neurologist before discharge. Management was changed in 69% cases, and discharge from hospital expedited in 50%. If adequate resources for neurological assessment had been available, 28% could have been seen as outpatients, with projected savings of 857 bed days. CONCLUSIONS: Investment in neurology services would facilitate early accurate diagnosis, efficient patient and bed management, with substantial savings.
Elmarjany, Mohammed; Maghous, Abdelhak; Razine, Rachid; Marnouche, Elamin; Andaloussi, Khalid; Bazine, Amine; Lalya, Issam; Zaghba, Noha; Hadadi, Khalid; Sifat, Hassan; Habib, Baba; Kouach, Jaouad; Mansouri, Hamid
Cancer of uterine cervix is the second most common cause of cancer related deaths among women. The aim of this study is to report the experience of Military Hospital Mohamed V in the management of cervical cancer and their results. All cervical cancer managed at the radiotherapy department of Military Hospital Mohamed V between January 2005 and February 2010, were included for investigation of their demographic, histological, therapeutic and follow-up characteristics. Of the 162 cases managed, 151 (93.2 %) cases were treated in our department. In our study the median age was 51.5 years (33-82). The median duration of symptoms before diagnosis was four [3, 7] months. The major presenting complaints were abnormal vaginal bleeding (89.8 %). Squamous cell carcinoma cervix was seen in 86.2 % (n = 137), adenocarcinoma in 11.3 % (n = 18) and adenosquamous carcinoma in 2.4 % (n = 4). One hundred seventeen (84.8 %) cases were seen at late stage. An abdominal and pelvic computed tomography (CT) scan was performed in 34.6 % (n = 56) of cases, magnetic resonance imaging (MRI) in 62.9 % (n = 102). The pelvic lymph nodes were achieved in 16.6 % of cases. Over half of patients 58.3 % (n = 88) were treated with a combination of external beam radiation therapy (EBRT) and a concurrent cisplatin based chemotherapy (40 mg /m2 weekly). With a mean of 51.6 months (2 to 109), we recorded 19 (12.6 %) pelvic relapse and 15 (9.9 %) metastases. The median time to onset was 19.4 months (2-84 months). The local control rate was 63.6 % (n = 96) and 21 (13.9 %) patients were lost to follow-up. The overall survival (OS) at 3 years and 5 years was respectively 78.3 % and 73.6 % and the relapse-free survival (RFS) was respectively 80 % and 77.2 %. Most of cervical cancer patients in Morocco are seen at late stage necessitating referral for radiotherapy, chemotherapy or palliative care. This may reflect lack of cervical screening in order to early
Pusateri, Anthony E; Dubick, Michael A
Data from recent conflicts demonstrate the continuing need for research and development focusing on hemorrhage control, fluid resuscitation, blood products, transfusion, and pathophysiologic responses to traumatic hemorrhage. The US Department of Defense Hemorrhage and Resuscitation Research and Development Program brings together US Department of Defense efforts and is coordinated with efforts of our other federal government, industry, international, and university-based partners. Military medical research has led to advances in both military and civilian trauma care. A sustained effort will be required to continue to advance the care of severely injured trauma patients.
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....
... for nomination in this category applies to the administrative authority of the school involved. (b... 32 National Defense 6 2010-07-01 2010-07-01 false Honor military and honor Naval schools-AFROTC...) DEPARTMENT OF THE AIR FORCE MILITARY TRAINING AND SCHOOLS APPOINTMENT TO THE UNITED STATES AIR FORCE ACADEMY...
Senay, A; Delisle, J; Raynauld, J P; Morin, S N; Fernandes, J C
We determined if nurses can manage osteoporotic fractures in a fracture liaison service by asking a rheumatologist and an internist to assess their clinical decisions. Experts agreed on more than 94 % of all nurses' actions for 525 fragility fracture patients, showing that their management is efficient and safe. A major care gap exists in the investigation of bone fragility and initiation of treatment for individuals who have sustained a fragility fracture. The implementation of a fracture liaison service (FLS) managed by nurses could be the key in resolving this problem. The aim of this project was to obtain agreement between physicians' and nurses' clinical decisions and evaluate if the algorithm of care is efficient and reliable for the management of a FLS. Clinical decisions of nurses for 525 subjects in a fracture liaison service between 2010 and 2013 were assessed by two independent physicians with expertise in osteoporosis treatment. Nurses succeeded in identifying all patients at risk and needed to refer 27 % of patients to an MD. Thereby, they managed autonomously 73 % of fragility fracture patients. No needless referrals were made according to assessing physicians. Agreement between each evaluator and nurses was of >97 %. Physicians' decisions were the same in >96 %, and Gwet AC11 coefficient was of >0.960 (almost perfect level of agreement). All major comorbidities were adequately managed. High agreement between nurses' and physicians' clinical decisions indicate that the independent management by nurses of a fracture liaison service is safe and should strongly be recommended in the care of patients with a fragility fracture. This kind of intervention could help resolve the existing care gap in bone fragility care as well as the societal economic burden associated with prevention and treatment of fragility fractures.
Ben Wadham; Grace Skrzypiec; Phillip Slee
What are young Australians’ understandings of, and attitudes to, the military and military service? This article describes a pilot study of 320 young Australian university students’ attitudes to the military and military service during a time when Australia was engaged in the Afghanistan war. The main purpose of this study was to develop a survey instrument for further work in researching civil–military relations in Au...
Kelley, Michelle L; Brancu, Mira; Robbins, Allison T; D'Lima, Gabrielle M; Strauss, Jennifer L; Curry, John F; Fairbank, John A; Runnals, Jennifer
The current study was undertaken to examine whether posttraumatic stress symptoms (PTSS) and depressive symptoms mediated the association between trauma exposure (combat-related trauma and non-combat traumas occurring before, during, and after military service), and drug abuse symptoms use among male and female veterans. Participants were 2304 (1851 male, 453 female) veterans who took part in a multi-site research study conducted through the Department of Veterans Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC). Path analytic models were used to determine the association between problematic past-year drug use and combat-related and non-combat trauma experienced before, during, or after the military and whether current post-traumatic stress symptoms or depressive symptoms mediated these associations. For both male and female veterans, depressive symptoms significantly mediated the effects of pre- and post-military trauma on drug abuse symptoms. Mental health providers who work with trauma-exposed Iraq and Afghanistan era veterans should assess for drug use, depressive symptoms, and life-span trauma (i.e., not only combat-related traumas) as part of a thorough trauma-based assessment for both men and women. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
National Defence Force (SANDF) military officers, one responsible for ..... between the functions of the Secretary of Defence and that of the Chief of the ..... 44 Department of Defence, Annual Report for the Financial Year 2001/2002, op cit, p.
Full Text Available Objective: The aim of this study was to access the clinico-psycho-social profile of patients brought under consultation-liaison (CL psychiatry care in a large tertiary care referral hospital. Materials and Methods: This study included all patients who were referred for CL psychiatry from among the inpatients in the hospital and the emergency department (during off working hours of the hospital over a period of 1 year. Data were obtained and analyzed in terms of where was the referral placed, by whom, the reason for placing the referral, the primary medical/surgical diagnosis of the patient, the presenting complaints, any past psychiatric history, the psychiatric diagnosis (as per the International Classification of Diseases, Tenth Edition, the investigations advised and their reports, the treatment advised (psychotherapeutic and psychopharmacological, the sociodemographic profile of the patients, and the follow-up details. Results: A total of 157 patients were referred to the CL unit over the study period. Out of these, 125 patients were referred among the inpatients and 32 from the emergency department of the hospital. Majority of the patients were in the age group of 25–50 years and were male. The majority of the referrals were made by general physician; most of the referrals were placed from emergency department. The most common reason for referral was for altered sensorium and behavioral abnormalities. The most common diagnosis was delirium followed by depressive episode and alcohol dependence syndrome. Conclusion: There was higher representation of delirium and alcohol-related cases in our study compared to older studies.
Kłos, Krzysztof; Bertrandt, Jerzy; Jałocha, Lukasz; Matuszewski, Tomasz; Abramowicz, Michał
The aim of the work was laboratory assessment of energy and nutritional value of general and light diets used in patients of selected clinical department in the Military Medical Institute in Warsaw alimentation. Using questionnaire method the assessment of diets was done by patients too. Meals given to patients in hospital not always fulfilled nutritional requirements. Additional consumption of supplementary products did not always meet the requirements of proper nutrition. Half of examined patients appraised nutrition variety as good but at the same time claimed the there was not enough fruits and vegetables.
Koli, Trupti; Filippidou, Maria
The importance of handovers has been recognised and proven in clinical practice. In liaison psychiatry, this is particularly important due to the high turnover of patients seen, the shift work pattern and the number of member staff engaging in this process. An Audit on the Quality of Handovers was carried out within a Psychiatric Liaison team of a General hospital in UK with an intention to review and improve this. Handovers were evaluated against the gold standard of the SBAR tool (Situation/Background/Assessment/Recommendations) over a period of 4 weeks. Handovers were assessed by 2 members of staff (a Consultant & a Specialty doctor). Data was analysed using Microsoft Excel. Results showed that the team's handover practice is mostly "Good" but there was also an amount of "Poor" under "Situation & Background", mostly presented by mid-grade doctors & trainees. Nurses scored higher than medics on overall rating, nearly 50%.This could be attributed to the fact that handovers form an essential & integral part of Nurse's training & culture. Also mid-grade (staff grade) doctors have had a significant amount of "excellent" scoring that other groups didn't have, mostly on the Assessment & Recommendations domains, which can be attributed to the fact that importance is stressed more on the assessment & treatment module by the doctors. The multi-disciplinary composition of the liaison psychiatry team has a positive impact on the patient care. This audit has revealed overall good communication amongst the members of the team, nevertheless one that needs some improvement, particularly amongst the doctors. Doctors tend to focus on the remedial (assessment & treatment) module rather than the holistic approach. SBAR remains an effective & handy tool to improve the handover quality. A re-audit will be carried out in 6 months time to assess the improvements observed following the implementation of this new tool.
Department of Veterans Affairs — This comprehensive report chronicles the history of women in the military and as Veterans, profiles the characteristics of women Veterans in 2009, illustrates how...
... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Military resale commodities. 51-6.4 Section 51-6.4 Public Contracts and Property Management Other Provisions Relating to... stores, Armed Forces exchanges and like activities of other Government departments and agencies) shall...
The US Department of Agriculture has a long history of collaborating with the US military to conduct research in support of war efforts. The predecessor laboratory of the current USDA-ARS Center for Medical, Agricultural and Veterinary Entomology (CMAVE) located in Gainesville, Florida has a history...
Ducey, D.L. Jr.; Walker, A.H.
The Department of Defense (DOD), operating through the Directorate of Military Support in the Department of the Army, supports state, local and other federal agency response operations in a wide range of natural and man-caused emergencies. Examples within the past six years include the Ashland Oil tank collapse in Floreffe, Pennsylvania, Exxon Valdez cleanup, Loma Prieta earthquake, hurricanes Hugo and Andrew, Mexico City earthquake, Armero (Columbia) volcanic eruption, and Puerto Rico floods and mud slides. From March 24 to September 27, 1989, the period of the Exxon Valdez initial cleanup operations, DOD provided military and civilian personnel, US Navy ships for housing response workers, cargo and medical evacuation aircraft (fixed wing and helicopters), skimmers, modified dredges, landing craft, Dracones, Zodiak boats, radios, computers, and other miscellaneous equipment. This was in addition to assets of the Alaska Army and Air National Guard, which were committed by the governor. Support was provided to the US Coast Guard on scene coordinator and supervised by the Alaska Oil Spill Joint Task Force. The General Accounting Office, in its January 1990 report, Federal Costs Resulting from the Exxon Valdez Oil Spill, estimated that DOD spent $62.8 million through September 30, 1989, the largest expenditure by any federal agency. Use of military resources is a realistic scenario in certain situations. Primary responders at the federal and state level should understand how to request and employ these assets. This paper provides a background on DOD support to disaster relief operations, and discusses the types of support available to agencies responding to natural or man-caused emergencies, request and approval mechanisms, the Department of Defence organization to provide support, and reimbursement of the department
... Unified Rules Publication (MFTURP) No. 1 AGENCY: Department of the Army, DoD. SUMMARY: The Military... Publication and Rules Manager, Strategic Business Directorate, Business Services, 1 Soldier Way, Building...: Military Freight Traffic Unified Rules Publications (MFTURP) No. 1. Background: The MFTURP No. 1 governs...
and Management and Department of Psychology Dr. Larry Cummings College Park MD 20742 University of Wisconsin-Madison Graduate School of Business Dr. D...Graduate School of Management and Business University of Oregon Eugene OR 97403 Dr. James R. Terborg University of Houston Department of Psychology Houston...AD-A107 348 UNdITED STATES INTERNATIONAL UNIV SAN DIEGO CA FAMILY --ETC PIG 5/1l FAMILY ROLES IN TRANSITION IN A CHANGING MILITARY (U) JUN 81 E J
There are 9.4 million military veterans receiving Social Security benefits, which means that almost one out of every four adult Social Security beneficiaries has served in the United States military. In addition, veterans and their families make up almost 40 percent of the adult Social Security beneficiary population. Policymakers are particularly interested in military veterans and their families and have provided them with benefits through several government programs, including Social Security credits, home loan guarantees, and compensation and pension payments through the Department of Veterans Affairs. It is therefore important to understand the economic and demographic characteristics of this population. Information in this article is based on data from the March 2004 Current Population Survey, a large, nationally representative survey of U.S. households. Veterans are overwhelmingly male compared with all adult Social Security beneficiaries who are more evenly split between males and females. Military veterans receiving Social Security are more likely to be married and to have finished high school compared with all adult Social Security beneficiaries, and they are less likely to be poor or near poor than the overall beneficiary population. Fourteen percent of veterans receiving Social Security benefits have income below 150 percent of poverty, while 25 percent of all adult Social Security beneficiaries are below this level. The higher economic status among veterans is also reflected in the relatively high Social Security benefits they receive. The number of military veterans receiving Social Security benefits will remain high over the next few decades, while their make-up and characteristics will change. In particular, the number of Vietnam War veterans who receive Social Security will increase in the coming decades, while the number of veterans from World War II and the Korean War will decline.
..., background and security clearance information received from Executive Offices and Bureau of Human Resources... the provisions of the Privacy Act of 1974, as amended (5 U.S.C.552a) and Office of Management and... Liaison Office for the consideration, review, clearance and appointment of an individual to a non-career...
Bolekhan, V N; Zagorodnikov, G G; Gorichnyĭ, V A; Orlova, E S; Nikolaev, P G
An analysis of regulatory documents of the Ministry of Healthcare and the Ministry of Defence of the Russian Federation related to HIV/AIDS prevention was carried out. The current system of HIV/AIDS detection and registration among military and civil personnel was assessed. Problems and prospects of scientific-and-research laboratory (the register of infectious disease pathology and HIV-infected military personnel) of Scientific-and-research centre at the Kirov Military medical academy were discussed. It is proposed that the main direction of the laboratory activity will be the restoration of up-to-date records of military personnel with HIV/AIDS. This activity will provide the necessary information to responsible specialists of the Main state sanitary and epidemiological surveillance centre and the Main military medical department of the Ministry of Defence of the Russian Federation for the sanitary and epidemiological surveillance for purposeful and economically feasible management decisions in the field of military personnel infection diseases prevention.
Naudet, G; Passe, S [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires
On the basis of experimental results selected from publications, the evolution of the bond energy of a molecular system under irradiation - leading to a more or less bound state - is studied. This variation of bond energy is then compared to the total bond energy of the initial system and to the energy absorbed in the system during the irradiation. This is done as a function of the nature of molecular system and the radiation spectrum and intensity. Our working method will first be explained, and the results obtained will then be given. (authors) [French] A l'aide de resultats experimentaux, selectionnes dans les publications, nous etudions l'evolution de l'energie de liaison d'un systeme moleculaire sous irradiation (evolution vers un etat plus ou moins lie), et nous comparons cette variation d'energie de liaison a l'energie totale de liaison du systeme initial et a l'energie absorbee dans le systeme au cours de l'irradiation. Ceci est fait en fonction de la nature du systeme moleculaire ainsi que du spectre et de l'intensite du rayonnement. Nous exposons d'abord notre methode de travail, puis les resultats obtenus. (auteurs)
CAP 2018, Vancouver, British Columbia, Canada, March 17-23, 2018 14. ABSTRACT Surgical Pathology Bootcamp: A Military Experience Nathaniel Smith...REPORT TYPE 3. DATES COVERED (From - To) 17/03/2018 poster 03/17/2018-03/23/2018 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Surgical Pathology ...or its Components. Background A common complaint among pathology department faculty is the variable medical knowledge and histological experience
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
.... This paper examines the arguments for and against outsourcing, and concludes that outsourcing military corrections is not in the government's best interest when examined through operational economic...
Dugua, Celine; Spinelli, Elsa; Chevrot, Jean-Pierre; Fayol, Michel
This study investigates whether children's production and recognition of obligatory liaison sequences in French depend on the singular/plural orientation of nouns. Certain nouns occur more frequently in the plural (e.g., "arbre" "tree"), whereas others are found more often in the singular (e.g., "arc-en-ciel" "rainbow"). In the input, children…
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...
Meadows, Sarah O.; Beckett, Megan K.; Bowling, Kirby; Golinelli, Daniela; Fisher, Michael P.; Martin, Laurie T.; Meredith, Lisa S.; Osilla, Karen Chan
Abstract Military life presents a variety of challenges to military families, including frequent separations and relocations as well as the risks that service members face during deployment; however, many families successfully navigate these challenges. Despite a recent emphasis on family resilience, the U.S. Department of Defense (DoD) does not have a standard and universally accepted definition of family resilience. A standard definition is a necessary for DoD to more effectively assess its efforts to sustain and improve family resilience. RAND authors reviewed the literature on family resilience and, in this study, recommend a definition that could be used DoD-wide. The authors also reviewed DoD policies related to family resilience, reviewed models that describe family resilience and identified key family resilience factors, and developed several recommendations for how family-resilience programs and policies could be managed across DoD. PMID:28083409
WARFIGHTING SCHOOL ADVANCING U.S. STRATEGIC COMMUNICATION THROUGH GREATER CIVILIAN-MILITARY COORDINATION AND INTERGRATION by Wendy A. Kolls U.S... products synchronized with the actions of all instruments of national power." Department af Defense Dictionary of Military and Associated Terms...the "British street," the "American street," and the "Israeli street.ŗ Selling "Brand America" If the " product " was America, then the thinking in
Full Text Available Post-traumatic stress disorder (PTSD stands out as a major mental illness; however, little is known about effective policies for mitigating the problem. The importance and complexity of PTSD raise critical questions: What are the trends in the population of PTSD patients among military personnel and veterans in the postwar era? What policies can help mitigate PTSD? To address these questions, we developed a system dynamics simulation model of the population of military personnel and veterans affected by PTSD. The model includes both military personnel and veterans in a "system of systems." This is a novel aspect of our model, since many policies implemented at the military level will potentially influence (and may have side effects on veterans and the Department of Veterans Affairs. The model is first validated by replicating the historical data on PTSD prevalence among military personnel and veterans from 2000 to 2014 (datasets from the Department of Defense, the Institute of Medicine, the Department of Veterans Affairs, and other sources. The model is then used for health policy analysis. Our results show that, in an optimistic scenario based on the status quo of deployment to intense/combat zones, estimated PTSD prevalence among veterans will be at least 10% during the next decade. The model postulates that during wars, resiliency-related policies are the most effective for decreasing PTSD. In a postwar period, current health policy interventions (e.g., screening and treatment have marginal effects on mitigating the problem of PTSD, that is, the current screening and treatment policies must be revolutionized to have any noticeable effect. Furthermore, the simulation results show that it takes a long time, on the order of 40 years, to mitigate the psychiatric consequences of a war. Policy and financial implications of the findings are discussed.
Ghaffarzadegan, Navid; Ebrahimvandi, Alireza; Jalali, Mohammad S.
Post-traumatic stress disorder (PTSD) stands out as a major mental illness; however, little is known about effective policies for mitigating the problem. The importance and complexity of PTSD raise critical questions: What are the trends in the population of PTSD patients among military personnel and veterans in the postwar era? What policies can help mitigate PTSD? To address these questions, we developed a system dynamics simulation model of the population of military personnel and veterans affected by PTSD. The model includes both military personnel and veterans in a “system of systems.” This is a novel aspect of our model, since many policies implemented at the military level will potentially influence (and may have side effects on) veterans and the Department of Veterans Affairs. The model is first validated by replicating the historical data on PTSD prevalence among military personnel and veterans from 2000 to 2014 (datasets from the Department of Defense, the Institute of Medicine, the Department of Veterans Affairs, and other sources). The model is then used for health policy analysis. Our results show that, in an optimistic scenario based on the status quo of deployment to intense/combat zones, estimated PTSD prevalence among veterans will be at least 10% during the next decade. The model postulates that during wars, resiliency-related policies are the most effective for decreasing PTSD. In a postwar period, current health policy interventions (e.g., screening and treatment) have marginal effects on mitigating the problem of PTSD, that is, the current screening and treatment policies must be revolutionized to have any noticeable effect. Furthermore, the simulation results show that it takes a long time, on the order of 40 years, to mitigate the psychiatric consequences of a war. Policy and financial implications of the findings are discussed. PMID:27716776
51 List of Figures Figure 1: DoD Social Ecological Model...across the Joint Force understands their role in upholding ethical standards of behavior as a way to prevent sexual assault. Sexual Assault...strategy execution at all subordinate levels of the military social environment (Figure 1). Figure 1: DoD Social Ecological Model Incorporated DoD
... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Military pilots or former military pilots... Ratings and Pilot Authorizations § 61.73 Military pilots or former military pilots: Special rules. (a... a disciplinary action involving aircraft operations, a U.S. military pilot or former military pilot...
Jurgen Brauer; John Tepper Marlin
As a proportion of gross national product, U.S. military spending has declined steadily since the mid-1980s. The end of the Cold War has given rise to calls for even more cuts in military spending. In early 1992, President George Bush proposed to reduce military spending by 3 percent per year, in real dollars, for the next five years. The Democratic leadership in the House of Representatives countered with a plan calling for substantially deeper cuts. Any substantial changes in military expen...
AH McMakin; EL Malone; RE Lundgren
The U.S. Department of Energy's Federal Energy Management Program (FEMP) helps agencies reduce the cost of doing business through energy efficiency, water conservation, and the use of solar and other renewable energy. As a large energy user, the U.S. military has been one of the government sectors of focus. Several military installations have shown substantial energy savings in past years. Most of these efficiency projects, however, have focused primarily on physical upgrades, technologies, and purchasing habits. Furthermost projects have focused on administrative and operational areas of energy use. Military residential housing, in particular, has received little formal attention for energy efficiency involving behaviors of the residents themselves. Behavior-based change is a challenging, but potentially fruitful area for energy conservation programs. However, behavioral change involves links with values, social networks and organizations, and new ways of thinking about living patterns. This handbook attempts to fill a gap by offering guidance for promoting such efforts.
education. Accurate, timely information is required to adapt DoD’s advertising strategies to its target markets . This poll is the most recent in a...and military service, specifically, and (2) develop research-based communications strategies and recommendations for each market . The Defense...section contains a historical perspective on the Department of Defense’s recruitment advertising and market research programs. • The Research
... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Registration at the Department of birth abroad... at the Department of birth abroad. In the time of war or national emergency, passport agents may be designated to complete consular reports of birth for children born at military facilities which are not under...
Malenfant, Kara J.
This narrative, single-case study examines how liaison librarians at the University of Minnesota (UMN) came to include advocating for reform of the scholarly communication system among their core responsibilities. While other libraries may hire a coordinator or rely on a committee to undertake outreach programs, UMN has defined baseline expertise…
Kattwinkel, J; Niermeyer, S; Nadkarni, V; Tibballs, J; Phillips, B; Zideman, D; Van Reempts, P; Osmond, M
The International Liaison Committee on Resuscitation (ILCOR), with representation from North America, Europe, Australia, New Zealand, Africa, and South America, was formed in 1992 to provide a forum for liaison between resuscitation organizations in the developed world. This consensus document on resuscitation extends previously published ILCOR advisory statements on resuscitation to address the unique and changing physiology of the newly born infant within the first few hours after birth and the techniques for providing advanced life support. After careful review of the international resuscitation literature and after discussion of key and controversial issues, consensus was reached on almost all aspects of neonatal resuscitation, and areas of controversy and high priority for additional research were delineated. Consensus on resuscitation for the newly born infant included the following principles: Common or controversial medications (epinephrine, volume expansion, naloxone, bicarbonate), special resuscitation circumstances affecting care of the newly born, continuing care of the newly born after resuscitation, and ethical considerations for initiation and discontinuation of resuscitation are discussed. There was agreement that insufficient data exist to recommend changes to current guidelines regarding the use of 21% versus 100% oxygen, neuroprotective interventions such as cerebral hypothermia, use of a laryngeal mask versus endotracheal tube, and use of high-dose epinephrine. Areas of controversy are identified, as is the need for additional research to improve the scientific justification of each component of current and future resuscitation guidelines.
Shri Gopal Goyal
Full Text Available Context: Previous studies have reported high psychiatric comorbidity with physical illness. However, referral rate to consultation-liaison (C-L psychiatry from other departments is very low. There is a paucity of literature from India in this subspecialty of psychiatry. Aims: This study was conducted to assess the sociodemographic profile and psychiatric diagnosis of patients referred to C-L psychiatric services at a tertiary care center. Settings and Design: This was a descriptive cross-sectional study conducted in a tertiary care multispecialty teaching institution. Patients and Methods: The study population comprised all the patients who were referred for psychiatric consultation from other departments to C-L services of psychiatry department for 2 months. Information was collected using semi-structured pro forma, and diagnosis was made based on the International Classification of Diseases-10 criteria. Results: A total of 160 patients were referred for C-L psychiatric services. Majority of the patients were in the age group of 31–45 years, married, educated matriculation or beyond, belonged to Hindu religion, nuclear family, and residing in urban area. The maximum referrals were from internal medicine department (17.5 followed by nephrology (15.0% and neurology (10.6%. The most common psychiatric diagnosis was depression (12% followed by delirium (8%. The most common reason for seeking psychiatric consultation was psychiatric clearance of prospective kidney donor and bone marrow transplant/stem cell transplant recipient. Conclusions: Psychiatric comorbidity may present with chronic physical illness. The C-L psychiatry would play a major role in the management of psychiatric comorbidity.
The Foreign Military Sales (FMS) program, a Defense Department operation that manages sales of defense equipment as well as services and training to allied governments, is becoming a source of increasing dissatisfaction for the U.S...
Naveen S Yadav; Vrinda Saxena; Manish Jain; Kapil Paiwal
Introduction: Liaison amid problem behavior and traumatic dental injury among children aged 13-15 years are consequential due to multifactorial dental, orofacial skeletal, psycosocial behavior pattern. The probable etiology is been equated overjet; inadequate lip coverage is the major etiological factors accountable for traumatic dental injuries. Aims: The aim was to assess the relationship of problem behavior, type of lip coverage, and the size of overjet with the traumatic dental injury amo...
helps enhance service members’ quality of life by improving the condition of military-owned housing faster and more economically than traditional...DEPARTMENT OF THE ARMY SUBJECT: DoD Needs to Improve Screening and Access Controls for General Public Tenants Leasing Housing on Military...public tenants who leased DoD privatized housing before granting those tenants unescorted access to military installations. In addition, DoD officials
François, Catherine; Segard, Christine; Bouvier, Maryline; Stefanski, Martine; Pannier, Christine; Zawadzki, Patricia; Roussel, Catherine; Hecquet, Denise; Duverlie, Gilles; Brochot, Etienne; Castelain, Sandrine
This study compared the performance of 3 automated immunoassays, Architect ® (Abbott), Immulite ® (Siemens) and Liaison ® (Diasorin), for Epstein-Barr virus (EBV) serology. Ninety-one serum samples collected in Amiens University Hospital were analyzed for the presence of Viral Capsid Antigen (VCA) IgG and IgM and Epstein-Barr Nuclear Antigen (EBNA) IgG. The agreement between the 3 assays was calculated for each marker individually and for determination of the EBV profile, based on interpretation of the combination of these 3 EBV markers. Although similar results were obtained with Architect ® and Liaison ® , several discordant results were observed with Immulite ® , particularly for EBNA IgG. A large number of EBNA IgG-positive results were observed, which interfered with interpretation of the EBV profile. In contrast, Immulite ® performed similarly to the 2 other assays for detection of VCA IgM. Copyright © 2017 Elsevier Inc. All rights reserved.
behavior and rights, the values of the military are different and unique. Senior military officers highlight the importance of understanding the...Examples include on-base housing, shopping , schools, children’s sports leagues, and community and social events such as concerts, comedy shows, and movies... mall , a sporting event, or the movies provides a simple, 16 Skelton, “The Civil-Military Gap
Energized by service members wounded and killed protecting fuel convoys in Iraq in the mid-2000s and stunned by the oil price spike in 2008, the Department of Defense (DOD) had already started to seriously address energy challenges when the Obama Administration took steps to accelerate these actions. Real-world events, a growing military realization of threats and opportunities, and an Administration intent on fostering American leadership in clean-energy innovation have coalesced to promote change across the military services in the energy domain. This has been particularly evident in the Department's efforts to lessen its oil consumption. However, the ability to turn policy into practice has met numerous challenges from within and without the defense establishment. The question remains whether the DOD will be able to move beyond oil in a significant way. By examining a series of US government policy documents and programs, this article seeks to analyze the motivations behind the drive by the DOD to reduce oil consumption, to identify the challenges in meeting this objective, and to analyze efforts underway by the Department. Given that replacing oil for the largest transport fleet in the world will take several decades, it will require a sustained leadership from senior military officials. - Highlights: • The drive for less oil is about cost, combat maneuverability, and climate change. • Culture of oil, lagging research and development, and lack of leadership pose challenges. • Ultimately, the US Congress questioning the necessity to replace oil could derail the effort. • Lessening operational oil use could take several decades of sustained leadership
Kamphausen, Roy; Scobell, Andrew
.... Department of Defense.%' With military spending and modernization that have persisted with little or no abatement or recantation for well over a decade, China has the entire international community wondering to what ends...
Full Text Available ... In Advertising Protecting Consumer Privacy Identity Theft and Data Security Military Consumer Protection Events Calendar All Events ... Guides Statutes Consumer Sentinel Network Members Reports Newsletters Data Contributors Criminal Liaison Unit Results CLU Awards Contact ...
Full Text Available ... Merits Briefs Economic Liberty Military Task Force Advisory Opinions Cooperation Agreements Federal Register Notices Reports Policy Reports ... Sentinel Network Criminal Liaison Unit Policy Advocacy Advisory Opinions Cooperation Agreements Federal Register Notices Reports Studies Testimony ...
... DEPARTMENT OF DEFENSE Department of the Army Interim Change to the Military Freight Traffic Unified Rules Publication (MFTURP) No. 1 AGENCY: Department of the Army, DoD. ACTION: Notice. SUMMARY: The...-mail to: [email protected]us.army.mil or [email protected]us.army.mil . FOR FURTHER INFORMATION CONTACT: Mr...
US Department of Defense, 2004
DoDEA operates 223 public schools in 16 districts located in seven states, Puerto Rico, Guam, and 13 foreign countries to serve the children of military service members and Department of Defense civilian employees. Approximately 104,935 students are enrolled in DoDEA schools, with approximately 73,200 students in the DoDDS system, and…
Zahourek, R; Tower, M
It is noted that as abortion becomes an accepted medical practice, more nurses will be involved in the treatment and counseling of the therapeutic abortion patient. The authors, psychiatric nurses in a Colorado comprehensive urban mental health center, became involved in the treatment of the therapeutic abortion patient with the passing of the State's liberalized 1967 abortion law. As they became involved with all aspects of therapeutic abortion patients' care, they identified 3 specific roles for the psychiatric nurse: 1) providing direct They treatment, 2) providing liaison service and promoting continuity of care for the patient, and 3) providing consultation service to the staff involved with the patient. As the psychiatric nurses shared their own mixed feelings about abortion with the obstetrical staff, the staff began to feel less guilty and less alone with their feelings. The became more involved with the patients and benefited them more.
Bauer, Amy M; Fielke, Ken; Brayley, John; Araya, Mesfin; Alem, Atalay; Frankel, Bernard L; Fricchione, Gregory L
Consultation-liaison (C-L) psychiatry, informed by principles of psychosomatic medicine, is well-positioned to address the global impact of mental disorders through primary care C-L models. The authors review the international burden of mental disorders, highlighting medical comorbidity, undertreatment, and the rationale for enhancing primary-care management. C-L psychiatry fosters the skills required for global mental health work. The authors describe successful C-L models developed in a low-income country (Ethiopia) and an under-resourced region of a high-income country (Australia). C-L psychiatrists have the potential to marshal their unique skill-set to reduce the global burden of mental disorders.
Over the years Consultation-Liaison (C-L) psychiatry has contributed significantly to the growth of the psychiatry and has brought psychiatry very close to the advances in the medicine. It has also led to changes in the medical education and in the providing comprehensive management to the physically ill. In India, although the General Hospital Psychiatric units were established in 1930s, C-L Psychiatry has never been the main focus of training and research. Hence there is an urgent need to improve C-L Psychiatry services and training to provide best and optimal care to the patients and provide best education to the trainees. PMID:22135437
Garez, V; Devouche, E; Bobin-Bègue, A; Alecian, M; Minjollet, P; Vallerent, A; Poget, M; Oguibenine, H; Héroux, C; Medjkane, F; Apter, G
The pregnancy periods of peripartum and immediate postpartum represent moments of opportunity to access care. Both prevention and therapeutic management can be offered with a better chance of success during these periods. Our specific Consultation Liaison (CL) team PPUMMA was created in order to respond to the need for early detection of psychopathology and rapid implementation of therapeutic management and preventive measure for mother and child. The importance of urgently intervening "on site" seemed a necessity since duration of hospitalization in maternity wards is very short. Women might not know or understand their symptoms or be ready to ask for a referral for themselves but could be ready to respond positively to a team approach where the psychiatrist is part of the Ob-Gyn department. Working with an interdisciplinary approach tends to lower stress linked to the psychiatric side of the consultation and stigma related to psychological or psychiatric issues; therefore, PPUMMA intervenes within 48 to 72hours of birth. It deals with assessment and diagnosis during the peripartum period and orientation and referral for both mother and infant when necessary after birth. The Perinatal Psychiatry emergency mobile unit PPUMMA was created in order to address these issues. From 2008 to 2015, 1907 patients were assessed but data were missing for 90 patients. We therefore analyzed 1817 patient files looking at age, diagnosis origin of referral, time of referral (pre or postpartum) and delay from referral to assessment. Most patients were between 20 and 40 (81.5 %). One hundred and eighteen patients were under 20 years of age, of whom 64 were minors (3.5 %), and 218 were 40 or more (12 %). These two groups were over-represented close to threefold when comparing with national birth data records. A psychologist had first seen three out of four women. Midwives and Ob-Gyn referred 9 % and 8 % of patients while Social workers sent in 4 %. Two thirds of the
Kaiser, Richard G
.... Department of Defense policy allows US forces to participate to a great extent and what is now needed is a refocusing of US military operations in Afghanistan to prosecute counter-narcotics efforts to the maximum degree allowed. US forces can and must do more to stop Afghanistan from falling into a narcotics abyss.
Wild, Thomas H
.... Also, a preference for outsourcing military activities is often expressed. This MBA project investigates how applicable economic principles that govern the sourcing decision in the commercial world are to the...
Teodorczuk, Andrew; Welfare, Mark; Corbett, Sally; Mukaetova-Ladinska, Elizabeta
Deficiencies in the knowledge, skills and attitudes of all healthcare professionals working within the general hospital contribute towards the suboptimal care of older hospitalized patients with confusion. In the U.K., policy dictates that Liaison Old Age Psychiatry teams deliver effective education to general hospital clinical staff. The purpose of this paper is to review the literature concerning the learning needs of healthcare professionals in relation to managing confusion in the older patient in order to inform effective educational approaches for Liaison Old Age Psychiatry teams. A broad range of medical and educational databases were searched. Identified English language studies were selected for further analysis if they had a specific educational focus in the hospital setting and then further subdivided into intervention and naturalistic studies. The impact of intervention studies was evaluated by Kirkpatrick's system. Learning needs, as determined from the naturalistic studies, were mapped to identify themes. 13 intervention studies were identified. Despite a high level of effectiveness for educational interventions, it was unclear what the active components were. A further 23 naturalistic studies were identified; their findings focused on knowledge gaps, diagnostic behaviors and experiences, attitudes and training issues. Few studies specifically researched learning needs or the educational role of liaison teams. Conspicuous by its absence was reference to relevant educational theories. The findings of this review can be incorporated in the planning of local curricula by Liaison Teams in order to design educational strategies. There is a need for further research, especially studies exploring the learning needs of all healthcare professionals.
Alexey I. Podberyozkin
Military-political issues is an important area of research work at MGIMO. The difference in this direction from the classical international specialization is that it is at the intersection of several disciplines: military science, military-technical and military-industrial as well as International Relations. A specialist in military and political issues should not only be an expert in the field of international relations and diplomacy, but also have a deep knowledge of military-technical issu...
Shefer, Guy; Henderson, Claire; Howard, Louise M; Murray, Joanna; Thornicroft, Graham
We conducted a qualitative study in the Emergency Departments (EDs) of four hospitals in order to investigate the perceived scope and causes of 'diagnostic overshadowing'--the misattribution of physical symptoms to mental illness--and other challenges involved in the diagnostic process of people with mental illness who present in EDs with physical symptoms. Eighteen doctors and twenty-one nurses working in EDs and psychiatric liaisons teams in four general hospitals in the UK were interviewed. Interviewees were asked about cases in which mental illness interfered with diagnosis of physical problems and about other aspects of the diagnostic process. Interviews were transcribed and analysed thematically. Interviewees reported various scenarios in which mental illness or factors related to it led to misdiagnosis or delayed treatment with various degrees of seriousness. Direct factors which may lead to misattribution in this regard are complex presentations or aspects related to poor communication or challenging behaviour of the patient. Background factors are the crowded nature of the ED environment, time pressures and targets and stigmatising attitudes held by a minority of staff. The existence of psychiatric liaison team covering the ED twenty-four hours a day, seven days a week, can help reduce the risk of misdiagnosis of people with mental illness who present with physical symptoms. However, procedures used by emergency and psychiatric liaison staff require fuller operationalization to reduce disagreement over where responsibilities lie.
... DEPARTMENT OF DEFENSE Department of the Army Update to the 26 September 2011 Military Freight Traffic Unified Rules Publication (MFTURP) NO. 1 AGENCY: Department of the Army, DoD. SUMMARY: [email protected]us.army.mil . FOR FURTHER INFORMATION CONTACT: Mr. Chad Privett, (618) 220-6901...
Palmer, William A., Jr; Hanna, Marcia
The Military Librarian Workshop(MLW) is an annual meeting that brings together civilian and military personnel who serve as special librarians, library supervisors, or technical information officers in military or governmental...
guards, exhibit displays and speakers. Learn more about Community Relations Public Queries If you are Guard ARNG Media ARNG Public Affairs Family Services Youth Programs Survivor Services Military Funeral General Officer Management Public Affairs Executive Support Services Legislative Liaison Special Staff
Fleming, S.; Jordan, T.; Madden, M.; Usery, E.L.; Welch, R.
In order to successfully support current and future US military operations in coastal zones, geospatial information must be rapidly integrated and analyzed to meet ongoing force structure evolution and new mission directives. Coastal zones in a military-operational environment are complex regions that include sea, land and air features that demand high-volume databases of extreme detail within relatively narrow geographic corridors. Static products in the form of analog maps at varying scales traditionally have been used by military commanders and their operational planners. The rapidly changing battlefield of 21st Century warfare, however, demands dynamic mapping solutions. Commercial geographic information system (GIS) software for military-specific applications is now being developed and employed with digital databases to provide customized digital maps of variable scale, content and symbolization tailored to unique demands of military units. Research conducted by the Center for Remote Sensing and Mapping Science at the University of Georgia demonstrated the utility of GIS-based analysis and digital map creation when developing large-scale (1:10,000) products from littoral warfare databases. The methodology employed-selection of data sources (including high resolution commercial images and Lidar), establishment of analysis/modeling parameters, conduct of vehicle mobility analysis, development of models and generation of products (such as a continuous sea-land DEM and geo-visualization of changing shorelines with tidal levels)-is discussed. Based on observations and identified needs from the National Geospatial-Intelligence Agency, formerly the National Imagery and Mapping Agency, and the Department of Defense, prototype GIS models for military operations in sea, land and air environments were created from multiple data sets of a study area at US Marine Corps Base Camp Lejeune, North Carolina. Results of these models, along with methodologies for developing large
Fleming, S.; Jordan, T.; Madden, M.; Usery, E. L.; Welch, R.
In order to successfully support current and future US military operations in coastal zones, geospatial information must be rapidly integrated and analyzed to meet ongoing force structure evolution and new mission directives. Coastal zones in a military-operational environment are complex regions that include sea, land and air features that demand high-volume databases of extreme detail within relatively narrow geographic corridors. Static products in the form of analog maps at varying scales traditionally have been used by military commanders and their operational planners. The rapidly changing battlefield of 21st Century warfare, however, demands dynamic mapping solutions. Commercial geographic information system (GIS) software for military-specific applications is now being developed and employed with digital databases to provide customized digital maps of variable scale, content and symbolization tailored to unique demands of military units. Research conducted by the Center for Remote Sensing and Mapping Science at the University of Georgia demonstrated the utility of GIS-based analysis and digital map creation when developing large-scale (1:10,000) products from littoral warfare databases. The methodology employed-selection of data sources (including high resolution commercial images and Lidar), establishment of analysis/modeling parameters, conduct of vehicle mobility analysis, development of models and generation of products (such as a continuous sea-land DEM and geo-visualization of changing shorelines with tidal levels)-is discussed. Based on observations and identified needs from the National Geospatial-Intelligence Agency, formerly the National Imagery and Mapping Agency, and the Department of Defense, prototype GIS models for military operations in sea, land and air environments were created from multiple data sets of a study area at US Marine Corps Base Camp Lejeune, North Carolina. Results of these models, along with methodologies for developing large
The Department of Defense (DoD) faces a growing burden in providing peacetime health care for military personnel, retirees, and their dependents and survivors-who all together number over 8 million...
Sambu R. Tsyrendorzhjyev
Full Text Available The notion of "military danger, military threats, military and non-military measures to Parry, and other definitions from the policy of the State to ensure the military security of the now widely used in journalism, conceptual, other documents and research. The attentive reader it is not difficult to notice the ambiguity in the interpretation of these concepts. This makes it difficult to not only the perception of the relevant topics for ensuring military security publications, but also the development of the theory and practice of ensuring the defence and security of the State. The author's view on the essence of the reasoning logic of non-military measures to counter military threats, as the ultimate goal of the article is the following.First the task of analyzing the concept of "national security", "object of national security" and understand the functions of the State, society and the individual to ensure national security. Decomposition of an object of national security, which is "national property" (the content of the concepts described in the article has made it possible to substantiate the basis for classification of national security threats and with better understanding of the nature, variety, Genesis. This provided a rationale for the role and the place of the tasks ensuring military security in the common task of ensuring national security, the correlation of military and non-military threats.The final phase of the research, the results of which are set out in the article is devoted to analysis of military threats, which made it possible to identify their main structural elements: source, media, military-political and strategic nature, install the main factors defining the content of these elements and their interaction. Based on these results, the proposed definition of the essence of non-military measures for counteracting of military threats, as well as guidelines for developing these measures.
that a LT in the Operations Department has been selling AMWAY products to military and civil service personnel as well as actively recruiting others...effects of sexual harassment on productivity and readiness, including increased absenteeism, greater personnel turnover, lower morale, decreased... productivity and readiness. These include costs associated with increased Enclosure (3) absenteeism, greater personnel turnover, lower morale
complex. PSO’s is the one department in the UN system that takes up the largest portion of combined UN budget in 2015 with a cost of nearly $9bn. In 2016 the UN have deployed more than 100.000 personnel, both military and police, distributed on 16 missions. Whilst most of the budget is spent on PSO...
Full Text Available Carol Uzoamaka Chimah,1 Prosper Obunikem Uche Adogu,2 Kofoworola Odeyemi,3 Amobi Linus Ilika4 1Medical Department, Ministry of Defence Headquarters, Abuja, Nigeria; 2Department of Community Medicine and PHC, Nnamdi Azikiwe University/Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria; 3Department of Community Health, University of Lagos, Lagos, Nigeria Introduction: Intimate partner violence (IPV occurs across the world, in various cultures, and affects people across societies irrespective of economic status or gender. Most data on IPV before World Health Organization multicountry study (WHOMCS usually came from sources other than the military. Result of this study will contribute to the existing body of knowledge and may serve as a baseline for future studies in military populations. This study compares the prevalence of the different types of IPV against women in military and civilian communities in Abuja, Nigeria.Methods: Using a multistage sampling technique, 260 women who had intimate male partners were selected from military and civilian communities of Abuja. Collected data on personal characteristics and different types of IPV experienced were analyzed to demonstrate comparison of the association between the different forms of IPV and the respondents’ sociodemographic and partner characteristics in the two study populations using percentages and Χ-square statistics, and P-value was assumed to be significant at ≤0.05.Results: The prevalence of the four major types of IPV was higher among the military respondents than among civilians: controlling behavior, 37.1% versus 29.1%; emotional/psychological abuse, 42.4% versus 13.4%; physical abuse, 19.7% versus 5.9%, and sexual abuse, 9.2% versus 8.8%. Significantly more respondents from the military population (59 [45.4%] compared to civilians (21 [19.4%] were prevented by their partners from seeing their friends (P=0.000. The situation is reversed with regard to permission to seek
Bolin, Phil Warren
Approved for public release; distribution is unlimited. The influence of military service and military vocational training on post-service earnings was analyzed using the National Longitudinal Survey of young men (14-24 years of age in 1966) . When individuals were classified by their propensity to use training neither military service nor military vocational training was a significant determinant of post-service earnings. A disaggregation of the sample IQ revealed that m...
Annual Surveillance Summary: Escherichia coli ( E . coli ) Infections in the Military Health System (MHS...or position of the Department of the Navy, Department of Defense, nor the U.S. Government. i i E . coli in the MHS: Annual Summary 2015 Prepared...March 2017 EpiData Center Department NMCPHC-EDC-TR-187-2017 ii ii E . coli in the MHS: Annual Summary 2015 Prepared March 2017 EpiData
.... Using data from the 1995 Department of Defense Survey of Health Related Behaviors Among Military Personnel and the 1995 National Household Survey on Drug Abuse, illicit drug use rates are modeled...
Full Text Available After the peace bonus era, global military expenditures have escalated sharply despite some worldwide declines in military personnel. Theories on the economic impacts of the military institution and escalated military spending greatly differ and include arguments that they either improve domestic economic performance or crowd out growth-inducing processes. Empirical findings on this matter are inconclusive, in part due to a failure to disentangle the various dimensions of military expenditures. We further suggest that modern sociology's relative inattention to such issues has contributed to these shortcomings. We explore a new dimension of military spending that clarifies this issuemilitary expenditures per soldier which captures the capital intensiveness of a countrys military organization. Our cross-national panel regression and causal analyses of developed and less developed countries from 1990 to 2003 show that military expenditures per soldier inhibit the growth of per capita GDP, net of control variables, with the most pronounced effects in least developed countries. These expenditures inhibit national development in part by slowing the expansion of the labor force. Labor-intensive militaries may provide a pathway for upward mobility, but comparatively capital-intensive military organizations limit entry opportunities for unskilled and under- or unemployed people. Deep investments in military hardware also reduce the investment capital available for more economically productive opportunities. We also find that arms imports have a positive effect on economic growth, but only in less developed countries.
Jai, Tun-Min; McCool, Barent N; Reed, Debra B
U.S. military families are experiencing high obesity rates similar to the civilian population. The Department of Defense's Military Health System (MHS) is one of the largest healthcare providers in the United States, serving approximately 9.2 million active duty service members, retirees, spouses, and children. The annual cost to the MHS for morbidities associated with being overweight exceeds $1 billion. The preschool age has been suggested as an opportune time to intervene for the prevention of obesity. Thus, this study investigated the current level of technology usage by military service member families and assessed their needs and interests in health/nutrition information. This needs assessment is crucial for researchers/educators to design further studies and intervention programs for obesity prevention in military families with young children. In total, 288 military parents (233 Army and 55 Air Force) at two military bases whose children were enrolled in military childcare centers in the southwestern United States participated in a Technology Usage in Military Family (TUMF) survey in 2013. Overall, both bases presented similar technology usage patterns in terms of computer and mobile device usage on the Internet. Air Force base parents had a slightly higher knowledge level of nutrition/health information than Army base parents. The TUMF survey suggested practical ways such as mobile applications/Web sites, social networks, games, etc., that health educators can use to disseminate nutrition/health information for obesity prevention among military families with young children.
Full Text Available Lysosomal storage disorders (LSD are characterized by the accumulation of diverse lipid species in lysosomes. Niemann-Pick type A/B (NPA/B and type C diseases Niemann-Pick type C (NPC are progressive LSD caused by loss of function of distinct lysosomal-residing proteins, acid sphingomyelinase and NPC1, respectively. While the primary cause of these diseases differs, both share common biochemical features, including the accumulation of sphingolipids and cholesterol, predominantly in endolysosomes. Besides these alterations in lysosomal homeostasis and function due to accumulation of specific lipid species, the lysosomal functional defects can have far-reaching consequences, disrupting intracellular trafficking of sterols, lipids and calcium through membrane contact sites (MCS of apposed compartments. Although MCS between endoplasmic reticulum and mitochondria have been well studied and characterized in different contexts, emerging evidence indicates that lysosomes also exhibit close proximity with mitochondria, which translates in their mutual functional regulation. Indeed, as best illustrated in NPC disease, alterations in the lysosomal-mitochondrial liaisons underlie the secondary accumulation of specific lipids, such as cholesterol in mitochondria, resulting in mitochondrial dysfunction and defective antioxidant defense, which contribute to disease progression. Thus, a better understanding of the lysosomal and mitochondrial interactions and trafficking may identify novel targets for the treatment of Niemann-Pick disease.
MACA )” Army Law, (July 2007), 4-5. 6 Ibid., 5-7. 7 U.S. Department of Defense, Directive 3025.18 Defense Support of Civil Authorities...Oklahoma City Bombing: Immediate Response Authority and Other Military Assistance to Civil Authority ( MACA )” Army Law., (July 2007): 4-8
Personnel deployed in support of US military operations will benefit from additions to the current Department of Defense pest management system. A recent study showed that residual insecticide treatment of woodland pattern US military camouflage netting was long lasting and effective at reducing mos...
Ivan B. Mijatović
Full Text Available The article sheds light on the origins of the military technical thinking in the military publishing of the Kingdom of Serbia with a view to marking a jubilee - the sixtieth anniversary of the Military Technical Courier. 'Vojin', the first military review, printed in the middle of 19th century as a private venture, covered a wide scope of military issues, among which a special place was given to 'the science of weapons'. No sooner had this review ceased to exist than The Headquarters of the Army of the Kingdom of Serbia started publishing a new military review, 'Ratnik', which, apart from the art of war and war literature, dealt with the science of weapons in order to inform officers about the latest achievements in military technology and to educate them as well. Serbian military thinking, including its technical aspect, did not fall behind modern trends in its European and world counterparts until 1914. The development of weaponry in Europe and the world was regularly covered on the pages of military reviews.
Alexey I. Podberyozkin
Full Text Available Military-political issues is an important area of research work at MGIMO. The difference in this direction from the classical international specialization is that it is at the intersection of several disciplines: military science, military-technical and military-industrial as well as International Relations. A specialist in military and political issues should not only be an expert in the field of international relations and diplomacy, but also have a deep knowledge of military-technical issues to understand the basic trends in the development of scientific and technological progress and its impact on the balance of forces in the world. Global changes in the balance of power and the nature of the conflict, the emergence of new types of weapons are changing the basic methods and approaches to the art of war, which requires a science-based perspective on problem solving and multi-disciplinary approach in achieving the goals. Military and political studies allow us to understand how the development of military technology and military organization of the state affected by the political situation in the world, the national security of the country and its place in the system of international relations. Military-political research has been developing at MGIMO for a few decades. It laid down the basis for a scientific school of political-military studies. Its founding fathers were such prominent scholars of international affairs, as I.G. Usachyov, A.D. Nikonov, A.G. Arbatov, V.G. Baranovsky, V.M. Kulagin, A.N. Nikitin and other well-known experts. Their work covers a wide range of military and political issues, including the topics of arms control and disarmament, international, and especially European security, military policy, NATO, the Western military-political doctrines and their practical application. Now the lead in the development of this research at MGIMO has taken Center for Military-Political Studies, which became a concentration of relevant
Diver, R.B.; Menicucci, D.F. [Sandia National Labs., Albuquerque, NM (United States). Energy and Environment Div.
This report describes a Strategic Environmental Research and Development Program (SERDP) project to field a dish/Stirling system at a southwestern US military facility. This project entitled ``Dish/Stirling for DoD Applications`` was started in August 1993 and was completed in September 1996. The project`s objective was to assist military facilities to field and evaluate emerging environmentally sound and potentially economical dish/Stirling technology. Dish/Stirling technology has the potential to produce electricity at competitive costs while at the same time providing a secure and environmentally benign source of power. In accordance with the SERDP charter, this project leveraged a US Department of Energy (DOE) cost-shared project between Sandia National Laboratories and Cummins Power Generation, Inc. (CPG). CPG is a wholly owned subsidiary of Cummins Engine Company, a leading manufacturer of diesel engines. To accomplish this objective, the project called for the installation of a dish/Stirling system at a military facility to establish first-hand experience in the operation of a dish/Stirling system. To scope the potential DoD market for dish/Stirling technology and to identify the site for the demonstration, a survey of southwestern US military facilities was also conducted. This report describes the project history, the Cummins dish/Stirling system, results from the military market survey, and the field test results.
Lange, John E
... for Refugees The U S support would be provided primarily by the military. The Defense Department quickly responded, and almost all observers have commended it for quick action that saved thousands of lives...
... DEPARTMENT OF DEFENSE Office of the Secretary Federal Advisory Committee; Military Leadership Diversity Commission (MLDC) AGENCY: Office of the Under Secretary of Defense for Personnel and Readiness... Commission (MLDC) will meet on June 16 and 17, 2010, in Mc Lean, VA. The meeting is open to the public, but...
... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Military riggers or former military riggers: Special certification rule. 65.117 Section 65.117 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... Riggers § 65.117 Military riggers or former military riggers: Special certification rule. In place of the...
63 Jacob W. Kipp 3. Russian Defense Doctrine .............................. 153 Alexander G. Savelyev About...DOCTRINE Alexander G. Savelyev After President Vladimir Putin of Russian Fed- eration (RF) approved the Military Doctrine in April 2000, experts and...from the Pennsylvania State University. ALEXANDER SAVELYEV has been head of the Strategic Studies Department, Center of International Security
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...
Lindgren, Eric A.
Structural Health Monitoring has been proposed as a solution to address the needs of military aviation to reduce the time and cost to perform nondestructive inspections. While the potential to realize significant benefits exist, there are considerations that have to be addressed before such systems can be integrated into military platforms. Some considerations are pervasive to all aviation, such as how to assess the reliability and reproducible capability of these systems. However, there are other challenges unique to military aviation that must be overcome before these types of systems can be used. This presentation and paper are intended as a complement to the review of the outcome of the SAE G-11 SHM committee special workshop on SHM reliability in April of 2015. It will address challenges unique to military aviation that stem from different approaches to managing structural integrity (i.e. safety), frequency of use, design differences, various maintenance practices, and additional descriptions addressing differences in the execution of inspections. The objective of this presentation is to improve the awareness of the research and development community to the different and unique requirements found in military aviation, including the differences between countries, services, and aircraft type. This information should assist the research and development community in identifying and attacking key challenges. It is not intended to be comprehensive overview of all stakeholders' perspectives, but to serve as a launch point for additional discussion and exploration of opportunities to realize the potential of Structural Health Monitoring to assist in the management of military aviation assets. The views expressed in this publication are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the United States Government.
2014.  “United Nations, Department of Economic and Social Affairs, Population Division, World Population Prospects, the 2015 Revision,” http...Research Article Modelling Risk to US Military Populations from Stopping Blanket Mandatory Polio Vaccination Colleen Burgess,1,2 Andrew Burgess,2 and...for polio transmission within military populations interacting with locals in a polio-endemic region to evaluate changes in vaccination policy
Nodar Z. Mossaki
Full Text Available The article analyzes the system of training of officers in military academies in Iraq – in Zakho, Qalacholan, ar-Rustamiyah and an-Nasiriyah. The author describes the history of creation, process of evolution, challenges and features of training in these colleges. Particular attention paid to military academies in the territory of Iraqi Kurdistan, which actually do not obey the central government of Iraq, however, have the highest level of training. Currently, Iraq's military academies operate on the basis of the NATO standards. Iraqi military academies paid miuch attention to the specifics of the military and political situation in Iraq – counterinsurgency and counterterrorism operations, patrolling cities, fighting in an urban environment etc. Significant place in the curriculum take the courses contributing to the formation of pro-Western sentiment.
Marshal Office of the Joint Surgeon PARC Small Business Programs Chaplain Diversity NGB-GOMO Resources Legislative Liaison Small Business Programs Social Media State Websites Videos Featured Videos On Every Front operational law, environmental law, contracts, administrative law, and military justice and other areas of the
... 32 National Defense 4 2010-07-01 2010-07-01 true Marine Corps policy. 631.17 Section 631.17... CRIMINAL INVESTIGATIONS ARMED FORCES DISCIPLINARY CONTROL BOARDS AND OFF-INSTALLATION LIAISON AND OPERATIONS Off-Installation Operations (Military Patrols and Investigative Activities) and Policy § 631.17...
Bush, Nigel E.; Reger, Mark A.; Luxton, David D.; Skopp, Nancy A.; Kinn, Julie; Smolenski, Derek; Gahm, Gregory A.
The Department of Defense Suicide Event Report Program collects extensive information on suicides and suicide attempts from the U.S. Air Force, Army, Marine Corps, and Navy. Data are compiled on demographics, suicide event details, behavioral health treatment history, military history, and information about other potential risk factors such as…
... amended), and 41 CFR 102-3.150, the Department of Defense announces that the Military Leadership Diversity... Leadership Diversity Commission to continue their efforts to address congressional concerns as outlined in... for diversity leadership and training. DFO recesses the meeting. 11:15 a.m.-12:15 a.m. DFO opens the...
consisting of Ms. Natalie Namrow, Ms. Sarah De Silva, Ms. Kathleen Dippold, SRA International, Inc., a CSRA Company, Dr. Samantha Daniel, Dr. Paul Cook ...construed as substantiated allegations of professional reprisal, ostracism, or maltreatment. General Satisfaction With Individuals/Resources... Professional Reprisal, Ostracism, and Maltreatment The Department strives to create an environment where military members feel comfortable and safe
Scalzitti, Nicholas; Brennan, Joseph; Bothwell, Nici; Brigger, Matthew; Ramsey, Mitchell; Gallagher, Thomas; Maturo, Stephen
During the wars in Iraq and Afghanistan, the US military has continued to train medical residents despite concern that postgraduate medical education at military training facilities has suffered. This study compares the experience of otolaryngology residents at military programs with the experience of their civilian counterparts. Retrospective review. Academic military medical centers. Resident caseload data and board examination passing rates were requested from each of the 6 Department of Defense otolaryngology residency programs for 2001 to 2010. The American Board of Otolaryngology and the Accreditation Council for Graduate Medical Education provided the national averages for resident caseload. National board passing rates from 2004 to 2010 were also obtained. Two-sample t tests were used to compare the pooled caseloads from the military programs with the national averages. Board passing rates were compared with a test of proportions. Data were available for all but one military program. Regarding total cases, only 2001 and 2003 showed a significant difference (P < .05), with military residents completing more cases in those years. For individual case categories, the military averages were higher in Otology (299.6 vs 261.2, P = .033) and Plastics/Reconstruction (248.1 vs 149.2, P = .003). Only the Head & Neck category significantly favored the national average over the military (278.3 and 226.0, P = .039). The first-time board passing rates were identical between the groups (93%). Our results suggest that the military otolaryngology residency programs are equal in terms of caseload and board passing rates compared with civilian programs over this time period.
Umstattd, Ryan J.
The present work describes the military impact of improved efficiency and then highlights existing technological, political, and financial barriers for improving overall energy efficiency. As the largest user of energy within the US government, the Department of Defense (DOD) is rightly concerned that any disruption to the nation's energy supply may have an extremely adverse impact on its military capabilities. The total solution to providing energy security will be multi-faceted with progress required on many fronts. Increasing the use of renewable energy sources and improving energy storage capabilities are gradually creating a positive impact, but investing in improving the overall efficiency of the military effort provides both immediate and long-lasting payback. One might suppose that a decrease in the energy used by the DOD should lead to a decrease in military capability, but historical data proves otherwise. It is shown that the military has additional impetus, compared to civilian consumers, to pursue energy-efficiency improvements. Many tools are available to help the DOD along this path, yet there remain obstacles which must first be identified and analyzed as discussed herein.
Commands’ regional exercise programs fully integrate appropriate allies’ and partners’ space operations. d. In close coordination with USSTRA TCOM...partners to develop basic operational capabilities through advanced and integrated training programs to grow a sophisticated coalition space cadre. b...1-2600 "’l. ., 5 Lui/ !.Y. 4’/ ,_ , MEMORANDUM FOR SECRETARIES OF THE MILITARY DEPARTMENTS CHAIRMAN OF THE JOINT CHIEFS OF STAFF UNDER SECRET
Hajjar, Remi M.
This article examines how and why many contemporary US mainstream military advisors—as compared to Special Forces advisors—often work from a position of disadvantage when conducting unconventional advising missions. Post-9/11 deployments to Iraq and Afghanistan have caused the US military to adapt to myriad complexities, including a renewed need for the widespread execution of the unconventional military advising mission by the Special Forces and conventional units. Although Special Forces ty...
2012, Vol. 65, No. 2 Mackubin Thomas Owens ivil-military relations describe the interactions among the people of a state, the institutions of that...civilians for the unexpect- edly difficult occupation of Iraq,” one close observer—U.S. Army major Isaiah Wilson III, an official historian of the...U.S. Civil- Military Relations. 4. I have addressed these questions in depth in Mackubin Thomas Owens, US Civil-Military Relations after 9/11
DoD Safe Helpline also has a Safe Helpline Mobile Application for smartphones to give members of the military community free access to resources and...substance abuse/ addiction treatment, violent offender treatment, and group therapies focused on changing criminal thinking attitudes and behavior...service members via, text, Smartphone , or web applications. At training commands, rormal, informal and anonymous lines of communication are available
Rasmussen, Mikkel Vedby
If the military were a business, would you buy shares? Over recent years, Western armed forces, particularly the US, have been costing more yet achieving less. At the same time, austerity measures are reducing defence budgets. This book uses defence data to examine the workings of modern Western...... militaries and explore what kind of strategies can overcome this gap between input and output. Instead of focusing on military strategy, Mikkel Vedby Rasmussen seeks to draw on the ideas of business strategy to assess alternative business cases - reforming military HR to combat instability in the 'Global...... to fit within a nation's overall national security system without ever-increasing budgets....
.... This strategy depended on a strong research and development (R&D) effort in both the public and private sectors, and the community of military laboratories in the Department of Defense played an essential role in the overall effort...
Meyer, Eric G; Writer, Brian W; Brim, William
Military cultural competence has recently gained national attention. Experts have posited that limited outcomes in the treatment of posttraumatic stress disorder and depression in the military may be related to limited familiarity with the military. National surveys have indicated low military cultural competence among providers and limited educational efforts on military culture or pertinent military pathology in medical schools and residency training programs. Military families, with their own unique military cultural identity, have been identified as a population with increased risks associated with deployment. In response to these findings, several curricula regarding military culture have been established and widely distributed. Assessments of military cultural competence have also been developed. The clinical impact of enhanced cultural competence in general has thus far been limited. The military, however, with its highly prescribed cultural identity, may be a model culture for further study.
Ott, Laura E.; Kellley Morgan, Jessica; Akroyd, H. Duane
The military lifestyle imposes unique challenges for military spouses in regards to their education and careers. To help alleviate these challenges, military spouses are encouraged to pursue portable career paths. This causes one to question whether spouses desire these portable careers and what influences spouses place on pursuing specific…
Goodman, Petra; Turner, Annette; Agazio, Janice; Throop, Meryia; Padden, Diane; Greiner, Shawna; Hillier, Shannon L
Military mothers and their children cope with unique issues when mothers are deployed. In this article, we present mothers' perspectives on how military resources affected them, their children, and their caregivers during deployment. Mothers described beneficial features of military programs such as family readiness groups and behavioral health care, processes such as unit support, and policies on length and timing of deployments. Aspects that were not supportive included inflexibility in family care plans, using personal leave time and funds for transporting children, denial of release to resolve caretaker issues, and limited time for reintegration. We offer recommendations for enhanced support to these families that the military could provide. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.
McArthur, Ronald C.
Argues that community college organization at the department level presents challenging leadership issues for the newly appointed department chair. Asserts that existing culture, which looks upon the chair with some mistrust, demands chairs who behave as peers rather than military commanders. Concludes that democratic leadership is the most…
Ajeigbe, David Oladipo
Background: Teamwork gained momentum in the 1980s. Research studies in the military and aviation demonstrated that teamwork is essential to safety. There were limited studies dealing with the practice of teamwork between nurses and physicians in the Emergence Departments (EDs). Aims: Descriptive aim of the study was to examine differences between staff in the Interventional and Control Groups on perception of staff teamwork. The exploratory aim was to examine staff perception of job satisfac...
Kudro, Nataliya M.; Puzikova, Svetlana M.
In the Republic of Kazakhstan military service becomes attractive primarily for that category of people who have no opportunity to acquire high quality vocational or higher education, decent income by the speciality available, or those who have not yet identified themselves professionally and socially. Its a serious problem how to ensure ability of military units to execute their service duties in conditions of more and more increasing requirements for professional competences of military personnel, increased intellectualization of military service when the quality of "human material" often is not corresponding to the required standards. This problem in the national and foreign science is still being developed and has no final solutions accessible for the scientific society. This article presents an effort to offer specialists in the military administration area one of probable tools to forecast successfulness of execution of professional tasks by military units based on results of sociometric studies and algorithms of plotting Bayesian networks. Using these tools a military leader will be able to evaluate effectiveness of his managerial activity, correct mechanisms of individual and mentoring activity with regard to individual servicemen, provide an opportunity to eliminate risks of failing to fulfill professional tasks on time and failing to ensure combat readiness of entrusted military team.
Raghavan, R.; Newell, R.; Waseem, F.; Small, N.
Background: Twenty-six young people with intellectual disabilities and mental health needs from Pakistani and Bangladeshi communities were recruited as part of a bigger study to examine the effectiveness of a liaison worker in helping young people and their families access appropriate intellectual disabilities and mental health services. Method:…
Consider ways to leverage existing DoD data to continue to explore connections among problematic behaviors. Prevention strategies Review the effects that...Hepner, Targeting Alcohol Misuse: A Promising Strategy for Reducing Military Sexual Assaults? Santa Monica, Calif.: RAND Corporation , RR-538-OSD, 2014...and linking permissions, please visit www.rand.org/pubs/permissions. The RAND Corporation is a research organization that develops solutions to public
sexual relationship – Sexual Coercion – four items regarding classic quid pro quo instances of special treatment or favoritism conditioned on sexual ...relationship – Sexual Coercion – four items regarding classic quid pro quo instances of special treatment or favoritism conditioned on sexual ...and sexual harassment response and prevention in the military. This survey note discusses findings from the 2012 Workplace and Gender Relations
Hodges, Jeffrey A.
Approved for public release; distribution is unlimited The military is experiencing a pilot retention problem that is getting worse. The government spends millions of dollars training pilots in the most advanced aircraft in the world, only to watch them leave for the commercial airline industry at the first opportunity. As airline pilot hiring continues to improve, military pilots will depart the services for the assumed increase in financial compensation of the airlines. This thesis compa...
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.
psychology , family, military, epidemiology, mental health, deployments Correspondence Nancy Crum-Cianflone, Deployment Health Research Department...American Psychological Association, 2007; Siegel et al., 2013; US Army Medical Research and Materiel Command, 2013). Although studies on military...functional health Modules on common types of mental disorders: depression, anxiety, panic syndrome, somatoform symptoms, alcohol abuse, bulimia nervosa
Spent fuel elements contain the largest amount of radioactivity, but commercial spent fuel is not presently being reprocessed in the US, so the wastes are left contained within spent fuel assemblies and are not immediately accessible to the environment. By reprocessing military spent fuel to separate plutonium and unspent uranium from the highly radioactive and high-heat fission product waste, known as high-level waste (99.5% fission products and about 0.5% plutonium and uranium), nuclear weapons manufacture produces more dangerous radioactive wastes than do current commercial processes. The Department of Energy standards should be subject to an environmental impact study. 27 references
.... Likewise, the Army Medical Department (AMEDD) must insure its leaders, specifically those selected to deploy world-wide, have a more diverse skill set that enables them to fully operate within the full spectrum of scenarios...
da Silva, Franciele Cascaes; Hernandez, Salma Stéphany Soleman; Arancibia, Beatriz Angélica Valdivia; Castro, Thiago Luis da Silva; Filho, Paulo José Barbosa Gutierres; da Silva, Rudney
The present study aimed to determine the effect of demographic characteristics, occupation, anthropometric indices, and leisure-time physical activity levels on coronary risk and health-related quality of life among military police officers from the State of Santa Catarina, Brazil. The sample included 165 military police officers who fulfilled the study’s inclusion criteria. The International Physical Activity Questionnaire and the Short Form Health Survey were used, in addition to a spreadsheet of socio-demographic, occupational and anthropometric data. Statistical analyses were performed using descriptive analysis followed by Spearman Correlation and multiple linear regression analysis using the backward method. The waist-to-height ratio was identified as a risk factor low health-related quality of life. In addition, the conicity index, fat percentage, years of service in the military police, minutes of work per day and leisure-time physical activity levels were identified as risk factors for coronary disease among police officers. These findings suggest that the Military Police Department should adopt an institutional policy that allows police officers to practice regular physical activity in order to maintain and improve their physical fitness, health, job performance, and quality of life.
... safely host military test and training operations. Under the GLI EIS, the Air Force's Proposed Action is... which currently occur within the interstitial (areas between designated test/ training sites) areas of... September 9, 2013. Henry Williams Jr, DAF, Acting Air Force Federal Register Liaison Officer. [FR Doc. 2013...
1993). The project cycle, military project management handbook. New York: McGraw -Hill. Donoghue, J. A. (1994, April). Big twin power. Air Transport...work at ICAF, she was Director, Pentagon Liaison Office, Air Force Audit Agency. She holds a Master of Science in National Resource Strategy and a
The International Atomic Energy Agency (IAEA) has always paid great attention to the distribution of information related to non-military uses of nuclear energy and technology. The organizational structure in charge of the information management within the IAEA is the INIS (International Nuclear Information System) and Nuclear Knowledge Management Section. Since its establishment in 1970, INIS implemented a completely decentralized computer system which each member country can actively contribute to. Due to its decentralized structure and the active participation of the member states, INIS developed through the years the most comprehensive database of non-military uses of nuclear energy and technology. This dissertation is a Thesis in Information retrieval at Department of Library sciences, at 'La Sapienza' University of Rome, Italy. After an historical excursus on INIS database, this work considers different approaches and methods to cataloguing and indexing, through the analysis of INIS Reference Series and the INIS Thesaurus. The last part of the dissertation is dedicated to the software data entry WINFIBRE, which the author used during her collaboration with the Italian Liaison Office at ENEA.
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
Kennedy, I.; Jones, N.; Sharpley, J.; Greenberg, N.
Background The UK military runs a comprehensive mental health service ordinarily accessed via primary care referrals. Aims To evaluate the feasibility of self-referral to mental health services within a military environment. Methods Three pilot sites were identified; one from each service (Royal Navy, Army, Air Force). Socio-demographic information included age, rank, service and career duration. Clinical data included prior contact with general practitioner (GP), provisional diagnosis and assessment outcome. Results Of the 57 self-referrals, 69% (n = 39) had not previously accessed primary care for their current difficulties. After their mental health assessment, 47 (82%) were found to have a formal mental health problem and 41 (72%) were offered a further mental health clinician appointment. The data compared favourably with a large military mental health department that reported 87% of primary care referrals had a formal mental health condition. Conclusions The majority of self-referrals had formal mental health conditions for which they had not previously sought help from primary care; most were offered further clinical input. This supports the view that self-referral may be a useful option to encourage military personnel to seek professional care over and above the usual route of accessing care through their GP. PMID:27121634
With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system. In this perspective, we discuss the implications of the intersection of two large-scope and large-scale initiatives, health system transformation, and information technology modernization, being rolled out in the largest and most complex federal agency and potential risk mitigating steps. The Military Health System will require an expanded unified clinical leadership to spearhead short-term transformation; furthermore, developing, organizing, and growing a cadre of informatics expertise to expand the use and diffusion of novel solutions such as health information exchanges, data analytics, and others to transcend organizational barriers are still needed to achieve the long-term aim of health system reform as envisioned by the National Defense Authorization Act for Fiscal Year 2017.
Evaluating Work - Life Balance in the Department of Defense Erin A. Moeser Defense Equal Opportunity Management Institute (DEOMI) Kizzy M. Parks...for service members’ family lives may increase satisfaction with work - life balance . Examples of family-friendly organizational policies include...1,500 active duty military personnel were surveyed on the value of work / life balance initiates. More specifically, this study assessed respondents
benefits (e.g., health care, life insurance , and retirement), as well as support costs and inventory flow costs (e.g., costs generated upon initial hire...conduct additional military-to-civilian conversions would likely benefit from efforts to improve the overall health of the civilian workforce. DoD will...Budget Requests and Justifications Congressionally mandated reductions in the number of civilian employees authorized to DoD—and, in the case of health
The Department of Defense (DoD) prides itself on providing "world class" training and continuing education to its military employees and would like to expand that reputation to its civilian employees...
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...
Shipman, K E; Stammers, J; Doyle, A; Gittoes, N
To determine whether new national guidance on the specifications of a fracture liaison service are realistically deliverable, 1 year of data on the performance of such a service were audited. Audit targets were mostly met. This audit demonstrates that these standards are deliverable in a real world setting. UK service specifications for a fracture liaison service (FLS) have been produced (National Osteoporosis Society, NOS) to promote effective commissioning and delivery of the highest quality care to patients with fragility fractures. How deliverable these standards are has not as yet been methodically reported. Our FLS was modelled on the ten NOS standards; performance was audited after 1 year to determine whether these standards could be delivered and to describe the lessons learnt. Performance was audited against the NOS FLS Service Standards, with management based on the Fracture Risk Assessment Tool (FRAX®), the four-item Falls Risk Assessment Tool (FRAT), National Institute for Health and Care Excellence (NICE) and the National Osteoporosis Guideline Groups (NOGG) guidance. Data were recorded prospectively on a database. The FLS commenced in May 2014, was fully operational in August 2014 and data were captured from 1 September 2014 to 1 September 2015. The FLS detected 1773 patients and standards were largely achieved. Most, 94 %, patients were seen within 6 weeks, 533 DXA requests were generated, 804 outpatient FRAT assessments were recorded (134 required falls intervention) and 773 patients had bone treatments started. On follow-up at 3 months, between 78-79 % were still taking medication. Preliminary evaluation of a FLS implemented according to UK NOS standards demonstrates that the model is practical to apply to a large teaching hospital population. Collection and review of outcome and cost effectiveness data is required to determine the performance of this model in comparison with existing models.
Full Text Available Background: The objective was to study the sociodemographic data, psychiatric disorder, precipitating events, and mode of attempt in suicide attempted patients referred to consultation liaison psychiatric services. Settings and Design: A prospective study of 6-month duration was done in a tertiary care center in India. Materials and Methods: During the 6-month period all referrals were screened for the presence of suicide attempters in consultation liaison services. Those who fulfilled the criteria for suicide attempters were evaluated by using semistructured pro forma containing sociodemographic data, precipitating events, mode of attempt, and psychiatric diagnosis by using ICD-10. Results: The male-to-female ratio was similar. Adult age, urban background, employed, matriculation educated were more represented in this study. More than 80% of all attempters had psychiatric disorder. Majority had a precipitating event prior to suicide attempt. The most common method of attempt was by use of corrosive. Conclusions: Majority of suicide attempter patients had mental illness. Early identification and treatment of these disorders would have prevented morbidity and mortality associated with this. There is a need of proper education of relatives about keeping corrosive and other poisonous material away from patients as it was being commonest mode of attempt.
Deutsch, Anne-Marie; Lande, R Gregory
Military suicide rates have been rising over the past decade and continue to challenge military treatment facilities. Assessing suicide risk and improving treatments are a large part of the mission for clinicians who work with uniformed service members. This study attempts to expand the toolkit of military suicide prevention by focusing on protective factors over risk factors. In 1983, Marsha Linehan published a checklist called the Reasons for Living Scale, which asked subjects to check the reasons they choose to continue living, rather than choosing suicide. The authors of this article hypothesized that military service members may have different or additional reasons to live which may relate to their military service. They created a new version of Linehan's inventory by adding protective factors related to military life. The purpose of these additions was to make the inventory more acceptable and relevant to the military population, as well as to identify whether these items constitute a separate subscale as distinguished from previously identified factors. A commonly used assessment tool, the Reasons for Living Inventory (RFL) designed by Marsha Linehan, was expanded to offer items geared to the military population. The RFL presents users with a list of items which may be reasons to not commit suicide (e.g., "I have a responsibility and commitment to my family"). The authors used focus groups of staff and patients in a military psychiatric partial hospitalization program to identify military-centric reasons to live. This process yielded 20 distinct items which were added to Linehan's original list of 48. This expanded list became the Reasons for Living-Military Version. A sample of 200 patients in the military partial hospitalization program completed the inventory at time of or close to admission. This study was approved by the Institutional Review Board at Walter Reed National Military Center for adhering to ethical principles related to pursuing research
John D Beard
Full Text Available Military veterans may have higher rates of amyotrophic lateral sclerosis (ALS mortality than non-veterans. Few studies, with sparse exposure information and mixed results, have studied relationships between military-related factors and ALS survival. We evaluated associations between military-related factors and ALS survival among U.S. military veteran cases.We followed 616 medical record-confirmed cases from enrollment (2005-2010 in the Genes and Environmental Exposures in Veterans with Amyotrophic Lateral Sclerosis study until death or July 25, 2013, whichever came first. We ascertained vital status information from several sources within the Department of Veterans Affairs. We obtained information regarding military service, deployments, and 39 related exposures via standardized telephone interviews. We used Cox proportional hazards regression models to estimate hazard ratios (HRs and 95% confidence intervals. We adjusted for potential confounding and missing covariate data biases via inverse probability weights. We also used inverse probability weights to adjust for potential selection bias among a case group that included a disproportionate number of long-term survivors at enrollment.We observed 446 deaths during 24,267 person-months of follow-up (median follow-up: 28 months. Survival was shorter for cases who served before 1950, were deployed to World War II, or mixed and applied burning agents, with HRs between 1.58 and 2.57. Longer survival was associated with exposure to: paint, solvents, or petrochemical substances; local food not provided by the Armed Forces; or burning agents or Agent Orange in the field with HRs between 0.56 and 0.73.Although most military-related factors were not associated with survival, associations we observed with shorter survival are potentially important because of the large number of military veterans.
Barsoumian, Alice E; Hartzell, Joshua D; Bonura, Erin M; Ressner, Roseanne A; Whitman, Timothy J; Yun, Heather C
Nationally, the number of internal medicine physicians practicing in primary care has decreased amidst increasing interest in hospitalist medicine. Current priorities in the Military Health System include access to primary care and retention of trained personnel. Recently, we have conducted a study of military internal medicine residents' decision to enter infectious disease. As part of our larger effort, we saw an opportunity to characterize factors impacting decision making of internal medicine residents' desire to apply for subspecialty training and to extend active duty service obligations. Questions were developed after discussion with various military graduate medical education and internal medicine leaders, underwent external review, and were added to a larger question set. The survey link was distributed electronically to all U.S. military affiliated residencies' graduating internal medicine residents in December 2016-January 2017. Data were analyzed by decision to apply to fellowship and decision to extend military obligation using Fisher's exact test or Pearon's chi-square test. Sixty-eight residents from 10 of 11 military residency programs responded, for a response rate of 51%. The majority (62%) applied to fellowship to start after residency completion. Reasons cited for applying to fellowship included wanting to become a specialist as soon as possible (74%), wishing to avoid being a general internist (57%), and because they are unable to practice as a hospitalist in the military (52%). Fellowship applicants were more likely to plan to extend their military obligation than non-applicants, as did those with longer duration of military commitments. No other factors, including Uniformed Services University attendance or participation in undergraduate military experiences, were found to impact plan to extend active duty service commitment. The majority of graduating internal medicine residents apply for fellowship and report a desire to avoid being a
.... Office of the Chief White House Liaison. DM110075 2/11/2011 of Staff. DEPARTMENT OF HOUSING AND URBAN Office of Senior Counsel...... DU110016 2/18/2011 DEVELOPMENT. Sustainable Housing and Communities... Secretary and White House Liaison. Deputy. [[Page 21413
Kutz, Gregory D; Causseaux, Bruce A; Dorn, Terrell G
The Kaiserslautern Military Community Center (KMCC) is one of many projects initiated at Ramstein Air Base to upgrade capabilities of the base as a result of the consolidation of military bases in Europe...
The aim of this paper is to inform mental health professionals about Activity-based funding (ABF) and the implications for data collection and clinical practice, in particular for consultation-liaison (CL) psychiatry. Activity-based funding may provide an opportunity for mental health services to be more equitably resourced, but much needs to be done to demonstrate that the funding model works in mental health. It is important to ensure that data collected is meaningful and accurate and reflects the diverse roles of mental health clinicians, including in CL. Inpatient and community services should be integrated in the model, as well as safeguards against potential abuse. Clinicians, in partnership with initiatives such as the Australian Mental Health Outcomes and Classification Network, are best placed to guide the development of an ABF system for mental health which appropriately recognises the complexity and variability between patients in different settings. © The Royal Australian and New Zealand College of Psychiatrists 2014.
Jorgensen, Brent M
"Outsourcing Small Wars: Expanding the Role of Private Military Companies in U.S. Military Operations" argues that, under current domestic and international laws, and current military regulations and doctrine...
Larsen, Josefine Kühnel; Struwe, Lars Bangert
Military capacity building has increasingly become an integral part of Danish defence. Military capacity is a new way of thinking Danish defence and poses a new set of challenges and opportunities for the Danish military and the Political leadership. On the 12th of december, PhD. Candidate Josefine...... Kühnel Larsen and researcher Lars Bangert Struwe of CMS had organized a seminar in collaboration with Royal Danish Defense Colleg and the East African Security Governance Network. The seminar focused on some of the risks involved in Military capacity building and how these risks are dealt with from...
ethical , and political. 22 Pfaff 1999, 8). The beliefs of egoism and post-modern relativism can be...MILITARY DISSENT: WHAT ARE THE ETHICAL IMPLICATIONS OF TENSIONS IN U.S. CIVIL-MILITARY RELATIONS? A thesis presented to the...JUN 2013 4. TITLE AND SUBTITLE Military Dissent: What are the Ethical Implications of Tensions in U.S. Civil-Military Relations? 5a. CONTRACT
...-AA00 Safety Zone; Military Ocean Terminal Concord Safety Zone, Suisun Bay, Military Ocean Terminal... Guard is establishing a safety zone in the navigable waters of Suisun Bay near Military Ocean Terminal Concord, CA in support of military onload and offload operations. This safety zone is established to...
Waitzkin, Howard; Cruz, Mario; Shuey, Bryant; Smithers, Daniel; Muncy, Laura; Noble, Marylou
Although research conducted within the military has assessed the health and mental health problems of military personnel, little information exists about personnel who seek care outside the military. The purpose of this study is to clarify the personal characteristics, mental health diagnoses, and experiences of active duty U.S. military personnel who sought civilian sector services due to unmet needs for care. This prospective, multi-method study included 233 clients, based in the United States, Afghanistan, South Korea, and Germany, who obtained care between 2013 and 2016 from a nationwide network of volunteer civilian practitioners. A hotline organized by faith-based and peace organizations received calls from clients and referred them to the network when the clients described unmet needs for physical or mental health services. Intake and follow-up interviews at 2 wk and 2 mo after intake captured demographic characteristics, mental health diagnoses, and reasons for seeking civilian rather than military care. Non-parametric bootstrap regression analyses identified predictors of psychiatric disorders, suicidality, and absence without leave (AWOL). Qualitative analyses of clients' narratives clarified their experiences and reasons for seeking care. The research protocol has been reviewed and approved annually by the Institutional Review Board at the University of New Mexico. Depression (72%), post-traumatic stress disorder (62%), alcohol use disorder (27%), and panic disorder (25%) were the most common diagnoses. Forty-eight percent of clients reported suicidal ideation. Twenty percent were absence without leave. Combat trauma predicted post-traumatic stress disorder (odds ratio [OR] = 8.84, 95% confidence interval [CI] 1.66, 47.12, p = 0.01) and absence without leave (OR = x3.85, 95% CI 1.14, 12.94, p = 0.03). Non-combat trauma predicted panic disorder (OR = 3.64, 95% CI 1.29, 10.23, p = 0.01). Geographical region was associated with generalized anxiety disorder
Bukowinski, Anna T; Conlin, Ava Marie S; Gumbs, Gia R; Khodr, Zeina G; Chang, Richard N; Faix, Dennis J
Established following a 1998 directive, the Department of Defense Birth and Infant Health Registry (Registry) team conducts surveillance of select reproductive health outcomes among military families. Data are compiled from the Military Health System Data Repository and Defense Manpower Data Center to define the Registry cohort and outcomes of interest. Outcomes are defined using ICD-9/ICD-10 and Current Procedural Terminology codes, and include: pregnancy outcomes (e.g., live births, losses), birth defects, preterm births, and male:female infant sex ratio. This report includes data from 2003-2014 on 1,304,406 infants among military families and 258,332 pregnancies among active duty women. Rates of common adverse infant and pregnancy outcomes were comparable to or lower than those in the general US population. These observations, along with prior Registry analyses, provide reassurance that military service is not independently associated with increased risks for select adverse reproductive health outcomes. The Registry's diverse research portfolio demonstrates its unique capabilities to answer a wide range of questions related to reproductive health. These data provide the military community with information to identify successes and areas for improvement in prevention and care.
... DEPARTMENT OF STATE [Public Notice 7946] Bureau of Political-Military Affairs; Statutory Debarment... INFORMATION CONTACT: Lisa Aguirre, Director, Office of Defense Trade Controls Compliance, Bureau of Political... conviction in a criminal proceeding, conducted by a United States Court, and as such the administrative...
Igal aastal Rootsi Reservohvitseride Föderatsiooni (SVEROF) eestvõtmisel korraldatavast seminarist BALTJOLDS (Baltic Junior Officer Leadership Development Seminar), mis 2005. aastal peeti 16.-19. juunini Riias. Õppetöö käis kolmes rahvusvaheliselt komplekteeritud töörühmas: CIMIC (civil and military co-operations), PSYOPS (psycological operations), LIAISON
Yalch, Matthew M; Hebenstreit, Claire L; Maguen, Shira
Servicewomen exposed to traumatic stressors over the course of their military service are at increased risk of developing symptoms of substance use disorder (SUD) and posttraumatic stress (PTS). They are also at risk for exposure to military sexual assault (MSA), which is also associated with SUD and PTS symptomology. Research is unclear about the incremental contributions of different forms of traumatic stressors on co-occurring SUD and PTS symptomology. In this study we examined the independent and combined effects of MSA and other military stressors on SUD and PTS symptomology in a sample of female veterans (N=407). Results indicate that MSA and other military stressors exhibit incremental effects on SUD and PTS symptomology. Results further suggest that women exposed to both MSA and other military stressors are at increased risk for developing co-occurring SUD and PTSD. These findings extend previous research on comorbid SUD and PTSD, highlighting the cumulative effects of traumatic stressors on posttraumatic psychopathology, and have implications for future research and clinical practice with female veterans. Copyright © 2017 Elsevier Ltd. All rights reserved.
Kennedy, I; Whybrow, D; Jones, N; Sharpley, J; Greenberg, N
The UK military runs a comprehensive mental health service ordinarily accessed via primary care referrals. To evaluate the feasibility of self-referral to mental health services within a military environment. Three pilot sites were identified; one from each service (Royal Navy, Army, Air Force). Socio-demographic information included age, rank, service and career duration. Clinical data included prior contact with general practitioner (GP), provisional diagnosis and assessment outcome. Of the 57 self-referrals, 69% (n = 39) had not previously accessed primary care for their current difficulties. After their mental health assessment, 47 (82%) were found to have a formal mental health problem and 41 (72%) were offered a further mental health clinician appointment. The data compared favourably with a large military mental health department that reported 87% of primary care referrals had a formal mental health condition. The majority of self-referrals had formal mental health conditions for which they had not previously sought help from primary care; most were offered further clinical input. This supports the view that self-referral may be a useful option to encourage military personnel to seek professional care over and above the usual route of accessing care through their GP. © The Author 2016. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: firstname.lastname@example.org.
Full Text Available To what extent do frequently cited determinants of military spending allow us to predict and forecast future levels of expenditure? The authors draw on the data and specifications of a recent model on military expenditure and assess the predictive power of its variables using in-sample predictions, out-of-sample forecasts and Bayesian model averaging. To this end, this paper provides guidelines for prediction exercises in general using these three techniques. More substantially, however, the findings emphasize that previous levels of military spending as well as a country’s institutional and economic characteristics particularly improve our ability to predict future levels of investment in the military. Variables pertaining to the international security environment also matter, but seem less important. In addition, the results highlight that the updated model, which drops weak predictors, is not only more parsimonious, but also slightly more accurate than the original specification.
Jerald A Schiff; Benedict J. Clements; Sanjeev Gupta
The decline in military spending that began in the mid-1980s continued through 1995, and this decline was widespread both geographically and by level of development. Cuts in military spending appear to have potentially important implications for nonmilitary spending and fiscal adjustment. In contrast to findings for previous periods, military spending has declined more than proportionately in those countries that have reduced total spending. Countries with Fund programs have reduced military ...
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
Jitnarin, Nattinee; Poston, Walker S C; Haddock, Christopher K; Jahnke, Sara
The purpose of this study was to conduct a content analysis of Veterans and Military Service Organizations (VMSOs) magazines to determine what health-related topics VMSOs target and how they inform their constituencies about health issues. Health-related topics in 288 VMSOs' magazines from 21 VMSOs published in 2011 and 2012 were coded by trained raters using a standardized manual. The top three most addressed health topics were Health Services (Health care, Insurance), Disability and Disability benefits, and post-traumatic stress disorder. Topics least frequently covered were Tobacco and Smoking cessation, Illegal drugs, Alcohol, Gulf War Syndrome, and Weight and Body composition. VMSOs are concerned about the health and well-being of their members given the considerable amount of content devoted to certain health topics such as health insurance concerns, disability, and post-traumatic stress disorder. However, other health concerns that affect a considerable number of both current military personnel and veterans and cost both the Department of Veterans Affairs and the Department of Defense millions annually, such as drug and alcohol problems, and tobacco use and smoking cessation, are infrequently covered. The results of this study improve our understanding of the health-related information that reaches the military and veteran populations through this important media outlet. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.
Full Text Available Jenni B Teeters,1,2 Cynthia L Lancaster,1,2 Delisa G Brown,3 Sudie E Back1,2 1Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; 2Ralph H Johnson Veterans Affairs (VA Medical Center, Charleston, SC, USA, 3Department of Human Development and Psychoeducation, Howard University, Washington, DC, USA Abstract: Substance use disorders (SUDs are a significant problem among our nation’s military veterans. In the following overview, we provide information on the prevalence of SUDs among military veterans, clinical characteristics of SUDs, options for screening and evidence-based treatment, as well as relevant treatment challenges. Among psychotherapeutic approaches, behavioral interventions for the management of SUDs typically involve short-term, cognitive-behavioral therapy interventions. These interventions focus on the identification and modification of maladaptive thoughts and behaviors associated with increased craving, use, or relapse to substances. Additionally, client-centered motivational interviewing approaches focus on increasing motivation to engage in treatment and reduce substance use. A variety of pharmacotherapies have received some support in the management of SUDs, primarily to help with the reduction of craving or withdrawal symptoms. Currently approved medications as well as treatment challenges are discussed. Keywords: addiction, alcohol use disorders, drug use disorders, treatment, pharmacotherapy, psychotherapy
Anwar, R.; Razzaq, K.; Imran, A.
Objective: To determine the frequency of anti-Hepatitis C virus antibodies in pregnant ladies attending Military Hospital Rawalpindi and to analyze risk factors for disease acquisition in them. Study Design: Cross sectional study. Place and Duration of Study: Department of gynaecology and obstetrics Military Hospital Rawalpindi, from Feb 2013 to Jul 2013. Material and Methods: All pregnant ladies attending Military Hospital Rawalpindi were tested for anti HCV antibodies by third generation ELISA method and evaluation of potential risk factors for acquisition of HCV infection was done. Results: Six point ninety five percent of study population was found to be positive for anti HCV antibodies. Conclusion: Six point nine five percentage of study pregnant ladies were found to have anti HCV antibodies. These HCV positive pregnant women were more likely to have history of blood transfusion, therapeutic injection use and surgery. (author)
Aizenman, Joshua; Glick, Reuven
This paper clarifies one of the puzzling results of the economic growth literature: the impact of military expenditure is frequently found to be non-significant or negative, yet most countries spend a large fraction of their GDP on defense and the military. We start by empirical evaluation of the non- linear interactions between military expenditure, external threats, corruption, and other relevant controls. While growth falls with higher levels of military spending, given the values of the o...
The author addresses three questions about military spending in developing countries: What are the levels of (and trends in) military spending as a percentage of gross national product? What impact does peacetime military spending have on growth, government spending on social welfare and infrastructure, and other key economic variables? What major factors influence the level of military spending? The author finds that military spending as a share of GNP generally fell in the 1980s, even in th...
Llewellyn, Craig H
There are direct and indirect linkages and a form of symbiosis between operational military medicine from World War II and present wilderness medicine, from the beginnings to contemporary practice, and the more recently evolved field of tactical emergency medical support. Each of these relationships will be explored from the historical perspective of the Department of Military & Emergency Medicine, Uniformed Services University of the Health Sciences from 1982 to the present. Copyright © 2017 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.
Patton, Christina L; McNally, Matthew R; Fremouw, William J
Previous studies have implicated significant differences between military members and civilians with regard to violent behavior, including suicide, domestic violence, and harm to others, but none have examined military murder-suicide. This study sought to determine whether there were meaningful differences between military and civilian murder-suicide perpetrators. Using data from the Center for Disease Control's (CDC) National Violent Death Reporting System (NVDRS), military (n = 259) and civilian (n = 259) murder-suicide perpetrators were compared on a number of demographic, psychological, and contextual factors using chi-square analyses. Logistic regression was used to determine which variables predicted membership to the military or civilian perpetrator groups. Military murder-suicide perpetrators were more likely to be older, have physical health problems, be currently or formerly married, less likely to abuse substances, and to exhibit significantly different motives than civilian perpetrators. Logistic regression revealed that membership to the military, rather than the civilian, perpetrator group was predicted by age, physical health problems, and declining heath motive-reflecting the significance of a more than 15-year difference in mean age between the two groups. Findings point to the need to tailor suicide risk assessments to include questions specific to murder-suicide, to assess attitudes toward murder-suicide, and to the importance of assessing suicide and violence risk in older adult military populations. © The Author(s) 2015.
... 32 National Defense 2 2010-07-01 2010-07-01 false U.S. civil and military air traffic control facilities. 245.17 Section 245.17 National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) MISCELLANEOUS PLAN FOR THE EMERGENCY SECURITY CONTROL OF AIR TRAFFIC (ESCAT) Procedures for Implementation of ESCAT §...
Natick, MA 2 Rutgers University, School of Biomedical and Health Sciences, Newark, NJ 3 Research Support Division, USARIEM, Natick, MA 4 Toronto...issue for the U.S. military, as they routinely travel and conduct a range of physical activities around the world within the full spectrum of extreme...level of physical analysis (level 1), for example, clothing can be weighed and inspected for physical attributes. Biophysical analysis (level 2
The purpose of this paper is to provide a perspective and framework for the development of safeguarding and monitoring procedures for the various stages of disposition of excess military plutonium. The paper briefly outlines and comments on some of the issues involved in safeguarding and monitoring excess military plutonium as it progresses from weapons through dismantlement, to fabrication as reactor fuel, to use in a reactor, and finally to storage and disposal as spent fuel. open-quotes Militaryclose quotes refers to ownership, and includes both reactor-grade and weapon-grade plutonium. open-quotes Excessclose quotes refers to plutonium (in any form) that a government decides is no longer needed for military use and can be irrevocably removed from military stockpiles. Many of the issues and proposals presented in this paper are based on, or are similar to, those mentioned in the National Academy of Sciences (NAS) report on excess military plutonium. Safeguards for plutonium disposition are discussed elsewhere in terms of requirements established by the U.S. Department of Energy (DOE), the U.S. Nuclear Regulatory Commission (NRC), and the International Atomic Energy Agency (IAEA). Here, the discussion is less specific. The term open-quotes safeguardingclose quotes is used broadly to refer to materials control and accountancy (MC ampersand A), containment and surveillance (C ampersand S), and physical protection of nuclear materials by the state that possesses those materials. This is also referred to as material protection, control, and accountancy (MPCA). The term open-quotes safeguardingclose quotes was chosen for brevity and to distinguish MPCA considered in this paper from international or IAEA safeguards. open-quotes Monitoringclose quotes is used to refer to activities designed to assure another party (state or international organization) that the nuclear materials of the host state (the United States or Russia) are secure and not subject to unauthorized
Katzenellenbogen, Judith M; Miller, Laura J; Somerford, Peter; McEvoy, Suzanne; Bessarab, Dawn
The aim of the present study was to provide descriptive planning data for a hospital-based Aboriginal Health Liaison Officer (AHLO) program, specifically quantifying episodes of care and outcomes within 28 days after discharge. A follow-up study of Aboriginal in-patient hospital episodes was undertaken using person-based linked administrative data from four South Metropolitan hospitals in Perth, Western Australia (2006-11). Outcomes included 28-day deaths, emergency department (ED) presentations and in-patient re-admissions. There were 8041 eligible index admissions among 5113 individuals, with episode volumes increasing by 31% over the study period. Among patients 25 years and older, the highest ranking comorbidities included injury (47%), drug and alcohol disorders (41%), heart disease (40%), infection (40%), mental illness (31%) and diabetes (31%). Most events (96%) ended in a regular discharge. Within 28 days, 24% of events resulted in ED presentations and 20% resulted in hospital readmissions. Emergency readmissions (13%) were twice as likely as booked re-admissions (7%). Stratified analyses showed poorer outcomes for older people, and for emergency and tertiary hospital admissions. Future planning must address the greater service volumes anticipated. The high prevalence of comorbidities requires intensive case management to address case complexity. These data will inform the refinement of the AHLO program to improve in-patient experiences and outcomes.
Forestier, Colleen; Cox, A T; Horne, S
The Ebola virus disease (EVD) crisis in West Africa began in March 2014. At the beginning of the outbreak, no one could have predicted just how far-reaching its effects would be. The EVD epidemic proved to be a unique and unusual humanitarian and public health crisis. It caused worldwide fear that impeded the rapid response required to contain it early. The situation in Sierra Leone (SL) forced the formation of a unique series of civil-military interagency relationships to be formed in order to halt the epidemic. Civil-military cooperation in humanitarian situations is not unique to this crisis; however, the slow response, the unusual nature of the battle itself and the uncertainty of the framework required to fight this deadly virus created a situation that forced civilian and military organisations to form distinct, cooperative relationships. The unique nature of the Ebola virus necessitated a steering away from normal civil-military relationships and standard pillar responses. National and international non-governmental organisations (NGOs), Department for International Development (DFID) and the SL and UK militaries were required to disable this deadly virus (as of 7 November 2015, SL was declared EVD free). This paper draws on personal experiences and preliminary distillation of information gathered in formal interviews. It discusses some of the interesting features of the interagency relationships, particularly between the military, the UK's DFID, international organisations, NGOs and departments of the SL government. The focus is on how these relationships were key to achieving a coordinated solution to EVD in SL both on the ground and within the larger organisational structure. It also discusses how these relationships needed to rapidly evolve and change along with the epidemiological curve. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Bernasconi, Jeffrey J
.... Two divergent theories cover the ground of military effectiveness. One looks at the interaction of social structures, whereas the other looks at the effect organization has on military effectiveness...
Smith, EA; Malone, RE
Smoking impairs the readiness and performance of military personnel, yet congressional opposition has thwarted military tobacco control initiatives. Involvement of civilian organizations might alter this political dynamic. We interviewed 13 leaders of national civilian public health and tobacco control organizations to explore their perspectives on military tobacco control, inductively analyzing data for themes. Leaders believed that military tobacco use was problematic but lacked specific kn...
Full Text Available The actual study is aimed at defining the place and the role of the concepts of authority, management and leadership and their connexions within the recognized military strategic systems. In addition to the above mentioned main objective, the following related aims will be achieved in the present work: - to analyze the command, management and leadership nexus; - to make suggestions for configuring an effective professional framework to address the armed forces leadership challenges and the visionary leader concept. Eventually, the present study will emphasize the need for the military leaders to lead not only the members of the organization but the military organizations themselves.
... Unified Rules Publication (MFTURP) NO. 1 AGENCY: Department of the Army, DoD. SUMMARY: The Military... comments to Publication and Rules Manager, Strategic Business Directorate, Business Services, 661 Sheppard... Rules Publications (MFTURP) No. 1; Section 884 of the National Defense Authorization Act. Background...
... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Military service. 29.333 Section 29... Satisfied by June 30, 1997 § 29.333 Military service. (a) For employees who entered on duty on or before June 30, 1997, and whose military service was performed prior to that date, credit for military service...
This study tests the argument that Foreign Military Assistance and the consequently professionalizing of the recipient military has a positive effect on the process of democratization in Kenya.......This study tests the argument that Foreign Military Assistance and the consequently professionalizing of the recipient military has a positive effect on the process of democratization in Kenya....
Jacob, Stacy A.
In 1976 and again in 1995, several brave women chose to enroll at--and thereby to "gender integrate"--America's military colleges. In 1976, women were admitted to the Department of Defense (DOD) service academies after an Act of Congress changed a law so as to allow for their matriculation. Beginning in 1995, women were admitted to state-supported…
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Breland, Jessica Y; Donalson, Rosemary; Nevedal, Andrea; Dinh, Julie V; Maguen, Shira
Disordered eating, ranging from occasional binge eating or restriction to behaviors associated with eating disorder diagnoses, is common among military personnel and veterans. However, there is little information on how military service affects eating habits. To describe possible pathways between military service and disordered eating among women veterans, a high risk group. Twenty women veterans who reported changing eating habits in response to stress participated in audio-recorded focus groups or dyadic interviews between April 2013 and October 2014. We used thematic analysis of transcripts to identify and understand women's self-reported eating habits before, during, and after military service. Participants reported entering the military with varied eating habits, but little disordered eating. Participants described several ways military environments affected eating habits, for example, by promoting fast, irregular, binge-like eating and disrupting the reward value of food. Participants believed military-related stressors, which were often related to gender, also affected eating habits. Such stressors included military sexual trauma and the need to meet military weight requirements in general and after giving birth. Participants also reported that poor eating habits continued after military service, often because they remained under stress. For some women, military service can result in socialization to poor eating habits, which when combined with exposure to stressors can lead to disordered eating. Additional research is needed, including work to understand possible benefits associated with providing support in relation to military weight requirements and the transition out of military service. Given the unique experiences of women in the military, future work could also focus on health services surrounding pregnancy-related weight change and the stress associated with being a woman in predominantly male military environments. Published by Elsevier Ltd.
Charny, Grigory; Booms, Zachary; McDonough, Patrick; Schauer, Steven
We report the case of a 21-year-old active duty U.S. Army soldier with painful and nonresolving priapism following blunt pelvic and lower extremity trauma from military static-line parachute injury during training. The patient's condition was initially managed with corporal aspiration and intracavernosal injections of phenylephrine that provided temporary relief but recurrence soon after. Referral to Urology at the site of the patient's injury yielded a diagnosis of penile hematoma. On subsequent evaluation by Urology on return to the patient's home duty station (over 96 hours after injury, with symptoms persisting), the corpora cavernosa were rigid, the corpus spongiosum was soft, and corporal blood gas drawn by the emergency department consistent with arterial blood. Penile duplex ultrasound revealed an isolated arterial-cavernosal fistula within the proximal left corporal body. The patient underwent percutaneous embolization of the fistula with successful resolution of his condition and return of normal erectile function. We discuss this unique case of high-flow priapism occurring after blunt trauma from military parachute injury and review suggested management in a stepwise fashion. The case is significant in that extensive literature review yields no previously described case of priapism following trauma from military parachute injury. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.
the relation of religion and politics to seventeenth-century English military history. Frederick II, King of Prussia. Frederick the Great on the Art...Beginning with the reign of King Henry VIII, Barnett’s work explores the history of the British Army as an institution and fighting force. The volume...native clans led by Shaka , to its fall under the guns of the British Army by 1878. The Zulus produced a formidable military force, and this excellent
Holtkamp, Matthew D; Grimes, Jamie; Ling, Geoffrey
Traumatic brain injury (TBI) is defined as an alteration in brain function caused by an external force. Mild TBI or concussion is now well recognized to be a risk of military service as well as participation in athletic sports such as football. Posttraumatic headache (PTH) is the most common symptom after mTBI in US service members. PTH most commonly presents with migraine-like headache features. The following is an overview of the epidemiology, pathophysiology, clinical course, prognosis, complications, and treatment of mTBI and associated comorbidities with a focus on PTH. There is a particular emphasis on emerging evidence-based clinical practice. One important medical consequence of the recognition that mTBI is a highly prevalent among military service members is that the Department of Defense (DoD) is dedicating significant financial and intellectual resources to better understanding and developing treatments for TBI. The identification of the importance of TBI among the US military population has had the added benefit of increasing awareness of this condition among civilian populations, particularly those engaged in both professional and youth sports. The NIH and NSF are also supporting important TBI research. President Obama's Brain Initiative is also providing additional impetus for these efforts. Unfortunately, the understanding of the acute and chronic effects of mTBI on the brain remains limited. Gratefully, there is hope that through innovative research, there will be advances in elucidating the underlying pathophysiology, which will lead to clinical and prognostic indicators, ultimately resulting in new treatment options for this very complicated set of disorders.
Wand, Anne Pf; Sharma, Swapnil; Carpenter, Lindsay J; Gatsi, Mike
Consultation-liaison psychiatry (CLP) services sit between mental health and the general hospital, and risk being poorly understood by both systems. The aim of this study was to develop an operational manual for a CLP service, which defined functions and governance. The CLP literature was reviewed with a focus on descriptions of CLP roles, organisational processes, quality measures and service development. The CLP team held service planning meetings and met with members of the mental health and hospital executives. Site visits and collaboration with other CLP services occurred in defining the roles of the CLP service and organisational governance. A CLP operational document was developed, including a description of the service, its functions, staff roles and governance. Procedural information such as the CLP timetable, referral process, triage and assessment, documentation, activity recording, quality assurance and relevant policies were outlined. The development of a dedicated operational manual for CLP clarified the roles, functions and governance of CLP within the general hospital and mental health systems. The development process facilitated the engagement of key clinicians and administrators of these systems, the determination of quality improvement targets and greater transparency and accountability.
Deuster, Patricia A; Lieberman, Harris R
It is legal tomarketmost naturally occurring substances as dietary supplements in the USA without manufacturers demonstrating they are safe or effective, and an endless variety of ingredients, from esoteric botanicals to unapproved pharmaceuticals, can be found in dietary supplements. Use of certain supplements can pose a risk, but since a robust reporting systemdoes not exist in the USA it is difficult to know which are problematic and the number of adverse events (AE) resulting from their use. Certain populations, includingmilitary personnel, aremore likely to use dietary supplements than the general population. Approximately 70% of military personnel take dietary supplements while about 50% of civilians do. Service members prefer supplements purported to enhance physical performance such as supposedly natural stimulants, protein and amino acids, and combination products. Since some of thesemay be problematic, Servicemembers are probably at higher risk of injury than the general population. Ten percent of military populations appear to be taking potentially risky supplements, and the US Department of Defense (DoD) has taken variousmeasures to protect uniformed personnel including education, policy changes, and restricting sales. Actions taken include launching Operation Supplement Safety (OPSS), introducing a High Risk Supplement list, educating health care professionals on reporting AE thatmight be associated with dietary supplements, recommending policy for reporting AE, and developing an online AE reporting system. OPSS is a DoD-wide effort to educate service members, leaders, health care providers, military families, and retirees on how to safely select supplements
This progress report for the USNRC/LLL Liaison program with the Federal Republic of Germany regarding boiling water reactor containment multivent steam condensation tests being conducted by GKSS (Gesellschaft fuer Kernenergieverwertung in Schiffbau und Schiffahrt) address program activity during the period of May-June 1979. During this period the program scope was defined, initial contacts between LLL and GKSS were established, and the first trip by an LLL representative to the GKSS test facility was taken
Halajová, Denisa; Petreková, Denisa; Bihuňová, Mária
The intention of this work is to highlight the importance of understanding military cemeteries as objects of cultural and historical heritage and as a part of garden design history. The design and maintenance of cemeteries and graves is a manifestation of the national culture. This is even more evident in military cemeteries, the maintenance of which is regulated by international agreements. Objects of military cemeteries are important places not only from the historical and architectural point of view, but also as green space. Most military cemeteries in Slovakia originated from World War I and II. In Slovakia, 160,000 soldiers were buried, 75,206 of them lost their lives in World War I and 93,000 in World War II. 32,495 war graves are registered by The Ministry of the Interior of the Slovak Republic - 23,316 war graves from World War I and 9,179 from World War II. From the period of World War II, there are 22 cemeteries and graveyards in Slovakia, established for soldiers of the Soviet, German, Romanian and Czechoslovak army. Military cemeteries and memorials are mostly high quality works of architecture and art. This paper focuses on the current situation and restoration issues of military cemeteries by examining the Military Cemetery in Zvolen. In the context of its planned reconstruction, a comprehensive tree assessment has been started in 2016. The Military Cemetery in Zvolen, being one of the largest military cemeteries in Slovakia, consists of The Cemetery of the Soviet Army with 17,628 buried soldiers and The Romanian Cemetery with 11,000 buried soldiers. The Romanian Cemetery is one of the largest cemeteries of the Romanian Army in Europe. Both cemeteries were declared national cultural monuments in 1963. In the cemetery, dendrometrical parameters and the health condition of trees were evaluated. In total, there are 825 woody plants. In both cemeteries, coniferous trees prevail, mainly individuals of the genus Thuja (49.4 %). Moreover, the maintenance of
Harrison, I.G.; Pope, R.B.; Kraemer, R.D.; Hilliard, M.R.
This paper discusses the feasibility of adapting concepts and tools that were developed for the US military's transportation management systems to the management of the Federal Waste Management System's (FWMS) Transportation System. Many of the lessons in the development of the planning and scheduling software for the US military are applicable to the development of similar software for the FWMS Transportation System. The resulting system would be invaluable to the US Department of Energy's (DOE) Office of Civilian Radioactive Waste Management (OCRWM), both initially, for long-range planning, and later, in day-to-day scheduling and management activities
Full Text Available Mohamed D Keita,1 Valerie J Diaz,1,2 Audrey P Miller,1 Maria Olenick,1 Sharon R Simon1 1Department of Undergraduate Nursing, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, 2Operational Health Support Unit Jacksonville, United States Navy Nurse Corps, Jacksonville, FL, USA Abstract: The nursing shortage in the USA is expected to reach 260,000 registered nurses (RNs by 2025. The most profound shortages are expected in California and Florida, translating into 109,779 and 128,364 RN jobs, respectively. Despite a foreseen growth in nursing career opportunities nationwide, the supply of nurses will be insufficient to meet the corresponding demand. Capitalizing on prior education, experience, and skills of military clinical personnel to fill these jobs could significantly reduce the projected nursing shortage. Florida International University's Nicole Wertheim College of Nursing and Health Sciences is circumventing barriers to recruit, retain, and graduate transitioning veteran medics and corpsmen as Bachelor of Science in Nursing prepared RNs who reintegrate into the civilian workforce. The Veteran Bachelor of Science in Nursing (VBSN program is in the form of a cooperative agreement between Florida International University and the US Health Resources and Services Administration. The VBSN program's main objective is to build upon the unique leadership skills, clinical education, and training of military medics and corpsmen to ensure successful completion of the Bachelor of Science in Nursing curriculum. VBSN students, as veterans themselves, have unique knowledge and exposure to the specific health issues and needs of the veteran population overall. They are poised and best prepared to effectively care for the US population, particularly the current 22 million US veterans and 1.6 million Florida veterans. Additionally, the VBSN program will alleviate the challenges, such as the lack of recognition of
Changes to the military retirement system in the 1980's and attention by law makers, military leadership, and service members to pay comparability between the private sector and the military indicate...
C O R P O R A T I O N RESE ARCH BR IEF Assessing the Department of Defense’s Approach to Reducing Mental Health Stigma When facing mental health ...problems, many service members choose not to seek needed help because of the stigma associated with mental health dis- orders and treatment. Not seeking...mem- bers. The stigma of seeking mental health treatment in the military persists despite the efforts of both the U.S. Depart- ment of Defense (DoD
... Claim Get Proof of TRICARE Coverage View My Military Health Record Less TRICARE Enrollment Freeze Starting Dec. ... Disaster Information Download a Form Go Paperless My Military Health Records Multimedia Center Plan Information Kits Recoupment ...
Full Text Available This article explores the complicated phenomenon of military spending among a sample of eight Western democracies in the interwar period by analyzing especially the possibility of economic and/or military competition between the Western Great Powers and the ensuing impacts on the smaller states included here. The hegemonic paradigm suggested by e.g. Paul Kennedy predicts that the economic leader in a system will increasingly invest on maintaining security; thus eventually bringing economic growth to a halt. The military spending patterns respective of economic growth at first seem to suggest that not only the totalitarian states, as is the traditional view, but also the UK and France stepped in to fill the void created by the lack of American leadership. However, the military expenditures of these nations were too low to warrant the conclusion that they had any impact on their respective economic performance. This result is also verified here by employing Granger non-causality tests between the military spending and economic growth variables. Moreover, regression analysis on the military spending variables for the UK and France points towards competition on the level. The smaller states, respectively, seemed to follow the UK and France fairly closely in their military spending decisions.
RAND ReseARch AReAs Children and Families eduCation and the arts energy and environment health and health Care inFrastruCture and transportation... international aFFairs law and Business national seCurity population and aging puBliC saFety sCienCe and teChnology terrorism and homeland seCurity this...rand 2011 www.rand.org The Advantages and Disadvantages of Seeking Commonality in Military Equipment I ncreasingly, the Army and the Department
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
publications do not necessarily reflect the opinions of its research clients and sponsors. Support RAND Make a tax-deductible charitable contribution at...in Workforce Planning and Potential Modeling of Military Training, Land Defense Science and Technology Organisation , Australian Government Department...Technology Organisation , Australian Government Department of Defense, DSTO-TR-2037, 2007. Ward, D., “Workforce Demand Forecasting Techniques,” Human
Industrial facilities, which use toxic chemicals in their production processes, are tempting targets for military and terrorist strategists. They know that these facilities when attacked could produce effects not realizable with conventional weapons. The resulting legal, policy and political consequences would be minimal as compared to that of disseminating toxic chemicals or chemical agents as weapons on enemy territory. At this time there is no clear definition of the legality or illegality of these types of actions used against specific industrial targets for the purpose of mass destruction or disruption. Without clearly defined international regulations covering these actions, we must depend solely on national defense systems. Not only are these regulation not defined, there are no implementation tools, which would be available if the various treaties (CWC/BWC) etc., were able to incorporate needed legislative action. Consequently we must depend on and put into practice defense security standards for industrial facilities for protection against both possible terrorist and military attacks. Emergency responses to incidents involving violent criminals and terrorists are extremely dangerous. Incidents involving weapons of mass destruction, firearms, and hazardous materials have resulted in the injury and death of many firefighters, police officers and medical personnel. We wish to intend display place and role of intelligence and counter intelligence system to prevention potential target and military attack. Security needs to be incorporated into the public safety culture and it must become the routine for how we operate. The recognition and identification process is an important skill that needs continual refinement. The use of transportation or facility paperwork assists in recognizing what potential hazards. A key factor in the successful command and management of a hazmat incident or terrorism event is the ability of public safety agencies to function as a
work.10 Military history has recorded a strong role for private actors in military affairs firmly ..... Evidence records that, while the state military officers found by a military ... Should it be the chief executive officer (CEO) of .... The Financial Times.
Natalia V. V.
The article is devoted to the topical issues of the search and detention of the military personnel who has avoided the military service. On the basis of official information, the author gave a short historical digression, the analysis of a current state of the problem of evasion of the military personnel from military service is carried out and possible ways of its solutions are proposed
... DEPARTMENT OF STATE [Public Notice 8175] Bureau of Political-Military Affairs; Statutory Debarment... INFORMATION CONTACT: Lisa Aguirre, Director, Office of Defense Trade Controls Compliance, Bureau of Political... conviction in a criminal proceeding, conducted by a United States Court, and as such the administrative...
Jefferson Days I-tigtrway, Sate 1234. Ni ngtn VA 22232- 4302, espon:enta shodd be aware ta: nc-tvvithsfan:.r, any otter pros’s osi of sw r.o person...Department should model the approach used to implement the “Resident Pay Utility Program” (RPUP) at the military installations.2 Installation leaders
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
to military, and to make them able to operate effectively in multicultural dimensions. This cultural impact forced the military doctrine to adapt...degree the research findings and conclusions. The bibliography reviewed for this thesis is available at the Combined Arms Research Library . Unfortunately...in terms of increased ability of understanding and operating in a different cultural or multicultural setting, led the military decision makers to
Richey, Phyllis A.; Klesges, Robert C.; Talcott, Gerald W.; DeBon, Margaret; Womack, Catherine; Thomas, Fridtjof; Hryshko-Mullen, Ann
Thirty percent of all military personnel smoke cigarettes. Because of the negative health consequences and their impact on physical fitness, overall health, and military readiness, the Department of Defense has identified the reduction of tobacco use as a priority of US military forces. This study aims to evaluate the one-year efficacy of a proactive versus reactive smoking quit line in the US military with adjunctive nicotine replacement therapy (NRT) in both groups. This paper reports on the baseline variables of the first 1000 participants randomized, the design, and proposed analysis of the randomized two-arm clinical trial “Efficacy of a Tobacco Quit Line in the Military”. Participants are adult smokers who are Armed Forces Active Duty personnel, retirees, Reservist, National Guard and family member healthcare beneficiaries. All participants are randomized to either the Counselor Initiated (proactive) group, receiving 6 counseling sessions in addition to an 8-week supply of NRT, or the Self-Paced (reactive) group, in which they may call the quit line themselves to receive the same counseling sessions, in addition to a 2-week supply of NRT. The primary outcome measure of the study is self-reported smoking abstinence at 1-year follow-up. Results from this study will be the first to provide evidence for the efficacy of an intensive Counselor Initiated quit line with provided NRT in military personnel and could lead to dissemination throughout the US Air Force, the armed forces population as a whole and ultimately to civilian personnel that do not have ready access to preventive health services. PMID:22561390
Anderson, E.; Antkowiak, M.; Butt, R.; Davis, J.; Dean, J.; Hillesheim, M.; Hotchkiss, E.; Hunsberger, R.; Kandt, A.; Lund, J.; Massey, K.; Robichaud, R.; Stafford, B.; Visser, C.
The Strategic Environmental Research and Developmental Program (SERDP)/Environmental Security Technology Certification Program (ESTCP) is the Department of Defense?s (DOD) environmental science and technology program focusing on issues related to environment and energy for the military services. The SERDP/ESTCP Office requested that the National Renewable Energy Laboratory (NREL) provide technical assistance with strategic planning by evaluating the potential for several types of renewable energy technologies at DOD installations. NREL was tasked to provide technical expertise and strategic advice for the feasibility of geothermal resources, waste-to-energy technology, photovoltaics (PV), wind, microgrids, and building system technologies on military installations. This technical report is the deliverable for these tasks.
Ross, Andrew L
What is military innovation? How should we think about Chinese military innovation? By developing an analytical framework that captures both the components of military innovation (technology, doctrine, and organization) and the continuum of change, we can better assess the nature, extent, and importance of contemporary Chinese military innovation.
... family that loses the active presence of a parent through separation faces significant challenges and stress. During the parent's ... children can and do adjust successfully to the separation and stress involved when a parent in the military is deployed. Visit AACAP's Military ...
Hill, Tiffany F
... differently. Using Mintzberg's theory on organizational structures and Nadler and Tushman's congruence model, an analysis of each department's financial management organizational structure was conducted...
Vie, Loryana L; Scheier, Lawrence M; Lester, Paul B; Ho, Tiffany E; Labarthe, Darwin R; Seligman, Martin E P
This report describes a groundbreaking military-civilian collaboration that benefits from an Army and Department of Defense (DoD) big data business intelligence platform called the Person-Event Data Environment (PDE). The PDE is a consolidated data repository that contains unclassified but sensitive manpower, training, financial, health, and medical records covering U.S. Army personnel (Active Duty, Reserve, and National Guard), civilian contractors, and military dependents. These unique data assets provide a veridical timeline capturing each soldier's military experience from entry to separation from the armed forces. The PDE was designed to afford unprecedented cost-efficiencies by bringing researchers and military scientists to a single computerized repository rather than porting vast data resources to individual laboratories. With funding from the Robert Wood Johnson Foundation, researchers from the University of Pennsylvania Positive Psychology Center joined forces with the U.S. Army Research Facilitation Laboratory, forming the scientific backbone of the military-civilian collaboration. This unparalleled opportunity was necessitated by a growing need to learn more about relations between psychological and health assets and health outcomes, including healthcare utilization and costs-issues of major importance for both military and civilian population health. The PDE represents more than 100 times the population size and many times the number of linked variables covered by the nation's leading sources of population health data (e.g., the National Health and Nutrition Examination Survey). Following extensive Army vetting procedures, civilian researchers can mine the PDE's trove of information using a suite of statistical packages made available in a Citrix Virtual Desktop. A SharePoint collaboration and governance management environment ensures user compliance with federal and DoD regulations concerning human subjects' protections and also provides a secure
market share, especially in mainframe computing, IBM was not immune to hardship. In the early 1990s, IBM began losing market shares to upstart...healthy and beneficial for the wellbeing of the US Military. The principles of free market economics dictate that competition between firms provides...a better product or service at a better price over monopolistic or socialistic settings. The argument could be made of competition between the
... 7 Agriculture 15 2010-01-01 2010-01-01 false Active military duty. 3550.158 Section 3550.158... AGRICULTURE DIRECT SINGLE FAMILY HOUSING LOANS AND GRANTS Regular Servicing § 3550.158 Active military duty...-time active military duty after a loan is closed not exceed six percent. Active military duty does not...
Edwin, James; McKinley, Steve; Talbert, B. Allen
Extension needs new venues to promote their programming skills to unfamiliar audiences. One new audience Extension is currently reaching is military children. By partnering with Operation: Military Kids to offer a Speak Out for Military Kids training, Extension supports military children and document changes in the behavior of this audience.…
Data management is a way for liaison librarians to support faculty research. American liaison librarians face new demands in data management due to expanding public access guidelines. This article gives advice for librarians new to data management, with the specific case of agriculture. For librarians supporting agriculture, the United States…
HEATSTROKE IN A MILITARY WORKING DOG January – March 2013 37 THE ARMY MEDICAL DEPARTMENT JOURNAL Respiratory alkalosis can develop as a result of...dropped to 99.1ºF within 35 minutes after presentation, and the pulse and respiratory rate normalized. The mu- cous membranes were pink, but tacky. The MWD...throughout the body, including blood cells, myocardium, skeletal muscle, soft tissues, and cells of the respiratory and nervous systems.5 Venom
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.
The central problem of modern military art is defined as the development of new methods of conducting armed conflict. The changes involving the radical military technical re-equipping of Soviet Armed Forces, are described.
the variance in regards to overall satisfaction. 15. SUBJECT TERMS Dentistry, Patient Satisfaction, Military, Consumer Satisfaction, Dental... patient satisfaction in military dental treatment facilities. Dental health is extremely important for the military as dental assets are not always... customer satisfaction is an important component of military dental care. Quarterly patient satisfaction reports are generated for each dental treatment
Kelty, Ryan; Kleykamp, Meredith; Segal, David R.
Ryan Kelty, Meredith Kleykamp, and David Segal examine the effect of military service on the transition to adulthood. They highlight changes since World War II in the role of the military in the lives of young adults, focusing especially on how the move from a conscription to an all-volunteer military has changed the way military service affects…
... 32 National Defense 6 2010-07-01 2010-07-01 false Military service. 1602.17 Section 1602.17 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM DEFINITIONS § 1602.17 Military service. The term military service includes service in the Army, the Navy, the Air Force...
environment such as that in Abu Grahib prison , where military personnel tasked with similar duties to that of contractors have been held legally accountable... Grahib Prison . The Washington Post. Office of Management and Budget Circular A-76. (August 4, 1988. Revised 1999). Performance of Commercial...downsizes the military after the Global War on Terror as it did after the Cold War. Private contractors depend largely upon former service members to
Full Text Available Die Osteoporose und die damit assoziierten Frakturen stellen ein globales Gesundheitsproblem dar. Trotz zahlreicher präventiver Möglichkeiten, die uns heute zur Verfügung stehen, sind weiterhin große Defizite in der Diagnostik und Therapie der Osteoporose vorhanden. Die meisten Patienten werden nach einer Fragilitätsfraktur nicht weiter osteologisch abgeklärt. Im Oktober 2009 begann in der Steiermark die Implementierung des Fracture-Liaison- Dienstes (FLD an 4 unfallchirurgischen Abteilungen. Ziel dieses Projekts ist es, möglichst alle Patienten ab dem 50. Lebensjahr, welche aufgrund einer Low-trauma-Fraktur stationär behandelt werden, zu erfassen, weitere diagnostische und therapeutische Schritte einzuleiten und somit auch das Risiko für Folgefrakturen zu reduzieren. In den ersten 6 Monaten wurden 404 Patienten erfasst. Nur 15 % hatten zum Zeitpunkt der Fraktur eine osteoprotektive Therapie, obwohl 52 % bereits zumindest eine prävalente osteoporotische Fraktur aufwiesen. Lediglich 59 Patienten (15 % hatten einen normalen 25- Hydroxyvitamin-D-Serumspiegel von 30 ng/mL, wobei 37 Patienten (62 % davon vorsubstituiert waren. Diese ersten Auswertungen zeigen die eklatante Unterversorgung in diesem Patientenkollektiv, welche in Kombination mit der pandemisch vorliegenden Vitamin-D-Defizienz die hohe Dringlichkeit eines interdisziplinären Managements über die chirurgische Versorgung hinaus unterstreicht.
... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 165 [Docket No. USCG-2012-0087] Security Zone; Protection of Military Cargo, Captain of the Port Zone Puget Sound AGENCY: Coast Guard, DHS... Waterway Security Zone in Commencement Bay, Tacoma, Washington from 6 a.m. on February 17, 2012, through 11...
Meyer, Eric G; Hall-Clark, Brittany N; Hamaoka, Derrick; Peterson, Alan L
Cultural competence is widely considered a cornerstone of patient care. Efforts to improve military cultural competency have recently gained national attention. Assessment of cultural competence is a critical component to this effort, but no assessment of military cultural competence currently exists. An assessment of military cultural competence (AMCC) was created through broad input and consensus. Careful review of previous cultural competency assessment designs and analysis techniques was considered. The AMCC was organized into three sections: skills, attitudes, and knowledge. In addition to gathering data to determine absolute responses from groups with different exposure levels to the military (direct, indirect, and none), paired questions were utilized to assess relative competencies between military culture and culture in general. Piloting of the AMCC revealed significant differences between military exposure groups. Specifically, those with personal military exposure were more likely to be in absolute agreement that the military is a culture, were more likely to screen for military culture, and had increased knowledge of military culture compared to those with no military exposure. Relative differences were more informative. For example, all groups were less likely to agree that their personal culture could be at odds with military culture as compared to other cultures. Such perceptions could hinder asking difficult questions and thus undermine care. The AMCC is a model for the measurement of the skills, attitudes, and knowledge related to military cultural competence. With further validity testing, the AMCC will be helpful in the critical task of measuring outcomes in ongoing efforts to improve military cultural competence. The novel approach of assessing variance appears to reduce bias and may also be helpful in the design of other cultural competency assessments.
... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Military service. 842.306 Section 842.306... EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Credit for Service § 842.306 Military service. (a) Except as...' Retirement System Act of 1986, an employee's or Member's military service is creditable if it was performed...
... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Military service. 831.301 Section 831.301...) RETIREMENT Credit for Service § 831.301 Military service. (a) Service of an individual who first became an... is not receiving military retired pay awarded for reasons other than (i) service-connected disability...
statute within the military system, persons unfamiliar with the military justice system may find the procedure something of a paradox at first blush...Manual for Courts-Martial) Is RM Nemitafinuestlitimelf.(er- V. GRAD*: c. ORGANIZATION dDT FRPR ast eiRO t: fII) EPR LCDR/ Naval Justice School
Poston, Walker S.C.; Haddock, Christopher K.; Jahnke, Sara A.; Hyder, Melissa L.; Jitnarin, Nattinee
Military installation newspapers are a primary means used by military commanders to communicate information about topics important to military personnel including leadership, training issues, installation events, safety concerns, and vital health issues. We conducted a content analysis of military commanders’ messages about health issues that were published in online military installation newspapers/newsfeeds. We identified a total of 75 publicly accessible installation newspapers/newsfeeds with commanders’ messages (n=39 Air Force, n=19 Army, n=7 Navy, n=1 Marine, and n=9 Joint Bases). Commander messages published between January 2012–December 2012 were collected, screened, and coded. Coder inter-rater reliability was 98.9%. Among the 2,479 coded commanders’ messages, 132 (5.3%) addressed a health topic as the primary focus. There were no significant differences between service branches in the percentage of health-oriented messages (χ2=5.019, p=0.285). The most commonly addressed health topics were exercise/fitness (23.5%), other mental health concerns (19.7%), alcohol/DUI (13.6%), and suicide (12.1%). Tobacco use was directly addressed as a primary health aim in only two commanders’ messages (1.5%). Health topics, and particularly tobacco-related content, are rarely written about by military commanders. The absence of tobacco-related health messages from line leadership contributes to the perception that tobacco control is a low priority. PMID:26032388
Ahsan, O.; Razzaq, K.; Abbas, W.; Zarrin, F.
To study the pattern and endoscopic severity of caustic ingestion injuries presenting at Military Hospital Rawalpindi. Study Design: Descriptive study. Place and Duration of Study: The study was conducted at Medical and Gastroenterology Department Military Hospital Rawalpindi from August 2012 to April 2013. Material and Methods: Patients were selected from those who presented with caustic ingestion history in Medical OPD, ER and in medical wards. After informed consent the patient underwent upper gastrointestinal (GI) Endoscopy. Endoscopic findings were recorded. Results: Out of 50 patients, 21(42%) were males and 29 (58%) were females. Ingestion was accidental in 19 (38%) and was with intent of suicide or self-harm in 31(62%) patients. Mean age was 33.2 years (SD ± 13.2). All the patients were subjected to upper GI endoscopy and findings were recorded. Endoscopic findings were grade 0 in 4 (8%), Grade 1 in 6 (12%), grade 2a in 7 (14%), grade 2b in 10 (20%), grade 3a in 6 (12%) and grade 3b in 17 (34%) patients. Conclusion: Caustic ingestion injuries were seen more in younger females with predominant cause as suicidal intent. On endoscopic examination severe corrosive injuries were more frequent. (author)
Daugaard, Søren Bech; Jacobsen, Karen Vestergård; Aigro, Signe; Skarequist, Anne
This project aims to explain how the military balancing of Russia against NATO can be explained from a neoclassical realist framework. The project consists in three analytical parts of respectively, 1: The military capabilities balance between NATO and Russia; 2: How the international system puts pressure on Russia; and 3: How the strategic culture of Russia can explain its balancing. This project aims to explain how the military balancing of Russia against NATO can be explained from a neo...
Raul Caruso; Ilaria Petrarca; Roberto Ricciuti
We show the existence of a diffusion process of military dictatorships in Sub-Saharan Africa from 1972 through 2007, using panel data probit estimation and a Markov chain transition model. This process is shortly-lived, since we observe an overall trend that reduces the number of military regimes. We also find that Manufacturing share of GDP, Primary share of GDP positively affect the probability of military dictatorship, and Openness to trade, whereas the British colonial origin are negative...
In this study, Lt Col Karen O. Dunivin, USAF, examines social change in American military culture and explores the current struggle between the military's traditional and exclusionary combat, masculine-warrior (CMW...
.... This report reviews military options open to each side as the United Nations, United States, and South Korea explore ways to resolve the resultant crisis peacefully despite threats of war from Pyongyang...
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...
Elitsa Stoyanova PETROVA
Full Text Available On the basis of an approved request by the Head of National Military University it is conducting research on motivation in military formations of the example of Vasil Levski National Military University in Veliko Tarnovo, Bulgaria. Subject of the study is motivation for training and military activities of the cadets and the objects of the study are students in professional military direction in "Organization and management of military units at the tactical level," Land forces faculty at the National Military University of Bulgaria. The article presents results of the study at second item - "Do you agree that the study of specialized topics is an important stage of your professional development of future military leader?". The interviewees were cadets who graduated through the following academic years - 2013/2014, 2014/2015, 2015/2016.
Source: TotallyHistory.com, 2012, “American planes over the USS Missouri celebrating the signing,” http://totallyhistory.com/japanese-instrument-of...transparent and trustworthy relationship, even requesting the Japanese Foreign Ministry to establish and co-locate “Central Liaison Offices” at both
Kuvshinov, K E; Klipak, V M; Chaplyuk, A L; Moskovko, V M; Belyshev, D V; Zherebko, O A
The current task of the implementation of medical information systems in the military and medical organizations is an automation of the military-medical expertise as one of the most important activities. In this regard, noteworthy experience of the 9th Medical Diagnostic Centre (9th MDC), where on the basis of medical information system "Interi PROMIS" for the first time was implemented the automation of the work of military medical commission. The given paper presents an algorithm for constructing of the information system for the military-medical examination; detailed description of its elements is given. According to military servicemen the implementation of the Military Medical Commission (MMC) subsystem of the medical information system implemented into the 9th MDC has reduced the time required for the MMC and paperwork, greatly facilitate the work of physicians and medical specialists on military servicemen examination. This software can be widely applied in ambulatory and hospital practice, especially in case of mass military-medical examinations.
... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 165 [Docket No. USCG-2012-0087] Security Zone; Protection of Military Cargo, Captain of the Port Zone Puget Sound AGENCY: Coast Guard, DHS... Security Zone in Commencement Bay, Tacoma, Washington from 6:00 a.m. on September 2, 2013 through 11:59 p.m...
... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 165 [Docket No. USCG-2012-0087] Security Zone; Protection of Military Cargo, Captain of the Port Zone Puget Sound AGENCY: Coast Guard, DHS... Security Zone in Commencement Bay, Tacoma, Washington from 6 a.m. on September 12, 2013 through 11:59 p.m...
... Coast Guard will enforce the Blair Waterway security zone in Commencement Bay, WA for protection of... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 165 [Docket No. USCG-2011-0015] Security Zone; Protection of Military Cargo, Captain of the Port Zone Puget Sound, WA AGENCY: Coast Guard, DHS...
Nikolai P. Kovalev
Full Text Available One of peculiar features of the military criminal justice system in Russia is that in some cases military defendants may apply for trial by jury. Unlike the existing U.S. court-martial jury and the Russian military jury of the early 1900s (World War I period which were comprised of the members of the armed forces, in modern Russia jurors trying military defendants are civilians. This article aims to provide a brief history of military jury in Russia and identify issues of independence and impartiality in Russian military courts with participation of lay decision-makers. In particular, the article will analyze two high-profile cases which resulted in acquittals of Russian officers accused of killing several Chechen civilians during counter-terrorist operations in Chechnya.
assault, sexual harassment , and gender discrimination in the military. The resulting study, the RAND Military Workplace Study (RMWS), invited close to...members are highlighted in this brief. Sexual Assault and Sexual Harassment in the U.S. Military HigHligHts from tHe 2014 rAND militAry WorkplAce stuDy...significantly higher rates than men : 22 percent of women and 7 percent of men experienced sexual harassment in the past year. In addition, we estimate
Chambers, Joseph R.
Established in 1917 as the nation#s first civil aeronautics research laboratory under the National Advisory Commit-tee for Aeronautics (NACA), Langley was a small laboratory that solved the problems of flight for military and civil aviation. Throughout history, Langley has maintained a working partnership with the Department of Defense, U.S. industry, universities, and other government agencies to support the defense of the nation with research. During World War II, Langley directed virtually all of its workforce and facilities to research for military aircraft. Following the war, a balanced program of military and civil projects was undertaken. In some instances Langley research from one aircraft program helped solve a problem in another. At the conclusion of some programs, Langley obtained the research models for additional tests to learn more about previously unknown phenomena. The data also proved useful in later developmental programs. Many of the military aircraft in the U.S. inventory as of late 1999 were over 20 years old. Langley activities that contributed to the development of some of these aircraft began over 50 years prior. This publication documents the role, from early concept stages to problem solving for fleet aircraft, that Langley played in the military aircraft fleet of the United States for the 1990's.
Ighoyota B. AJENAGHUGHRURE
Full Text Available Military infantry recruits, although trained, lacks experience in real-time combat operations, despite the combat simulations training. Therefore, the choice of including them in military operations is a thorough and careful process. This has left top military commanders with the tough task of deciding, the best blend of inexperienced and experienced infantry soldiers, for any military operation, based on available information on enemy strength and capability. This research project delves into the design of a mission combat efficiency estimator (MCEE. It is a decision support system that aids top military commanders in estimating the best combination of soldiers suitable for different military operations, based on available information on enemy’s combat experience. Hence, its advantages consist of reducing casualties and other risks that compromises the entire operation overall success, and also boosting the morals of soldiers in an operation, with such information as an estimation of combat efficiency of their enemies. The system was developed using Microsoft Asp.Net and Sql server backend. A case study test conducted with the MECEE system, reveals clearly that the MECEE system is an efficient tool for military mission planning in terms of team selection. Hence, when the MECEE system is fully deployed it will aid military commanders in the task of decision making on team members’ combination for any given operation based on enemy personnel information that is well known beforehand. Further work on the MECEE will be undertaken to explore fire power types and impact in mission combat efficiency estimation.
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
Hall, Lynn K
Social workers can make a significant contribution to military service members and their families, but first it is essential that the worldview, the mindset, and the historical perspective of life in the military are understood. Unless we understand how the unique characteristics of the military impact the service members and their families, we cannot work effectively with them. In addition, unless we understand their language, their structure, why they join, their commitment to the mission, and the role of honor and sacrifice in military service, we will not be able to adequately intervene and offer care to these families.
Buller, Jerome L; Tetteh, Hassan A
Evaluation of medical officer performance is a critical leadership role. This study offers a comprehensive evaluation system for military physicians. The Comprehensive Assessment equation (COMPASS equation), a modified Cobb-Douglas equation, was developed to evaluate academic physicians. The COMPASS equation assesses military physicians within five comprehensive dimensions: (1) Clinical (2) Leadership, (3) Educational (4) Administrative, and (5) Research productivity excellence to yield a composite "C.L.E.A.R. Score." The COMPASS equation's fidelity was tested with a cohort of military physicians within the department of Obstetrics and Gynecology in the Capital District Region and a C.L.E.A.R. score was calculated for individual physicians. Mean C.L.E.A.R score was 53.6 +/- 28.8 (range 10.1-98.5). The responsiveness of the model was tested using two hypothetical physician models: "low-performing-faculty" and "super-faculty," and calculated C.L.E.A.R. scores were 6.3 and 153.4, respectively. The C.L.E.A.R. score appears to recognize and assess the performance excellence of military physicians. Weighting measured characteristics of the COMPASS equation can be used to promote organizational priorities. Thus, leaders of military medicine can communicate institutional priorities and inculcate them through use of the COMPASS equation to reward and recognize the activities of military medical officers that are commensurate with institutional goals.
M. S. Zaitsev
Full Text Available The article analyzes the evolution of military strategy of the Republic of India and key factors that influences its development. New Delhi keeps an eye on the balance of power in South Asia to create favorable conditions for its economic and social development, yet the remaining threats and new challenges still undermine the security and stability in India. The ambitions of China aspiring to power in Asia-Pacific region, combined with its immense military build-up and territorial disputes, cause disturbance in New Delhi. The remaining tensions between India and Pakistan also cause often border skirmishes and medium-scale conflicts. Close relations between China and Pakistan, labeled as “all-weather friendship”, are a source of major concern for India. The fact that both Beijing and Islamabad wield nuclear weapons means that without effective mechanisms of nuclear deterrence any military conflict may turn into a full-scale nuclear war. Terrorist activities and insurgency in the Indian state of Jammu and Kashmir and in the North-Eastern regions of the country, along with maritime piracy and illicit drug trafficking contribute to the complicated nature of the challenges to the Indian security. Indian military strategy is considered as a combination of the army doctrine, maritime doctrine and nuclear doctrine. The Indian political and military leadership wants to meet the challenges of changing geopolitical environment and thus continuously adapts its strategy. However, there is still a gap between theory and practice: Indian armed forces lack the capacity to implement the declared goals because of bulky bureaucratic system, outdated military equipment and insufficient level of command and control. The government needs to mobilize political will and administrative resources to upgrade its defense sector to counter its security threats and challenges.
This thesis analyzes the civil-military relations of the growing U.S. military presence in Romania and the implications of this development for bi-lateral relations beyond the barracks and the maneuver field...
positions are called ghost soldiers, for whom salaries are paid. The funds either go into officers’ pockets or are used to pay for legitimate but...lations.1 In Syria, the elements of a more robust and efficacious partnered approach would include the following efforts: 1 DoD’s Dictionary of...Director for Joint Force Development, Department of Defense Dictionary of Military and Associated Terms, Joint Publication 1-02, Washington, D.C
Tri- Service Panel Discussion presented at/published to SURF 2016 (San Antonio Military Health System & Universities Research Forum), UT San Antonio...meting.) SURF 2016 (San Antonio Mili tary Health System & U niversities Research Forum), UT San Antonio, TX; 20 May 2016 D 11e. OTHER (Describe...if you are a Graduate Health Sciences Education student and your department has told you they cannot fund your publication, the 59th Clinical Research
Department of Defense Authorization for appropriations for fiscal years 1988 and 1989. Hearings before the Committee on Armed Services, United States Senate, One Hundredth Congress, First Session on S. 1174, Part 4, Strategic Forces and Nuclear Deterrence
Government, academic and military officials provided statements and documents in regard to S. 1174 authorizing appropriations for military activities of the Department of Defense and Department of Energy for defense activities. Strategic Forces and Nuclear deterrence categories include the following major topics: (1) Nuclear Testing Limitations, (2) Strategic Warning Capabilities and ICMB modernization, (3) Strategic Policy and Arms Control, and (4) Strategic Defense Initiatives
power interplay between the civil elites and the military elites using the term 'civil- military relations' ..... the American military, whose 5th Fleet is headquartered in Bahrain. The advice was that the ..... Embassy Madrid. 23 Danopoulos, C (ed).
former KGB official, with polonium - 210 in 2006.25 However, a number of factors make radiological contamination of food unlikely. First, it is...Defense University September 2009 Defending the Military Food Supply Acquisition, Preparation, and Protection of Food at U.S. Military...DATE SEP 2009 2. REPORT TYPE 3. DATES COVERED 00-00-2009 to 00-00-2009 4. TITLE AND SUBTITLE Defending the Military Food Supply Acquisition
Acemoglu, Daron; Ticchi, Davide; Vindigni, Andrea
We investigate how nondemocratic regimes use the military and how this can lead to the emergence of military dictatorships. Nondemocratic regimes need the use of force in order to remain in power, but this creates a political moral hazard problem; a strong military may not simply work as an agent of the elite but may turn against them in order to create a regime more in line with their own objectives. The political moral hazard problem increases the cost of using repression in nondemocratic r...
... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Security Zone; Protection of... Areas Thirteenth Coast Guard District § 165.1321 Security Zone; Protection of Military Cargo, Captain of... Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY...
.... If the Military Citation and The Bluebook do not address a source of authority used in military practice, the author should attempt to maintain uniformity in citation style by adapting the most analogous and useful citation form that Military Citation and The Bluebook do address. Most importantly, the author should provide the reader with sufficient information to locate the referenced material swiftly.
MILITARY PERSONNEL DOD Has Processes for Operating and Managing Its Sexual Assault Incident Database Report to...to DSAID’s system speed and ease of use; interfaces with MCIO databases ; utility as a case management tool; and users’ ability to query data and... Managing Its Sexual Assault Incident Database What GAO Found As of October 2013, the Department of Defense’s (DOD) Defense Sexual Assault Incident
Kratz, Mary; Thomas, Anne; Hora, Ricardo; Vera, Delphis; Lutz, Mickey; Johnson, Mark D
As the Joint United Nations Programme on HIV/AIDS, the Global Fund, and the US President's Emergency Plan for AIDS Relief focus on reaching 90-90-90 goals, military health systems are scaling up to meet the data demands of these ambitious objectives. Since 2008, the US Department of Defense HIV/AIDS Prevention Program (DHAPP) has been working with military partners in 14 countries on implementation and adoption of a Military eHealth Information Network (MeHIN). Each country implementation plan followed a structured process using international eHealth standards. DHAPP worked with the private sector to develop a commercial-off-the-shelf (COTS) electronic medical record (EMR) for the collection of data, including patient demographic information, clinical notes for general medical care, HIV encounters, voluntary medical male circumcision, and tuberculosis screening information. The COTS software approach provided a zero-dollar software license and focused on sharing a single version of the EMR across countries, so that all countries could benefit from software enhancements and new features over time. DHAPP also worked with the public sector to modify open source disease surveillance tools and open access of HIV training materials. Important lessons highlight challenges to eHealth implementation, including a paucity of technology infrastructure, military leadership rotations, and the need for basic computer skills building. While not simple, eHealth systems can be built and maintained with requisite security, flexibility, and reporting capabilities that provide critical information to improve the health of individuals and organizations. Copyright© Bentham Science Publishers; For any queries, please email at email@example.com.
, governments and military services hope to introduce game-changing military technologies that are ‘better, faster and cheaper’, investing heavily in research and development of AWS. In this paper, I wish to map the different and competing practices of critique and justification that shape the technopolitical...... controversy of AWS, showing its complexity and internal contradictions. In addition to identifying the dominant regimes of justification, that organize the discourse of AWS, I argue that the military bureau and its officeholders become technopolitical mediators and translators of risk in an emergent practice...
the 21st Century: An Effect-Based Approach to the Planning Process”, War Theory Coursebook , Air Command and Staff College: Maxwell AFB, 1996, 36. 6...French and other operations allowed. Of all the contextual elements, the leadership and physical environment were perhaps most influential in the...military liaisons to the Partisans and Chetniks and to gather reliable information about their effectiveness.7 The physical environment of Yugoslavia
for nonmilitary international actors; thus, Con- cordia was primarily a confidence-building and liaison mission.22 As the EU’s first military mission...for security-sector reform. Con- cordia field teams collected intelligence from several sources, supported the police retraining and integration...largest industrial plant in Macedonia, progress on privatizing state firms moved forward in 2003, particularly with the completion of the 2000 action
Anxiety, Life Satisfaction , Addiction, Trauma 4 The Military Family Coping Project reflects two phases. The first consisted of a series of focus...need for and guided the work of the Military Family Coping Project Phase II funded by TATRC. The Military Family Coping Project Phase II was...solidarity. For the purposes of family functioning analyses, married and unmarried soldiers were analyzed separately because marital status affects
Hiring Expectancies – Expectancy (VIE) Theory ( Vroom , 1996) states individuals choose among a set of employment alternatives on the basis of the...A Conceptual Model of Military Recruitment Presented at NATO Technical Course HFM 180 – Strategies to Address Recruiting and Retention Issues in...the Military Fariya Syed October, 2009 Based on A Proposed Model Of Military Recruitment (Schreurs & Syed, 2007) Report Documentation Page
... 32 National Defense 4 2010-07-01 2010-07-01 true Clearance of military scrap. 644.522 Section 644... Excess Land and Improvements § 644.522 Clearance of military scrap. Military scrap can contain or be... destruction, by using command, of all military scrap and scrap metal from lands suitable for cultivation or...
MILITARY PERSONNEL Performance Measures Needed to Determine How Well DOD’s Credentialing Program Helps Servicemembers...Measures Needed to Determine How Well DOD’s Credentialing Program Helps Servicemembers What GAO Found The Department of Defense (DOD) has taken steps to...establish the statutorily required credentialing program, but it has not developed performance measures to gauge the program’s effectiveness
Theeler, Brett J; Kenney, Kimbra; Prokhorenko, Olga A; Fideli, Ulgen S; Campbell, William; Erickson, Jay C
Headaches can be triggered by a variety of factors. Military service members have a high prevalence of headache but the factors triggering headaches in military troops have not been identified. The objective of this study is to determine headache triggers in soldiers and military beneficiaries seeking specialty care for headaches. A total of 172 consecutive US Army soldiers and military dependents (civilians) evaluated at the headache clinics of 2 US Army Medical Centers completed a standardized questionnaire about their headache triggers. A total of 150 (87%) patients were active-duty military members and 22 (13%) patients were civilians. In total, 77% of subjects had migraine; 89% of patients reported at least one headache trigger with a mean of 8.3 triggers per patient. A wide variety of headache triggers was seen with the most common categories being environmental factors (74%), stress (67%), consumption-related factors (60%), and fatigue-related factors (57%). The types of headache triggers identified in active-duty service members were similar to those seen in civilians. Stress-related triggers were significantly more common in soldiers. There were no significant differences in trigger types between soldiers with and without a history of head trauma. Headaches in military service members are triggered mostly by the same factors as in civilians with stress being the most common trigger. Knowledge of headache triggers may be useful for developing strategies that reduce headache occurrence in the military.
... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 165 [Docket No. USCG-2012-0087] Security Zone; Protection of Military Cargo, Captain of the Port Zone Puget Sound, WA AGENCY: Coast Guard, DHS... Security Zone in Commencement Bay, Tacoma, Washington from 6 a.m. on February 1, 2013, through 11:59 p.m...
... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 165 [Docket No. USCG-2012-0087] Security Zone; Protection of Military Cargo, Captain of the Port Zone Puget Sound, WA AGENCY: Coast Guard, DHS... Security Zone in Commencement Bay, Tacoma, Washington from 6 a.m. on February 23, 2013, through 11:59 p.m...
Recent events suggest that nuclear reactors could make tempting military or terrorist targets. Despite the care with which most reactors are built, studies document their vulnerability to willful destruction through disruption of coolant mechanisms both inside and outside the containment building. In addition to reactors, such nuclear support facilities as fuel fabrication, reprocessing, and waste storage installations may be attractive military targets. A nuclear bomb which exploded in the vicinity of a reactor could increase its lethal effects by one-third. The implications of this is vulnerability for Middle East stability as well as to other volatile regions. The author suggests several avenues for controlling the dangers: international law, military and civil defense, facility siting, increasing plant safety, and the international management of nuclear energy. 21 references
military intervention in the politics of some West African states and this calls for ... experienced military coup leading to military rule in most cases. ... study, we shall examine the closely knit nature of inter-state relationships in West ... It is instructive to note that the military juntas did not fare better in office. ..... Sweden: SIPRI.
Gibson, Carolyn J; Gray, Kristen E; Katon, Jodie G; Simpson, Tracy L; Lehavot, Keren
Exposure to sexual and physical trauma during military service is associated with adverse mental and physical health outcomes. Little is known about their prevalence and impact in women veterans across age cohorts. Data from a 2013 national online survey of women veterans was used to examine associations between age and trauma during military service, including sexual assault, sexual harassment, and physical victimization. Analyses were conducted using logistic regression, adjusting for service duration and demographic factors. In secondary analyses, the moderating role of age in the relationship between trauma and self-reported health was examined. The sample included 781 women veterans. Compared with the oldest age group (≥ 65), all except the youngest age group had consistently higher odds of reporting trauma during military service. These differences were most pronounced in women aged 45 to 54 years (sexual assault odds ratio [OR], 3.81 [95% CI, 2.77-6.71]; sexual harassment, OR, 3.99 [95% CI, 2.25-7.08]; and physical victimization, OR, 5.72 [95% CI, 3.32-9.85]). The association between trauma during military service and self-reported health status also varied by age group, with the strongest negative impact observed among women aged 45 to 54 and 55 to 64. Compared with other age groups, women in midlife were the most likely to report trauma during military service, and these experiences were associated with greater negative impact on their self-reported health. Providers should be aware that trauma during military service may be particularly problematic for the cohort of women currently in midlife, who represent the largest proportion of women who use Department of Veterans Affairs health care. Published by Elsevier Inc.
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
Full Text Available The article focuses on the amount of military spending in the Slovak Republic. In the first part, the terms of defense expenditure and military spending are defined. The second part focuses on the evolution of military spending in the Slovak Republic so far and the future prospects, as well as on the structure of military spending. The final part covers the amount of defense expenditure in relation to the objectives and tasks of the Armed Forces of the Slovak Republic.
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?
Kleinreesink, E.; Soeters, J.M.M.L.
It can be difficult for researchers from outside the military to gain access to the field. However, there is a rich source on the military that is readily available for every researcher: military memoirs. This source does provide some methodological challenges with regard to truth and (self)
Petrov, G M; Moretskiĭ, A A
There are discussed the problems of military treatment and prophylactic institution (TPI) functioning under conditions of market reform of Russian public health. Main marketing concepts in military health are determined and some recommendations on work improvement in TPI of the Armed Forces in the system of obligatory medical insurance are presented, granting population paid medical services. It is necessary to form a new type of director--military and medical manager.
... FSCAP on non-military FAA-type certificated Government aircraft? 102-33.230 Section 102-33.230 Public... Aircraft Parts Managing Aircraft Parts § 102-33.230 May we use military FSCAP on non-military FAA-type... installation by the FAA. See detailed guidance in FAA Advisory Circular 20-142, “Eligibility and Evaluation of...
Shams-White, Marissa; Deuster, Patricia
The objective was to review prevention efforts and approaches attempting to limit the problem of obesity in the military. Various individual-level initiatives have emerged, including programs promoting healthy cooking, meal planning, and other behavior changes among service members. Importantly, the military is attempting to tackle environmental factors contributing to the rise of obesity, by focusing on many recent environmental-level interventions and initiatives to improve military dining facilities and examine and modify other aspects of installations' built environments. Although published research within the military setting directed towards obesity prevention is limited, many innovative programs have been launched and need to be followed forward. The review of past and ongoing efforts can be an important step in identifying specific areas needing improvement, gaps that should be considered, lessons learned, and characteristics of successful programs that should be disseminated as best practices and further expanded.
... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Use of military service. 226.61 Section 226... § 226.61 Use of military service. (a) Claim for use of military service. An employee is deemed to have filed a claim for the use of military service and earnings as service and compensation under the...
O. F. Salnikova
Full Text Available In the article the aims of military-technical policy are considered. Determination of aims (tasks of military-technical policy, its maintenance, requirements to it and directions of its further development it must come true by the analysis of different factors of external and internal environment. Among such factors: geopolitical and military-political position of Ukraine and its military doctrine; realized and operating programs of development (reformation of the soldiery forming and them technical rigging; terms of future military operations and progress of their maintenance, forms, methods and characteristic signs of battle actions trend; substantive provisions of art of war; conceptions, theories and doctrines of battle application of the soldiery forming of the different states; resources dedicated by the state on development of military-technical sphere and others like that. The fundamental chart of sequence of forming of public military-technical policy is presented in the article.
Various military training activities are conducted in more than 11.3 million hectares of land (> 5,500 training sites) in the United States (U.S.). These training activities directly and indirectly degrade the land. Land degradation can impede continuous military training. In order to sustain long term training missions and Army combat readiness, the environmental conditions of the military installations need to be carefully monitored and assessed. Furthermore, the National Environmental Policy Act of 1969 (NEPA) and the U.S. Army Regulation 200-2 require the DoD to minimize the environmental impacts of training and document the environmental consequences of their actions. To achieve these objectives, the Department of Army initiated an Integrated Training Area Management (ITAM) program to manage training lands through assessing their environmental requirements and establishing policies and procedures to achieve optimum, sustainable use of training lands. One of the programs under ITAM, Range and Training Land Assessment (RTLA) was established to collect field-based data for monitoring installation's environmental condition. Due to high cost and inefficiencies involved in the collection of field data, the RTLA program was stopped in several military installations. Therefore, there has been a strong need to develop an efficient and low cost remote sensing based methodology for assessing and monitoring land conditions of military installations. It is also important to make a long-term assessment of installation land condition for understanding cumulative impacts of continuous military training activities. Additionally, it is unclear that compared to non-military land condition, to what extent military training activities have led to the degradation of land condition for military installations. The first paper of this dissertation developed a soil erosion relevant and image derived cover factor (ICF) based on linear spectral mixture (LSM) analysis to assess and
Marsden, Max; Carden, Rich; Navaratne, Lalin; Smith, Iain M; Penn-Barwell, Jowan G; Kraven, Luke M; Brohi, Karim; Tai, Nigel R M; Bowley, Douglas M
The management of trauma patients has changed radically in the last decade and studies have shown overall improvements in survival. However, reduction in mortality for the many may obscure a lack of progress in some high-risk patients. We sought to examine the outcomes for hypotensive patients requiring laparotomy in UK military and civilian cohorts. We undertook a review of two prospectively maintained trauma databases; the UK Joint Theatre Trauma Registry (JTTR) for the military cohort (4th February 2003 to 21st September 2014), and the trauma registry of the Royal London Hospital MTC (1st January 2012 to 1st January 2017) for civilian patients. Adults undergoing trauma laparotomy within 90 minutes of arrival at the Emergency Department (ED) were included. Hypotension was present on arrival at the ED in 155/761 (20.4%) military patients. Mortality was higher in hypotensive casualties 25.8% vs 9.7% normotensive casualties (p<0.001). Hypotension was present on arrival at the ED in 63/176 (35.7%) civilian patients. Mortality was higher in hypotensive patients 47.6% vs 12.4% normotensive patients (p<0.001). In both cohorts of hypotensive patients neither the average injury severity, the prehospital time, the ED arrival SBP, nor mortality rate changed significantly during the study period. Despite improvements in survival after trauma for patients overall, the mortality for patients undergoing laparotomy who arrive at the Emergency Department with hypotension has not changed and appears stubbornly resistant to all efforts. Specific enquiry and research should continue to be directed at this high-risk group of patients. IV; Observational Cohort Study.
Pavel V. Didov
Full Text Available The article analyzes the phenomenon of "polite people" from the point of view of the history and theory of ethical thought. Identify and specify ethical principles that form the basis of military courtesy. On the basis of the revealed regularities, the study proves that ethics is impossible without a certain power attributes, which constitute its core. In relation to the traditions of Russian warriors revealed the key role to their formation of the Orthodox ethics and the military of meekness. The obtained results can serve as material for educational activities for the formation of fighting spirit.
Himmerich, Hubertus; Willmund, G D; Wesemann, U; Jones, N; Fear, N T
Despite joint participation in international military operations, few collaborative military mental health research projects have been undertaken by European countries. From a common perspective of military mental health researchers from Germany and the UK, the lack of shared research might be related not only to the use of different languages but also the different ways in which the two militaries provide mental health and medical support to operations and differences in military institutions. One area that is suitable for military health research collaboration within UK and German forces is mental health and well-being among military personnel. This could include the study of resilience factors, the prevention of mental disorder, mental health awareness, stigma reduction and the treatment of mental disorder. Military mental health research topics, interests and the studies that have been conducted to date in the UK and Germany have considerable overlap and commonality of purpose. To undertake the investigation of the long-term consequences of operational deployment, the specific burdens placed on military families and to further the understanding of the role of factors such as biomarkers for use in military mental health research, it seems advisable to forge international research alliances across European nations, which would allow for researchers to draw transcultural and generalisable conclusions from their work. Such an enterprise is probably worthwhile given the shared research interests of Germany and the UK and the common perspectives on military mental health in particular. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
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.,
Waibel, Kirk; Lee, Rachel; Coop, Christopher; Mendoza, Yun; White, Kevin
A diagnosis of food allergy adversely impacts one's ability to join or remain in the military. Inadequate knowledge or misconceptions of current military-specific standards regarding food allergy and how these apply to enlistment, induction, and retention in the United States military can potentially lead to inaccurate counseling as each military service has specific regulations which impact the evaluation and decision-making process. Recognizing this knowledge gap, the American Allergy, Asthma, and Immunology (AAAAI) Military Allergy and Immunology Assembly (MAIA) established a Work Group who reviewed and summarized all aspects of military instructions, policies, and regulations regarding IgE mediated food allergy. A flowchart was developed outlining each step of the military entry process for an individual with a history of food allergy. Further, summary tables were made to provide improved "fluency" regarding each service's medical regulations while key considerations were outlined for the allergist who is evaluating an individual who is seeking military entry or retention. Both civilian and military allergists play an essential role in the evaluation, counseling, and management of patients with a food allergy history. Understanding the service-specific language and regulations regarding food allergy will improve the allergist's awareness, counseling, and management of these individuals. Copyright © 2018. Published by Elsevier Inc.
Avian influenza (Bird flu) is a highly contagious viral disease affecting mainly chickens, turkeys, ducks, other birds and mammals. Reservoirs for HPAI /H5N1 virus are shore birds and waterfowl (asymptomatic, excrete virus in feces for a long periods of time), live bird markets and commercial swine facilities. Virus tends to cycle between pigs and birds. HPAI (H5N1) virus is on every 'top ten' list available for potential agricultural bio-weapon agents. The threat of a HPAI/H5N1 pandemic is a definitively global phenomenon and the response must be global. A number of National plans led to various measures of preventing and dealing with epidemics/pandemics. Lessons learned form the pandemic history indicated essential role of military and military medical support to civil authorities in a crisis situation. Based on International Military Medical Avian Influenza Pandemic workshop (Vienna 2006), an expected scenario would involve 30-50% outpatients, 20-30% hospital admission, 2-3% deaths, 10-20% complicated cases. Activities of civil hospital may be reduced by 50%. Benefits of military support could be in: Transportation of patients (primarily by air); Mass vaccination and provision of all other preventive measures (masks, Tamiflu); Restriction of movements; Infection control of health care facilities; Field hospitals for triage and quarantine, military barracks to treat milder cases and military hospitals for severe cases; Deal with corpses; Stockpiling (vaccines, antiviral, antibiotics, protective equipment, supplies); Training; Laboratories; Ensure public safety, etc. With the aim of minimizing the risk of a pandemic spread by means of rapid and uncomplicated cooperation, an early warning system has to be established to improve surveillance, improve international contacts (WHO, ECDC, CDC), establish Platform for sharing information, close contacts of national and international military and civilian surveillance networks and databases, cooperation between military
Partial Contents: Military Political Issues, Military Science, Warsaw Pact, Armed Forces, Air Forces, Air Defense Forces, Naval Forces, Strategic Rocket Forces, Civil Defense, Rear Services, Defense Industries, DOSAAF...
Jansen, Don J
.... Known as Tricare, this system of military and private health care offers benefits to active duty personnel and other beneficiaries, including dependents of active duty personnel, military retirees...
Gallegos, Autumn M; Cross, Wendi; Pigeon, Wilfred R
Military sexual trauma (MST) represents a significant public health concern among military personnel and Veterans and is associated with considerable morbidity and suicide risk. It is estimated that 22% of Veteran women and 1% of Veteran men experienced sexual assault or repeated, threatening sexual harassment during their military service. Exposure to traumatic stress has detrimental effects on emotion regulation, which refers to a set of strategies used to modulate different components of emotion at different points on the trajectory of an emotional response. Mindfulness-based interventions offer approaches to health that focus on mind and body practices that can help regulate the experience and expression of difficult emotions. Mindfulness-based stress reduction (MBSR) is an evidence-based therapy shown to be effective for depression, anxiety, and post-traumatic stress disorder. This article discusses the rationale for providing MBSR to Veterans who have been exposed to MST. The article also discusses ways to facilitate implementation of this practice in the U.S. Department of Veterans Affairs health care system. We address potential barriers to care and ways to facilitate implementation at the patient, provider, organization/local, and policy levels. MBSR is likely to be an important component of a comprehensive approach to care for Veterans exposed to MST. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.
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
Chu, Nain-Feng; Lin, Fu-Huang; Wu, Yi-Chang
The purpose of this study is to evaluate the prevalence and trends of cigarette smoking among young military conscripts, military officers, and military university students during recently 10 years in Taiwan. Repeated cross-sectional surveys were conducted annually among young military conscripts and military university students from 2006 to 2014. All the young conscripts were reviewed within 1 month at the military training center and before retiring after 1 year of military services. The military officers were included using purposive sampling from 2004 to 2008 and 2013 to 2014 in different military services. Military university students were included in this study. Freshman and senior students were random sampled as the study subjects. Participants completed a structured questionnaire that included questions on general demographics and health-related behaviors. Current smokers is defined as subjects who smoked ≥1 cigarette/day during the past 30 days or had smoked ≥100 cigarettes in their lifetime or still have the habit of smoking during study. We used a χ 2 test to examine the difference between the prevalence of cigarette smoking among different groups. The Cochran-Armitage test for trend was applied to examine the change of prevalence of smoking after repeated cross-sectional surveys among populations. The prevalence of cigarette smoking within military training center and after 1-year military services was 48.6% and 48.1% on 2006, which became 39.2% and 38.6% on 2010, and then further declined to 31.0% and 30.1% on 2014. For military officers, the trends of prevalence of smoking among different military services showed slight decline from 2004 to 2008, but decreased significantly between 2013 and 2014. The prevalence of smoking in 2014 was 32.1%, 32.8%, and 32.4% for the Army, Navy, and Air Force, respectively. More interestingly, the prevalence of smoking of freshman and senior students increased during the first 5 years (2007-2011) of survey and then
Poliakov, R. Iu.
The subcultures that develop among military students have a powerful influence on their values and behavior, and in some situations are more influential than the official, military culture. Any attempt to improve levels of discipline in the military cannot afford to ignore these subcultures. [This article was translated by Kim Braithwaite.
Military Departments or the Combat- ant Commands” ( Higgins and Ramsey, 2009, p. 2). 2 The Defense Contract Management Agency (DCMA) offers its workforce its...LeBlanc, Michelle Trigg, and Jonathan Higgins . The data call would not have been fielded without their expertise and support. Finally, we acknowledge...the BFM workforce. As indicated in Figure 3.1, EVM 101 (Fundamentals of EVM) is required for level I certification and EVM 201 ( Intermediate EVM) is
Expiration Date 27 October 2011 2 cornea is approved by the Food and Drug Administration (FDA) and the procedure is not considered...and Drug Administration , the Department of Walter Reed National Military Medical Center, Bethesda IRBNet# 20481 IRB Approval Date: 29 November 2011...farsightedness or astigmatism, the clear front surface of your eye, the “ cornea ”, does not have the proper focusing power. To correct this deficiency you must
Reveals strengths and weaknesses encountered by a psychology teacher involved in the overseas graduate counseling program for Ball State University. Problems included lack of proper teaching and counseling facilities, long teaching hours, and civilian teachers' ignorance of military protocol. Advantages included helping military personnel obtain a…
U.S. environmental issues also have important global implications. This paper analyzes current U.S. Policy as it pertains to global warming and climate...for military involvement to reduce global warming . Global warming and other environmental issues are important to the U.S. military. As the United
Warden, Michael L.
Since 1957 the Department of Defense has subjected all forms of speech of U.S. military personnel meant for publication to prepublication review based on security and policy criteria. The historical development of the Defense Department's prepublication review program and its specific implementation by the U.S. Air Force lead to questions of First…