WorldWideScience

Sample records for reported combat exposures

  1. Carcinogenicity and teratogenicity vs. psychogenicity: Psychological characteristics associated with self-reported Agent Orange exposure among Vietnam combat veterans who seek treatment for substance abuse

    Energy Technology Data Exchange (ETDEWEB)

    Robinowitz, R.; Roberts, W.R.; Dolan, M.P.; Patterson, E.T.; Charles, H.L.; Atkins, H.G.; Penk, W.E. (Univ. of Texas Health Science Center, Dallas (USA))

    1989-09-01

    This study asked, What are the psychological characteristics of Vietnam combat veterans who claim Agent Orange exposure when compared with combat-experienced cohorts who do not report such contamination The question was researched among 153 heroin addicts, polydrug abusers, and chronic alcoholics who were seeking treatment: 58 reported moderate to high defoliant exposure while in combat; 95 reported minimal to no exposure while in Vietnam. The null hypothesis was accepted for measures of childhood and present family social climate, premilitary backgrounds, reasons for seeking treatment, patterns and types of illicit drug and alcohol use, interpersonal problems, intellectual functioning, and short-term memory. The null hypothesis was rejected for personality differences, however, those who self-reported high Agent Orange exposure scored significantly higher on MMPI scales F, Hypochondriasis, Depression, Paranoia, Psychasthenia, Schizophrenia, Mania, and Social interoversion. The results suggest that clinicians carefully assess attributional processing of those who report traumatic experience.

  2. Does Combat Exposure Make You a More Violent or Criminal Person? Evidence from the Vietnam Draft

    Science.gov (United States)

    Rohlfs, Chris

    2010-01-01

    This study exploits the differential effects of the Vietnam War across birth cohorts to measure the effects of combat exposure on later violence and crime. Combat exposure and violent acts are measured using self-reports from the National Vietnam Veterans Readjustment Study. I find large positive effects on violence for blacks, suggestive evidence…

  3. Aggression in US soldiers post-deployment: Associations with combat exposure and PTSD and the moderating role of trait anger.

    Science.gov (United States)

    Wilk, Joshua E; Quartana, Phillip J; Clarke-Walper, Kristina; Kok, Brian C; Riviere, Lyndon A

    2015-01-01

    Anger and aggression are among the most common issues reported by returning service members from combat deployments. However, the pathways between combat exposure and anger and aggression have not been comprehensively characterized. The present study aimed to characterize the relationship between trait anger, combat exposure, post-deployment PTSD, and aggression. U.S. Army soldiers (N = 2,420) were administered anonymous surveys assessing combat exposure, current PTSD symptoms and aggression, as well as trait anger items 3 months after returning from deployment to Afghanistan. PTSD symptom levels were related to aggression at higher levels of trait anger, but not evident among soldiers who had lower levels of trait anger. The pathway from combat exposure to PTSD, and then to aggression, was conditional upon levels of trait anger, such that the pathway was most evident at high levels of trait anger. This was the first study to our knowledge that concurrently modeled unconditional and conditional direct and indirect associations between combat exposure, PTSD, trait anger, and aggression. The findings can be helpful clinically and for developing screening protocols for combat exposed Soldiers. The results of this study suggest the importance of assessing and managing anger and aggression in soldiers returning from combat deployment. Anger is one of the most common complaints of returning soldiers and can have debilitating effects across all domains of functioning. It is imperative that future research efforts are directed toward understanding this phenomenon and developing and validating effective treatments for it.

  4. Role of Combat Exposure and Insomnia in Student Veterans' Adaptation to College.

    Science.gov (United States)

    McGuffin, James J; Riggs, Shelley A; Taylor, Daniel J

    2017-08-04

    Since 2002, the number of college student veterans has nearly doubled, although 30-40% of veterans fail to complete their degree. Few research efforts to understand the challenges veterans face transitioning to college in recent years have looked beyond the effects of posttraumatic stress disorder. Insomnia is the most frequently reported symptom of combat veterans and can have serious implications for college students. The purpose of this study was to examine the role of insomnia in student veteran adaptation to college relative to civilian students. College students (N = 588), including 154 veterans, participated in a large online study examining the psychological, relational, and academic functioning of college students. Approximately 61% of the veteran subsample reported combat exposure. Students were administered a Background Information Questionnaire, the Insomnia Severity Index, the Deployment Risk and Resilience Inventory, and the Student Adaptation to College Questionnaire. Data was analyzed using multivariate analysis of covariance and regression to test for direct and indirect effects. Student veterans reported better academic and personal-emotional adaptation than civilian students, while civilians reported better social adjustment than veterans. However, follow-up analyses revealed that these effects might be explained by group differences in gender, income, and marital status. Although combat veterans without insomnia had better academic adjustment than noncombat veterans and civilian students, insomnia seemed to have a greater negative effect on combat veterans' academic adjustment relative to civilian students. Furthermore, insomnia mediated the relationship between combat exposure and veterans' personal-emotional adjustment to college.

  5. Posttraumatic Stress in U.S. Marines: The Role of Unit Cohesion and Combat Exposure

    Science.gov (United States)

    Armistead-Jehle, Patrick; Johnston, Scott L.; Wade, Nathaniel G.; Ecklund, Christofer J.

    2011-01-01

    Combat exposure is a consistent predictor of posttraumatic stress (PTS). Understanding factors that might buffer the effects of combat exposure is crucial for helping service members weather the stress of war. In a study of U.S. Marines returning from Iraq, hierarchical multiple regression analyses revealed that unit cohesion and combat exposure…

  6. Resilience to traumatic exposure among soldiers deployed in combat.

    Science.gov (United States)

    Schaubroeck, John M; Riolli, Laura T; Peng, Ann Chunyan; Spain, Everett S

    2011-01-01

    We examined the influence of positive psychological capital (PsyCap), a metaconstruct that combines established psychological predispositions to be resilient to stress, on the well-being of soldiers during combat deployment. Among U.S. Army personnel deployed in Iraq, cognitive appraisal of stress mediated the effects of trait PsyCap on health symptoms. The indirect effects through appraisal were moderated by levels of exposure to potentially traumatic stimuli. Trait PsyCap covaried more strongly with cognitive appraisals, and had stronger indirect effects through appraisal on health, among soldiers in units with higher levels of potentially traumatic exposures. We discuss implications for research on resilience to trauma in the workplace and for helping workers cope with potentially traumatic exposures.

  7. Military Sexual Trauma Is Associated With Eating Disorders, While Combat Exposure Is Not.

    Science.gov (United States)

    Breland, Jessica Y; Donalson, Rosemary; Li, Yongmei; Hebenstreit, Claire L; Goldstein, Lizabeth A; Maguen, Shira

    2017-05-11

    There are strong associations among trauma and eating disorders. However, while trauma and eating disorders are more common among veterans than other populations, there is little information on how military-specific stressors affect eating disorder risk. This study's objective was to determine whether military sexual trauma and combat exposure were independent predictors of eating disorders among women veterans, a high-risk group. Participants were women age 18-70, using VA medical center services, without psychotic disorders or suicidal ideation (N = 407). We estimated a cross-sectional logistic regression model to predict eating disorders (anorexia, bulimia, binge eating disorder) as a function of military sexual trauma and combat exposure, adjusting for demographic variables. Sixty-six percent of participants reported military sexual trauma, 32% reported combat exposure, and 15% met eating disorder criteria. Mean age was 49 years (SD = 13); 40% were veterans of color. Women reporting military sexual trauma had twice the odds of an eating disorder compared to women who did not (odds ratio [OR]: 2.03; 95% CI [1.03-3.98]). Combat exposure was not associated with eating disorders. Asian race (OR: 3.36; 95% CI [1.26-8.97]) and age (OR: 1.03; 95% CI [1.01-1.06]) were associated with eating disorders. The high rates of military sexual trauma and eating disorders highlight a need for continued work. Results suggest that it may be useful to focus on women reporting military sexual trauma when implementing eating disorder screening and treatment programs. Given associations among trauma, eating disorders, obesity, and mortality, such efforts could greatly improve veteran health. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  8. Virtual Iraq: initial results from a VR exposure therapy application for combat-related PTSD.

    Science.gov (United States)

    Rizzo, Albert A; Graap, Ken; Perlman, Karen; McLay, Robert N; Rothbaum, Barbara O; Reger, Greg; Parsons, Thomas; Difede, Joann; Pair, Jarrell

    2008-01-01

    Post Traumatic Stress Disorder (PTSD) is reported to be caused by traumatic events that are outside the range of usual human experience including (but not limited to) military combat, violent personal assault, being kidnapped or taken hostage and terrorist attacks. Initial data suggests that at least 1 out of 6 Iraq War veterans are exhibiting symptoms of depression, anxiety and PTSD. Virtual Reality (VR) delivered exposure therapy for PTSD has been used with reports of positive outcomes. The aim of the current paper is to present the rationale and brief description of a Virtual Iraq PTSD VR therapy application and present initial findings from its use with PTSD patients. Thus far, Virtual Iraq consists of a series of customizable virtual scenarios designed to represent relevant Middle Eastern VR contexts for exposure therapy, including a city and desert road convoy environment. User-centered design feedback needed to iteratively evolve the system was gathered from returning Iraq War veterans in the USA and from a system deployed in Iraq and tested by an Army Combat Stress Control Team. Clinical trials are currently underway at Ft. Lewis, Camp Pendleton, Emory University, Weill Cornell Medical College, Walter Reed Army Medical Center, San Diego Naval Medical Center and 12 other sites.

  9. The Effects of Combat Exposure on the Military Divorce Rate

    Science.gov (United States)

    2012-03-01

    current marriages. The scale covers an array of issues, such as divorce, infidelity , abuse, and extended separation. The variable for measuring combat...family. They also note that traumatic combat experience for the husband can have an emotional aftereffect that disrupts the emotional attachment and...with an indicator attached to each observation reflecting the year of marriage. In other words, there are five marriage cohorts (2001 to 2005). The

  10. Prolonged exposure therapy for combat- and terror-related posttraumatic stress disorder: a randomized control comparison with treatment as usual.

    Science.gov (United States)

    Nacasch, Nitzah; Foa, Edna B; Huppert, Jonathan D; Tzur, Dana; Fostick, Leah; Dinstein, Yula; Polliack, Michael; Zohar, Joseph

    2011-09-01

    Empirically based studies have demonstrated that prolonged exposure therapy effectively reduces posttraumatic stress disorder (PTSD) symptoms in a vast range of traumas, yet reports of the efficacy of such therapies in combat- and terror-related PTSD are scarce. In this article, we examine the efficacy of prolonged exposure therapy in combat- and terror-related PTSD in comparison to treatment as usual (TAU). Between July 2002 and October 2005, 30 patients of a trauma unit within a psychiatric outpatient clinic were recruited and randomized into prolonged exposure versus TAU therapies. Patients were diagnosed with chronic PTSD (Mini-International Neuropsychiatric Interview criteria) related to combat- (n = 19) or terror-related (n = 11) trauma. Main outcome measures included symptoms of PTSD and depression, as measured by the PTSD Symptom Scale-Interview Version and the Beck Depression Inventory. Posttraumatic stress disorder symptom severity was significantly lower in patients who received prolonged exposure therapy in comparison to patients who received TAU (F(1,24) = 35.3, P terror-related PTSD symptoms. In addition, prolonged exposure was superior to TAU in the short- and long-term reduction of PTSD and depression symptoms. clinicaltrials.gov Identifier: NCT00229372. © Copyright 2011 Physicians Postgraduate Press, Inc.

  11. Smoking among troops deployed in combat areas and its association with combat exposure among navy personnel in Sri Lanka

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    de Silva Varuni

    2012-07-01

    Full Text Available Abstract Background Among military personnel alcohol consumption and binge-drinking have increased but cigarette smoking has declined in the recent past. Although there is a strong association between smoking and PTSD the association between combat exposure and smoking is not clear. Methods This cross sectional study was carried out among representative samples of SLN Special Forces and regular forces deployed in combat areas. Both Special Forces and regular forces were selected using simple random sampling. Only personnel who had served continuously in combat areas during the one year period prior to end of combat operations were included in the study. Females were not included in the sample. The study assessed several mental health outcomes as well as alcohol use, smoking and cannabis use. Sample was classified according to smoking habits as never smokers, past smokers (those who had smoked in the past but not within the past year and current smokers (those smoking at least one cigarette within the past 12 months. Results Sample consisted of 259 Special Forces and 412 regular navy personnel. Prevalence of current smoking was 17.9% (95% CI 14.9-20.8. Of the sample 58.4% had never smoked and 23.7% were past smokers. Prevalence of current smoking was significantly higher among Special Forces personnel compared to regular forces. (OR 1.90 (95% CI 1.20-3.02. Personnel aged ≥35 years had the lowest prevalence of smoking (14.0%. Commissioned officers had a lower prevalence (12.1% than non commissioned officers or other ranks. After adjustment for demographic variables and service type there was significant association between smoking and combat experiences of seeing dead or wounded [OR 1.79 (95%CI 1.08-2.9], handling dead bodies [OR 2.47(95%CI 1.6-3.81], coming under small arms fire [OR 2.01(95%CI 1.28-3.15] and coming under mortar, missile and artillery fire [OR 2.02(95%CI 1.29-3.17]. There was significant association between the number of

  12. Arctic Health Research Center report no. 101: Combating mosquitoes in arctic Alaska

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    US Fish and Wildlife Service, Department of the Interior — This report covers combating mosquitoes in Arctic Alaska. The physiology and biology of mosquitoes is discussed, followed by techniques to combated mosquitoes.

  13. Combat exposure, mental health, and relationship functioning among women veterans of the Afghanistan and Iraq wars.

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    Creech, Suzannah K; Swift, Robert; Zlotnick, Caron; Taft, Casey; Street, Amy E

    2016-02-01

    This study examined associations between warzone exposures to combat with postdeployment relationship and family functioning in 134 women who deployed to the conflicts in Afghanistan and Iraq. Survey invitations were sent by mail to 600 randomly selected women who experienced recent military deployments and were residing in New England. The web-based survey included measures of combat exposure, posttraumatic stress disorder (PTSD) symptoms, alcohol misuse, postdeployment stress exposure, family functioning, intimate relationship satisfaction, and parenting. Multivariate linear regression with bootstrapping estimates of indirect effects was used to examine whether PTSD symptoms and alcohol misuse accounted for associations between women's combat exposure and their postdeployment relationship and family functioning. Results indicated that women's PTSD symptoms had a direct and negative effect on postdeployment family functioning and on intimate relationship satisfaction. There was no direct association between combat exposure or alcohol misuse with any of the family or relationship functioning variables, however, the indirect association from combat to postdeployment family functioning (b = -.13, SE = 0.07, 95% confidence interval [CI]: -33, -.03) and intimate relationship satisfaction (b = -.25, SE = 0.18, 95% CI: -.79, -.001) was significant and negative through its association with PTSD symptoms. Parenting satisfaction was significantly and negatively associated with postdeployment stress only. This study is among the first to characterize the impact of deployment experiences on women veterans' relationship and family functioning. Findings suggest that women veterans who have been exposed to combat and who have higher levels of PTSD symptoms may benefit from relationship and family focused services after deployment. (c) 2016 APA, all rights reserved).

  14. The role of locus of control and coping style in predicting longitudinal PTSD-trajectories after combat exposure

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    Karstoft, K. I.; Armour, C.; Elklit, A.

    2015-01-01

    Israeli soldiers with or without combat stress reaction (CSR) from the Lebanon war were assessed 1, 2, and 20 years after the war. Combat exposure, LOC, and coping style were then investigated as covariates of the trajectories of resilience, recovery, delayed onset, and chronicity. Symptomatic...

  15. Posttraumatic stress disorder, combat exposure, and carotid intima-media thickness in male twins.

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    Goetz, Margarethe; Shah, Amit; Goldberg, Jack; Cheema, Faiz; Shallenberger, Lucy; Murrah, Nancy V; Bremner, J Douglas; Vaccarino, Viola

    2014-11-15

    Posttraumatic stress disorder (PTSD) is associated with an increased risk of ischemic heart disease, though the pathophysiologic mechanisms remain unclear. Carotid artery intima-media thickness (CIMT) is a measure of subclinical atherosclerosis. We examined whether PTSD and combat exposure were associated with CIMT in Vietnam War-era twins after controlling for shared genetic and childhood factors. Between 2002 and 2010, we studied 465 middle-aged twins from the Vietnam Era Twin Registry who were free from cardiovascular disease. PTSD was diagnosed using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and CIMT was measured by ultrasound. Mixed-effects regression models were used to examine individual, between-pair, and within-pair associations. Approximately 13% of participants met the criteria for PTSD, and 45% served in the Vietnam Theater. PTSD was associated with 32.7 μm higher CIMT (95% confidence interval (CI): 0.9, 64.5) after adjustment for confounders. The average CIMT for the pair increased by 59.7 μm for each additional twin with PTSD (95% CI: 15.9, 104.2). We found no significant within-pair differences in CIMT when comparing PTSD-discordant co-twins. Results for combat exposure were similar, but its association with CIMT weakened after adjustment for PTSD (95% CI: 7.0, 45.3). Among Vietnam War-era veterans, combat exposure and PTSD are associated with CIMT, though the associations are largely mediated by shared childhood factors.

  16. Report on combating of illicit trafficking. The Illicit Trafficking Combat Project Group. January 2000

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-01-01

    . By means of spot-checks, the authority can then convince itself that the operator is fulfilling the requirements. The legislation should also impose heavy sanctions and penalties for all criminal activities related to illicit trafficking. As a direct measure to combat illicit trafficking on the national level, the State supervisory and law enforcement authorities should establish co-operation between themselves and with authorities in other countries and international organisations. Special national committees for combating illicit trafficking should be set up and should use intelligence and open sources information. Regions of States should investigate and implement joint task forces for combating illicit trafficking. Improvements on the International level by the IAEA: The IAEA should assist States in the practical implementation of measures and means for combating illicit trafficking and for the evaluation of threat scenarios. To improve that process in an efficient way, the IAEA should apply the principle of public access to information on its operations to a greater extent. Among other measures for promoting the development of more efficient tools and systems for combating illicit trafficking, the IAEA should: in assisting States, establish rules about duties and responsibilities for operators, authorities and individuals in the NPT area, through appropriate documentation; promote assistance programmes to States in consultation with NPT States, as need may be, of technical equipment and competent staff for the combating of illicit trafficking; provide experts and establish standards and procedures, across borders, for the investigation of serious cases of illicit trafficking, in consultation with national and international nuclear and law enforcement authorities and organisations; incorporate a more modern safeguards inspection technique of the national systems for accountancy and control, in accordance with standards and procedures that were intended to be

  17. Report on combating of illicit trafficking. The Illicit Trafficking Combat Project Group. January 2000

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-01-01

    . By means of spot-checks, the authority can then convince itself that the operator is fulfilling the requirements. The legislation should also impose heavy sanctions and penalties for all criminal activities related to illicit trafficking. As a direct measure to combat illicit trafficking on the national level, the State supervisory and law enforcement authorities should establish co-operation between themselves and with authorities in other countries and international organisations. Special national committees for combating illicit trafficking should be set up and should use intelligence and open sources information. Regions of States should investigate and implement joint task forces for combating illicit trafficking. Improvements on the International level by the IAEA: The IAEA should assist States in the practical implementation of measures and means for combating illicit trafficking and for the evaluation of threat scenarios. To improve that process in an efficient way, the IAEA should apply the principle of public access to information on its operations to a greater extent. Among other measures for promoting the development of more efficient tools and systems for combating illicit trafficking, the IAEA should: in assisting States, establish rules about duties and responsibilities for operators, authorities and individuals in the NPT area, through appropriate documentation; promote assistance programmes to States in consultation with NPT States, as need may be, of technical equipment and competent staff for the combating of illicit trafficking; provide experts and establish standards and procedures, across borders, for the investigation of serious cases of illicit trafficking, in consultation with national and international nuclear and law enforcement authorities and organisations; incorporate a more modern safeguards inspection technique of the national systems for accountancy and control, in accordance with standards and procedures that were intended to be

  18. Interaction of Combat Exposure and Unit Cohesion in Predicting Suicide-Related Ideation among Post-Deployment Soldiers

    Science.gov (United States)

    Mitchell, Mary M.; Gallaway, Michael Shayne; Millikan, Amy M.; Bell, Michael

    2012-01-01

    Suicide is one of the leading causes of death among U.S. Army soldiers. Suicide-related ideation, which is associated with suicide attempts and suicide, can cause considerable distress. In a sample of 1,663 recently redeployed soldiers, we used factor analysis and structural equation modeling to test the associations between combat exposure, unit…

  19. Reality graded exposure therapy with physiological monitoring for the treatment of combat related post traumatic stress disorder: a pilot study.

    Science.gov (United States)

    Wood, Dennis Patrick; Webb-Murphy, Jennifer; McLay, Robert N; Wiederhold, Brenda K; Spira, James L; Johnston, Scott; Koffman, Robert L; Wiederhold, Mark D; Pyne, Jeff

    2011-01-01

    A high percentage of Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) combat veterans have been diagnosed with Posttraumatic Stress Disorder (PTSD) during and following their respective combat tours. Virtual Reality (VR) treatment has been documented as an exceptional treatment for anxiety disorders and specifically for PTSD. An Office of Naval Research (ONR) funded pilot study, completed by the Virtual Reality Medical Center and Naval Medical Center San Diego (NMCSD), investigated the use of Virtual Reality Graded Exposure Therapy (VR-GET) study with participants who had been diagnosed with PTSD following their combat deployments. A significant reduction in PTSD symptoms severity was noted. Implications for treatment with VR-GET and future research areas of investigation, including the use of VR-GET with smart phones and the internet, are suggested.

  20. Relationship of PTSD Symptoms With Combat Exposure, Stress, and Inflammation in American Soldiers.

    Science.gov (United States)

    Groer, Maureen W; Kane, Bradley; Williams, S Nicole; Duffy, Allyson

    2015-05-01

    Posttraumatic stress disorder (PTSD) is of great concern in veterans. PTSD usually occurs after a person is exposed to death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence. Active duty soldiers deployed to war zones are at risk for PTSD. Psychoneuroimmunological theory predicts that PTSD, depression, and stress can lead to low-grade, chronic inflammation. We asked whether there were relationships between PTSD symptoms and chronic stress, depression and inflammation in active duty U.S. soldiers. We enrolled 52 active duty enlisted and reservist soldiers in a cross-sectional study while they participated in a week of military training in fall 2011. They completed a demographic questionnaire, the Center for Epidemiological Studies-Depression Scale, the Combat Exposure Scale, and the PTSD symptom Checklist-Military version (PCL-M). Blood samples were taken for analysis of cytokines and C-reactive protein (CRP). Hair samples shaved from the forearm were measured for cortisol. Of the soldiers, 11 had PCL-M scores in the moderate to severe range. Regression analysis demonstrated that depression and war zone deployment were strong predictors of PTSD symptoms. CRP and hair cortisol were correlated with each other and with depression and PTSD symptoms. These results suggest relationships among war zone deployment, depression, and PTSD. Chronic stress associated with depression, PTSD, and war zone experiences may be related to inflammation in active duty soldiers.

  1. A Jungian approach to dreams reported by soldiers in a modern combat zone.

    Science.gov (United States)

    Wyatt, Rob; Goodwyn, Erik; Ignatowski, Michael

    2011-04-01

    Treating combat deployed soldiers is becoming more prevalent and needed in psychiatry. Modern combat produces unique psychological challenges, including those without criteria for post-traumatic stress disorder (PTSD). This article will attempt to share the primary author's experience with psychotherapy in a combat zone, along with understanding the general themes of dreams the author encountered while being deployed. Toward that end, the primary author [RW] discusses his personal experiences in Iraq working with soldiers whom he saw and treated while in theatre, with a particular focus on the dreams they reported. The co-authors [EG and MI] afterward collaborated with the primary author to formulate and provide insight into the dreams from a Jungian perspective.

  2. Trauma management therapy with virtual-reality augmented exposure therapy for combat-related PTSD: A randomized controlled trial.

    Science.gov (United States)

    Beidel, Deborah C; Frueh, B Christopher; Neer, Sandra M; Bowers, Clint A; Trachik, Benjamin; Uhde, Thomas W; Grubaugh, Anouk

    2017-08-23

    Virtual reality exposure therapy (VRET) realistically incorporates traumatic cues into exposure therapy and holds promise in the treatment of combat-related posttraumatic stress disorder (PTSD). In a randomized controlled trial of 92 Iraq and Afghanistan veterans and active duty military personnel with combat-related PTSD, we compared the efficacy of Trauma Management Therapy (TMT; VRET plus a group treatment for anger, depression, and social isolation) to VRET plus a psychoeducation control condition. Efficacy was evaluated at mid- and post-treatment, and at 3- and 6-month follow-up. Consistent with our hypothesis, VRET resulted in significant decreases on the Clinician Administered PTSD Scale and the PTSD Checklist-Military version for both groups. Also consistent with our hypothesis, significant decreases in social isolation occurred only for those participants who received the TMT group component. There were significant decreases for depression and anger for both groups, although these occurred after VRET and before group treatment. All treatment gains were maintained six-months later. Although not part of the original hypotheses, sleep was not improved by either intervention and remained problematic. The results support the use of VRET as an efficacious treatment for combat-related PTSD, but suggest that VRET alone does not result in optimal treatment outcomes across domains associated with PTSD. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. Report of the Subcommittee on Military Justice in Combat Zones

    Science.gov (United States)

    2013-05-30

    1, SNI 5430.107, AFI 71-101, AFI 31-206, and AFI 90-301. CCIRs are issued through commander/unit directives. LOAC reporting is mandated by the...four Geneva Conventions of 1949, DoDD 2311.01E, CJCSI 5810.01D, SNI 3300.1C, AFI 51-401, and MCO 3300.4. DEFENSE LEGAL POLICY BOARD...of Defense (SecDef) - SECNAV Secretary of the Navy - SECNAVINST or SNI Secretary of the Navy Instruction - SIGACT Significant action

  4. Report on the third International Martial Arts and Combat Sports Scientific Society (IMACSSS Conference

    Directory of Open Access Journals (Sweden)

    Dominique Brizin

    2015-03-01

    Full Text Available The present report provides a brief account of the Conference “Man - Martial Arts - Humanism”, held by the International Martial Arts and Combat Sport Scientific Society (IMACSSS on October 15th - 17th, 2014 in Rzeszów, Poland. During this international conference, scientists from various universities presented their actual projects and results of their latest projects in the field of martial arts and combat sports (MA&CS. Subjects covered a wide range, starting with anthropology, sociology, history, philosophy, psychology, reaching up to pedagogy and didactic methodology, bio-technical approaches and theoretical structures in MA&CS. The conference drew more than 120 participants and contributed to the formation of a close network in the community of the scientists conducting research within the field of MA&CS.

  5. Combating False Reports for Secure Networked Control in Smart Grid via Trustiness Evaluation

    CERN Document Server

    Li, Husheng; Djouadi, Seddik M

    2010-01-01

    Smart grid, equipped with modern communication infrastructures, is subject to possible cyber attacks. Particularly, false report attacks which replace the sensor reports with fraud ones may cause the instability of the whole power grid or even result in a large area blackout. In this paper, a trustiness system is introduced to the controller, who computes the trustiness of different sensors by comparing its prediction, obtained from Kalman filtering, on the system state with the reports from sensor. The trustiness mechanism is discussed and analyzed for the Linear Quadratic Regulation (LQR) controller. Numerical simulations show that the trustiness system can effectively combat the cyber attacks to smart grid.

  6. Is Combat Exposure Predictive of Higher Preoperative Stress in Military Members?

    Science.gov (United States)

    2015-01-26

    Eric, Joseph USU Project Number: N12-P16 31 14. Boker, A., Brownell, L., & Donen, N. (2002). The Amsterdam preoperative anxiety and...of anxiety , depression, PTSD symptoms, and combat experience(s) were assessed. On the day of surgery, preoperative stress was measured using the...future interventional studies. 15. SUBJECT TERMS preoperative stress response, PTSD, anxiety , depression 16. SECURITY CLASSIFICATION OF: 17

  7. Report on the first International Martial Arts and Combat Sports Scientific Society (IMACSSS Conference - “Game, Drama, Ritual in Martial Arts and Combat Sports”

    Directory of Open Access Journals (Sweden)

    Jikkemien Vertonghen

    2012-06-01

    Full Text Available The present report provides a brief account of the first conference of the International Martial Arts and Combat Sports Scientific Society (IMACSSS, held in Genova (Italy on June 8th-10th, 2012. There were 43 oral presentations and 15 posters divided into five themes: (1 Psychological dimensions of martial arts and combat sports (MA&CS; (2 Sociological and historical aspects of MA&CS; (3 Bio physical, bio technical and bio tactical issues in MA&CS; (4 Pedagogy and didactic methodologies in MA&CS; (5 Philosophical aspects, anthropological conceptions and taxonomy in MA&CS. The conference was a well-organised and unique meeting of MA&CS researchers with a wide variety of topics, international presence and expertise. It provided a good opportunity to consolidate and broaden scientific knowledge and research in MA&CS and contributed to the integration of the scientific community involved in their study.

  8. Cross (Unit)-Level Effects of Cohesion on Relationships of Suicide Thoughts to Combat Exposure, Postdeployment Stressors, and Postdeployment Social Support.

    Science.gov (United States)

    Griffith, James

    2015-01-01

    A behavioral health concern for the US military has been suicide, largely due to its increased prevalence in the last several years during US involvement in the Iraq and Afghanistan wars. Using hierarchical linear modeling (HLM), the present study examined relationships among combat exposure, postdeployment stressors, social support, and unit cohesion. Survey data were obtained from 4,567 soldiers who were members of 50 company-sized units. At the individual level, combat exposure and postdeployment stressors were associated with suicidal thoughts. Postdeployment social support was associated with fewer suicidal thoughts. There was no evidence of the stress-buffering effect of social support. At the group level, reduced risk for suicidal thoughts was associated with units having higher than average cohesion. Reduced risk for suicidal thoughts in conjunction with combat experiences was observed in units having higher than average cohesion, though not reaching a traditional level of statistical significance.

  9. Global Combat Support System - Army Did Not Comply With Treasury and DoD Financial Reporting Requirements

    Science.gov (United States)

    2014-09-03

    No. DODIG-2014-104 S E P T E M B E R 3 , 2 0 1 4 Global Combat Support System–Army Did Not Comply With Treasury and DoD Financial Reporting...Comply With Treasury and DoD Financial Reporting Requirements 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d...i Results in Brief Global Combat Support System–Army Did Not Comply With Treasury and DoD Financial Reporting Requirements Visit us at

  10. Use of a portable biofeedback device to improve insomnia in a combat zone, a case report.

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    McLay, Robert N; Spira, James L

    2009-12-01

    Insomnia is a common problem in situations of stress. Some forms of stress, however, may contraindicate the use of traditional, pharmacological interventions. Working in a combat zone is such a situation. Alternative means of improving sleep are clearly needed for Service Members. We report a case involving a medical provider who was serving in a military, emergency-services facility in Iraq, and who presented with anxiety, depressed mood, and insomnia. Symptoms were sub-threshold for major depressive disorder or acute stress disorder. Mood and anxiety symptoms responded to traditional therapy techniques, but problems with insomnia remained. The patient was given a portable biofeedback device that employs an infrared sensor photoplethysmograph to measure heart rate variability (HRV) from peripheral finger pulse. One week later, sleep was significantly improved. Symptom improvement lasted to at least 6 weeks while in theater. One year later, a check-in with the patient revealed that after returning home, he had been diagnosed with post traumatic stress disorder (PTSD). PTSD symptoms had resolved after 6 months of psychopharmacology and cognitive behavioral therapy. These results indicate that biofeedback may be a useful means of improving sleep in a combat zone, but that such improvements may not necessarily prevent the development of more serious symptoms later. No clear causality can be inferred from a single case, and further study is needed to determine if this finding have wider applicability.

  11. Kratom exposures reported to Texas poison centers.

    Science.gov (United States)

    Forrester, Mathias B

    2013-01-01

    Kratom use is a growing problem in the United States. Kratom exposures reported to Texas poison centers between January 1998 and September 2013 were identified. No kratom exposures were reported from 1998 to 2008 and 14 exposures were reported from 2009 to September 2013. Eleven patients were male, and 11 patients were in their 20s. The kratom was ingested in 12 patients, inhaled in 1, and both ingested and inhaled in 1. Twelve patients were managed at a healthcare facility and the remaining 2 were managed at home.

  12. Glucocorticoid augmentation of prolonged exposure therapy: rationale and case report

    Directory of Open Access Journals (Sweden)

    Laura Pratchett

    2010-12-01

    Full Text Available Rationale: Prolonged exposure (PE therapy has been found to reduce symptoms of posttraumatic stress disorder (PTSD; however, it is difficult for many patients to engage fully in the obligatory retelling of their traumatic experiences. This problem is compounded by the fact that habituation and cognitive restructuring – the main mechanisms through which PE is hypothesized to work – are not instantaneous processes, and often require several weeks before the distress associated with imaginal exposure abates. Case reports: Two cases are described that respectively illustrate the use of hydrocortisone and placebo, in combination with PE, for the treatment of combat-related PTSD. Based on known effects of glucocorticoids on learning and memory performance, we hypothesized that augmentation with hydrocortisone would improve the therapeutic effects of PE by hastening “new” learning and facilitating decreases in the emotional impact of fear memories during the course of treatment. The veteran receiving hydrocortisone augmentation of PE displayed an accelerated and ultimately greater decline in PTSD symptoms than the veteran receiving placebo. Conclusions: While no general conclusion can be derived from comparison of two patients, the findings are consistent with the rationale for augmentation. These case reports support the potential for an appropriately designed and powered clinical trial to examine the efficacy of glucocorticoids in augmenting the effects of psychotherapy for PTSD.

  13. DOE Occupational Radiation Exposure, 2001 report

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2001-12-31

    The goal of the U.S. Department of Energy (DOE) is to conduct its operations, including radiological, to ensure the safety and health of all DOE employees, contractors, and subcontractors. The DOE strives to maintain radiation exposures to its workers below administrative control levels and DOE limits and to further reduce these exposures to levels that are “As Low As Reasonably Achievable” (ALARA). The 2001 DOE Occupational Radiation Exposure Report provides a summary and analysis of the occupational radiation exposure received by individuals associated with DOE activities. The DOE mission includes stewardship of the nuclear weapons stockpile and the associated facilities, environmental restoration of DOE, and energy research.

  14. DOE occupational radiation exposure 2007 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2007-12-31

    The U.S. Department of Energy (DOE) Office of Corporate Safety Analysis (HS-30) within the Office of Health, Safety and Security (HSS) publishes the annual DOE Occupational Radiation Exposure Report to provide an overview of the status of radiation protection practices at DOE.* The annual DOEOccupational Radiation Exposure 2007 Report provides an evaluation of DOE-wide performance regarding compliance with DOE Part 835 dose limits and ALARA process requirements. In addition the report provides data to DOE organizations responsible for developing policies for protection of individuals from the effects of radiation. This report provides a summary and an analysis of occupational radiation exposure information from the monitoring of individuals involved in DOE activities. The occupational radiation exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site over the past five years.

  15. DOE occupational radiation exposure 2006 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2006-12-31

    The U.S. Department of Energy (DOE) Office of Corporate Safety Analysis (HS-30) within the Office of Health, Safety and Security (HSS) publishes the annual DOE Occupational Radiation Exposure Report to provide an overview of the status of radiation protection practices at DOE. This report provides a summary and an analysis of occupational radiation exposure information for all monitored individuals associated with DOE activities. The occupational radiation exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site over the past five years.

  16. DOE occupational radiation exposure 2005 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2005-12-31

    The U.S. Department of Energy (DOE) Offi ce of Corporate Safety Analysis (HS-30) within the Office of Health Safety and Security (HSS) publishes the annual DOE Occupational Radiation Exposure Report to provide an overview of the status of radiation protection practices at DOE. This report provides a summary and an analysis of occupational radiation exposure information for all monitored individuals associated with the DOE activities. The occupational radiation exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site over the past 5 years.

  17. The psychological consequences of combat exposure: the importance of appraisals and post-traumatic stress disorder symptomatology in the occurrence of delusional-like ideas.

    Science.gov (United States)

    Campbell, Michelle L C; Morrison, Anthony P

    2007-06-01

    The aim of the current study is to explore the association between combat experience and the occurrence of delusional-like beliefs. It is hypothesized that negative post-trauma appraisals and positive beliefs about paranoia will be associated with vulnerability to delusional ideas and that veterans who meet criteria for post-traumatic stress disorder (PTSD) will be more likely to hold delusional-like ideas. A small-scale survey design was employed in order to ensure that detailed information was gathered concerning battle exposure. Forty-one British war veterans completed questionnaires relating to combat experience, delusional ideation, beliefs about paranoia, appraisals of combat trauma and PTSD symptomatology. Negative post-trauma cognitions and positive and negative beliefs about paranoia were associated with increased predisposition to delusional beliefs; however, the severity of combat experience was not. It was also found that veterans who met criteria for PTSD were more likely to hold delusional-like ideas compared with those who did not. Furthermore, the PTSD group held more negative post-trauma cognitions and more positive beliefs about paranoia. These findings suggest that PTSD symptoms may confer vulnerability to delusional beliefs and that this may be mediated by negative appraisals about the self, the world and dysfunctional beliefs about paranoia. However, it is possible that psychotic-like phenomena confer vulnerability to PTSD. The implications of these findings are discussed.

  18. DOE occupational radiation exposure 2004 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2004-12-31

    The U.S. Department of Energy (DOE) Office of Corporate Performance Assessment (EH-3) publishes the annual DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE and DOE contractor managers and workers in managing radiological safety programs and to assist them in prioritizing resources. We appreciate the efforts and contributions from the various stakeholders within and outside DOE to make the report most useful. This report includes occupational radiation exposure information for all monitored DOE employees, contractors, and subcontractors, as well as members of the public. DOE is defined to include the National Nuclear Security Administration sites. The exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  19. DOE occupational radiation exposure 2003 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2003-12-31

    The U.S. Department of Energy (DOE) Office of Corporate Performance Assessment (EH-3) publishes the annual DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE and DOE contractor managers and workers in managing radiological safety programs and to assist them in prioritizing resources. We appreciate the efforts and contributions from the various stakeholders within and outside DOE to make the report most useful. This report includes occupational radiation exposure information for all monitored DOE employees, contractors, subcontractors, and members of the public. DOE is defined to include the National Nuclear Security Administration sites. The exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  20. DOE occupational radiation exposure 1998 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    1998-12-31

    The U.S. Department of Energy (DOE) Office of Environment, Safety and Health with support from Environment Safety and Health Technical Information Services publishes the DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE/DOE contractor managers in managing radiological safety programs and to assist them in prioritizing resources. We appreciate the efforts and contributions from the various stakeholders within and outside DOE and hope we have succeeded in making the report more useful. This report includes occupational radiation exposure information for all monitored DOE employees, contractors, subcontractors, and visitors. The exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  1. DOE occupational radiation exposure 2002 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2002-12-31

    The U.S. Department of Energy (DOE) Office of Corporate Performance Assessment (EH-3) publishes the annual DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE and DOE contractor managers and workers in managing radiological safety programs and to assist them in prioritizing resources. We appreciate the efforts and contributions from the various stakeholders within and outside DOE to make the report most useful. This report includes occupational radiation exposure information for all monitored DOE employees, contractors, subcontractors, and members of the public. The exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  2. DOE occupational radiation exposure 1999 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    1999-12-31

    The U.S. Department of Energy (DOE) Office of Safety and Health publishes the annual DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE and DOE contractor managers in managing radiological safety programs and to assist them in prioritizing resources. We appreciate the efforts and contributions from the various stakeholders within and outside DOE and hope we have succeeded in making the report more useful. This report includes occupational radiation exposure information for all monitored DOE employees, contractors, subcontractors, and visitors. The exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  3. DOE occupational radiation exposure 1997 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    1997-12-31

    The U.S. Department of Energy (DOE) Office of Environment, Safety and Health publishes the DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE/DOE contractor managers in managing radiological safety programs and to assist them in prioritizing resources. We appreciate the efforts and contributions from the various stakeholders within and outside DOE and hope we have succeeded in making the report more useful. This report includes occupational radiation exposure information for all monitored DOE employees, contractors, subcontractors, and visitors. The exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  4. DOE occupational radiation exposure 2002 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2002-12-31

    The U.S. Department of Energy (DOE) Office of Corporate Performance Assessment (EH-3) publishes the annual DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE and DOE contractor managers and workers in managing radiological safety programs and to assist them in prioritizing resources. We appreciate the efforts and contributions from the various stakeholders within and outside DOE to make the report most useful. This report includes occupational radiation exposure information for all monitored DOE employees, contractors, subcontractors, and members of the public. The exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  5. DOE occupational radiation exposure 1997 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    1997-12-31

    The U.S. Department of Energy (DOE) Office of Environment, Safety and Health publishes the DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE/DOE contractor managers in managing radiological safety programs and to assist them in prioritizing resources. We appreciate the efforts and contributions from the various stakeholders within and outside DOE and hope we have succeeded in making the report more useful. This report includes occupational radiation exposure information for all monitored DOE employees, contractors, subcontractors, and visitors. The exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  6. DOE occupational radiation exposure 2000 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2000-12-31

    The U.S. Department of Energy (DOE) Office of Safety and Health publishes the annual DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE and DOE contractor managers in managing radiological safety programs and to assist them in prioritizing resources. We appreciate the efforts and contributions from the various stakeholders within and outside DOE in making this report most useful to them. This report includes occupational radiation exposure information for all monitored DOE employees, contractors, subcontractors, and visitors. The exposure information is analyzed in terms of aggregate data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  7. DOE occupational radiation exposure 1996 report

    Energy Technology Data Exchange (ETDEWEB)

    none,

    1996-12-31

    The U.S. Department of Energy (DOE) Office of Environment, Safety and Health publishes the DOE Occupational Radiation Exposure Report. This report is intended to be a valuable tool for DOE/DOE contractor managers in their management of radiological safety programs and to assist them in the prioritization of resources. We appreciate the efforts and contributions from the various stakeholders within and outside the DOE and hope we have succeeded in making the report more useful. This report includes occupational radiation exposure information for all DOE employees, contractors, subcontractors, and visitors. The exposure information is analyzed in terms of collective data, dose to individuals, and dose by site. For the purposes of examining trends, data for the past 5 years are included in the analysis.

  8. DOE occupational radiation exposure 1996 report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    The goal of the US Department of Energy (DOE) is to conduct its radiological operations to ensure the health and safety of all DOE employees including contractors and subcontractors. The DOE strives to maintain radiation exposures to its workers below administrative control levels and DOE limits and to further reduce these exposures and releases to levels that are ``As Low As Reasonably Achievable`` (ALARA). The DOE Occupational Radiation Exposure Report, 1996 provides summary and analysis of the occupational radiation exposure received by individuals associated with DOE activities. The DOE mission includes stewardship of the nuclear weapons stockpile and the associated facilities, environmental restoration of DOE and precursor agency sites, and energy research. Collective exposure at DOE has declined by 80% over the past decade due to a cessation in opportunities for exposure during the transition in DOE mission from weapons production to cleanup, deactivation and decommissioning, and changes in reporting requirements and dose calculation methodology. In 1996, the collective dose decreased by 10% from the 1995 value due to decreased doses at five of the seven highest-dose DOE sites. For 1996, these sites attributed the reduction in collective dose to the completion of several decontamination and decommissioning projects, reduced spent fuel storage activities, and effective ALARA practices. This report is intended to be a valuable tool for managers in their management of radiological safety programs and commitment of resources.

  9. DOE occupational radiation exposure 1996 report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    The goal of the US Department of Energy (DOE) is to conduct its radiological operations to ensure the health and safety of all DOE employees including contractors and subcontractors. The DOE strives to maintain radiation exposures to its workers below administrative control levels and DOE limits and to further reduce these exposures and releases to levels that are ``As Low As Reasonably Achievable`` (ALARA). The DOE Occupational Radiation Exposure Report, 1996 provides summary and analysis of the occupational radiation exposure received by individuals associated with DOE activities. The DOE mission includes stewardship of the nuclear weapons stockpile and the associated facilities, environmental restoration of DOE and precursor agency sites, and energy research. Collective exposure at DOE has declined by 80% over the past decade due to a cessation in opportunities for exposure during the transition in DOE mission from weapons production to cleanup, deactivation and decommissioning, and changes in reporting requirements and dose calculation methodology. In 1996, the collective dose decreased by 10% from the 1995 value due to decreased doses at five of the seven highest-dose DOE sites. For 1996, these sites attributed the reduction in collective dose to the completion of several decontamination and decommissioning projects, reduced spent fuel storage activities, and effective ALARA practices. This report is intended to be a valuable tool for managers in their management of radiological safety programs and commitment of resources.

  10. Expansion of a VR Exposure Therapy System for Combat-Related PTSD to Medics/Corpsman and Persons Following Military Sexual Trauma.

    Science.gov (United States)

    Rizzo, Albert; Hartholt, Arno; Rothbaum, Barbara; Difede, Joann; Reist, Chris; Kwok, David; Leeds, Andrew; Spitalnick, Josh; Talbot, Thomas; Adamson, Todd; Buckwalter, J Galen

    2014-01-01

    The stressful experiences that have been characteristic of the combat environments in Iraq and Afghanistan have produced significant numbers of returning service members at risk for developing posttraumatic stress disorder and other psychosocial/behavioral health conditions. This paper describes a set of projects that are expanding the content for inclusion in a newly updated "Virtual Iraq/Afghanistan" Virtual Reality system for the delivery of exposure therapy (VRET) for PTSD with Service Members and Veterans. In addition to the complete rebuilding of this VRET system using the latest version of the Unity Game Engine, the system's content and functionality has been expanded to now support the use of VRET with combat medics/corpsmen and persons who have experienced military sexual trauma (MST). The focus of this paper is to present the rationale and general overview of the progress on these projects that will provide new relevant and customizable options for conducting VRET with a wider range of trauma experiences.

  11. Transparency in Financial Reporting: Is Country-by-Country Reporting suitable to combat international profit shifting?

    OpenAIRE

    Evers, Maria Theresia; Meier, Ina; Spengel, Christoph

    2014-01-01

    Aggressive tax planning efforts of highly profitable multinational companies (Base Erosion and Profit Shifting (BEPS)) have recently become the subject of intense public debate. As a response, several international initiatives and parties have called for more transparency in financial reporting, especially by means of a country-specific reporting of certain tax information (Country-by-Country Reporting (CbCR)). In our paper, we demonstrate that neither consolidated nor individual financial ac...

  12. Transparency in financial reporting: Is country-by-country reporting suitable to combat international profit shifting?

    OpenAIRE

    Evers, Maria Theresia; Meier, Ina; Spengel, Christoph

    2014-01-01

    Aggressive tax planning efforts of highly profitable multinational companies (Base Erosion and Profit Shifting (BEPS)) have recently become the subject of intense public debate. As a response, several international initiatives and parties have called for more transparency in financial reporting, especially by means of a country-specific reporting of certain tax information (Country-by-Country Reporting (CbCR)). In our paper, we demonstrate that neither consolidated nor individual financial ac...

  13. Longitudinal Assessment of Self-Reported Recent Back Pain and Combat Deployment in the Millennium Cohort Study.

    Science.gov (United States)

    Granado, Nisara S; Pietrucha, Amanda; Ryan, Margaret; Boyko, Edward J; Hooper, Tomoko I; Smith, Besa; Smith, Tyler C

    2016-11-15

    A prospective cohort study. Activities performed during military operations vary in complexity and physical demand. The risk for mental illness following military combat deployment has been well documented. However, information regarding the possible contribution of back pain to decreased mental and functional health is scarce. To our knowledge, this is the first study to prospectively assess deployment and self-reported recent back pain in a population-based U.S. military cohort. The study consisted of Millennium Cohort participants who were followed for the development of back pain for an average of 3.9 years. Descriptive statistics and longitudinal analyses were used to assess the temporal relationship of deployment with self-reported recent back pain at follow-up (N = 53,933). Recent back pain was self-reported by 8379 (15.5%) participants at follow-up. After adjusting for covariates, deployers with combat experiences had higher odds [odds ratio (OR) = 1.38, 95% confidence interval (95% CI): 1.28-1.50] of recent back pain than noncombat deployers. There was no association between recent back pain and nondeployers compared with noncombat deployers. Service support/supply handlers were at an increased odds of reporting recent back pain (OR = 1.11, 95% CI: 1.02-1.21) than functional support/administration occupations. Occupations associated with a physically demanding work environment had a higher risk of back pain. Deployers with combat experiences were more likely to report back pain postdeployment. This well-defined group of military personnel may potentially benefit from integrated prevention efforts. 3.

  14. Marksmanship Requirements From the Perspective of Combat Veterans - Volume I: Main Report

    Science.gov (United States)

    2016-02-01

    by Armor, Military Police, Quartermaster, Engineer and Field Artillery leaders. Three other skill areas, each accounting for 6% of less of the...Clusters of marksmanship skills were identified and linked to three groups of branches. Skills common to all branches were identified as well as... Skills identified reflected the leaders’ combat experience. Training of some high priority, common skills will require additional training time

  15. Georgia; Detailed Assessment Report on Anti-Money Laundering and Combating the Financing of Terrorism

    OpenAIRE

    International Monetary Fund.

    2013-01-01

    The Georgian antimoney laundering (AML) and combating the financing of terrorism (CFT) regime has significantly improved since 2007. However, technical deficiencies, poor implementation, and limited resources undermine the effectiveness of the financial intelligence unit (FIU) and AML/CFT supervision. The country has a comprehensive legal framework in place criminalizing both ML and FT as autonomous offenses and no shortcomings have been identified. It has also established a framework to impl...

  16. Gender differences in combat medic mental health services utilization, barriers, and stigma.

    Science.gov (United States)

    Elnitsky, Christine A; Chapman, Paula L; Thurman, Ryan M; Pitts, Barbara L; Figley, Charles; Unwin, Brian

    2013-07-01

    Military health care providers experience considerable stressors related to their exposure to death and traumatic injuries in others. This study used survey data from 799 active duty U.S. Army Combat Medics deployed to Operation Iraqi Freedom/Operation Enduring Freedom. Military experiences, combat exposures, and mental health care seeking of active duty Combat Medics were explored and compared across both genders. Barriers to care were also assessed. Male and female Combat Medics reported surprisingly similar experiences, exposures, and health issues. Overall, results indicate no striking differences in barriers for females compared to their male counterparts, suggesting the barriers to utilization of mental health services may be consistent across gender. Although medics endorsed barriers and stigma related to mental health counseling services, they still sought these health services. Female and male medics who endorsed barriers were more likely to report seeking services than those who did not endorse barriers. This study provides an initial description of utilization of mental health counseling services for U.S. Army Combat Medics, the majority of whom were involved in combat operations in Afghanistan or Iraq. Our findings indicate that comprehensive assessment of the military experiences and combat exposures is needed to appreciate their potential influence on military health care providers. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.

  17. Installation restoration program. Surveillance and oversight of remedial actions at site 2 and site 4. Completion report for Alpena Combat Readiness Training Center, Alpena Michigan. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-02-01

    This report documents remediation activities through completion at Site 2 and Site 4 of the Alpena Combat Readiness Training Center (CRTC) in Alpena, Michigan (Figure 1). Contaminated soils were remediated from May 1995 through August 1995 using a combination of stabilization, in-situ bioremediation, and ex-situ bioremediation technologies. Remediation activities were completed by Unico Construction Co., Inc. (the general contractor) and CCC Group, Inc. (a subcontractor) both of San Antonio, Texas. Remediation activities included.

  18. The Impact of Multiple Concussions on Emotional Distress, Post-Concussive Symptoms, and Neurocognitive Functioning in Active Duty United States Marines Independent of Combat Exposure or Emotional Distress

    Science.gov (United States)

    Lathan, Corinna E.; Bleiberg, Joseph; Tsao, Jack W.

    2014-01-01

    Abstract Controversy exists as to whether the lingering effects of concussion on emotional, physical, and cognitive symptoms is because of the effects of brain trauma or purely to emotional factors such as post-traumatic stress disorder or depression. This study examines the independent effects of concussion on persistent symptoms. The Defense Automated Neurobehavioral Assessment, a clinical decision support tool, was used to assess neurobehavioral functioning in 646 United States Marines, all of whom were fit for duty. Marines were assessed for concussion history, post-concussive symptoms, emotional distress, neurocognitive functioning, and deployment history. Results showed that a recent concussion or ever having experienced a concussion was associated with an increase in emotional distress, but not with persistent post-concussive symptoms (PPCS) or neurocognitive functioning. Having had multiple lifetime concussions, however, was associated with greater emotional distress, PPCS, and reduced neurocognitive functioning that needs attention and rapid discrimination, but not for memory-based tasks. These results are independent of deployment history, combat exposure, and symptoms of post-traumatic stress disorder and depression. Results supported earlier findings that a previous concussion is not generally associated with post-concussive symptoms independent of covariates. In contrast with other studies that failed to find a unique contribution for concussion to PPCS, however, evidence of recent and multiple concussion was seen across a range of emotional distress, post-concussive symptoms, and neurocognitive functioning in this study population. Results are discussed in terms of implications for assessing concussion on return from combat. PMID:25003552

  19. An experimental predeployment training program improves self-reported patient treatment confidence and preparedness of Army combat medics.

    Science.gov (United States)

    Gerhardt, Robert T; Hermstad, Erik L; Oakes, Michael; Wiegert, Richard S; Oliver, Jeffrey

    2008-01-01

    To develop and assess impact of a focused review of International Trauma Life Support (ITLS) and combat casualty care with hands-on procedure training for U.S. Army medics deploying to Iraq. The setting was a U.S. Army Medical Department Center and School and Camp Eagle, Iraq. Investigators developed and implemented a command-approved prospective educational intervention with a post hoc survey. Subjects completed a three-day course with simulator and live-tissue procedure laboratories. At deployment's end, medics were surveyed for experience, confidence, and preparedness in treating various casualty severity levels. Investigators used two-tailed t-test with unequal variance for continuous data and chi-square for categorical data. Twenty-nine medics deployed. Eight completed the experimental program. Twenty-one of 25 (84%) available medics completed the survey including six of the eight (75%) experimental medics. The experimental group reported significantly greater levels of preparedness and confidence treating "minimal," "delayed," and "immediate" casualties at arrival in Iraq. These differences dissipated progressively over the time course of the deployment. This experimental program increased combat medic confidence and perceived level of preparedness in treating several patient severity levels. Further research is warranted to determine if the experimental intervention objectively improves patient care quality and translates into lives saved early in deployment.

  20. Combat PTSD and implicit behavioral tendencies for positive affective stimuli: A brief report

    Directory of Open Access Journals (Sweden)

    Ashley Nicole Clausen

    2016-05-01

    Full Text Available Background: Prior cognitive research in PTSD has focused on automatic responses to negative affective stimuli, including attentional facilitation or disengagement and avoidance action tendencies. More recent research suggests PTSD may also relate to differences in reward processing, which has lead to theories of PTSD relating to approach-avoidance imbalances. The current pilot study assessed how combat-PTSD symptoms relate to automatic behavioral tendencies to both positive and negative affective stimuli. Method: Twenty male combat veterans completed the Approach-Avoidance Task (AAT, Clinician Administered PTSD Scale, Beck Depression Inventory-II, and State-Trait Anger Expression Inventory-II. During the AAT, subjects pulled (approach or pushed (avoid a joystick in response to neutral, happy, disgust, and angry faces based on border color. Bias scores were calculated for each emotion type (avoid-approach response latency differences. Main and interaction effects for psychological symptom severity and emotion type on bias score were assessed using linear mixed models. Results: There was a significant interaction between PTSD symptoms and emotion type, driven primarily by worse symptoms relating to a greater bias to avoid happy faces. Post-hoc tests revealed that veterans with worse PTSD symptoms were slower to approach as well as quicker to avoid happy faces. Neither depressive nor anger symptoms related to avoid or approach tendencies of emotional stimuli.Conclusion: PTSD severity was associated with a bias for avoiding positive affective stimuli. These results provide further evidence that PTSD may relate to aberrant processing of positively valenced, or rewarding stimuli. Implicit responses to rewarding stimuli could be an important factor in PTSD pathology and treatment. Specifically, these findings have implications for recent endeavors in using computer-based interventions to influence automatic approach-avoidance tendencies.

  1. Australia; Report on the Observance of Standards and Codes: FATF Recommendations for Anti-Money Laundering and Combating the Financing of Terrorism

    OpenAIRE

    International Monetary Fund

    2006-01-01

    The report provides a summary of the Anti-Money Laundering and Combating the Financing of Terrorism (AML/CFT) measures in place in Australia. It describes and analyzes those measures, and provides recommendations on how certain aspects of the system could be strengthened. Under the Financial Transactions Reports (FTR) Act 1988, cash dealers submit a range of financial transaction reports to AUSTRAC, including reports on suspicious transactions (SUSTRs) and international fund transfers. Austra...

  2. The reported incidence of man-machine interface issues in Army aviators using the Aviator's Night Vision System (ANVIS) in a combat theatre

    Science.gov (United States)

    Hiatt, Keith L.; Rash, Clarence E.

    2011-06-01

    Background: Army Aviators rely on the ANVIS for night operations. Human factors literature notes that the ANVIS man-machine interface results in reports of visual and spinal complaints. This is the first study that has looked at these issues in the much harsher combat environment. Last year, the authors reported on the statistically significant (p89,000 flight hours of which >22,000 were with ANVIS) participated. Analysis demonstrated high complaints of almost all levels of back and neck pain. Additionally, the use of body armor and other Aviation Life Support Equipment (ALSE) caused significant ergonomic complaints when used with ANVIS. Conclusions: ANVIS use in a combat environment resulted in higher and different types of reports of spinal symptoms and other man-machine interface issues over what was previously reported. Data from this study may be more operationally relevant than that of the peacetime literature as it is derived from actual combat and not from training flights, and it may have important implications about making combat predictions based on performance in training scenarios. Notably, Aircrew remarked that they could not execute the mission without ANVIS and ALSE and accepted the degraded ergonomic environment.

  3. Child-Specific Exposure Scenarios Examples (Final Report)

    Science.gov (United States)

    The Child-Specific Exposure Scenarios Examples (Final Report) is intended to be a companion document to the Exposure Factors Handbook (U.S. EPA 2011). The example scenarios were compiled from questions and inquiries received from users of the Exposure Factors Handbo...

  4. 76 FR 22648 - Resolution Plans and Credit Exposure Reports Required

    Science.gov (United States)

    2011-04-22

    ... Banking Act and that have at least $50 billion in worldwide assets to prepare resolution plans and credit... credit exposure report requirements of the Dodd-Frank Act with respect to foreign banking organizations... Resolution Plans and Credit Exposure Reports Required AGENCIES: Board of Governors of the Federal...

  5. Maldives: Report on Observance of Standards and Codes: FATF Recommendations for Anti-Money Laundering and Combating the Financing of Terrorism

    OpenAIRE

    International Monetary Fund

    2012-01-01

    The financial sector of the Maldives, although small and not developed, is susceptible to both money laundering and, to a lesser extent, terrorist financing. This report focuses on observance of standards and codes for the FATF-40 (Financial Action Task Force) recommendations for antimoney laundering (AML) and nine special recommendations on combating the financing of terrorism (CFT) in the Maldives. It provides a summary of the AML/CFT measures in place in the Maldives and contains recommend...

  6. Marksmanship Requirements from the Perspective of Combat Veterans - Volume 2: Summary Report

    Science.gov (United States)

    2016-02-01

    17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 57 19a. NAME OF RESPONSIBLE PERSON Dr. Scott E. Graham a. REPORT...Operations Support (OS) Signal Military Intelligence 25 35 Force Sustainment (FS) Multi-functional Logistician Transportation Ammunition...In order to have Operations Support (OS) leaders represented in the major questionnaire analyses, the Signal and Military Intelligence leaders were

  7. Transplacental isopropanol exposure: case report and review of metabolic principles.

    Science.gov (United States)

    Wood, J N; Carney, J; Szczepanski, K; Calello, D P; Hurt, H

    2007-03-01

    Isopropanol, a known central nervous system depressant has been reported to cause toxicity via multiple routes including ingestion, inhalation and dermal exposure. We present a case of transplacental isopropanol exposure in a neonate. A woman reported polysubstance abuse in the 1 to 2 days before precipitously delivering a newborn infant. The neonate developed hypotension, hypotonia and seizure activity within the first few hours of life. Blood samples from the infant revealed toxic levels of isopropanol. Similar symptoms have been reported in infants with isopropanol toxicity from other routes of exposure.

  8. Central Heating Plant site characterization report, Marine Corps Combat Development Command, Quantico, Virginia

    Energy Technology Data Exchange (ETDEWEB)

    1990-08-01

    This report presents the methodology and results of a characterization of the operation and maintenance (O M) environment at the US Marine Corps (USMC) Quantico, Virginia, Central Heating Plant (CHP). This characterization is part of a program intended to provide the O M staff with a computerized artificial intelligence (AI) decision support system that will assist the plant staff in more efficient operation of their plant. 3 refs., 12 figs.

  9. Central Heating Plant site characterization report, Marine Corps Combat Development Command, Quantico, Virginia

    Energy Technology Data Exchange (ETDEWEB)

    1990-08-01

    This report presents the methodology and results of a characterization of the operation and maintenance (O M) environment at the US Marine Corps (USMC) Quantico, Virginia, Central Heating Plant (CHP). This characterization is part of a program intended to provide the O M staff with a computerized artificial intelligence (AI) decision support system that will assist the plant staff in more efficient operation of their plant. 3 refs., 12 figs.

  10. Technology and Research Requirements for Combating Human Trafficking: Enhancing Communication, Analysis, Reporting, and Information Sharing

    Energy Technology Data Exchange (ETDEWEB)

    Kreyling, Sean J.; West, Curtis L.; Olson, Jarrod

    2011-03-17

    DHS’ Science & Technology Directorate directed PNNL to conduct an exploratory study on the domain of human trafficking in the Pacific Northwest in order to examine and identify technology and research requirements for enhancing communication, analysis, reporting, and information sharing – activities that directly support efforts to track, identify, deter, and prosecute human trafficking – including identification of potential national threats from smuggling and trafficking networks. This effort was conducted under the Knowledge Management Technologies Portfolio as part of the Integrated Federal, State, and Local/Regional Information Sharing (RISC) and Collaboration Program.

  11. Combating illiteracy

    Science.gov (United States)

    A science course for nonscientists at Columbia University's Columbia College that was created in 1981 as an experiment to combat “the national crisis of scientific illiteracy” has received major new foundation support and has achieved a permanent place in the college's curriculum.The course, The Theory and Practice of Science, has received a $240,000 grant from the Andrew W. Mellon Foundation, according to Robert E. Pollack, college dean, professor of biological sciences, and originator of the course. The grant will be used for the preparation and publication in 1985 of a textbook, titled The Scientific Experience, which will permit the course to be taught at other schools around the country.

  12. DOE occupational radiation exposure. Report 1992--1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-05-01

    The DOE Occupational Radiation Exposure Report, 1992-1994 reports occupational radiation exposures incurred by individuals at US Department of Energy (DOE) facilities from 1992 through 1994. This report includes occupational radiation exposure information for all DOE employees, contractors, subcontractors, and visitors. This information is analyzed and trended over time to provide a measure of the DOE`s performance in protecting its workers from radiation. Occupational radiation exposure at DOE has been decreasing over the past 5 years. In particular, doses in the higher dose ranges are decreasing, including the number of doses in excess of the DOE limits and doses in excess of the 2 rem Administrative Control Level (ACL). This is an indication of greater attention being given to protecting these individuals from radiation in the workplace.

  13. DOE occupational radiation exposure. Report 1992--1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-05-01

    The DOE Occupational Radiation Exposure Report, 1992-1994 reports occupational radiation exposures incurred by individuals at US Department of Energy (DOE) facilities from 1992 through 1994. This report includes occupational radiation exposure information for all DOE employees, contractors, subcontractors, and visitors. This information is analyzed and trended over time to provide a measure of the DOE`s performance in protecting its workers from radiation. Occupational radiation exposure at DOE has been decreasing over the past 5 years. In particular, doses in the higher dose ranges are decreasing, including the number of doses in excess of the DOE limits and doses in excess of the 2 rem Administrative Control Level (ACL). This is an indication of greater attention being given to protecting these individuals from radiation in the workplace.

  14. Urban Combat Advanced Training Technology (Technologie avancee d’entrainement au combat urbain)

    Science.gov (United States)

    2015-07-01

    plants and pollution ; • Signs for borders and limits; and • Fines and consequences. Handling of Equipment Describe the takeover-handling-handover...REPORT TR-MSG-063 Urban Combat Advanced Training Technology (Technologie avancée d’entraînement au combat urbain) Final Report of Task Group 063...TECHNOLOGY ORGANIZATION AC/323(MSG-063)TP/591 www.sto.nato.int STO TECHNICAL REPORT TR-MSG-063 Urban Combat Advanced Training Technology

  15. Tactical/Combat Engines Cetane Window Evaluation

    Science.gov (United States)

    2013-01-31

    custom diesel fuels typically used in Homogeneous Charge Coupled Ignition ( HCCI ) research engines . These fuels are characterized by a very heavy...UNCLASSIFIED TACTICAL/COMBAT ENGINES CETANE WINDOW EVALUATION INTERIM REPORT TFLRF No. 436 by Gregory A. Hansen, Douglas Yost...report when no longer needed. Do not return it to the originator. UNCLASSIFIED UNCLASSIFIED TACTICAL/COMBAT ENGINES CETANE WINDOW

  16. Combat Vehicle Technology Report

    Science.gov (United States)

    1992-05-01

    their "on-off" shock absorbers could not perform adequately. It is conceivable that with the introduction of electrorheological shock absorbers, the...control of indicators, actuators , lights, engines, or other loads. Although the transceivers do not communicate with each other and have no knowledge...controller acts as the interpretative and authoritative link between switches or detectors, and loads or actuators . Switches and loads are not directly

  17. Overview of DOE Radiation Exposure Information Reporting System (REIRS)

    Energy Technology Data Exchange (ETDEWEB)

    Fix, J.J.; Briscoe, G.J.; Selby, J.M.; Vallario, E.J.

    1981-05-01

    The purpose of the study is to determine the adequacy of the present system, identify any necessary short-term improvements and propose feasible alternatives for an improved system. The study includes topical reports as follows: current Personnel Dosimetry Practices at DOE Facilities; overview of DOE Radiation Exposure Information Reporting System (REIRS); and alternatives to Provide Upgraded Occupational Exposure Record System. This study constitutes the second report and was a joint effort between Battelle Northwest and EG and G, Idaho Falls. EG and G has been responsible for the respository since the fall of 1978.

  18. A Pilot Study of Mindfulness-based Exposure Therapy in OEF/OIF Combat Veterans with PTSD: Altered Medial Frontal Cortex and Amygdala Responses in Social-Emotional Processing

    Directory of Open Access Journals (Sweden)

    Anthony King

    2016-09-01

    Full Text Available Combat-related PTSD is common among returning veterans, and is a serious and debilitating disorder. While highly effective treatments involving trauma exposure exist, difficulties with engagement and early drop may lead to sub-optimal outcomes. Mindfulness training may provide a method for increasing emotional regulation skills that may improve engagement in trauma-focused therapy. Here we examine potential neural correlates of mindfulness training and in vivo exposure (non-trauma focused using a novel group therapy (Mindfulness-based Exposure Therapy in Afghanistan (OEF or Iraq (OIF combat veterans with PTSD. OEF/OIF combat veterans with PTSD (N=23 were treated with MBET (N = 14 or a comparison group therapy (Present-centered group therapy [PCGT], N = 9. PTSD symptoms were assessed at pre- and post-therapy with Clinician Administered PTSD scale (CAPS. Functional neuroimaging (3 Tesla fMRI before and after therapy examined responses to emotional faces (angry, fearful, and neutral faces. Patients treated with MBET had reduced PTSD symptoms (effect size d = .92 but effect was not significantly different from PCGT (d = .43. Improvement in PTSD symptoms from Pre- to Post treatment in both treatment groups was correlated with increased activity in rostral ACC, dorsal medial PFC, and left amygdala. The MBET group showed greater increases in amygdala and fusiform gyrus responses to Angry faces, as well as increased response in left medial PFC to Fearful faces. These preliminary findings provide intriguing evidence that MBET group therapy for PTSD may lead to changes in neural processing of social-emotional threat related to symptom reduction.

  19. A Pilot Study of Mindfulness-Based Exposure Therapy in OEF/OIF Combat Veterans with PTSD: Altered Medial Frontal Cortex and Amygdala Responses in Social–Emotional Processing

    Science.gov (United States)

    King, Anthony P.; Block, Stefanie R.; Sripada, Rebecca K.; Rauch, Sheila A. M.; Porter, Katherine E.; Favorite, Todd K.; Giardino, Nicholas; Liberzon, Israel

    2016-01-01

    Combat-related posttraumatic stress disorder (PTSD) is common among returning veterans, and is a serious and debilitating disorder. While highly effective treatments involving trauma exposure exist, difficulties with engagement and early drop may lead to sub-optimal outcomes. Mindfulness training may provide a method for increasing emotional regulation skills that may improve engagement in trauma-focused therapy. Here, we examine potential neural correlates of mindfulness training and in vivo exposure (non-trauma focused) using a novel group therapy [mindfulness-based exposure therapy (MBET)] in Afghanistan (OEF) or Iraq (OIF) combat veterans with PTSD. OEF/OIF combat veterans with PTSD (N = 23) were treated with MBET (N = 14) or a comparison group therapy [Present-centered group therapy (PCGT), N = 9]. PTSD symptoms were assessed at pre- and post-therapy with Clinician Administered PTSD scale. Functional neuroimaging (3-T fMRI) before and after therapy examined responses to emotional faces (angry, fearful, and neutral faces). Patients treated with MBET had reduced PTSD symptoms (effect size d = 0.92) but effect was not significantly different from PCGT (d = 0.43). Improvement in PTSD symptoms from pre- to post-treatment in both treatment groups was correlated with increased activity in rostral anterior cingulate cortex, dorsal medial prefrontal cortex (mPFC), and left amygdala. The MBET group showed greater increases in amygdala and fusiform gyrus responses to Angry faces, as well as increased response in left mPFC to Fearful faces. These preliminary findings provide intriguing evidence that MBET group therapy for PTSD may lead to changes in neural processing of social–emotional threat related to symptom reduction. PMID:27703434

  20. Neurologic Health in Combat Sports.

    Science.gov (United States)

    Seifert, Tad

    2017-08-01

    Neurologic injuries of both an acute and chronic nature have been reported in the literature for various combat sport styles; however, reports of the incidence and prevalence of these injury types vary greatly. Combat sports clinicians must continue to strive for the development, implementation, and enforcement of uniform minimum requirements for brain safety. These health care providers must also seize on the honor to provide this oft-underserved population with the health care advocacy they very much deserve, but often do not receive. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Australia; Mutual Evaluation Report: FATF Recommendations for Anti-Money Laundering and Combating the Financing of Terrorism

    OpenAIRE

    International Monetary Fund

    2006-01-01

    The evaluation of the anti-money laundering (AML) and combating the financing of terrorism (CFT) regime of Australia was based on the Forty Recommendations 2003 and the Eight Special Recommendations on Terrorist Financing 2001 of the Financial Action Task Force (FATF), and was prepared using the AML/CFT Methodology 2004. It describes and analyses those measures and provides recommendations on how certain aspects of the system could be strengthened. It also sets out Australia’s levels of com...

  2. Cholinesterase and self-reported pesticide exposure among pregnant women.

    Science.gov (United States)

    De Peyster, A; Willis, W O; Molgaard, C A; MacKendrick, T M; Walker, C

    1993-01-01

    Ascertainment of exposure to cholinesterase-inhibiting pesticides in pregnant subjects is complicated by altered enzyme activity that results from metabolic changes associated with pregnancy. Nevertheless, this study found a high correlation (Pearson chi-square = 13.67, p = .008) between classification of pesticide exposure using self-reported interview information and plasma cholinesterase activity for 203 pregnant women for whom three trimester cholinesterase values were available. All plasma cholinesterase activity values were referenced, by trimester, to a larger sample of 1,050 plasma cholinesterase values from 535 pregnant women. Subjects who lived nearest to agricultural land and who reported that they worked with pesticides in agricultural and other occupations tended to have lower plasma cholinesterase activity than those who reported use of household pesticides only.

  3. Biodentine pulpotomy several days after pulp exposure: Four case reports.

    Science.gov (United States)

    Borkar, Swati A; Ataide, Ida

    2015-01-01

    Conventionally, few-days-old pulp exposures have been treated with root canal treatment. We report four cases of traumatized, fully matured, maxillary permanent central incisors, which have been treated by Biodentine pulpotomy several days after traumatic pulp exposure. Biodentine pulpotomy consisted of pulp tissue removal to a depth of 2 mm, then capping the pulpal wound with Biodentine, followed by immediate restoration. The teeth were assessed clinically through pulpal sensitivity tests and radiographically for periapical healing. At each recall (24 hours, 1 week, 30 days, 3, 6, 12, and 18 months), no spontaneous pain was observed; the pulp showed signs of vitality and absence of periapical radiolucency after 18 months. Biodentine pulpotomy is recommended as a treatment option for cases of vital pulp exposure in permanent incisors due to trauma.

  4. Biodentine pulpotomy several days after pulp exposure: Four case reports

    Science.gov (United States)

    Borkar, Swati A.; Ataide, Ida

    2015-01-01

    Conventionally, few-days-old pulp exposures have been treated with root canal treatment. We report four cases of traumatized, fully matured, maxillary permanent central incisors, which have been treated by Biodentine pulpotomy several days after traumatic pulp exposure. Biodentine pulpotomy consisted of pulp tissue removal to a depth of 2 mm, then capping the pulpal wound with Biodentine, followed by immediate restoration. The teeth were assessed clinically through pulpal sensitivity tests and radiographically for periapical healing. At each recall (24 hours, 1 week, 30 days, 3, 6, 12, and 18 months), no spontaneous pain was observed; the pulp showed signs of vitality and absence of periapical radiolucency after 18 months. Biodentine pulpotomy is recommended as a treatment option for cases of vital pulp exposure in permanent incisors due to trauma. PMID:25657533

  5. Biodentine pulpotomy several days after pulp exposure: Four case reports

    Directory of Open Access Journals (Sweden)

    Swati A Borkar

    2015-01-01

    Full Text Available Conventionally, few-days-old pulp exposures have been treated with root canal treatment. We report four cases of traumatized, fully matured, maxillary permanent central incisors, which have been treated by Biodentine pulpotomy several days after traumatic pulp exposure. Biodentine pulpotomy consisted of pulp tissue removal to a depth of 2 mm, then capping the pulpal wound with Biodentine, followed by immediate restoration. The teeth were assessed clinically through pulpal sensitivity tests and radiographically for periapical healing. At each recall (24 hours, 1 week, 30 days, 3, 6, 12, and 18 months, no spontaneous pain was observed; the pulp showed signs of vitality and absence of periapical radiolucency after 18 months. Biodentine pulpotomy is recommended as a treatment option for cases of vital pulp exposure in permanent incisors due to trauma.

  6. A qualitative analysis of hate speech reported to the Romanian National Council for Combating Discrimination (2003‑2015

    Directory of Open Access Journals (Sweden)

    Adriana Iordache

    2015-12-01

    Full Text Available The article analyzes the specificities of Romanian hate speech over a period of twelve years through a qualitative analysis of 384 Decisions of the National Council for Combating Discrimination. The study employs a coding methodology which allows one to separate decisions according to the group that was the victim of hate speech. The article finds that stereotypes employed are similar to those encountered in the international literature. The main target of hate speech is the Roma, who are seen as „dirty“, „uncivilized“ and a threat to Romania’s image abroad. Other stereotypes encountered were that of the „disloyal“ Hungarian and of the sexually promiscuous woman. Moreover, women are seen as unfit for management positions. The article also discusses stereotypes about homosexuals, who are seen as „sick“ and about non-orthodox religions, portrayed as „sectarian“.

  7. Measures to combat H7N9 virus infection in China: live poultry purchasing habits, poultry handling, and living conditions increase the risk of exposure to contaminated environments.

    Science.gov (United States)

    Song, Peipei; Xia, Jufeng; Gao, Jianjun; Xu, Lingzhong; Huang, Yong; Yao, Linong; Tang, Wei

    2013-08-01

    From March 31 to May 31, 2013, 132 cases of humans were infected with the H7N9 avian influenza virus, 39 of which resulted in death in China, which sparked global concerns about public health. Fortunately, no new case was reported in China since May 8, which seems like to make it step into a stable stage, and the emergency response to the event launched by Shanghai, Jiangsu, Zhejiang, Anhui, Jiangxi, Shandong, and Hu'nan of China have been terminated currently. However, on July 20 and August 10, two new cases were reported from two provinces--Hebei and Guangdong--where no case was reported during the period of spring of 2013. The emerged two new cases rung an alarm bell, thus, the continued public health response cannot let down its guard. Based on our before studies, we found that live poultry purchasing habits, poultry handling, and living conditions increase the risk of exposure to H7N9 virus contaminated environments in China. Due to the difficulty in changing live poultry purchasing habits and in thoroughly removing or closing live poultry markets in China, we suggest that enhanced regulation of poultry markets would be a more feasible and effective strategy to fight against H7N9 virus infection in China. Moreover, in view of the fact that frequent and inevitable contact between rural residents and poultry where rural residents lived also exists due to poultry handling and living conditions, the enhanced regulations on environmental health are also needed for free-range poultry, especially in rural areas.

  8. Post-combat invincibility: violent combat experiences are associated with increased risk-taking propensity following deployment.

    Science.gov (United States)

    Killgore, William D S; Cotting, Dave I; Thomas, Jeffrey L; Cox, Anthony L; McGurk, Dennis; Vo, Alexander H; Castro, Carl A; Hoge, Charles W

    2008-10-01

    Combat exposure is associated with increased rates of mental health problems such as post-traumatic stress disorder, depression, and anxiety when Soldiers return home. Another important health consequence of combat exposure involves the potential for increased risk-taking propensity and unsafe behavior among returning service members. Survey responses regarding 37 different combat experiences were collected from 1252 US Army Soldiers immediately upon return home from combat deployment during Operation Iraqi Freedom. A second survey that included the Evaluation of Risks Scale (EVAR) and questions about recent risky behavior was administered to these same Soldiers 3 months after the initial post-deployment survey. Combat experiences were reduced to seven factors using principal components analysis and used to predict post-deployment risk-propensity scores. Although effect sizes were small, specific combat experiences, including greater exposure to violent combat, killing another person, and contact with high levels of human trauma, were predictive of greater risk-taking propensity after homecoming. Greater exposure to these combat experiences was also predictive of actual risk-related behaviors in the preceding month, including more frequent and greater quantities of alcohol use and increased verbal and physical aggression toward others. Exposure to violent combat, human trauma, and having direct responsibility for taking the life of another person may alter an individual's perceived threshold of invincibility and slightly increase the propensity to engage in risky behavior upon returning home after wartime deployment. Findings highlight the importance of education and counseling for returning service members to mitigate the public health consequences of elevated risk-propensity associated with combat exposure.

  9. 75 FR 52355 - Draft National Conversation on Public Health and Chemical Exposures Work Group Reports...

    Science.gov (United States)

    2010-08-25

    ... Prevention Draft National Conversation on Public Health and Chemical Exposures Work Group Reports... exposures. This notice announces the availability of draft National Conversation work group reports for... National Conversation Leadership Council and facilitating the work group process. DATES: Draft work...

  10. Summary of worldwide pediatric malignancies reported after exposure to etanercept

    Directory of Open Access Journals (Sweden)

    Chernyukhin Nataliya

    2010-06-01

    Full Text Available Abstract Background Concerns have been raised about a potential link between the use of TNF inhibitors and development of malignancy in the pediatric population. We examined the worldwide experience of etanercept use in pediatric patients and the occurrence of malignancies as reported from clinical trials, registry studies, post-marketing surveillance, and published scientific literature. Methods All reports of "malignancy" in pediatric patients (including subjects who received etanercept before age 18 and developed a malignancy before age 22 were collected from the etanercept clinical trials database and global safety database using the Medical Dictionary for Regulatory Activities (MedDRA; v12.0 standardized MedDRA query "Malignancies" from 1998 to August 2009. Cases were collected irrespective of treatment indication. All cases were included regardless of exposure to other TNF blockers or other biologics and whether the other exposure was before or after etanercept. Results A total of 18 potential malignancies were identified: 4 leukemias, 7 lymphomas, and 7 solid tumors. Three of the 18 malignancies remain unconfirmed. No malignancies were reported from clinical trials or the open-label extension studies in any indication in children. Conclusion The data suggest that there does not appear to be an increased risk of malignancy overall with the use of etanercept. Among etanercept-exposed patients aged 4 to 17 years, the estimated worldwide and US reporting rates for lymphoma were approximately 0.01 per 100 patient-years (1 in 10,000 pt-yrs. While the reported rate of lymphoma is higher in pediatric patients treated with etanercept than in normal children, the expected rate of lymphoma in biologic naïve JIA patients is currently unknown. The risk of TNF inhibitors in the development of malignancies in children and adolescents is difficult to assess because of the rarity of malignant events, the absence of knowledge of underlying frequency of

  11. IMPLICATIONS OF THE CURRENT EXPOSURE DRAFT ON AUDIT REPORTING

    Directory of Open Access Journals (Sweden)

    George Silviu CORDOȘ

    2015-04-01

    Full Text Available The regulatory changes come as a response to perceived deficiencies in the postfinancial crisis, and their goal is to improve users' perception of the usefulness and quality of the audit report. The article approaches the subject of these proposals to revise the standards and their implications for the audit report. The article is divided into five parts: the first part the authors present a brief introduction to the subject matter; the second part presents the research methodology; the third part the authors present a review of the literature research; the fourth section presents an analysis of the responses of EU respondents to the Exposure Draft issued by the IAASB in July 2013 and the last part the authors present research findings, limitations and perspectives.

  12. Virtual Reality Exposure Therapy Using a Virtual Iraq: Case Report

    Science.gov (United States)

    Gerardi, Maryrose; Rothbaum, Barbara Olasov; Ressler, Kerry; Heekin, Mary; Rizzo, Albert

    2013-01-01

    Posttraumatic stress disorder (PTSD) has been estimated to affect up to 18% of returning Operation Iraqi Freedom (OIF) veterans. Soldiers need to maintain constant vigilance to deal with unpredictable threats, and an unprecedented number of soldiers are surviving serious wounds. These risk factors are significant for development of PTSD; therefore, early and efficient intervention options must be identified and presented in a form acceptable to military personnel. This case report presents the results of treatment utilizing virtual reality exposure (VRE) therapy (virtual Iraq) to treat an OIF veteran with PTSD. Following brief VRE treatment, the veteran demonstrated improvement in PTSD symptoms as indicated by clinically and statistically significant changes in scores on the Clinician Administered PTSD Scale (CAPS; Blake et al., 1990) and the PTSD Symptom Scale Self-Report (PSS-SR; Foa, Riggs, Dancu, & Rothbaum, 1993). These results indicate preliminary promise for this treatment. PMID:18404648

  13. Radiation exposures for DOE contractor employees-1988. Twenty-first annual report

    Energy Technology Data Exchange (ETDEWEB)

    Merwin, S. E. [Pacific Northwest Lab., Richland, WA (United States); Millet, W. H. [Pacific Northwest Lab., Richland, WA (United States); Idaho National Engineering Lab., Idaho Falls, ID (United States); Traub, R. J. [Pacific Northwest Lab., Richland, WA (United States)

    1990-12-01

    This report is one of a series of annual reports provided by the U.S. Department of Energy (DOE) summarizing occupational radiation exposures received by DOE and DOE contractor employees. These reports provide an overview of radiation exposures received each year and identify trends in exposures being experienced over the years.

  14. Radiation Exposures for DOE and DOE Contractor Employees - 1989. Twenty-second annual report

    Energy Technology Data Exchange (ETDEWEB)

    Smith, M. H. [Pacific Northwest Lab., Richland, WA (United States); Eschbach, P. A. [Pacific Northwest Lab., Richland, WA (United States); Harty, R. [Pacific Northwest Lab., Richland, WA (United States); Millet, W. H. [Idaho National Engineering Lab., Idaho Falls, ID (United States); Scholes, V. A. [Idaho National Engineering Lab., Idaho Falls, ID (United States)

    1992-12-01

    This report is one of a series of annual reports provided by the U.S. Department of Energy (DOE) summarizing occupational radiation exposures received by DOE and DOE contractor employees. These reports provide an overview of radiation exposures received each year and identify trends in exposures being experienced over the years.

  15. Women in Combat: Issues for Congress

    Science.gov (United States)

    2015-12-03

    findings, DOD adopted a “risk rule” in February 1988 that excluded women from noncombat units or missions if the risks of exposure to direct combat... homosexuals ) and that there is little or no evidence that unit effectiveness was reduced as a result of that integration. Outlook for Congress

  16. Association of combatant status and sexual violence with health and mental health outcomes in postconflict Liberia.

    Science.gov (United States)

    Johnson, Kirsten; Asher, Jana; Rosborough, Stephanie; Raja, Amisha; Panjabi, Rajesh; Beadling, Charles; Lawry, Lynn

    2008-08-13

    Liberia's wars since 1989 have cost tens of thousands of lives and left many people mentally and physically traumatized. To assess the prevalence and impact of war-related psychosocial trauma, including information on participation in the Liberian civil wars, exposure to sexual violence, social functioning, and mental health. A cross-sectional, population-based, multistage random cluster survey of 1666 adults aged 18 years or older using structured interviews and questionnaires, conducted during a 3-week period in May 2008 in Liberia. Symptoms of major depressive disorder (MDD) and posttraumatic stress disorder (PTSD), social functioning, exposure to sexual violence, and health and mental health needs among Liberian adults who witnessed or participated in the conflicts during the last 2 decades. In the Liberian adult household-based population, 40% (95% confidence interval [CI], 36%-45%; n = 672/1659) met symptom criteria for MDD, 44% (95% CI, 38%-49%; n = 718/1661) met symptom criteria for PTSD, and 8% (95% CI, 5%-10%; n = 133/1666) met criteria for social dysfunction. Thirty-three percent of respondents (549/1666) reported having served time with fighting forces, and 33.2% of former combatant respondents (182/549) were female. Former combatants experienced higher rates of exposure to sexual violence than noncombatants: among females, 42.3% (95% CI, 35.4%-49.1%) vs 9.2% (95% CI, 6.7%-11.7%), respectively; among males, 32.6% (95% CI, 27.6%-37.6%) vs 7.4% (95% CI, 4.5%-10.4%). The rates of symptoms of PTSD, MDD, and suicidal ideation were higher among former combatants than noncombatants and among those who experienced sexual violence vs those who did not. The prevalence of PTSD symptoms among female former combatants who experienced sexual violence (74%; 95% CI, 63%-84%) was higher than among those who did not experience sexual violence (44%; 95% CI, 33%-53%). The prevalence of PTSD symptoms among male former combatants who experienced sexual violence was higher

  17. Immune response profiles after caterpillar exposure: a case report

    Directory of Open Access Journals (Sweden)

    Tamar A Smith-Norowitz

    2010-07-01

    Full Text Available Tamar A Smith-Norowitz1,3, Kevin B Norowitz1, Stephan Kohlhoff1,3, Kaushal Kalra1,3, Seto Chice2,3, Martin H Bluth41Departments of Pediatrics, 2Pathology, 3Center for Allergy and Asthma Research, SUNY Downstate Medical Center, NY, USA; 4Department of Pathology, Wayne State University School of Medicine, Detroit, MI, USARationale: The role of the immune response to caterpillar exposure is not well described. This case study is the first to report a patient who presented with an allergic reaction after exposure to the larvae of the sycamore tussock moth, Halysidota harrisii Walsh, 1864.Methods: Blood was collected from an allergic asthmatic adult (m/42 y/o at 2 hrs – 2 wks after contact urticaria with associated dyspnea after exposure to the larvae of the sycamore tussock moth, Halysidota harrisii Walsh, 1864. Distributions of blood lymphocytes (CD4+, CD8+, CD8+CD60+, CD19+, CD23+, CD16/56+, CD25, CD45RA+, CD45RO+, monocytes (CD1d+, levels of serum immunoglobulins (IgM, IgG, IgA, IgE, and cytokines (IFN-γ, IL-4, TNF-a were studied (flow cytometry, nephelometry, UniCAP Total IgE Fluoroenzymeimmunoassay, cytokine ELISA, clinical toxicology.Results: Numbers of CD4+ T cells, CD25+ cells, CD19+ B cells, and CD1d+ monocytes decreased (22, 27, 33, 20%, respectively one week post reaction, CD45RA+ naïve T cells decreased at 36 hours (21%,while CD8+CD60+ T cells and CD23+ cells decreased 48 hrs (33, 74%, respectively post reaction. In contrast, numbers of CD16/56+ NK precursor cells increased (60% 12 hrs, then decreased (65% 48 hrs post reaction; other lymphocyte subsets were unaffected. Serum IgM, IgG and IgA were within normal range; however, serum IgE demonstrated a bimodal elevation at 2 hrs (15% and one week post reaction. Levels of IFN-γ, IL-4, and TNF-a were not detected in serum pre-exposure (<1.0–4.0 pg/mL. However, high levels of IFN-γ (187–319 pg/mL and TNF-a (549–749 pg/mL were detected in serum 24–36 hrs and 3.5–24 hrs post

  18. Child-Specific Exposure Factors Handbook (Final Report) 2008

    Science.gov (United States)

    The National Center for Environmental Assessment Staff (NCEA) have prepared this handbook to provide information on various physiological and behavioral factors commonly used in assessing children’s exposure to environmental chemicals. Children have different exposure circumstanc...

  19. RECRUITING, RETAINING, AND REPORTING EXPOSURE STUDY RESULTS TO PARTICIPANTS AND THE PUBLIC

    Science.gov (United States)

    EPA's National Exposure Research Laboratory (NERL) is developing techniques and capabilities to recruit and retain participants in exposure measurement studies and to effectively report study results to participants and the public. These techniques are being applied in three N...

  20. Infrared and visible combat identification marking materials

    Science.gov (United States)

    O'Keefe, Eoin; Shohet, Adam; Swan, Martin

    2007-04-01

    Historically, it is believed that fratricide accounts for up to 15% of friendly casualties during operations and a UK MoD report identifies that almost half of all such casualties occur in situations involving ground units only. Such risks can be mitigated, to an extent, via operational awareness and effective communications. However, recent conflicts have involved a much more dynamic, complex and technically sophisticated battlefield than previously experienced. For example, Operation Telic (Desert Storm) involved almost one million combatants and ten thousand armoured vehicles in the coalition force, advancing across an extensive battlefront at high speed during daylight and at night, making effective use of a range of electro-optic sensors. The accelerated tempo of battle means that front lines can undergo rapid, punctuated advances that can leave individual combat units with a much degraded situational awareness, particularly of where they are in relation to other 'friendly' combatants. Consequently, there is a need for a robust, low cost, low weight, compact, unpowered, interoperable, Combat Identification technique for use with popular electro-optic sensors which can be deployed, and is effective, at the individual combat unit level. In this paper we discuss ground-to-ground combat identification materials that meet these requirements, all of which are based on the air-to-ground Mirage TM vehicle marking material. We show some preliminary ground-to-ground data collected from the new variant Mirage TM material in recent experimental trials conducted during the day, evening and at night.

  1. An Introductory Characterization of a Combat-Casualty-Care Relevant Swine Model of Closed Head Injury Resulting from Exposure to Explosive Blast

    Science.gov (United States)

    2009-07-08

    Richard Bauman, Geoffrey Ling, Lawrence Tong, Adolph Januszkiewicz , Denes Agoston, Nihal Delanerolle, Young Kim, Dave Ritzel, Randy Bell, James Ecklund...of Closed Head Injury Resulting from Exposure to Explosive Blast* Richard A. Bauman,1 Geoffrey Ling,2 Lawrence Tong,3 Adolph Januszkiewicz ,4 Denes...inflammation, and neuronal death cascades. J. Neurotrauma 26, 901-911. Ananiadou, O., Bibou, K ., Drossos, G., Bai, M., Haj-Yahia, S., Charchardi, A., and

  2. Quality Assurance of Current Combat Ration Pack Components: 12 Months Progress Report on 2010/11 Ration Packing Program

    Science.gov (United States)

    2013-04-01

    Sweet Corn, Carrots, Savoury Soup, Tomato Soup and Chocolate Candy. The report makes recommendations to improve initial acceptability and to reduce the...17 3.7.1 Chocolate Candy...three stages as follows:  Determine initial compliance and nutritional composition  Conduct shelf life (SL) monitoring and review at 12 months

  3. Associations between Types of Combat Violence and the Acquired Capability for Suicide

    Science.gov (United States)

    Bryan, Craig J.; Cukrowicz, Kelly C.

    2011-01-01

    Research suggests that combat exposure might increase risk for suicide. The interpersonal-psychological theory of suicide (IPTS) proposes that exposure to painful and provocative experiences such as combat contribute to fearlessness about death and increased pain tolerance, which serve to enhance the individual's capability to attempt suicide.…

  4. University Research Initiative Program for Combat Readiness, Annual Report for the Period June 1, 1997 - June 30, 1998

    Science.gov (United States)

    1998-05-01

    which are human relevant vectors of the malaria parasite. Progress is also reported on the development of DNA- based diagnostic assays. These studies...lighting and orientation is an important problem in computer vision. The specific class of images used in this research was a large database of human faces...blistering (e.g., sulfur mustard, nitrogen mustard, and lewisite), and plant toxins such as the trichothecene family of toxins (e.g

  5. Carbamazepine overdose after exposure to simethicone: a case report

    Directory of Open Access Journals (Sweden)

    Guneysel Ozlem

    2008-07-01

    Full Text Available Abstract Introduction Carbamazepine is an anticonvulsant drug and is also used as a treatment for patients with manic-depressive illness, post-herpetic neuralgia or phantom limb pain. The drug itself has many drug interactions. Simethicone is an antifoaming agent and is reported to be an inert material with no known drug interaction with carbamazepine. Case presentation We present a case of a patient who was routinely using carbamazepine 400 mg three times per day and levetiracetam 500 mg twice daily, and experienced carbamazepine overdose after exposure to simethicone. After cessation of simethicone therapy normal drug levels of carbamazepine were obtained again with the standard dose of the drug. The mechanism of interaction is unknown but the risk of overdose should be considered when prescribing simethicone to a patient who is using carbamazepine. Conclusion Simethicone and carbamazepine, when taken together, may be a cause of carbamazepine toxicity. The risk of carbamazepine overdose should be considered when prescribing simethicone to a patient who is using carbamazepine.

  6. Combat Report of the 3d Marine Division in the Bougainville Operations, 1 November - 28 December, 1943

    Science.gov (United States)

    1944-03-21

    Pvt . , (455585), USMCR, ( HNov45) •METCALFE, Henry 3 . ,PlSgt . , ( 2770O9) , USMC, (HNov43) PRIETO , Isabel’. V-. ,PFC, .(339809), USMC, (,llilov43...Col. Alan Shapley, prior to landing t . Lt. Col Alan Shapley, Commanding Officer of the Second Raider Regiment (Provisional), was designated to be...made their report to Lt. Col. Alan Shapley and the C—3. On 7 November, 1943. U HM Company relieved "F" Company on the Road Block at 13OO. "H

  7. Hearing loss associated with US military combat deployment

    Directory of Open Access Journals (Sweden)

    Timothy S Wells

    2015-01-01

    Full Text Available The objective of this study was to define the risk of hearing loss among US military members in relation to their deployment experiences. Data were drawn from the Millennium Cohort Study. Self-reported data and objective military service data were used to assess exposures and outcomes. Among all 48,540 participants, 7.5% self-reported new-onset hearing loss. Self-reported hearing loss showed moderate to substantial agreement (k = 0.57-0.69 with objective audiometric measures. New-onset hearing loss was associated with combat deployment (adjusted odds ratio [AOR] = 1.63, 95% confidence interval [CI] = 1.49-1.77, as well as male sex and older age. Among deployers, new-onset hearing loss was also associated with proximity to improvised explosive devices (AOR = 2.10, 95% CI = 1.62-2.73 and with experiencing a combat-related head injury (AOR = 6.88, 95% CI = 3.77-12.54. These findings have implications for health care and disability planning, as well as for prevention programs.

  8. Prehospital Cricothyrotomy Kits Used in Combat.

    Science.gov (United States)

    Schauer, Steven G; April, Michael D; Cunningham, Cord W; Long, Adrianna N; Carter, Robert

    2017-01-01

    Surgical cricothyrotomy remains the only definitive airway management modality for the tactical setting recommended by Tactical Combat Casualty Care guidelines. Some units have fielded commercial cricothyrotomy kits to assist Combat Medics with surgical cricothyrotomy. To our knowledge, no previous publications report data on the use of these kits in combat settings. This series reports the the use of two kits in four patients in the prehospital combat setting. Using the Department of Defense Trauma Registry and the Prehospital Trauma Registry, we identified four cases of patients who underwent prehospital cricothyrotomy with the use of commercial kits. In the first two cases, a Medic successfully used a North American Rescue CricKit (NARCK) to obtain a surgical airway in a Servicemember with multiple amputations from an improvised explosive device explosion. In case 3, the Medic unsuccessfully used an H&H Medical kit to attempt placement of a surgical airway in a Servicemember shot in the head by small arms fire. A second attempt to place a surgical airway using a NARCK was successful. In case 4, a Soldier sustained a gunshot wound to the chest. A Medic described fluid in the airway precluding bag-valve-mask ventilation; the Medic attempted to place a surgical airway with the H&H kit without success. Four cases of prehospital surgical airway cannulation on the battlefield demonstrated three successful uses of prehospital cricothyrotomy kits. Further research should focus on determining which kits may be most useful in the combat setting. 2017.

  9. Installation Restoration Program decision document. Site 11, Alpena Combat Readiness Training Center, Michigan Air National Guard, Alpena County Regional Airport, Alpena, Michigan. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-05-01

    This Decision Document (DD) supports the no further action alternative for Site 11. Former Underground Fuel Storage Tank at the Alpena Combat Readiness Training Center (CRTC) in Alpena, Michigan. The purpose of the DD is to summarize the existing data for the site and describe the Air National Guard`s rational for selecting the no further action alternative.

  10. Radiation exposures for DOE and DOE contractor employees - 1991. Twenty-fourth annual report

    Energy Technology Data Exchange (ETDEWEB)

    Smith, M.H.; Hui, T.E. [Pacific Northwest Lab., Richland, WA (United States); Millet, W.H.; Scholes, V.A. [Idaho National Engineering Lab., Idaho Falls, ID (United States)

    1994-11-01

    This is the 24th annual radiation exposure report published by US DOE and its predecessor agencies. This report summarizes the radiation exposures received by both employees and visitors at DOE and COE contractor facilities during 1991. Trends in radiations exposures are evaluated. The significance of the doses is addressed by comparing them to the DOE limits and by correlating the doses to health risks based on risk estimates from expert groups.

  11. An Exploratory Study: Assessment of Modeled Dioxin Exposure in Ceramic Art Studios (Final Report, 2008)

    Science.gov (United States)

    EPA announced the availability of the final report, An Exploratory Study: Assessment of Modeled Dioxin Exposure in Ceramic Art Studios. This report investigates the potential dioxin exposure to artists/hobbyists who use ball clay to make pottery and related products. Derm...

  12. THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARES

    OpenAIRE

    G ASSADOUAHI; GH AHMADZADEH; J MAHMOUDI GHARAEI; N Bashardoost; T FAGHIHI

    2003-01-01

    Introduction: Several studies have shown noradrenergic system hyperactivity in posttraumatic stress disorder. Four Vietnam combat veterans with chronic PTSD, prescribed prazosin ?1 adrenergic receptor antagonist reported reduction or completely elimination of combat trauma nightmares. This study prompted an open trial of prazosin for Iran & Iraq combat PTSD patients nightmares. Method: Twenty two male and married patients with chronic DSM N PTSD and combat trauma related nightmares p...

  13. 2011 Combat Vehicles Conference

    Science.gov (United States)

    2011-10-26

    Capability-Platform (JBC-P) • Light-weight Crew-served Weapons • Joint Capability Release ( JCR ) • Combat Vehicle Improvements Mr. Scott Davis PEO...WIN-T INC 3 JTRS CREW V2 Relocation/V3 CS 11-12 OoC ( JCR ) BFT II VRC 103 & 104 CS 13-14 MSS Duke TI OSRVT (Rover 6) Nett

  14. Occupational blood exposure among health care workers: I. Frequency and reporting

    DEFF Research Database (Denmark)

    Nelsing, S; Nielsen, T L; Nielsen, Jens Ole

    1993-01-01

    The frequency and reporting rate concerning occupational blood exposure were investigated among former and currently employed medical staff at a Department of Infectious Diseases (DID) having a high prevalence of HIV-positive patients. Subjects were asked to complete an anonymous questionnaire de......, carries a real and serious risk of contracting infectious diseases due to occupational exposure to blood. The importance of reporting needs to be emphasized.......The frequency and reporting rate concerning occupational blood exposure were investigated among former and currently employed medical staff at a Department of Infectious Diseases (DID) having a high prevalence of HIV-positive patients. Subjects were asked to complete an anonymous questionnaire...... describing occupational percutaneous exposure (PCE) and mucocutaneous exposure (MCE) to blood, experienced during their employment at the DID. 135 out of 168 (80%) subjects responded. 45 subjects described 37 incidents of PCE and 15 of MCE. 44 of the exposures (85%) involved HIV-positive blood and 6 (11...

  15. Combat ready clamp medic technique.

    Science.gov (United States)

    Tovmassian, Robert V; Kragh, John F; Dubick, Michael A; Baer, David G; Blackbourne, Lorne H

    2012-01-01

    Junctional hemorrhage control device use on the battlefield might be lifesaving, but little experience is reported. The purpose of the present case report is to detail prehospital use of the Combat Ready Clamp (called the CRoC by its users, Combat Medical Systems, Fayetteville, NC; Instructions for Use, 2010) in casualty care in order to increase awareness of junctional hemorrhage control. The CRoC was used to control difficult inguinal bleeding on the battlefield for an Afghani man with a hindquarter traumatic amputation. The device promptly controlled exsanguination from a critical injury when placed during rotary-wing casualty evacuation. The flight medic applied the device in 90 seconds. The device performed well without complications to control bleeding. The CRoC, a new junctional hemorrhage control device, was used as indicated on the battlefield with mechanical and physiologic success and without device problems. By controlling difficult inguinal bleeding resulting from battlefield trauma, the device facilitated casualty stabilization and delivery to a surgical facility. The device facilitated the ability of a new flight medic to focus his expertise on a critically injured battlefield casualty with demonstrable success. 2012.

  16. Biocides Steering Group on human exposure assessment: A preliminary report

    NARCIS (Netherlands)

    Hemmen, J.J. van

    1999-01-01

    In a project granted by DG XI of the European Commission, it is attempted to collate experimental and theoretical data on human (workers and consumers) exposure assessment to biocidal products, and to outline the methodology for sampling and measurement. On the basis of the available evidence, appro

  17. An introductory characterization of a combat-casualty-care relevant swine model of closed head injury resulting from exposure to explosive blast.

    Science.gov (United States)

    Bauman, Richard A; Ling, Geoffrey; Tong, Lawrence; Januszkiewicz, Adolph; Agoston, Dennis; Delanerolle, Nihal; Kim, Young; Ritzel, Dave; Bell, Randy; Ecklund, James; Armonda, Rocco; Bandak, Faris; Parks, Steven

    2009-06-01

    Explosive blast has been extensively used as a tactical weapon in Operation Iraqi Freedom (OIF) and more recently in Operation Enduring Freedom(OEF). The polytraumatic nature of blast injuries is evidence of their effectiveness,and brain injury is a frequent and debilitating form of this trauma. In-theater clinical observations of brain-injured casualties have shown that edema, intracranial hemorrhage, and vasospasm are the most salient pathophysiological characteristics of blast injury to the brain. Unfortunately, little is known about exactly how an explosion produces these sequelae as well as others that are less well documented. Consequently, the principal objective of the current report is to present a swine model of explosive blast injury to the brain. This model was developed during Phase I of the DARPA (Defense Advanced Research Projects Agency) PREVENT (Preventing Violent Explosive Neurotrauma) blast research program. A second objective is to present data that illustrate the capabilities of this model to study the proximal biomechanical causes and the resulting pathophysiological, biochemical,neuropathological, and neurological consequences of explosive blast injury to the swine brain. In the concluding section of this article, the advantages and limitations of the model are considered, explosive and air-overpressure models are compared, and the physical properties of an explosion are identified that potentially contributed to the in-theater closed head injuries resulting from explosions of improvised explosive devices (IEDs).

  18. Concordance between physiological arousal and subjective distress among Vietnam combat veterans undergoing challenge testing for PTSD.

    Science.gov (United States)

    Marx, Brian P; Bovin, Michelle J; Suvak, Michael K; Monson, Candice M; Sloan, Denise M; Fredman, Steffany J; Humphreys, Kathryn L; Kaloupek, Danny G; Keane, Terence M

    2012-08-01

    This study examined concordance between physiological arousal and subjective distress during a laboratory challenge task. Data were collected during the multisite VA Cooperative Study 334 in the early 1990s examining psychophysiological arousal among combat-exposed Vietnam veterans with (n = 775) and without (n = 369) posttraumatic stress disorder (PTSD). Study participants were presented with 6 standardized neutral scenes and 6 standardized combat scenes. Participants provided a subjective rating of distress after each slide. During the presentation, levels of heart rate (HR) and skin conductance (SC) were recorded. Using linear mixed effects modeling, both HR level and SC level exhibited significant positive associations with subjective distress ratings (pr = .33, p < .001 and pr = .19, p < .001, respectively). Individuals with PTSD demonstrated greater concordance between their distress ratings and SC level during exposure to combat slides than participants without PTSD (pr = .28, p < .001 vs. pr = .18, p < .001). Although a significant association was found between subjective distress and HR reactivity and SC reactivity, these findings were not moderated by PTSD status. The results of these analyses suggest that patients' reports of distress during exposure-based treatments might serve as approximate measures of actual physiological arousal. Copyright © 2012 International Society for Traumatic Stress Studies.

  19. Management of exposure of three-dimensional mandibular reconstructive plates in mandibular reconstruction:Report of 2 cases

    Institute of Scientific and Technical Information of China (English)

    XU Li-qun1; WU Andri; ZHANG Chen-ping; ZHENG Jia-wei

    2004-01-01

    Exposure of three-dimensional mandibular reconstructive plate was a main complication in its clinical application, which includes intraoral exposure and extraoral exposure. This paper reported two typical cases with plate exposure and reviewed the literatures in analysis of the causes of plate exposure and its preventive measures.

  20. Psychiatric symptoms of Turkish combat-injured non-professional veterans

    Directory of Open Access Journals (Sweden)

    Berna Güloğlu

    2016-04-01

    Full Text Available Background: It is well-known that exposure to combat puts individuals at risk for developing adverse psychological problems, including posttraumatic stress disorder (PTSD, depression, anxiety, and health-related behaviour problems and that the presence of combat-related injury increases the risk for psychopathology. Little is known, however, about the consequences of combat among conscripted soldiers fighting against terrorism in their homeland. Objective: The main aim of the current study was to examine the prevalence of probable PTSD, severity of PTSD symptoms, depression, anxiety, and PTSD-related functional impairment among Turkish combat-injured, non-professional veterans. In addition, investigated were also the possible differences among the symptoms of PTSD, depression, and anxiety of the veterans by the frequency of current cigarette and alcohol use. Methods: A total of 366 male veterans were assessed by using a demographic information form, which obtained information about injury status and health behaviours, the Posttraumatic Stress Diagnostic Scale (PDS, and the Brief Symptom Inventory (BSI. Symptom frequency and multivariate analysis of variances (MANOVA were used to analyse the data. Results: The prevalence of probable PTSD was 46.7% (171 among Turkish veterans while 16.4% experienced severe depression and 18% experienced severe anxiety. “Upset at reminders (65.8%” was the most common PTSD symptom. “Responsibilities related to home (48.4%” was the most frequently reported PTSD-related functional impairment. Results indicated that veterans who smoke more than half a pack per day scored significantly higher in severity of PTSD symptoms, depression, and anxiety. Contrary to expectations, there was no significant difference in symptoms of PTSD, depression, and anxiety related to the frequency of current alcohol use. Conclusion: Turkish non-professional veterans with physical injuries have serious psychiatric problems an average

  1. Neurologic injuries in boxing and other combat sports.

    Science.gov (United States)

    Zazryn, Tsharni R; McCrory, Paul R; Cameron, Peter A

    2008-02-01

    Many sports have neurologic injury from incidental head contact; however, combat sports allow head contact, and a potential exists for acute and chronic neurologic injuries. Although each combat sport differs in which regions of the body can be used for contact, they are similar in competitor exposure time. Their acute injury rates are similar; thus their injuries can appropriately be considered together. Injuries of all types occur in combat sports, with injuries in between one fifth to one half of all fights in boxing, karate, and tae kwon do. Most boxing injuries are to the head and neck region. In other combat sports, the head and neck region are the second (after the lower limbs) or the first most common injury site.

  2. Music and Combat Motivation

    Science.gov (United States)

    2015-04-01

    1   AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY MUSIC AND COMBAT MOTIVATION by Sally C. Maddocks, Major, USAF Master of...accordance with Air Force Instruction 51-303, it is not copyrighted, but is the property of the United States government.  3   Music has the power...are many historical examples from which to draw evidence of the impact of music on fielded forces. One must study not only the historical events, but

  3. Marriage consummated for 32 Iranian women using therapist-aided exposure therapy : a brief report

    NARCIS (Netherlands)

    Molaeinezhad, M.; Salehi, M.; Borg, C.; Yousefy, A.; Roudsari, R. Latifnejad; Salehi, P.; Shafiei, K.; Khoei, E. Merghati

    2014-01-01

    This brief report discusses the effectiveness of therapist-aided gradual exposure therapy for a sample of women suffering from lifelong vaginismus (LLV). Thirty two women who have never been able to have sexual intercourse, performed weekly exposure sessions of vaginal penetration exercises assisted

  4. Effects of Classroom Acoustics and Self-Reported Noise Exposure on Teachers' Well-Being

    Science.gov (United States)

    Kristiansen, Jesper; Persson, Roger; Lund, Soren Peter; Shibuya, Hitomi; Nielsen, Per Moberg

    2013-01-01

    Beyond noise annoyance and voice problems, little is known about the effects that noise and poor classroom acoustics have on teachers' health and well-being. The aim of this field study was therefore to investigate the effects of perceived noise exposure and classroom reverberation on measures of well-being. Data on self-reported noise exposure,…

  5. Möbius and Prenatal Exposure to Misoprostol. Case Report

    Directory of Open Access Journals (Sweden)

    Julián Andrés Ramírez-Cheyne

    2015-09-01

    Full Text Available Möbius syndrome is a congenital paralysis of the seventh cranial nerve that may be associated with involvement of other cranial nerves or other systems. In the United States frequencies from 0.002 to 0.0002 % of all births, and 1/ 50 000 newborns have been calculated. The aim of the study was to present a case of a newborn with Möbius syndrome prenatally exposed to Misoprostol, detected in a third level hospital, under the parameters of the Latin American Collaborative Study of Congenital Malformations (ECLAMC. Literature search focused on the association of prenatal exposure to Misoprostol and congenital malformations, was realized. Case Presentation: New­born with phenotypic characteristics of Möbius syndrome, 16 -year-old mother with history of use of Misoprostol 200 mcg vaginally and 200 mcg orally during the fourth week of gestation. Discussion: Facial palsy and congenital musculoskeletal anomaly have to be established in order to diagnose Möbius syndrome, the patient meets both. Prenatal exposure to Misoprostol has been associated with the occurrence of birth defects, mainly Möbius syndrome and limb defects of terminal transverse type. One of the teratogenic mechanisms proposed for Misoprostol is vascular disruption, as we propose it could be in this case.

  6. Assessing agreement of self-reported and observed physical exposures of the upper extremity.

    Science.gov (United States)

    Dale, Ann Marie; Strickland, Jaime; Gardner, Bethany; Symanzik, Juergen; Evanoff, Bradley Allen

    2010-01-01

    Assessment of workplace physical exposures by self-reported questionnaires has logistical advantages in population studies, but is subject to exposure misclassification. This study measured agreement between eight self-reported and observer-rated physical exposures to the hands and wrists, and evaluated predictors of intermethod agreement. Workers (n = 341) from three occupational categories (clerical/technical, construction, and service) completed self-administered questionnaires and worksite assessments. Analyses compared self-reported and observed ratings using a weighted kappa coefficient. Personal and psychosocial factors, presence of upper extremity symptoms, andjob type were evaluated as predictors of agreement. Weighted kappa values were substantial for lifting (0.67) and holding vibrating tools (0.61), moderate for forceful grip (0.58), and fair to poor for all other exposures. Upper extremity symptoms did not predict greater disagreement between self-reported and observed exposures. Occupational category was the only significant predictor of inter-method agreement. Self-reported exposures may provide a useful estimate of some work exposures for population studies.

  7. Installation restoration program remedial investigation report. Volume 1. Sections 1-3. Alpena combat readiness training center, Alpena County Regional Airport, Michigan National Guard, Alpena, Michigan. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    This report is Volume 1, Sections 1-3 of the Remedial Investigation Report of Sites 1-9 at Alpens CRTC, Alpena MI. A remedial investigation was performed on 9 sites at the Alpena CRTC to determine the extent of contamination at the sites. The sites involved in this investigation include: Site 1, POL Storage Area; Site 2, Motor Pool Area; Site 3, Former Garage; Site 4, Third Fire Training Area; Site 5, Second Fire Training Area; Site 6, Former Landfill; Site 7, First Fire Training Area; Site 8, Former Hanger 9; and Site 9, Hazardous Waste Storage Area. Soil and groundwater contamination above state action levels was found at the sites. An FS has been initiated.

  8. Bilateral periorbital necrotizing fasciitis following exposure to Holi colors: A case report

    OpenAIRE

    Chauhan Deepender; Arora Ritu; Das Sima; Shroff Daraius; Narula Ritesh

    2007-01-01

    Holi festival is celebrated in India traditionally by applying colors on one another. Various ocular adverse effects of these colors have been reported including conjunctivitis and corneal abrasion. We report a case of bilateral periorbital necrotizing fasciitis, following exposure to Holi colors. General physicians might encounter more such cases after exposure to Holi colors. In India, these colors are prepared on a small scale and lack any quality checks. Use of such toxic colors shou...

  9. Bilateral periorbital necrotizing fasciitis following exposure to Holi colors: A case report

    OpenAIRE

    Chauhan, Deepender; Arora, Ritu; Das, Sima; Shroff, Daraius; Narula, Ritesh

    2007-01-01

    Holi festival is celebrated in India traditionally by applying colors on one another. Various ocular adverse effects of these colors have been reported including conjunctivitis and corneal abrasion. We report a case of bilateral periorbital necrotizing fasciitis, following exposure to Holi colors. General physicians might encounter more such cases after exposure to Holi colors. In India, these colors are prepared on a small scale and lack any quality checks. Use of such toxic colors should be...

  10. Recovery of anaerobic digestion after exposure to toxicants. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Yang, J.; Parkin, G.F.; Speece, R.E.

    1979-12-01

    The concept that methane fermentation cannot tolerate chronic or slug doses of toxicants has almost totally precluded methane fermentation as a viable contender for the treatment of industrial wastewaters. This study assayed a wide variety of toxicants, heavy metals, inorganic salts, organic chemicals, solvents, and antibiotics which are used in industrial processes and, therefore, appear in the industrial wastewaters therefrom. Toxicity was related to the reduction in methane production of a control containing no toxicant. The response of methane fermentation after exposure to a toxicant was assayed with unacclimated cultures as well as cultures which had been acclimated to increasing concentrations of the toxicant over long periods of time. The reversible nature of the toxicants was assayed by adding slug doses to plug flow anaerobic filters and recording gas production prior to, during, and after toxicant addition.

  11. Clinical Features of Reported Ethylene Glycol Exposures in the United States.

    Science.gov (United States)

    Jobson, Meghan A; Hogan, Susan L; Maxwell, Colin S; Hu, Yichun; Hladik, Gerald A; Falk, Ronald J; Beuhler, Michael C; Pendergraft, William F

    2015-01-01

    Ethylene glycol is highly toxic and represents an important cause of poisonings worldwide. Toxicity can result in central nervous system dysfunction, cardiovascular compromise, elevated anion gap metabolic acidosis and acute kidney injury. Many states have passed laws requiring addition of the bittering agent, denatonium benzoate, to ethylene glycol solutions to reduce severity of exposures. The objectives of this study were to identify differences between unintentional and intentional exposures and to evaluate the utility of denatonium benzoate as a deterrent. Using the National Poison Data System, we performed a retrospective analysis of reported cases of ethylene glycol exposures from January 2006 to December 2013. Outcome classification was summed for intentionality and used as a basis for comparison of effect groups. There were 45,097 cases of ethylene glycol exposures resulting in 154 deaths. Individuals more likely to experience major effects or death were older, male, and presented with more severe symptoms requiring higher levels of care. Latitude and season did not correlate with increased exposures; however, there were more exposures in rural areas. Denatonium benzoate use appeared to have no effect on exposure severity or number. Deaths due to ethylene glycol exposure were uncommon; however, there were major clinical effects and more exposures in rural areas. Addition of denatonium benzoate was not associated with a reduction in exposures. Alternative means to deter ingestion are needed. These findings suggest the need to consider replacing ethylene glycol with alternative and less toxic agents.

  12. Prazosin for military combat-related PTSD nightmares: a critical review.

    Science.gov (United States)

    Writer, Brian W; Meyer, Eric G; Schillerstrom, Jason E

    2014-01-01

    Military combat is a common trauma experience associated with posttraumatic stress disorder (PTSD). Trauma-related nightmares are a hallmark symptom of PTSD. They can be resistant to label-pharmacological PTSD treatment, and they are associated with a variety of adverse health outcomes. The purpose of this article is to review and evaluate prazosin therapy for combat-related PTSD nightmares. Consistent with available literature for all-causes PTSD nightmares, prazosin is an effective off-label option for combat-related PTSD nightmares. Future trials may further instruct use in specific combat-exposure profiles.

  13. Remedial investigation report. Alpena combat readiness training center Alpena County Regional Airport, Michigan Air National Guard, Alpena, Michigan. Volume 3. Appendices A - I. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    Remedial Investigation Report of Sites 1-9 at Alpens CRTC,. Alpena MI. Volume III Appendicies A-I. A remedial investigation was performed on 9 sites at the Alpena CRTC to determine the extent of contamination at the sites. The sites involved in this investigation include: Site 1 POL Storage Area; Site 2 Motor Pool Area; Site 3 Former Garage; Site 4 Third Fire Training Area; Site 5 Second Fire Training Area; Site 3 Former Landfill; Site 7 First Fire Training Area; Site 8 Former Hanger 9; Site 10 Hazardous Waste Storage Area. Soil and groundwater contamination above state action levels was found at the sites An FS has been initiated.

  14. Traumatic andropause after combat injury.

    Science.gov (United States)

    Jones, Gareth Huw; Kirkman-Brown, Jackson; Sharma, Davendra Murray; Bowley, Douglas

    2015-08-28

    In association with lower extremity amputation, complex genitourinary injuries have emerged as a specific challenge in modern military trauma surgery. Testicular injury or loss has profound implications for the recovering serviceman, in terms of hormone production and future fertility. The initial focus of treatment for patients with traumatic testicular loss is haemostasis, resuscitation and management of concurrent life-threatening injuries. Multiple reoperations are commonly required to control infection in combat wounds; in a review of 300 major lower extremity amputations, 53% of limbs required revisional surgery, with infection the commonest indication. Atypical infections, such as invasive fungal organisms, can also complicate military wounding. We report the case of a severely wounded serviceman with complete traumatic andropause, whose symptomatic temperature swings were initially mistaken for signs of occult sepsis.

  15. Modelling combat strategies in fungal mycelia.

    Science.gov (United States)

    Boswell, Graeme P

    2012-07-07

    Fungal mycelia have a well-established role in nutrient cycling and are widely used as agents in biological control and in the remediation of polluted landscapes. Competition and combat between different fungal communities is common in these contexts and its outcome impacts on local biodiversity and the success of such biotechnological applications. In this investigation a mathematical model representing mycelia as a system of partial differential equations is used to simulate combat between two fungal colonies growing into a nutrient-free domain. The resultant equations are integrated numerically and the model simulates well-established outcomes of combat between fungal communities. The outcome of pairwise combat is shown to depend on numerous factors including the suppression of advancing hyphae in rivals, the degradation of a rival's established biomass and the utilization and redistribution of available nutrient resources. It is demonstrated how non-transitive hierarchies in fungal communities can be established through switching mechanisms, mirroring observations reported in experimental studies, and how specialized defensive structures can emerge through changes in the redistribution of internal resources.

  16. Occupational asthma after exposure to azodicarbonamide: report of four cases.

    Science.gov (United States)

    Normand, J C; Grange, F; Hernandez, C; Ganay, A; Davezies, P; Bergeret, A; Prost, G

    1989-01-01

    Azodicarbonamide (Chemical Abstract Service Registry No 123.77.3) is an organic low molecular weight agent used for blowing and foaming plastics. Finely ground azodicarbonamide can be a pulmonary and sometimes a cutaneous acute sensitiser. Four cases of work related asthma are reported.

  17. Mercury Report-Children's exposure to elemental mercury

    Science.gov (United States)

    ... the report written? Children attending a daycare in New Jersey were exposed to elemental (metallic) mercury. The ... Mercury is also in some medical and mechanical equipment used in the home and in ... some medical and dental clinics use mercury or items that contain mercury. ...

  18. Radiation exposures for DOE and DOE contractor employees, 1990. Twenty-third annual report

    Energy Technology Data Exchange (ETDEWEB)

    Smith, M.H.; Hui, T.E. [Pacific Northwest Lab., Richland, WA (United States); Millet, W.H.; Scholes, V.A. [Idaho National Engineering Lab., Idaho Falls, ID (United States)

    1994-03-01

    This is the 23rd in a series of annual radiation exposure reports published by the Department of Energy (DOE) or its predecessors. This report summarizes the radiation exposures received by both employees and visitors at DOE and DOE contractor facilities during 1990. Trends in radiation exposures are evaluated by comparing the doses received in 1990 to those received in previous years. The significance of the doses is addressed by comparing them to the DOE limits and by correlating the doses to health risks based on risk estimated from expert groups. This report is the third that is based on detailed exposure data for each individual monitored at a DOE facility. Prior to 1988, only summarized data from each facility were available. This report contains information on different types of radiation doses, including total effective, internal, penetrating, shallow, neutron, and extremity doses. It also contains analysis of exposures by age, sex, and occupation of the exposed individuals. This report also continues the precedent established in the Twenty-First (1988) Annual Report by conducting a detailed, one-time review and analysis of a particular topic of interest. The special topic for this report is a comparison of total effective, internal, and extremity dose equivalent values against penetrating dose equivalent values.

  19. Blended Training for Combat Medics

    Science.gov (United States)

    Fowlkes, Jennifer; Dickinson, Sandra; Lazarus, Todd

    2010-01-01

    Bleeding from extremity wounds is the number one cause of preventable death on the battlefield and current research stresses the importance of training in preparing every Soldier to use tourniquets. HapMed is designed to provide tourniquet application training to combat medics and Soldiers using a blended training solution encompassing information, demonstration, practice, and feedback. The system combines an instrumented manikin arm, PDA, and computer. The manikin arm provides several training options including stand-alone, hands-on skills training in which soldiers can experience the actual torque required to staunch bleeding from an extremity wound and be timed on tourniquet application. This is more realistic than using a block of wood to act as a limb, which is often how training is conducted today. Combining the manikin arm with the PDA allows instructors to provide scenario based training. In a classroom or field setting, an instructor can specify wound variables such as location, casualty size, and whether the wound is a tough bleed. The PDA also allows more detailed feedback to be provided. Finally, combining the manikin arm with game-based technologies, the third component, provides opportunities to build knowledge and to practice battlefield decision making. Not only do soldiers learn how to apply a tourniquet, but when to apply a tourniquet in combat. The purpose of the paper is to describe the learning science underlying the design of HapMed, illustrate the training system and ways it is being expanded to encompass other critical life-saving tasks, and report on feedback received from instructors and trainees at military training and simulation centers.

  20. The Digital GCC: USCYBERCOM As a Combatant Command

    Science.gov (United States)

    2015-04-01

    AU/ACSC/HELMS /AY15 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY THE DIGITAL GCC: USCYBERCOM AS A COMBATANT COMMAND by...Unified Command Plan (UCP). AU/ACSC/HELMS/AY15 4 Contents The Digital GCC: USCYBERCOM as a Unified Combatant Command...left USCYBERCOM open to multiple reporting up- channels headed by competing interest principals and comprised of a variety of fragmented organizations

  1. And yet they correlate: psychophysiological activation predicts self-report outcomes of exposure therapy in claustrophobia.

    Science.gov (United States)

    Alpers, Georg W; Sell, Roxane

    2008-10-01

    The study examines whether self-reported fear and physiological activation are concordant when claustrophobic patients are exposed to small spaces, whether the measures change in synchrony for individual patients and whether initial activation of measures can predict the outcome of an exposure treatment. Ten patients with claustrophobia participated in six in-vivo exposure sessions with continuous monitoring of self-reported fear and their EKG. Partial pressure of carbon dioxide (pCO(2)), a measure of hyperventilation, was available in a subsample of patients. While evidence for concordance of self-reported fear and heart rate was limited, the measures changed synchronously within subjects. Most importantly, higher heart rate at the beginning of the first exposure session predicted better treatment outcome. Because self-reported fear turned out not to be a reliable predictor of the outcome, this is interpreted as evidence for the incremental validity of physiological measures of fear.

  2. Validity and reliability of self-reported exposure to environmental tobacco smoke in work offices

    NARCIS (Netherlands)

    Willemsen, MC; Brug, J; Uges, DRA; VosdeWael, ML

    1997-01-01

    Environmental tobacco smoke (ETS) is an occupational carcinogen. Large companies often examine ETS exposure by employee surveys, However, reliable and valid self-report measures have been lacking. This study compared validity and reliability of various self-report measures, One hundred and seven non

  3. Self-Reported and FEMA Flood Exposure Assessment after Hurricane Sandy: Association with Mental Health Outcomes

    Science.gov (United States)

    Liu, Bian; Schneider, Samantha; Schwartz, Rebecca; Taioli, Emanuela

    2017-01-01

    Hurricane Sandy caused extensive physical and economic damage; the long-term mental health consequences are unknown. Flooding is a central component of hurricane exposure, influencing mental health through multiple pathways that unfold over months after flooding recedes. Here we assess the concordance in self-reported and Federal Emergency Management (FEMA) flood exposure after Hurricane Sandy and determine the associations between flooding and anxiety, depression, and post-traumatic stress disorder (PTSD). Self-reported flood data and mental health symptoms were obtained through validated questionnaires from New York City and Long Island residents (N = 1231) following Sandy. Self-reported flood data was compared to FEMA data obtained from the FEMA Modeling Task Force Hurricane Sandy Impact Analysis. Multivariable logistic regressions were performed to determine the relationship between flooding exposure and mental health outcomes. There were significant discrepancies between self-reported and FEMA flood exposure data. Self-reported dichotomous flooding was positively associated with anxiety (ORadj: 1.5 [95% CI: 1.1–1.9]), depression (ORadj: 1.7 [1.3–2.2]), and PTSD (ORadj: 2.5 [1.8–3.4]), while self-reported continuous flooding was associated with depression (ORadj: 1.1 [1.01–1.12]) and PTSD (ORadj: 1.2 [1.1–1.2]). Models with FEMA dichotomous flooding (ORadj: 2.1 [1.5–2.8]) or FEMA continuous flooding (ORadj: 1.1 [1.1–1.2]) were only significantly associated with PTSD. Associations between mental health and flooding vary according to type of flood exposure measure utilized. Future hurricane preparedness and recovery efforts must integrate micro and macro-level flood exposures in order to accurately determine flood exposure risk during storms and realize the long-term importance of flooding on these three mental health symptoms. PMID:28129410

  4. Self-Reported and FEMA Flood Exposure Assessment after Hurricane Sandy: Association with Mental Health Outcomes.

    Science.gov (United States)

    Lieberman-Cribbin, Wil; Liu, Bian; Schneider, Samantha; Schwartz, Rebecca; Taioli, Emanuela

    2017-01-01

    Hurricane Sandy caused extensive physical and economic damage; the long-term mental health consequences are unknown. Flooding is a central component of hurricane exposure, influencing mental health through multiple pathways that unfold over months after flooding recedes. Here we assess the concordance in self-reported and Federal Emergency Management (FEMA) flood exposure after Hurricane Sandy and determine the associations between flooding and anxiety, depression, and post-traumatic stress disorder (PTSD). Self-reported flood data and mental health symptoms were obtained through validated questionnaires from New York City and Long Island residents (N = 1231) following Sandy. Self-reported flood data was compared to FEMA data obtained from the FEMA Modeling Task Force Hurricane Sandy Impact Analysis. Multivariable logistic regressions were performed to determine the relationship between flooding exposure and mental health outcomes. There were significant discrepancies between self-reported and FEMA flood exposure data. Self-reported dichotomous flooding was positively associated with anxiety (ORadj: 1.5 [95% CI: 1.1-1.9]), depression (ORadj: 1.7 [1.3-2.2]), and PTSD (ORadj: 2.5 [1.8-3.4]), while self-reported continuous flooding was associated with depression (ORadj: 1.1 [1.01-1.12]) and PTSD (ORadj: 1.2 [1.1-1.2]). Models with FEMA dichotomous flooding (ORadj: 2.1 [1.5-2.8]) or FEMA continuous flooding (ORadj: 1.1 [1.1-1.2]) were only significantly associated with PTSD. Associations between mental health and flooding vary according to type of flood exposure measure utilized. Future hurricane preparedness and recovery efforts must integrate micro and macro-level flood exposures in order to accurately determine flood exposure risk during storms and realize the long-term importance of flooding on these three mental health symptoms.

  5. Submarine Combat Systems Engineering Project Capstone Project

    Science.gov (United States)

    2011-06-06

    Combat Systems Engineering Project Capstone Project by John Becker Denman Sweetman Shaun Cookinham Mark Wasilewski Shawn Goode Samuel D...This report was prepared by: John Becker Denman Sweetman Shaun Cookinham Mark Wasilewski Shawn Goode Samuel D. Winograd David Rhodes...ELEMENT NUMBER 6. AUTHOR(S) John Becker, Shaun Cookinham, Shawn Goode, David Rhodes 5d. PROJECT NUMBER Mark Wasilewski , Samuel Winograd 5e. TASK

  6. Self-reported advertising exposure to sugar-sweetened beverages among US youth.

    Science.gov (United States)

    Kumar, Gayathri; Onufrak, Stephen; Zytnick, Deena; Kingsley, Beverly; Park, Sohyun

    2015-05-01

    According to the Federal Trade Commission, in 2009, the top food category with teen-directed marketing expenditures was sugar-sweetened beverages (SSB). The present study reports on exposure to SSB advertisements using self-report data from adolescents. Cross-sectional study design using descriptive statistics to assess self-reported frequency of exposure to SSB advertisements and multivariable logistic regression to examine associations between frequency of SSB advertising exposure and sociodemographic variables. Online survey conducted at home. US adolescents aged 12-17 years (n 847). Among the surveyed adolescents, 42 % to 54 % reported seeing/hearing SSB advertisements ≥1 time/d. Those aged 14-15 years were more likely to report seeing/hearing soda, sports drink and energy drink advertisements ≥1 time/d than 16- to 17-year-olds. Males were more likely to report seeing/hearing sports drink advertising ≥1 time/d than females. Non-Hispanic black adolescents were more likely to report seeing/hearing fruit drink and sports drink advertisements ≥1 time/d than non-Hispanic white adolescents. Adolescents whose parents had high-school education or less were more likely to report seeing/hearing soda, fruit drink and energy drink advertisements ≥1 time/d than adolescents whose parents were college graduates. Almost half of the adolescents sampled reported daily SSB advertising exposure, with higher exposure among African Americans and adolescents with less educated parents. These data can help inform potential actions that decision makers might take, such as education of adolescents and their caregivers on the potential impact of beverage advertising, especially among groups at higher risk for obesity.

  7. Marine exposure of a half-module. Progress report

    Energy Technology Data Exchange (ETDEWEB)

    1990-12-31

    The samples previously irradiated for quantification of elements through their short-lived radionuclides were re-irradiated for 4 hours in the UCI reactor at full-power. Subsequently, from 1--2 days following irradiation, until 1--2 months later gamma ray spectra were acquired. In this interval 3--4 spectra were taken. The counting periods were brief initially (1 hour) and were increased to longer periods (24--48 hours) with progression of time. In addition 25 elemental standards were neutron bombarded for 1 hour and gamma ray analyzed at suitable times after the irradiation. In FWPF, the concentration was uniformly low. It should be noted that iridium was detected in this material at a concentration of 6.5 parts per billion and could be the result of cross-contamination in the preparation of the sample. With regard to the HMSDs, a number of elements such as scandium, chromium, cobalt, strontium, the rare-earths, hafnium and uranium are present in amounts that bear resemblance to their concentrations in the local sediment. Iron was the major component in the HMSD M (54.1%). The quantity of iron in the HMSD S is also substantially greater than could be accounted for from its sedimentary content. Silver appeared in the HMSD W and S at 12.1 and 3.3 ppM, respectively and gold in the sub-ppM range for each of the HMSDs. Their source is unknown. Iridium was present in HMSD W and M at concentrations significantly greater than in the FWPF. The previous report cited calcium as the major component in the GIS spots. In accord with this finding, another alkaline earth metal, strontium, was also present at high levels in this sample. Also to be noted was a concentration of tantalum that greatly exceeded amounts present in the HMSDs, a concentration of uranium an order of magnitude higher than in the sediment, and a concentration of iridium several orders of magnitude greater than in the HMSDs.

  8. The effect of exposure duration on visual character identification in single, whole and partial report

    DEFF Research Database (Denmark)

    Petersen, Anders; Andersen, Tobias

    2012-01-01

    The psychometric function of single letter identification is typically described as a function of stimulus intensity. However, the effect of stimulus exposure duration on letter identification remains poorly described. This is surprising because the effect of exposure duration has played a central...... role in modelling performance in whole and partial report tasks in which multiple simultaneously presented letters are to be reported (Shibuya & Bundesen, 1988). Therefore, we investigated visual letter identification as a function of exposure duration. On each trial, a single randomly chosen letter (A....... Finally, after insertion into Bundesen’s Theory of Visual Attention (Bundesen, 1990), the same psychometric functions enable closer fits to data from a previous whole and partial report experiment....

  9. Risk and Resilience Factors for Combat-Related Posttraumatic Psychopathology and Post Combat Adjustment

    Science.gov (United States)

    2012-05-01

    Related Posttraumatic Psychopathology and Post Combat Adjustment PRINCIPAL INVESTIGATOR: Joseph R. Calabrese, MD CONTRACTING ORGANIZATION...REPORT DATE 01-05-2012 2. REPORT TYPE Final 3. DATES COVERED 07 May 2007 – 5 Apr 2012 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER 5b...conducted using maximum likelihood estimation with a mean-adjusted chi-square ( MLM ) (the Satorra-Bentler chi-square value), which is robust to non

  10. Parent report and electronic medical record agreement on asthma education provided and children's tobacco smoke exposure.

    Science.gov (United States)

    Harrington, Kathleen F; Haven, Kristen M; Nuño, Velia Leybas; Magruder, Theresa; Bailey, William C; Gerald, Lynn B

    2013-11-01

    To examine the concordance between parent report and electronic medical record documentation of asthma health education provided during a single clinic visit and second-hand tobacco smoke exposure among children with asthma. Parents of children with asthma were recruited from two types of clinics using different electronic medical record systems: asthma-specialty or general pediatric health department clinics. After their child's outpatient visit, parents were interviewed by trained study staff. Interview data were compared to electronic medical records for agreement in five categories of asthma health education and for the child's environmental tobacco smoke exposure. Kappa statistics were used to identify strength of agreement. Chi square and t-tests were used to examine differences between clinic types. Of 255 parents participating in the study 90.6% were African American and 96.1% were female. Agreement was poor across all clinics but was higher within the asthma specialty clinics than the health department clinics for smoke exposure (κ = 0.410 versus 0.205), asthma diagnosis/disease process (κ = 0.213 versus -0.016) and devices reviewed (κ = 0.253 versus -0.089) with parents generally reporting more education provided. For the 203 children with complete medical records, 40.5% did not have any documentation regarding smoking exposure in the home and 85.2% did not have any documentation regarding exposure elsewhere. We found low concordance between the parent's report and the electronic medical record for smoke exposure and asthma education provided. Un- or under-documented smoke exposure and health education have the potential to affect continuity of care for pediatric patients with asthma.

  11. Combating trafficking: the Swiss approach

    Directory of Open Access Journals (Sweden)

    Sebastian Rauber

    2006-05-01

    Full Text Available Switzerland is committed to combating and preventingtrafficking in human beings. Effective policy implementationin a federal structure depends on networking,effective information exchange and development ofrobust cooperation mechanisms.

  12. Advanced Capabilities for Combat Medics

    National Research Council Canada - National Science Library

    Convertino, Victor A; Cooke, William H; Salinas, Jose; Holcomb, John B

    2004-01-01

    The US Army Institute of Surgical Research (USAISR) has the lead for directing the Research Program Area for Advanced Triage Capabilities for Combat Medics in the Medical Research and Materiel Command (MRMC...

  13. Drilling and thermal gradient measurements at US Marine Corps Air Ground Combat Center, Twentynine Palms, California. Final report, October 1, 1983-March 31, 1984

    Energy Technology Data Exchange (ETDEWEB)

    Trexler, D.T.; Flynn, T.; Ghusn, G. Jr.

    1984-01-01

    Seven temperature gradient holes were drilled at the Marine Corps Air Ground Combat Center, Twentynine Palms, California, as part of a cooperative research and development program, jointly funded by the Navy and Department of Energy. The purpose of this program was to assess geothermal resources at selected Department of Defense installations. Drill site selection was based on geophysical anomalies delineated by combined gravity, ground magnetic and aeromagnetic surveys. Temperature gradients ranged from 1.3/sup 0/C/100 m (1/sup 0/F/100 ft.) in hole No. 1 to 15.3/sup 0/C/100 m (8.3/sup 0/F/100 ft.) in temperature gradient hole No. 6. Large, positive geothermal gradients in temperature gradient holes 5 and 6, combined with respective bottom hole temperatures of 51.6/sup 0/C (125/sup 0/F) and 67/sup 0/C (153/sup 0/F), indicate that an extensive, moderate-temperature geothermal resource is located on the MCAGCC. The geothermal reservoir appears to be situated in old, unconsolidated alluvial material and is structurally bounded on the east by the Mesquite Lake fault and on the west by the Surprise Spring fault. If measured temperature gradients continue to increase at the observed rate, temperatures in excess of 80/sup 0/C (178/sup 0/F) can be expected at a depth of 2000 feet.

  14. Littoral Combat Ship Crew Scheduling

    Science.gov (United States)

    2015-03-01

    package DON Department of the Navy F&R Fix and Relax GAMS General Algebraic Modeling System LCS Littoral Combat Ship LCSRON Littoral Combat Ship...but that can be acceptable depending on the scheduler needs. F&R produces superior long-term schedules when compared to a similar-length RH schedule...LEFT BLANK 29 IV. MODEL IMPLEMENTATION LCSS is implemented with the General Algebraic Modeling System (GAMS) using the GAMS/CPLEX (GAMS, 2014

  15. Evidence of Combat in Triceratops

    OpenAIRE

    Andrew A Farke; Wolff, Ewan D. S.; Tanke, Darren H.

    2009-01-01

    BACKGROUND: The horns and frill of Triceratops and other ceratopsids (horned dinosaurs) are interpreted variously as display structures or as weapons against conspecifics and predators. Lesions (in the form of periosteal reactive bone, healing fractures, and alleged punctures) on Triceratops skulls have been used as anecdotal support of intraspecific combat similar to that in modern horned and antlered animals. If ceratopsids with different cranial morphologies used their horns in such combat...

  16. O combate ao escorpionismo

    Directory of Open Access Journals (Sweden)

    Octavio de Magalhães

    1946-09-01

    Full Text Available O outor estuda os processos de combate aos acidentes pelas picadas dos escorpiões, visando: a Profilaxia e b Terapêutica. Refere-se à luta nos campos e nas cidades e aqui, dentro e fora dos domicílios. Assinala os diferentes métodos para o combate a êsses artrópodos peçonhentos. Fala na luta direta, indireta, na vacinação pelo anaveneno, na propaganda pela educação racional da população contra o perigo dos acidentes. Refere-se à "cata" dos escorpiões, à luta química, ao emprêgo de animais escorpiófagos, á feitura de casas e jardins anti-escorpiões. Na primeira parte do presente trabalho o autor trata da luta química pelo d. D. T. contra os tityus bahiensis e serrulatus, concluindo que êste corpo químico é um poderoso elemento de luta contra êstes escorpiões. Na segunda parte do trabalho, o autor trata da terapêutica dos acidentes. Mostra a necessidade do emprêgo convenientemente da única terapêutica racional e eficaz contra a intoxicação escorpiônica: a soroterapia específica. Assinala a necessidade da injeção de doses maciças de um sôro de alta valência, preparado em bovídeos, para evitar o mais possível o choque anafilático, no menor tempo possível após as picadas. Aconselha o empêgo de anaveneno escorpiônico, para vacinação principalmente de crianças de baixa idade, nos lugares fortemente infestados pelos escorpiões (principalmente Tityus serrulatus, maximé quando no local não houver sôro anti-escorpiônico específico, como meio preventivo contra a gravidade das intoxicações. Cita finalmente os trabalhos recentes de Grasset, Shaasfsma e Hodgson, na África do Sul, que confirmam muitas idéias do autor e mostram a unidade universal do síndromo escorpiônico descrito no Brasil.

  17. Self-reported acute health symptoms and exposure to companion animals#

    Science.gov (United States)

    Self-reported acute health symptoms and exposure to companion animalsWhitney S. Krueger1,2, Elizabeth D. Hilborn2, Timothy J. Wade21Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee, USA2Environmental Public Health Division, Office of Research and Development, U...

  18. Self-reported occupational exposure to chemical and physical factors and risk of skin problems

    DEFF Research Database (Denmark)

    Alfonso, Jose Hernan; Thyssen, Jacob P; Tynes, Tore;

    2015-01-01

    Prospective studies on occupational dermatoses in the general working population are sparse. This study investigated prospectively the impact of self-reported occupational exposure to chemicals and physical factors on the risk of skin problems. The cohort comprised respondents drawn randomly from...

  19. The Mental Health Consequences of Adolescents' Exposure to Violence. Final Report.

    Science.gov (United States)

    Singer, Mark I.; And Others

    The extent to which adolescents are exposed to various types of violence, as victims or witnesses, and the association of such exposure with trauma symptoms and violent behavior were studied in samples of students from central city, suburban, and small city high schools. An anonymous self-report questionnaire was completed by 3,735 students in 6…

  20. Validity of self-reported exposure to second-hand smoke in hospitality venues.

    Science.gov (United States)

    Galán, Iñaki; Mayo, Elga; López, María J; Pérez-Ríos, Mónica; Fu, Marcela; Martínez-Sánchez, Jose M; Schiaffino, Anna; Moncada, Albert; Montes, Agustín; Nebot, Manel; Fernández, Esteve

    2014-08-01

    The aim was to assess the validity of self-reported exposure to second-hand smoke (SHS) in 50 hospitality venues of Madrid (Spain) in 2010, taking as a reference vapour-phase nicotine measured by active sampling. The questions posed in the questionnaire permitted distinguishing between the different levels of SHS. However, the moderate relationship found (Spearman׳s correlation=0.387, phospitality venues, based solely on self-reported information, should be used with caution.

  1. Accidental exposure to UV radiation produced by germicidal lamp: case report and risk assessment.

    Science.gov (United States)

    Zaffina, Salvatore; Camisa, Vincenzo; Lembo, Marco; Vinci, Maria Rosaria; Tucci, Mario Graziano; Borra, Massimo; Napolitano, Antonio; Cannatà, Vittorio

    2012-01-01

    Ultraviolet radiation is known to cause both benefits and harmful effects on humans. The adverse effects mainly involve two target organs, skin and eye, and can be further divided into short- and long-term effects. The present case report describes an accidental exposure of two health-care workers to ultraviolet radiation produced by a germicidal lamp in a hospital pharmacy. The germicidal lamp presented a spectrum with an intense UV-C component as well as a modest UV-B contribution. Overexposure to UV-C radiation was over 100 times as large as the ICNIRP exposure limits. A few hours after the exposure, the two subjects reported symptoms of acute UV injury and both of them continued having significant clinical signs for over 2 years. In this study, we describe acute and potentially irreversible effects caused by high UV exposure. In addition, we present the results of risk assessment by occupational exposure to germicidal lamps. © 2012 Wiley Periodicals, Inc. Photochemistry and Photobiology © 2012 The American Society of Photobiology.

  2. Occupational solvent exposure and glomerulonephritis: a case report and review of the literature

    Energy Technology Data Exchange (ETDEWEB)

    Daniell, W.E.; Couser, W.G.; Rosenstock, L.

    1988-04-15

    The authors describe a patient who presented with renal failure after a one-year period of unprotected heavy occupational exposure to organic solvents. Renal biopsy results and serological finding were diagnostic of anti-glomerular basement membrane antibody-mediated glomerulonephritis. An analytic review of the literature revealed substantial evidence linking solvent exposure to the development of glomerulonephritis (GN), with seven of nine case-control studies demonstrating a statistically significant association. Odds ratios were reported by or could be calculated for six of these studies, and the five positive studies detected a 2.8- to 8.9-fold increased risk for GN among solvent-exposed individuals. The findings in several of these studies of dose-response relationships, the reports of variations in disease severity in relation to exposure intensity, and the absence of alternative explanations for the association provide additional supportive evidence for a solvent effect. The authors conclude that in the case presented herein and in cases of GN with similar exposure histories, solvent exposure may play a significant contributing role in the development of GN.

  3. Disentangling the Exposure Experience: The Roles of Community Context and Report-Back of Environmental Exposure Data

    Science.gov (United States)

    Adams, Crystal; Brown, Phil; Morello-Frosch, Rachel; Brody, Julia Green; Rudel, Ruthann; Zota, Ami; Dunagan, Sarah; Tovar, Jessica; Patton, Sharyle

    2011-01-01

    This article examines participants' responses to receiving their results in a study of household exposure to endocrine disrupting compounds and other pollutants. The authors study how the "exposure experience"--the embodied, personal experience and understanding of chronic exposure to environmental pollutants--is shaped by community context and…

  4. Reporting individual results for biomonitoring and environmental exposures: lessons learned from environmental communication case studies.

    Science.gov (United States)

    Brody, Julia Green; Dunagan, Sarah C; Morello-Frosch, Rachel; Brown, Phil; Patton, Sharyle; Rudel, Ruthann A

    2014-05-26

    Measurement methods for chemicals in biological and personal environmental samples have expanded rapidly and become a cornerstone of health studies and public health surveillance. These measurements raise questions about whether and how to report individual results to study participants, particularly when health effects and exposure reduction strategies are uncertain. In an era of greater public participation and open disclosure in science, researchers and institutional review boards (IRBs) need new guidance on changing norms and best practices. Drawing on the experiences of researchers, IRBs, and study participants, we discuss ethical frameworks, effective methods, and outcomes in studies that have reported personal results for a wide range of environmental chemicals. Belmont Report principles and community-based participatory research ethics imply responsibilities to report individual results, and several recent biomonitoring guidance documents call for individual reports. Meaningful report-back includes contextual information about health implications and exposure reduction strategies. Both narrative and graphs are helpful. Graphs comparing an individual's results with other participants in the study and benchmarks, such as the National Exposure Report, are helpful, but must be used carefully to avoid incorrect inferences that higher results are necessarily harmful or lower results are safe. Methods can be tailored for specific settings by involving participants and community members in planning. Participants and researchers who have participated in report-back identified benefits: increasing trust in science, retention in cohort studies, environmental health literacy, individual and community empowerment, and motivation to reduce exposures. Researchers as well as participants gained unexpected insights into the characteristics and sources of environmental contamination. Participants are almost universally eager to receive their results and do not regret getting

  5. Influence of the severity and location of bodily injuries on post-concussive and combat stress symptom reporting after military-related concurrent mild traumatic brain injuries and polytrauma.

    Science.gov (United States)

    French, Louis M; Lange, Rael T; Marshall, Kathryn; Prokhorenko, Olga; Brickell, Tracey A; Bailie, Jason M; Asmussen, Sarah B; Ivins, Brian; Cooper, Douglas B; Kennedy, Jan E

    2014-10-01

    Traumatic brain injuries (TBI) sustained in combat frequently co-occur with significant bodily injuries. Intuitively, more extensive bodily injuries might be associated with increased symptom reporting. In 2012, however, French et al. demonstrated an inverse relation between bodily injury severity and symptom reporting. This study expands on that work by examining the influence of location and severity of bodily injuries on symptom reporting after mild TBI. Participants were 579 US military service members who sustained an uncomplicated mild TBI with concurrent bodily injuries and who were evaluated at two military medical centers. Bodily injury severity was quantified using a modified Injury Severity Score (ISSmod). Participants completed the Neurobehavioral Symptom Inventory (NSI) and the Posttraumatic Stress Disorder Checklist (PCL-C), on average, 2.5 months post-injury. There was a significant negative association between ISSmod scores and NSI (r=-0.267, pinverse relation between bodily injury severity and symptom reporting in this sample. Hypothesized explanations include underreporting of symptoms, increased peer support, disruption of fear conditioning because of acute morphine use, or delayed expression of symptoms.

  6. Bilateral periorbital necrotizing fasciitis following exposure to Holi colors: A case report

    Directory of Open Access Journals (Sweden)

    Chauhan Deepender

    2007-01-01

    Full Text Available Holi festival is celebrated in India traditionally by applying colors on one another. Various ocular adverse effects of these colors have been reported including conjunctivitis and corneal abrasion. We report a case of bilateral periorbital necrotizing fasciitis, following exposure to Holi colors. General physicians might encounter more such cases after exposure to Holi colors. In India, these colors are prepared on a small scale and lack any quality checks. Use of such toxic colors should be discouraged, and all doctors should caution people against using synthetic dyes. This case report highlights the need to put manufacturing of Holi colors under guidelines of the Food and Drug Cosmetic Act and the Bureau of Indian Standards.

  7. Bilateral periorbital necrotizing fasciitis following exposure to Holi colors: a case report.

    Science.gov (United States)

    Chauhan, Deepender; Arora, Ritu; Das, Sima; Shroff, Daraius; Narula, Ritesh

    2007-01-01

    Holi festival is celebrated in India traditionally by applying colors on one another. Various ocular adverse effects of these colors have been reported including conjunctivitis and corneal abrasion. We report a case of bilateral periorbital necrotizing fasciitis, following exposure to Holi colors. General physicians might encounter more such cases after exposure to Holi colors. In India, these colors are prepared on a small scale and lack any quality checks. Use of such toxic colors should be discouraged, and all doctors should caution people against using synthetic dyes. This case report highlights the need to put manufacturing of Holi colors under guidelines of the Food and Drug Cosmetic Act and the Bureau of Indian Standards.

  8. Self-reported noise exposure as a risk factor for long-term sickness absence

    DEFF Research Database (Denmark)

    Clausen, Thomas; Christensen, Karl Bang; Lund, Thomas;

    2009-01-01

    -quarter and three-quarters of their time at work had an increased risk of 43% (CI: 10-85%) for sickness absence of two weeks or longer compared to men that reported never to be exposed to loud noise. Men that reported to be little/rarely exposed to loud noise had an increased risk of 37% (CI: 7-76%). Men...... that reported to be exposed to loud noise more than three-quarters of their time at work did not have an increased risk of sickness absence. This latter result might be due a healthy worker effect and/or more frequent use of hearing protection in this group. Along with evidence from previous studies......Self-reported noise exposure is on the rise in Denmark. Little is known, however, about the social consequences, including sickness absence, of noise exposure. The aim of this paper was to investigate the association between self-reported noise exposure and long-term sickness absence...

  9. Indoor Air Pollution and Health in Ghana: Self-Reported Exposure to Unprocessed Solid Fuel Smoke.

    Science.gov (United States)

    Armah, Frederick A; Odoi, Justice O; Luginaah, Isaac

    2015-06-01

    Most countries in Sub-Saharan Africa including Ghana still depend extensively on unprocessed solid cooking fuels with many people exposed on a daily basis to harmful emissions and other health risks. In this study, using complementary log-log multivariate models, we estimated the health effects of exposure to smoke from unprocessed wood in four regions of Ghana while controlling for socio-environmental and socio-demographic factors. The results show that the distribution of self-reported exposure to smoke was highest among participants in the Northern region, rural dwellers, the 25-49 age groups, individuals with no education, and married women. As expected, exposure to smoke was higher in crowded households and in communities without basic social amenities. Region, residential locality, housing quality (type of roofing, floor and exterior materials), self-reported housing condition, and access to toilet facilities were associated with self-reported exposure to solid fuel smoke. Participants living in urban areas were less likely (OR = 0.82, ρ ≤ 0.01) to be exposed to solid fuel smoke compared to their rural counterparts. An inverse relationship between self-reported housing condition and exposure to solid fuel smoke was observed and persisted even after adjustments were made for confounding variables in the demographic model. In Ghana, the cost and intermittent shortages of liquefied petroleum gas and other alternative fuel sources hold implications for the willingness of the poor to shift to their use. Thus, the poorest rural populations with nearly no cash income and electricity, but with access to wood and/or agricultural waste, are unlikely to move to clean fuels or use significantly improved stoves without large subsidies, which are usually not sustainable. However, there appears to be large populations between these extremes that can be targeted by efforts to introduce improved stoves.

  10. Pleural mesothelioma: Case-report of uncommon occupational asbestos exposure in a small furniture industry.

    Science.gov (United States)

    Oddone, Enrico; Imbriani, Marcello

    2016-01-01

    The relationship between asbestos exposure and malignant mesothelioma is no longer disputed, although it is not always easy to trace past occupational exposure. This report describes a case of uncommon asbestos exposure of a small furniture industry worker, who subsequently died of pleural malignant mesothelioma, to stress the crucial importance of a full reconstruction of the occupational history, both for legal and compensation purposes. Sarcomatoid pleural mesothelioma was diagnosed in a 70-year-old man, who was previously employed as a carpenter in a small furniture industry. He worked for about 6 years in the small factory, was exposed to asbestos during the assembly of the furniture inspired by classical architecture, in which asbestos cement tubes were used to reproduce classical columns. During this production process no specific work safety measures were applied, nor masks or local aspirators. No extra-professional exposure to asbestos was identified. This mesothelioma case was investigated by the Public Prosecutor's assignment that commissioned expert evidence on the legal accountability for the disease. Despite its uncommon expositive circumstance, the length of latency (about 30 years), the duration of exposure, the clinical and histochemical features are all consistent with literature evidence, accounting for the occupational origin of this malignancy.

  11. Pleural mesothelioma: Case-report of uncommon occupational asbestos exposure in a small furniture industry

    Directory of Open Access Journals (Sweden)

    Enrico Oddone

    2016-06-01

    Full Text Available The relationship between asbestos exposure and malignant mesothelioma is no longer disputed, although it is not always easy to trace past occupational exposure. This report describes a case of uncommon asbestos exposure of a small furniture industry worker, who subsequently died of pleural malignant mesothelioma, to stress the crucial importance of a full reconstruction of the occupational history, both for legal and compensation purposes. Sarcomatoid pleural mesothelioma was diagnosed in a 70-year-old man, who was previously employed as a carpenter in a small furniture industry. He worked for about 6 years in the small factory, was exposed to asbestos during the assembly of the furniture inspired by classical architecture, in which asbestos cement tubes were used to reproduce classical columns. During this production process no specific work safety measures were applied, nor masks or local aspirators. No extra-professional exposure to asbestos was identified. This mesothelioma case was investigated by the Public Prosecutor’s assignment that commissioned expert evidence on the legal accountability for the disease. Despite its uncommon expositive circumstance, the length of latency (about 30 years, the duration of exposure, the clinical and histochemical features are all consistent with literature evidence, accounting for the occupational origin of this malignancy.

  12. Medication Exposures and Subsequent Development of Ewing Sarcoma: A Review of FDA Adverse Event Reports

    Directory of Open Access Journals (Sweden)

    Judith U. Cope

    2015-01-01

    Full Text Available Background. Ewing sarcoma family of tumors (ESFT are rare but deadly cancers of unknown etiology. Few risk factors have been identified. This study was undertaken to ascertain any possible association between exposure to therapeutic drugs and ESFT. Methods. This is a retrospective, descriptive study. A query of the FDA Adverse Event Reporting System (FAERS was conducted for all reports of ESFT, January 1, 1998, through December 31, 2013. Report narratives were individually reviewed for patient characteristics, underlying conditions and drug exposures. Results. Over 16 years, 134 ESFT reports were identified, including 25 cases of ESFT following therapeutic drugs and biologics including immunosuppressive agents and hormones. Many cases were confounded by concomitant medications and other therapies. Conclusions. This study provides a closer look at medication use and underlying disorders in patients who later developed ESFT. While this study was not designed to demonstrate any clear causative association between ESFT and prior use of a single product or drug class, many drugs were used to treat immune-related disease and growth or hormonal disturbances. Further studies may be warranted to better understand possible immune or neuroendocrine abnormalities or exposure to specific classes of drugs that may predispose to the later development of ESFT.

  13. Assessing the impact of reduced airspeed on tiltrotor support to ground combat

    Energy Technology Data Exchange (ETDEWEB)

    Warshawsky, A.S.; Olness, D.U.; Uzelac, M.J.

    1991-02-14

    This paper reports the sensitivity of assessments of tiltrotor effectiveness for supporting ground combat to reductions in airspeed of V-22s carrying external sling loads. Attrition to ground-based air defenses realized in the simulations is presented. Finally, results of the supported ground combat are presented. 2 refs.

  14. Radiation Exposures for DOE and DOE Contractor Employees - 1990. Twenty-third annual report

    Energy Technology Data Exchange (ETDEWEB)

    Smith, M. H. [Pacific Northwest Lab., Richland, WA (United States); Hui, T. E. [Pacific Northwest Lab., Richland, WA (United States); Millet, W. H. [Idaho National Engineering Lab., Idaho Falls, ID (United States); Scholes, V. A. [Idaho National Engineering Lab., Idaho Falls, ID (United States)

    1993-11-01

    All U.S. Department of Energy and DOE contractors are required by DOE Order 5484.1, Chapter IV, to submit occupational radiation exposure records to a central depository. For 1990, data were required to be submitted for all employees who were required to be monitored in accordance with DOE Order 5480.11 and for all visitors who had a positive exposure. The data required included the total effective dose equivalent, external penetrating whole-body dose equivalent, internal dose equivalent, the shallow dose equivalent, neutron dose equivalent, and extremity dose equivalent. Data regarding the exposed individuals included the individual's age, sex, and occupation category. This report is a summary of data reported by DOE and DOE contractors for the calendar year 1990.

  15. COMBATING PIRACY: THE INDONESIAN CASE

    Directory of Open Access Journals (Sweden)

    Melda Kamil Ariadno

    2013-08-01

    Full Text Available Piracy at sea has been a threat to international navigation ever since the sea traverse by ships from west to east and north to south. Threat to international trade has resulted to various efforts in combating piracy regionally as well as internationally. International law has differentiated between piracy and sea-armed robbery, while the first requires regional or international cooperation due to universal jurisdiction, the second will directly fall under the jurisdiction of coastal state. Strait of Malacca has been used by international navigation and very fragile to the threat of piracy or even appropriately called as sea armed robbery since most of the time happened in the part of Indonesian territorial sea. Various efforts to combat piracy have been carried out by Indonesia including to cooperate with Malaysia and Singapore. This article discuss about piracy at sea, its legal definition and effort to combat piracy.

  16. Examining the public’s exposure to reports about ethnic groups in mainstream Russian media.

    Directory of Open Access Journals (Sweden)

    Gladkova A. A.

    2016-05-01

    Full Text Available This article examines the exposure of Russian public to reports about ethnic groups in current mainstream Russian media by analyzing the amount of such reports today, as well as results of an online survey (n = 1040 aimed at revealing to what extent the public is indeed exposed to them by the respondents’ own estimations. The survey showed that generally users tend to lack information about ethnicities in mainstream media and demonstrate a certain interest in learning more about other ethnic groups in Russia through media channels. We argue thus that the public’s exposure to information about ethnic issues, although relatively high on a quantitative level (i.e., in terms of the actual number of reports, is lower on a qualitative one (i.e., the share of the respondents who actually come across such reports. The paper also reveals a number of tendencies from analyzing users’ age groups and their regions of living. In general, we believe that singling out both specifics of the public’s exposure to information about ethnicities and the connection between this exposure and the public’s attitudes toward ethnicities (which is planned as the second stage of the current research project may contribute to better understanding of the effects media can have on their audience in terms of agenda-setting and psychological influence. The current research can also be of interest when discussing the role mass media play in building harmonious relationships between representatives of different ethnic groups in a multiethnic society such as the Russian one.

  17. Biologic indicators of exposure to cadmium and lead palmerton, Pennsylvania. Part 2. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Sarasua, S.M.; McGeehin, M.A.; Stallings, F.L.; Terracciano, G.L.; Amler, R.W.

    1995-05-01

    In Part 2 of this study, no difference was reported in the results of medical tests of the blood, liver, kidney, and immune systems of participants living in the two study areas. No relationships was found between exposure to cadmium and lead and the immune, liver, and blood system tests. No community wide medical action is needed in Palmerton based on the results of this study. No further site-specific health studies are recommended.

  18. Report on recent over-exposure accidents with a medical linac in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Kudoh, Hisaaki [Tokyo Univ., Nuclear Engineering Research Lab., Tokai, Ibaraki (Japan)

    2003-02-01

    On December 21, 2001, at a hospital in Tokyo, an engineer setting a medical-linac was over-exposed by the equipment due to lack of communication between workers. The exposed dose was initially reported as 1000 mSv (1 Sv), but later revised to 200 mSv at most. The outline of the accident and the statistical data on radiation exposure accidents in Japan and the world are briefly overlooked. (author)

  19. Occupational blood exposure among health care workers: I. Frequency and reporting

    DEFF Research Database (Denmark)

    Nelsing, S; Nielsen, T L; Nielsen, Jens Ole

    1993-01-01

    The frequency and reporting rate concerning occupational blood exposure were investigated among former and currently employed medical staff at a Department of Infectious Diseases (DID) having a high prevalence of HIV-positive patients. Subjects were asked to complete an anonymous questionnaire de......, carries a real and serious risk of contracting infectious diseases due to occupational exposure to blood. The importance of reporting needs to be emphasized.......The frequency and reporting rate concerning occupational blood exposure were investigated among former and currently employed medical staff at a Department of Infectious Diseases (DID) having a high prevalence of HIV-positive patients. Subjects were asked to complete an anonymous questionnaire.......5%) involved blood from a patient with hepatitis B. Annual incidence rates of PCE and MCE were: for A) interns and residents, 0.51 PCE/year and 0.17 MCE/year; B) for senior residents and senior physicians, 0.13 PCE/year and 0.21 MCE/year; C) for registered nurses, 0.11 PCE/year and 0.03 MCE/year; D...

  20. Optimal Repellent Usage to Combat Dengue Fever.

    Science.gov (United States)

    Dorsett, Chasity; Oh, Hyunju; Paulemond, Marie Laura; Rychtář, Jan

    2016-05-01

    Dengue fever is one of the most important vector-borne diseases. It is transmitted by Aedes Stegomyia aegypti, and one of the most effective strategies to combat the disease is the reduction of exposure to bites of these mosquitoes. In this paper, we present a game-theoretical model in which individuals choose their own level of protection against mosquito bites in order to maximize their own benefits, effectively balancing the cost of protection and the risk of contracting the dengue fever. We find that even when the usage of protection is strictly voluntary, as soon as the cost of protection is about 10,000 times less than the cost of contracting dengue fever, the optimal level of protection will be within 5 % of the level needed for herd immunity.

  1. Integrated physical training in combat sports

    Directory of Open Access Journals (Sweden)

    Raquel Hernández García

    2011-03-01

    Full Text Available AbstractThis paper aims to define the concepts of embedded training (EI and integrated fitness (PFI and the importance of these concepts have in training in combat sports. And define a set of guidelines and examples of PFI in the combat sport of judo.Key words: integrated training, integrated physical training, combat sports, judo

  2. Combat Injury Coding: A Review and Reconfiguration

    Science.gov (United States)

    2013-01-01

    characterize combat anatomic injury, and the Military Functional Incapacity Scale (MFIS), which indicates immediate tactical functional impairment, were...Combat Injury Scale and Military Functional Incapacity Scale were developed, tested and validated by teams of civilian and tri-service military expertise...characterizes the unique injuries encountered in combat, es- pecially those caused by explosions, and its derivative, the Military Functional Incapacity

  3. Assessment of dissociation among combat-exposed soldiers with and without posttraumatic stress disorder

    Directory of Open Access Journals (Sweden)

    Barbaros Özdemir

    2015-04-01

    Full Text Available Background: Dissociation is a disruption of and/or discontinuity in the normal, subjective integration of one or more aspects of psychological functioning, including memory, identity, consciousness, perception, and motor control. A limited number of studies investigated combat-related dissociation. Objective: The primary aim of this study was to evaluate the relationship between dissociative symptoms and combat-related trauma. Method: This study included 184 individuals, including 84 patients who were exposed to combat and diagnosed with posttraumatic stress disorder (PTSD (Group I, 50 subjects who were exposed to combat but were not diagnosed with PTSD (Group II, and 50 healthy subjects without combat exposure (Group III. The participants were evaluated using the Dissociative Experiences Scale (DES to determine their total and sub-factor (i.e., amnesia, depersonalization/derealization, and absorption dissociative symptom levels. In addition, Group I and Group II were compared with respect to the relationship between physical injury and DES scores. Results: The mean DES scores (i.e., total and sub-factors of Group I were higher than those of Group II (p30 was highest in Group I, followed by Group II and Group III. When we compared combat-exposed subjects with high total DES scores, Group I had higher scores than Group II. In contrast, no relationship between the presence of bodily injury and total DES scores could be demonstrated. In addition, our results demonstrated that high depersonalization/derealization factor scores were correlated with bodily injury in PTSD patients. A similar relationship was found between high absorption factor scores and bodily injury for Group II. Conclusions: Our results demonstrated that the level of dissociation was significantly higher in subjects with combat-related PTSD than in subjects without combat-related PTSD. In addition, combat-exposed subjects without PTSD also had higher dissociation levels than

  4. Using an Emergency Department Syndromic Surveillance System to Evaluate Reporting of Potential Rabies Exposures, Illinois, 2013-2015.

    Science.gov (United States)

    Bemis, Kelley; Frias, Mabel; Patel, Megan Toth; Christiansen, Demian

    Mandatory reporting of potential rabies exposures and initiation of postexposure prophylaxis (PEP) allow local health authorities to monitor PEP administration for errors. Our objectives were to use an emergency department (ED) syndromic surveillance system to (1) estimate reporting compliance for exposure to rabies in suburban Cook County, Illinois, and (2) initiate interventions to improve reporting and reassess compliance. We queried ED records from 45 acute care hospitals in Cook County and surrounding areas from January 1, 2013, through June 30, 2015, for chief complaints or discharge diagnoses pertaining to rabies, PEP, or contact with a wild mammal (eg, bat, raccoon, skunk, fox, or coyote). We matched patients with ≥1 ED visit for potential rabies exposure to people with potential rabies exposure reported to the Cook County Department of Public Health. We considered nonmatches to have unreported exposures. We then initiated active surveillance in July 2015, disseminated education on reporting requirements in August and September 2015, and reassessed reporting completeness from July 2015 through February 2016. Of 248 patients with rabies-related ED visits from January 2013 through June 2015, 63 (25.4%) were reported. After interventions were implemented to increase reporting compliance, 53 of 98 (54.1%) patients with rabies-related ED visits from July 2015 through February 2016 were reported. Patients with ED visits for potential rabies exposure were twice as likely to be reported postintervention than preintervention (risk ratio = 2.1; 95% CI, 1.6-2.8). The volume of potential rabies exposure cases reported to the health department from July 2015 through February 2016 increased by 252% versus the previous year. Potential rabies exposures and PEP initiation are underreported in suburban Cook County. ED syndromic surveillance records can be used to estimate reporting compliance and conduct active surveillance.

  5. Virtual reality exposure therapy for active duty soldiers.

    Science.gov (United States)

    Reger, Greg M; Gahm, Gregory A

    2008-08-01

    Virtual reality exposure (VRE) therapy is a promising treatment for a variety of anxiety disorders and has recently been extended to the treatment of posttraumatic stress disorder (PTSD). In this article, the authors briefly review the rationale for VRE and its key processes. They illustrate the treatment with an active-duty Army soldier diagnosed with combat-related PTSD. Six sessions of VRE were provided using an immersive simulation of a military convoy in Iraq. Self-reported PTSD symptoms and psychological distress were reduced at posttreatment relative to pretreatment reports, as assessed by the PTSD Checklist-Military Version and the Behavior and Symptom Identification Scale-24. The case outcomes parallel those reported in the research with other disorders and suggest the applicability of VRE in treating active duty soldiers with combat-related PTSD.

  6. Mass media relevance in combating insecurity in Nigeria

    Directory of Open Access Journals (Sweden)

    : Nwabueze, C.

    2013-06-01

    Full Text Available This work examines the critical role of the mass media in combating the upsurge of crime which has led to a state of insecurity in the country, especially in the North, South Eastern and South Southern parts of the country. This discourse adopts the qualitative approach in appraising the correlation between the mass media and the insecurity in Nigeria with emphasis on practical measures relevant in this direction. The recommends that journalists should be trained regularly on terrorism and conflict reporting to always keep them abreast of modern techniques that could be used in ensuring effective use of the mass media in combating insecurity in Nigeria.

  7. Complex contribution of combat-related post-traumatic stress disorder to veteran suicide: facing an increasing challenge.

    Science.gov (United States)

    Lee, Elizabeth A D

    2012-04-01

    The purpose of this case study is to present the complex contribution of combat-related post-traumatic stress disorder (PTSD) to suicide and international standards of treatment among veterans deployed to the Middle East. PTSD carries increased physical and psychological health risk in combat soldiers. Internationally, guidelines for PTSD promote cognitive behavior therapies, specifically exposure therapy, as first line treatment; however, implementation varies among countries. Evidence supports the benefit of exposure-based psychotherapy for combat-related PTSD. Commonly prescribed antidepressants and other psychotherapy treatments may not be as beneficial. © 2011 Wiley Periodicals, Inc.

  8. Decentralisation and Combating Educational Exclusion.

    Science.gov (United States)

    van Langen, Annemarie; Dekkers, Hetty

    2001-01-01

    Describes Dutch policies to combat educational disadvantage arising from economic, social, and cultural factors by funding efforts at the local level. Compares Dutch efforts to success factors and obstacles encountered in similar initiatives in the United States, England and Wales, and Australia, where public education and local authority have…

  9. New Russian Combat Small Boats

    Directory of Open Access Journals (Sweden)

    Aleksandr F. Mitrofanov

    2016-12-01

    Full Text Available The article presents an overview of small combat boats. The author provides a description and gives an analysis of the characteristics of the boat "Raptor", boat "BK-16", boat "Strizh-4-1 DSh", and assault boat "BK-10".

  10. Combating corruption in global health.

    Science.gov (United States)

    Mackey, Tim K; Kohler, Jillian; Lewis, Maureen; Vian, Taryn

    2017-08-09

    Corruption is a critical challenge to global health efforts, and combating it requires international action, advocacy, and research. Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  11. Evidence of combat in triceratops.

    Directory of Open Access Journals (Sweden)

    Andrew A Farke

    Full Text Available BACKGROUND: The horns and frill of Triceratops and other ceratopsids (horned dinosaurs are interpreted variously as display structures or as weapons against conspecifics and predators. Lesions (in the form of periosteal reactive bone, healing fractures, and alleged punctures on Triceratops skulls have been used as anecdotal support of intraspecific combat similar to that in modern horned and antlered animals. If ceratopsids with different cranial morphologies used their horns in such combat, this should be reflected in the rates of lesion occurrence across the skull. METHODOLOGY/PRINCIPAL FINDINGS: We used a G-test of independence to compare incidence rates of lesions in Triceratops (which possesses two large brow horns and a smaller nasal horn and the related ceratopsid Centrosaurus (with a large nasal horn and small brow horns, for the nasal, jugal, squamosal, and parietal bones of the skull. The two taxa differ significantly in the occurrence of lesions on the squamosal bone of the frill (P = 0.002, but not in other cranial bones (P > 0.20. CONCLUSIONS/SIGNIFICANCE: This pattern is consistent with Triceratops using its horns in combat and the frill being adapted as a protective structure for this taxon. Lower pathology rates in Centrosaurus may indicate visual rather than physical use of cranial ornamentation in this genus, or a form of combat focused on the body rather than the head.

  12. Lung fibrosis and exposure to wood dusts: Two cases report and review of the literature

    Directory of Open Access Journals (Sweden)

    Matteo Riccò

    2015-10-01

    Full Text Available Introduction: Increasing evidence suggests that idiopathic pulmonary fibrosis (IPF occurs more often in subjects previously exposed to wood dusts than in non-exposed subjects. Here we report 2 cases of the IPF among workers prolongedly exposed to high levels of hardwood dusts. Case report: The case No. 1: An 83 year-old male former smoker, retired joiner developed mild dyspnoea and chronic dry cough over the period preceding the examination. Pulmonary function tests (PFT identified a mild restrictive pattern and diffusion capacity for carbon dioxide (CO2 that was severely impaired (57% of predicted value. High resolution computer tomography (HRCT identified bilateral, subpleural basal reticular opacities in honeycombing, without any nodules or ground-glass opacities. The case No. 2: A 73 year-old male retired joiner, never smoker, presented a 3-year history of progressive breathlessness and non-productive cough in mild hypoxemia. Pulmonary function tests suggested a moderate restrictive pattern in severely impaired diffusion capacity for CO2 (54% of predicted value. High resolution computer tomography identified diffuse peripheral reticular opacities and honeycombing of lower fields, with apico-basilar gradient. Both cases received diagnosis of the idiopathic pulmonary fibrosis. Discussion: The pulmonary fibrosis is a common feature of several diseases and may be induced by inflammatory disorders following inhalation of organic and inorganic dusts (e.g., asbestos, silica, and several reports suggest that many cases of the IPF may be in fact secondary to occupational dust exposure as in the case reports we present here. Conclusions: Occupational exposure to wood dusts may be a risk factor for the IPF. Unfortunately, exposure reconstruction is frequently inconsistent and anamnesis often misses other causes of the pulmonary fibrosis (e.g., extrinsic allergic alveolitis. Med Pr 2015;66(5:739–747

  13. Passive Fuel Tank Inerting Systems for Ground Combat Vehicles

    Science.gov (United States)

    1988-09-01

    34Fire Protection Handbook,"Natioaal girt Pro~dction Association (NFPA), 14th es., Dos on, cu (January 1976) 25 American Petroleum Institute, API ...System on the X60 Series Combat Vehicles," Report No. 79-04A, U.S. Army Tank Automotive Research and Development I Command, DRDTA-V, Warren, MI (October

  14. Caregiver-reports of Internet Exposure and Posttraumatic Stress Among Boston-Area Youth Following the 2013 Marathon Bombing

    Science.gov (United States)

    Comer, Jonathan S.; DeSerisy, Mariah; Green, Jennifer Greif

    2017-01-01

    Although practitioners and researchers have considered children’s television-based terrorism exposure, Internet-based exposure has not been sufficiently examined. We examined the scope and correlates of children’s Internet-based exposure following the Boston Marathon bombing among Boston-area youth (N=460; 4–19 years), and the potential moderating role of age. Further exploratory analyses examined patterns of caregiver attempts to regulate child Internet exposure. Caregivers reported on child Internet-based and direct exposure to traumatic bombing-related events, and youth posttraumatic stress (PTS). Online youth consumed on average over two daily hours of Internet coverage, and roughly one-third consumed over three daily hours of coverage. Internet exposure was particularly high among children over 12. Greater Internet-based exposure was associated with PTS, and 12–15 year olds were particularly vulnerable. Further exploratory analyses found that although most caregivers reported believing media exposure can cause children further trauma, a considerable proportion of caregivers made no attempt to restrict or regulate their child’s Internet-based exposure. These findings help practitioners clarify forms of indirect exposure that can place youth at risk following terrorism. Future work is needed to examine the important roles caregivers play as media regulators and as promoters of child coping and media literacy following terrorism. PMID:28770253

  15. A Pilot Project Demonstrating that Combat Medics Can Safely Administer Parenteral Medications in the Emergency Department.

    Science.gov (United States)

    Schauer, Steven G; Cunningham, Cord W; Fisher, Andrew D; DeLorenzo, Robert A

    2017-08-15

    Introduction Select units in the military have improved combat medic training by integrating their functions into routine clinical care activities with measurable improvements in battlefield care. This level of integration is currently limited to special operations units. It is unknown if regular Army units and combat medics can emulate these successes. The goal of this project was to determine whether US Army combat medics can be integrated into routine emergency department (ED) clinical care, specifically medication administration. Project Design This was a quality assurance project that monitored training of combat medics to administer parenteral medications and to ensure patient safety. Combat medics were provided training that included direct supervision during medication administration. Once proficiency was demonstrated, combat medics would prepare the medications under direct supervision, followed by indirect supervision during administration. As part of the quality assurance and safety processes, combat medics were required to document all medication administrations, supervising provider, and unexpected adverse events. Additional quality assurance follow-up occurred via complete chart review by the project lead. Data During the project period, the combat medics administered the following medications: ketamine (n=13), morphine (n=8), ketorolac (n=7), fentanyl (n=5), ondansetron (n=4), and other (n=6). No adverse events or patient safety events were reported by the combat medics or discovered during the quality assurance process. In this limited case series, combat medics safely administered parenteral medications under indirect provider supervision. Future research is needed to further develop this training model for both the military and civilian setting. Schauer SG , Cunningham C W, Fisher AD , DeLorenzo RA . A pilot project demonstrating that combat medics can safely administer parenteral medications in the emergency department.

  16. Abductive networks applied to electronic combat

    Science.gov (United States)

    Montgomery, Gerard J.; Hess, Paul; Hwang, Jong S.

    1990-08-01

    A practical approach to dealing with combinatorial decision problems and uncertainties associated with electronic combat through the use of networks of high-level functional elements called abductive networks is presented. It describes the application of the Abductory Induction Mechanism (AIMTM) a supervised inductive learning tool for synthesizing polynomial abductive networks to the electronic combat problem domain. From databases of historical expert-generated or simulated combat engagements AIM can often induce compact and robust network models for making effective real-time electronic combat decisions despite significant uncertainties or a combinatorial explosion of possible situations. The feasibility of applying abductive networks to realize advanced combat decision aiding capabilities was demonstrated by applying AIM to a set of electronic combat simulations. The networks synthesized by AIM generated accurate assessments of the intent lethality and overall risk associated with a variety of simulated threats and produced reasonable estimates of the expected effectiveness of a group of electronic countermeasures for a large number of simulated combat scenarios. This paper presents the application of abductive networks to electronic combat summarizes the results of experiments performed using AIM discusses the benefits and limitations of applying abductive networks to electronic combat and indicates why abductive networks can often result in capabilities not attainable using alternative approaches. 1. ELECTRONIC COMBAT. UNCERTAINTY. AND MACHINE LEARNING Electronic combat has become an essential part of the ability to make war and has become increasingly complex since

  17. Hair nicotine concentration measurement in cats and its relationship to owner-reported environmental tobacco smoke exposure.

    Science.gov (United States)

    Smith, V A; McBrearty, A R; Watson, D G; Mellor, D J; Spence, S; Knottenbelt, C

    2017-01-01

    To investigate the association between hair nicotine concentration in cats and owner-reported exposure to environmental tobacco smoke. Owner questionnaires documented exposure. Nicotine was extracted from hair by sonification in methanol followed by hydrophilic interaction chromatography with mass spectrometry. Relationships between hair nicotine concentration and owner-reported exposure were examined using hypothesis-testing statistics and receiver operating characteristic curve analysis. The hair nicotine concentration of reportedly exposed cats was significantly higher than unexposed cats and groups of cats with different levels of exposure had significantly different median hair nicotine concentrations corresponding to exposure. A hair nicotine concentration of 0·1 ng/mg had a specificity of 98% (95% confidence interval: 83 to 100) and a sensitivity of 69% (95% confidence interval: 54 to 84) for detecting environmental tobacco smoke exposure. Outdoors access, coat colour, urban or rural environment and length of time living with the owner were not obviously associated with hair nicotine concentration. Feline hair nicotine concentration appears strongly associated with owner-reported environmental tobacco smoke exposure. Feline hair nicotine concentration could therefore be used as a biomarker for tobacco smoke exposure, allowing future studies to assess whether exposed cats have an increased risk of specific diseases. © 2017 British Small Animal Veterinary Association.

  18. Florida red tide and human health: a pilot beach conditions reporting system to minimize human exposure.

    Science.gov (United States)

    Kirkpatrick, Barbara; Currier, Robert; Nierenberg, Kate; Reich, Andrew; Backer, Lorraine C; Stumpf, Richard; Fleming, Lora; Kirkpatrick, Gary

    2008-08-25

    With over 50% of the US population living in coastal counties, the ocean and coastal environments have substantial impacts on coastal communities. While many of the impacts are positive, such as tourism and recreation opportunities, there are also negative impacts, such as exposure to harmful algal blooms (HABs) and water borne pathogens. Recent advances in environmental monitoring and weather prediction may allow us to forecast these potential adverse effects and thus mitigate the negative impact from coastal environmental threats. One example of the need to mitigate adverse environmental impacts occurs on Florida's west coast, which experiences annual blooms, or periods of exuberant growth, of the toxic dinoflagellate, Karenia brevis. K. brevis produces a suite of potent neurotoxins called brevetoxins. Wind and wave action can break up the cells, releasing toxin that can then become part of the marine aerosol or sea spray. Brevetoxins in the aerosol cause respiratory irritation in people who inhale it. In addition, asthmatics who inhale the toxins report increase upper and lower airway symptoms and experience measurable changes in pulmonary function. Real-time reporting of the presence or absence of these toxic aerosols will allow asthmatics and local coastal residents to make informed decisions about their personal exposures, thus adding to their quality of life. A system to protect public health that combines information collected by an Integrated Ocean Observing System (IOOS) has been designed and implemented in Sarasota and Manatee Counties, Florida. This system is based on real-time reports from lifeguards at the eight public beaches. The lifeguards provide periodic subjective reports of the amount of dead fish on the beach, apparent level of respiratory irritation among beach-goers, water color, wind direction, surf condition, and the beach warning flag they are flying. A key component in the design of the observing system was an easy reporting pathway for

  19. Rating of Perceived Exertion for Quantification of Training and Combat Loads During Combat Sport-Specific Activities: A Short Review.

    Science.gov (United States)

    Slimani, Maamer; Davis, Philip; Franchini, Emerson; Moalla, Wassim

    2017-10-01

    Slimani, M, Davis, P, Franchini, E, and Moalla, W. Rating of perceived exertion for quantification of training and combat loads during combat sport-specific activities: a short review. J Strength Cond Res 31(10): 2889-2902, 2017-The aim of this short review was to summarize data pertaining to the rating of perceived exertion (RPE) methods (RPE value and session-RPE) during combat sport-specific activities (i.e., competition and training) based on many factors, including contest type (i.e., official vs. simulated vs. training), combat rounds, age of participants and muscle groups, and their correlation with physiological variables (i.e., blood lactate concentration [La] and heart rate [HR]). The current review shows higher RPE in a match of mixed martial arts (MMAs) than Brazilian jiu-jitsu and kickboxing matches and during the competitive period compared with the precompetitive period. This could be explained by the longer duration of bouts, the higher percentage contribution of aerobic metabolism in MMA than other combat sports and contest type differences (simulated vs. official matches). Thus, this review found significant correlations between RPE or session-RPE, [La] and HR. Particularly, there was a stronger correlation between RPE and [La] during official striking (r = 0.81) than grappling combat sports matches (r = 0.53). In addition, a variation of correlation (moderate to large) between session-RPE and HR-based methods has been reported (i.e., Edwards' training load [r ranged between 0.58 and 0.95] and Banister training impulse [r ranged between 0.52 and 0.86]). Specifically, stronger correlation was apparent in combat sport competition that required a much higher percentage contribution of aerobic metabolism (e.g., karate) and in adult athletes than anaerobic-based combat sports (e.g., taekwondo) and young athletes, respectively. Indeed, the current review highlights that the correlations between session-RPE and HR-based methods were higher during

  20. Evaluating the Accuracy of Self-Reported Exposure to Secondhand Smoke during Pregnancy by Measuring Umbilical Cord Blood Cotinine Concentration

    Directory of Open Access Journals (Sweden)

    Seyed Zahra Banihosseini

    2014-04-01

    Full Text Available Introduction: Exposure to secondhand smoke (SHS during pregnancy leads to fetal and neonatal complications. Since the effect of exposure to tobacco smoke during pregnancy on maternal self-reporting may not be accurate, this study design to evaluate the validity and accuracy of maternal self- reported SHS exposure, using the cord blood cotinine as a biomarker of exposure to tobacco at delivery. Methods: This was a cross-sectional study conducted on 108 non-smoking pregnant women. They were divided into two groups based on their reports; smoke exposed (54 and non-exposed groups (54. Exposure to tobacco smoke was assessed during pregnancy by measuring cord blood cotinine and using questionnaires. The umbilical cord blood of newborns was obtained at delivery room to evaluate the amount of cotinine (main metabolite of nicotine and for estimation of the accuracy of maternal self-reported to SHS exposure, cut-off point Cotinine level of umbilical cord serum that more than 2 ng/ml was considered as positive exposed. Result: The geometric mean cotinine of umbilical cord serum in the exposed group (3.71±1.22 ng/ml was significantly higher than the non-exposed (0.404±0.63 ng/ml (P<0.0001. There was a strong association between maternal reported SHS exposure and umbilical cord cotinine (Kappa= 98%, P<0.0001. In addition, the reported SHS exposure had 98% sensitivity, 100% specificity, 100% positive and 98% negative predictive value in comparison to umbilical cord cotinine concentration. Conclusion: This study shows that maternal self-reported SHS exposure is highly accurate .Moreover it seems valid questionnaire. Should be considered as an alternative method for measuring chemical biomarkers, such as cotinine; if the structured questionnaires and accurate interviewing techniques is used.

  1. Treacher Collins syndrome with multiple congenital heart defects after paroxetine exposure: case report.

    Science.gov (United States)

    Dinlen, N; Zenciroğlu, A; Dilli, D; Aydin, B; Beken, S; Okumuş, N

    2014-01-01

    Treacher Collins syndrome is an autosomal dominant disorder of craniofacial development with an incidence of I in 40,000 to in 70,000 live births. It is characterized by abnormalities of the pinnae which are frequently associated with atresia of the external auditory canals and anomalies of the middle ear ossicles. Rarely congenital heart defects can be present. Prenatal paroxetine exposure may enhance the risks of major malformation, particularly cardiac defects. This article reports a newborn, whose mother used paroxetine during pregnancy, presenting with multiple congenital heart defects associated to typical physical characteristics of Treacher Collins syndrome.

  2. Association and moderation of self-reported hypotension with traffic noise exposure: A neglected relationship

    Directory of Open Access Journals (Sweden)

    Peter Lercher

    2013-01-01

    Full Text Available In a short-term experimental study about one-third of subjects exposed to noise shows both increases and decreases in blood pressure. While the association of noise with hypertension is established it is not yet known whether hypotension is associated with noise in field studies. In a cross-sectional study the association of self-reported hypotension and low blood pressure readings with traffic noise was examined in adults (age 25-65, N = 1989, participation = 62%. Noise exposure was based on both, short and long-term day/night recordings and standard noise mapping. Questionnaire data on socio-demographics, housing, life-style, noise and weather sensitivity, health status, mental and physical symptoms were available to adjust for potential confounding and testing for moderation. Non-linear multiple regression was applied to estimate the association between the two outcomes and overall noise exposure. We did not observe a stable relation between noise and low blood pressure readings since the number of subjects based on the recommended cut-off points (5 th percentile or 110 (100/60 mmHg was too small. However, self-reported hypotension was non-linearly associated with noise exposure ( P = 0.044 in the presence of a strong sex × age effect modification ( P < 0.0001. Another significant moderation by noise were observed with reported symptoms of exhaustion ( P = 0.03. Weather sensitivity showed a significant interaction with noise sensitivity ( P = 0.02 and also a non-linear interaction with age ( P = 0.02. The results remained stable after adjustment for variables known to be associated with constitutional hypotension. The exposure-effect curve ascends around sound levels of 55 dBA. The results suggest a novel moderated association of noise with self-reported hypotension, predominantly in weather sensitive women with symptoms of exhaustion. Further and larger studies are needed to replicate the potential moderating effect of noise on persons with

  3. Type B investigation report of curium-244 exposure at the ORNL TRU Facility, January 15, 1986

    Energy Technology Data Exchange (ETDEWEB)

    Love, G.L.; Butler, H.M.; Duncan, D.T.; Oakes, T.W.

    1986-04-01

    This Type B Investigative Report provides an evaluation of relevant events and activities that led to, were a part of, or resulted from the release of curium-244 in the Building 7920 facility at ORNL in January 1986. Impacts have been evaluated with respect to employee exposures and the costs and loss of productivity resulting from increased bioassay analyses and activities of investigative committees. Management systems evaluated include (1) training of employees performing lab analyses, (2) adherence to procedures, and (3) response to unusual circumstances.

  4. Benzene ground-water exposure study, Nesmith, South Carolina. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Stallings, F.L.

    1991-06-01

    Residents whose private well was contaminated with benzene and other volatile organic compounds (VOCs) were evaluated for VOC exposure. The extent to which they may have ingested contaminated water before discovering that the well was contaminated was not certain. However, they reported continuing to use water obtained from the well for bathing and household sanitation purposes after becoming aware of its contamination. Each adult household member completed a survey questionnaire to quantify individual water usage and characterize other potential exposure sources for VOCs. Although results of blood measurements for benzene for three family members showed blood levels of benzene that were within the range found in the third National Health and Nutrition Examination Survey (NHANES III) results, Blood levels for two of the family members were above the 90th percentile value for the reference population. Trichloroethene was not a suspected contaminant, but blood specimens of three study participants showed elevations in the upper 10 percent of the NHANES III population range. Two of the participants gave an occupational history consistent with an exposure potential to these analytes.

  5. Dog and cat exposures to hazardous substances reported to the Kansas State Veterinary Diagnostic Laboratory: 2009-2012.

    Science.gov (United States)

    Mahdi, Ali; Van der Merwe, Deon

    2013-06-01

    Pet dogs and cats in the USA are commonly exposed to potentially hazardous substances found in domestic environments. Requests for assistance and advice received by the Kansas State Veterinary Diagnostic Laboratory regarding exposures in dogs and cats to substances perceived by their caretakers to be potentially harmful included 1,616 phone calls, over a 3-year period covering 2009-2012. Enquiries occurred more often during summer. Dogs were involved in 84.7 % of calls and cats in 15.3 %. Oral exposures were reported in 95.5 % of calls, dermal exposures in 3.7 % of calls, inhalation exposures in 0.6 % of calls, and parenteral exposures in 0.2 % of calls. Therapeutic drugs were the most frequently reported substances, accounting for 35.4 % of calls, followed by household chemicals (15.5 %); foods (14.8 %); pesticides (13.9 %); plants (12 %), industrial chemicals and fertilizers (3.6 %); cosmetics and personal care products (2.8 %); and animal, insect, and microorganism toxins (2.1 %). Although requests for information or assistance are not a measure of poisoning incidence, it can provide insight regarding relative exposure rates, help to identify changing exposure trends and emerging exposures, and reflect the public concern regarding actual or apparent harmful exposures in pets.

  6. Exposures and health effects at sea: report on the NIVA course: Maritime Occupational Medicine, Exposures and health Effects at Sea

    DEFF Research Database (Denmark)

    Carter, Tim; Jepsen, Jørgen Riis

    2014-01-01

    validity. This course, run by the NIVA Foundation and supported financially by the Nordic Council of Ministers, provided a first opportunity to draw a wide range of information and experience together to review exposure and health risks in seafarers. As a result it provided both a forum for deciding...

  7. Combat Development Study. Close Support Study Group 2 (CSSG 2). Volume 3. Main Report. Chapters 8-14 and Appendices A-G

    Science.gov (United States)

    1980-02-01

    more aeroscout aircraft and one or more aeroweapons 8-5 dsI LA.2 2 ~ ~c C C6 ~ ~ . Lu c~3 c, 00 ~L I . Nx 8-6 r .r N-) ac2 .. I i I ’ -6 r It~ 6WI U3...especially overseas deployments. (REFORGER 77 After-Action Report by T/ CAD , USAFAS observer) 6. FIST chiefs should be Included In the company orders...target tc, Use correct cmmunicationu pro- the observer. Maneuver cam - cedures. Request appropriate @hell/ mander has approved the use fuss combination. of

  8. Detecting and combating malicious email

    CERN Document Server

    Ryan, Julie JCH

    2014-01-01

    Malicious email is, simply put, email with a malicious purpose. The malicious purpose could be fraud, theft, espionage, or malware injection. The processes by which email execute the malicious activity vary widely, from fully manual (e.g. human-directed) to fully automated. One example of a malicious email is one that contains an attachment which the recipient is directed to open. When the attachment is opened, malicious software is installed on the recipient's computer. Because malicious email can vary so broadly in form and function, automated detection is only marginally helpful. The education of all users to detect potential malicious email is important to containing the threat and limiting the damage. It is increasingly necessary for all email users to understand how to recognize and combat malicious email. Detecting and Combating Malicious Email describes the different types of malicious email, shows how to differentiate malicious email from benign email, and suggest protective strategies for both perso...

  9. Self-reported and measured stress related responses associated with exposure to wind turbine noise.

    Science.gov (United States)

    Michaud, David S; Feder, Katya; Keith, Stephen E; Voicescu, Sonia A; Marro, Leonora; Than, John; Guay, Mireille; Denning, Allison; Bower, Tara; Villeneuve, Paul J; Russell, Evan; Koren, Gideon; van den Berg, Frits

    2016-03-01

    The current study was the first to assess stress reactions associated with wind turbine noise (WTN) exposure using self-reported and objective measures. Randomly selected participants, aged 18-79 yr (606 males; 632 females), living between 0.25 and 11.22 km from wind turbines, were exposed to outdoor calculated WTN levels up to 46 dBA (response rate 78.9%). Multiple regression modeling left the great majority (77%-89%) of the variance in perceived stress scale (PSS) scores, hair cortisol concentrations, resting blood pressure, and heart rate unaccounted for, and WTN exposure had no apparent influence on any of these endpoints. PSS scores were positively, but weakly, related to cortisol concentrations and resting heart rate (Pearson r = 0.13 and r = 0.08, respectively). Across WTN categories, modeled mean PSS scores ranged from 13.15 to 13.84 (p = 0.8614). Modeled geometric means for hair cortisol concentrations, resting mean systolic, diastolic blood pressure, and heart rate were 150.54-191.12 ng/g (p = 0.5416), 113.38-116.82 mmHg (p = 0.4990), 67.98-70.34 mmHg (p = 0.5006), and 68.24-70.71 bpm (p = 0.5223), respectively. Irrespective of WTN levels, diastolic blood pressure appeared to be slightly (2.90 mmHg 95% CI: 0.75,5.05) higher among participants highly annoyed by blinking lights on turbines (p = 0.0081). Collectively, the findings do not support an association between exposure to WTN up to 46 dBA and elevated self-reported and objectively defined measures of stress.

  10. Improving disclosure and consent: "is it safe?": new ethics for reporting personal exposures to environmental chemicals.

    Science.gov (United States)

    Brody, Julia Green; Morello-Frosch, Rachel; Brown, Phil; Rudel, Ruthann A; Altman, Rebecca Gasior; Frye, Margaret; Osimo, Cheryl A; Pérez, Carla; Seryak, Liesel M

    2007-09-01

    The recent flood of research concerning pollutants in personal environmental and biological samples-blood, urine, breastmilk, household dust and air, umbilical cord blood, and other media-raises questions about whether and how to report results to individual study participants. Clinical medicine provides an expert-driven framework, whereas community-based participatory research emphasizes participants' right to know and the potential to inform action even when health effects are uncertain. Activist efforts offer other models. We consider ethical issues involved in the decision to report individual results in exposure studies and what information should be included. Our discussion is informed by our experience with 120 women in a study of 89 pollutants in homes and by interviews with other researchers and institutional review board staff.

  11. Strengthening the EU Legal and Institutional Framework to Combat Transnational Financial Crimes

    DEFF Research Database (Denmark)

    Marchuk, Iryna

    The report examines the development of adequate legal tools and practices to combat transnational financial crimes such as money laundering, terrorism financing, corruption, transnational financial fraud, and investigates measures directed at strengthening the overall legal and institutional...

  12. Enhancing Brigade Combat Team Adaptability

    Science.gov (United States)

    2010-06-11

    participation and support of my unnamed heroes , the leaders of the Brigade Combat Team that provided such rich insight into the phenomenon of organizational... Archetype ” ARFORGEN (Short Deployment Cycles) OIF/OEF Low number of BCTs (Growing Action) (Slowing Action)(Condition) Key Terms -Trust -Confidence...Behavior – Climate - Trust Adapted from Peter Senge’s (2006) “Limits to Growth Archetype ” Key Terms -Trust -Confidence -Competence -Opportunity

  13. Evidence Report: Risk of Cardiovascular Disease and Other Degenerative Tissue Effects from Radiation Exposure

    Science.gov (United States)

    Patel, Zarana; Huff, Janice; Saha, Janapriya; Wang, Minli; Blattnig, Steve; Wu, Honglu; Cucinotta, Francis

    2015-01-01

    (SI unit for ionizing radiation dosage, i.e. one joule of radiation energy per one kilogram of matter)) to facilitate risk prediction. This risk has considerable uncertainty associated with it, and no acceptable model for projecting degenerative tissue risk is currently available. In particular, risk factors such as obesity, alcohol, and tobacco use can act as confounding factors that contribute to the large uncertainties. The PELs could be violated under certain scenarios, including following a large SPE (solar proton event) or long-term GCR (galactic cosmic ray) exposure. Specifically, for a Mars mission, the accumulated dose is sufficiently high that epidemiology data and preliminary risk estimates suggest a significant risk for cardiovascular disease. Ongoing research in this area is intended to provide the evidence base for accurate risk quantification to determine criticality for extended duration missions. Data specific to the space radiation environment must be compiled to quantify the magnitude of this risk to decrease the uncertainty in current PELs and to determine if additional protection strategies are required. New research results could lead to estimates of cumulative radiation risk from CNS and degenerative tissue diseases that, when combined with the cancer risk, may have major negative impacts on mission design, costs, schedule, and crew selection. The current report amends an earlier report (Human Research Program Requirements Document, HRP-47052, Rev. C, dated Jan 2009) in order to provide an update of evidence since 2009.

  14. Combats escènics

    Directory of Open Access Journals (Sweden)

    Pawel Rouba Billowicz

    2016-04-01

    Full Text Available “Combats Escènics” és un treball que tracta sobre la interpretació artística de la violència d’artistes de l’espectacle per tal de divertir el públic i emetre un missatge humanista mitjançant una coreografia ritual. En aquest estudi es presenta una classificació del combat escènic des del doble vessant agonista/antagonista, es realitza un passeig històric de la representació artística del combat a través de les diferents etapes i de les diverses cultures, s’aborda la preparació escènica de l’actor i del coreògraf, i s’entreveuen les perspectives de futur d’aquesta modalitat artística. Estudi realitzat per Pawel Rouba Billewicz (Inowroclaw, Polònia, 1939 - Barcelona, 2007, director, coreògraf, actor, mestre d’armes, mestre del gest i de la pantomima i professor de l’INEF de Catalunya. Aquest article, editorialment inèdit, es publica postmortem per Apunts. Educació Física i Esports com a homenatge i reconeixement de l’autor per la seva extraordinària i polivalent aportació al camp de l’art i l’Activitat Física i l’Esport.

  15. Accelerated Resolution Therapy for treatment of pain secondary to symptoms of combat-related posttraumatic stress disorder

    Directory of Open Access Journals (Sweden)

    Kevin E. Kip

    2014-05-01

    Full Text Available Background: As many as 70% of veterans with chronic pain treated within the US Veterans Administration (VA system may have posttraumatic stress disorder (PTSD, and conversely, up to 80% of those with PTSD may have pain. We describe pain experienced by US service members and veterans with symptoms of PTSD, and report on the effect of Accelerated Resolution Therapy (ART, a new, brief exposure-based therapy, on acute pain reduction secondary to treatment of symptoms of PTSD. Methods: A randomized controlled trial of ART versus an attention control (AC regimen was conducted among 45 US service members/veterans with symptoms of combat-related PTSD. Participants received a mean of 3.7 sessions of ART. Results: Mean age was 41.0 + 12.4 years and 20% were female. Most veterans (93% reported pain. The majority (78% used descriptive terms indicative of neuropathic pain, with 29% reporting symptoms of a concussion or feeling dazed. Mean pre-/post-change on the Pain Outcomes Questionnaire (POQ was −16.9±16.6 in the ART group versus −0.7±14.2 in the AC group (p=0.0006. Among POQ subscales, treatment effects with ART were reported for pain intensity (effect size = 1.81, p=0.006, pain-related impairment in mobility (effect size = 0.69, p=0.01, and negative affect (effect size = 1.01, p=0.001. Conclusions: Veterans with symptoms of combat-related PTSD have a high prevalence of significant pain, including neuropathic pain. Brief treatment of symptoms of combat-related PTSD among veterans by use of ART appears to acutely reduce concomitant pain.

  16. Evaluation of the Department of Defense Combating Trafficking in Persons Program

    Science.gov (United States)

    2014-06-16

    DODIG-2014-079 │ 1 Introduction Prior to 2000, allegations of sexual slavery, sex with minors, and human trafficking involving U.S. contractors in...1 6 , 2 0 1 4 Evaluation of the Department of Defense Combating Trafficking in Persons Program Report No. DODIG-2014-079 Report Documentation...3. DATES COVERED 00-00-2014 to 00-00-2014 4. TITLE AND SUBTITLE Evaluation of the Department of Defense Combating Trafficking in Persons

  17. Phthalate exposure associated with self-reported diabetes among Mexican women

    Energy Technology Data Exchange (ETDEWEB)

    Svensson, Katherine [Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, PR (Puerto Rico); National Institute of Public Health, Universidad No. 655, Col. Santa Maria Ahuacatitlan, Cerrada los Pinos y Caminera, CP. 62100 Cuernavaca, Morelos (Mexico); Hernandez-Ramirez, Raul U.; Burguete-Garcia, Ana [National Institute of Public Health, Universidad No. 655, Col. Santa Maria Ahuacatitlan, Cerrada los Pinos y Caminera, CP. 62100 Cuernavaca, Morelos (Mexico); Cebrian, Mariano E. [Departamento de Toxicologia, Centro de Investigacion y de Estudios Avanzados del Instituto Politecnico Nacional, Mexico City (Mexico); Calafat, Antonia M.; Needham, Larry L. [Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA (United States); Claudio, Luz [Division of International Health, Department of Preventive Medicine, Mount Sinai School of Medicine, NY (United States); Lopez-Carrillo, Lizbeth, E-mail: lizbeth@insp.mx [National Institute of Public Health, Universidad No. 655, Col. Santa Maria Ahuacatitlan, Cerrada los Pinos y Caminera, CP. 62100 Cuernavaca, Morelos (Mexico)

    2011-08-15

    Background: Phthalates are ubiquitous industrial chemicals used as plasticizers in plastics made of polyvinyl chloride (PVC) to confer flexibility and durability. They are also present in products used for personal-care, industry and in medical devices. Phthalates have been associated with several adverse health effects, and recently it has been proposed that exposure to phthalates, could have an effect on metabolic homeostasis. This exploratory cross-sectional study evaluated the possible association between phthalate exposure and self-reported diabetes among adult Mexican women. Methods: As part of an on-going case-control study for breast cancer, only controls were selected, which constituted 221 healthy women matched by age ({+-}5 years) and place of residence with the cases. Women with diabetes were identified by self-report. Urinary concentrations of nine phthalate metabolites were measured by online solid phase extraction coupled to high performance liquid chromatography-isotope-dilution tandem mass spectrometry. Results: Participants with diabetes had significantly higher concentrations of di(2-ethylhexyl) pththalate (DEHP) metabolites: mono(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP), mono(2-ethyl-5-oxohexyl) phthalate (MEOHP) and mono(2-ethyl-5-carboxypentyl) phthalate (MECPP) but lower levels of monobenzyl phthalate (MBzP) a metabolite of benzylbutyl phthalate, compared to participants without diabetes. A marginally significant positive associations with diabetes status were observed over tertiles with MEHHP (OR{sub T3vs.T1}=2.66; 95% CI: 0.97-7.33; p for trend=0.063) and MEOHP (OR{sub T3vs.T1}=2.27; 95% CI; 0.90-5.75; P for trend=0.079) even after adjusting for important confounders. Conclusions: The results suggest that levels of some phthalates may play a role in the genesis of diabetes. - Highlights: {yields} This study evaluated phthalate exposure and diabetes status among Mexican women. {yields} Urinary phthalates metabolite concentrations were used

  18. Hearing Loss Associated with US Military Combat Deployment

    Science.gov (United States)

    To define the risk of hearing loss among military members in relation to their deployment experiences, data were drawn from the Millennium Cohort...reported new-onset hearing loss . Self-reported hearing loss showed moderate to substantial agreement (k = 0.57-0.69) with objective audiometric measures...New-onset hearing loss was associated with combat deployment (adjusted odds ratio [AOR] = 1.63, 95% confidence interval [CI] = 1.49-1.77). Among

  19. Modeling exposure to air pollution from the WTC disaster based on reports of perceived air pollution.

    Science.gov (United States)

    Lederman, Sally Ann; Becker, Mark; Sheets, Stephen; Stein, Janet; Tang, Deliang; Weiss, Lisa; Perera, Frederica P

    2008-04-01

    We examined the utility of a newly developed perceived air pollution (PAP) scale and of a modeled air pollution (MAP) scale derived from it for predicting previously observed birth outcomes of pregnant women enrolled following September 11, 2001. Women reported their home and work locations in the four weeks after September 11, 2001 and the PAP at each site on a four-point scale designed for this purpose. Locations were geocoded and their distance from the World Trade Center (WTC) site determined. PAP values were used to develop a model of air pollution for a 20-mile radius from the WTC site. MAP values were assigned to each geocoded location. We examined the relationship of PAP and MAP values to maternal characteristics and to distance of home and work sites from the WTC site. Both PAP and MAP values were highly correlated with distance from the WTC. Maternal characteristics that were associated with PAP values reported for home or work sites (race, demoralization, material hardship, first trimester on September 11) were not associated with modeled MAP values. Relationships of several birth outcomes to proximity to the WTC, which we previously reported using this data set, were also seen when MAP values were used as the measure of exposure, instead of proximity. MAP developed from reports of PAP may be useful to identify high-risk areas and predict health outcomes when there are multiple sources of pollution and a "distance from source" analysis is impossible.

  20. Reported rabies pre-exposure immunization of students at US Colleges of Veterinary Medicine.

    Science.gov (United States)

    Lindenmayer, Joann M; Wright, James C; Nusbaum, Kenneth E; Saville, William J A; Evanson, Timothy C; Pappaioanou, Marguerite

    2013-01-01

    In 2008, the US experienced a disruption in human rabies vaccine supplies, leading public health authorities to prioritize vaccine release for post-exposure prophylaxis (PEP) and limit vaccine supplies for pre-exposure prophylaxis (PreEP) in high-risk groups. In 2008, the Association of American Veterinary Medical Colleges (AAVMC) surveyed its member institutions on rabies vaccination policies and practices. Senior administrators at Colleges of Veterinary Medicine (CVMs) and departments of veterinary science and comparative medicine were asked to identify the person most knowledgeable about their institution's student rabies vaccination program. Respondents were asked to describe their policies and procedures for administering PreEP to veterinary medical students and staff and to estimate the annual demand for student and staff PreEP vaccine. Twenty-one CVMs responded. Twenty (95%) reported requiring PreEP of veterinary medical students and 16 (80%) of those 20 required vaccination upon matriculation. An estimated 7,309 doses of vaccine were required for PreEP of an estimated 2,436 first-year US veterinary medical students. Seventy-two percent of respondents administered PreEP in August, September, and October, coinciding with the highest public demand for PEP. CVMs should consider altering the timing of rabies vaccine administration to veterinary medical students and staff to other months, thereby helping to ensure that PEP rabies vaccine will be available to people with validated rabies exposures and to ensure that supplies will be available for PreEP of students and staff. AAVMC may wish to identify and support a point of coordination to facilitate the purchase and distribution of human rabies vaccine among its US member CVMs.

  1. [Human exposures to veterinary medicines reported to the Poisons Information Centre Erfurt from 2003 to 2012].

    Science.gov (United States)

    Hentschel, H; Prasa, D; Bergmann, I; Enden, G; Frimlova, G; Just, S; Plenert, B; Stürzebecher, A; Deters, M

    2014-02-01

    The purpose of this study was to get information on all human exposures to veterinary medicines (HEVM) reported to the Poisons Information Centre (PIC) over a 10-year period. A retrospective analysis of all HEVM was undertaken and a comparison was made to all human exposures (HE) registered by the PIC from the beginning of 2003 to the end of 2012 according to frequencies, circumstances of exposure, symptom severity, age groups, and substances involved in HEVM. In total, 389 cases of HEVM with 409 veterinary medicines were registered (0.30% of all HE, 360 monoexposures). The relative frequency of children and adults in HEVM (children: 52.4%, adults: 46.0%) and all HE (children: 48.7%, adults 48.7%) was the same with significant (pveterinary medicines (ATCvet) in HEVM were antiparasitic substances, insecticides and repellents (n=185), substances for the nervous system (n=48), substances for the cardiovascular system (n=35), and immunologicals (n=35). HEVM mostly resulted in no or mild symptoms (83.8%) and rarely in moderate (10/389, 2.6%) or even severe symptoms (5/389, 1.3%). In 4 of 5 cases of HEVM with severe symptoms, veterinary surgeons used products for animal euthanasia (n=3) or methadone (n=1). Once, self-medication with anthelmintics for several days by a goatherd resulted in transient blindness. In comparison to other HE, HEVM are rare. Most accidental HEVM in laymen result only in none to mild symptoms. If veterinary surgeons, however, swallow or inject products for animal euthanasia or opioids in suicidal intention, severe symptoms can be expected. © Georg Thieme Verlag KG Stuttgart · New York.

  2. Barriers to Combating Human Trafficking in Colombia

    Science.gov (United States)

    2015-03-01

    COMBATING HUMAN TRAFFICKING IN COLOMBIA by Daniel Joseph Wilcox March 2015 Thesis Advisor: Rodrigo Nieto-Gómez Second Reader: Maiah Jaskoski...Master ’s Thesis 4. TITLE AND SUBTITLE BARRIERS TO COMBATING HUMAN TRAFFICKING IN COLOMBIA 6. AUTHOR(S) Daniel Joseph Wilcox 7. PERFORMING...maximum 200 words) 12b. DISTRIBUTION CODE Despite intema.tional and domestic policies and programs intended to combat human trafficking , Colombia

  3. Combating Gangs: Better Coordination and Performance Measurement Would Help Clarify Roles of Federal Agencies and Strengthen Assessment of Efforts. Report to the Ranking Member, Committee on Oversight and Government Reform, House of Representatives. GAO-09-708

    Science.gov (United States)

    US Government Accountability Office, 2009

    2009-01-01

    The Department of Justice (DOJ) estimates that the United States has about a million gang members. While state and local agencies have primary responsibility for combating gang crime, the federal government has key roles to enforce laws and help fund programs to provide alternatives to gang membership for at-risk youth. GAO was asked to examine…

  4. Longitudinal Study of Maternal Report of Sleep Problems in Children with Prenatal Exposure to Cocaine and Other Drugs

    Science.gov (United States)

    Stone, Kristen C.; High, Pamela C.; Miller-Loncar, Cynthia L.; LaGasse, Linda L.; Lester, Barry M.

    2009-01-01

    Sleep data were collected by maternal report in a prospective longitudinal follow-up of cocaine exposed and unexposed children. There were 139 subjects: 23 with no prenatal drug exposure, 55 exposed to cocaine alone or in combination with other drugs, and 61 exposed to drugs other than cocaine. Characteristics differed between exposure groups, including birth size, caretaker changes, and maternal SES and postnatal drug use. Compared to those with no drug exposure, children with prenatal drug exposure other than cocaine experienced greater sleep problems (mean [SD], 5 [4.93] vs 7.7 [4.85], p = .026). Prenatal nicotine exposure was a unique predictor of sleep problems (R2 = .028, p = .048). Early sleep problems predicted later sleep problems (all p’s <.01). Together, these preliminary findings suggest possible neurotoxic sleep effects that persist over time. Larger studies, however, need to be conducted that better control for potential postnatal confounding factors. PMID:19787489

  5. Longitudinal study of maternal report of sleep problems in children with prenatal exposure to cocaine and other drugs.

    Science.gov (United States)

    Stone, Kristen C; High, Pamela C; Miller-Loncar, Cynthia L; Lagasse, Linda L; Lester, Barry M

    2009-01-01

    Sleep data were collected by maternal report in a prospective longitudinal follow up of cocaine-exposed and unexposed children. There were 139 participants: 23 with no prenatal drug exposure, 55 exposed to cocaine alone or in combination with other drugs, and 61 exposed to drugs other than cocaine. Characteristics differed between exposure groups including birth size, caretaker changes, maternal socioeconomic status, and postnatal drug use. Compared to those with no drug exposure, children with prenatal drug exposure other than cocaine experienced greater sleep problems (p = .026). Prenatal nicotine exposure was a unique predictor of sleep problems (p = .048). Early sleep problems predicted later sleep problems (all ps effects that persist over time. Larger studies, however, need to be conducted that better control for potential postnatal confounding factors.

  6. Concomitant cranial and ocular combat injuries during Operation Iraqi Freedom.

    Science.gov (United States)

    Cho, Raymond I; Bakken, Hans E; Reynolds, Mark E; Schlifka, Brett A; Powers, David B

    2009-09-01

    Concomitant cranial and ocular injuries were frequently seen in combat casualties during Operation Iraqi Freedom. The incidence of these injuries is reported along with an interventional case series. A retrospective review was conducted of all surgical patients treated by U.S. Army neurosurgeons and ophthalmologists in Iraq from December 2005 to April 2006. Out of 104 patients with cranial trauma and 158 patients with ocular trauma, 34 had both cranial and ocular injuries (32.7 and 21.5% of patients with cranial and ocular injuries, respectively). Neurosurgical procedures included exploratory craniotomy, decompressive craniectomy, and frontal sinus surgery. Ophthalmologic surgical procedures included globe exploration, open globe repair, primary enucleation, orbital fracture repair, lateral canthotomy and cantholysis, and repair of lid and periocular lacerations. Patients with cranial trauma had a higher incidence of orbital fracture, orbital compartment syndrome, and multiple ocular injuries compared with patients without cranial trauma (odds ratio 6.4, 3.9, and 3.3, respectively). A strong association exists between cranial and ocular trauma in combat casualties treated during Operation Iraqi Freedom. Combat health support personnel should maintain a high level of suspicion for one of these injuries when the other is present. Co-locating neurosurgeons and ophthalmologists in support of combat operations facilitates the optimal treatment of patients with these combined injuries.

  7. [Respiratory manifestations after exposure to sulfurous anhydride in wine-cellar workers: 6 case reports].

    Science.gov (United States)

    Testud, F; Matray, D; Lambert, R; Hillion, B; Blanchet, C; Teisseire, C; Thibaudier, J M; Raoux, C; Pacheco, Y

    2000-02-01

    Sulfite treatment of wine [a process exploiting the biocidal and anti-oxidant properties of sulfur dioxide (SO2)] involves the use of liquified gas, aqueous solutions or bisulfites, i.e. the salts of sulfurous acid which slowly release SO2. This procedure can result in repeated exposures of operators to significant amounts of SO2. However, risks associated with the use of SO2 are greatly under-estimated by wine producers and wine-cellar workers. We report on 6 cases of respiratory symptoms attributable to SO2 identified during a survey of wine-cellars in the French Beaujolais district. Their pathogenesis is discussed after an overview of the occupational toxicology of SO2.

  8. Reports of Severe Physical Punishment and Exposure to Animal Cruelty by Inmates Convicted of Felonies and by University Students.

    Science.gov (United States)

    Miller, Karla S.; Knutson, John F.

    1997-01-01

    A self-report questionnaire designed to assess abusive childhood environments and exposure to animal cruelty was administered to 314 prison inmates. Although high rates of physical punishment characterized the entire sample, persons charged with violent but nonhomicidal crimes reported more severely punitive childhood histories than those charged…

  9. Self-reported acute health symptoms and exposure to companion animals

    Science.gov (United States)

    Background: In order to understand the etiological burden of disease associated with acute health symptoms (e.g. gastrointestinal [GI], respiratory, dermatological), it is important to understand how common exposures influence these symptoms. Exposures to familiar and unfamiliar ...

  10. Nasal cancer and occupational exposures. Preliminary report of a joint Nordic case-referent study

    DEFF Research Database (Denmark)

    Hernberg, S; Collan, Y; Degerth, R

    1983-01-01

    showed a connection with adenocarcinoma. Softwood dust exposure alone was associated with epidermoid and anaplastic carcinomas. No associations were found for a number of exposures, including agricultural chemicals, textile dust, asbestos, quartz dust, organic solvents, and leather work. Possible...

  11. Validity of Self-Reported Tobacco Smoke Exposure among Non-Smoking Adult Public Housing Residents.

    Directory of Open Access Journals (Sweden)

    Shona C Fang

    Full Text Available Tobacco smoke exposure (TSE in public multi-unit housing (MUH is of concern. However, the validity of self-reports for determining TSE among non-smoking residents in such housing is unclear.We analyzed data from 285 non-smoking public MUH residents living in non-smoking households in the Boston area. Participants were interviewed about personal TSE in various locations in the past 7 days and completed a diary of home TSE for 7 days. Self-reported TSE was validated against measurable saliva cotinine (lower limit of detection (LOD 0.02 ng/ml and airborne apartment nicotine (LOD 5 ng. Correlations, estimates of inter-measure agreement, and logistic regression assessed associations between self-reported TSE items and measurable cotinine and nicotine.Cotinine and nicotine levels were low in this sample (median = 0.026 ng/ml and 0.022 μg/m3, respectively. Prevalence of detectable personal TSE was 66.3% via self-report and 57.0% via measurable cotinine (median concentration among those with cotinine>LOD: 0.057 ng/ml, with poor agreement (kappa = 0.06; sensitivity = 68.9%; specificity = 37.1%. TSE in the home, car, and other peoples' homes was weakly associated with cotinine levels (Spearman correlations rs = 0.15-0.25, while TSE in public places was not associated with cotinine. Among those with airborne nicotine and daily diary data (n = 161, a smaller proportion had household TSE via self-report (41.6% compared with measurable airborne nicotine (53.4% (median concentration among those with nicotine>LOD: 0.04 μg/m3 (kappa = 0.09, sensitivity = 46.5%, specificity = 62.7%.Self-report alone was not adequate to identify individuals with TSE, as 31% with measurable cotinine and 53% with measurable nicotine did not report TSE. Self-report of TSE in private indoor spaces outside the home was most associated with measurable cotinine in this low-income non-smoking population.

  12. Case report: Atrial fibrillation following exposure to ambient air pollution particles

    Science.gov (United States)

    CONTEXT: Exposure to air pollution can result in the onset of atrial fibrillation. CASE PRESENTATION: We present a case of a 58 year old woman who volunteered to participate in a controlled exposure to concentrated ambient particles (CAPs). Twenty minutes into the exposure, there...

  13. Limitations and information needs for engineered nanomaterialspecific exposure estimation and scenarios: recommendations for improved reporting practices

    NARCIS (Netherlands)

    Clark, K.; Tongeren, M. van; Christensen, F.; Brouwer, D.H.; Nowack, B.; Gottschalk, F.; Micheletti, C.; Schmid, K.; Gerritsen, R.; Aitken, R.; Vaquero, C.; Gkanis, V.; Housiadas, C.; López de Ipiña, J.M.; Riediker, M.

    2012-01-01

    The aim of this paper is to describe the process and challenges in building exposure scenarios for engineered nanomaterials (ENM), using an exposure scenario format similar to that used for the European Chemicals regulation (REACH). Over 60 exposure scenarios were developed based on information from

  14. Justification of diagnostic medical exposures: some practical issues. Report of an International Atomic Energy Agency Consultation.

    Science.gov (United States)

    Malone, J; Guleria, R; Craven, C; Horton, P; Järvinen, H; Mayo, J; O'reilly, G; Picano, E; Remedios, D; Le Heron, J; Rehani, M; Holmberg, O; Czarwinski, R

    2012-05-01

    The Radiation Protection of Patients Unit of the International Atomic Energy Agency (IAEA) is concerned about the effectiveness of justification of diagnostic medical exposures. Recent published work and the report of an initial IAEA consultation in the area gave grounds for such concerns. There is a significant level of inappropriate usage, and, in some cases, a poor level of awareness of dose and risk among some key groups involved. This article aims to address this. The IAEA convened a second group of experts in November 2008 to review practical and achievable actions that might lead to more effective justification. This report summarises the matters that this group considered and the outcome of their deliberations. There is a need for improved communication, both within professions and between professionals on one hand, and between professionals and the patients/public on the other. Coupled with this, the issue of consent to imaging procedures was revisited. The need for good evidence-based referral guidelines or criteria of acceptability was emphasised, as was the need for their global adaptation and dissemination. Clinical audit was regarded as a key tool in ensuring that justification becomes an effective, transparent and accountable part of normal radiological practice. In summary, justification would be facilitated by the "3 As": awareness, appropriateness and audit.

  15. Self-reported symptoms associated with exposure to electromagnetic fields: a questionnaire study.

    Science.gov (United States)

    Küçer, Nermin; Pamukçu, Tuğba

    2014-01-01

    Abstract In the last years, it has been discussed frequently whether there are any harmful effects of electromagnetic fields on human health. Electromagnetic fields are generated by several natural and man-made sources. Part of the electromagnetic spectrum called Radiofrequency is used in communication systems such as mobile (cellular) phone and computer. The aim of our study was to explore different self-reported symptoms that may be associated with exposure to electromagnetic fields. This survey study was conducted, using a questionnaire, on 350 people aged +9 years in Turkey. The chi-square test was used for data analysis. Self-reported symptoms were headache, vertigo/dizziness, fatigue, forgetfulness, sleep disturbance-insomnia, tension-anxiety, joint and bone pain, lacrimation of the eyes, hearing loss and tinnitus. As a result of the survey, the study has shown that users of mobile phone and computer more often complained of headache, joint and bone pain, hearing loss, vertigo/dizziness, tension-anxiety symptoms according to time of daily usage (p < 0.05). In users of mobile phone and computer, women significantly (p < 0.05) complained more often of headache, vertigo/dizziness, fatigue, forgetfulness and tension-anxiety than men.

  16. Exposure to wind turbine noise: Perceptual responses and reported health effects.

    Science.gov (United States)

    Michaud, David S; Feder, Katya; Keith, Stephen E; Voicescu, Sonia A; Marro, Leonora; Than, John; Guay, Mireille; Denning, Allison; McGuire, D'Arcy; Bower, Tara; Lavigne, Eric; Murray, Brian J; Weiss, Shelly K; van den Berg, Frits

    2016-03-01

    Health Canada, in collaboration with Statistics Canada, and other external experts, conducted the Community Noise and Health Study to better understand the impacts of wind turbine noise (WTN) on health and well-being. A cross-sectional epidemiological study was carried out between May and September 2013 in southwestern Ontario and Prince Edward Island on 1238 randomly selected participants (606 males, 632 females) aged 18-79 years, living between 0.25 and 11.22 km from operational wind turbines. Calculated outdoor WTN levels at the dwelling reached 46 dBA. Response rate was 78.9% and did not significantly differ across sample strata. Self-reported health effects (e.g., migraines, tinnitus, dizziness, etc.), sleep disturbance, sleep disorders, quality of life, and perceived stress were not related to WTN levels. Visual and auditory perception of wind turbines as reported by respondents increased significantly with increasing WTN levels as did high annoyance toward several wind turbine features, including the following: noise, blinking lights, shadow flicker, visual impacts, and vibrations. Concern for physical safety and closing bedroom windows to reduce WTN during sleep also increased with increasing WTN levels. Other sample characteristics are discussed in relation to WTN levels. Beyond annoyance, results do not support an association between exposure to WTN up to 46 dBA and the evaluated health-related endpoints.

  17. Global Combat Support System - Joint Increment 8 (GCSS-J Inc 8)

    Science.gov (United States)

    2016-03-01

    2016 Major Automated Information System Annual Report Global Combat Support System - Joint Increment 8 (GCSS-J Inc 8) Defense Acquisition... Management Information Retrieval (DAMIR) UNCLASSIFIED GCSS-J Inc 8 2016 MAR UNCLASSIFIED 2 Table of Contents Common Acronyms and Abbreviations for...375-5277 DSN Fax: Date Assigned: July 2, 2010 Program Information Program Name Global Combat Support System - Joint Increment 8 (GCSS-J Inc 8

  18. Characterization of Airborne Permethrin During the Manufacture of Army Combat Uniforms Using Pre-Treated Fabric

    Science.gov (United States)

    2016-08-01

    AIRBORNE PERMETHRIN DURING THE MANUFACTURE OF ARMY COMBAT UNIFORMS USING PRE-TREATED FABRIC by Melynda Perry Theodore Juarez* and Lyndsy Meyer...Final Report July 2013 – July 2015 Approved for public release; distribution is unlimited U.S. Army Natick Soldier Research...CHARACTERIZATION OF AIRBORNE PERMETHRIN DURING THE MANUFACTURE OF ARMY COMBAT UNIFORMS USING PRE-TREATED FABRIC 5a. CONTRACT NUMBER 5b. GRANT NUMBER

  19. The mental health of UK ex-servicemen with a combat-related or a non-combat-related visual impairment: does the cause of visual impairment matter?

    Science.gov (United States)

    Stevelink, Sharon A M; Malcolm, Estelle M; Gill, Pashyca C; Fear, Nicola T

    2015-08-01

    Since the start of the conflicts in Iraq and Afghanistan, the numbers of young service personnel who have sustained a combat-related visual impairment have increased. This cross-sectional study examined the mental well-being of ex-servicemen (aged 22-55 years) with a visual impairment and determined if the mental health of those with a combat-related visual impairment differed from those whose visual impairment is not combat-related. Male ex-service personnel with a visual impairment completed a telephone interview assessing the presence of depressive symptomatology, probable anxiety disorder, post-traumatic stress disorder (PTSD) symptomatology and alcohol misuse. Data were analysed using descriptive statistics. 77 participants were included in the study, reflecting a response rate of 76.2%. Of those with complete data (n=74), 20 ex-servicemen had a combat-related visual impairment. Among ex-service personnel with a combat-related visual impairment, 10.0% (95% CI 0 to 23.2) screened positive for a probable depression, 25.0% (95% CI 6.0 to 44.0) for probable anxiety and 10.0% (95% CI 0 to 23.2) for probable PTSD. The prevalence of probable depression and probable PTSD differed among those with a non-combat-related visual impairment, namely 18.5% (95% CI 8.1 to 28.9) and 16.7% (95% CI 6.8 to 26.7), respectively. Probable anxiety was 18.5% (95% CI 8.1 to 28.9) among non-combat-related visually impaired ex-service personnel. 45.0% (95% CI 23.2 to 66.8) of combat-related visually impaired personnel reported hazardous drinking, compared with 20.4% (95% CI 9.7 to 31.2) of those with a non-combat-related visual impairment. Mental health problems were prevalent among visually impaired younger ex-servicemen. No statistically significant differences were found in the prevalence of mental health problems among ex-servicemen with a combat-related visual impairment compared with those with a non-combat-related visual impairment. Published by the BMJ Publishing Group Limited

  20. 30 Brigade Combat Teams: Is the Army too Small

    Science.gov (United States)

    2016-12-01

    MONITORING AGENCY NAME(S) AND ADDRESS(ES) N/A 10. SPONSORING / MONITORING AGENCY REPORT NUMBER 11. SUPPLEMENTARY NOTES The views expressed in this...capacity. In order to increase the number of BCTs, the Army will have to increase its end strength. 14. SUBJECT TERMS simulation, Army...brigade combat teams, Army end strength, boots on the ground to dwell time ratio 15. NUMBER OF PAGES 57 16. PRICE CODE 17. SECURITY CLASSIFICATION

  1. I Symposium of Elite Performance in Combat Sports

    OpenAIRE

    Ruiz, Montse C.

    2017-01-01

    This report presents a summary of the I Symposium of Elite Performance in Combat Sports held in Madrid, May 27, 2017. The symposium, organized by the Faculty of Sport Sciences-INEF of the Polytechnic University of Madrid, aimed to bring science closer to practice. A panel of highly successful athletes involved in karate, fencing, and taekwondo shared their experiences. The speakers presented crucial topics for an optimal preparation and high level performance such as strength training, sport ...

  2. Status of Efforts to Initiate an Amphibious Combat Vehicle Program

    Science.gov (United States)

    2014-04-10

    the ACV program until 2018. the Department of Defense (DOD) canceled the Marine Corps’ Expeditionary Fighting Vehicle acquisition program due to...concerns regarding its affordability. The Amphibious Combat Vehicle ( ACV ) is a potential, but not yet initiated, successor program to the Expeditionary...findings and conclusions based on our audit objectives. This is the first of the mandated GAO reports. It discusses (1) the current status of the ACV

  3. Enhancements to the Animated Tutor for Air Combat Simulation

    Science.gov (United States)

    1993-03-01

    1979 (30:11). Ada is named in honor of Augusta Ada Byron, Countess of Lovelace , who is reported to have been the first programmer (29:44). The first...Introduction. .. .. .. .. .... .... .... .... ......... 2-1 2.2 War Games .. .. .. .. .... .... .... .... ........... 2-1 2.3 History of Ada ...2-2 2.4 Ada Structures. .. .. .. .... .... .... .... ......... 2-3 2.5 Ada in Combat Modeling, Wargaming and Simulations 2-5 2.6

  4. Alcohol use in a military population deployed in combat areas: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Hanwella Raveen

    2012-06-01

    Full Text Available Abstract Background Alcohol misuse is more prevalent among military populations. Association between PTSD and heavy drinking have been reported in many studies. Most of the studies on alcohol use among military personnel are from US and UK. Aim of this study is to describe alcohol consumption patterns among military personnel in Sri Lanka, a country where the alcohol consumption among the general population are very different to that in US and UK. Methods Cross sectional study consisting of representative samples of Sri Lanka Navy Special Forces and regular forces deployed in combat areas continuously during a one year period was carried out. Data was collected using a self report questionnaire. Alcohol Use Disorder Identification Test (AUDIT was used to assess alcohol consumption. Results Sample consisted of 259 Special Forces and 412 regular navy personnel. The median AUDIT score was 2.0 (interquartile range 6.0. Prevalence of current drinking was 71.2 %. Of the current users 54.81 % were infrequent users (frequency ≤ once a month while 37.87 % of users consumed 2–4 times a month. Prevalence of hazardous drinking (AUDIT ≥ 8 was 16.69 % and binge drinking 14.01 %. Five (0.75 % had AUDIT total ≥20. There was no significant difference between Special Forces and regular forces in hazardous drinking or binge drinking. Total AUDIT score ≥16 were associated with difficulty performing work. Conclusions High rates of hazardous drinking and binge drinking described among military personnel in US and UK were not seen among SLN personnel deployed in combat areas. This finding contrasts with previously reported association between combat exposure and hazardous alcohol use among military personnel. Alcohol use among military personnel may be significantly influenced by alcohol consumption patterns among the general population, access to alcohol and attitudes about alcohol use. Similar to findings from other countries, heavy

  5. BOOK REVIEW: NCRP Report No. 160: Ionizing Radiation Exposure of the Population of the United States NCRP Report No. 160: Ionizing Radiation Exposure of the Population of the United States

    Science.gov (United States)

    Thurston, Jim

    2010-10-01

    This report by Committee 6 of the Council is an extensive update of a previous report on the exposure of the US population to ionizing radiation sources from data gathered in the 1980s (published as Report 93 in 1987). It is combined with an update on the more in-depth assessment of data on medical exposures previously reported in 1989 (Report 100). Individual chapters in this new report are dedicated to specific sources of exposure to the US population—both from natural and artificial radiation—and the level of detail in each chapter is intended to reflect the significance of the contribution of each source to the total collective dose of the population. The first chapter is on the most significant contributor: background radiation. It expands on the concept of natural background radiation in Report 93, renaming it 'ubiquitous background', and describing in detail the contributions from both extra-terrestrial and terrestrial sources. The data demonstrates that the average dose from such exposure has varied little since the previous report (a slight increase from 3.0 mSv to 3.1 mSv). The next chapter is on medical radiation, i.e. the exposure to the population when attending as patients, not including occupational exposure to hospital workers. The most striking data published in the entire report is the increase in the contribution to the total US population dose attributed to such medical exposures. It is now as significant as that from background radiation: medical exposures now account for an average effective dose to the US citizen of 3.00 mSv, up from 0.53 mSv in 1992 (Report 100). The most important contribution to this increase is the 1.46 mSv from CT scanning alone. The nuclear medicine (including PET) contribution is up from 0.14 mSv to 0.77mSv. This evidently must be due to significant changes in medical radiological practice in the US tied to the increase in the availability of CT and PET imaging facilities. These increasing contributions have driven

  6. Who Is Exposed to Secondhand Smoke? Self-Reported and Serum Cotinine Measured Exposure in the U.S., 1999-2006

    Directory of Open Access Journals (Sweden)

    Yanling Shi

    2009-05-01

    Full Text Available This study presents self-reported and serum cotinine measures of exposure to secondhand smoke (SHS for nonsmoking children, adolescents, and adults. Estimates are disaggregated by time periods and sociodemographic characteristics based on analyses of the 1999-2006 National Health and Nutrition Examination Survey. Self-reported exposure rates are found to be highest for children, followed by adolescents and adults. Important differences in exposure are found by socioeconomic characteristics. Using serum cotinine to measure exposure yields much higher prevalence rates than self-reports. Rates of SHS exposure remain high, but cotinine levels are declining for most groups.

  7. Hydrofluoric acid exposure: a case report and review on the clinical presentation and management.

    Science.gov (United States)

    Strausburg, Matthew; Travers, Jeffrey; Mousdicas, Nico

    2012-01-01

    Exposure to hydrofluoric acid can cause severe skin damage via both corrosive and chemical means. Dermatologists should be aware of the various clinical presentations and knowledgeable of how to manage such patients. A case of a man with exposure of the hands after use of a consumer product containing hydrofluoric acid is presented. The presentation may vary depending on the concentration and duration of exposure. Patients experiencing exposure are at risk of serious complications, including death, resulting from electrolyte abnormalities. Information regarding the source of exposure will allow the physician to better predict the patient's course. The use of immediate flushing with water and the use of topical calcium gluconate can prevent extensive damage to the area of exposure and potentially fatal complications that may occur. More extensive burns may necessitate more invasive therapies. The treatment and the management and monitoring of such cases will allow for more optimal outcomes.

  8. Screening Health Risk Assessment Burn Pit Exposures, Balad Air Base, Iraq and Addendum Report

    Science.gov (United States)

    2008-05-01

    http://deploymenthealthlibrary.fhp.osd.mil/accessLog.jsp?prodid=313). ii. Health Effects of Dioxin Exposure for Service Members, (http...uncertainty, regulatory agencies try to lower dioxin exposure levels in human populations as much as possible. g. Recent research has shown that some...pit, time spent indoors versus outdoors, frequency of meteorological conditions promoting exposure, or other factors that could impact dioxin

  9. Musculoskeletal injuries sustained in modern army combatives.

    Science.gov (United States)

    Possley, Daniel R; Johnson, Anthony E

    2012-01-01

    Participation in martial arts has grown over the past 15 years with an estimated 8 million participants. In 2004, the Chief of Staff of the Army directed that all Initial Military Training soldiers receive Modern Army Combatives (MAC) training. The mechanical differences between the various martial arts styles incorporated into mixed martial arts/MAC pose challenges to the medical professional. We report the incidence of musculoskeletal injuries by Level 1 and 2 trained active duty soldiers participating in MAC over a 3-year period. From June 1, 2005 to January 1, 2009, the Orthopaedic Surgery service treated and tracked all injuries in MAC. Data was analyzed using the Chi(2) method of analysis. (p < 0.05). 155 of 1,025 soldiers presenting with MAC injuries reported inability to perform their military occupation specialty duties. The knee was most frequently injured followed by shoulder. Surgical intervention was warranted 24% of the time. Participants in MAC reported injuries severe enough to impact occupational duties at 15.5%. Surgical intervention was warranted only 24% of the time. The knee and shoulder are the most frequently injured body parts. Labral repair was the most frequent surgical procedure.

  10. THE EFFECT OF PRAZOSIN ON COMBAT RELATED POSTTRAUMATIC STRESS DISORDER NIGHTMARES

    Directory of Open Access Journals (Sweden)

    G ASSADOUAHI

    2003-12-01

    Full Text Available Introduction: Several studies have shown noradrenergic system hyperactivity in posttraumatic stress disorder. Four Vietnam combat veterans with chronic PTSD, prescribed prazosin ?1 adrenergic receptor antagonist reported reduction or completely elimination of combat trauma nightmares. This study prompted an open trial of prazosin for Iran & Iraq combat PTSD patients nightmares. Method: Twenty two male and married patients with chronic DSM N PTSD and combat trauma related nightmares participated in an 8-week Before - After open trial. The exclusion criteria included current substance abuse or dependency, psychotic disorders and any medical condition that contraindicated the use of prazosin. Results: Six patients were withdrown from the study because of Prazosin side effects. In reminders average of nightmare severity reduced from 6.75 to 3.56 which was statistically significant (p<0.001. Dicussion & Conclusion: The association between prazosin administration and reduction of PTSD nightmare severity suggested possible efficacy of ?1- adrenergic recptor blockade for this PTSD symptom.

  11. Co-infection of Primary Syphilis and HIV after a Single Exposure - a Case Report

    Directory of Open Access Journals (Sweden)

    Geleki Stamatina

    2015-09-01

    Full Text Available Human immunodeficiency virus type 1- infected patients with syphilis are among the most important transmitters of HIV-1 infection due to biological effects of genital ulcerations, and aggravation due to their continued risky behavior. The association between primary syphilis and acute HIV-1 co-infection is not well documented, and reports on isolated cases are raising special interest and indicate that this double primary co-infection may occur. We present a case of a 31-year-old man with no past medical history who presented with fever, papular rash on the face which lasted for a few days, and a single genital ulcer. He was diagnosed with primary syphilis and primary HIV-1 infection after a single exposure with an infected female sex worker. Male-to-female HIV transmission during vaginal intercourse is significantly more likely than female-to-male HIV transmission. However, high prevalence of sexually transmitted diseases among female sex workers contributed to high HIV transmission probability, as in our case.

  12. Harmonization of future needs for dermal exposure assessment and modeling : a workshop report

    NARCIS (Netherlands)

    Marquart, H.; Maidment, S.; Mcclaflin, J.L.; Fehrenbacher, M.C.

    2001-01-01

    Dermal exposure assessment and modeling is still in early phases of development. This article presents the results of a workshop organized to harmonize the future needs in this field. Methods for dermal exposure assessment either assess the mass of contaminant that is transferred to the skin, or the

  13. Performance Reporting - The IASB's Proposed Formats of Financial Statements in the Exposure Draft of IAS1

    DEFF Research Database (Denmark)

    Thinggaard, Frank; Wagenhofer, Alfred; Evans, Lisa

    2006-01-01

    This paper is a response to the Exposure Draft of proposed amendments to IAS 1 Presentation of Financial Statements published by the IASB in March 2006. The objective is to bring to the standard setter’s attention research that is relevant to the issues raised in the exposure draft. We review...

  14. Brief Report: Does Exposure to Violent Video Games Increase Moral Disengagement among Adolescents?

    Science.gov (United States)

    Gabbiadini, Alessandro; Andrighetto, Luca; Volpato, Chiara

    2012-01-01

    Several studies have repeatedly shown that violent/action video games increase aggressive tendencies. The present study provides preliminary evidence that exposure to these games also affects the process of moral disengagement. High school students (N = 385) were recruited, and the impact of both recency and frequency of their exposure to the…

  15. The Effect of Exposure Duration on Visual Character Identification in Single, Whole, and Partial Report

    Science.gov (United States)

    Petersen, Anders; Andersen, Tobias S.

    2012-01-01

    The psychometric function of single-letter identification is typically described as a function of stimulus intensity. However, the effect of stimulus exposure duration on letter identification remains poorly described. This is surprising because the effect of exposure duration has played a central role in modeling performance in whole and partial…

  16. Exposure Therapy for Fear of Spiders in an Adult with Learning Disabilities: A Case Report

    Science.gov (United States)

    Cowdrey, Felicity A.; Walz, Linda

    2015-01-01

    The evidence-base for exposure therapy in people with learning disabilities experiencing specific phobias is sparse. This case study describes the assessment, formulation and treatment of spider phobia in a woman with learning disabilities using an exposure-based intervention augmented with mindfulness practice and bereavement work. To evaluate…

  17. Exposure Therapy for Fear of Spiders in an Adult with Learning Disabilities: A Case Report

    Science.gov (United States)

    Cowdrey, Felicity A.; Walz, Linda

    2015-01-01

    The evidence-base for exposure therapy in people with learning disabilities experiencing specific phobias is sparse. This case study describes the assessment, formulation and treatment of spider phobia in a woman with learning disabilities using an exposure-based intervention augmented with mindfulness practice and bereavement work. To evaluate…

  18. Hemolytic Anemia as an Outcome of Occupational Exposure to Formalin: A Case Report

    Directory of Open Access Journals (Sweden)

    Zohreh Yazdi

    2012-08-01

    Full Text Available Background: Occupational exposure studies indicate that formaldehyde exposure causes temporary and consistent effects on industrial workers exposed to formalin. Case: The case was a 36-year-old man who had developed intravascular hemolytic anemia caused by formalin after inhalation exposure. Formalin is a clear solution of 37% formaldehyde in water. The primary route of exposure to formaldehyde is inhalation. The case was presented with severe Coomb's negative hemolytic anemia with hemoglobinuria and was treated successfully with therapeutic red cell transfusion and exposure removal. Conclusion: All employers must provide a safe and healthy workplace for prevention of harmful effects of formalin. Elimination of formalin from workplace, implementation of local and general ventilation, and using proper protective equipments are the most effective methods in the workplace.

  19. Self-Reported Youth and Adult Exposure to Alcohol Marketing in Traditional and Digital Media: Results of a Pilot Survey.

    Science.gov (United States)

    Jernigan, David H; Padon, Alisa; Ross, Craig; Borzekowski, Dina

    2017-03-01

    Alcohol marketing is known to be a significant risk factor for underage drinking. However, little is known about youth and adult exposure to alcohol advertising in digital and social media. This study piloted a comparative assessment of youth and adult recall of exposure to online marketing of alcohol. From September to October 2013, a pilot survey of past 30-day exposure to alcohol advertising and promotional content in traditional and digital media was administered to a national sample of 1,192 youth (ages 13 to 20) and 1,124 adults (ages ≥21) using a prerecruited Internet panel maintained by GfK Custom Research. The weighted proportions of youth and adults who reported this exposure were compared by media type and by advertising and promotional content. Youth were more likely than adults to recall exposure to alcohol advertising on television (69.2% vs. 61.9%), radio (24.8% vs. 16.7%), billboards (54.8% vs. 35.4%), and the Internet (29.7% vs. 16.8%), but less likely to recall seeing advertising in magazines (35.7% vs. 36.4%). Youth were also more likely to recall seeing advertisements and pictures on the Internet of celebrities using alcohol (36.1% vs. 20.8%) or wearing clothing promoting alcohol (27.7% vs. 15.9%), and actively respond (i.e., like, share, or post) to alcohol-related content online. Youth report greater exposure to alcohol advertising and promotional content than adults in most media, including on the Internet. These findings emphasize the need to assure compliance with voluntary industry standards on the placement of alcohol advertising and the importance of developing better tools for monitoring youth exposure to alcohol marketing, particularly on the Internet. Copyright © 2017 by the Research Society on Alcoholism.

  20. Why Does Military Combat Experience Adversely Affect Marital Relations?

    Science.gov (United States)

    Gimbel, Cynthia; Booth, Alan

    1994-01-01

    Describes investigation of ways in which combat decreases marital quality and stability. Results support three models: (1) factors propelling men into combat also make them poor marriage material; (2) combat causes problems that increase marital adversity; and (3) combat intensifies premilitary stress and antisocial behavior which then negatively…

  1. Self-reported parental exposure to pesticide during pregnancy and birth outcomes: the MecoExpo cohort study.

    Directory of Open Access Journals (Sweden)

    Flora Mayhoub

    Full Text Available The MecoExpo study was performed in the Picardy region of northern France, in order to investigate the putative relationship between parental exposures to pesticides (as reported by the mother on one hand and neonatal parameters on the other. The cohort comprised 993 mother-newborn pairs. Each mother completed a questionnaire that probed occupational, domestic, environmental and dietary sources of parental exposure to pesticides during her pregnancy. Multivariate regression analyses were then used to test for associations between the characteristics of parental pesticide exposure during pregnancy and the corresponding birth outcomes. Maternal occupational exposure was associated with an elevated risk of low birth weight (odds ratio (OR [95% confidence interval]: 4.2 [1.2, 15.4]. Paternal occupational exposure to pesticides was associated with a lower than average gestational age at birth (-0.7 weeks; p = 0.0002 and an elevated risk of prematurity (OR: 3.7 [1.4, 9.7]. Levels of domestic exposure to veterinary antiparasitics and to pesticides for indoor plants were both associated with a low birth weight (-70 g; p = 0.02 and -160 g; p = 0.005, respectively. Babies born to women living in urban areas had a lower birth length and a higher risk of low birth length (-0.4 cm, p = 0.006 and OR: 2.9 [1.5, 5.5], respectively. The present study results mainly demonstrate a negative correlation between fetal development on one hand and parental occupational and domestic exposure to pesticides on the other. Our study highlights the need to perform a global and detailed screening of all potential physiological effects when assessing in utero exposure to pesticides.

  2. Self-reported exposure to pesticides in residential settings and risk of breast cancer: a case-control study

    Directory of Open Access Journals (Sweden)

    Graber Nora J

    2010-06-01

    Full Text Available Abstract Background Pesticides are widely used in households to control insects and weeds. Several studies, over the past decades, have examined the possible relationship of serum concentration of organochlorine pesticides and the development of breast cancer. However, little data exists regarding an association between self-reported, residential exposure to pesticides and breast cancer risk. We, therefore, present a case-control study examining self-reported exposure to household pesticides with regard to associated risk of breast cancer. Methods This study was conducted in the area in and around New York City, NY and included 1205 patients (447 cases and 758 controls. Cases were defined as women with newly diagnosed breast cancer or carcinoma in-situ, while controls included women with benign breast diseases or those undergoing non-breast related surgery. All patients were asked a series of questions to determine their pesticide exposure, including the type of pesticide, location of exposure (inside vs. outside the home, who applied the pesticide (self vs. a professional and duration of pesticide use. Logistic regression models were used to estimate unadjusted and adjusted odds ratios (OR and corresponding 95% confidence intervals (CI. Results The most common pests encountered in participants' homes were ants, carpenter ants, and cockroaches. The calculated adjusted odds ratios for both self and professionally applied pesticides, specifically against the above mentioned insects, with regard to breast cancer risk were 1.25 (95% CI: 0.79-1.98 and 1.06 (95% CI: 0.65-1.73, respectively. Similarly, odds ratios and confidence intervals were calculated for other types of pesticides. Conclusions Overall, the results of our study did not show an association between self-reported exposure to pesticides and breast cancer risk. Future studies, utilizing a larger sample size and more specific detail on time frame of pesticide exposure, are needed to

  3. Occupational radiation exposure at commercial nuclear power reactors and other facilities 1995: Twenty-eighth annual report. Volume 17

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, M.L. [Nuclear Regulatory Commission, Washington, DC (United States). Div. of Regulatory Applications; Hagemeyer, D. [Science Applications International Corp., Oak Ridge, TN (United States)

    1997-01-01

    This report summarizes the occupational exposure data that are maintained in the US Nuclear Regulatory Commission`s (NRC) Radiation Exposure Information and Reporting System (REIRS). The bulk of the information contained in the report was compiled from the 1995 annual reports submitted by six of the seven categories of NRC licensees subject to the reporting requirements of 10 CFR 20.2206. Since there are no geologic repositories for high-level waste currently licensed, only six categories will be considered in this report. In 1995, the annual collective dose per reactor for light water reactor licensees (LWRs) was 199 person-cSv (person-rem). This is the same value that was reported for 1994. The annual collective dose per reactor for boiling water reactors (BWRs) was 256 person-cSv (person-rem) and, for pressurized water reactors (PWRs), it was 170 person-cSv (person-rem). Analyses of transient worker data indicate that 17,153 individuals completed work assignments at two or more licensees during the monitoring year. The dose distributions are adjusted each year to account for the duplicate reporting of transient workers by multiple licensees. In 1995, the average measurable dose calculated from reported data was 0.26 cSv (rem). The corrected dose distribution resulted in an average measurable dose of 0.32 cSv (rem).

  4. Low testosterone in a young combat veteran with dual diagnosis and suicidal behavior: a case study.

    Science.gov (United States)

    Kiraly, Drew D; Sher, Leo

    2015-05-01

    Suicide and suicidal behaviors amongst combat veterans is an important public health issue. Exposure to military combat predisposes patients to increased levels of major depression, post-traumatic stress disorder (PTSD), substance abuse, and chronic pain - all of which are important risk factors for suicide. Here, we present a case study of a young combat veteran who presented with an impulsive suicide attempt that had a high potential for lethality in the context of depression, PTSD, and substance use. On routine admission laboratory work, his serum level of testosterone was seen to be low. Given the important role that testosterone plays in the regulation of mood and behavior, we posit that it is a potentially important marker for suicide risk in an already at-risk population.

  5. Specific symptoms predict suicidal ideation in Vietnam combat veterans with chronic post-traumatic stress disorder.

    Science.gov (United States)

    Bell, Jordan B; Nye, Ella C

    2007-11-01

    Previous research documented the elevated risk of suicide and suicidal ideation among Vietnam veterans with post-traumatic stress disorder (PTSD). The aim of the current study was to examine which Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, PTSD symptom clusters are most associated with suicidal ideation in this population. Fifty Vietnam combat veterans enrolled in treatment for PTSD responded to the Beck Scale for Suicide Ideation and were interviewed with the Clinician-Administered PTSD Scale. In linear regression analysis, it was found that the reexperiencing symptom cluster was significantly associated with suicidal ideation but the other two symptom clusters (avoidance/numbing and increased arousal) were not. Furthermore, scores on a measure of severity of combat exposure were not found to be significantly related to PTSD symptoms or suicidal ideation. The results of this study suggest the importance of reexperiencing symptoms for predicting which individuals with combat-related PTSD are most at risk for suicidal ideation and behavior.

  6. Methemoglobinemia induced by exposure to topical benzocaine for an awake nasal intubation--a case report.

    Science.gov (United States)

    Lin, Shih-Kai; Wu, Ji-Leih; Lee, Yung-Lung; Tsao, Shao-Lun

    2007-06-01

    Topical benzocaine and lidocaine are widely used in general anesthesia to minimize the stimulation by awake intubation and in very rare occasion they may induce methemoglobinemia. Although this complication is uncommon, it may be potentially lethal. Here we report a 29-year-old female who was scheduled to receive correction of malocclusion and developed acute methemoglobinemia soon after induction of general anesthesia. Three weeks ago, she had received open reduction for fracture of mandible with intermaxillary fixation under general anesthesia, for which awake fiberoptic intubation was smoothly performed after premedication with 2% topical lidocaine and intravenous fentanyl. This time, trachomucosal block with 4 mL of 4% topical lidocaine and spray of 20% topical benzocaine over the oral cavity and nostrils were carried out before intubation. Awake blind intubation was performed because she could not open her mouth for more than 1 cm. A 6.5 mm-sized nasal endotracheal tube was smoothly placed in first attempt. About 10 min later, an unexplained cyanosis occurred and SpO2 fell to about 70%. Based on a high oxygen tension by arterial blood gas analysis (PaO2) with a contradictory fall of oxygen saturation by pulse oximetry (SpO2), acute methemoglobinemia was highly suspected. The diagnosis was confirmed by multiple-wavelength CO-oximetry. The methemoglobinemia was resolved gradually after methylene blue was given. In conclusion, we must always take the possibility of methemoglobinemia into consideration for differential diagnosis in case of unexplained cyanosis, particularly when patients have prior exposure to methemoglobin-inducing agents.

  7. The power of positive and negative expectations to influence reported symptoms and mood during exposure to wind farm sound.

    Science.gov (United States)

    Crichton, Fiona; Dodd, George; Schmid, Gian; Gamble, Greg; Cundy, Tim; Petrie, Keith J

    2014-12-01

    Wind farm developments have been hampered by claims that sound from wind turbines causes symptoms and negative health reports in nearby residents. As scientific reviews have failed to identify a plausible link between wind turbine sound and health effects, psychological expectations have been proposed as an explanation for health complaints. Building on recent work showing negative expectations can create symptoms from wind turbines, we investigated whether positive expectations can produce the opposite effect, in terms of a reduction in symptoms and improvements in reported health. 60 participants were randomized to either positive or negative expectation groups and subsequently exposed to audible wind farm sound and infrasound. Prior to exposure, negative expectation participants watched a DVD incorporating TV footage about health effects said to be caused by infrasound produced by wind turbines. In contrast, positive expectation participants viewed a DVD that outlined the possible therapeutic effects of infrasound exposure. During exposure to audible windfarm sound and infrasound, symptoms and mood were strongly influenced by the type of expectations. Negative expectation participants experienced a significant increase in symptoms and a significant deterioration in mood, while positive expectation participants reported a significant decrease in symptoms and a significant improvement in mood. The study demonstrates that expectations can influence symptom and mood reports in both positive and negative directions. The results suggest that if expectations about infrasound are framed in more neutral or benign ways, then it is likely reports of symptoms or negative effects could be nullified.

  8. CDC Updates Spending Plans to Combat Zika

    Science.gov (United States)

    ... 161541.html CDC Updates Spending Plans to Combat Zika Some goals: prepare states for future outbreaks, and ... dollars to prepare states and cities for future Zika virus outbreaks, and to track the effects of ...

  9. New Parkinson's Drug May Combat Movement Difficulties

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_162855.html New Parkinson's Drug May Combat Movement Difficulties Opicapone, added to ... HealthDay News) -- New research suggests that people with Parkinson's disease may achieve better and more reliable motor ...

  10. Combat climat change with competetive photovoltaics

    NARCIS (Netherlands)

    Ribeyron, P.J.; Sark, W.G.J.H.M. van; Zietek, G.

    2009-01-01

    Photovoltaics (PV) offer a promising solution for CO2 emission reductions and climate change combat. However, before its wide spread on the market, PV needs to find new approaches to make solar cells competitive with respect to conventional electricity sources.

  11. Combat sports for persons with disabilities

    National Research Council Canada - National Science Library

    Kasum Goran; Gligorov Strašo; Nastasić-Stošković Tanja

    2011-01-01

    .... The benefits of combat sports practicing are numerous, and at some international hospitals, martial sports and arts already have an important role in the treatment of traumatized and disabled persons...

  12. The Combat-Wireless Health Monitoring System

    Science.gov (United States)

    2009-12-01

    not monitor concussions sustained by casualties. This article proposes the develop- ment of a new C-WHMS as an alterna- tive to the WPSM. The C-WHMS...monitoring system embedded within the Advanced Combat Helmet (ACH), which measures concussions sustained during the execution of combat operations. The...component of the C-WHMS, as embedded in the ACH. Concussions sus- tained by soldiers are a major concern of military leadership. The goal is to quickly

  13. Combat sports for persons with disabilities

    OpenAIRE

    Kasum Goran; Gligorov Strašo; Nastasić-Stošković Tanja

    2011-01-01

    In literature, the term adapted sport indicates sports activities, modified and adapted to persons with disabilities. In spite of their highly prominent values, combat sports are underrepresented among persons with disabilities in Serbia. The benefits of combat sports practicing are numerous, and at some international hospitals, martial sports and arts already have an important role in the treatment of traumatized and disabled persons. Currently, the programme of Paralympic Games includes onl...

  14. Rescinding the Ground Combat Exclusion Policy

    Science.gov (United States)

    2011-04-07

    military. Many opponents believe that the military is being used as an experiment to "further social change in our society without regard for military...Miller, " Feminism and the Exclusion of Army Women from Combat," in Women in the Military, ed. Rita James Simon (New Brunswick, NJ: Transaction...index.php/issuepapers (accessed November 23, 2010). Miller, Laura L. " Feminism and the Exclusion of Army Women from Combat." In Women in the Military

  15. Graded exposure therapy for addressing claustrophobic reactions to continuous positive airway pressure: a case series report.

    Science.gov (United States)

    Means, Melanie K; Edinger, Jack D

    2007-01-01

    Continuous positive airway pressure (CPAP) is a safe, effective treatment for obstructive sleep apnea, and yet many patients develop claustrophobic reactions to the CPAP nasal mask and cannot tolerate this treatment. We examined the efficacy of a graded in-vivo exposure therapy for enhancing CPAP adherence using a retrospective, case series design. Objective CPAP adherence data were obtained on clinical patients who attended 1 or more sessions of exposure therapy with a behavioral sleep psychologist. Compared to pre-treatment, patients used CPAP significantly longer after exposure therapy. No predictors of treatment response were identified. CPAP exposure therapy may be beneficial in some cases; however, further research is needed to determine types of patients most likely to benefit from this therapy.

  16. A geographic approach to modelling human exposure to traffic air pollution using GIS. Separate appendix report

    Energy Technology Data Exchange (ETDEWEB)

    Solvang Jensen, S.

    1998-10-01

    A new exposure model has been developed that is based on a physical, single media (air) and single source (traffic) micro environmental approach that estimates traffic related exposures geographically with the postal address as exposure indicator. The micro environments: residence, workplace and street (road user exposure) may be considered. The model estimates outdoor levels for selected ambient air pollutants (benzene, CO, NO{sub 2} and O{sub 3}). The influence of outdoor air pollution on indoor levels can be estimated using average (I/O-ratios. The model has a very high spatial resolution (the address), a high temporal resolution (one hour) and may be used to predict past, present and future exposures. The model may be used for impact assessment of control measures provided that the changes to the model inputs are obtained. The exposure model takes advantage of a standard Geographic Information System (GIS) (ArcView and Avenue) for generation of inputs, for visualisation of input and output, and uses available digital maps, national administrative registers and a local traffic database, and the Danish Operational Street Pollution Model (OSPM). The exposure model presents a new approach to exposure determination by integration of digital maps, administrative registers, a street pollution model and GIS. New methods have been developed to generate the required input parameters for the OSPM model: to geocode buildings using cadastral maps and address points, to automatically generate street configuration data based on digital maps, the BBR and GIS; to predict the temporal variation in traffic and related parameters; and to provide hourly background levels for the OSPM model. (EG)

  17. Scientific report on human and animal dietary exposure to ergot alkaloids

    DEFF Research Database (Denmark)

    Petersen, Annette

    per day). Dietary exposure estimates for animals, assuming a mean concentration scenario, varied between 0.31–0.46 μg/kg bw per day in beef cattle and 6.82–8.07 μg/kg bw per day (LB–UB) in piglets, while exposure estimates assuming a high concentration scenario (95th percentile) varied between 1...

  18. Born to fight? Genetics and combat sports

    Directory of Open Access Journals (Sweden)

    Emerson Franchini

    2014-02-01

    Full Text Available Recently, the influence of genetics on sports performance has received increased attention from many researchers. In combat sports, some investigations have also been conducted. This article’s main objective was to review the representation of specific gene polymorphisms in combat sports athletes compared to controls. The following databases were searched: PubMed, Web of Science and SportDiscus. The terms used in this search involved combat sports (boxing, karate, judo, mixed martial arts, taekwondo and wrestling, genes, genetics and candidate genes. Articles published until November 2013 were included if combat sports athletes were considered as a single group (i.e., not mixed with athletes of other sports. Seven studies were found, with two presenting no difference between combat sports athletes and controls, two presenting higher frequencies of candidate genes related to a more endurance-related profile compared to controls, and three where a more power-related gene overrepresentation was found in comparison to controls. Taken together, the initial studies about the genetic characteristics of combat sports athletes are controversial, which is probably due to the mixed (aerobic and anaerobic characteristic and to the multifactorial performance determinants of these sports.

  19. Combat near-death experiences: an exploratory study.

    Science.gov (United States)

    Goza, Tracy H; Holden, Janice M; Kinsey, Lee

    2014-10-01

    The purpose of this study was to add to the professional literature regarding combat near-death experiences (cNDEs) and to help clinicians and experiencers (cNDErs) recognize this phenomenon as an experience that is not indicative of mental illness. cNDErs were military personnel whose NDEs occurred during active combat or sequelae. Sixty-eight self-reported survivors of combat-related close brushes with death completed an online survey that included the Near-Death Experience Scale(1) (NDE Scale), the Life-Changes Inventory-Revised(2), and a few open-ended questions. Respondents were 20 cNDErs-participants who scored at least 7 on the NDE Scale-and 48 non-NDErs. Compared to NDErs from two methodologically similar studies, cNDErs scored lower on Bonferroni corrected t-tests than NDErs on the NDE Scale overall(3) (p < 0.0003) and on Affective and Transcendental subscales; they scored higher on the Cognitive subscale(1) (p < 0.0007). In Life-Changes Inventory-Revised total change and six of seven value clusters, cNDErs, compared to non-NDErs, scored in the same direction as numerous other studies of NDE aftereffects, but none of the differences were statistically significant and all reflected small effect sizes except total change and changes in spirituality that reflected medium effect sizes--a finding that corresponded to analysis of narrative responses.

  20. Dietary intake and stress fractures among elite male combat recruits

    Directory of Open Access Journals (Sweden)

    Moran Daniel S

    2012-03-01

    Full Text Available Abstract Background Appropriate and sufficient dietary intake is one of the main requirements for maintaining fitness and health. Inadequate energy intake may have a negative impact on physical performance which may result in injuries among physically active populations. The purpose of this research was to evaluate a possible relationship between dietary intake and stress fracture occurrence among combat recruits during basic training (BT. Methods Data was collected from 74 combat recruits (18.2 ± 0.6 yrs in the Israeli Defense Forces. Data analyses included changes in anthropometric measures, dietary intake, blood iron and calcium levels. Measurements were taken on entry to 4-month BT and at the end of BT. The occurrence of stress reaction injury was followed prospectively during the entire 6-month training period. Results Twelve recruits were diagnosed with stress fracture in the tibia or femur (SF group. Sixty two recruits completed BT without stress fractures (NSF. Calcium and vitamin D intakes reported on induction day were lower in the SF group compared to the NSF group-38.9% for calcium (589 ± 92 and 964 ± 373 mg·d-1, respectively, p -1, respectively, p Conclusions The development of stress fractures in young recruits during combat BT was associated with dietary deficiency before induction and during BT of mainly vitamin D and calcium. For the purpose of intervention, the fact that the main deficiency is before induction will need special consideration.

  1. Prehospital analgesia with ketamine for combat wounds: a case series.

    Science.gov (United States)

    Fisher, Andrew D; Rippee, Bryan; Shehan, Heath; Conklin, Curtis; Mabry, Robert L

    2014-01-01

    No data have been published on the use of ketamine at the point of injury in combat. To provide adequate pain management for severely injured Rangers, ketamine was chosen for its analgesic and dissociative properties. Ketamine was first used in the 75th Ranger Regiment in 2005 but fell out of favor because medical providers had limited experience with its use. In 2009, with new providers and change in medic training at the battalion level, the Regiment implemented a protocol using doses of ketamine that exceed the current Tactical Combat Casualty Care recommendations. Medical after-action reports were reviewed for all Ranger casualties who received ketamine at the point of injury for combat wounds from January 2009 to October 2014. Patients and medics were also interviewed. Unit medical protocols authorize ketamine for tourniquet pain, amputations, long-bone fractures, and pain refractory to other agents. Nine of the 11 patients were US Forces; two were local nationals (one female, one male). The average initial dose given intramuscularly was 183 mg, about 2 to 3 mg/kg and intravenously 65 mg, about 1 mg/kg. The patients also received an opioid, a benzodiazepine, or both. There was one episode of apnea that was corrected quickly with stimulus. Eight of the 11 patients required the application of at least one tourniquet; four patients needed between two and four tourniquets to control hemorrhage. Pain was assessed with a subjective 1-10 scale. Before ketamine, the pain was rated as 9-10, with one patient claiming a pain level of 8. Of the US Forces, seven of the nine had no pain after receiving ketamine and two had a pain level of four. Two of the eight had posttraumatic stress disorder. In this small, retrospective sample of combat casualties, ketamine appeared to be a safe and effective battlefield analgesic. 2014.

  2. Strategies for combating dental anxiety.

    Science.gov (United States)

    Bare, Lyndsay C; Dundes, Lauren

    2004-11-01

    Dental anxiety and subsequent avoidance of dental care and deterioration of oral health pose a significant problem for the dental profession. In an attempt to elucidate preferences of anxious dental patients, we gathered survey data from 121 persons at a small, private liberal arts college in the mid-Atlantic region of the United States. Half of the respondents experienced dental anxiety, and most of these (66 percent) attributed anxiety to fear of anticipated pain. The majority of anxious patients preferred a dentist to be friendly (93 percent), talkative (82 percent), and to have an office with adorned walls (89 percent) and a slightly cool temperature (63 percent). Patients who identified themselves as anxious also indicated that music in the background (89 percent) and magazines and books in the dental office (75 percent) were helpful. Anxious patients were more likely than non-anxious patients to prefer a male dentist (77 percent versus 52 percent). This finding was especially marked among anxious male respondents, 93 percent of whom preferred a male dentist compared to 73 percent of anxious female respondents. These survey data may assist dental professionals in understanding and combating patients' dental anxiety, in order to increase the frequency of dental visits and to prompt a corresponding restoration or maintenance of oral health.

  3. Prenatal exposure of a girl with autism spectrum disorder to 'horsetail' (Equisetum arvense herbal remedy and alcohol: a case report

    Directory of Open Access Journals (Sweden)

    Martínez-Salcedo Eduardo

    2011-03-01

    Full Text Available Abstract Introduction Autism is a complex neurodevelopmental disorder in which the interactions of genetic, epigenetic and environmental influences are thought to play a causal role. In humans, throughout embryonic and fetal life, brain development is exquisitely susceptible to injury caused by exposure to toxic chemicals present in the environment. Although the use of herbal supplements during pregnancy is relatively common, little information is available on their association with fetal neurodevelopment. This is, to the best of our knowledge, the first report in the literature to associate a new plausible mechanism of neurodevelopmental toxicity with a case of autism spectrum disorder through a vitamin deficiency potentiated by concomitant use of herbal supplements and ethanol exposure. Case presentation We describe the pediatric environmental history of a three-year-old Caucasian girl with an autism spectrum disorder. We utilized her pediatric environmental history to evaluate constitutional, genetic, and environmental factors pertinent to manifestation of neurodevelopment disorders. Both parents reported prenatal exposure to several risk factors of interest. A year prior to conception the mother began a weight loss diet and ingested 1200 mg/day of 'horsetail' (Equisetum arvense herbal remedies containing thiaminase, an enzyme that with long-term use can lead to vitamin deficiency. The mother reported a significant weight loss during the pregnancy and a deficiency of B-complex vitamins. Thiamine (vitamin B1 deficiency could have been potentiated by the horsetail's thiaminase activity and ethanol exposure during pregnancy. No other risk factors were identified. Conclusions A detailed and careful pediatric environmental history, which includes daily intake, herbal remedies and ethanol exposure, should be obtained from all patients with autism spectrum disorder. Maternal consumption of ethanol and of herbal supplements with suspected or

  4. Workshop Report on Atomic Bomb Dosimetry--Residual Radiation Exposure: Recent Research and Suggestions for Future Studies

    Energy Technology Data Exchange (ETDEWEB)

    None

    2013-06-06

    There is a need for accurate dosimetry for studies of health effects in the Japanese atomic bomb survivors because of the important role that these studies play in worldwide radiation protection standards. International experts have developed dosimetry systems, such as the Dosimetry System 2002 (DS02), which assess the initial radiation exposure to gamma rays and neutrons but only briefly consider the possibility of some minimal contribution to the total body dose by residual radiation exposure. In recognition of the need for an up-to-date review of the topic of residual radiation exposure in Hiroshima and Nagasaki, recently reported studies were reviewed at a technical session at the 57th Annual Meeting of the Health Physics Society in Sacramento, California, 22-26 July 2012. A one-day workshop was also held to provide time for detailed discussion of these newer studies and to evaluate their potential use in clarifying the residual radiation exposures to the atomic-bomb survivors at Hiroshima and Nagasaki. Suggestions for possible future studies are also included in this workshop report.

  5. Workshop report on atomic bomb dosimetry-residual radiation exposure: recent research and suggestions for future studies.

    Science.gov (United States)

    Kerr, George D; Egbert, Stephen D; Al-Nabulsi, Isaf; Beck, Harold L; Cullings, Harry M; Endo, Satoru; Hoshi, Masaharu; Imanaka, Tetsuji; Kaul, Dean C; Maruyama, Satoshi; Reeves, Glen I; Ruehm, Werner; Sakaguchi, Aya; Simon, Steven L; Spriggs, Gregory D; Stram, Daniel O; Tonda, Tetsuji; Weiss, Joseph F; Weitz, Ronald L; Young, Robert W

    2013-08-01

    There is a need for accurate dosimetry for studies of health effects in the Japanese atomic bomb survivors because of the important role that these studies play in worldwide radiation protection standards. International experts have developed dosimetry systems, such as the Dosimetry System 2002 (DS02), which assess the initial radiation exposure to gamma rays and neutrons but only briefly consider the possibility of some minimal contribution to the total body dose by residual radiation exposure. In recognition of the need for an up-to-date review of the topic of residual radiation exposure in Hiroshima and Nagasaki, recently reported studies were reviewed at a technical session at the 57th Annual Meeting of the Health Physics Society in Sacramento, California, 22-26 July 2012. A one-day workshop was also held to provide time for detailed discussion of these newer studies and to evaluate their potential use in clarifying the residual radiation exposures to the atomic-bomb survivors at Hiroshima and Nagasaki. Suggestions for possible future studies are also included in this workshop report.

  6. Self-reported sleep disturbances due to railway noise: exposure-response relationships for nighttime equivalent and maximum noise levels.

    Science.gov (United States)

    Aasvang, Gunn Marit; Moum, Torbjorn; Engdahl, Bo

    2008-07-01

    The objective of the present survey was to study self-reported sleep disturbances due to railway noise with respect to nighttime equivalent noise level (L(p,A,eq,night)) and maximum noise level (L(p,A,max)). A sample of 1349 people in and around Oslo in Norway exposed to railway noise was studied in a cross-sectional survey to obtain data on sleep disturbances, sleep problems due to noise, and personal characteristics including noise sensitivity. Individual noise exposure levels were determined outside of the bedroom facade, the most-exposed facade, and inside the respondents' bedrooms. The exposure-response relationships were analyzed by using logistic regression models, controlling for possible modifying factors including the number of noise events (train pass-by frequency). L(p,A,eq,night) and L(p,A,max) were significantly correlated, and the proportion of reported noise-induced sleep problems increased as both L(p,A,eq,night) and L(p,A,max) increased. Noise sensitivity, type of bedroom window, and pass-by frequency were significant factors affecting noise-induced sleep disturbances, in addition to the noise exposure level. Because about half of the study population did not use a bedroom at the most-exposed side of the house, the exposure-response curve obtained by using noise levels for the most-exposed facade underestimated noise-induced sleep disturbance for those who actually have their bedroom at the most-exposed facade.

  7. Association of Poultry Processing Industry Exposures With Reports of Occupational Finger Amputations: Results of an Analysis of OSHA Severe Injury Report (SIR) Data.

    Science.gov (United States)

    Nevin, Remington L; Bernt, Jon; Hodgson, Michael

    2017-08-17

    This analysis was conducted to identify industry exposures strongly associated with reports of finger amputation. Reports of severe occupational injuries in the Occupational Safety and Health Administration (OSHA) Severe Injury Report (SIR) database were analyzed in relation to U.S. Census Bureau industry employment data. Industries with significantly elevated reporting odds ratios (RORs) and relative reporting risks (RRRs) were identified. Multiple population association measures including population attributable fraction (PAF) were calculated by industry. Among industries with statistically significant RRR and ROR, the poultry processing industry (RRR = 12.60, ROR = 3.37) accounted for the highest PAF by RRR (2.34%) and ROR (1.65%) CONCLUSION:: The results of this analysis identify the poultry processing industry as a leading source of reports of occupational finger amputations and substantiate the need for further collaboration with this industry.

  8. Evaluation of Neurophysiologic and Systematic Changes during Aeromedical Evacuation and en Route Care of Combat Casualties in a Swine Polytrauma

    Science.gov (United States)

    2017-02-01

    Combat Casualties in a Swine Polytrauma PRINCIPAL INVESTIGATOR: Richard McCarron, PhD CONTRACTING ORGANIZATION: Henry M. Jackson Foundation Bethesda...MD 20817-1834 REPORT DATE: February 2017 TYPE OF REPORT: Annual PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick...Aeromedical Evacuation and en Route Care of Combat Casualties in a Swine Polytrauma 5a. CONTRACT NUMBER W81XWH-13-2-0022 6. AUTHOR(S) Richard M. McCarron

  9. The three most common occupational exposures reported by pregnant women: A update

    Energy Technology Data Exchange (ETDEWEB)

    Bentur, Y.; Koren, G. (Motherisk Program, Hospital for Sick Children, Toronto, Ontario (Canada))

    1991-08-01

    Many uncertainties exist in regard to counseling women with occupational exposures during pregnancy. This is due to limited knowledge of the reproductive toxicologic effects of industrial agents, lack of safety standards aimed at protecting the fetus, and limitations in assessing the extent of exposure. The approach to this subject taken by the Motherisk Program and a review of the three most common occupational exposures are presented. Epidemiologic studies and measurements of radiation do not suggest a reproductive hazard for video display terminals. Exposure to organic solvents is hard to quantitate, and information is sparse and sometimes contradictory, and therapeutic decisions are difficult to reach. To date there is no convincing evidence that working with organic solvents within safety regulations would harm a fetus, in contradistinction to detrimental fetal effects of solvent abuse. The reproductive risks of lead are well documented, fetal exposure can be assessed, and effective treatment exists, but its effects on the pregnancy have not been fully established. However, new evidence suggests that maternal levels that are much lower than the accepted adult limits may be damaging to the fetus. 107 references.

  10. Installation restoration program. Remedial investigation report. Volume 2. Sections 4-6. Alpena Combat Readiness Training Center, Alpena County Regional Airport, Michigan Air National Guard, Alpena, Michigan. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    This report is Volume II, Sections 4-6 of the Remedial Investigation Report of Sites 1-9 at Alpens CRTC Alpena Ml. A remedial investigation was performed on 9 sites at the Alpena CRTC to determine the extent of contamination at the sites. The sites involved ill this investigation include: Site 1, POL Storage Area; Site 2, Motor Pool Area; Site 3, Former Garage; Site 4, Third Fire Training Area; Site 5, Second Fire Training Area; Site 6, Former Landfill; Site 7, First Fire Training Area; Site 8, Former Hanger 9; and Site 9, Hazardous Waste Storage Area. Soil and groundwater contamination above state action levels was found at the sites. An FS has been initiated.

  11. Installation restoration program. Remedial investigation report. Volume 5. Appendices P-W. Alpena Combat Readiness Training Center, Alpena County Regional Airport, Michigan Air National Guard, Alpena, Michigan. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    This report is Volume V, Appendices P-W of the Remedial Investigation Report of Sites 1-9 at Alpens CRTC Alpena MI. A remedial investigation was performed on 9 sites at the Alpena CRTC to determine the extent of contamination at the sites. The sites involved in this investigation include: Site 1, POL Storage Area; Site 2, Motor Pool Area; Site 3, Former Garage; Site 4, Third Fire Training Area; Site 5, Second Fire Training Area; Site 6, Former Landfill; Site 7, First Fire Training Area; Site 8, Former Hanger 9; and Site 9, Hazardous Waste Storage Area. Soil and groundwater contamination above state action levels was found at the sites. An FS has been initiated.

  12. Accuracy and Concordance in Reporting for Secondhand Smoke Exposure among Adolescents Undergoing Treatment for Cancer and Their Parents.

    Science.gov (United States)

    McDermott, Michael J; Nicholson, Jody S; Tyc, Vida L

    2013-09-01

    Few studies have examined adolescent reporting accuracy for secondhand smoke exposure (SHSe), and never for youth with cancer. SHSe reporting from adolescents being treated for cancer (Mage=14.92 years, SD=1.67) was examined against parent/guardian reports and urine cotinine among 42 adolescent-parent dyads. Number of days in hospital-based lodgings prior to assessment emerged as the strongest predictor of urine cotinine (β=-0.46, p=0.003) and adolescent SHSe reporting significantly predicted urine cotinine (β=0.37, p=0.011) beyond relevant demographic and contextual variables (overall R(2)=0.40, F(6, 35)=3.90, p=0.004). Findings support adolescents as accurate reporters of discrete SHSe occurrences.

  13. Occupational radiation exposure at commercial nuclear power reactors and other facilities 1996: Twenty-ninth annual report. Volume 18

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, M.L. [Nuclear Regulatory Commission, Washington, DC (United States). Div. of Regulatory Applications; Hagemeyer, D. [Science Applications International Corp., Oak Ridge, TN (United States)

    1998-02-01

    This report summarizes the occupational exposure data that are maintained in the US Nuclear Regulatory Commission`s (NRC) Radiation Exposure Information and Reporting System (REIRS). The bulk of the information contained in the report was compiled from the 1996 annual reports submitted by six of the seven categories of NRC licensees subject to the reporting requirements of 10 CFR 20.2206. Since there are no geologic repositories for high level waste currently licensed, only six categories will be considered in this report. Annual reports for 1996 were received from a total of 300 NRC licensees, of which 109 were operators of nuclear power reactors in commercial operation. Compilations of the reports submitted by the 300 licensees indicated that 138,310 individuals were monitored, 75,139 of whom received a measurable dose. The collective dose incurred by these individuals was 21,755 person-cSv (person-rem){sup 2} which represents a 13% decrease from the 1995 value. The number of workers receiving a measurable dose also decreased, resulting in the average measurable dose of 0.29 cSv (rem) for 1996. The average measurable dose is defined to be the total collective dose (TEDE) divided by the number of workers receiving a measurable dose. These figures have been adjusted to account for transient reactor workers. Analyses of transient worker data indicate that 22,348 individuals completed work assignments at two or more licensees during the monitoring year. The dose distributions are adjusted each year to account for the duplicate reporting of transient workers by multiple licensees. In 1996, the average measurable dose calculated from reported was 0.24 cSv (rem). The corrected dose distribution resulted in an average measurable dose of 0.29 cSv (rem).

  14. Correlates of self-reported exposure to advertising of tobacco products and electronic cigarettes across 28 European Union member states.

    Science.gov (United States)

    Filippidis, Filippos T; Laverty, Anthony A; Fernandez, Esteve; Mons, Ute; Tigova, Olena; Vardavas, Constantine I

    2017-06-12

    Despite advertising bans in most European Union (EU) member states, outlets for promotion of tobacco products and especially e-cigarettes still exist. This study aimed to assess the correlates of self-reported exposure to tobacco products and e-cigarettee advertising in the EU. We analysed data from wave 82.4 of the Eurobarometer survey (November-December 2014), collected through interviews in 28 EU member states (n=27 801 aged ≥15 years) and data on bans of tobacco advertising extracted from the Tobacco Control Scale (TCS, 2013). We used multilevel logistic regression to assess sociodemographic correlates of self-reported exposure to any tobacco and e-cigarette advertisements. 40% and 41.5% of the respondents reported having seen any e-cigarette and tobacco product advertisement respectively within the past year. Current smokers, males, younger respondents, those with financial difficulties, people who had tried e-cigarettes and daily internet users were more likely to report having seen an e-cigarette and a tobacco product advertisement. Respondents in countries with more comprehensive advertising bans were less likely to self-report exposure to any tobacco advertisements (OR 0.87; 95% CI 0.79 to 0.96 for one-unit increase in TCS advertising score), but not e-cigarette advertisements (OR 1.08; 95% CI 0.95 to 1.22). Ten years after ratification of the Framework Convention for Tobacco Control, self-reported exposure to tobacco and e-cigarette advertising in the EU is higher in e-cigarette and tobacco users, as well as those with internet access. The implementation of the Tobacco Products Directive may result in significant changes in e-cigarette advertising, therefore improved monitoring of advertising exposure is required in the coming years. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  15. The "Gay Comfort Level": Examining a Media Advocacy Group's Efforts to Combat Youth Homophobia

    Science.gov (United States)

    Kachgal, Tara M.

    2011-01-01

    This article scrutinizes the efforts of a media advocacy group to redress the stigma of youth homosexuality among United States youth: a report published in 2003 by the Gay and Lesbian Alliance Against Defamation called, "How Youth Media Can Help Combat Homophobia Among American Teenagers." The report, authored by Rodger Streitmatter, concluded…

  16. The "Gay Comfort Level": Examining a Media Advocacy Group's Efforts to Combat Youth Homophobia

    Science.gov (United States)

    Kachgal, Tara M.

    2011-01-01

    This article scrutinizes the efforts of a media advocacy group to redress the stigma of youth homosexuality among United States youth: a report published in 2003 by the Gay and Lesbian Alliance Against Defamation called, "How Youth Media Can Help Combat Homophobia Among American Teenagers." The report, authored by Rodger Streitmatter, concluded…

  17. Uncertainties in Cancer Risk Coefficients for Environmental Exposure to Radionuclides. An Uncertainty Analysis for Risk Coefficients Reported in Federal Guidance Report No. 13

    Energy Technology Data Exchange (ETDEWEB)

    Pawel, David [U.S. Environmental Protection Agency; Leggett, Richard Wayne [ORNL; Eckerman, Keith F [ORNL; Nelson, Christopher [U.S. Environmental Protection Agency

    2007-01-01

    Federal Guidance Report No. 13 (FGR 13) provides risk coefficients for estimation of the risk of cancer due to low-level exposure to each of more than 800 radionuclides. Uncertainties in risk coefficients were quantified in FGR 13 for 33 cases (exposure to each of 11 radionuclides by each of three exposure pathways) on the basis of sensitivity analyses in which various combinations of plausible biokinetic, dosimetric, and radiation risk models were used to generate alternative risk coefficients. The present report updates the uncertainty analysis in FGR 13 for the cases of inhalation and ingestion of radionuclides and expands the analysis to all radionuclides addressed in that report. The analysis indicates that most risk coefficients for inhalation or ingestion of radionuclides are determined within a factor of 5 or less by current information. That is, application of alternate plausible biokinetic and dosimetric models and radiation risk models (based on the linear, no-threshold hypothesis with an adjustment for the dose and dose rate effectiveness factor) is unlikely to change these coefficients by more than a factor of 5. In this analysis the assessed uncertainty in the radiation risk model was found to be the main determinant of the uncertainty category for most risk coefficients, but conclusions concerning the relative contributions of risk and dose models to the total uncertainty in a risk coefficient may depend strongly on the method of assessing uncertainties in the risk model.

  18. Carbon tetrachloride/carbon disulfide exposures in grain fumigation. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Marano, D.E.; White, K.L.; Deer, H.; Alexander, G.

    1986-03-01

    The use of 80/20 compounds as liquid-fumigant mixtures in the grain-handling industry was considered. Worker exposures to carbon tetrachloride and carbon disulfide were measured at representative facilities throughout the industry. Work practices that may contribute to high exposure levels were cited. Approximately equal amounts of liquid fumigants and solid formulations of phosphine are used throughout the industry. As spraying is done on a sporadic basis, it does not appear likely to present a major problem such as might be encountered in continuous exposure situations. The authors conclude that grain workers do not appear to be an ideal study group for a neurotoxicity morbidity study due to the fact that the physical distance between study sites and the small number of workers at each site makes it difficult logistically. A concerted effort throughout the grain industry to educate those workers in the grain-handling portions of that industry toward the safe handling of fumigants should go far in alleviating any problems arising from exposure to fumigants.

  19. Brief Report: Do Delinquency and Community Violence Exposure Explain Internalizing Problems in Early Adolescent Gang Members?

    Science.gov (United States)

    Madan, Anjana; Mrug, Sylvie; Windle, Michael

    2011-01-01

    Adolescent gang members are at higher risk for internalizing problems as well as exposure to community violence and delinquency. This study examined whether gang membership in early adolescence is associated with internalizing problems (depression, anxiety, and suicidal behavior) and whether these associations are mediated by delinquency and…

  20. Aircraft Combat Survivability Estimation and Synthetic Tradeoff Methods

    Institute of Scientific and Technical Information of China (English)

    LI Shu-lin; LI Shou-an; LI Wei-ji; LI Dong-xia; FENG Feng

    2005-01-01

    A new concept is proposed that susceptibility, vulnerability, reliability, maintainability and supportability should be essential factors of aircraft combat survivability. A weight coefficient method and a synthetic method are proposed to estimate aircraft combat survivability based on the essential factors. Considering that it takes cost to enhance aircraft combat survivability, a synthetic tradeoff model between aircraft combat survivability and life cycle cost is built. The aircraft combat survivability estimation methods and synthetic tradeoff with a life cycle cost model will be helpful for aircraft combat survivability design and enhancement.

  1. PRELIMINARY REPORT: EFFECTS OF IRRADIATION AND THERMAL EXPOSURE ON ELASTOMERIC SEALS FOR CASK TRANSPORTATION AND STORAGE

    Energy Technology Data Exchange (ETDEWEB)

    Verst, C.; Skidmore, E.; Daugherty, W.

    2014-05-30

    A testing and analysis approach to predict the sealing behavior of elastomeric seal materials in dry storage casks and evaluate their ability to maintain a seal under thermal and radiation exposure conditions of extended storage and beyond was developed, and initial tests have been conducted. The initial tests evaluate the aging response of EPDM elastomer O-ring seals. The thermal and radiation exposure conditions of the CASTOR® V/21 casks were selected for testing as this cask design is of interest due to its widespread use, and close proximity of the seals to the fuel compared to other cask designs leading to a relatively high temperature and dose under storage conditions. A novel test fixture was developed to enable compression stress relaxation measurements for the seal material at the thermal and radiation exposure conditions. A loss of compression stress of 90% is suggested as the threshold at which sealing ability of an elastomeric seal would be lost. Previous studies have shown this value to be conservative to actual leakage failure for most aging conditions. These initial results indicate that the seal would be expected to retain sealing ability throughout extended storage at the cask design conditions, though longer exposure times are needed to validate this assumption. The high constant dose rate used in the testing is not prototypic of the decreasingly low dose rate that would occur under extended storage. The primary degradation mechanism of oxidation of polymeric compounds is highly dependent on temperature and time of exposure, and with radiation expected to exacerbate the oxidation.

  2. Historical approaches to post-combat disorders.

    Science.gov (United States)

    Jones, Edgar

    2006-04-29

    Almost every major war in the last century involving western nations has seen combatants diagnosed with a form of post-combat disorder. Some took a psychological form (exhaustion, combat fatigue, combat stress reaction and post-traumatic stress disorder), while others were characterized by medically unexplained symptoms (soldier's heart, effort syndrome, shell shock, non-ulcer dyspepsia, effects of Agent Orange and Gulf War Syndrome). Although many of these disorders have common symptoms, the explanations attached to them showed considerable diversity often reflected in the labels themselves. These causal hypotheses ranged from the effects of climate, compressive forces released by shell explosions, side effects of vaccinations, changes in diet, toxic effects of organophosphates, oil-well fires or depleted-uranium munitions. Military history suggests that these disorders, which coexisted in the civilian population, reflected popular health fears and emerged in the gaps left by the advance of medical science. While the current Iraq conflict has yet to produce a syndrome typified by medically unexplained symptoms, it is unlikely that we have seen the last of post-combat disorders as past experience suggests that they have the capacity to catch both military planners and doctors by surprise.

  3. Combat Helmets and Blast Traumatic Brain Injury

    Directory of Open Access Journals (Sweden)

    Duncan Wallace

    2012-01-01

    Full Text Available Background: The conflicts in Iraq and Afghanistan and the prominence of traumatic brain injury (TBI, mostly from improvised explosive devices, have focused attention on the effectiveness of combat helmets. Purpose: This paper examines the importance of TBI, the role and history of the development of combat helmets, current helmet designs and effectiveness, helmet design methodology, helmet sensors, future research and recommendations. Method: A literature review was conducted using search terms – combat helmets, traumatic brain injury, concussion, Iraq, Afghanistan and helmet sensors, searching PubMed, MEDLINE, ProQuest and Google Scholar. Conclusions: At present, no existing helmet is able to fully protect against all threats faced on the battlefield. The prominence of traumatic brain injury from improvised explosive devices in the current conflicts in Iraq and Afghanistan has highlighted the limitations in knowledge about blast and how to provide protection from it. As a result, considerable research is currently occurring in how to protect the head from blast over-pressure. Helmet sensors may provide valuable data. Some new combat helmets may be able to protect against rifle rounds, but may result in injuries occurring behind body armour. Optimal combat helmet design requires a balance between the need for protection from trauma and the comfort and practicality of the helmet for the user to ensure the best outcomes.

  4. Genome Sequence of a Multidrug-Resistant Strain of Klebsiella pneumoniae, BAMC 07-18, Isolated from a Combat Injury Wound.

    Science.gov (United States)

    Van Laar, Tricia A; Chen, Tsute; Childers, Brandon M; Chen, Ping; Abercrombie, Johnathan J; Leung, Kai P

    2014-11-26

    Klebsiella pneumoniae is an important infectious agent of surgical sites and combat wounds. Antibiotic resistance and tolerance are common impediments to the healing of chronic infections. Here, we report the genome sequence of a highly multidrug-resistant strain of K. pneumoniae, BAMC 07-18, isolated from a combat wound of a soldier.

  5. 'Combating' tropical diseases in the German colonial press.

    Science.gov (United States)

    Correa, Sílvio Marcus de Souza

    2013-03-01

    This article shows how much certain German language newspapers were a vehicule for reporting to the lay public on 'combating' tropical diseases. Through the press, immigrants and their descendents in Brazil were informed not only about the diseases which afflicted German colonists in Africa, but also about measures concerning sanitation, prophylaxis and experiments with tropical medicine, etc. Based on hemerographic sources, it shows how successful the overseas German communities were in sharing their experiences regarding health in tropical and/or sub-tropical regions.

  6. Self-reported Occupational Exposures Relevant for Cancer among 28,000 Offshore Oil Industry Workers Employed between 1965 and 1999.

    Science.gov (United States)

    Stenehjem, Jo S; Friesen, Melissa C; Eggen, Tone; Kjærheim, Kristina; Bråtveit, Magne; Grimsrud, Tom K

    2015-01-01

    The objective of this study was to examine self-reported frequency of occupational exposure reported by 28,000 Norwegian offshore oil workers in a 1998 survey. Predictors of self-reported exposure frequency were identified to aid future refinements of an expert-based job-exposure-time matrix (JEM). We focus here on reported frequencies for skin contact with oil and diesel; exposure to oil vapor from shaker, to exhaust fumes, vapor from mixing chemicals used for drilling, natural gas, chemicals used for water injection and processing, and to solvent vapor. Exposure frequency was reported by participants as the exposed proportion of the work shift, defined by six categories, in their current or last position offshore (between 1965 and 1999). Binary Poisson regression models with robust variance were used to examine the probabilities of reporting frequent exposure (≥¼ vs. <¼ of work shift) according to main activity, time period, supervisory position, type of company, type of installation, work schedule, and education. Holding a non-supervisory position, working shifts, being employed in the early period of the offshore industry, and having only compulsory education increased the probability of reporting frequent exposure. The identified predictors and group-level patterns may aid future refinement of the JEM previously developed for the present cohort.

  7. Assessment of mercury exposure in human populations: A status report from Augusta Bay (southern Italy).

    Science.gov (United States)

    Bonsignore, Maria; Andolfi, Nunzia; Barra, Marco; Madeddu, Anselmo; Tisano, Francesco; Ingallinella, Vincenzo; Castorina, Maria; Sprovieri, Mario

    2016-10-01

    Here we investigate mercury concentrations in the blood (HgB), urine (HgU) and human hair (HgH) of 224 individuals from a coastal area (Eastern Sicily, SE Italy) strongly affected by Hg contamination from one of the largest chlor-alkali plants in Europe. The factors affecting the distribution of Hg and the extent of the exposure of individuals have been explored with a multidisciplinary approach. Multiple regression analyses, together with evidence of high levels of HgB (exceeding the HBMI recommended levels in 50% of cases) and HgH (exceeding the EPA reference dose in 70% of cases), primarily suggest that the consumption of local fish is the main source of Hg for humans. no. significant exposure to inorganic mercury was identified. Toxicokinetic calculations produced a provisional tolerable weekly intake (PTWI) level that, in most cases, exceeds international recommendations, particularly for residents in the studied area. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. A decrease in the size of the basal ganglia following prenatal alcohol exposure: a preliminary report.

    Science.gov (United States)

    Mattson, S N; Riley, E P; Jernigan, T L; Garcia, A; Kaneko, W M; Ehlers, C L; Jones, K L

    1994-01-01

    Prenatal alcohol exposure is known to cause damage to the central nervous system. This study sought to further elucidate the structural brain damage that occurs following prenatal alcohol exposure in both children and rats. Two children with histories of maternal alcohol abuse but who did not qualify for a diagnosis of Fetal Alcohol Syndrome (FAS), based on established criteria, underwent magnetic resonance imaging. Reduced volumes were found for the cerebrum and cerebellum. In addition, the proportional volume of the basal ganglia was reduced, although the proportional volumes of cortical and subcortical fluid, cortical gray matter, limbic and nonlimbic cortex, and diencephalic structures were unaffected. These findings are compared with our recent MRI findings in two cases of FAS. In addition, the caudate-putamen and ventricular areas were assessed in rats exposed to alcohol prenatally. Whereas the overall brain section area was not reduced in size, the area of the caudate-putamen was reduced and that of the ventricles was enlarged.

  9. A comparison between self-reported and GIS-based proxies of residential exposure to environmental pollution in a case-control study on lung cancer.

    Science.gov (United States)

    Cordioli, M; Ranzi, A; Freni Sterrantino, A; Erspamer, L; Razzini, G; Ferrari, U; Gatti, M G; Bonora, K; Artioli, F; Goldoni, C A; Lauriola, P

    2014-06-01

    In epidemiological studies both questionnaire results and GIS modeling have been used to assess exposure to environmental risk factors. Nevertheless, few studies have used both these techniques to evaluate the degree of agreement between different exposure assessment methodologies. As part of a case-control study on lung cancer, we present a comparison between self-reported and GIS-derived proxies of residential exposure to environmental pollution. 649 subjects were asked to fill out a questionnaire and give information about residential history and perceived exposure. Using GIS, for each residence we evaluated land use patterns, proximity to major roads and exposure to industrial pollution. We then compared the GIS exposure-index values among groups created on the basis of questionnaire responses. Our results showed a relatively high agreement between the two methods. Although none of these methods is the "exposure gold standard", understanding similarities, weaknesses and strengths of each method is essential to strengthen epidemiological evidence.

  10. Chemical Warfare Agent Operational Exposure Hazard Assessment Research: FY07 Report and Analysis

    Science.gov (United States)

    2010-07-01

    accidentally exposed to VX vapor. The method employs GC-MS/MS on a triple quadrupole mass spectrometer using stable isotope dilution for quantitation... Technique for Assessing Exposure to VX via GC-MS/MS Analysis 85 3.3.1 Introduction 85 3.3.2 Materials and Methods 85 3.3.3 Results and Discussion 90...guinea pigs were anesthetized using isoflurane (3% induction, 15-2% maintenance; with oxygen). All procedures were performed using aseptic technique

  11. Anterior Segment Imaging in Combat Ocular Trauma

    Directory of Open Access Journals (Sweden)

    Denise S. Ryan

    2013-01-01

    Full Text Available Purpose. To evaluate the use of ocular imaging to enhance management and diagnosis of war-related anterior segment ocular injuries. Methods. This study was a prospective observational case series from an ongoing IRB-approved combat ocular trauma tracking study. Subjects with anterior segment ocular injury were imaged, when possible, using anterior segment optical coherence tomography (AS-OCT, confocal microscopy (CM, and slit lamp biomicroscopy. Results. Images captured from participants with combat ocular trauma on different systems provided comprehensive and alternate views of anterior segment injury to investigators. Conclusion. In combat-related trauma of the anterior segment, adjunct image acquisition enhances slit lamp examination and enables real time In vivo observation of the cornea facilitating injury characterization, progression, and management.

  12. Markers of exposure to diesel exhaust in railroad workers. Research report

    Energy Technology Data Exchange (ETDEWEB)

    Schenker, M.B.; Samuels, S.J.; Kado, N.Y.; Hammond, S.K.; Smith, T.J.

    1990-01-01

    The study measured the exposure of railroad workers to diesel exhaust and environmental tobacco smoke by using personal air samples taken over two consecutive work shifts. Urine samples were collected from 87 subjects at the end of the study work shifts and were analyzed for markers of cigarette smoking (nicotine, cotinine) and for mutagenicity, using a sensitive microsuspension assay (Salmonella strain TA98 with or without S9 enzyme). Among smokers, a dose-response relationship was observed between urinary mutagenicity and the number of cigarettes smoked on the study day. After cigarette smoking was controlled for, no association was present between diesel exhaust exposure and urinary mutagenicity. Among nonsmokers, detectable concentrations of mutagens were present in the urine, but no association could be found between markers of diesel exhaust or environmental tobacco smoke and urinary mutagenicity. It was concluded that the mutagens associated with the levels of exposure to diesel exhaust or environmental tobacco smoke in the study were undetectable in the urine.

  13. Exposure limits for nanoparticles: report of an international workshop on nano reference values.

    Science.gov (United States)

    van Broekhuizen, Pieter; van Veelen, Wim; Streekstra, Willem-Henk; Schulte, Paul; Reijnders, Lucas

    2012-07-01

    This article summarizes the outcome of the discussions at the international workshop on nano reference values (NRVs), which was organized by the Dutch trade unions and employers' organizations and hosted by the Social Economic Council in The Hague in September 2011. It reflects the discussions of 80 international participants representing small- and medium-size enterprises (SMEs), large companies, trade unions, governmental authorities, research institutions, and non-governmental organizations (NGOs) from many European countries, USA, India, and Brazil. Issues that were discussed concerned the usefulness and acceptability of precaution-based NRVs as a substitute for health-based occupational exposure limits (OELs) and derived no-effect levels (DNELs) for manufactured nanoparticles (NPs). Topics concerned the metrics for measuring NPs, the combined exposure to manufactured nanomaterials (MNMs) and process-generated NPs, the use of the precautionary principle, the lack of information about the presence of nanomaterials, and the appropriateness of soft regulation for exposure control. The workshop concluded that the NRV, as an 8-h time-weighted average, is a comprehensible and useful instrument for risk management of professional use of MNMs with a dispersible character. The question remains whether NRVs, as advised for risk management by the Dutch employers' organization and trade unions, should be under soft regulation or that a more binding regulation is preferable.

  14. Modified Exposure and Response Prevention to Treat the Repetitive Behaviors of a Child with Autism: A Case Report

    Directory of Open Access Journals (Sweden)

    Brian A. Boyd

    2011-01-01

    Full Text Available We report the case study of a school-aged child with autism whose repetitive behaviors were treated with a modified version of a technique routinely used in cognitive behavior therapy (i.e., exposure response prevention to treat obsessive-compulsive disorder. A trained behavioral therapist administered the modified ERP treatment over the course of an intensive two-week treatment period with two therapy sessions occurring daily. The treatment was successful at decreasing the amount of child distress and cooccurring problem behavior displayed; however, the child's interest in the repetitive behavior eliciting stimulus (i.e., puzzles remained. The case study demonstrates specific ways that exposure response prevention strategies can be adapted to the unique kinds of repetitive behaviors that present clinically in autism. A larger clinical trial is needed to substantiate these findings.

  15. THE POSSIBLY PREVENTION AND COMBATING TAX EVASION

    Directory of Open Access Journals (Sweden)

    Daniela P. POPA

    2014-11-01

    - A faulty legislation that allows them to circumvent the failure to pay taxes. Measures to combat tax evasion must act in the areas of legislative, administrative and educational. The legislative drafting tax legislation seeks appropriate, clear, concise, stable and consistent. It is also necessary to eliminate or withdrawal of exemptions, reductions and deductions that give rise to multiple interpretations. In terms of administrative measures aimed at creating a comprehensive and operational information system, ensuring adequate administrative structures and instruments effectively combating tax evasion and training specialists with morality and professionalism required of shapes and sizes evasion.

  16. INTERNATIONALLY LEGAL MEASURES TO COMBAT TERRORIST FINANCING

    Directory of Open Access Journals (Sweden)

    Yuniarti Yuniarti

    2014-09-01

    Full Text Available Following the terrorist attacks in the USA on September 11th, 2001, it was discovered that money laundering was a significant source of finance for terrorists. Although, the amount of money that involve is not as involve as in drug and gun trafficking, terrorist financing had been the most important substance to be monitor. Further, various legal measures have been taken internationally in order to combat terrorist financing. This research analyses the legal measures that have been taken internationally and at EU level to combat terrorist financing. Key words: Money Laundering, Terrorist Financing, International Legal measures, EU.

  17. Regulation of psychic functions in combat sport

    Directory of Open Access Journals (Sweden)

    Klymenko A.I.

    2010-06-01

    Full Text Available The problems of adjusting of psychical functions are considered in sport. The methods of self-regulation are rotined in sport. The groups of emotional reactions of combat sportsmen are certain. It is set that sporting psychologists and trainers are mainly addressed to training of psychical functions. Also - the system of psychical self-regulation must be complex. It contains affecting physiological reactions and on psychical processes. Five groups of emotional reactions of combat sportsmen are marked. They are directed on development of ability without superfluous emotions to overcome extreme situations in the process of competition activity.

  18. A Conceptual Framework for More Effectively Integrating Combat Support Capabilities and Constraints into Contingency Planning and Execution

    Science.gov (United States)

    2015-01-01

    SUMMARY ■ C O R P O R A T I O N A Conceptual Framework for More Effectively Integrating Combat Support Capabilities and Constraints into...impact of these capabilities or constraints on operational plans. This report describes a conceptual framework for better integrating CS capabilities...DATES COVERED 00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE A Conceptual Framework for More Effectively Integrating Combat Support Capabilities and

  19. Evaluation of Neurophysiologic and Systematic Changes during Aeromedical Evacuation and en Route Care of Combat Casualties in a Swine Polytrauma

    Science.gov (United States)

    2016-02-01

    and en Route Care of Combat Casualties in a Swine Polytrauma PRINCIPAL INVESTIGATOR: Richard McCarron, PhD CONTRACTING ORGANIZATION: Henry M...Aeromedical Evacuation and en Route Care of Combat Casualties in a Swine Polytrauma Award Number: W81XWH-13-2-0022, 3rd Annual Report JAN2016 3...models of neurotrauma and polytrauma . We plan to investigate the effects of aero-medical evacuation on neurophysiology and lung function in swine

  20. Military Exposures

    Science.gov (United States)

    ... Enter ZIP code here Enter ZIP code here Military Exposures Veterans may have been exposed to a range of chemical, physical, and environmental hazards during military service. Reports on Veterans’ Health Care Use What ...

  1. Defending legitimate epidemiologic research: combating Lysenko pseudoscience.

    Science.gov (United States)

    Enstrom, James E

    2007-10-10

    This analysis presents a detailed defense of my epidemiologic research in the May 17, 2003 British Medical Journal that found no significant relationship between environmental tobacco smoke (ETS) and tobacco-related mortality. In order to defend the honesty and scientific integrity of my research, I have identified and addressed in a detailed manner several unethical and erroneous attacks on this research. Specifically, I have demonstrated that this research is not "fatally flawed," that I have not made "inappropriate use" of the underlying database, and that my findings agree with other United States results on this relationship. My research suggests, contrary to popular claims, that there is not a causal relationship between ETS and mortality in the U.S. responsible for 50,000 excess annual deaths, but rather there is a weak and inconsistent relationship. The popular claims tend to damage the credibility of epidemiology. In addition, I address the omission of my research from the 2006 Surgeon General's Report on Involuntary Smoking and the inclusion of it in a massive U.S. Department of Justice racketeering lawsuit. I refute erroneous statements made by powerful U.S. epidemiologists and activists about me and my research and I defend the funding used to conduct this research. Finally, I compare many aspect of ETS epidemiology in the U.S. with pseudoscience in the Soviet Union during the period of Trofim Denisovich Lysenko. Overall, this paper is intended to defend legitimate research against illegitimate criticism by those who have attempted to suppress and discredit it because it does not support their ideological and political agendas. Hopefully, this defense will help other scientists defend their legitimate research and combat "Lysenko pseudoscience."

  2. Switzerland and efforts to combat the financing of terrorism

    OpenAIRE

    de Watteville, Jacques

    2002-01-01

    Combating international terrorism has long been one of Switzerland's main concerns. Furthermore Switzerland has worked closely with other nations in combating terrorism and will continue to do so in future, both in the context of international treaties and on the basis of the law on mutual assistance in criminal matters. International co-operation to combat the financing of terrorism is taking place at several levels. The instruments for combating money laundering are also important for comba...

  3. Occupational radiation exposure at commercial nuclear power reactors and other facilities 1994. Twenty-seventh annual report

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, M.L.; Hagemeyer, D. [Science Applications International Corporation, Oak Ridge, TN (United States)

    1996-01-01

    This report summarizes the occupational exposure data that are maintained in the U.S. Nuclear Regulatory Commission`s (NRC) Radiation Exposure Information and Reporting System (REIRS). Annual reports for 1994 were received from a total of 303 NRC licensees, of which 109 were operators of nuclear power reactors in commercial operation. Compilations of the reports submitted by the 303 licensees indicated that 152,028 individuals were monitored, 79,780 of whom received a measurable dose. The collective dose incurred by these individuals was 24,740 person-cSv (person-rem){sup 2} which represents a 15% decrease from the 1993 value. The number of workers receiving a measurable dose also decreased, resulting in the average measurable dose of 0.31 cSv (rem) for 1994. The average measurable dose is defined to be the total collective dose (TEDE) divided by the number of workers receiving a measurable dose. These figures have been adjusted to account for transient reactor workers. In 1994, the annual collective dose per reactor for light water reactor licensees (LWRs) was 198 person-cSv (person-rem). This represents a 18% decrease from the 1993 value of 242 person-cSv (person-rem). The annual collective dose per reactor for boiling water reactors (BWRs) was 327 person-cSv (person-rem) and, for pressurized water reactors (PWRs), it was 131 person-cSv (person-rem). Analyses of transient worker data indicate that 18,178 individuals completed work assignments at two or more licensees during the monitoring year. The dose distributions are adjusted each year to account for the duplicate reporting of transient workers by multiple licensees. In 1994, the average measurable dose calculated from reported data was 0.28 cSv (rem). The corrected dose distribution resulted in an average measurable dose of 0.31 cSv (rem).

  4. Notes from the Field: Kratom (Mitragyna speciosa) Exposures Reported to Poison Centers - United States, 2010-2015.

    Science.gov (United States)

    Anwar, Mehruba; Law, Royal; Schier, Josh

    2016-07-29

    Kratom (Mitragyna speciosa) is a plant consumed throughout the world for its stimulant effects and as an opioid substitute (1). It is typically brewed into a tea, chewed, smoked, or ingested in capsules (2). It is also known as Thang, Kakuam, Thom, Ketum, and Biak (3). The Drug Enforcement Administration includes kratom on its Drugs of Concern list (substances that are not currently regulated by the Controlled Substances Act, but that pose risks to persons who abuse them), and the National Institute of Drug Abuse has identified kratom as an emerging drug of abuse (3,4). Published case reports have associated kratom exposure with psychosis, seizures, and deaths (5,6). Because deaths have been attributed to kratom in the United States (7), some jurisdictions have passed or are considering legislation to make kratom use a felony (8). CDC characterized kratom exposures that were reported to poison centers and uploaded to the National Poison Data System (NPDS) during January 2010-December 2015. The NPDS is a national database of information logged by the country's regional poison centers serving all 50 United States, the District of Columbia, and Puerto Rico and is maintained by the American Association of Poison Control Centers. NPDS case records are the result of call reports made by the public and health care providers.

  5. A longitudinal study of environmental tobacco smoke exposure in children: Parental self reports versus age dependent biomarkers

    Directory of Open Access Journals (Sweden)

    Sunyer Jordi

    2008-02-01

    Full Text Available Abstract Background Awareness of the negative effects of smoking on children's health prompted a decrease in the self-reporting of parental tobacco use in periodic surveys from most industrialized countries. Our aim is to assess changes between ETS exposure at the end of pregnancy and at 4 years of age determined by the parents' self-report and measurement of cotinine in age related biological matrices. Methods The prospective birth cohort included 487 infants from Barcelona city (Spain. Mothers were asked about maternal and household smoking habit. Cord serum and children's urinary cotinine were analyzed in duplicate using a double antibody radioimmunoassay. Results At 4 years of age, the median urinary cotinine level in children increased 1.4 or 3.5 times when father or mother smoked, respectively. Cotinine levels in children's urine statistically differentiated children from smoking mothers (Geometric Mean (GM 19.7 ng/ml; 95% CI 16.83–23.01 and exposed homes (GM 7.1 ng/ml; 95% CI 5.61–8.99 compared with non-exposed homes (GM 4.5 ng/ml; 95% CI 3.71–5.48. Maternal self-reported ETS exposure in homes declined in the four year span between the two time periods from 42.2% to 31.0% (p Conclusion We concluded that cotinine levels determined in cord blood and urine, respectively, were useful for categorizing the children exposed to smoking and showed that a certain increase in ETS exposure during the 4-year follow-up period occurred.

  6. Injuries associated with combat sports, active component, U.S. Armed Forces, 2010-2013.

    Science.gov (United States)

    2014-05-01

    The practice of combat sports creates a potential for training- and sports-related injuries among military members. During the 4-year surveillance period, there were 12,108 cases of injuries associated with combat sports among active component service members; the overall incidence rate was 21.0 per 10,000 person-years (p-yrs). The rates were higher among service members who were male, Hispanic, in the youngest age groups, in the Army, junior enlisted, and in combat-specific occupations. The rate among recruit/ trainees (779.4 per 10,000 p-yrs) was more than 165 times the rate among all other active component service members (non-recruits) (4.7 per 10,000 p-yrs). Sprains, strains, and contusions accounted for more than one-half of the primary (first-listed) diagnoses associated with combat sports cases. More serious conditions such as concussions/head injuries and skull/face fractures/intracranial injuries were reported among 3.9% and 2.1% of all cases and were more common among boxing-related cases. Hand/wrist fractures were also common among boxing cases. Wrestling had comparatively greater proportions of dislocations and open wounds. Although the combat sport training provides many physical and mental benefits to the individual, safety practices should be enforced to reduce the most frequent and serious injuries.

  7. Evidence Report: Risk of Acute and Late Central Nervous System Effects from Radiation Exposure

    Science.gov (United States)

    Nelson, Gregory A.; Simonsen, Lisa; Huff, Janice L.

    2016-01-01

    Possible acute and late risks to the central nervous system (CNS) from galactic cosmic rays (GCR) and solar particle events (SPE) are concerns for human exploration of space. Acute CNS risks may include: altered cognitive function, reduced motor function, and behavioral changes, all of which may affect performance and human health. Late CNS risks may include neurological disorders such as Alzheimer's disease (AD), dementia and premature aging. Although detrimental CNS changes are observed in humans treated with high-dose radiation (e.g., gamma rays and 9 protons) for cancer and are supported by experimental evidence showing neurocognitive and behavioral effects in animal models, the significance of these results on the morbidity to astronauts has not been elucidated. There is a lack of human epidemiology data on which to base CNS risk estimates; therefore, risk projection based on scaling to human data, as done for cancer risk, is not possible for CNS risks. Research specific to the spaceflight environment using animal and cell models must be compiled to quantify the magnitude of CNS changes in order to estimate this risk and to establish validity of the current permissible exposure limits (PELs). In addition, the impact of radiation exposure in combination with individual sensitivity or other space flight factors, as well as assessment of the need for biological/pharmaceutical countermeasures, will be considered after further definition of CNS risk occurs.

  8. Accidental carbon monoxide poisoning presenting without a history of exposure: A case report

    Directory of Open Access Journals (Sweden)

    Bennetto Luke

    2008-04-01

    Full Text Available Abstract Introduction Carbon monoxide poisoning is easy to diagnose when there is a history of exposure. When the exposure history is absent, or delayed, the diagnosis is more difficult and relies on recognising the importance of multi-system disease. We present a case of accidental carbon monoxide poisoning. Case presentation A middle-aged man, who lived alone in his mobile home was found by friends in a confused, incontinent state. Initial signs included respiratory failure, cardiac ischaemia, hypotension, encephalopathy and a rash, whilst subsequent features included rhabdomyolysis, renal failure, amnesia, dysarthria, parkinsonism, peripheral neuropathy, supranuclear gaze palsy and cerebral haemorrhage. Despite numerous investigations including magnetic resonance cerebral imaging, lumbar puncture, skin biopsy, muscle biopsy and electroencephalogram a diagnosis remained elusive. Several weeks after admission, diagnostic breakthrough was achieved when the gradual resolution of the patient's amnesia, encephalopathy and dysarthria allowed an accurate history to be taken for the first time. The patient's last recollection was turning on his gas heating for the first time since the spring. A gas heating engineer found the patient's gas boiler to be in a dangerous state of disrepair and it was immediately decommissioned. Conclusion This case highlights several important issues: the bewildering myriad of clinical features of carbon monoxide poisoning, the importance of making the diagnosis even at a late stage and preventing the patient's return to a potentially fatal toxic environment, and the paramount importance of the history in the diagnostic method.

  9. Notes from the field: carbon monoxide exposures reported to poison centers and related to hurricane Sandy - Northeastern United States, 2012.

    Science.gov (United States)

    2012-11-09

    Hurricane Sandy made landfall as a post-tropical cyclone along the coast of southern New Jersey on Monday, October 29, 2012. In the wake of Sandy, state and federal public health agencies have observed an increase in the number of exposures to carbon monoxide (CO) reported to poison centers. CO is imperceptible and can cause adverse health effects ranging from fatigue and headache to cardiorespiratory failure, coma, and death. CO poisoning is a leading cause of mortality and morbidity in post-disaster situations, when widespread power outages occur and risky behaviors, such as improper placement of generators and indoor use of charcoal grills, increase.

  10. Predicted risk of childhood allergy, asthma, and reported symptoms using measured phthalate exposure in dust and urine

    DEFF Research Database (Denmark)

    Hsu, N.-Y.; Lee, C.-C.; Wang, J.-Y.

    2012-01-01

    in settled dust from the homes of 101 children (3–9 years old) were measured, along with their corresponding urinary metabolites. Other environmental risk factors, including indoor CO2, PM2.5, formaldehyde, 1,3-b-D-glucan, endotoxin, allergen and fungal levels, were concomitantly examined. Subjects health......). Higher levels of dibutyl phthalate and its metabolites, mono-n-butyl phthalate, and mono-2-ethylhexyl phthalate were found to be the potential risk factors for the health outcomes of interest. Similarly, indoor fungal exposure remained a significant risk factor, especially for reported respiratory...

  11. The use of urinary bladder matrix in the treatment of trauma and combat casualty wound care.

    Science.gov (United States)

    Valerio, Ian L; Campbell, Paul; Sabino, Jennifer; Dearth, Christopher L; Fleming, Mark

    2015-01-01

    Treatment of combat injuries and resulting wounds can be difficult to treat due to compromised and evolving tissue necrosis, environmental contaminants, multidrug resistant microbacterial and/or fungal infections, coupled with microvascular damage and/or hypovascularized exposed vital structures. Our group has developed surgical care algorithms with identifiable salvage techniques to achieve stable, definitive wound coverage often with the aid of certain regenerative medicine biologic scaffold materials and advanced wound care to facilitate tissue coverage and healing. This case series reports on the role of urinary bladder matrix scaffolds in the wound care and reconstruction of traumatic and combat wounds. Urinary bladder matrix was found to facilitate definitive soft tissue reconstruction by establishing a neovascularized soft tissue base acceptable for second stage wound and skin coverage options within traumatic and combat-related wounds.

  12. Airland Combat: An Organization for Joint Warfare

    Science.gov (United States)

    1992-12-01

    Ground Task Force Chapter 3 Organization for Airland Combat Alas! Hegel was right when he said that we learn. from history that men never learnfrom... Taylor , Jr ., eds . Strategic Requirements for the Army to the Year 2000. Lexington, Mass. : Lexington Books, 1984 . Lane, John J ., Jr ., Lt Col

  13. Young People Should Have Combatant Spirit

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Nowadays,quite a few people believe that combatant spirit is essential for one'ssuccess in today's competitive world.However,some young people today think nothing of this spirit which,in their opinion,is only needed in revolutionary age.Even

  14. Air Combat Maneuvering Expert System Trainer

    Science.gov (United States)

    1992-01-01

    AL-TP-1 991-0058....... AD-A246 459 AIR COMBAT MANEUVERING EXPERT A SYSTEM TRAINER R M S Robert J. BechtelTI T Markt Technology, incorporated ’T R...would have to be established for each segment of pilot training. The success of the air intercept trainer (AT), which shares some features with ACMEST

  15. Evolution of biomedical research during combat operations.

    Science.gov (United States)

    Hatzfeld, Jennifer J; Childs, John D; Dempsey, Michael P; Chapman, Gail D; Dalle Lucca, Jurandir J; Brininger, Teresa; Tamminga, Cindy; Richardson, Roxanne T; Alexander, Stefan; Chung, Kevin K

    2013-08-01

    The implementation of a human research protection program in Afghanistan and the mobilization of the combat casualty research team have made it possible to design and efficiently conduct multifaceted, multisite, and prospective research studies in a combat environment. Still, to conduct research in such an environment, several unique challenges must be overcome. This article describes the development and conduct of three ongoing trauma-related biomedical research studies in Afghanistan, highlighting the challenges and lessons learned within the context of these studies. Key challenges include the process of developing and getting approval for in-theater research protocols, the informed consent process, and logistics of conducting a biomedical research study in an austere environment. Despite these challenges, important lessons learned that can contribute to the success of a protocol include the need for clear operating procedures, judicious selection for which data points must be collected in-theater, and the importance anticipating the "fog and friction" of war. As we continue the journey toward more sophisticated research capabilities in combat, this article will help inform the design and conduct of future research performed in a theater of war. Conducting biomedical research in a combat zone is an important but difficult element of military medicine.

  16. Logistical Analysis of the Littoral Combat Ship

    Science.gov (United States)

    2003-03-01

    and CAPT Jeff Kline for sparking my interest in the Littoral Combat Ship and CAPT James Stewart at Commander, Naval Surface Forces Pacific and CDR...Senior Lecturer of Operations Research Naval Postgraduate School Monterey, California 76 10. James Stewart , CAPT, USN Warfare Requirements, N8

  17. Women in Combat: Issues for Congress

    Science.gov (United States)

    2013-05-09

    retained and codified by means of the reenactment of Section 8549 of Title 10, U.S. Code which was repealed by P.L. 102-190, Section 531 for the Air...Force, and reenactment of the provisions of 10 U.S.C. Section 6015 prohibiting women from assignment to duty on aircraft engaged in combat missions

  18. Combat modeling with partial differential equations

    Energy Technology Data Exchange (ETDEWEB)

    Protopopescu, V.; Santoro, R.T.; Dockery, J.; Cox, R.L.; Barnes, J.M.

    1987-11-01

    A new analytic model based on coupled nonlinear partial differential equations is proposed to describe the temporal and spatial evolution of opposing forces in combat. Analytic descriptions of combat have been developed previously using relatively simpler models based on ordinary differential equations (.e.g, Lanchester's equations of combat) that capture only the global temporal variation of the forces, but not their spatial movement (advance, retreat, flanking maneuver, etc.). The rationale for analytic models and, particularly, the motivation for the present model are reviewed. A detailed description of this model in terms of the mathematical equations together with the possible and plausible military interpretation are presented. Numerical solutions of the nonlinear differential equation model for a large variety of parameters (battlefield length, initial force ratios, initial spatial distribution of forces, boundary conditions, type of interaction, etc.) are implemented. The computational methods and computer programs are described and the results are given in tabular and graphic form. Where possible, the results are compared with the predictions given by the traditional Lanchester equations. Finally, a PC program is described that uses data downloaded from the mainframe computer for rapid analysis of the various combat scenarios. 11 refs., 10 figs., 5 tabs.

  19. Heterotopic Ossification Following Combat-Related Trauma

    Science.gov (United States)

    2010-01-01

    residual limb pain and prosthetic fitting difficulties; ulceration, particularly when the combat- related heterotopic ossification develops beneath an...appropriately including infection, fracture non- union, internal derangement of adjacent joints, symptomatic neuromata, phantom pain , and complex...sometimes there is limitation of the natural function of the limb ... if the callus is stony hard and its removal is urgent, incise the place and cut

  20. National Wildlife Health Center: Research progress report (August 1998): Determination of lead exposure in black ducks wintering in Tennessee ten years after implementation of non-toxic shot

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Attached is the progress report for the first year of the cooperative research study on lead exposure for black ducks in Tennessee. Research objectives included...

  1. National Wildlife Health Center: Final research report (September 1999): Determination of lead exposure in black ducks wintering in Tennessee ten years after implementation of non-toxic shot

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Attached is the final project report for the cooperative research study on lead exposure for black ducks in Tennessee. Research objectives included determining the...

  2. Exposure to and engagement with gambling marketing in social media: Reported impacts on moderate-risk and problem gamblers.

    Science.gov (United States)

    Gainsbury, Sally M; King, Daniel L; Russell, Alex M T; Delfabbro, Paul; Derevensky, Jeffrey; Hing, Nerilee

    2016-03-01

    Digital advertising for gambling and specifically marketing via social media have increased in recent years, and the impact on vulnerable consumers, including moderate-risk and problem gamblers, is unknown. Social media promotions often fall outside of advertising restrictions and codes of conduct and may have an inequitable effect on susceptible gamblers. This study aimed to investigate recall of exposure to, and reported impact on gamblers of, gambling promotions and marketing content on social media, with a focus on vulnerable users currently experiencing gambling problems. Gamblers who use social media (N = 964) completed an online survey assessing their exposure to and engagement with gambling operators on social media, their problem gambling severity, and the impact of social media promotions on their gambling. Gamblers at moderate risk and problem gamblers were significantly more likely to report having been exposed to social media gambling promotions and indicated actively engaging with gambling operators via these platforms. They were more likely to self-report that they had increased gambling as a result of these promotions, and over one third reported that the promotions had increased their problems. This research suggests that gamblers at moderate risk or those experiencing gambling problems are more likely to be impacted by social media promotions, and these may play a role in exacerbating disordered gambling. Future research should verify these self-reported results with behavioral data. However, the potential influence of advertisements via these new platforms should be considered by clinicians and policymakers, given their potential role in the formation of this behavioral addiction.

  3. Exposure to road traffic and railway noise and associations with blood pressure and self-reported hypertension: a cohort study

    Directory of Open Access Journals (Sweden)

    Tjønneland Anne

    2011-10-01

    Full Text Available Abstract Background Epidemiological studies suggest that long-term exposure to transport noise increases the risk for cardiovascular disorders. The effect of transport noise on blood pressure and hypertension is uncertain. Methods In 1993-1997, 57,053 participants aged 50-64 year were enrolled in a population-based cohort study. At enrolment, systolic and diastolic blood pressure was measured. Incident hypertension during a mean follow-up of 5.3 years was assessed by questionnaire. Residential long-term road traffic noise (Lden was estimated for 1- and 5-year periods preceding enrolment and preceding diagnosis of hypertension. Residential exposure to railway noise was estimated at enrolment. We conducted a cross-sectional analysis of associations between road traffic and railway noise and blood pressure at enrolment with linear regression, adjusting for long-term air pollution, meteorology and potential lifestyle confounders (N = 44,083. Incident self-reported hypertension was analyzed with Cox regression, adjusting for long-term air pollution and potential lifestyle confounders. Results We found a 0.26 mm Hg higher systolic blood pressure (95% confidence intervals (CI: -0.11; 0.63 per 10 dB(A increase in 1-year mean road traffic noise levels, with stronger associations in men (0.59 mm Hg (CI: 0.13; 1.05 per 10 dB(A and older participants (0.65 mm Hg (0.08; 1.22 per 10 dB(A. Road traffic noise was not associated with diastolic blood pressure or hypertension. Exposure to railway noise above 60 dB was associated with 8% higher risk for hypertension (95% CI: -2%; 19%, P = 0.11. Conclusions While exposure to road traffic noise was associated with systolic blood pressure in subgroups, we were not able to identify associations with hypertension.

  4. A State-of-the-Art Report on Technologies of a Safety Assessment and a Radioactivity Exposure Assessment for the Decommissioning Process of Nuclear Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Kwan Seong; Kang, Young Ae; Lee, Dong Gyu; Lee, Kune Woo; Jung, Chong Hun

    2007-09-15

    This report is to provide the reference contents of research and development for technologies of radioactivity exposure and safety assessment for development of the decommissioning technology for nuclear facilities. This report consists of as follows: - Analyzing and discussing on state-of-the-art technologies of a radioactivity exposure assessment of a decommissioning for nuclear facilities - Analyzing and discussing on state-of-the-art technologies of a safety assessment of a decommissioning for nuclear facilities.

  5. Global Combat Support System - Army Increment 2 (GCSS-A Inc 2)

    Science.gov (United States)

    2016-03-01

    Product Lifecycle Management Plus. The two components are managed as a single program. GCSS-A is being developed incrementally . Increment 1 provides...2016 Major Automated Information System Annual Report Global Combat Support System - Army Increment 2 (GCSS-A Inc 2) Defense Acquisition...Base Year CAE - Component Acquisition Executive CDD - Capability Development Document CPD - Capability Production Document DAE - Defense

  6. Connecting combat-related mild traumatic brain injury with posttraumatic stress disorder symptoms through brain imaging.

    Science.gov (United States)

    Costanzo, Michelle E; Chou, Yi-Yu; Leaman, Suzanne; Pham, Dzung L; Keyser, David; Nathan, Dominic E; Coughlin, Mary; Rapp, Paul; Roy, Michael J

    2014-08-01

    Mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) may share common symptom and neuropsychological profiles in military service members (SMs) following deployment; while a connection between the two conditions is plausible, the relationship between them has been difficult to discern. The intent of this report is to enhance our understanding of the relationship between findings on structural and functional brain imaging and symptoms of PTSD. Within a cohort of SMs who did not meet criteria for PTSD but were willing to complete a comprehensive assessment within 2 months of their return from combat deployment, we conducted a nested case-control analysis comparing those with combat-related mTBI to age/gender-matched controls with diffusion tensor imaging, resting state functional magnetic resonance imaging and a range of psychological measures. We report degraded white matter integrity in those with a history of combat mTBI, and a positive correlation between the white matter microstructure and default mode network (DMN) connectivity. Higher clinician-administered and self-reported subthreshold PTSD symptoms were reported in those with combat mTBI. Our findings offer a potential mechanism through which mTBI may alter brain function, and in turn, contribute to PTSD symptoms.

  7. Crown-root fracture with pulp exposure: a case report with 16-year follow-up.

    Science.gov (United States)

    Moura, Lucia Fatima Almeida de Deus; Leao, Valeria Leopoldino de Area; de Moura, Marcoeli Silva; de Moura, Carmem Dolores Vilarinho Soares; Goncalves, Alessandro Ribeiro; Lima, Cacilda Castelo Branco; de Lima, Marina de Deus Moura

    2015-01-01

    A 12-year-old boy presented for dental care 35 days after he fell from his bicycle. Clinical and radiographic examinations revealed a longitudinal crown-root fracture with pulp exposure in the maxillary left central incisor. The radiograph also suggested necrosis of the maxillary right central incisor. Urgent treatment of the left central incisor involved gingivectomy followed by autogenous bonding of the tooth fragment with self-curing composite resin. Immediately after bonding, coronal access was prepared, chemical and mechanical preparation was completed, and a calcium hydroxide intracanal dressing was placed. One week after the initial appointment, endodontic treatment was initiated in the right central incisor. The root canal of the maxillary left central incisor was maintained with calcium hydroxide paste (replaced at 45-day intervals) for 1 year and then definitively obturated. At the 16-year follow-up, satisfactory periodontal, esthetic, and clinical conditions were observed, and a radiograph revealed no resorption or periapical changes.

  8. Determinants of exposure to metalworking fluid aerosols: a literature review and analysis of reported measurements.

    Science.gov (United States)

    Park, Donguk; Stewart, Patrica A; Coble, Joseph B

    2009-04-01

    An extensive literature review of published metalworking fluid (MWF) aerosol measurement data was conducted to identify the major determinants that may affect exposure to aerosol fractions (total or inhalable, thoracic and respirable) and mass median diameters (MMDs). The identification of determinants was conducted through published studies and analysis of published measurement levels. For the latter, weighted arithmetic means (WAMs) by number of measurements were calculated and compared using analysis of variance and t-tests. The literature review found that the major factors affecting aerosol exposure levels were, primarily, decade, type of industry, operation and fluid and engineering control measures. Our analysis of total aerosol levels found a significant decline in measured levels from an average of 5.36 mg m(-3) prior to the 1970s and 2.52 mg m(-3) in the 1970s to 1.21 mg m(-3) in the 1980s, 0.50 mg m(-3) in the 1990s and 0.55 mg m(-3) in the 2000s. Significant declines from the 1990s to the 2000s also were found in thoracic fraction levels (0.48 versus 0.40 mg m(-3)), but not for the respirable fraction. The WAMs for the auto (1.47 mg m(-3)) and auto parts manufacturing industry (1.83 mg m(-3)) were significantly higher than that for small-job machine shops (0.68 mg m(-3)). In addition, a significant difference in the thoracic WAM was found between the automotive industry (0.46 mg m(-3)) and small-job machine shops (0.32 mg m(-3)). Operation type, in particular, grinding, was a significant factor affecting the total aerosol fraction [grinding operations (1.75 mg m(-3)) versus other machining (0.95 mg m(-3))], but the levels associated with these operations were not statistically different for either the thoracic or the respirable fractions. Across all decades, the total aerosol fraction for straight oils (1.49 mg m(-3)) was higher than for other fluid types (soluble = 1.08 mg m(-3), synthetic = 0.52 mg m(-3) and semisynthetic = 0.50 mg m(-3)). Fluid type

  9. Solar-collector-materials exposure to the IPH site environment. Volume 1. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Morris, V.L.

    1982-01-01

    In-situ environmental exposure tests were conducted at nine proposed intermediate-temperature Industrial Process Heat (IPH) sites. Three types of reflector materials were evaluated for survivability at the nine sites: second-surface silvered glass, aluminized acrylic FEK-244 film on aluminumsubstrate and Alzak (electropolished aluminum) on aluminium substrate. Black chrome absorber material and low-iron float glass were evaluated for thermal, photochemical, and environmental degradation. The reflector specimens were monitored for decreases in specular and hemispherical reflectance due to soil buildup. The absorber material was evaluated for changes in solar absorptivity and emissivity, and the float glass was monitored for changes in transmissivity. Surface and subsurface defects on all materials were examined microscopically and, where deemed of note, were documented photographically.

  10. Solar-collector materials exposure to the IPH site environment. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Morris, V.L.

    1982-01-01

    In-situ environmental exposure tests were conducted at nine proposed intermediate-temperature Industrial Process Heat (IPH) sites. Three types of reflector materials were evaluated for survivability at the nine sites: second-surface silvered glass, aluminized acrylic FEK-244 film on aluminum substrate, and Alzak (electropolished aluminum) on aluminum substrate. Black chrome absorber material and low-iron float glass were evaluated for thermal, photochemical, and environmental degradation. The reflector specimens were monitored for decreases in specular and hemispherical reflectance due to soil buildup. The absorber material was evaluated for changes in solar absorptivity and emissivity, and the float glass was monitored for changes in transmissivity. Surface and subsurface defects on all materials were examined microscopically and, where deemed of note, were documented photographically.

  11. Congenital microtia in a neonate due to maternal isotretinoin exposure 1 month before pregnancy: Case Report.

    Science.gov (United States)

    Shirazi, Mahboobeh; Abbariki, Ezzat; Pirjani, Reihaneh; Akhavan, Setareh; Dastgerdy, Ebrahim

    2015-06-01

    Isotretinoin is a drug used for treating severe cystic/nodular acne. Severe malformations have been documented in neonates whose mothers had taken isotretinoin during pregnancy. Women who became pregnant one cycle after completing therapy are believed to be at teratogenic risk not higher than baseline. We describe the case of a newborn whose mother had taken the drug for 4 weeks. The woman then had contraception for 4 weeks (after the drug treatment had finished), and became pregnant after that period. The newborn had isolated bilateral microtia due to suspected isotretinoin exposure. His mother also had a history of urine tract infection in the second week of pregnancy that was treated with cephalexin. The parents were not from a consanguineous marriage and had no family history of congenital malformations. To reduce the risk, effective contraception should be continued in fertile women more than 1 month after completing therapy.

  12. Murine partial-body radiation exposure model for biodosimetry studies - Preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    Blakely, William F., E-mail: blakely@afrri.usuhs.mil [Uniformed Services University, Armed Forces Radiobiology Research Institute, Scientific Research Department, 8901 Wisconsin Avenue, Bethesda, MD 20889-5603 (United States); Sandgren, David J., E-mail: Sandgren@afrri.usuhs.mil [Uniformed Services University, Armed Forces Radiobiology Research Institute, Scientific Research Department, 8901 Wisconsin Avenue, Bethesda, MD 20889-5603 (United States); Nagy, Vitaly, E-mail: nagy@afrri.usuhs.mil [Uniformed Services University, Armed Forces Radiobiology Research Institute, Scientific Research Department, 8901 Wisconsin Avenue, Bethesda, MD 20889-5603 (United States); Kim, Sung-Yop, E-mail: kimy@afrri.usuhs.mil [Uniformed Services University, Armed Forces Radiobiology Research Institute, Scientific Research Department, 8901 Wisconsin Avenue, Bethesda, MD 20889-5603 (United States); Ossetrova, Natalia I., E-mail: ossetrova@afrri.usuhs.mil [Uniformed Services University, Armed Forces Radiobiology Research Institute, Scientific Research Department, 8901 Wisconsin Avenue, Bethesda, MD 20889-5603 (United States)

    2011-09-15

    The objective of the present study was to establish a murine partial-body radiation exposure model for studies supporting the identification and validation of novel biological dosimetry diagnostic assays. A lead shielding - Plexiglas irradiation apparatus with cutouts to permit irradiation of single-mouse-holder constrained CD2F1 male mice to total-body (3/3), mid- and lower-body (2/3), mid-body only (1/3), and 100% lead shielding sham-treated (0 Gy) controls (0/3) with a 250-kVp X-ray source (dose: 6 Gy, dose rate: 0.50 Gy min{sup -1}) was used. Doses and dose uniformity were measured using alanine - electron paramagnetic resonance (EPR) and ionization chambers. Dosimetry mapping results showed {approx}2 and {approx}12% non-uniformity in the radiation fields for the two smaller (1/3, 2/3) and one larger (3/3) fields, respectively. Hematology results showed no marked differences in neutrophil and platelet counts 1 and 2 days (d) after irradiation. The lymphocyte counts, as expected, demonstrate a progressive decline below baseline levels 1 and 2 d after irradiation with increasing fraction of the body exposed, while the neutrophil to lymphocyte ratios show the inverse effect, with a progressive increase with the fraction of body exposed. The bone marrow biomarker, Flt3 ligand, demonstrated a progressive increase in values with increasing fraction of the body exposed; the 2 d response was enhanced compared to 1 d. The radioresponse 1 d after irradiation for the acute phase reactant protein biomarker, serum amyloid A (SAA) that is synthesized by the liver, was significantly influenced depending on whether the mouse head was in the radiation field. Use of multiple biomarkers based on hematology and proteomic targets provide an enhancement in early-phase partial-body radiation exposure assessment.

  13. Combat sports for persons with disabilities

    Directory of Open Access Journals (Sweden)

    Kasum Goran

    2011-01-01

    Full Text Available In literature, the term adapted sport indicates sports activities, modified and adapted to persons with disabilities. In spite of their highly prominent values, combat sports are underrepresented among persons with disabilities in Serbia. The benefits of combat sports practicing are numerous, and at some international hospitals, martial sports and arts already have an important role in the treatment of traumatized and disabled persons. Currently, the programme of Paralympic Games includes only two sports, these are fencing and judo, in male and female competition. Almost certainly, karate will also be included in the programme of Paralympic Games, and there are similar ambitions in the case of taekwondo as well. In addition to these sports, some martial arts, especially aikido, thai-chi-chuan and qigong, have obtained significant representation and interest among persons with disabilities. The reasons for weaker interest in other martial sports and arts, should be sought in the fact that they are underrepresented among this population, and that these persons are not offered the possibility of organized practice of such sports. Orientation towards a combat sport brings great refreshment and powerful emotional experience to each practitioner, and this fact has special significance to persons with disabilities. In Serbia, combat sports are not widely represented among persons with disabilities, and only the wrestlers with impaired hearing have achieved significant success on the international stage. On the other hand, the popularity of combat sports among persons with disabilities in the world is significantly growing. It is necessary to take concrete steps to make it so in Serbia as well.

  14. Benzalkonium chloride exposure in cats: a retrospective analysis of 245 cases reported to the Veterinary Poisons Information Service (VPIS).

    Science.gov (United States)

    Bates, N; Edwards, N

    2015-02-28

    Benzalkonium chloride is commonly found in household products. This retrospective study examined 245 cases of feline exposure to benzalkonium chloride-containing products reported to the Veterinary Poisons Information Service (VPIS). A single route of exposure was reported in 188 cats (ingestion 126, skin 58, buccal 4); 57 cats had multiple routes. The common products involved were household antibacterial cleaners (43.6 per cent), household disinfectants (22.3 per cent) and patio cleaners (17.5 per cent). The most common signs were hypersalivation/drooling (53.9 per cent), tongue ulceration (40.4 per cent), hyperthermia (40.4 per cent) and oral ulceration (22.9 per cent). The mean time recorded for onset of the first clinical sign was 6.4 hours (range five minutes to 48 hours, median 4.5 hours, n=60), however, the VPIS was not contacted until 14.0 ± 13.2 hours after exposure (n=120). This figure also reflects the time of presentation. The most common treatments given were antibiotics (82.0 per cent), fluids (50.2 per cent), analgesia (45.3 per cent), gastroprotectants (31.0 per cent), dermal decontamination (24.1 per cent) and steroids (22.7 per cent). 13 cats (5.3 per cent) received syringe or nasogastric feeding. Of 245 cats, 12 (4.9 per cent) remained asymptomatic, 230 (93.9 per cent) recovered and three died (1.2 per cent). The time to recovery ranged from 1 to 360 hours (n=67) with a mean of 100.4 ± 82.0 hours (4.2 ± 3.4 days, median 72 hours).

  15. Household exposure to pesticides and bladder exstrophy in a newborn baby boy: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Martin Marlene

    2009-03-01

    Full Text Available Abstract Introduction Bladder exstrophy is a rare urogenital abnormality. Other urogenital malformations have been associated with exposure to hormonal pesticide disruptors during critical developmental periods. This is the first report in the literature to associate household exposure to pesticides with bladder exstrophy. Case presentation We describe the pediatric environmental history of a newborn baby boy with isolated bladder exstrophy. In this case the pediatric environmental history includes the constitutional, genealogical, genetic and environmental factors related to bladder exstrophy, which revealed a cockroach infestation in the parents' home and the daily use of bug spray to kill them. The mother used one bottle of spray every 2 days (1000cc and more in the summer, when the problem was worse. During gestational weeks 0-12, the mother intensively used a domestic pesticide consisting of a mixture of pyrethroids (cyfenothrin 0.5%, and tetramethrin 0.31% and pyriproxyfen (0.01%. She described repeated episodes of mild to moderate poisoning that are associated with the use of household pesticides. The mother is a housewife and the father works as a fumigator of fruit fields and he reported gastrointestinal symptoms associated with the use of occupational pesticides. However, he did not believe he carried traces of these products into the home and his wife washed his work clothes separately. The pyrethroids and pyriproxyfen were detected in a urine sample obtained from the child 4 months after he was born. No other risk factors were identified. Conclusions A detailed and carefully conducted pediatric environmental history, which includes information about home pesticide use, should be carried out for all children with bladder exstrophy. Domestic exposure to pesticides during critical developmental periods may have deleterious effects for the fetus.

  16. Factors associated with second-hand smoke exposure in non-smoking pregnant women in Spain: self-reported exposure and urinary cotinine levels.

    Science.gov (United States)

    Aurrekoetxea, Juan J; Murcia, Mario; Rebagliato, Marisa; Fernández-Somoano, Ana; Castilla, Ane Miren; Guxens, Mònica; López, María José; Lertxundi, Aitana; Espada, Mercedes; Tardón, Adonina; Ballester, Ferran; Santa-Marina, Loreto

    2014-02-01

    The aim of this study was to evaluate the main sources of and sociodemographic factors associated with second-hand smoke (SHS) exposure, assessed both by questionnaire and by urinary cotinine (UC) levels, in non-smoking pregnant women. We conducted a cross-sectional study in pregnant women from 4 different regions in Spain. A total of 1783 non-smoking pregnant women completed a questionnaire about their previous smoking habit and SHS exposure in their 3rd trimester of pregnancy and provided a urine sample for measuring UC levels. We used logistic regression models to assess the relationship between several sociodemographic variables and some potential sources of SHS exposure. In addition, we analysed the association of several sociodemographic variables and the SHS exposure according to UC levels, using Tobit regression analysis. More than half of women (55.5%) were exposed to SHS in their 3rd trimester of pregnancy. The following variables were associated with SHS exposure: having smoked previously, low educational level, and being primiparous. Data collection after the first law banning smoking in public places was associated with lower risk of SHS exposure in restaurants and at work. UC levels were higher among women exposed to more than one source. Having a partner who smoked at home was the source of SHS with the greatest impact on UC levels, followed by having a partner who smoked but not at home, other people smoking in the household, being exposed during leisure time, at work and at restaurants. The most important source of SHS exposure was exposure at home. Prevention of SHS exposure should be addressed not only with pregnant women but also with their families.

  17. Relationship between child abuse exposure and reported contact with child protection organizations: results from the Canadian Community Health Survey.

    Science.gov (United States)

    Afifi, Tracie O; MacMillan, Harriet L; Taillieu, Tamara; Cheung, Kristene; Turner, Sarah; Tonmyr, Lil; Hovdestad, Wendy

    2015-08-01

    Much of what is known about child abuse in Canada has come from reported cases of child abuse and at-risk samples, which likely represent the most severe cases of child abuse in the country. The objective of the current study is to examine the prevalence of a broad range of child abuse experiences (physical abuse, sexual abuse, and exposure to IPV) and investigate how such experiences and sociodemographic variables are related to contact with child protection organizations in Canada using a representative general population sample. Data were drawn from the 2012 Canadian Community Health Survey: Mental Health collected from the 10 provinces using a multistage stratified cluster design (n=23,395; household response rate=79.8%; aged 18 years and older). Physical abuse only (16.8%) was the most prevalent child abuse experience reported with the exposure to specific combinations of two or more types of child abuse ranging from 0.4% to 3.7%. Only 7.6% of the adult population with a history of child abuse reported having had contact with child protection organizations. Experiencing all three types of child abuse was associated with the greatest odds of contact with child protection organizations (AOR=15.8; 95% CI=10.1 to 24.6). Physical abuse only was associated with one of the lowest odds of contact with child protection organizations. Preventing child abuse is widely acknowledged as an important, but challenging public health goal. Strategies to increase reporting of child abuse may help to protect children and to connect families with necessary services. One obvious priority would be physical abuse.

  18. Genome Sequences of Four Acinetobacter baumannii-A. calcoaceticus Complex Isolates from Combat-Related Infections Sustained in the Middle East

    Science.gov (United States)

    2014-02-06

    baumannii -A. calcoaceticus Complex Isolates from Combat-Related Infections Sustained in the Middle East Acinetobacter baumannii is among the most...responses make treatment difficult. Here, we report the genome sequences of four clinical Acinetobacter baumannii - A. calcoaceticus complex isolates... Acinetobacter baumannii , A. calcoaceticus, combat-related infections REPORT DOCUMENTATION PAGE 11. SPONSOR/MONITOR’S REPORT NUMBER(S) 10. SPONSOR/MONITOR’S

  19. Monitoring of radiation exposure. Annual report 2000; Saeteilyn kaeyttoe ja muu saeteilytoiminta. Vuosiraportti 2000

    Energy Technology Data Exchange (ETDEWEB)

    Rantanen, E. [ed.

    2001-03-01

    At the end of 2000, there were 1,779 valid safety licenses in Finland for the use of radiation. In addition, there were 2,038 responsible parties for dental x-ray diagnostics. The registry Radiation and Nuclear Safety Authority (STUK) listed 13,754 radiation sources and 270 radionuclide laboratories. In the year 2000 360 inspections were made concerning the safety licences and 53 concerning dental x-ray diagnostics. The import of radioactive substances amounted to 175,836 GBq and export to 74,420 GBq. Short-lived radionuclides produced in Finland amounted to 55,527 GBq. In the year 2000 there were 10,846 workers monitored for radiation exposure at 1,171 work sites. Of these employees, 27% received an annual dose exceeding the recording level. The annual effective dose limit was not exceeded. The total dose recorded in the dose registry(sum of the individual dosemeter readings) was 6.5 Sv in 2000.

  20. Predictors of posttraumatic stress and appetitive aggression in active soldiers and former combatants.

    Science.gov (United States)

    Nandi, Corina; Crombach, Anselm; Bambonye, Manassé; Elbert, Thomas; Weierstall, Roland

    2015-01-01

    During the period between 1993 and 2005, the people of Burundi were trapped within a violent civil war. In post-conflict regions, symptoms of posttraumatic stress disorder (PTSD) were found to be widespread. At the same time, combatants often reported having perceived committing violence as exciting and appealing, an experience referred to as appetitive aggression. Both of these phenomena hamper the building of a functional and peaceful society. This study aims to investigate the factors that are associated with the level of PTSD and appetitive aggression in former and still active combatants. Semi-structured interviews were conducted with 948 male Burundians: 556 active soldiers and 392 ex-combatants. PTSD symptom severity was assessed using the PTSD Symptom Scale Interview, while appetitive aggression was assessed using the Appetitive Aggression Scale. Linear regression analyses revealed that the number of traumatic events, childhood maltreatment, and their interaction predicted PTSD symptom severity, whereas self-committed violence did not. The number of traumatic events and self-committed violence were associated with appetitive aggression. Childhood maltreatment alone was not associated with appetitive aggression; however, its interaction with self-committed violence did predict appetitive aggression. When controlling for predictors, ex-combatants reported a higher degree of PTSD symptomatology, whereas active soldiers reported a higher degree of appetitive aggression. We conclude that childhood maltreatment is an additional, significant risk factor that exacerbates the psychological consequences of violent conflicts. Self-committed violence may not necessarily engender trauma-related disorders, but is highly related to appetitive aggression.

  1. 76 FR 61098 - Exposure Factors Handbook: 2011 Edition; Release of Final Report

    Science.gov (United States)

    2011-10-03

    ... and soil adherence factors; consumption of fruits and vegetables, fish, meats, dairy products, and... National Center for Environmental Assessment (NCEA) within EPA's Office of Research and Development. The... the Recent Additions and Publications menus at http://www.epa.gov/ncea . Paper copies of the report...

  2. Congenital cerebral palsy and prenatal exposure to self-reported maternal infections, fever, or smoking

    DEFF Research Database (Denmark)

    Streja, Elani; Miller, Jessica E; Bech, Bodil H

    2013-01-01

    OBJECTIVE: The objective of the study was to investigate the association between maternal self-reported infections, fever, and smoking in the prenatal period and the subsequent risk for congenital cerebral palsy (CP). STUDY DESIGN: We included the 81,066 mothers of singletons born between 1996...

  3. Assessing obstetric risk factors for maternal morbidity: congruity between medical records and mothers' reports of obstetric exposures.

    Science.gov (United States)

    Gartland, Deirdre; Lansakara, Nirosha; Flood, Margaret; Brown, Stephanie J

    2012-02-01

    We sought to assess congruity between data abstracted from medical records with answers to self-administered questionnaires. This was a multicenter prospective nulliparous pregnancy cohort. A total of 1507 women enrolled. Analyses were reported for 1296 with medical record data and 3-month postpartum follow-up. There was near-perfect agreement (κ ≥ 0.80) between maternal report and abstracted data for reproductive history, induction/augmentation method, epidural/spinal analgesia, method of birth, perineal repair, infant birthweight, and gestation. Agreement was poor to moderate for maternal position in second stage and duration of pushing. Maternal report of pregnancy, labor, and birth factors was very reliable and considered more accurate in relation to maternal position in labor and birth, smoking, prior terminations, and miscarriages. Use of routine birthing outcome summaries may introduce measurement error as hospitals differ in their definitions and reporting practices. Using primary data sources (eg, partograms) with clearly defined prespecified criteria will provide the most accurate obstetric exposure and outcome data. Copyright © 2012 Mosby, Inc. All rights reserved.

  4. Methods of body mass reduction by combat sport athletes.

    Science.gov (United States)

    Brito, Ciro José; Roas A, Fernanda Castro Martins; Brito I, Surian Souza; Marins J, Carlos Bouzas; Córdova, Claudio; Franchini, Emerson

    2012-04-01

    The aim of this study was to investigate the methods adopted to reduce body mass (BM) in competitive athletes from the grappling (judo, jujitsu) and striking (karate and tae kwon do) combat sports in the state of Minas Gerais, Brazil. An exploratory methodology was employed through descriptive research, using a standardized questionnaire with objective questions self-administered to 580 athletes (25.0 ± 3.7 yr, 74.5 ± 9.7 kg, and 16.4% ± 5.1% body fat). Regardless of the sport, 60% of the athletes reported using a method of rapid weight loss (RWL) through increased energy expenditure. Strikers tend to begin reducing BM during adolescence. Furthermore, 50% of the sample used saunas and plastic clothing, and only 26.1% received advice from a nutritionist. The authors conclude that a high percentage of athletes uses RWL methods. In addition, a high percentage of athletes uses unapproved or prohibited methods such as diuretics, saunas, and plastic clothing. The age at which combat sport athletes reduce BM for the first time is also worrying, especially among strikers.

  5. Behavioral Activation and Therapeutic Exposure: An Investigation of Relative Symptom Changes in PTSD and Depression during the Course of Integrated Behavioral Activation, Situational Exposure, and Imaginal Exposure Techniques

    Science.gov (United States)

    Gros, Daniel F.; Price, Matthew; Strachan, Martha; Yuen, Erica K.; Milanak, Melissa E.; Acierno, Ron

    2012-01-01

    Effectiveness of exposure therapy for posttraumatic stress disorder (PTSD) may be adversely influenced by comorbid disorders. The present study investigated behavioral activation and therapeutic exposure (BA-TE), a new integrated treatment designed specifically for comorbid symptoms of PTSD and depression. Combat veterans with PTSD (N = 117)…

  6. Using agility to combat cyber attacks.

    Science.gov (United States)

    Anderson, Kerry

    2017-06-01

    Some incident response practitioners feel that they have been locked in a battle with cyber criminals since the popular adoption of the internet. Initially, organisations made great inroads in preventing and containing cyber attacks. In the last few years, however, cyber criminals have become adept at eluding defence security technologies and rapidly modifying their exploit strategies for financial or political gains. Similar to changes in military combat tactics, cyber criminals utilise distributed attack cells, real-time communications, and rapidly mutating exploits to minimise the potential for detection. Cyber criminals have changed their attack paradigm. This paper describes a new incident response paradigm aimed at combating the new model of cyber attacks with an emphasis on agility to increase the organisation's ability to respond rapidly to these new challenges.

  7. The relationship between Hippocampal asymmetry and working memory processing in combat-related PTSD – a monozygotic twin study

    Directory of Open Access Journals (Sweden)

    Hall Timothy

    2012-12-01

    Full Text Available Abstract Background PTSD is associated with reduction in hippocampal volume and abnormalities in hippocampal function. Hippocampal asymmetry has received less attention, but potentially could indicate lateralised differences in vulnerability to trauma. The P300 event-related potential component reflects the immediate processing of significant environmental stimuli and has generators in several brain regions including the hippocampus. P300 amplitude is generally reduced in people with PTSD. Methods Our study examined hippocampal volume asymmetry and the relationship between hippocampal asymmetry and P300 amplitude in male monozygotic twins discordant for Vietnam combat exposure. Lateralised hippocampal volume and P300 data were obtained from 70 male participants, of whom 12 had PTSD. We were able to compare (1 combat veterans with current PTSD; (2 their non-combat-exposed co-twins; (3 combat veterans without current PTSD and (4 their non-combat-exposed co-twins. Results There were no significant differences between groups in hippocampal asymmetry. There were no group differences in performance of an auditory oddball target detection task or in P300 amplitude. There was a significant positive correlation between P300 amplitude and the magnitude of hippocampal asymmetry in participants with PTSD. Conclusions These findings suggest that greater hippocampal asymmetry in PTSD is associated with a need to allocate more attentional resources when processing significant environmental stimuli.

  8. The role of reported tobacco-specific media exposure on adult attitudes towards proposed policies to limit the portrayal of smoking in movies.

    Science.gov (United States)

    Blake, Kelly D; Viswanath, K; Blendon, Robert J; Vallone, Donna

    2010-06-01

    To assess the relative, independent contribution of reported tobacco-specific media exposure (pro-tobacco advertising, anti-tobacco advertising, and news coverage of tobacco issues) to US adults' support for policy efforts that aim to regulate the portrayal of smoking in movies. Using the American Legacy Foundation's 2003 American Smoking and Health Survey (ASHES-2), multivariable logistic regression was used to model the predicted probability that US adults support movie-specific tobacco control policies, by reported exposure to tobacco-specific media messages, controlling for smoking status, education, income, race/ethnicity, age, sex, knowledge of the negative effects of tobacco and state. Across most outcome variables under study, findings reveal that reported exposure to tobacco-specific media messages is associated with adult attitudes towards movie-specific policy measures. Most exposure to tobacco information in the media (with the exception of pro-tobacco advertising on the internet) contributes independently to the prediction of adult support for movie-specific policies. The direction of effect follows an expected pattern, with reported exposure to anti-tobacco advertising and news coverage of tobacco predicting supportive attitudes towards movie policies, and reported exposure to pro-tobacco advertising lessening support for some movie policies, though the medium of delivery makes a difference. Media campaigns to prevent tobacco use and exposure to secondhand smoke have had value beyond the intended impact of single-issue campaigns; exposure to anti-tobacco campaigns and public dialogue about the dangers of tobacco seem also to be associated with shaping perceptions of the social world related to norms about tobacco, and ideas about regulating the portrayal of smoking in movies.

  9. Minimal change disease caused by exposure to mercury-containing skin lightening cream: a report of 4 cases.

    Science.gov (United States)

    Tang, Hon-Lok; Mak, Yuen-Fun; Chu, Kwok-Hong; Lee, William; Fung, Samuel Kaâ Shun; Chan, Thomas Yan-Keung; Tong, Kwok-Lung

    2013-04-01

    Mercury is a known cause of nephrotic syndrome and the underlying renal pathology in most of the reported cases was membranous nephropathy. We describe here 4 cases of minimal change disease following exposure to mercury-containing skin lightening cream for 2 - 6 months. The mercury content of the facial creams was very high (7,420 - 30,000 parts per million). All patients were female and presented with nephrotic syndrome and heavy proteinuria (8.35 - 20.69 g/d). The blood and urine mercury levels were 26 - 129 nmol/l and 316 - 2,521 nmol/d, respectively. Renal biopsy revealed minimal change disease (MCD) in all patients. The use of cosmetic cream was stopped and chelation therapy with D-penicillamine was given. Two patients were also given steroids. The time for blood mercury level to normalize was 1 - 7 months, whereas it took longer for urine mercury level to normalize (9 - 16 months). All patients had complete remission of proteinuria and the time to normalization of proteinuria was 1 - 9 months. Mercury-containing skin lightening cream is hazardous because skin absorption of mercury can cause minimal change disease. The public should be warned of the danger of using such products. In patients presenting with nephrotic syndrome, a detailed history should be taken, including the use of skin lightening cream. With regard to renal pathology, apart from membranous nephropathy, minimal change disease should be included as another pathological entity caused by mercury exposure or intoxication.

  10. Case Report: Analytical Electron Microscopy of Lung Granulomas Associated with Exposure to Coating Materials Carried by Glass Wool Fibers

    Science.gov (United States)

    Ferreira, Angela S.; Moreira, Valéria B.; Castro, Marcos César S.; Soares, Porfírio J.; Algranti, Eduardo; Andrade, Leonardo R.

    2010-01-01

    Context Man-made vitreous fibers (MMVFs) are noncrystalline inorganic fibrous material used for thermal and acoustical insulation (e.g., rock wool, glass wool, glass microfibers, and refractory ceramic fibers). Neither epidemiologic studies of human exposure nor animal studies have shown a noticeable hazardous effect of glass wools on health. However, MMVFs have been anecdotally associated with granulomatous lung disease in several case reports. Case presentation Here, we describe the case of a patient with multiple bilateral nodular opacities who was exposed to glass wool fibers and coating materials for 7 years. Bronchoalveolar lavage fluid revealed an increased total cell count (predominantly macrophages) with numerous cytoplasmic particles. Lung biopsy showed peribronchiolar infiltration of lymphoid cells and many foreign-body–type granulomas. Alveolar macrophages had numerous round and elongated platelike particles inside the cytoplasm. X-ray microanalysis of these particles detected mainly oxygen/aluminum/silicon and oxygen/magnesium/silicon, compatible with kaolinite and talc, respectively. No elemental evidence for glass fibers was found in lung biopsy. Discussion The contribution of analytical electron microscopy applied in the lung biopsy was imperative to confirm the diagnosis of pneumoconiosis associated with a complex occupational exposure that included both MMVFs and coating materials. Relevance to clinical or professional practice This case study points out the possible participation of other components (coating materials), beyond MMVFs, in the etiology of pneumoconiosis. PMID:20123612

  11. Physiological stress and performance analysis to karate combat.

    Science.gov (United States)

    Chaabene, Helmi; Hellara, Ilhem; Ghali, Faten B; Franchini, Emerson; Neffati, Fedoua; Tabben, Montassar; Najjar, Mohamed F; Hachana, Younés

    2016-10-01

    This study aimed to evaluate the relationship between physiological, and parameters of performance analysis during karate contest. Nine elite-level karate athletes participated in this study. Saliva sample was collected pre- and post-karate combat. Salivary cortisol (sC) post-combat 2 raised significantly compared to that recorded at pre-combat 1 (Δ%=105.3%; P=0.04; dz=0.78). The largest decrease of the salivary T/C ratio (sR) compared to pre-combat 1 was recorded post-combat 2 (Δ%=-43.5%; P=0.03). Moreover, blood lactate concentration post-combat 1 correlated positively to sCpost-combat 1 (r=0.66; P=0.05) and negatively to both salivary testosterone (sT) (r=-0.76; P=0.01) and sRpost-combat 1 (r=-0.76; P=0.01). There was no significant relationship between hormonal measures and parameters of match analysis. Although under simulated condition, karate combat poses large physiological stress to the karateka. Additionally, physiological strain to karate combat led to a catabolic hormonal response.

  12. Combating Child Obesity in America

    OpenAIRE

    Canavan, Erin

    2006-01-01

    This paper examines the child obesity epidemic that is gripping our nation, and explores various causes and treatments that may help to defeat child obesity. First there is a description of the obesity epidemic, its causal factors, and its consequences. Additionally there is a summary and critique of the FDA’s obesity report and recommendations. There is a description of drug treatments that are available for obese children and why more research is necessary to ensure the s...

  13. Women in Combat Pros and Cons

    Science.gov (United States)

    1988-04-01

    secondary to domestic duties. Combat is directly oppossed to a women’s nuturing role and is wrong because of both values and perceived deficient...opportunities should be equal, including the right and duty to defend your country. Discrimination for employment should be based upon objective and...bonding excludes sexual relationships of either a heterosexual or homosexual nature . Some believe that. this bonding would degenerate into sexual

  14. Combating isolation: Building mutual mentoring networks

    Science.gov (United States)

    Cox, Anne J.

    2015-12-01

    Women physicists can often feel isolated at work. Support from a grant through the ADVANCE program of the National Science Foundation (U.S. government funding) created mutual mentoring networks aimed at combating isolation specifically for women faculty at undergraduate-only institutions. This paper will discuss the organization of one such network, what contributed to its success, some of the outcomes, and how it might be implemented in other contexts.

  15. Armored Combat Vehicles Science and Technology Plan

    Science.gov (United States)

    1982-11-01

    analysis0 SS 94 GHz TRANSMITTER/RECEIVER MODULE Provide low cost transciever modules for pulsed, FMCW or FSK radars at 35-100 Gfz. STAC!LTZATTOU...prepared by TACOM. 3 !. ... Ill11111iilIl 0 1 lPI IPIt’IlA BEST AVAILABLE.COPY The Armored Combat Vehicle Science and Technology Base Development program...classes of Army Systems including Radar , E-O, AD. Communications, Missiles and EW. NETWORK MANAGEMENT INTEGRATION - BATTLEFIELD INFORMATION

  16. Development of Polymer Materials for Combating Desertification

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Aiming respectively at the two problems in desertiflcation areas, namely water shortage and serious soil erosion, the polymer materials for combating desertiflcation may be classified as water absorbing-retaining polymers (WARPs) and sandy soil stabilizing polymers (SSSPs). Their further classifications and current researcfl situations were introduced. It is suggested that the major hindrancefor their wide appHcation is the high cost. The authors' newest research resuits on cutting cost and enhancing ef...

  17. Cohesion, the Human Element in Combat

    Science.gov (United States)

    1985-02-01

    in trench be- hind me recall me at a bound from the terrible loneliness and fear of death by which I had been almost destroyed. They are more to me...and Roger Little, Sociology and the Military Establishment (New York: Russell Sage Foundation, 1965). 20. Kellet, Combat Motivation, p. 333. * 21...Charles C. Moskos, Jr., The American Enlisted Man (New York: Russell Sage, 1970), pp. 146-56. *41. Moskos, "Civic Education and the All-Volunteer Force

  18. Barriers to combating human trafficking in Colombia

    OpenAIRE

    Wilcox, Daniel Joseph

    2015-01-01

    Approved for public release; distribution is unlimited Despite international and domestic policies and programs intended to combat human trafficking, Colombia remains one of the countries with the highest instances of human trafficking in the Western Hemisphere. Factors contributing to human trafficking in Colombia, such as internal violence and displacement, drug trafficking, a weak central government, and widespread corruption, have overpowered what energies the government marshaled agai...

  19. Civilian Combatants, Military Professionals? American Officer Judgments

    Science.gov (United States)

    2010-09-01

    respectively. 25 Volker Franke and Marc von Boemcken offer a five-category typology of armed opera- tional combat support, armed security...Any job that requires them to be armed or they may be exposed to enemy fire .’ A third offered: ‘ALL MILITARY FUNCTIONS. THERE SHOULD NOT BE PRIVATE...Industry (Ithaca, NY: Cornell UP 2003) p.41. 5 Gary Schaub, Jr. and Volker Franke, Contractors as Military Professionals?’ Parameters 39/4 (2009/2010

  20. Chylothorax following anterior thoraco-lumbar spine exposure. A case report and review of literature.

    Science.gov (United States)

    Mora de Sambricio, A; Garrido Stratenwerth, E

    2015-01-01

    Pleural effusion is a possible complication of the thoraco-abdominal approach to the spine. It is more commonly a reactive effusion, but it also may be caused by hemothorax, empyema or, less commonly, a chylothorax. The case of a chylothorax is reported as a late onset complication of a double anterior and posterior instrumented fusion of the lumbar spine. Its management and clinical outcome, and a review of the literature is presented. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

  1. Improving combat casualty care and field medicine: focus on the military medic.

    Science.gov (United States)

    De Lorenzo, R A

    1997-04-01

    As military medicine in general copes with a rapidly changing world environment, so too must the backbone of the medical force, the enlisted medic. To meet these challenges, the training and utilization of military medics must match new and different missions. This paper will explore innovative approaches to training and preparing for combat casualty care and field medicine. The focus will fall on the education, evaluation, operations, patient-care skills, equipment, and telemedicine potential of the military medic. Future directions for study and development will be suggested. Exploration of the following may improve the capability of the military medic: (1) improved training to include advanced-level skills and interventions for combat casualty care and broader exposure to the casualties expected in operations other than war; (2) annual educational and periodic proficiency evaluation requirements; (3) strengthened medical control at all echelons; and (4) carefully selected additional equipment and technologies to enhance medical capabilities.

  2. A review of the reporting and handling of missing data in cohort studies with repeated assessment of exposure measures

    Directory of Open Access Journals (Sweden)

    Karahalios Amalia

    2012-07-01

    Full Text Available Abstract Background Retaining participants in cohort studies with multiple follow-up waves is difficult. Commonly, researchers are faced with the problem of missing data, which may introduce biased results as well as a loss of statistical power and precision. The STROBE guidelines von Elm et al. (Lancet, 370:1453-1457, 2007; Vandenbroucke et al. (PLoS Med, 4:e297, 2007 and the guidelines proposed by Sterne et al. (BMJ, 338:b2393, 2009 recommend that cohort studies report on the amount of missing data, the reasons for non-participation and non-response, and the method used to handle missing data in the analyses. We have conducted a review of publications from cohort studies in order to document the reporting of missing data for exposure measures and to describe the statistical methods used to account for the missing data. Methods A systematic search of English language papers published from January 2000 to December 2009 was carried out in PubMed. Prospective cohort studies with a sample size greater than 1,000 that analysed data using repeated measures of exposure were included. Results Among the 82 papers meeting the inclusion criteria, only 35 (43% reported the amount of missing data according to the suggested guidelines. Sixty-eight papers (83% described how they dealt with missing data in the analysis. Most of the papers excluded participants with missing data and performed a complete-case analysis (n = 54, 66%. Other papers used more sophisticated methods including multiple imputation (n = 5 or fully Bayesian modeling (n = 1. Methods known to produce biased results were also used, for example, Last Observation Carried Forward (n = 7, the missing indicator method (n = 1, and mean value substitution (n = 3. For the remaining 14 papers, the method used to handle missing data in the analysis was not stated. Conclusions This review highlights the inconsistent reporting of missing data in cohort studies and the continuing

  3. A review of the reporting and handling of missing data in cohort studies with repeated assessment of exposure measures.

    Science.gov (United States)

    Karahalios, Amalia; Baglietto, Laura; Carlin, John B; English, Dallas R; Simpson, Julie A

    2012-07-11

    Retaining participants in cohort studies with multiple follow-up waves is difficult. Commonly, researchers are faced with the problem of missing data, which may introduce biased results as well as a loss of statistical power and precision. The STROBE guidelines von Elm et al. (Lancet, 370:1453-1457, 2007); Vandenbroucke et al. (PLoS Med, 4:e297, 2007) and the guidelines proposed by Sterne et al. (BMJ, 338:b2393, 2009) recommend that cohort studies report on the amount of missing data, the reasons for non-participation and non-response, and the method used to handle missing data in the analyses. We have conducted a review of publications from cohort studies in order to document the reporting of missing data for exposure measures and to describe the statistical methods used to account for the missing data. A systematic search of English language papers published from January 2000 to December 2009 was carried out in PubMed. Prospective cohort studies with a sample size greater than 1,000 that analysed data using repeated measures of exposure were included. Among the 82 papers meeting the inclusion criteria, only 35 (43%) reported the amount of missing data according to the suggested guidelines. Sixty-eight papers (83%) described how they dealt with missing data in the analysis. Most of the papers excluded participants with missing data and performed a complete-case analysis (n=54, 66%). Other papers used more sophisticated methods including multiple imputation (n=5) or fully Bayesian modeling (n=1). Methods known to produce biased results were also used, for example, Last Observation Carried Forward (n=7), the missing indicator method (n=1), and mean value substitution (n=3). For the remaining 14 papers, the method used to handle missing data in the analysis was not stated. This review highlights the inconsistent reporting of missing data in cohort studies and the continuing use of inappropriate methods to handle missing data in the analysis. Epidemiological journals

  4. Human performance modeling for system of systems analytics: combat performance-shaping factors.

    Energy Technology Data Exchange (ETDEWEB)

    Lawton, Craig R.; Miller, Dwight Peter

    2006-01-01

    The US military has identified Human Performance Modeling (HPM) as a significant requirement and challenge of future systems modeling and analysis initiatives. To support this goal, Sandia National Laboratories (SNL) has undertaken a program of HPM as an integral augmentation to its system-of-system (SoS) analytics capabilities. The previous effort, reported in SAND2005-6569, evaluated the effects of soldier cognitive fatigue on SoS performance. The current effort began with a very broad survey of any performance-shaping factors (PSFs) that also might affect soldiers performance in combat situations. The work included consideration of three different approaches to cognition modeling and how appropriate they would be for application to SoS analytics. This bulk of this report categorizes 47 PSFs into three groups (internal, external, and task-related) and provides brief descriptions of how each affects combat performance, according to the literature. The PSFs were then assembled into a matrix with 22 representative military tasks and assigned one of four levels of estimated negative impact on task performance, based on the literature. Blank versions of the matrix were then sent to two ex-military subject-matter experts to be filled out based on their personal experiences. Data analysis was performed to identify the consensus most influential PSFs. Results indicate that combat-related injury, cognitive fatigue, inadequate training, physical fatigue, thirst, stress, poor perceptual processing, and presence of chemical agents are among the PSFs with the most negative impact on combat performance.

  5. Virtual reality exposure therapy and hypnosis for flying phobia in a treatment-resistant patient: a case report.

    Science.gov (United States)

    Hirsch, Joseph A

    2012-10-01

    Flying phobia is a problem that affects a significant portion of the population. There are a number of therapeutic approaches but no one is universally accepted as the gold standard. One therapy is hypnosis. A recent addition to the armamentarium is virtual reality exposure (VRE) therapy. Both therapies are short-term and compare favorably to in vivo desensitization. Heretofore a combination of both approaches has not been reported. This article presents a case of a 50-year phobia to flying that was refractory to traditional methods including pharmacotherapy, systematic desensitization, and cognitive behavioral therapy but was successfully treated using VRE therapy and hypnosis as the primary modalities. This treatment was supplemented by other approaches. The rationale for this multimodal therapy and possible mechanisms involved are discussed.

  6. [Hypersensitivity pneumonitis-like disease caused by exposure to Mycobacterium avium complex in bathtub water at home: a case report].

    Science.gov (United States)

    Kanno, Kiyoshi; Akai, Masaya; Kato, Tomohiro; Tada, Toshihiko; Watanabe, Kizuku; Shiozaki, Kouhei; Hase, Mitsuo

    2012-05-01

    We report here a case of hypersensitivity pneumonitis-like disease in an adult, likely due to exposure to Mycobacterium avium complex (MAC) in his bathtub water at home. A 63-year-old man was referred to our hospital with exertional dyspnea. Chest computed tomography showed bilateral, diffuse, centrilobular ground-glass nodules. Bronchoalveolar lavage showed marked lymphocytosis. Transbronchial biopsy showed epithelioid cell granulomas and lymphocyte alveolitis. Cultures of the patient's sputum and bathtub water yielded MAC. Variable-number tandem repeat analysis of the MAC strains in the sputum and bathtub water samples showed that the strains were genetically identical. The clinical condition of the patient improved at home under chemotherapy by avoiding the use of the bathtub.

  7. Evaluation of reports of dioxin exposure and soft tissue sarcoma pathology among chemical workers in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Fingerhut, M.A.; Halperin, W.E.; Honchar, P.A.; Smith, A.B.; Groth, D.H.; Russell, W.O.

    1984-10-01

    A review of employment records and tissue specimens of seven workers, reported previously as having occupational dioxin exposure and soft tissue sarcomas, confirms that four workers had employment of 2 to 19 years in the production of 2,4,5-trichlorophenoxyacetic acid (2,4,5-T) or trichlorophenol, products contaminated with 2,3,7,8-tetrachlorodibenzodioxin, the most toxic dioxin isomer. Of these individuals, two have confirmed soft tissue sarcomas. In addition three individuals who worked for companies which made 2,4,5-T also have confirmed soft tissue sarcomas. Their employment records do not show specific assignment to 2,4,5-T or trichlorophenol departments; however, one individual worked for 10 d in the production of pentachlorophenol, which is contaminated with different isomers of dioxin. Methodological problems are discussed which must be addressed in the epidemiologic evaluation of the outcome of soft tissue sarcoma.

  8. A descriptive analysis of relations between parents' self-reported smoking behavior and infants' daily exposure to environmental tobacco smoke

    Directory of Open Access Journals (Sweden)

    Nauck Matthias

    2010-07-01

    Full Text Available Abstract Background The aims of the present study were to examine relations between parents' self-reported smoking behavior and infants' daily exposure to environmental tobacco smoke, as assessed by urinary cotinine-to-creatinine ratio (CCR, and to describe the CCR over seven days among infants at home. Methods A convenience sample of 27 households was drawn. Each household had to have at least one daily tobacco smoker and one child up to three years of age. Over a seven-day period, urine samples were obtained from the child daily. To examine relations between parents' self-reported smoking and infants' daily CCR, generalized estimating equation (GEE analysis was used. Results The data revealed that infants from households with indoor smoking had higher CCRs than infants in households with outdoor smoking. CCRs were higher in girls than in boys. Older infants had lower CCRs than younger infants. Smoking outside the home versus inside the home, infant's gender, and infants' age accounted for 68% of the variance in CCR in a GEE data analysis model. No increase or decrease of CCR over time was found. Conclusion The findings suggest that parents' self-reported smoking indoors at home versus outdoors is predictive of CCR among infants three and younger. Higher CCR concentrations in girls' urine need further examination. Furthermore, significant fluctuations in daily CCR were not apparent in infants over a seven-day time period.

  9. Validation and calibration of HeadCount, a self-report measure for quantifying heading exposure in soccer players.

    Science.gov (United States)

    Catenaccio, E; Caccese, J; Wakschlag, N; Fleysher, R; Kim, N; Kim, M; Buckley, T A; Stewart, W F; Lipton, R B; Kaminski, T; Lipton, M L

    2016-01-01

    The long-term effects of repetitive head impacts due to heading are an area of increasing concern, and exposure must be accurately measured; however, the validity of self-report of cumulative soccer heading is not known. In order to validate HeadCount, a 2-week recall questionnaire, the number of player-reported headers was compared to the number of headers observed by trained raters for a men's and a women's collegiate soccer teams during an entire season of competitive play using Spearman's correlations and intraclass correlation coefficients (ICCs), and calibrated using a generalized estimating equation. The average Spearman's rho was 0.85 for men and 0.79 for women. The average ICC was 0.75 in men and 0.38 in women. The calibration analysis demonstrated that men tend to report heading accurately while women tend to overestimate. HeadCount is a valid instrument for tracking heading behaviour, but may have to be calibrated in women.

  10. Acute respiratory distress syndrome following cutaneous exposure to Lysol: a case report.

    Science.gov (United States)

    Liu, Y Y; Lu, C C; Perng, R P

    1999-12-01

    Lysol (mixed cresols) is a brand of popular detergent commonly used to disinfect toilets and floors in Taiwan. We report a patient with acute respiratory failure immediately following chemical burns caused by skin contact with Lysol solution. On admission, chest radiography showed bilateral diffuse pulmonary infiltrates and an arterial blood gas analysis disclosed hypoxemia refractory to a high concentration of oxygen by inhalation. Under the impression of acute respiratory distress syndrome, our patient was admitted to the intensive care unit for respiratory care. Poor clinical improvement was noted, despite aggressive respiratory therapy. High-dose steroid therapy (hydrocortisone 30 mg/kg/day) was administered from the seventh day after mechanical ventilation began and the ratio of arterial partial pressure of oxygen to fractional concentration of oxygen in inspired gas improved thereafter. The amount of steroid was gradually tapered to the maintenance dose and the patient was successfully weaned from the ventilator after a 93-day course of mechanical ventilation.

  11. Long-term disabilities associated with combat casualties: measuring disability and reintegration in combat veterans.

    Science.gov (United States)

    Resnik, Linda; Reiber, Gayle

    2012-01-01

    Many physical and mental health problems associated with combat casualties affect the reintegration of service members into home and community life. Quantifying and measuring reintegration is important to answer questions about clinical, research, economic, and policy issues that directly affect combat veterans. Although the construct of participation presented in the International Statistical Classification of Diseases and Related Health Problems and in the International Classification of Functioning, Disability and Health provides a theoretical framework with which to understand and measure community reintegration in general, a measure was needed that specifically addressed the reintegration of combat veterans. To address this need, the Community Reintegration for Service Members global outcomes measure was developed. It consists of three scales, which measure extent of participation, perceived limitations, and satisfaction. The measure was validated in a general sample of veterans and in a sample of severely wounded service members. The computer-adapted test version shows good precision, reliability, construct validity, and predictive validity.

  12. NTP Toxicity Study Report on the atmospheric characterization, particle size, chemical composition, and workplace exposure assessment of cellulose insulation (CELLULOSEINS).

    Science.gov (United States)

    Morgan, Daniel L

    2006-08-01

    symptoms reported while working with CI included nasal symptoms (35%), eye symptoms (35%), and morning phlegm production (25%). There was a temporal association between CI exposure and eye symptoms, but there was little evidence of lower respiratory system health conditions associated with CI exposure. Chemical analyses of the four bulk CI samples revealed only minor differences in additives. The major elemental components detected were aluminum, boron, calcium, sodium, and sulfur, but they were attributed to the fire retardants aluminum sulfate, boric acid, and sodium sulfate. For all four CI samples, less than 0.1% by weight was collected as the small respirable particle fraction. The fractions consisted mainly of fire retardants and smaller quantities of clays and did not contain cellulose material. Intratracheal instillation of the respirable fraction in rats produced minimal to mild inflammatory responses in the lungs with no increase in severity by 28 days after dosage. Although a significant increase in lung collagen was detected at day 28 in treated rats, microscopic evaluation revealed only a minimal to mild increase in collagen fibrils associated with granulomatous nodules. The results of these studies indicated that few respirable particles or fibers are generated during the aerosolization of CI, and that even at very high doses of respirable CI particles, acute pulmonary toxicity is minimal. These results are supported by the NIOSH workplace exposure assessment conducted on CI workers. Based on the air sample data collected from the 10 contractor site visits, there is a potential for overexposure to CI; however, respirable dust concentrations were typically low. There was increased potential for 8-hour TWAs exceeding the OSHA PEL for total and respirable dust when employees were involved in CI application activities for longer periods of time. There was evidence of work-related eye and mucous membrane irritation among some workers, which were possibly caused by

  13. Self-reported exposure to pesticides and radiation related to pregnancy outcome--results from National Natality and Fetal Mortality Surveys

    Energy Technology Data Exchange (ETDEWEB)

    Savitz, D.A.; Whelan, E.A.; Kleckner, R.C. (Univ. of North Carolina, Chapel Hill (USA))

    1989-09-01

    Although fetal development is known to be sensitive to environmental agents, relatively little epidemiologic research has addressed this concern. Effects on pregnancy outcome of self-reported parental exposure to pesticides and to radiation were examined using data from the National Natality and Fetal Mortality Surveys, large national probability samples of live births and stillbirths occurring in 1980. In case-control analyses, maternal exposure to pesticides at home or work was associated with increased risk of stillbirth (odds ratios (ORs) = 1.5-1.6). Paternal pesticide exposure was associated with stillbirth (ORs = 1.2-1.4) and delivery of small-for-gestational-age infants (ORs = 1.4-2.0). A small increased risk of stillbirth (OR = 1.3) was found in relation to either parent's reported exposure to radiation. In spite of limitations in the quality of exposure data and the possibility of biased recall related to pregnancy outcome, associations of reported pesticide exposure to either parent with risk of stillbirth and small-for-gestational-age infants warrant further evaluation.

  14. First report of phytochelatins in a mushroom: induction of phytochelatins by metal exposure in Boletus edulis.

    Science.gov (United States)

    Collin-Hansen, Christian; Pedersen, Sindre A; Andersen, Rolf A; Steinnes, Eiliv

    2007-01-01

    Some species of macromycetes (mushrooms) consistently are found to contain high concentrations of toxic metals such as cadmium (Cd) and mercury (Hg), and consumption of wild-growing mushrooms is acknowledged as a significant source for Cd and Hg in humans. Yet little is known about the speciation of Cd and Hg in mushroom tissues. Here we present the first evidence of peptides of the phytochelatin family being responsible for binding a large fraction of Cd in caps of the macromycete Boletus edulis exposed to excess metals. Concentrations of Cd, Zn, Cu and Hg, as well as cytosolic Cd-binding capacity (CCBC), glutathione (GSH) and free proline (Pro) were quantified in fruiting bodies of B. edulis differentially exposed to a wide range of metals. Metal distribution among cytosolic compounds were investigated by size exclusion chromatography (SEC), followed by metal determinations with atomic absorption chromatography (AAS) and HR-ICP-MS. Cd-binding compounds in SEC elutates were investigated further by high performance liquid chromatography-mass spectrometry (HPLC-MS). CCBC was >90 times higher in the exposed group relative to the reference group (Mann-Whitney's P phytochelatins (PCs), a family of cystein-rich oligopeptides, was confirmed in Cd-containing SEC fractions by HPLC-MS. The appearance of more complex PCs was coupled to declining concentrations of GSH. To our knowledge this is the first report demonstrating the presence of PCs in a macromycete.

  15. Occupational exposure of healthcare and research staff to static magnetic stray fields from 1.5–7 Tesla MRI scanners is associated with reporting of transient symptoms

    Science.gov (United States)

    Schaap, Kristel; Christopher-de Vries, Yvette; Mason, Catherine K; de Vocht, Frank; Portengen, Lützen; Kromhout, Hans

    2014-01-01

    Objectives Limited data is available about incidence of acute transient symptoms associated with occupational exposure to static magnetic stray fields from MRI scanners. We aimed to assess the incidence of these symptoms among healthcare and research staff working with MRI scanners, and their association with static magnetic field exposure. Methods We performed an observational study among 361 employees of 14 clinical and research MRI facilities in The Netherlands. Each participant completed a diary during one or more work shifts inside and/or outside the MRI facility, reporting work activities and symptoms (from a list of potentially MRI-related symptoms, complemented with unrelated symptoms) experienced during a working day. We analysed 633 diaries. Exposure categories were defined by strength and type of MRI scanner, using non-MRI shifts as the reference category for statistical analysis. Non-MRI shifts originated from MRI staff who also participated on MRI days, as well as CT radiographers who never worked with MRI. Results Varying per exposure category, symptoms were reported during 16–39% of the MRI work shifts. We observed a positive association between scanner strength and reported symptoms among healthcare and research staff working with closed-bore MRI scanners of 1.5 Tesla (T) and higher (1.5 T OR=1.88; 3.0 T OR=2.14; 7.0 T OR=4.17). This finding was mainly driven by reporting of vertigo and metallic taste. Conclusions The results suggest an exposure-response association between exposure to strong static magnetic fields (and associated motion-induced time-varying magnetic fields) and reporting of transient symptoms on the same day of exposure. Trial registration number 11-032/C PMID:24714654

  16. A meta-analysis of risk factors for combat-related PTSD among military personnel and veterans.

    Science.gov (United States)

    Xue, Chen; Ge, Yang; Tang, Bihan; Liu, Yuan; Kang, Peng; Wang, Meng; Zhang, Lulu

    2015-01-01

    Post-traumatic stress disorder (PTSD), a complex and chronic disorder caused by exposure to a traumatic event, is a common psychological result of current military operations. It causes substantial distress and interferes with personal and social functioning. Consequently, identifying the risk factors that make military personnel and veterans more likely to experience PTSD is of academic, clinical, and social importance. Four electronic databases (PubMed, Embase, Web of Science, and PsycINFO) were used to search for observational studies (cross-sectional, retrospective, and cohort studies) about PTSD after deployment to combat areas. The literature search, study selection, and data extraction were conducted by two of the authors independently. Thirty-two articles were included in this study. Summary estimates were obtained using random-effects models. Subgroup analyses, sensitivity analyses, and publication bias tests were performed. The prevalence of combat-related PTSD ranged from 1.09% to 34.84%. A total of 18 significant predictors of PTSD among military personnel and veterans were found. Risk factors stemming from before the trauma include female gender, ethnic minority status, low education, non-officer ranks, army service, combat specialization, high numbers of deployments, longer cumulative length of deployments, more adverse life events, prior trauma exposure, and prior psychological problems. Various aspects of the trauma period also constituted risk factors. These include increased combat exposure, discharging a weapon, witnessing someone being wounded or killed, severe trauma, and deployment-related stressors. Lastly, lack of post-deployment support during the post-trauma period also increased the risk of PTSD. The current analysis provides evidence of risk factors for combat-related PTSD in military personnel and veterans. More research is needed to determine how these variables interact and how to best protect against susceptibility to PTSD.

  17. A meta-analysis of risk factors for combat-related PTSD among military personnel and veterans.

    Directory of Open Access Journals (Sweden)

    Chen Xue

    Full Text Available Post-traumatic stress disorder (PTSD, a complex and chronic disorder caused by exposure to a traumatic event, is a common psychological result of current military operations. It causes substantial distress and interferes with personal and social functioning. Consequently, identifying the risk factors that make military personnel and veterans more likely to experience PTSD is of academic, clinical, and social importance. Four electronic databases (PubMed, Embase, Web of Science, and PsycINFO were used to search for observational studies (cross-sectional, retrospective, and cohort studies about PTSD after deployment to combat areas. The literature search, study selection, and data extraction were conducted by two of the authors independently. Thirty-two articles were included in this study. Summary estimates were obtained using random-effects models. Subgroup analyses, sensitivity analyses, and publication bias tests were performed. The prevalence of combat-related PTSD ranged from 1.09% to 34.84%. A total of 18 significant predictors of PTSD among military personnel and veterans were found. Risk factors stemming from before the trauma include female gender, ethnic minority status, low education, non-officer ranks, army service, combat specialization, high numbers of deployments, longer cumulative length of deployments, more adverse life events, prior trauma exposure, and prior psychological problems. Various aspects of the trauma period also constituted risk factors. These include increased combat exposure, discharging a weapon, witnessing someone being wounded or killed, severe trauma, and deployment-related stressors. Lastly, lack of post-deployment support during the post-trauma period also increased the risk of PTSD. The current analysis provides evidence of risk factors for combat-related PTSD in military personnel and veterans. More research is needed to determine how these variables interact and how to best protect against susceptibility

  18. Pest and allergen exposure and abatement in inner-city asthma: a work group report of the American Academy of Allergy, Asthma & Immunology Indoor Allergy/Air Pollution Committee.

    Science.gov (United States)

    Sheehan, William J; Rangsithienchai, Pitud A; Wood, Robert A; Rivard, Don; Chinratanapisit, Sasawan; Perzanowski, Matthew S; Chew, Ginger L; Seltzer, James M; Matsui, Elizabeth C; Phipatanakul, Wanda

    2010-03-01

    Our work group report details the importance of pest allergen exposure in inner-city asthma. We will focus specifically on mouse and cockroach exposure. We will discuss how exposure to these pests is common in the inner city and what conditions exist in urban areas that might lead to increased exposure. We will discuss how exposure is associated with allergen sensitization and asthma morbidity. Finally, we will discuss different methods of intervention and the effectiveness of these tactics.

  19. Combat Injuries: Providing Medical Care for all Veterans

    Science.gov (United States)

    2012-04-19

    honorably, the U.S. Government is morally responsible for providing basic health care for the treatment of combat related injuries . This obligation...the treatment of combat related injuries . This obligation extends to injuries incurred in the line of duty regardless of the service member’s...full medical benefits, but to ensure he or she gets treatment for combat injuries regardless of the discharge. If the injury occurred under

  20. Littoral Combat Ship Open Ocean Anti-Submarine Warfare

    Science.gov (United States)

    2014-06-01

    COVERED Capstone 4. TITLE AND SUBTITLE LITTORAL COMBAT SHIP OPEN OCEAN ANTI-SUBMARINE WARFARE 5. FUNDING NUMBERS 6. AUTHOR(S) 311-124O/Team LCS...Life cycle cost LCCE Life cycle cost estimate LCS Littoral combat ship LHA Landing ship, helicopter assault LHD Landing ship, helicopter...is unlimited LITTORAL COMBAT SHIP OPEN OCEAN ANTI- SUBMARINE WARFARE by Team LCS 311-124O June 2014 Capstone Advisors: John Green Dan

  1. Design of an Intelligent Soldier Combat Training System

    Directory of Open Access Journals (Sweden)

    Zen-Chung Wang

    2012-12-01

    Full Text Available This paper presents an intelligent solider combat training (ISCT system using X-Box Kinect and augmented virtual reality (AVR to improve soldier training performance through AVR-based simulation combat fields. In this human-machine interactive system, a systematic design and mechatronic approach is used to construct the overall system structure. The Kinect detects soldiers’ positions and postures, situating them in interactive combat soldier training courses. Experimental results demonstrate the effectiveness and applicability of the proposed method.

  2. The effect of exposure misclassification in spontaneous ADR reports on the time to detection of product-specific risks for biologicals

    DEFF Research Database (Denmark)

    Vermeer, Niels S; Ebbers, Hans C; Straus, Sabine M J M;

    2016-01-01

    BACKGROUND AND OBJECTIVE: The availability of accurate product-specific exposure information is essential in the pharmacovigilance of biologicals, because differences in the safety profile may emerge between products containing the same active substance. In spontaneous adverse drug reaction (ADR......) reports, drug exposure may, however, be misclassified, that is, attributed to the incorrect product. The aim of this study was to explore the effect of exposure misclassification on the time to detection of product-specific risks in spontaneous reporting systems. METHODS: We used data simulations...... reports may result in a delayed detection of product-specific risks, particularly in the detection of weak drug-event associations. Our findings can help inform the future implementation and refinement of product-specific and batch-specific signal detection procedures....

  3. An automated methodology development. [software design for combat simulation

    Science.gov (United States)

    Hawley, L. R.

    1985-01-01

    The design methodology employed in testing the applicability of Ada in large-scale combat simulations is described. Ada was considered as a substitute for FORTRAN to lower life cycle costs and ease the program development efforts. An object-oriented approach was taken, which featured definitions of military targets, the capability of manipulating their condition in real-time, and one-to-one correlation between the object states and real world states. The simulation design process was automated by the problem statement language (PSL)/problem statement analyzer (PSA). The PSL/PSA system accessed the problem data base directly to enhance the code efficiency by, e.g., eliminating non-used subroutines, and provided for automated report generation, besides allowing for functional and interface descriptions. The ways in which the methodology satisfied the responsiveness, reliability, transportability, modifiability, timeliness and efficiency goals are discussed.

  4. Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study

    Directory of Open Access Journals (Sweden)

    Rockstroh Brigitte

    2007-09-01

    Full Text Available Abstract Background In Somalia, a large number of active and former combatants are affected by psychological problems such as Posttraumatic Stress Disorder (PTSD. This disorder impairs their ability to re-integrate into civilian life. However, many screening instruments for Posttraumatic Stress Disorder used in post-conflict settings have limited validity. Here we report on development and validation of a screening tool for PTSD in Somali language with a sample of ex-combatants. Methods We adapted the Posttraumatic Diagnostic Scale (PDS to reflect linguistic and cultural differences within the Somali community so that local interviewers could be trained to administer the scale. For validation purposes, a randomly selected group of 135 Somali ex-combatants was screened by trained local interviewers; 64 of them were then re-assessed by trained clinical psychologists using the Composite International Diagnostic Interview (CIDI and the Self-Report Questionnaire (SRQ-20. Results The screening instrument showed good internal consistency (Cronbach's α = .86, convergent validity with the CIDI (sensitivity = .90; specificity = .90 as well as concurrent validity: positive cases showed higher SRQ-20 scores, higher prevalence of psychotic symptoms, and higher levels of intake of the local stimulant drug khat. Compared to a single cut-off score, the multi-criteria scoring, in keeping with the DSM-IV, produced more diagnostic specificity. Conclusion The results provide evidence that our screening instrument is a reliable and valid method to detect PTSD among Somali ex-combatants. A future Disarmament, Demobilization and Reintegration Program in Somalia is recommended to screen for PTSD in order to identify ex-combatants with special psycho-social needs.

  5. Disruption of bradycardia associated with discriminative conditioning in combat veterans with PTSD

    Directory of Open Access Journals (Sweden)

    Jay P Ginsberg

    2008-06-01

    Full Text Available Jay P Ginsberg1,2, Edwin Ayers3, Louisa Burriss1, Donald A Powell1,41Shirley L. Buchanan Neuroscience Laboratory, Dorn VA Medical Center, Columbia, SC, USA; 2Department of Pharmacology, Physiology, and Neuroscience, School of Medicine, 4Department of Psychology, University of South Carolina, Columbia, SC, USA; 3Department of Psychology, South Carolina State University, Orangeburg, SC, USAAbstract: The effects of combat-related posttraumatic stress disorder (PTSD on heart rate (HR responding associated with a discriminative delay eyeblink (EB conditioning paradigm are reported. Combat PTSD+, Combat PTSD−, and Noncombat PTSD− veterans were assessed with psychometric self-report measures, and baseline heart rate variability (HRV was measured before receiving a 72-trial session of discriminative EB classical conditioning. Two types (red or green light of conditioned stimuli (CS were used: one (CS+ predicted a tone, followed immediately by an aversive stimulus (corneal airpuff; the other (CS− predicted a tone alone, not followed by the airpuff. The light signal was presented for 5 seconds, during which HR was measured. On all psychometric measures, the PTSD+ subgroup was significantly different from the PTSD− subgroups (Combat + Noncombat, and the PTSD− subgroups did not significantly differ from each other. A linear deceleration in HR to CS+ and CS− signals was found in the combined PTSD− subgroup and on CS− trials in the PTSD+ subgroup, but was not present on CS+ trials in the PTSD+ subgroup. Results are interpreted with respect to a behavioral stages model of conditioned bradycardia and in terms of neural substrates which are both critical to HR conditioning and known to be abnormal in PTSD.Keywords: bradycardia, PTSD, combat veterans, classical conditioning

  6. Pilot Investigation of PTSD, Autonomic Reactivity, and Cardiovascular Health in Physically Healthy Combat Veterans

    Science.gov (United States)

    Clausen, Ashley N.; Aupperle, Robin L.; Sisante, Jason-Flor V.; Wilson, David R.; Billinger, Sandra A.

    2016-01-01

    Posttraumatic stress disorder (PTSD), and combat-related PTSD in particular, has been associated with increased rates of cardiovascular disease, and cardiovascular-related death. However, less research has examined possible factors that may link PTSD to poorer cardiovascular health in combat veteran populations. The current pilot study investigated whether psychological symptomology and autonomic reactivity to emotional scripts would relate to poorer cardiovascular health in combat veterans without a current diagnosis of cardiovascular disease. Male veterans (N = 24), who served in combat since Operation Iraqi Freedom, completed a semi-structured interview and self-report measures to assess psychological symptomology. Autonomic reactivity, measured using heart rate variability (HRV; low to high frequency ratio), was obtained during script-driven imagery of emotional memories. Cardiovascular health was assessed using flow-mediated dilation (FMD) of the brachial artery. Correlational analyses and discriminant analysis were used to assess the relationship between psychological symptoms (PTSD, depression, anger, as measured via self-report), autonomic reactivity to emotional scripts (HRV), and FMD. Overall, veterans in the current study showed poor cardiovascular health despite their relatively young age and lack of behavioral risk factors, with 15/24 exhibiting impaired FMD (FMD < 5%). Psychological symptomology was not associated with FMD; whereas autonomic reactivity to emotional (compared to neutral) scripts was found to relate to FMD. Autonomic reactivity to negative scripts correctly classified 76.5% of veterans as having impaired versus normative FMD. Results from this pilot study highlight the importance of cardiovascular screening with combat veterans despite psychological diagnosis. Results also support the need for longitudinal research assessing the use of autonomic reactivity to emotionally valenced stimuli as a potential risk factor for poorer

  7. Dispersion of Radionuclides and Exposure Assessment in Urban Environments: A Joint CEA and LLNL Report

    Energy Technology Data Exchange (ETDEWEB)

    Glascoe, Lee [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Gowardhan, Akshay [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Lennox, Kristin [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Simpson, Matthew [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Yu, Kristen [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Armand, Patrick [Alternative Energies and Atomic Energy Commission (CEA), Paris (France); Duchenne, Christophe [Alternative Energies and Atomic Energy Commission (CEA), Paris (France); Mariotte, Frederic [Alternative Energies and Atomic Energy Commission (CEA), Paris (France); Pectorin, Xavier [Alternative Energies and Atomic Energy Commission (CEA), Paris (France)

    2014-12-19

    In the interest of promoting the international exchange of technical expertise, the US Department of Energy’s Office of Emergency Operations (NA-40) and the French Commissariat à l'Energie Atomique et aux énergies alternatives (CEA) requested that the National Atmospheric Release Advisory Center (NARAC) of Lawrence Livermore National Laboratory (LLNL) in Livermore, California host a joint table top exercise with experts in emergency management and atmospheric transport modeling. In this table top exercise, LLNL and CEA compared each other’s flow and dispersion models. The goal of the comparison is to facilitate the exchange of knowledge, capabilities, and practices, and to demonstrate the utility of modeling dispersal at different levels of computational fidelity. Two modeling approaches were examined, a regional scale modeling approach, appropriate for simple terrain and/or very large releases, and an urban scale modeling approach, appropriate for small releases in a city environment. This report is a summary of LLNL and CEA modeling efforts from this exercise. Two different types of LLNL and CEA models were employed in the analysis: urban-scale models (Aeolus CFD at LLNL/NARAC and Parallel- Micro-SWIFT-SPRAY, PMSS, at CEA) for analysis of a 5,000 Ci radiological release and Lagrangian Particle Dispersion Models (LODI at LLNL/NARAC and PSPRAY at CEA) for analysis of a much larger (500,000 Ci) regional radiological release. Two densely-populated urban locations were chosen: Chicago with its high-rise skyline and gridded street network and Paris with its more consistent, lower building height and complex unaligned street network. Each location was considered under early summer daytime and nighttime conditions. Different levels of fidelity were chosen for each scale: (1) lower fidelity mass-consistent diagnostic, intermediate fidelity Navier-Stokes RANS models, and higher fidelity Navier-Stokes LES for urban-scale analysis, and (2) lower-fidelity single

  8. Matched trauma: The role of parents' and children's shared history of childhood domestic violence exposure in parents' report of children's trauma-related symptomatology.

    Science.gov (United States)

    Cohodes, Emily; Hagan, Melissa; Narayan, Angela; Lieberman, Alicia

    2016-01-01

    Parents' childhood experiences of trauma may influence their reports of their children's behavior, and this may be particularly true when children are also traumatized. The present study proposed and tested a matched trauma hypothesis, positing that compared to parents without a childhood history of witnessing domestic violence (DV), parents with a childhood history of witnessing DV may report their children's trauma-related symptomatology differently following children's exposure to DV. Of 137 included parents (M age = 32 years; 93% mothers), 81 reported witnessing childhood DV (matched group), whereas 56 reported no childhood DV exposure (nonmatched comparison group). All parents reported on their 3- to 6-year-old children's dissociation and posttraumatic stress symptoms following children's DV exposure. An analysis of covariance controlling for parental life stress, dissociation symptoms, and other childhood traumatic events revealed that parents who witnessed childhood DV reported significantly fewer child dissociation symptoms than comparison parents. No difference was found for parents' reports of children's posttraumatic stress symptoms. Exploratory analyses on a subsample of children with teacher reports of child dissociation symptoms (n = 75) revealed that the strength of the association between parent and teacher reports of dissociation symptoms was moderated by matched versus nonmatched group membership. Findings suggest the importance of considering a parent's history of trauma when using parents as informants for children's trauma symptoms.

  9. The impact of an international initiative on exposures to liquid laundry detergent capsules reported to the United Kingdom National Poisons Information Service between 2008 and 2015.

    Science.gov (United States)

    Day, Rachael; Eddleston, Michael; Thomas, Simon H L; Thompson, John P; Vale, J Allister

    2017-03-01

    Although the majority of those exposed to liquid laundry detergent capsules remain asymptomatic or suffer only minor clinical features after exposure, a small proportion develop central nervous system depression, stridor, pulmonary aspiration and/or airway burns following ingestion or conjunctivitis and corneal ulceration following eye exposure. As a consequence, the International Association for Soaps, Detergents and Maintenance Products (AISE) established a Product Stewardship Programme in Europe, requiring that safety measures be implemented to reduce the visibility of, and restrict access to, these detergent capsules by small children. Implementation occurred in the United Kingdom over several months during the first half of 2013. This study investigated whether the AISE Programme had an impact on the number and severity of exposures reported to the United Kingdom National Poisons Information Service. Telephone enquiries to the National Poisons Information Service relating to liquid laundry detergent capsules were analysed for the period January 2008 to December 2015. While there was a significant difference (p = 0.0002) between the mean number of annual exposures (469.4) reported between 2008 and 2012 and the mean number reported between 2014 and 2015 (403.5), the number of exposures was decreasing steadily prior to implementation of the Programme in 2013, which did not impact this fall from 2013 onwards. In addition, the number of exposures per million units sold was not impacted by the Programme. There was no significant difference (p = 0.68) between the mean number of exposures (11.8) with PSS ≥2 reported between 2008 and 2012 and the mean number (13.0) reported between 2014 and 2015. Although there was a 28.7% decrease between 2010-2012 and 2014-2015 in the number of exposures with PSS ≥2 per million units sold, this decrease was not statistically significant (p = 0.18). There is no evidence that the Product Stewardship Programme had a

  10. Casualties of War: Combat Trauma and the Return of the Combat Veteran

    Science.gov (United States)

    Kiely, Denis O.; Swift, Lisa

    2009-01-01

    The experience of the combat soldier and the road back to civilian life are recurrent themes in American literature and cinema. Whether the treatment is tragic (Stephen Crane's "Red Badge of Courage", Tim O'Brien's "The Things They Carried", or Tony Scott's "Blackhawk Down"), satirical (Joseph Heller's "Catch Twenty-Two" and Robert Altman's…

  11. Casualties of War: Combat Trauma and the Return of the Combat Veteran

    Science.gov (United States)

    Kiely, Denis O.; Swift, Lisa

    2009-01-01

    The experience of the combat soldier and the road back to civilian life are recurrent themes in American literature and cinema. Whether the treatment is tragic (Stephen Crane's "Red Badge of Courage", Tim O'Brien's "The Things They Carried", or Tony Scott's "Blackhawk Down"), satirical (Joseph Heller's "Catch Twenty-Two" and Robert Altman's…

  12. Combating hooliganism in the Netherlands. An evaluation of measures to combat hooliganism with longitudinal registration data

    NARCIS (Netherlands)

    Schaap, D.P.; Postma, M; Jansen, L.; Tolsma, J.

    2014-01-01

    Football hooliganism is an undesirable but widespread phenomenon. In this contribution, a range of measures to combat hooliganism in the Netherlands is evaluated. We use (logistic) multi-level models to analyze data on hooliganism from the Dutch Football Vandalism Information Office covering 3431

  13. Combating hooliganism in the Netherlands: An evaluation of measures to combat hooliganism with longitudinal registration data

    NARCIS (Netherlands)

    Schaap, D.P.; Postma, M; Jansen, L.; Tolsma, J.

    2014-01-01

    Football hooliganism is an undesirable but widespread phenomenon. In this contribution, a range of measures to combat hooliganism in the Netherlands is evaluated. We use (logistic) multi-level models to analyze data on hooliganism from the Dutch Football Vandalism Information Office covering 3431

  14. Sociedad Civil y combate a la pobreza

    OpenAIRE

    López Salazar, Ricardo; Ortega, Isabel; Sandoval, Sergio

    2012-01-01

    Una de las organizaciones de la sociedad civil que ha adquirido gran relevancia en el combate a la pobreza alimentaria en el estado de Sonora es el Banco de Alimentos de Hermosillo (BAH). Su objetivo es combatir el hambre y la desnutrición mediante la distribución de alimentos a zonas marginadas. Pesqueira,  es una de las localidades en situación crítica de pobreza alimentaria y que ha sido beneficiada por los apoyos que otorga el BAH. Sin embargo, a pesar de que esos apoyos son reconocidos c...

  15. Leadership in Combat: An Historical Appraisal

    Science.gov (United States)

    1983-01-01

    instead of instructing the reader zo look for traits that should be obvious after having read the essay on combat leadership in histoy. For the reader...Union artillery officer who had graduated from West Point in 1847. He had served in the Mexican War from Veracruz to Pueblo and campaigned against...of Stilwell’s ’family’, not by kinship but by the other great password to Stilwell’s favour; membership of the group he led out on foot from Burma

  16. Combat Resource Allocation Planning in Naval Engagements

    Science.gov (United States)

    2007-08-01

    Valcartier; August 2007. Management of tactical combat resources, as a part of military naval Command & Con- trol (C2) process , provides a real world multi...systèmes d’agents et multi-agents est présentée et les problèmes de planifi - cation en temps réel et de l’allocation des ressources sont abordés...data to be processed under time-critical conditions pose significant challenges for future shipboard Command & Control Systems (CCSs). Among other

  17. Pathophysiologic responses of sheep to brief high level nitrogen dioxide exposure. (Reannouncement with new availability information). Final report

    Energy Technology Data Exchange (ETDEWEB)

    Januszkiewicz, A.J.; Snapper, J.R.; Sturgis, J.W.; Rayburn, D.B.; Dodd, K.T.

    1992-12-31

    The cardiopulmonary response to short-duration, high- concentration nitrogen dioxide (N02) was examined in conscious domestic sheep (Ovis aries). Six intubated animals in each of three groups were administered or approximately 100 or 500 ppm NO2. Pulmonary and systemic hemodynamics, pulmonary mechanics, blood gases and hematologic variables were measured immediately before and after exposure and at 1, 4 and 24 h after exposure. Minute ventilation was monitored during exposure, and a pulmonary histopathologic examination was performed 24 h postexposure. Negligible effects were observed in the control group. Exposure to 100 ppm NO2 caused a modest increase in minute ventilation during exposure, and an increased number of leukocytes were found within interalveolar capillaries upon histologic examination. Exposure to 500 ppm NO2 induced immediate and profound lung irritant responses characterized by increases in lung resistance, respiratory rate and minute ventilation. The exposure was marked by a statistically significant, but small, mixed-venous methemoglobin increase. Pulmonary function progressively deteriorated in the 24-h period following exposure to 500 ppm NO2, and a significant arterial oxygen tension reducting and pulmonary artery pressure increase occurred at 24 h post exposure. Histologic examination after 500 ppm NO2 revealed patchy lobular exudation and accumulation of leukocytes in alveolar sacs and interalveolar capillaries.

  18. Prehospital and en route cricothyrotomy performed in the combat setting: a prospective, multicenter, observational study.

    Science.gov (United States)

    Barnard, Ed B G; Ervin, Alicia T; Mabry, Robert L; Bebarta, Vikhyat S

    2014-01-01

    Airway compromise is the third most common cause of potentially preventable combat death. Surgical cricothyrotomy is an infrequently performed but lifesaving airway intervention. There are limited published data on prehospital cricothyrotomy in civilian or military settings. Our aim was to prospectively describe the survival rate and complications associated with cricothyrotomy performed in the military prehospital and en route setting. The Life-Saving Intervention (LSI) study is a prospective, institutional review board-approved, multicenter trial examining LSIs performed in the prehospital combat setting. We prospectively recorded LSIs performed on patients in theater who were transported to six combat hospitals. Trained site investigators evaluated patients on arrival and recorded demographics, vital signs, and LSIs performed. LSIs were predefined and include cricothyrotomies, chest tubes, intubations, tourniquets, and other procedures. From the large dataset, we analyzed patients who had a cricothyrotomy performed. Hospital outcomes were cross-referenced from the Department of Defense Trauma Registry. Descriptive statistics or Wilcoxon test (nonparametric) were used for data comparisons; statistical significance was set at pcombat medic (pre-evacuation), and 18 by an evacuation helicopter medic. Combat-hospital outcome data were available for 26 patients, 13 (50%) of whom survived to discharge. The cricothyrotomy patients had more LSIs than noncricothyrotomy patients (four versus two LSIs per patient; pcombat, procedural success was higher than previously reported. In addition, the majority of cricothyrotomies were performed by the evacuation helicopter medic rather than the prehospital combat medic. Prehospital military medics should receive training in decision making and be provided with adjuncts to facilitate this lifesaving procedure. 2014.

  19. Applications of Capstone Depleted Uranium Aerosol Risk Data to Military Combat Risk Management

    Energy Technology Data Exchange (ETDEWEB)

    Daxon, Eric G.; Parkhurst, MaryAnn; Melanson, Mark A.; Roszell, Laurie E.

    2009-03-01

    Risks to personnel engaged in military operations include not only the threat of enemy firepower but also risks from exposure to other hazards such as radiation. Combatant commanders of the U. S. Army carefully weigh risks of casualties before implementing battlefield actions using an established paradigm that take these risks into consideration. As a result of the inclusion of depleted uranium (DU) anti-armor ammunition in the conventional (non-nuclear) weapons arsenal, the potential for exposure to DU aerosols and its associated chemical and radiological effects becomes an element of the commanders’ risk assessment. The Capstone DU Aerosol Study measured the range of likely DU oxide aerosol concentrations created inside a combat vehicle perforated with a DU munition, and the Capstone Human Health Risk Assessment (HHRA) estimated the associated doses and calculated risks. This paper focuses on the development of a scientific approach to adapt the risks from DU’s non uniform dose distribution within the body using the current U.S. Department of Defense (DoD) radiation risk management approach. The approach developed equates the Radiation Exposure Status (RES) categories to the estimated radiological risks of DU and makes use of the Capstone-developed Renal Effects Group (REG) as a measure of chemical risk from DU intake. Recommendations are provided for modifying Army guidance and policy in order to better encompass the potential risks from DU aerosol inhalation during military operations.

  20. Oral Ezatiostat HCl (TLK199) and Myelodysplastic syndrome: a case report of sustained hematologic response following an abbreviated exposure.

    Science.gov (United States)

    Quddus, Fahd; Clima, Jessica; Seedham, Helen; Sajjad, Ghulam; Galili, Naomi; Raza, Azra

    2010-04-23

    Treatment options for patients with lower risk non-del(5q) myelodysplastic syndromes (MDS) who fail erythroid stimulating agents are restricted to one of the hypomethylating drugs with an expected response rate of approximately 50%. Ezatiostat HCl, an agent with the potential for producing multi-lineage responses in this population is currently in clinical investigation phase. This case report describes a 77 year old male who received less than two cycles of therapy with ezatiostat HCl which had to be aborted due to intolerable side effects, but which produced a sustained normalization of all three blood counts. This trilineage response has now lasted for more than a year. Interestingly, the patient began with a del(5q) abnormality and responded briefly to lenalidomide. Upon relapse of the anemia, a bone marrow showed the disappearance of the del(5q) but the appearance of a new clonal abnormality t(2;3). Given that the patient had a complete cytogenetic response to a truncated exposure to lenalidomide followed by a trilineage response to an even briefer course of ezatiostat HCl suggests a potential role for ezatiostat HCl in del(5q) patients who relapse following lenalidomide.

  1. 42 CFR 495.368 - Combating fraud and abuse.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Combating fraud and abuse. 495.368 Section 495.368... PROGRAM Requirements Specific to the Medicaid Program § 495.368 Combating fraud and abuse. (a) General... accordance with § 455.15 and § 455.21 of this chapter, refer suspected cases of fraud and abuse to the...

  2. Combat Leadership: To Fly or Not to Fly?

    Science.gov (United States)

    1990-04-01

    leading his men into combat. Theories of leadership vary greatly between our individual military services and those of our allies and this is where...member to ily and lead combat missions been established to provide a credible and necessary "leadership by example" role or is It the egoism of peer

  3. 32 CFR 813.4 - Combat camera operations.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Combat camera operations. 813.4 Section 813.4 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE SALES AND SERVICES VISUAL INFORMATION DOCUMENTATION PROGRAM § 813.4 Combat camera operations. (a) Air Force COMCAM forces document...

  4. Combat Simulation Modeling in Naval Special Warfare Mission Planning.

    Science.gov (United States)

    1995-12-01

    This thesis explores the potential role of combat simulation modeling in the Naval Special Warfare mission planning cycle. It discusses methods for...at the tactical level. The thesis concludes by discussing additional applications of combat simulation modeling within the Naval Special Warfare community and makes recommendations for its effective and efficient implementation.

  5. Digital control of highly augmented combat rotorcraft

    Science.gov (United States)

    Tischler, Mark B.

    1987-01-01

    Proposed concepts for the next generation of combat helicopters are to be embodied in a complex, highly maneuverable, multiroled vehicle with avionics systems. Single pilot and nap-of-the-Earth operations require handling qualities which minimize the involvement of the pilot in basic stabilization tasks. To meet these requirements will demand a full authority, high-gain, multimode, multiply-redundant, digital flight-control system. The gap between these requirements and current low-authority, low-bandwidth operational rotorcraft flight-control technology is considerable. This research aims at smoothing the transition between current technology and advanced concept requirements. The state of the art of high-bandwidth digital flight-control systems are reviewed; areas of specific concern for flight-control systems of modern combat are exposed; and the important concepts are illustrated in design and analysis of high-gain, digital systems with a detailed case study involving a current rotorcraft system. Approximate and exact methods are explained and illustrated for treating the important concerns which are unique to digital systems.

  6. Combat posttraumatic stress disorder, substance use disorders, and traumatic brain injury.

    Science.gov (United States)

    Brady, Kathleen T; Tuerk, Peter; Back, Sudie E; Saladin, Michael E; Waldrop, Angela E; Myrick, Hugh

    2009-12-01

    Among both civilian and veteran populations, substance use disorders (SUDs) and anxiety disorders frequently co-occur. One of the most common comorbid anxiety disorder is posttraumatic stress disorder (PTSD), a condition which may develop after exposure to traumatic events, such as military combat. In comparison with the general population, rates of both SUDs and PTSD are elevated among veterans. Recent data show that soldiers returning from Iraq and Afghanistan demonstrate high rates of co-occurring SUDs, PTSD, and traumatic brain injury. Careful assessment of these conditions is critical and may be complicated by symptom overlap. More research targeting integrated interventions for these conditions is needed to establish optimal treatments.

  7. Strengthening the EU Legal and Institutional Framework to Combat Transnational Financial Crimes

    DEFF Research Database (Denmark)

    Marchuk, Iryna

    The report examines the development of adequate legal tools and practices to combat transnational financial crimes such as money laundering, terrorism financing, corruption, transnational financial fraud, and investigates measures directed at strengthening the overall legal and institutional fram...... framework in the area of transnational financial crimes at the regional (EU) and domestic levels. The research project involves the legal analysis of the legislation, jurisprudence and best practices of two selected jurisdictions, in particular the United Kingdom and Denmark.......The report examines the development of adequate legal tools and practices to combat transnational financial crimes such as money laundering, terrorism financing, corruption, transnational financial fraud, and investigates measures directed at strengthening the overall legal and institutional...

  8. Femme Fatale: An Examination of the Role of Women in Combat and the Policy Implications for Future American Military Operations (Drew Paper Number 5, August 2009)

    Science.gov (United States)

    2009-08-01

    AUG 2009 2. REPORT TYPE 3. DATES COVERED 00-00-2009 to 00-00-2009 4. TITLE AND SUBTITLE Femme Fatale: An Examination of the Role of Women in...UNIVERSITY AIR FORCE RESEARCH INSTITUTE Femme Fatale An Examination of the Role of Women in Combat and the Policy Implications for Future American Military...2009 Muir S. Fairchild Research Information Center Cataloging Data Alfonso, Kristal L. M. Femme fatale : an examination of the role of women in combat

  9. Caregiver Talk to Young Spanish-English Bilinguals: Comparing Direct Observation and Parent-Report Measures of Dual-Language Exposure

    Science.gov (United States)

    Marchman, Virginia A.; Martínez, Lucía Z.; Hurtado, Nereyda; Grüter, Theres; Fernald, Anne

    2017-01-01

    In research on language development by bilingual children, the early language environment is commonly characterized in terms of the relative amount of exposure a child gets to each language based on parent report. Little is known about how absolute measures of child-directed speech in two languages relate to language growth. In this study of…

  10. Caregiver Talk to Young Spanish-English Bilinguals: Comparing Direct Observation and Parent-Report Measures of Dual-Language Exposure

    Science.gov (United States)

    Marchman, Virginia A.; Martínez, Lucía Z.; Hurtado, Nereyda; Grüter, Theres; Fernald, Anne

    2017-01-01

    In research on language development by bilingual children, the early language environment is commonly characterized in terms of the relative amount of exposure a child gets to each language based on parent report. Little is known about how absolute measures of child-directed speech in two languages relate to language growth. In this study of…

  11. Appetitive Aggression in Women: Comparing Male and Female War Combatants

    Directory of Open Access Journals (Sweden)

    Danie eMeyer-Parlapanis

    2016-01-01

    Full Text Available Appetitive aggression refers to positive feelings being associated with the perpetration of violent behavior and has been shown to provide resilience against the development of PTSD in combatants returning from the battlefield. Until this point, appetitive aggression has been primarily researched in males. This study investigates appetitive aggression in females. Female and male combatants and civilians from Burundi were assessed for levels of appetitive aggression. In contrast to non-combatants, no sex difference in appetitive aggression could be detected for combatants. Furthermore, each of the female and male combatant groups displayed substantially higher levels of appetitive aggression than each of the male and female civilian control groups. This study demonstrates that in violent contexts, such as armed conflict, in which individuals perpetrate numerous aggressive acts against others, the likelihood for an experience of appetitive aggression increases- regardless of whether the individuals are male or female.

  12. Development of data analysis tool for combat system integration

    Directory of Open Access Journals (Sweden)

    Seung-Chun Shin

    2013-03-01

    Full Text Available System integration is an important element for the construction of naval combat ships. In particular, because impeccable combat system integration together with the sensors and weapons can ensure the combat capability and survivability of the ship, the integrated performance of the combat system should be verified and validated whether or not it fulfills the requirements of the end user. In order to conduct systematic verification and validation, a data analysis tool is requisite. This paper suggests the Data Extraction, Recording and Analysis Tool (DERAT for the data analysis of the integrated performance of the combat system, including the functional definition, architecture and effectiveness of the DERAT by presenting the test results.

  13. Psycho-physiological response of soldiers in urban combat

    Directory of Open Access Journals (Sweden)

    Vicente J. Clemente-Suárez

    2013-05-01

    Full Text Available Current armed conflicts are asymmetrical and are developed m urban areas. These new requirements have not been studied for current literature. The aim of this study was to analyse changes in cortical arousal, blood lactate, muscle strength, autonomic modulation and rate of perceived exertion in a simulated urban combat. We analyzed 20 soldiers before and after an urban combat simulation. The results showed how urban combat produced high sympathetic nervous system activation, increasing the muscle strength, heart rate and blood lactate concentration of the soldiers. Despite this effort, rate of perceived exertion were not consistent with the physiological response that soldiers presented, the rate of perceived exertion was lower than the physiological response evaluated. Furthermore, the information processing and cortical arousal decreased after the urban combat simulation. These results have showed the psycho-physiological response of soldiers in combat, helping to better understanding and enabling an improvement of current training methods of soldiers.

  14. Polarised press reporting about HIV prevention: Social representations of pre-exposure prophylaxis in the UK press.

    Science.gov (United States)

    Jaspal, Rusi; Nerlich, Brigitte

    2016-05-22

    Pre-exposure prophylaxis is a novel biomedical HIV prevention option for individuals at high risk of HIV acquisition. Although pre-exposure prophylaxis has yielded encouraging results in various clinical trials, opponents argue that pre-exposure prophylaxis poses a number of risks to human health and to sexually transmitted infection prevention efforts. Using qualitative thematic analysis and social representation theory, this article explores coverage of pre-exposure prophylaxis in the UK print media between 2008 and 2015 in order to chart the emerging social representations of this novel HIV prevention strategy. The analysis revealed two competing social representations of pre-exposure prophylaxis: (1) as a positive development in the 'battle' against HIV (the hope representation) and (2) as a medical, social and psychological setback in this battle, particularly for gay/bisexual men (the risk representation). These social representations map onto the themes of pre-exposure prophylaxis as a superlatively positive development; pre-exposure prophylaxis as a weapon in the battle against HIV/AIDS; and risk, uncertainty and fear in relation to pre-exposure prophylaxis. The hope representation focuses on taking (individual and collective) responsibility, while the risk representation focuses on attributing (individual and collective) blame. The implications for policy and practice are discussed.

  15. Exposure to road traffic and railway noise and associations with blood pressure and self-reported hypertension: a cohort study

    DEFF Research Database (Denmark)

    Sorensen, Mette; Hvidberg, Martin; Hoffmann, Barbara

    2011-01-01

    Epidemiological studies suggest that long-term exposure to transport noise increases the risk for cardiovascular disorders. The effect of transport noise on blood pressure and hypertension is uncertain.......Epidemiological studies suggest that long-term exposure to transport noise increases the risk for cardiovascular disorders. The effect of transport noise on blood pressure and hypertension is uncertain....

  16. The Glass Ceiling - A Question of Joint Officer Development - Why Only Five USAF Geographic Combatant Commanders?

    Science.gov (United States)

    2010-07-26

    26-07-2010 2. REPORT TYPE Master’s Thesis 3. DATES COVERED (From - To) 26-07-2010 to 17-06-2011 4. TITLE AND SUBTITLE The Glass Ceiling -- A...SCHOOL THE GLASS CEILING – A QUESTION OF JOINT OFFICER DEVELOPMENT – WHY ONLY FIVE USAF GEOGRAPHIC COMBATANT COMMANDERS? by David M...decision making skills to senior military and civilian leaders. In doing so, the USAF can finally shatter and eliminate the glass ceiling , that only

  17. Combat Ration Network for Technology Implementation. Retort Racks for Polymeric Trays in 1400 Style Spray Retorts

    Science.gov (United States)

    2003-05-01

    trays backup plate & support pillars to allow 35" shut height as required by most 3500 ton molding machines dedicated mounting rails for installation...hr. At this time, Stegner had modified all their pallet bottom plates to support the rack in all load bearing points and in addition, Wornick send two...COMBAT RATION NETWORK FOR TECHNOLOGY IMPLEMENTATION Retort Racks for Polymeric Trays in 1400 Style Spray Retorts Final Technical Report STP 2010

  18. Prevalence and Mental Health Correlates of Sleep Disruption Among Military Members Serving in a Combat Zone

    Science.gov (United States)

    2014-07-01

    worn actigraphy ) is tenuous.49 Also, naps were not accounted for in this study. It is also possible that “need for sleep ” may have been under-reported...in Marines sent to war. Mil Med 2009; 174(7): 737-44. 32. Tomfohr L, Pung MA, Edwards KM, Dimsdale JE: Racial differences in sleep architecture : the...Naval Health Research Center Prevalence and Mental Health Correlates of Sleep Disruption Among Military Members Serving in a Combat Zone

  19. Evaluation of the Combat Vehicle Command and Control System. Operational Effectiveness of an Armor Battalion

    Science.gov (United States)

    1994-01-31

    MAJ James Whitehead, the Field Unit’s Research and Development Coordinator. Mr. Ronald Kraemer, of the ARI-Fort Knox Field Unit, and Ms. Margaret ...staff included Dr. Nancy Atwood , Dr. Beverly Winsch, Dr. Laura Ford, Ms. Alicia Sawyer, Mr. Paul Smith, Ms. Frances Ainslie, MG (Ret.) Charles Heiden, Mr...combat performance in the context of armor doctrine and tactics, including unit standing operating procedures (SOPs). A third report ( Atwood , Winsch

  20. Methicillin-Resistant Staphylococcus aureus in Wound Cultures Recovered from a Combat Support Hospital in Iraq

    Science.gov (United States)

    2010-07-01

    Iraq, USA300, Antibiotics , Community ac- quired, Hospital acquired. (J Trauma. 2010;69: S102–S108) Staphylococci have been reported as major pathogens...rifampin or fluoroquinolones are used as monotherapy, these agents are discouraged for routine use in SSTIs or combat-related wound injuries. For those...11. Heisterkamp C III, Vernick J, Simmons RL, Motsumoto T. Topical antibiotics in war wounds: a re-evaluation. Mil Med. 1969;134:13–18. The Journal of

  1. Annual Report to The President and The Congress of the Advisory Panel to Assess Domestic Response Capabilities for Terrorism Involving Weapons of Mass Destruction (2nd). II. Toward a National Strategy for Combating Terrorism

    Science.gov (United States)

    2007-11-02

    1960s, when Egypt used chemical weapons during its involvement in the Yemeni civil war. At that time, Israel’s parliament, the Knesset, passed a law...gives a review of open source intelligence ( OSINT ). This includes local, national and international media reports and trends and milestones that have a...Domestic Response Capabilities for Terrorism Involving Weapons of Mass Destruction Terrorism Early Warning Group (TEW) OSINT Indications & Warning

  2. Combating Money Laundering and the Financing of Terrorism - A Comprehensive Training Guide : Workbook 6. Combating the Financing of Terrorism

    OpenAIRE

    World Bank

    2009-01-01

    "Combating Money Laundering and the Financing of Terrorism: a Comprehensive Training Guide" is one of the products of the capacity enhancement program on Anti-Money Laundering and Combating the Funding of Terrorism (AML/CFT), which has been co-funded by the Governments of Sweden, Japan, Denmark, and Canada. The program offers countries the tools, skills, and knowledge to build and strength...

  3. An observational study assessing completion time and accuracy of completing the tactical combat casualty care card by combat medic trainees.

    Science.gov (United States)

    Therien, Sean P; Andrews, James E; Nesbitt, Michael E; Mabry, Robert

    2014-01-01

    Prehospital care documentation is crucial to improving battlefield care outcomes. Developed by United States Army Ranger Special Operations Combat Medics (SOCMs), the Tactical Combat Casualty Care (TCCC) is currently fielded to deployed units to record prehospital injury data. This study documents length of time and accuracy of U.S. Army Combat Medic trainees in completing the minimum preestablished required fields on the TCCC card, establishing a baseline for point-of-injury cards. This was a prospective observational study in which U.S. Army combat medic trainees were timed while recording data on the TCCC card in both the classroom and simulated combat environment. We hypothesized that trainees could complete the TCCC card in less than 1 minute with 90% or greater accuracy. We enrolled 728 U.S. Army Combat Medic trainees in the study during May?June 2011 at Fort Sam Houston, TX. We observed an average TCCC card completion time of less than 1 minute with greater than 90% accuracy in the unstressed classroom environment but an increase to nearly 2 minutes on average and a decrease to 85% accuracy in the simulated combat environment. RESULTS imply that the TCCC card is well designed to quickly and accurately record prehospital combat injury information. Further investigation and future studies may compare other prehospital data collection methods with the TCCC card in terms of timely and accurate data collection. 2014.

  4. Estudos em modalidades esportivas de combate: estado da arte Studies in combat sports: state of the art

    Directory of Open Access Journals (Sweden)

    Emerson Franchini

    2011-12-01

    Full Text Available O objetivo do presente texto foi apresentar o estado da arte dos estudos sobre as modalidades esportivas de combate (MEC. Inicialmente, é destacada a relevância destas modalidades, tanto do ponto de vista histórico, quanto em relação à sua representatividade em competições internacionais, como os Jogos Olímpicos. Também são apresentadas as áreas mais comuns de atuação do profissional de Esporte nas MEC, bem como as iniciativas de organização de eventos, publicações, grupos de estudos e instituições científicas direcionadas às MEC. Posteriormente, estudos com possibilidade de aplicação em diferentes áreas de intervenção - preparação física, técnica e tática, gestão e organização - por parte do profissional do Esporte foram destacados. Finalmente, perspectivas de novos estudos e aspectos relacionados à preparação profissional são evidenciados.The objective of the present text was to present the state of art of studies related to combat sports (CS. Initially, it is presented the relevancy of these sports, from a historical perspective to its representativeness in international competitions, as the Olympic Games. The common areas of Sport's professional intervention, the initiatives of events, publications, research groups and scientific organizations related to the CS are also presented. Additionally, studies applied to different areas of Sport's professional intervention - physical training, technical and tactical preparation, management and organization - were also illustrated. Finally, perspectives of new studies and aspects related to professional preparation were reported.

  5. Ntp technical report on toxicity, reproductive, and developmental studies of 60-Hz magnetic fields, administered by whole body exposure to F344/N rats, Sprague-Dawley rats, and B6C3F1 mice. Toxicity report series

    Energy Technology Data Exchange (ETDEWEB)

    Boorman, G.A.

    1996-09-01

    Electric and magnetic fields are associated with the production, transmission, and use of electricity; thus the potential for human exposure is high. These electric and magnetic fields are predominantly of low frequency (60 Hz) and generally of low intensity. The prevailing view among physicists is that exposure to these low-frequency, low-intensity fields does not pose a health hazard. However, this view has been challenged by reports linking magnetic field exposure to the development of leukemia and other cancers. Because multiple epidemiologic studies suggested a potential for increased cancer rates with increasing exposure, and because of public concern, the effects of 60-Hz magnetic field exposure were examined in F344/N rats and B6C3F1 mice in 8-week full-body-exposure studies. Animals were evaluated for hematology and clinical chemistry (rats only) parameters, pineal gland hormone concentrations, and histopathology. Additional studies were performed in Sprague-Dawley rats to examine teratologic and reproductive effects of magnetic field exposure.

  6. The U.S. Ground Combat Presence in Korea: In Defense of U.S. Interests or a Strategic Dinosaur

    Science.gov (United States)

    1983-05-09

    yD2 5?/ THE U.S. GROUND COMBAT PRESENCE IN KOREA : IN DEFENSE OF U.S. INTERESTS OR A STRATEGIC DINOSAUR 00 00 cV31 A tbosis presented to the Faculty...and Subttle) S. TYPE OF REPORT & PERIOD COVERED The U.S. Ground Combat Presence in Korea : In Defense of U.S. Interests or a StrategicMatrsTei Dinosaur 6...U IT Y C .A S I ic A TrIO H O T1411 ! AG E flW Io. * b at. Ir ’ THE U.S. GROUND COMBAT PRESENCE IN KOREA : IN DEFENSE OF U.S. INTERESTS OR A STRATEGIC

  7. Feasibility of brief intensive exposure therapy for PTSD patients with childhood sexual abuse: a brief clinical report

    Directory of Open Access Journals (Sweden)

    Lotte Hendriks

    2010-12-01

    Full Text Available Despite the strong empirical support for the effectiveness of exposure-based treatments in ameliorating post-traumatic stress disorder (PTSD, improvement of treatment is wanted given relatively high dropout rates and challenges of treating patients with high comorbidity and treatment-interfering stressors. The purpose of the current paper is to introduce an intensive exposure treatment program, illustrated by four case descriptions of PTSD patients, who suffered multiple (sexual traumas in childhood, had high levels of comorbidity and psychosocial stressors, and failed to improve during “regular” trauma-focused treatment programs. The program consisted of psychoeducation, prolonged imaginal exposure, exposure in vivo, exposure by drawings combined with narrative reconstructing, and writing assignments about central trauma-related cognitions. The treatment included 5 working days with individual sessions (in total 30 h of treatment provided by a team of four therapists. The PTSD symptoms of all patients decreased substantially and the effect sizes were large (Cohen's d resp. 1.5 [pre–post], 2.4 [pre-FU1 month], and 2.3 [pre-FU3 months]. Also, none of the patients showed symptom worsening or dropped out. The evaluation of these four pilot cases suggests that it is possible to intensify exposure treatment, even for multiple traumatized PTSD patients with high comorbidity. We concluded that the first results of this new, intensive exposure program for PTSD patients with childhood sexual abuse are promising.

  8. Gender Differences Among Military Combatants: Does Social Support, Ostracism, and Pain Perception Influence Psychological Health?

    Science.gov (United States)

    McGraw, Kate

    2016-01-01

    The literature on gender differences related to psychological health among in-theater service members who are deployed in a combatant role is limited. Much focuses on retrospective reports of service members who have returned from deployment. Potential key factors that contribute to gender differences in psychological health among combatants are found in literature across several topic areas, but integration of findings across disciplines is lacking. A growing body of literature on gender differences related to psychological health of postdeployment military populations suggests males and females respond differently to perceived levels of social support pre-and postdeployment. One study on service members who were deployed suggested no significant gender differences related to reported psychological health symptoms, but did appear to find significant gender differences related to reported perception of unit morale. In another related area, research explores how ostracism impacts physical and psychological health of individuals and organizations, and can result in perceptions of physical pain, although research on gender differences related to the impact of ostracism is scarce. Research has also begun to focus on sex differences in pain responses, and has identified multiple biopsychosocial, genetic, and hormonal factors that may contribute as potential underlying mechanisms. In this brief review, we focus on and begin to integrate relevant findings related to the psychological health of females in combat roles, gender differences in the impact of perception of social support on psychological health, the psychological and physical impact of ostracism on individuals and organizations, and the current literature on sex differences in pain perception. We conclude with a synthesis and discussion of research gaps identified through this review, implications for clinical practice, and potential future research directions. In conclusion, there appear to be gender

  9. Predictors of posttraumatic stress and appetitive aggression in active soldiers and former combatants

    Directory of Open Access Journals (Sweden)

    Corina Nandi

    2015-04-01

    Full Text Available Background: During the period between 1993 and 2005, the people of Burundi were trapped within a violent civil war. In post-conflict regions, symptoms of posttraumatic stress disorder (PTSD were found to be widespread. At the same time, combatants often reported having perceived committing violence as exciting and appealing, an experience referred to as appetitive aggression. Both of these phenomena hamper the building of a functional and peaceful society. Objective: This study aims to investigate the factors that are associated with the level of PTSD and appetitive aggression in former and still active combatants. Methods: Semi-structured interviews were conducted with 948 male Burundians: 556 active soldiers and 392 ex-combatants. PTSD symptom severity was assessed using the PTSD Symptom Scale Interview, while appetitive aggression was assessed using the Appetitive Aggression Scale. Results: Linear regression analyses revealed that the number of traumatic events, childhood maltreatment, and their interaction predicted PTSD symptom severity, whereas self-committed violence did not. The number of traumatic events and self-committed violence were associated with appetitive aggression. Childhood maltreatment alone was not associated with appetitive aggression; however, its interaction with self-committed violence did predict appetitive aggression. When controlling for predictors, ex-combatants reported a higher degree of PTSD symptomatology, whereas active soldiers reported a higher degree of appetitive aggression. Conclusion: We conclude that childhood maltreatment is an additional, significant risk factor that exacerbates the psychological consequences of violent conflicts. Self-committed violence may not necessarily engender trauma-related disorders, but is highly related to appetitive aggression.

  10. Fluid Resuscitation for Hemorrhagic Shock in Tactical Combat Casualty Care: TCCC Guidelines Change 14-01 - 2 June 2014

    Science.gov (United States)

    2014-06-02

    01 JUN 2014 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE Fluid Resuscitation for Hemorrhagic Shock in Tactical Combat Casualty...of the New Orleans Jazz Festival. CAPT Timby is a pulmonary/critical care physician. He is presently the Deputy Medical Officer of the Marine Corps

  11. Control coordination abilities in shock combat sports

    Directory of Open Access Journals (Sweden)

    Natalya Boychenko

    2014-12-01

    Full Text Available Purpose: optimize the process control level of coordination abilities in martial arts. Material and Methods: analysis and compilation of scientific and methodological literature, interviews with coaches of drum martial arts, video analysis techniques, teacher observations. Results: identified specific types of coordination abilities in shock combat sports. Pod branny and offered specific and nonspecific tests to monitor the level of species athletes coordination abilities. Conclusion: it is determined that in order to achieve victory in the fight martial artists to navigate the space to be able to assess and manage dynamic and spatio-temporal parameters of movements, maintain balance, have a high coordination of movements. The proposed tests to monitor species coordination abilities athletes allow an objective assessment of not only the overall level of coordination, and the level of specific types of manifestations of this ability.

  12. Combating Memory Corruption Attacks On Scada Devices

    Science.gov (United States)

    Bellettini, Carlo; Rrushi, Julian

    Memory corruption attacks on SCADA devices can cause significant disruptions to control systems and the industrial processes they operate. However, despite the presence of numerous memory corruption vulnerabilities, few, if any, techniques have been proposed for addressing the vulnerabilities or for combating memory corruption attacks. This paper describes a technique for defending against memory corruption attacks by enforcing logical boundaries between potentially hostile data and safe data in protected processes. The technique encrypts all input data using random keys; the encrypted data is stored in main memory and is decrypted according to the principle of least privilege just before it is processed by the CPU. The defensive technique affects the precision with which attackers can corrupt control data and pure data, protecting against code injection and arc injection attacks, and alleviating problems posed by the incomparability of mitigation techniques. An experimental evaluation involving the popular Modbus protocol demonstrates the feasibility and efficiency of the defensive technique.

  13. Dominant lethal study in CD-1 mice following inhalation exposure to 1,3-butadiene: Final technical report

    Energy Technology Data Exchange (ETDEWEB)

    Hackett, P.L.; Mast, T.J.; Brown, M.G.; Clark, M.L.; Evanoff, J.J.; Rowe, S.E.; McClanahan, B.J.; Buschbom, R.L.; Decker, J.R.; Rommereim, R.L.; Westerberg, R.B.

    1988-04-01

    The effects of whole-body inhalation exposures to 1,3-butadiene on the reproductive system was evaluated. The results of dominant lethality in CD-1 male mice that were exposed to 1,3-butadiene are described. Subsequent to exposure, males were mated with two unexposed females. Mating was continued for 8 weeks with replacement of two females each week. Gravid uteri were removed, and the total number, position and status of implantations were determined. The mice were weighed prior to exposure and at 0, 1, 2, 3, 4, 5, 6, 7, and 8 weeks after exposure and at sacrifice. The animals were observed for mortality, morbidity and signs of toxicity throughout the study. 19 refs., 5 figs., 9 tabs.

  14. Towards a Determination of the Physiological Characteristics Distinguishing Successful Mixed Martial Arts Athletes: A Systematic Review of Combat Sport Literature.

    Science.gov (United States)

    James, Lachlan P; Haff, G Gregory; Kelly, Vincent G; Beckman, Emma M

    2016-10-01

    were included. The search history spanned from the earliest record until September 2015. Of the eight combat sports searched for, five were represented across 23 studies. Sixteen investigations described maximal strength or neuromuscular power variables, while 19 articles reported anaerobic or aerobic measures. The results indicate that a number of strength, neuromuscular power and anaerobic variables distinguished higher- from lower-level combat sport athletes. However, these differences were less clear when groups were stratified within, rather than between competition grades. Greater aerobic power was generally not present amongst superior combat sport competitors. There appear to be differing physiological profiles between more successful grappling and striking combat sport athletes. This is represented by high-force demands of grappling sports causing an upwards shift of the entire force-velocity relationship driven by an increase in maximal strength. In comparison, smaller increases in maximal force production with more notable enhancements in lighter load, higher velocity actions may better identify superior performance in striking sports. Anaerobic capabilities largely distinguished higher- from lower-level combat sport athletes. In particular, longer-term anaerobic efforts seem to define successful grappling-based athletes, while superior competitors in striking sports tend to show dominance in shorter-term measures when compared with their lower-level counterparts. Given the demand for both forms of combat in MMA, a spectrum of physiological markers may characterize higher-level competitors. Furthermore, the performance profile of successful MMA athletes may differ based on combat sport history or competition strategy.

  15. 2014 Cardiovascular Risks SRP Evidence Review Final Report. [Evidence Review For: The Risk of Orthostatic Intolerance During Re-Exposure to Gravity

    Science.gov (United States)

    Steinberg, Susan; Ziegler, Michael; Carter, Jason; Claydon, Victoria; Krummen, David; Thomas, Gail

    2015-01-01

    The 2014 Cardiovascular Risks Standing Review Panel (from here on referred to as the SRP) met for a site visit in Houston, TX on December 17-18, 2014. The SRP reviewed the updated evidence report for The Risk of Orthostatic Intolerance During re-Exposure to Gravity (OI Risk). The SRP found the 2014 OI Evidence Report to be a well written, comprehensive overview of the OI risk; that clearly documents the key scientific evidence relevant for both mechanistic understanding and countermeasure development. The 2014 OI Evidence Report could be further strengthened by addressing the points discussed below.

  16. Reported toxicity in 1486 liquid detergent capsule exposures to the UK National Poisons Information Service 2009-2012, including their ophthalmic and CNS effects.

    Science.gov (United States)

    Williams, Hayley; Jones, Stephen; Wood, Kelly; Scott, Robert A H; Eddleston, Michael; Thomas, Simon H L; Thompson, John Paul; Vale, J Allister

    2014-02-01

    CONTEXT. Data on the ophthalmic and central nervous system (CNS) adverse effects of liquid detergent capsules (liquid laundry pods) are limited. OBJECTIVE. To ascertain the reported toxicity of liquid detergent capsules, particularly their ophthalmic and CNS adverse effects, in a large case series. METHODS. Between 1 May 2009 and 30 July 2012 the UK National Poisons Information Service collected prospectively 1509 telephone enquiries (involving 1486 exposures) relating to liquid detergent capsules. RESULTS. The majority of patients (95.6%) were children aged less than 5. Exposure to these products occurred mainly as a result of ingestion alone (n = 1215; 81.8%), with eye contact alone (n = 110; 7.4%), and skin contact alone (n = 20; 1.3%) being less common; multiple routes of exposure were involved in 141 (9.5%) cases. Following ocular exposure (n = 212), features suggesting conjunctivitis (n = 145; 68.4%) and corneal ulceration (n = 6; 2.8%) developed. The most common features reported following ingestion alone were nausea and vomiting (n = 721; 59.3%), followed by coughing (n = 53; 4.4%), drowsiness/CNS depression (n = 49; 42 of these were children were aged 2 years or less) and foaming at the mouth (n = 47; 3.9%). A rash occurred in 22 patients where ingestion was considered to be the route of exposure. Twenty patients were exposed via the dermal route alone and developed erythema (n = 9), rash (n = 6) and burn (n = 3). CONCLUSIONS. Ocular exposure to liquid detergent capsules may lead to conjunctivitis and corneal ulceration; detergent ingestion may result in central nervous system (CNS)depression. Greater consumer awareness is required to reduce injury from liquid detergent capsules, particularly that involving the eye.

  17. Combat body armor and injuries to the head, face, and neck region: a systematic review.

    Science.gov (United States)

    Tong, Darryl; Beirne, Ross

    2013-04-01

    There has been a reported increase in combat-related head, face, and neck (HFN) injuries among service personnel wearing combat body armor (CBA) that have deployed to Iraq and Afghanistan. Modern ceramic plate CBA has decreased the incidence of fatal-penetrating injuries to the torso but offers no protection to the limbs and face which remain exposed to gunshot wounds and fragments from explosive devices. The aim of this review was to systematically summarize the literature reporting on HFN injuries sustained by combat personnel wearing CBA and to highlight recommendations for increased protection to the facial region. Three major contributing factors were identified with this proportional increase in HFN injuries, namely the increased survivability of soldiers because of CBA, fragments injuries from explosive devices, and the lack of protection to the face and limbs. There appears to be no evidence to suggest that by virtue of wearing CBA the likelihood of sustaining an HFN injury increases as such, but a higher incidence of fragment injuries to the HFN region may be due to the more common use of improvised explosive devicess and other explosive devices. Further development of lightweight protection for the face is needed.

  18. Combating cancer one step at a time

    Directory of Open Access Journals (Sweden)

    R.N Sugitha Nadarajah

    2016-10-01

    widespread consequences, not only in a medical sense but also socially and economically,” says Dr. Abdel-Rahman. “We need to put in every effort to combat this fatal disease,” he adds.Tackling the spread of cancer and the increase in the number of cases reported every year is not without its challenges, he asserts. “I see the key challenges as the unequal availability of cancer treatments worldwide, the increasing cost of cancer treatment, and the increased median age of the population in many parts of the world, which carries with it a consequent increase in the risk of certain cancers,” he says. “We need to reassess the current pace and orientation of cancer research because, with time, cancer research is becoming industry-oriented rather than academia-oriented — which, in my view, could be very dangerous to the future of cancer research,” adds Dr. Abdel-Rahman. “Governments need to provide more research funding to improve the outcome of cancer patients,” he explains.His efforts and hard work have led to him receiving a number of distinguished awards, namely the UICC International Cancer Technology Transfer (ICRETT fellowship in 2014 at the Investigational New Drugs Unit in the European Institute of Oncology, Milan, Italy; EACR travel fellowship in 2015 at The Christie NHS Foundation Trust, Manchester, UK; and also several travel grants to Ireland, Switzerland, Belgium, Spain, and many other countries where he attended medical conferences. Dr. Abdel-Rahman is currently engaged in a project to establish a clinical/translational cancer research center at his institute, which seeks to incorporate various cancer-related disciplines in order to produce a real bench-to-bedside practice, hoping that it would “change research that may help shape the future of cancer therapy”.Dr. Abdel-Rahman is also an active founding member of the clinical research unit at his institute and is a representative to the prestigious European Organization for Research and

  19. Impact of Cumulative Combat Stress on Learning in an Academic Environment

    Science.gov (United States)

    Shea, Kevin Peter; Fishback, Sarah Jane

    2012-01-01

    The stress of multiple combat tours has created a combat-tested but combat-weary Army. While most soldiers have coped successfully with combat stress, many return home with problems that include posttraumatic stress disorder (PTSD), depression, anxiety, aggressive behavior, insomnia, and reduced memory and concentration skills. Education is…

  20. A meta-analysis on the relationship between self-reported presence and anxiety in virtual reality exposure therapy for anxiety disorders

    OpenAIRE

    Yun Ling; Nefs, Harold T.; Nexhmedin Morina; Ingrid Heynderickx; Willem-Paul Brinkman

    2014-01-01

    In virtual reality exposure therapy (VRET) for anxiety disorders, sense of presence in the virtual environment is considered the principal mechanism that enables anxiety to be felt. Existing studies on the relation between sense of presence and level of anxiety, however, have yielded mixed results on the correlation between the two. In this meta-analysis, we reviewed publications on VRET for anxiety that included self-reported presence and anxiety. The comprehensive search of the literature i...

  1. Interim Brigade Combat Team: Indirect distributive fires concepts

    National Research Council Canada - National Science Library

    Gerard M Acosta; Christopher Menton

    2002-01-01

      The expectation that the Interim Brigade Combat Team will fight in a non-linear environment has forced units to develop new tactics to incorporate indirect fires to deliver rounds in a 360-degree zone...

  2. [Des Lacs National Wildlife Refuge habitat improvement to combat botulism

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This documents discusses the possibilities of ditching the Upper Des Lacs lake as a means of combating botulism on the Des Lacs National Wildlife Refuge.

  3. Technology to combat poaching: from the lab to the park

    CSIR Research Space (South Africa)

    Ramadeen, P

    2015-10-01

    Full Text Available South Africa is home to an estimated 80% of the world's rhino population. This presentation discusses technologies to combat poaching, from laboratories to safeguard experimentation that can be taken to South African National Parks....

  4. Strategies for Combating Global Economic Crisis in Nigeria through ...

    African Journals Online (AJOL)

    First Lady

    science teachers on the suggested strategies for combating global economic crisis in the country .... with what Mankiw (2001) observed that a nation's standard of living is determined ... Principles of Economics 2nd Edition fort work: Harcourt ...

  5. Role of infection control in combating antibiotic resistance | Whitelaw ...

    African Journals Online (AJOL)

    Role of infection control in combating antibiotic resistance. ... Log in or Register to get access to full text downloads. ... In resource-limited settings, the costs and potential benefits of screening programmes need to be carefully weighed up.

  6. Surgical exposure and crown lengthening for management of complicated fractures of maxillary anterior teeth. A case report.

    Science.gov (United States)

    Anand, Pradeep S; Ashok, Sukumaran; Nandakumar, K; Varghese, N O; Kamath, Kavitha P

    2013-11-01

    When a tooth fracture occurs, the fracture line can extend in a variety of directions, and the direction of the fracture line often dictates the treatment plan. In cases where fracture lines extend apical to the gingival margin, exposure of fractured margins becomes necessary. And management of such tooth fractures often requires an interdisciplinary approach involving endodontic, periodontic and restorative procedures. This article describes a case in which severely traumatized maxillary anterior teeth were managed by a combined approach involving surgical exposure and crown lengthening, endodontic and restorative procedures.

  7. Self-reported Occupational Skin Exposure and Risk of Physician-certified Long-term Sick Leave

    DEFF Research Database (Denmark)

    Alfonso, Jose Hernan; Tynes, Tore; Thyssen, Jacob P;

    2016-01-01

    Little is known about the contribution of occupational skin exposure as a risk factor for physician-certified long-term sick leave in the general working population of Norway. This study drew a cohort (n = 12,255; response at baseline 69.9%) randomly from the general population of Norway. Occupat......Little is known about the contribution of occupational skin exposure as a risk factor for physician-certified long-term sick leave in the general working population of Norway. This study drew a cohort (n = 12,255; response at baseline 69.9%) randomly from the general population of Norway...

  8. Exercise Design for the Joint Force 2020 Brigade Combat Team

    Science.gov (United States)

    2012-03-22

    actual combat. EXERCISE DESIGN FOR THE JOINT FORCE 2020 BRIGADE COMBAT TEAM In the 21st century, we do not have the luxury of deciding...businesses, painting contractors, gas stations and garages, and auto dealerships. There should also be banks and money lenders, restaurants and cafes... hotels , internet cafes, public utilities and associated infrastructure, as well as newspapers and radio stations. In addition to the portrayal of

  9. Combating Conflict Related Sexual Violence: More Than a Stability Concern

    Science.gov (United States)

    2014-06-13

    believed something was self evident but realized their belief was only shared in certain circles and wanted their understanding to spread to other...know about it (Enloe 2000, 111). If they fear they will be shamed, ostracized , or have a reduced chance for marriage or other life opportunities, or if...serves as communication between combatants. It communicates commitment, a sense of masculinity, and mutual esteem between combatants (Baaz and Stern

  10. A Baseline Analysis of Combat Logistics Force Scheduling Efficiency

    Science.gov (United States)

    2016-06-01

    only cost factors analyzed for underway periods. Maintenance, personnel, food , and consumable expenses increase the costs of CLF asset’s underway...resulting in a recommendation that the Fast Combat Support Ship (AOE) be the ship of choice due to better efficiency and cost to deliver commodity to...commodity available to customers. Efficiencies were compared before and after RASP, resulting in a recommendation that the Fast Combat Support Ship (AOE

  11. Outcomes of Internal Fixation in a Combat Environment

    Science.gov (United States)

    2010-01-01

    postoperative infection, had missed injuries. One was a closed bimalleolar ankle fracture that had the fibula fracture and syndesmosis inter- nally fixed...is to describe the outcomes of fractures that were internally fixed in the combat environment. The records of patients who had internal fixation...analyzed. Forty-seven patients had internal fixation performed on 50 fractures in a combat theater hospital. Hip, forearm, and ankle fractures made up the

  12. Prevalence and patterns of combat sport related maxillofacial injuries

    OpenAIRE

    2010-01-01

    Aim: This study was designed to assess the prevalence, distribution, and patterns of injury among athletes engaged in combat sports and compare the prevalence, pattern, and types of oral and maxillofacial trauma in these athletes. Materials and Methods: A total of 120 male athletes engaged in four combat sports (boxing, taekwondo, kickboxing, and Muay Thai) who had sustained bodily trauma were studied; 95 subjects with at least one traumatic injury to the face requiring treatment were referre...

  13. Prevalence and patterns of combat sport related maxillofacial injuries

    OpenAIRE

    Shirani Gholamreza; Motamedi Mohammad Hosein; Ashuri Alireza; Eshkevari Pooyan

    2010-01-01

    Aim: This study was designed to assess the prevalence, distribution, and patterns of injury among athletes engaged in combat sports and compare the prevalence, pattern, and types of oral and maxillofacial trauma in these athletes. Materials and Methods: A total of 120 male athletes engaged in four combat sports (boxing, taekwondo, kickboxing, and Muay Thai) who had sustained bodily trauma were studied; 95 subjects with at least one traumatic injury to the face requiring treatment were referre...

  14. Content Analysis and the Organization of Combat Intelligence Data

    Science.gov (United States)

    1978-02-01

    Rtstarck M«aor»4»B 78-7 CO o < CONTENT ANALYSIS AND THE ORGANIZATION OF COMBAT INTELLIGENCE DATA Murray S. Miron and Samuel W. Patten Syracuse...the Army Research Institute. y > /N u A A J^ 4 CONTENT ANALYSIS AND THE ORGANIZATION OF COMBAT INTELLIGENCE DATA \\ INTRODUCTION In order to...1966, p. 68). In content analysis , the General Inquirer functions as a well-trained clerk who assigns particular categories (specified by the

  15. MEDICIÓN DE LA IRA EN EL DEPORTE DE COMBATE: VALIDACIÓN DEL STAXI-2 EN DEPORTISTAS MEXICANOS/ MEASUREMENT OF ANGER IN COMBAT SPORT:VALIDATION OF STAXI-2 IN MEXICAN SPORTSMEN

    Directory of Open Access Journals (Sweden)

    Nazira Calleja Bello**

    2010-05-01

    Full Text Available RESUMENLa ira es una emoción que juega un papel fundamental en la ejecución de los deportes de combate. El propósito delpresente estudio fue desarrollar una versión para deportistas de combate del Inventario de Expresión de la Ira Estado-Rasgo, STAXI-2, versión española. La muestra estuvo conformada por 303 deportistas que formaban parte de las seleccionesnacionales mexicanas de cinco deportes de combate. Los resultados mostraron una estructura factorial similar a la versiónespañola, que reporta tres escalas: Ira-Estado, Ira-Rasgo y Expresión de Ira; sin embargo, de los 49 reactivos iniciales sólose conservaron 28, que se agruparon en siete factores y no en las nueve subescalas que conformaban el instrumento original.Los índices de consistencia interna fueron aceptables y se obtuvieron correlaciones significativas entre los factores, exceptocon el Control de la ira. El inventario obtenido es un instrumento válido y confiable para su utilización en la medición de laira en el deporte de combate.ABSTRACTThe anger is an emotion that plays a fundamental role in combat sports execution. The purpose of the present study wasto develop a version for combat sportsmen of the State-Trait Anger Expression Inventory, STAXI-2, Spanish version. Thesample was conformed by 303 sportsmen that were part of the selections national Mexicans of five combat sports. Theresults showed a similar factorial structure to the Spanish version which reports three scales: Anger-State, Anger-Trait andAnger-Expression; however, of the 49 initial items only 28 were conserved that grouped in seven factors and not in the ninesubscales that consisted the original instrument. The indexes of internal consistency were acceptable and significantcorrelations were obtained among the factors, except with the Anger-Control. The obtained inventory is a reliable and validfor its use in anger mensuration in combat sports.

  16. Challenges and Needs Faced by Female Combat Veterans.

    Science.gov (United States)

    Krajewski-Jaime, Elvia R; Whitehead, Markus; Kellman-Fritz, Jennifer

    This article presents findings of a study conducted to identify stressors that may contribute to mental health issues of military female veterans. Female members in the U.S. Armed Forces currently occupy more non-traditional roles; therefore deployment to combat zones, commonly reserved for males, is being taken on by females. While at the present time females serving in the military are not allowed to serve in combat occupations, the reality is that many are being placed in combat roles or environments. Consequently, many are now confronted with stressors related to combat and multiple deployments. This study was based on a descriptive, non-probability, snowball design. In cases where participants displayed a reluctance to share some information in front of counterparts who may have been at a higher or lower rank level; subsequent semi-structured, one-to-one interviews were conducted. The latter approach proved more effective in gathering important information, such as issues of military sexual trauma (MST) and issues of intimacy upon re-entering the home environment. This study was conducted before January 2013, when Defense Secretary Leon Panetta announced the lift of the ban on women serving in combat. Therefore, future studies will need to be conducted to discern how these stressors will affect them in their new role as active combatants.

  17. Appetitive aggression and adverse childhood experiences shape violent behavior in females formerly associated with combat

    Directory of Open Access Journals (Sweden)

    Mareike eAugsburger

    2015-11-01

    Full Text Available This study investigated the impact of violent experiences during childhood, posttraumatic stress disorder (PTSD and appetitive aggression on everyday violent behavior in Burundian females with varying participation in war. Moreover, group differences in trauma-related and aggression variables were expected. Appetitive aggression describes the perception of violence perpetration as fascinating and appealing and is a common phenomenon in former combatants. Semi-structured interviews were conducted with 157 females, either former combatants, supporters of armed forces or civilians during the civil war in Burundi. The PTSD Symptom Scale Interview was used to assess PTSD symptom severity, the Appetitive Aggression Scale to measure appetitive aggression and the Domestic and Community Violence Checklist to assess both childhood maltreatment and recent aggressive behavior. Former combatants had experienced more traumatic events, perpetrated more violence and reported higher levels of appetitive aggression than supporters and civilians. They also suffered more severely from PTSD symptoms than civilians but not than supporters. The groups did not differ regarding childhood maltreatment. Both appetitive aggression and childhood violence predicted ongoing aggressive behavior, whereas the latter outperformed PTSD symptom severity. These findings support current research showing that adverse childhood experiences and a positive attitude towards aggression serve as the basis for aggressive behavior and promote an ongoing cycle of violence in post-conflict regions. Female members of armed groups are in need of demobilization procedures including trauma-related care and interventions addressing appetitive aggression.

  18. Appetitive Aggression and Adverse Childhood Experiences Shape Violent Behavior in Females Formerly Associated with Combat.

    Science.gov (United States)

    Augsburger, Mareike; Meyer-Parlapanis, Danie; Bambonye, Manassé; Elbert, Thomas; Crombach, Anselm

    2015-01-01

    This study investigated the impact of violent experiences during childhood, posttraumatic stress disorder (PTSD) and appetitive aggression on everyday violent behavior in Burundian females with varying participation in war. Moreover, group differences in trauma-related and aggression variables were expected. Appetitive aggression describes the perception of violence perpetration as fascinating and appealing and is a common phenomenon in former combatants. Semi-structured interviews were conducted with 158 females, either former combatants, supporters of armed forces or civilians during the civil war in Burundi. The PTSD Symptom Scale Interview was used to assess PTSD symptom severity, the Appetitive Aggression Scale to measure appetitive aggression and the Domestic and Community Violence Checklist to assess both childhood maltreatment and recent aggressive behavior. Former combatants had experienced more traumatic events, perpetrated more violence and reported higher levels of appetitive aggression than supporters and civilians. They also suffered more severely from PTSD symptoms than civilians but not than supporters. The groups did not differ regarding childhood maltreatment. Both appetitive aggression and childhood violence predicted ongoing aggressive behavior, whereas the latter outperformed PTSD symptom severity. These findings support current research showing that adverse childhood experiences and a positive attitude toward aggression serve as the basis for aggressive behavior and promote an ongoing cycle of violence in post-conflict regions. Female members of armed groups are in need of demobilization procedures including trauma-related care and interventions addressing appetitive aggression.

  19. [Curse and blessing of combat ophthalmology in the 20th and 21st centuries].

    Science.gov (United States)

    Gümbel, H

    2009-08-01

    Combat injuries in the literature are dominated by reports on the rescue of life and body trauma treatment of casualties. In the 20th and 21st centuries, preservation of the eyes would be more and more an extremely important goal. In World War I and II and along with the trends in current warfare, automatic weapons and conventional munitions like shrapnel will continue to cause a significant percentage of all ocular trauma in combat. There are also laser weapons which have the potential to cause blinding eye injuries. In spite of the curse of war there are also blessings of combat ophthalmology like the invention of the intraocular lens after the Second World War, when the plexiglas of a broken cockpit canopy was found to be inert in penetrating eye injuries. A significant ly better eye protection was developed following terror attacks, such as terrorist blasts in the 21st century. Finally, every new generation of military ophthalmologists has had to learn on its own from earlier armed conflicts and some of this knowledge could be helpful for our patients in more peaceful times. Georg Thieme Verlag KG Stuttgart.New York.

  20. Including exposure dose in radiological reports: how? why?; Inscrire la dose d'exposition dans les comtes-rendus radiologiques: pourquoi? comment?

    Energy Technology Data Exchange (ETDEWEB)

    Brisse, H. [Institut Curie, Dept. d' Imagerie, 75 - Paris (France); Brisse, H.; Sirinelli, D.; Chateil, J.F.; Silberman, B.; Panuel, M.; Adamsbaum, C. [Societe Francophone d' Imagerie Pediatrique et Prenatale, 75 - Paris (France); Sirinelli, D. [Centre Hospitalier Universitaire de Clocheville, Service de Radiotherapie, 37 - Tours (France); Chateil, J.F. [Groupe Hospitalier Pellegrin, Unite de Radiotherapie, 33 - Bordeaux (France); Cordoliani, Y.S. [Centre Medico-Chirurgical de Parly 2, 78 - Le Chesnay (France); Aubert, B. [Institut de Radioprotection et de Surete Nucleaire (IRSN), Unite d' Expertise en Radioprotection Medicale, 92 - Fontenay aux Roses (France); Silberman, B. [Radiologie, 75 - Paris (France); Panuel, M. [Centre Hospitalier Universitaire Hopital Nord, Service de Radiologie, 13 - Marseille (France); Adamsbaum, C. [Hopital Saint Vincent de Paul, Service de Radiopediatrie, 75 - Paris (France)

    2007-03-15

    A statutory text obliges henceforth to register the dose of exposure in the radiological reports. It will allow to compare the quality of the examinations protocols and practices, to verify that the delivered doses are in coherence with the levels of diagnostic references, this statement is going to simplify the step of dosimetry statement intended for the I.R.S.N., finally this step will also allow to communicate on doses with the patients. The dose must appear in the report when the area explored is head, neck, thorax, breast, abdomen, pelvis. (N.C.)

  1. Suicide attempts in U.S. Army combat arms, special forces and combat medics.

    Science.gov (United States)

    Ursano, Robert J; Kessler, Ronald C; Naifeh, James A; Mash, Holly Herberman; Fullerton, Carol S; Ng, Tsz Hin Hinz; Aliaga, Pablo A; Wynn, Gary H; Dinh, Hieu M; McCarroll, James E; Sampson, Nancy A; Kao, Tzu-Cheg; Schoenbaum, Michael; Heeringa, Steven G; Stein, Murray B

    2017-05-25

    The U.S. Army suicide attempt rate increased sharply during the wars in Iraq and Afghanistan. Risk may vary according to occupation, which significantly influences the stressors that soldiers experience. Using administrative data from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS), we identified person-month records for all active duty Regular Army enlisted soldiers who had a medically documented suicide attempt from 2004 through 2009 (n = 9650) and an equal-probability sample of control person-months (n = 153,528). Logistic regression analyses examined the association of combat occupation (combat arms [CA], special forces [SF], combat medic [CM]) with suicide attempt, adjusting for socio-demographics, service-related characteristics, and prior mental health diagnosis. In adjusted models, the odds of attempting suicide were higher in CA (OR = 1.2 [95% CI: 1.1-1.2]) and CM (OR = 1.4 [95% CI: 1.3-1.5]), but lower in SF (OR = 0.3 [95% CI: 0.2-0.5]) compared to all other occupations. CA and CM had higher odds of suicide attempt than other occupations if never deployed (ORs = 1.1-1.5) or previously deployed (ORs = 1.2-1.3), but not when currently deployed. Occupation was associated with suicide attempt in the first ten years of service, but not beyond. In the first year of service, primarily a time of training, CM had higher odds of suicide attempt than both CA (OR = 1.4 [95% CI: 1.2-1.6]) and other occupations (OR = 1.5 [95% CI: 1.3-1.7]). Discrete-time hazard functions revealed that these occupations had distinct patterns of monthly risk during the first year of service. Military occupation can inform the understanding suicide attempt risk among soldiers.

  2. 76 FR 38175 - Notice of Release of the Exposure Draft Revisions to Identifying and Reporting Earmarked Funds...

    Science.gov (United States)

    2011-06-29

    ... Funds: Amending Statement of Federal Financial Accounting Standards 27 AGENCY: Federal Accounting... Financial Accounting Standards 27. The Exposure Draft is available on the FASAB home page http://www.fasab... From the Federal Register Online via the Government Publishing Office FEDERAL ACCOUNTING...

  3. Links between Self-Reported Media Violence Exposure and Teacher Ratings of Aggression and Prosocial Behavior among German Adolescents

    Science.gov (United States)

    Krahe, Barbara; Moller, Ingrid

    2011-01-01

    The relations between adolescents' habitual usage of media violence and their tendency to engage in aggressive and prosocial behavior in a school setting were examined in a cross-sectional study with 1688 7th and 8th graders in Germany who completed measures of violent media exposure and normative acceptance of aggression. For each participant,…

  4. Adaptive Disclosure: A Combat Specific PTSD Treatment

    Science.gov (United States)

    2017-03-31

    N/A Specific Objectives: Nothing to report. Key outcomes and findings: Nothing to report. Other achievements: Nothing to report. Stated goals...development: Nothing to report. Dissemination of results: Nothing to report. What do you plan to do in the next reporting period? Nothing to report (final...report). IMPACT: i. Impact on the development of the principal discipline of the project: Nothing to report. ii. Impact on other disciplines

  5. Combat Fluid Resuscitation Interoperable Capability (Capacite Interoperable de Liquides de Reanimation en Situation de Combat)

    Science.gov (United States)

    2010-10-01

    confère un avantage logistique important sur le terrain. Le médecin-chef adjoint a confirmé que les Services de santé des Forces canadiennes (SSFC...clinique tout en conférant un avantage logistique dans des environnements de combat difficiles. De nouveaux liquides de réanimation sont nécessaires pour...l’ensemble, le PDT de la CILRC a atteint ses objectifs. Plus spécifiquement, le projet a démontré : 1) l’avantage logistique potentiel des solutions

  6. A Survey of Combat Models for Use in CARF (Combat Active Replacement Factor) Value Generation

    Science.gov (United States)

    1985-03-01

    requirements for the degree of MASTER OF SCIENCE IN CPERATIONS RESEARCH from the NAVAL POSTGRADUATE SCHOOL darch 1985 Author: tv Approved by :... - n Z ...GENERATION OF A WARTIME ACTIVE REPLACEMENT FACTOR (WARF) 65 A. THE PREPROCESSER ................. 66 B. THE COMBAT SAMPLE GEERATOR (COSAGE) MODEL 66 C. THE...en -T,, , -T T L T 17, V 7777% T -T T K 97 7 Ř 7 T W 71 T 7 - Z W.; ., . 7. , II. THE CARF GENERA7ION SYSTEM TODAY The previous and current CARF

  7. Feasibility Study for Evaluating Cumulative Exposure of Downstream Migrant Juvenile Salmonids to Total Dissolved Gas. Final Report 1996.

    Energy Technology Data Exchange (ETDEWEB)

    Abernethy, C.Scott; Dauble, Dennis D.; Johnson, Robert L. [Pacific Northwest National Laboratory, Richland, WA (United States)

    1997-11-01

    A feasibility study was initiated to determine if downstream migrant salmonids could be monitored to determine potential relationships between total dissolved gas (TDG) exposure and signs of gas bubble trauma (GBT). The primary objectives were to: (1) establish logistical requirements for in-river monitoring of TDG exposure, including net pen design, deployment, and navigation constraints; (2) resolve uncertainties associated with effects of the net pen on fish behavior; (3) test the accuracy and precision of in-river monitoring equipment used to measure fish distribution and water quality; and (4) determine the application of hydrologic/flow models to predictions of TDG exposure. In-river measurements included water velocity, boat position, and selected water quality parameters (temperature, dissolved oxygen, pH, depth, conductivity). Fish distribution within the net pen was monitored using scanning sonar, and a split-beam echo sounder was used to evaluate vertical distribution of fish m in the river adjacent to the net pen. Three test drifts were conducted from late July through late August. The studies demonstrated that it was feasible to assemble and deploy a large net pen for mobile monitoring of TDG exposure. Accurate monitoring of vertical and lateral distribution of smolts was performed, and diel differences in behavior were documented. Further, the fish sounded in response to researcher activity on the perimeter platform. Thus, in-transit monitoring for GBT or mortality would affect fish depth distribution and exposure to TDG. Principal recommendations for future studies are directed at improving maneuverability of the net pen in adverse weather conditions and applying new acoustics technology to simultaneously collect fish distribution data from within and outside of the pen. 6 refs., 17 figs., 2 tabs.

  8. Combat Identification (15au): Project Summary and Closeout Report

    Science.gov (United States)

    2009-07-01

    méthodologie informatique pour étudier les effets de l’environnement (types d’indices visuels, par exemple) et du système (blue force tracking, le suivi des...résultats principaux du projet a été une méthodologie informatique pour l’évaluation de l’IDCbt. Les résultats de l’évaluation expérimentale ont...méthodologie informatique pour étudier les effets de l’environnement (types d’indices visuels, par exemple) et du système (blue force tracking, par

  9. Land Combat Systems Industry Report, Academic Year 2002-2003

    Science.gov (United States)

    2003-01-01

    technological gap currently existing between American and European capabilities. Despite considerable consolidation, the U.S. LCS industry stands...program will serve to increase the technological gap between the United States and its allies. This widening gap will continue to create

  10. Collection of DICOM RDSR (Digital Imaging and Communication in Medicine, Radiation Dose Structured Report) Information Aimed at Reducing Patient Exposure Dose.

    Science.gov (United States)

    Morota, Koichi; Moritake, Takashi; Sun, Lue; Ishihara, Takahiro; Kuma, Natsuyo; Murata, Satomi; Yamada, Takahiro; Okazaki, Ryuji

    2016-01-01

    The recent progress in angiography technology bestows benefits on patients for minimally invasive than surgery, while there has been an increase in the number of cases involving stochastic effects, such as radiation dermatitis, resulting from upgrading of the procedure because of an extension of the time for fluoroscopy and the number of shots. Recent CT equipment saves the dose data along with image data about the information management for patient exposure dose, which is used for management of individual cumulative dose and the presumed effective dose, using digital imaging and communication in medicine (DICOM). We extracted detailed information about shooting conditions and dose from the DICOM radiation dose structured report (DICOM RDSR) in the angiography area, and evaluated the trend of patient exposure dose in each procedure. As a result, we found that cases exceeding 3 Gy which needed observation in the head region were 16.7% and in the heart region were 27.3%. We also found that angiography had a higher dose of shooting than did fluoroscopy, and that the diagnosis and treatment with tumor involvement required a exposure dose than did vascular lesion. In this paper, we review the shooting conditions as a root of DICOM RDSR information and consider the possibility of planning for further reduction of the exposure dose.

  11. Reverse genetics approaches to combat pathogenic arenaviruses.

    Science.gov (United States)

    de la Torre, Juan C

    2008-12-01

    Several arenaviruses cause hemorrhagic fever (HF) in humans, and evidence indicates that the worldwide-distributed prototypic arenavirus lymphocytic choriomeningitis virus (LCMV) is a neglected human pathogen of clinical significance. Moreover, arenaviruses pose a biodefense threat. No licensed anti-arenavirus vaccines are available, and current anti-arenavirus therapy is limited to the use of ribavirin, which is only partially effective and is associated with anemia and other side effects. Therefore, it is important to develop effective vaccines and better antiviral drugs to combat the dual threats of naturally occurring and intentionally introduced arenavirus infections. The development of arenavirus reverse genetic systems is allowing investigators to conduct a detailed molecular characterization of the viral cis-acting signals and trans-acting factors that control each of the steps of the arenavirus life cycle, including RNA synthesis, packaging and budding. Knowledge derived from these studies is uncovering potential novel targets for therapeutic intervention, as well as facilitating the establishment of assays to identify and characterize candidate antiviral drugs capable of interfering with specific steps of the virus life cycle. Likewise, the ability to generate predetermined specific mutations within the arenavirus genome and analyze their phenotypic expression would significantly contribute to the elucidation of arenavirus-host interactions, including the basis of their ability to cause severe HF. This, in turn, could lead to the development of novel, potent and safe arenavirus vaccines.

  12. Combating gender based violence in Rwanda

    Directory of Open Access Journals (Sweden)

    Liberata Gahongayire

    2012-09-01

    Full Text Available Gender Based Violence (GBV exists in Rwanda as in many other African societies. Efforts are being made by Governments and NGOs to curb the menace and help its victims. This study examines these efforts with particular reference to the city of Kigali in Rwanda. The study reveals the prevalence and various strategies used by government and other organisations in combating the practice of GBV. According to the study effective response to the plight of GBV victims depends on the competence and expertise of various individuals and organisations involved in giving assistance to victims. The establishment of a one-stop assistance centre for GBV services in Kigali has successfully given much needed aid to victims. The study recommends that in order to eradicate GBV all the stakeholders should utilize available resources. Logistical, economic and socio-cultural constraints should be dealt with accordingly. Above all, the judiciary has a crucial role to play. An effective judicial system is needed to curb the practice.

  13. Combating the counterfeits with web portal technology

    Science.gov (United States)

    Ting, S. L.; Ip, W. H.

    2015-10-01

    Due to the globalisation of counterfeiting activities, the penetration of fake products in open market is growing. So far, the technologies to combat counterfeiting are mostly applied to high-value products (e.g. premium wine and branded handbags); however, in the medium- and low-value products' perspective, there is no secure way for consumers to identify whether the purchased items are genuine or not. To address the counterfeiting problems effectively, a platform for identifying authenticated products and promoting anti-counterfeit activities is very important. The aim of this paper is to design and develop an anti-counterfeit platform which includes two functions: providing customers a secure network to ascertain the genuineness of their purchased product and increasing public awareness of the current counterfeit problems and updated anti-counterfeit solutions. By combining these two functions, it enables public to fight against fake and beware of counterfeit. Results of adopting portal technology in anti-counterfeiting show high accuracy in product checking and improved creditability. This reveals that the applicability and advantage of the proposed methodology are satisfactory.

  14. Nanomaterials to Combat NO(x) Pollution.

    Science.gov (United States)

    Balbuena, J; Cruz-Yusta, M; Sánchez, L

    2015-09-01

    The presence of NO9x) gases (NO+NO2) in the atmosphere is a major concern of society because of their associated adverse and harmful effects. In order to remove the NO(x) gases from the air, photocatalysis arises as an innovative and promising technique. Through the use of photochemical oxidation processes the NO and NO2 gases are oxidised to NO3- form and thus removed from the air. In recent years new nanomaterials are being developed by researchers with the aim to enhance their photocatalytic activity to combat the NO(x) pollution. The main focus is devoted to preparing new TiO2 based compounds with the highest specific surface area (SSA), different morphology and chemical modifications. In order to increase the SSA, different substrates were used to disperse the TiO2 nanoparticles: organic and carbon fibres, mesoporous materials, clays composites and nanoporous microparticles. In the other hand, high photocatalytic performances were obtained with nanotubes, self-orderer nano-tubular films and nanoparticles with the lowest size. Conversely, when TiO2 is doped with ions the oxide exhibited a better photocatalytic performance under visible light, which is related to the creation of intermediate energy states between the conduction band and the valence band. Alternatively, visible light photocatalysts different from titanium oxide have been studied, which exhibit a good De-NO(x) efficiency working under λ > 400 nm visible light irradiation.

  15. Combative Sports Injuries: An Edmonton Retrospective.

    Science.gov (United States)

    Karpman, Shelby; Reid, Patrick; Phillips, Leah; Qin, Ziling; Gross, Douglas P

    2016-07-01

    Mixed martial arts (MMA) is an increasingly popular combative sport involving aggressive techniques that present substantial injury risk. We examined the incidence and types of injuries sustained in MMA fights and compared this with injuries sustained in boxing matches. Consecutive Case Series. We used data from post-fight medical examinations on all bouts in Edmonton, Canada, between 2000 and 2013. The participants were 1181 MMA competitors and 550 boxers. The attending physician conducted a mandatory post-fight examination of all fighters and documented the nature of injuries sustained. Boxers were significantly more likely not to experience injury (49.8% vs 59.4%, P < 0.001), whereas MMA fighters were significantly more likely to experience 1 injury (typically contusion/bruising, P < 0.001). Boxers were more likely to experience loss of consciousness (7.1% vs 4.2%, P = 0.01) and serious eye injury (1.1% vs 0.3%, P = 0.02). The overall injury incidence in MMA competitors appears slightly higher than for boxers, but MMA fighters experience more minor contusion/bruising injuries. Boxers are more likely to experience serious injury such as concussion/head trauma involving loss of consciousness or eye injury such as retinal detachment.

  16. Combating oil spill problem using plastic waste

    Energy Technology Data Exchange (ETDEWEB)

    Saleem, Junaid, E-mail: junaidupm@gmail.com [Department of Chemical Engineering, University of Karachi (Pakistan); Ning, Chao; Barford, John [Department of Chemical and Biomolecular Engineering, Hong Kong University of Science and Technology, Clear Water Bay, Kowloon (Hong Kong); McKay, Gordon [Department of Chemical and Biomolecular Engineering, Hong Kong University of Science and Technology, Clear Water Bay, Kowloon (Hong Kong); Division of Sustainable Development, College of Science, Engineering and Technology, Hamad Bin Khalifa University, Qatar Foundation, Doha (Qatar)

    2015-10-15

    Highlights: • Up-cycling one type of pollution i.e. plastic waste and successfully using it to combat the other type of pollution i.e. oil spill. • Synthesized oil sorbent that has extremely high oil uptake of 90 g/g after prolonged dripping of 1 h. • Synthesized porous oil sorbent film which not only facilitates in oil sorption but also increases the affinity between sorbent and oil by means of adhesion. - Abstract: Thermoplastic polymers (such as polypropylene, polyethylene, polyethylene terephthalate (PET) and high density polyethylene (HDPE)) constitute 5–15% of municipal solid waste produced across the world. A huge quantity of plastic waste is disposed of each year and is mostly either discarded in landfills or incinerated. On the other hand, the usage of synthetic polymers as oil sorbents, in particular, polyolefins, including polypropylene (PP), and polyethylene (PE) are the most commonly used oil sorbent materials mainly due to their low cost. However, they possess relatively low oil absorption capacities. In this work, we provide an innovative way to produce a value-added product such as oil-sorbent film with high practical oil uptake values in terms of g/g from waste HDPE bottles for rapid oil spill remedy.

  17. Selected Foreign Counterparts of U.S. Army Ground Combat Systems and Implications for Combat Operations and Modernization

    Science.gov (United States)

    2017-01-18

    not have a new ground combat vehicle under development and “at current funding levels, the Bradley and Abrams will remain in the inventory for 50...time since World War I, that the Army does not have a new ground combat vehicle under development and “at current funding levels, the Bradley and...Jane’s Land Warfare Platforms Armoured Fighting Vehicles, 2016-2017; IHS Jane’s Armour and Artillery, 2011-2012; and unclassified information provided to

  18. BiodosEPR-2006 consensus committee report on biodosimetric methods to evaluate radiation doses at long times after exposure

    Energy Technology Data Exchange (ETDEWEB)

    Simon, Steven L. [Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD (United States)], E-mail: ssimon@mail.nih.gov; Bailiff, Ian [Luminescence Dating and Dosimetry Laboratory, Durham University, Durham (United Kingdom); Bouville, Andre [Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD (United States); Fattibene, Paola [Istituto Superiore di Sanita and Istituto Nazionale di Fisica Nucleare, Rome (Italy); Kleinerman, Ruth A. [Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD (United States); Lloyd, David C. [Health Protection Agency, Radiation Protection Division, Chilton, Didcot, Oxfordshire (United Kingdom); McKeever, Stephen W.S. [Office of the Vice President for Research and Technology Transfer, Oklahoma State University, Stillwater, OK (United States); Romanyukha, Alexander [Department of Radiology, Uniformed Services, University of the Health Sciences, Bethesda, MD (United States); Sevan' kaev, Alexander V. [Medical Radiological Research Centre, Obninsk (Russian Federation); Tucker, James D. [Department of Biological Sciences, Wayne State University, Detroit, MI (United States); Wieser, Albrecht [GSF National Research Center, Institute of Radiation Protection, Neuherberg (Germany)

    2007-07-15

    The requirements for biodosimetric techniques used at long times after exposure, i.e., 6 months to more than 50 years, are unique compared to the requirements for methods used for immediate dose estimation. In addition to the fundamental requirement that the assay measures a physical or biologic change that is proportional to the energy absorbed, the signal must be highly stable over time to enable reasonably precise determinations of the absorbed dose decades later. The primary uses of these biodosimetric methods have been to support long-term health risk (epidemiologic) studies or to support compensation (damage) claims. For these reasons, the methods must be capable of estimating individual doses, rather than group mean doses. Even when individual dose estimates can be obtained, inter-individual variability remains as one of the most difficult problems in using biodosimetry measurements to rigorously quantify individual exposures. Other important criteria for biodosimetry methods include obtaining samples with minimal invasiveness, low detection limits, and high precision. Cost and other practical limitations generally prohibit biodosimetry measurements on a large enough sample to replace analytical dose reconstruction in epidemiologic investigations. However, these measurements can be extremely valuable as a means to corroborate analytical or model-based dose estimates, to help reduce uncertainty in individual doses estimated by other methods and techniques, and to assess bias in dose reconstruction models. There has been extensive use of three biodosimetric techniques in irradiated populations: EPR (using tooth enamel), FISH (using blood lymphocytes), and GPA (also using blood); these methods have been supplemented with luminescent methods applied to building materials and artifacts. A large number of investigations have used biodosimetric methods many years after external and, to a lesser extent, internal exposure to reconstruct doses received from accidents

  19. JCCRER Project 2.3 -- Deterministic effects of occupational exposure to radiation. Phase 1: Feasibility study; Final report

    Energy Technology Data Exchange (ETDEWEB)

    Okladnikova, N.; Pesternikova, V.; Sumina, M. [Inst. of Biophysics, Ozyorsk (Russian Federation)] [and others

    1998-12-01

    Phase 1 of Project 2.3, a short-term collaborative Feasibility Study, was funded for 12 months starting on 1 February 1996. The overall aim of the study was to determine the practical feasibility of using the dosimetric and clinical data on the MAYAK worker population to study the deterministic effects of exposure to external gamma radiation and to internal alpha radiation from inhaled plutonium. Phase 1 efforts were limited to the period of greatest worker exposure (1948--1954) and focused on collaboratively: assessing the comprehensiveness, availability, quality, and suitability of the Russian clinical and dosimetric data for the study of deterministic effects; creating an electronic data base containing complete clinical and dosimetric data on a small, representative sample of MAYAK workers; developing computer software for the testing of a currently used health risk model of hematopoietic effects; and familiarizing the US team with the Russian diagnostic criteria and techniques used in the identification of Chronic Radiation Sickness.

  20. The food and weight combat. A problematic fight for the elite combat sports athlete.

    Science.gov (United States)

    Pettersson, Stefan; Pipping Ekström, Marianne; Berg, Christina M

    2012-10-01

    Weight reduction in athletes is motivated by optimisation of performance, aesthetic reasons or to achieve a pre-designated weight. Previous research has shown that dietary restraint and short term weight regulation frequently takes place among combat sports athletes such as wrestlers and judokas. The aim of this study was to explore negative experiences related to dietary strategies and weight-making practises used by elite combat sports athletes. Using semi-structured interviews, 14 Swedish national team athletes in wrestling, judo and taekwondo were asked about their dietary intake and their engagement in both long- and short-term weight regulation practises. Content analysis of the transcribed interviews, display a constant struggle regarding nutritional standpoints. Sport demands such as achieving an optimal weight and nutritional intake were considered as central in order for excellent performance. Adhering to these demands was found to be problematic however, primarily because of; (1) negative physiological responses and (2) opposing ideals of a non-sport related nature, such as the importance of the athletes to be healthy and social in their everyday lives.