Simulating barrier penetration during combat. Technical report

International Nuclear Information System (INIS)

De Laquil, P. III.

1980-04-01

A computer program, BARS, simulates combat between an adversary group attempting to hijack special nuclear material and escort personnel attempting to protect it. BARS is designed to investigate how various combat strategies and levels of performance affect the time required to penetrate barriers (armor, deterrent systems, etc.) against forcible entry. A Monte Carlo code, BARS uses a game theoretic approach to allocate the attacking and defending forces. Combat suppression is simulated using a stochastic state-transition model for the behavior of individuals under combat stress. The BARS program was developed as part of the overall combat modelling effort of the transportation safeguards program

THE ROLES OF COMBAT EXPOSURE, PERSONAL VULNERABILITY, AND INVOLVEMENT IN HARM TO CIVILIANS OR PRISONERS IN VIETNAM WAR-RELATED POSTTRAUMATIC STRESS DISORDER.

Science.gov (United States)

Dohrenwend, Bruce P; Yager, Thomas J; Wall, Melanie M; Adams, Ben G

2013-07-01

The diagnosis, Posttraumatic Stress Disorder, was introduced in 1980 amidst debate about the psychiatric toll of the Vietnam War. There is controversy, however, about its central assumption that potentially traumatic stressors are more important than personal vulnerability in causing the disorder. We tested this assumption with data from a rigorously diagnosed male subsample (n = 260) from the National Vietnam Veterans Readjustment Study. Combat exposure, pre-war vulnerability, and involvement in harming civilians or prisoners were examined, with only combat exposure proving necessary for disorder onset. While none of the three factors proved sufficient, estimated onset reached 97% for veterans high on all three, with harm to civilians or prisoners showing the largest independent contribution. Severity of combat exposure proved more important than pre-war vulnerability in onset; pre-war vulnerability at least as important in long-term persistence. Implications for the primacy of the stressor assumption, further research, and policy are discussed.

Review of the toxicologic and radiologic risks to military personnel from exposure to depleted uranium during and after combat

National Research Council Canada - National Science Library

National Academies Press (U.S.); National Research Council (U.S.). Board on Environmental Studies and Toxicology; National Research Council (U.S.) Committee on Toxicologic and Radiologic Effects from Exposure to Depleted Uranium During and After Combat

2008-01-01

.... Depleted uranium is a toxic heavy metal and is weakly radioactive. Concerns have been raised about the adverse health effects from exposure to depleted uranium that is aerosolized during combat...

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.

Brain-derived neurotropic factor polymorphisms, traumatic stress, mild traumatic brain injury, and combat exposure contribute to postdeployment traumatic stress.

Science.gov (United States)

Dretsch, Michael N; Williams, Kathy; Emmerich, Tanja; Crynen, Gogce; Ait-Ghezala, Ghania; Chaytow, Helena; Mathura, Venkat; Crawford, Fiona C; Iverson, Grant L

2016-01-01

In addition to experiencing traumatic events while deployed in a combat environment, there are other factors that contribute to the development of posttraumatic stress disorder (PTSD) in military service members. This study explored the contribution of genetics, childhood environment, prior trauma, psychological, cognitive, and deployment factors to the development of traumatic stress following deployment. Both pre- and postdeployment data on 231 of 458 soldiers were analyzed. Postdeployment assessments occurred within 30 days from returning stateside and included a battery of psychological health, medical history, and demographic questionnaires; neurocognitive tests; and blood serum for the D2 dopamine receptor (DRD2), apolipoprotein E (APOE), and brain-derived neurotropic factor (BDNF) genes. Soldiers who screened positive for traumatic stress at postdeployment had significantly higher scores in depression (d = 1.91), anxiety (d = 1.61), poor sleep quality (d = 0.92), postconcussion symptoms (d = 2.21), alcohol use (d = 0.63), traumatic life events (d = 0.42), and combat exposure (d = 0.91). BDNF Val66 Met genotype was significantly associated with risk for sustaining a mild traumatic brain injury (mTBI) and screening positive for traumatic stress. Predeployment traumatic stress, greater combat exposure and sustaining an mTBI while deployed, and the BDNF Met/Met genotype accounted for 22% of the variance of postdeployment PTSD scores (R (2)  = 0.22, P PTSD scores. These findings suggest predeployment traumatic stress, genetic, and environmental factors have unique contributions to the development of combat-related traumatic stress in military service members.

Critical concerns in Iraq/Afghanistan war veteran-forensic interface: combat-related postdeployment criminal violence.

Science.gov (United States)

Sreenivasan, Shoba; Garrick, Thomas; McGuire, James; Smee, Daniel E; Dow, Daniel; Woehl, Daniel

2013-01-01

Identifying whether there is a nexus between Iraq and Afghanistan combat injuries and civilian violence on return from deployment is complicated by differences in reactions of individuals to combat exposure, the overlapping effects of traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD), and the low base rate of civilian violence after combat exposure. Moreover, the overall prevalence of violence among returning Iraq and Afghanistan combat war veterans has not been well documented. Malingered symptoms and either exaggeration or outright fabrication of war zone exposure are challenges to rendering forensic opinions, with the risk reduced by accessing military documents that corroborate war zone duties and exposure. This article serves as a first step toward understanding what may potentiate violence among returning Iraq and Afghanistan veterans. We offer a systematic approach toward the purpose of forensic case formulation that addresses whether combat duty/war zone exposure and associated clinical conditions are linked to criminal violence on return to civilian life.

Combat exposure, posttraumatic stress symptoms and risk-taking behavior in veterans of the Second Lebanon War.

Science.gov (United States)

Svetlicky, Vlad; Solomon, Zahava; Benbenishty, Rami; Levi, Ofir; Lubin, Gadi

2010-01-01

Prior research has revealed heightened risk-taking behavior among veterans with posttraumatic stress disorder (PTSD). This study examined whether the risktaking behavior is a direct outcome of the traumatic exposure or whether this relationship is mediated by posttraumatic stress symptoms. The sample was comprised of 180 traumatized Israeli reserve soldiers, who sought treatment in the wake of the Second Lebanon War. Combat exposure was indirectly associated with risk-taking behavior primarily through its relationship with posttraumatic stress symptoms. Results of the multivariate analyses depict the implication of posttraumatic stress symptoms in risk taking behavior, and the role of self-medication and of aggression in traumatized veterans.

A combined group treatment for nightmares and insomnia in combat veterans: a pilot study.

Science.gov (United States)

Swanson, Leslie M; Favorite, Todd K; Horin, Elizabeth; Arnedt, J Todd

2009-12-01

Insomnia and nightmares are hallmarks of posttraumatic stress disorder (PTSD). Sleep disturbances in PTSD negatively impact clinical course and functioning. In this open clinical trial, the preliminary effects of a combined treatment for insomnia and nightmares in combat veterans with PTSD were assessed. Ten combat veterans participated in a 10-session group treatment combining cognitive-behavioral therapy for insomnia with exposure, rescripting, and relaxation therapy. Participants maintained daily sleep and dream diaries and completed self-report measures of sleep quality and PTSD symptoms pre- and posttreatment. Participants reported improvements in sleep and nightmares following treatment. Future research using controlled designs to evaluate this treatment is warranted.

The Australian Vietnam Veterans Health Study: II. self-reported health of veterans compared with the Australian population.

Science.gov (United States)

O'Toole, B I; Marshall, R P; Grayson, D A; Schureck, R J; Dobson, M; Ffrench, M; Pulvertaft, B; Meldrum, L; Bolton, J; Vennard, J

1996-04-01

Self-reported physical health status of Australian Vietnam veterans was determined 20-25 years after the war and its relation to combat was investigated. An epidemiological cohort study of a simple random sample of Army veterans posted to Vietnam between 1964 and 1972 was conducted with personal interviews using the Australian Bureau of Statistics Health Interview Survey questionnaire to compare veterans with the Australian population and a 21-item combat exposure index used to measure the relationship of combat to physical health. Veterans reported greater health service usage and more recent health actions than population expectations. They also reported excess health problems in almost all recent illness disease categories except endocrine conditions and cardiovascular conditions; only 6 of 37 chronic disease groups were not elevated compared to the population. Adjustment for non-response changed estimates only slightly. Combat exposure was significantly related to reports of recent and chronic mental disorders, recent hernia and chronic ulcer, recent eczema and chronic rash, deafness, chronic infective and parasitic disease, chronic back disorders and symptoms, signs and ill-defined conditions. Combat exposure may have significantly increased reports of only some health problems. A general position to complain as a result of psychological conditions due to combat is not consistent with the lack of relationship between combat and reports of physical conditions.

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

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-01-01

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 established

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

Neural Correlates of Exposure to Traumatic Pictures and Sound in Vietnam Combat Veterans with and without Posttraumatic Stress Disorder: A Positron Emission Tomography Study

Science.gov (United States)

Bremner, J. Douglas; Staib, Lawrence H.; Kaloupek, Danny; Southwick, Steven M.; Soufer, Robert; Charney, Dennis S.

2011-01-01

Background Patients with posttraumatic stress disorder (PTSD) show a reliable increase in PTSD symptoms and physiological reactivity following exposure to traumatic pictures and sounds. In this study neural correlates of exposure to traumatic pictures and sounds were measured in PTSD. Methods Positron emission tomography and H2[15O] were used to measure cerebral blood flow during exposure to combat-related and neutral pictures and sounds in Vietnam combat veterans with and without PTSD. Results Exposure to traumatic material in PTSD (but not non-PTSD) subjects resulted in a decrease in blood flow in medial prefrontal cortex (area 25), an area postulated to play a role in emotion through inhibition of amygdala responsiveness. Non-PTSD subjects activated anterior cingulate (area 24) to a greater degree than PTSD patients. There were also differences in cerebral blood flow response in areas involved in memory and visuospatial processing (and by extension response to threat), including posterior cingulate (area 23), precentral (motor) and inferior parietal cortex, and lingual gyrus. There was a pattern of increases in PTSD and decreases in non-PTSD subjects in these areas. Conclusions The findings suggest that functional alterations in specific cortical and subcortical brain areas involved in memory, visuospatial processing, and emotion underlie the symptoms of patients with PTSD. PMID:10202567

Childhood trauma, combat trauma, and substance use in National Guard and reserve soldiers.

Science.gov (United States)

Vest, Bonnie M; Hoopsick, Rachel A; Homish, D Lynn; Daws, Rachel C; Homish, Gregory G

2018-02-27

The goal of this work was to examine associations among childhood trauma, combat trauma, and substance use (alcohol problems, frequent heavy drinking [FHD], current cigarette smoking, and current/lifetime drug use) and the interaction effects of childhood trauma and combat exposure on those associations among National Guard/reserve soldiers. Participants (N = 248) completed an electronic survey asking questions about their military experiences, physical and mental health, and substance use. Childhood trauma and combat exposure were examined jointly in regression models, controlling for age, marital satisfaction, and number of deployments. Childhood trauma was associated with current drug use (trend level, odds ratio [OR] = 1.44, 95% confidence interval [CI]: 0.97, 2.14; P = .072) in the main effect model; however, there was not a significant interaction with combat. Combat exposure had a significant interaction with childhood trauma on alcohol problems (b = -0.56, 95% CI: -1.12, -0.01; P = .048), FHD (b = -0.27, 95% CI: -0.47, -0.08; P = .007), and lifetime drug use (OR = 1.78, 95% CI: 1.04, 3.04; P = .035). There were no associations with either of the trauma measures and current cigarette smoking. These results demonstrate that childhood and combat trauma have differential effects on alcohol use, such that combat trauma may not add to the effect on alcohol use in those with greater child maltreatment but may contribute to greater alcohol use among those with low child maltreatment. As expected, childhood and combat trauma had synergistic effects on lifetime drug use. Screening for multiple types of trauma prior to enlistment and/or deployment may help to identify at-risk individuals and allow time for early intervention to prevent future adverse outcomes.

Combat Rescue Helicopter (CRH)

Science.gov (United States)

2015-12-01

Selected Acquisition Report (SAR) RCS: DD-A&T(Q&A)823-479 Combat Rescue Helicopter (CRH) As of FY 2017 President’s Budget Defense Acquisition...Name Combat Rescue Helicopter (CRH) DoD Component Air Force Responsible Office References SAR Baseline (Development Estimate) Defense Acquisition... Helicopter (CRH) system will provide Personnel Recovery (PR) forces with a vertical takeoff and landing aircraft that is quickly deployable and

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

International Nuclear Information System (INIS)

2000-01-01

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 established

The influence of combat and interpersonal trauma on PTSD, depression, and alcohol misuse in U.S. Gulf War and OEF/OIF women veterans.

Science.gov (United States)

Hassija, Christina M; Jakupcak, Matthew; Maguen, Shira; Shipherd, Jillian C

2012-04-01

The present study evaluated the impact of combat and interpersonal trauma exposure in a sample of 115 U.S. women veterans from Gulf War I and the Iraq and Afghanistan wars on 3 postdeployment trauma-related mental health outcomes: posttraumatic stress disorder symptoms (PSS), depressive symptom severity (DSS), and alcohol misuse. Patients presenting for healthcare services at a Veterans Affairs postdeployment health specialty clinic completed screening questionnaires that assessed combat exposure, lifetime interpersonal trauma history of childhood neglect, physical, or sexual abuse, and adult sexual and physical assault. In a regression model, combat exposure was the only significant independent variable associated with PSS, DSS, and alcohol misuse (β = .42, .27 and B = 1.58, respectively) even after adding lifetime interpersonal assault exposure to the model. Results highlight the negative effects of combat exposure on treatment-seeking women veterans' postdeployment mental health. Incorporating combat exposure into routine screening procedures for Gulf War and Iraq and Afghanistan war women veterans can aid in mental health treatment planning. Copyright © 2012 International Society for Traumatic Stress Studies.

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.

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.

University Research Initiative Program for Combat Readiness

Science.gov (United States)

1999-05-01

microscope image of one of the lenses. This array was selected for testing because it is fabricated in a relatively inexpensive polyacrylic material, the...potent analogues of the potassium -sparing diuretic, amiloride. However, our results 179 University Reasearch Initiative for Combat Readiness Annual Report...for Combat Readiness Annual Report for the period June 1, 1998 - June 30, 1999 Roger H. Sawyer University of South Carolina Columbia, SC 29208 May

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 (pEnduring Freedom (OEF). Results: 82 Aircrew (representing an aggregate of >89,000 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.

Thailand; Detailed Assessment Report on Anti-Money Laundering and Combating the Financing of Terrorism

OpenAIRE

International Monetary Fund

2007-01-01

This Detailed Assessment Report focuses on Anti-Money Laundering and Combating the Financing of Terrorism (AML/CFT) for Thailand. The report discusses that Thailand has a legal framework in the Anti-Money Laundering Act 1999 (AMLA) around which the core elements of its AML/CFT regime are established. The AMLA criminalizes money laundering by reference to eight predicate offenses and establishes the Anti-Money Laundering Office (AMLO) as Thailand’s financial intelligence unit. It imposes some ...

Urban Combat Advanced Training Technology Architecture (Architecture de technologie avancee pour l’entrainement au combat urbain)

Science.gov (United States)

2018-01-01

NORTH ATLANTIC TREATY ORGANIZATION SCIENCE AND TECHNOLOGY ORGANIZATION AC/323(MSG-098)TP/740 www.sto.nato.int STO TECHNICAL...REPORT TR-MSG-098 Urban Combat Advanced Training Technology Architecture (Architecture de technologie avancée pour l’entraînement au combat urbain...NORTH ATLANTIC TREATY ORGANIZATION SCIENCE AND TECHNOLOGY ORGANIZATION AC/323(MSG-098)TP/740 www.sto.nato.int STO TECHNICAL

Childhood maltreatment and combat posttraumatic stress differentially predict fear-related fronto-subcortical connectivity.

Science.gov (United States)

Birn, Rasmus M; Patriat, Rémi; Phillips, Mary L; Germain, Anne; Herringa, Ryan J

2014-10-01

Adult posttraumatic stress disorder (PTSD) has been characterized by altered fear-network connectivity. Childhood trauma is a major risk factor for adult PTSD, yet its contribution to fear-network connectivity in PTSD remains unexplored. We examined, within a single model, the contribution of childhood maltreatment, combat exposure, and combat-related posttraumatic stress symptoms (PTSS) to resting-state connectivity (rs-FC) of the amygdala and hippocampus in military veterans. Medication-free male veterans (n = 27, average 26.6 years) with a range of PTSS completed resting-state fMRI. Measures including the Clinician-Administered PTSD Scale (CAPS), Childhood Trauma Questionnaire (CTQ), and Combat Exposure Scale (CES) were used to predict rs-FC using multilinear regression. Fear-network seeds included the amygdala and hippocampus. Amygdala: CTQ predicted lower connectivity to ventromedial prefrontal cortex (vmPFC), but greater anticorrelation with dorsal/lateral PFC. CAPS positively predicted connectivity to insula, and loss of anticorrelation with dorsomedial/dorsolateral (dm/dl)PFC. Hippocampus: CTQ predicted lower connectivity to vmPFC, but greater anticorrelation with dm/dlPFC. CES predicted greater anticorrelation, whereas CAPS predicted less anticorrelation with dmPFC. Childhood trauma, combat exposure, and PTSS differentially predict fear-network rs-FC. Childhood maltreatment may weaken ventral prefrontal-subcortical circuitry important in automatic fear regulation, but, in a compensatory manner, may also strengthen dorsal prefrontal-subcortical pathways involved in more effortful emotion regulation. PTSD symptoms, in turn, appear to emerge with the loss of connectivity in the latter pathway. These findings suggest potential mechanisms by which developmental trauma exposure leads to adult PTSD, and which brain mechanisms are associated with the emergence of PTSD symptoms. © 2014 Wiley Periodicals, Inc.

The Influence of Combat Experience on Psychologically Healthy Soldiers' Attentiveness to Environmental Threats.

Science.gov (United States)

Ranes, Bethany; Long, Chris P; Traynham, Stephanie; Hayes, Amanda

2017-07-01

In contrast to previous research that has primarily examined how psychological disorders (e.g., post-traumatic stress disorder [PTSD], anxiety) are affected by and affect individuals' threat perceptions, this study examines the relationship between combat experience and threat-monitoring in psychologically healthy Soldiers. Existing research has established how prolonged or intense experiences with war-related stressors can lead individuals to undergo an unconscious fear-conditioning process that affects the circuitry of the prefrontal cortex, hippocampus, amygdala, and anterior cingulate cortex regions of the brain. We predict that the intensity of one's combat experience positively influences Soldiers' attention to environmental threats. Participants included U. S. Army Soldiers with a score of 50 or below on the PTSD Checklist-Military Version. Participants completed the Combat Exposure Scale and the State-Trait Anxiety Inventory. The experimental prediction task we employed assesses the expectation of an intrusively loud white noise sound that occurred on three variable patterns in a pseudorandomized order. Each tone pattern was used 20 times over a total of 60 trials. The experimental prediction task included two neutral tones (700 and 1,300 Hz) that were presented in a repeated pattern along with a 100-dB burst of white noise (0.5-second duration). In each trial, one of three possible tone combinations was presented. To assess their attentiveness to threats, participants were asked to continuously rate their expectancy of the burst of white noise using a visual analogue scale (VAS) ranging from 0 to 100. VAS ratings were collected at controlled points throughout the task. None of the participants reported scores on any of the diagnostic surveys that met standards for clinical significance. A repeated-measures analysis of variance was conducted to assess the overall effect of the three prediction conditions on participants' VAS ratings. There was a significant

Catecholamine Responses to Virtual Combat: Implications for Post-Traumatic Stress and Dimensions of Functioning

Directory of Open Access Journals (Sweden)

Krista Beth Highland

2015-03-01

Full Text Available PTSD symptoms can result in functional impairment among service members (SMs, even in those without a clinical diagnosis. The variability in outcomes may be related to underlying catecholamine mechanisms. Individuals with PTSD tend to have elevated basal catecholamine levels, though less is known regarding catecholamine responses to trauma-related stimuli. We assessed whether catecholamine responses to a virtual combat environment impact the relationship between PTSD symptom clusters and elements of functioning. Eighty-seven clinically healthy SMs, within 2 months after deployment to Iraq or Afghanistan, completed self-report measures, viewed virtual-reality (VR combat sequences, and had sequential blood draws. Norepinephrine responses to VR combat exposure moderated the relationship between avoidance symptoms and scales of functioning including physical functioning, physical-role functioning, and vitality. Among those with high levels of avoidance, norepinephrine change was inversely associated with functional status, whereas a positive correlation was observed for those with low levels of avoidance. Our findings represent a novel use of a virtual environment to display combat-related stimuli to returning SMs to elucidate mind-body connections inherent in their responses. The insight gained improves our understanding of post-deployment symptoms and quality of life in SMs and may facilitate enhancements in treatment. Further research is needed to validate these findings in other populations and to define the implications for treatment effectiveness.

Stigma associated with PTSD: perceptions of treatment seeking combat veterans.

Science.gov (United States)

Mittal, Dinesh; Drummond, Karen L; Blevins, Dean; Curran, Geoffrey; Corrigan, Patrick; Sullivan, Greer

2013-06-01

Although stigma associated with serious mental illness, substance abuse disorders, and depression has been studied very little is known about stigma associated with Posttraumatic Stress Disorder (PTSD). This study explored stigma related to PTSD among treatment-seeking Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) combat veterans. Sixteen treatment-seeking OEF/OIF veterans with combat-related PTSD participated in focus groups. We used qualitative methods to explore PTSD-related stigma. Common perceived stereotypes of treatment-seeking veterans with PTSD included labels such as "dangerous/violent," or "crazy," and a belief that combat veterans are responsible for having PTSD. Most participants reported avoiding treatment early on to circumvent a label of mental illness. Participants initially reported experiencing some degree of self-stigma; however, following engagement in treatment they predominantly resisted these stereotypes. Although most participants considered combat-related PTSD as less stigmatizing than other mental illnesses, they reported difficulties with reintegration. Such challenges likely stem from both PTSD symptoms and veterans' perceptions of how the public views them. Most reported that fellow combat veterans best understood them. Awareness of public stereotypes impacts help seeking at least early in the course of illness. Peer-based outreach and therapy groups may help veterans engage in treatment early and resist stigma. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

A Decade of War: Prospective Trajectories of Posttraumatic Stress Disorder Symptoms Among Deployed US Military Personnel and the Influence of Combat Exposure (Publisher’s Version)

Science.gov (United States)

2017-09-27

physical health (5) of service mem- bers. In addition, previous research indicates that exposure to combat may increase the likelihood of negative health ... physical , and behavioral health , studies have shown few negative effects of deployment with respect to posttraumatic stress disorder (PTSD) (10...American Journal of Epidemiology Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2017. This

An investigation of outcome expectancies as a predictor of treatment response for combat veterans with PTSD: comparison of clinician, self-report, and biological measures.

Science.gov (United States)

Price, Matthew; Maples, Jessica L; Jovanovic, Tanja; Norrholm, Seth D; Heekin, Mary; Rothbaum, Barbara O

2015-06-01

Outcome expectancy, or the degree to which a client believes that therapy will result in improvement, is related to improved treatment outcomes for multiple disorders. There is a paucity of research investigating this relation in regards to posttraumatic stress disorder (PTSD). Additionally, the bulk of the research on outcome expectancy and treatment outcomes has relied mostly on self-report outcome measures. The relation between outcome expectancy on self-report measures, clinician-rated measures, and two biological indices (fear-potentiated startle and cortisol reactivity) of PTSD symptoms was explored. The sample included combat veterans (N = 116) treated with virtual reality exposure therapy for PTSD. Results supported a negative association between outcome expectancy and both self-report and clinician-rated symptoms at the conclusion of treatment, but outcome expectancy was related to the magnitude of change during treatment for self-report measures only. Outcome expectancy was unrelated to biological measures of treatment response. These findings suggest that outcome expectancy may be related to patient and clinician perceptions of outcomes, but not biological indices of outcome for PTSD. © 2015 Wiley Periodicals, Inc.

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

Science.gov (United States)

2016-02-01

M. McInroy who provided input to the questionnaire and insured that the Army’s Centers of Excellence were aware of the importance of their students ...combat gear Qualify with weapon in combat gear Hit targets at night using aiming lights & night vision goggles Hit targets at night with thermal ...conditions, the junior and some of the senior enlisted were not comfortable under these conditions making it unsatisfactory. 10 Engineer. Different

Combat amputees' health-related quality of life and psychological outcomes: A brief report from the wounded warrior recovery project.

Science.gov (United States)

Woodruff, Susan I; Galarneau, Michael R; Sack, Daniel I; McCabe, Cameron T; Dye, Judy L

2017-03-01

This study extends what is known about long-term health-related quality of life (HrQoL) and other psychosocial outcomes (i.e., depression, posttraumatic stress disorder [PTSD]) among US military combat amputees serving in Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn. A total of 63 combat amputees were identified from the Wounded Warrior Recovery Project, a study assessing long-term self-reported HrQoL and psychological outcomes among those wounded during military service. Another 477 service members from the Wounded Warrior Recovery Project were identified as a comparison group (i.e., nonamputees with moderate to severe extremity injuries). After adjusting for age, time since injury, overall injury severity, and traumatic brain injury, amputees had poorer functional HrQoL than those in the nonamputee comparison group overall and in the specific area related to performance of usual activities, and, to some degree, chronic and acute symptoms, and mobility/self-care. On the other hand, depression and PTSD symptoms were not different for the two groups. Results suggest that when assessed over 5 years postinjury, on average, amputees have unique physical and functional limitations, yet do not report greater depression or PTSD symptoms than others seriously injured in combat. It may be that state-of-the-art integrated amputee care that includes support networks and emphasis on adjustment and psychological health may increase successful coping and adjustment, at least to a level that is on par with other types of serious combat injury. Epidemiologic/prognostic study, level III.

Littoral Combat Ship: Need to Address Fundamental Weaknesses in LCS and Frigate Acquisition Strategies

Science.gov (United States)

2016-06-01

LITTORAL COMBAT SHIP Need to Address Fundamental Weaknesses in LCS and Frigate Acquisition Strategies Report to...Office Highlights of GAO-16-356, a report to congressional committees June 2016 LITTORAL COMBAT SHIP Need to Address Fundamental Weaknesses in...capabilities of the LCS—a small surface combatant (SSC) consisting of a ship and reconfigurable mission packages built by two shipyards as different

POSTTRAUMATIC STRESS SYMPTOMS AND AVERSION TO AMBIGUOUS LOSSES IN COMBAT VETERANS.

Science.gov (United States)

Ruderman, Lital; Ehrlich, Daniel B; Roy, Alicia; Pietrzak, Robert H; Harpaz-Rotem, Ilan; Levy, Ifat

2016-07-01

Psychiatric symptoms typically cut across traditional diagnostic categories. In order to devise individually tailored treatments, there is a need to identify the basic mechanisms that underlie these symptoms. Behavioral economics provides a framework for studying these mechanisms at the behavioral level. Here, we utilized this framework to examine a widely ignored aspect of trauma-related symptomatology-individual uncertainty attitudes-in combat veterans with and without posttraumatic stress disorder (PTSD). Fifty-seven combat veterans, including 30 with PTSD and 27 without PTSD, completed a risk and ambiguity decision-making task that characterizes individual uncertainty attitudes, distinguishing between attitudes toward uncertain outcomes with known ("risk") and unknown ("ambiguity") probabilities, and between attitudes toward uncertain gains and uncertain losses. Participants' choices were used to estimate risk and ambiguity attitudes in the gain and loss domains. Veterans with PTSD were more averse to ambiguity, but not risk, compared to veterans without PTSD, when making choices between possible losses, but not gains. The degree of aversion was associated with anxious arousal (e.g., hypervigilance) symptoms, as well as with the degree of combat exposure. Moreover, ambiguity attitudes fully mediated the association between combat exposure and anxious arousal symptoms. These results provide a foundation for prospective studies of the causal association between ambiguity attitudes and trauma-related symptoms, as well as etiologic studies of the neural underpinnings of these behavioral outcomes. More generally, these results demonstrate the potential of neuroeconomic and behavioral economic techniques for devising objective and incentive-compatible diagnostic tools, and investigating the etiology of psychiatric disorders. © 2016 Wiley Periodicals, Inc.

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

A Meta-Analysis of Risk Factors for Combat-Related PTSD among Military Personnel and Veterans

Science.gov (United States)

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. PMID

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

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.

Effectiveness of battlefield-ethics training during combat deployment: a programme assessment.

Science.gov (United States)

Warner, Christopher H; Appenzeller, George N; Mobbs, Angela; Parker, Jessica R; Warner, Carolynn M; Grieger, Thomas; Hoge, Charles W

2011-09-03

Breakdowns in the ethical conduct of soldiers towards non-combatants on the battlefield are of grave concern in war. Evidence-based training approaches to prevent unethical conduct are scarce. We assessed the effectiveness of battlefield-ethics training and factors associated with unethical battlefield conduct. The training package, based on movie vignettes and leader-led discussions, was administered 7 to 8 months into a 15-month high-intensity combat deployment in Iraq, between Dec 11, 2007, and Jan 30, 2008. Soldiers from an infantry brigade combat team (total population about 3500) were randomly selected, on the basis of company and the last four digits of each soldier's social security number, and invited to complete an anonymous survey 3 months after completion of the training. Reports of unethical behaviour and attitudes in this sample were compared with a randomly selected pre-training sample from the same brigade. The response patterns for ethical behaviour and reporting of ethical violations were analysed with chi-square analyses. We developed two logistic regression models using self-reported unethical behaviours as dependent variables. Factors associated with unethical conduct, including combat experiences and post-traumatic stress disorder (PTSD), were assessed with validated scales. Of 500 randomly selected soldiers 421 agreed to participate in the anonymous post-training survey. A total of 397 soldiers of the same brigade completed the pre-training survey. Training was associated with significantly lower rates of unethical conduct of soldiers and greater willingness to report and address misconduct than in those before training. For example, reports of unnecessary damage or destruction of private property decreased from 13·6% (54 of 397; 95% CI 10·2-17·0) before training to 5·0% (21 of 421; 2·9-7·1) after training (percent difference -63·2%; pethics training positively influenced soldiers' understanding of how to interact with and treat non-combatants

The Impact of Combat Status on Veterans' Attitudes Toward Help Seeking: The Hierarchy of Combat Elitism.

Science.gov (United States)

Ashley, Wendy; Brown, Jodi Constantine

2015-01-01

Many veterans do not seek assistance for mental health concerns despite the staggering prevalence of trauma-related symptomatology. Barriers to service provision include personal and professional stigma and inter-veteran attitudes that dictate who is more or less deserving of services. Veteran attitudes are shaped by military culture, which promotes a hyper-masculine paradigm upholding combat experience as the defining feature of the "ideal soldier." The stratification of soldiers into combat or non-combat status creates a hierarchy of combat elitism that extends far beyond active duty. This pilot study surveyed veterans (n = 24) to explore how combat experience may affect attitudes toward help seeking. Findings indicate combat and non-combat veterans are less accepting of non-combat veterans' help-seeking behavior, supporting the notion that veterans' attitudes toward help seeking are influenced by combat status. Despite limitations, the results of this study reflect a need for increased attention to the attitudes veterans have about each other and themselves.

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

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 official competition than training sessions. Session-RPE was affected by participants' competitive level, the intensity of session (high vs. low), the training modalities (tactical-technical vs. technical-development vs. simulated

Are there atheists in foxholes? Combat intensity and religious behavior.

Science.gov (United States)

Wansink, Brian; Wansink, Craig S

2013-09-01

After battle, the moral and mortality stresses influence different soldiers in different ways. Using two large-scale surveys of World War II veterans, this research investigates the impact of combat on religiosity. Study 1 shows that as combat became more frightening, the percentage of soldiers who reported praying rose from 42 to 72%. Study 2 shows that 50 years later, many soldiers still exhibited religious behavior, but it varied by their war experience. Soldiers who faced heavy combat (vs. no combat) attended church 21% more often if they claimed their war experience was negative, but those who claimed their experience was positive attended 26% less often. The more a combat veteran disliked the war, the more religious they were 50 years later. While implications for counselors, clergy, support groups, and health practitioners are outlined, saying there are no atheists in foxholes may be less of an argument against atheism than it is against foxholes.

Post-combat syndromes from the Boer war to the Gulf war: a cluster analysis of their nature and attribution

Science.gov (United States)

Jones, Edgar; Hodgins-Vermaas, Robert; McCartney, Helen; Everitt, Brian; Beech, Charlotte; Poynter, Denise; Palmer, Ian; Hyams, Kenneth; Wessely, Simon

2002-01-01

Objectives To discover whether post-combat syndromes have existed after modern wars and what relation they bear to each other. Design Review of medical and military records of servicemen and cluster analysis of symptoms. Data sources Records for 1856 veterans randomly selected from war pension files awarded from 1872 and from the Medical Assessment Programme for Gulf war veterans. Main outcome measures Characteristic patterns of symptom clusters and their relation to dependent variables including war, diagnosis, predisposing physical illness, and exposure to combat; and servicemen's changing attributions for post-combat disorders. Results Three varieties of post-combat disorder were identified—a debility syndrome (associated with the 19th and early 20th centuries), somatic syndrome (related primarily to the first world war), and a neuropsychiatric syndrome (associated with the second world war and the Gulf conflict). The era in which the war occurred was overwhelmingly the best predictor of cluster membership. Conclusions All modern wars have been associated with a syndrome characterised by unexplained medical symptoms. The form that these assume, the terms used to describe them, and the explanations offered by servicemen and doctors seem to be influenced by advances in medical science, changes in the nature of warfare, and underlying cultural forces. What is already known on this topicService in the Gulf war is associated with an increased rate of reported symptoms and worsening subjective healthPost-combat syndromes have been described after most modern conflicts from the US civil war onwardsWhat this study addsThere seems to be no single post-combat syndrome but a number of variations on a themeThe ever changing form of post-combat syndromes seems to be related to advances in medical understanding, the developing nature of warfare, and cultural undercurrentsBecause reported symptoms are subject to bias and changing emphasis related to advances in medical

Weight Loss Strategies in Combat Sports and Concerning Habits in Mixed Martial Arts.

Science.gov (United States)

Barley, Oliver R; Chapman, Dale W; Abbiss, Chris R

2017-12-28

Combat sports are typically divided into weight classes and body mass manipulation to reach a weight class is commonplace. Previous research suggests that mixed martial arts (MMA) weight loss practices may be more extreme than other combat sports. We sought to investigate the magnitude of weight lost and prevalence of weight loss strategies in different combat sports. Competitors (n=637) from Brazilian jiu jitsu (BJJ), boxing, judo, MMA, muay Thai/kickboxing (MT/K), taekwondo (TKD) and wrestling completed an online questionnaire seeking information regarding their weight loss practices. Body mass manipulation was commonly undertaken by all combat sports athletes, with a particularly high incidence of gradual dieting, increased exercise and fluid restriction. Skipping meals was higher in TKD and wrestling (84%) compared with the other combat sports (~58%), whilst training in heated rooms and forced oral fluid loss (spitting) was higher in wrestling (83% and 47%, respectively) compared with other combat sports (~45% and ~19%, respectively). MMA athletes reported the highest usage of sauna (76%) and water loading (67%) whilst also reporting the second highest use of training in rubber/plastic suits (63%). Body mass manipulation was present in all combat sports with the prevalence and magnitude of acute weight loss greater in MMA. The incidence of and practices reported will assist support staff to be fully aware of the variety of methods these athletes and coaches may use to achieve weight loss. Additionally, the results could aid regulatory bodies in the further development of policies on weight cutting.

Regenerative medicine applications in combat casualty care.

Science.gov (United States)

Fleming, Mark E; Bharmal, Husain; Valerio, Ian

2014-03-01

The purpose of this report is to describe regenerative medicine applications in the management of complex injuries sustained by service members injured in support of the wars in Afghanistan and Iraq. Improvements in body armor, resuscitative techniques and faster transport have translated into increased patient survivability and more complex wounds. Combat-related blast injuries have resulted in multiple extremity injuries, significant tissue loss and amputations. Due to the limited availability and morbidity associated with autologous tissue donor sites, the introduction of regenerative medicine has been critical in managing war extremity injuries with composite massive tissue loss. Through case reports and clinical images, this report reviews the application of regenerative medicine modalities employed to manage combat-related injuries. It illustrates that the novel use of hybrid reconstructions combining traditional and regenerative medicine approaches are an effective tool in managing wounds. Lessons learned can be adapted to civilian care.

[Psychiatric, Cognitive and Emotional Profile in Ex-combatants of Illegal Armed Groups in Colombia].

Science.gov (United States)

Tobón, Carlos; Aguirre-Acevedo, Daniel Camilo; Velilla, Lina; Duque, Jon; Ramos, Claudia Patricia; Pineda, David

2016-01-01

Exposure to armed conflict produces biological adaptations oriented to handle the highly stressful conditions in war environments. The special features of The Colombian armed create a special scenario to evaluate the human behavior. In this study, psychiatric, cognitive and emotional processing characteristics of a group of Colombian armed illegal forces of ex-combatants are described. Sixty-three ex combatants and 22 controls were assessed with WAIS (IQ), INECO frontal screening (executive functions), Interpersonal Reactivity Index (empathy), emotional features recognition and MINI (psychiatric profile). When compared to the control group, ex-combatants showed higher frequency of antisocial personality disorder (P=.031) and behavioral dissocial disorder (P=.017). In cognitive profile, the ex-combatants showed a lower score in the executive function test (Me=18.50; RQ=4.00), control (Me=23.00; RQ=5.25), with a poor personal distress in emphatic profile (Me=10.00; RQ=5.00) compared to control group (Me=37.00; RQ=7.25). We found differences in cognitive and psychiatric profile in ex-combatants in comparison with controls. Copyright © 2015 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Mercury Report-Children's exposure to elemental mercury

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... gov . Mercury Background Mercury Report Additional Resources Mercury Report - Children's Exposure to Elemental Mercury Recommend on Facebook ... I limit exposure to mercury? Why was the report written? Children attending a daycare in New Jersey ...

NTPR Radiation Exposure Reports

Science.gov (United States)

History Documents US Underground Nuclear Test History Reports NTPR Radiation Exposure Reports Enewetak Atoll Cleanup Documents TRAC About Who We Are Our Values History Locations Our Leadership Director Support Center Contact Us FAQ Sheet Links Success Stories Contracts Business Opportunities Current

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.

Final Report: Summary of Findings and Recommendations for Suction Devices for Management of Prehospital Combat Casualty Care Injuries

Science.gov (United States)

2017-11-13

Airway Final Report: Summary of Findings and Recommendations for Suction Devices for Management of Prehospital Combat Casualty Care Injuries...Consumer Style Comparison Table of Suction Pump Devices ............................. 103 Appendix H – Web Links for Images for Consumer- Style ...0022 pg. 6 Executive Summary Suction is a critical component of airway management , which is the second leading cause of preventable

PTSD, combat injury, and headache in Veterans Returning from Iraq/Afghanistan.

Science.gov (United States)

Afari, Niloofar; Harder, Laura H; Madra, Naju J; Heppner, Pia S; Moeller-Bertram, Tobias; King, Clay; Baker, Dewleen G

2009-10-01

To examine the relationship between posttraumatic stress disorder, combat injury, and headache in Operation Iraqi Freedom and Operation Enduring Freedom veterans at the VA San Diego Healthcare System. Previous investigations suggest that a relationship between posttraumatic stress disorder and primary headache disorders exists and could be complicated by the contribution of physical injury, especially one that results in loss of consciousness. These associations have not been systematically examined in Operation Iraqi Freedom and Operation Enduring Freedom veterans. In this observational cross-sectional study, a battery of self-report, standardized questionnaires was completed by 308 newly registered veterans between March and October 2006. The Davidson Trauma Scale was used to determine the degree of posttraumatic stress disorder symptoms and combat-related physical injury was assessed by self-report. The presence of headache was based on a symptom checklist measure and self-reported doctor diagnoses. Logistic regression analysis was performed to predict presence of headache and determine odds ratios and 95% confidence intervals associated with demographic, military, in-theatre, and mental health characteristics. About 40% of the veterans met the criteria for posttraumatic stress disorder; 40% self-reported current headache, 10% reported a physician diagnosis of migraine, 12% a physician diagnosis of tension-type headache, and 6% reported both types of headache. Results from the logistic regression model indicated that combat-related physical injury (odds ratio: 2.25; 95% confidence interval: 1.17-4.33) and posttraumatic stress disorder (odds ratio: 4.13; 95% confidence interval: 2.44-6.99) were independent predictors of self-reported headache. Additional analyses found that veterans with both tension and migraine headache had higher rates of posttraumatic stress disorder (chi-square [d.f. = 3] = 15.89; P = .001) whereas veterans with migraine headache alone had

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.

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.

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

Exploiting Inhibitory Siglecs to Combat Food Allergies

Science.gov (United States)

2017-10-01

AWARD NUMBER: W81XWH-16-1-0302 TITLE: Exploiting Inhibitory Siglecs to Combat Food Allergies PRINCIPAL INVESTIGATOR: Michael Kulis, Ph.D...CONTRACTING ORGANIZATION: University of North Carolina at Chapel Hill Chapel Hill, NC 27599 REPORT DATES: October 2017 TYPE OF REPORT: Annual PREPARED FOR...Department of Defense, Washington Headquarters Services , Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite

Combat Risk and Pay: Theory and Some Evidence

Science.gov (United States)

2011-10-01

1776) theory of compensating differences, and Rosen (1986) devised what has become the standard neoclassical economic theory relating wages to the...I N S T I T U T E F O R D E F E N S E A N A L Y S E S IDA Paper P-4774 October 2011 Combat Risk and Pay: Theory and Some Evidence Curtis J. Simon...OCT 2011 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE Combat Risk and Pay: Theory and Some Evidence 5a. CONTRACT NUMBER 5b

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.

Occupational radiation exposure. Twelfth annual report, 1979

International Nuclear Information System (INIS)

Brooks, B.; McDonald, S.; Richardson, E.

1982-08-01

This report summarizes the occupational exposure data that is maintained in the US Nuclear Regulatory Commission's Radiation Exposure Information and Reports System (REIRS). This report is usually published on an annual basis and is available at all NRC public document rooms. The bulk of the information contained in the report was extracted from annual statistical reports submitted by all NRC licensees subject to the reporting requirements of 10 CFR 20.407. Four categories of licensees - operating nuclear power reactors, fuel fabricators and reprocessors, industrial radiographers, and manufacturers and distributors of specified quantities of byproduct materials - also submit personal identification and exposure information for terminating employees pursuant to 10 CFR 20.408, and some analysis of this data is also presented in this report

Virtual Individual Combatant Trainer for Embedded Rehearsal (VICTER)

National Research Council Canada - National Science Library

Barham, Paul

2002-01-01

Report developed under SBIR contract. Reality by Design, Inc. (RBD) presents its Phase 2 Plus results of developing a modular, man-in-the-loop, embedded simulation system for Individual Combatant (IC...

Differentiation of pain ratings in combat-related posttraumatic stress disorder.

Science.gov (United States)

Kraus, Anja; Geuze, Elbert; Schmahl, Christian; Greffrath, Wolfgang; Treede, Rolf-Detlef; Bohus, Martin; Vermetten, Eric

2009-06-01

Although posttraumatic stress disorder (PTSD) is associated with chronic pain, preliminary evidence suggests reduced experimental pain sensitivity in this disorder. The questions addressed in the present study were whether pain perception would also be reduced in PTSD patients who are not suffering from chronic pain symptoms, and whether a reduction in pain sensitivity would also be present in combat veterans who did not develop PTSD. For this, we determined thermal detection and pain thresholds in 10 male combat-related PTSD patients, 10 combat control subjects (no PTSD) and 10 healthy controls without combat experience. All subjects were pain free. First, we measured thermal sensory thresholds with ramped heat and cold stimuli using the method of limits. Ramped thermal sensory stimulation revealed no deficits for the detection of (non-noxious) f2.1thermal stimuli between groups. In contrast, heat and cold pain thresholds in both combat groups (PTSD and combat controls) were significantly increased compared to healthy controls. However, these stimuli could not distinguish between the two groups due to ceiling effects. When using longer-lasting heat stimulation at different temperatures (30s duration; method of fixed stimuli), we found significantly lower frequency of pain reports in PTSD patients compared with both combat and healthy controls, as well as significantly lower pain ratings. Our results suggest an association of PTSD with reduced pain sensitivity, which could be related to PTSD-related (neuro-)psychological alterations or to a pre-existing risk factor for the disorder.

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

Science.gov (United States)

2016-03-01

2016 Major Automated Information System Annual Report Global Combat Support System - Army Increment 2 (GCSS-A Inc 2) Defense Acquisition...Secretary of Defense PB - President’s Budget RDT&E - Research, Development, Test, and Evaluation SAE - Service Acquisition Executive TBD - To Be...Date Assigned: Program Information Program Name Global Combat Support System - Army Increment 2 (GCSS-A Inc 2) DoD Component Army Responsible

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.

Eighth annual occupational radiation exposure report, 1975

International Nuclear Information System (INIS)

Brooks, B.G.

1976-10-01

This is a report by the U.S. Nuclear Regulatory Commission on the operation of the Commission's centralized repository of personnel occupational radiation exposure information. Annual reports were received from 387 covered licensees indicating that some 78,713 individuals, having an average exposure of 0.36 rems, were monitored for exposure to radiation during 1975 and that 21,601 individuals terminated their employment or work assignment with covered licensees in 1975. The number of personnel overexposures reported in 1975 decreased from previous years. The most significant overexposures which occurred in 1975 are summarized

Child-Specific Exposure Scenarios Examples (Final Report)

Science.gov (United States)

EPA announced the availability of the final report, Child-Specific Exposure Scenarios Examples. This 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 r...

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.

DOE occupational radiation exposure 1996 report

International Nuclear Information System (INIS)

1996-01-01

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

DOE occupational radiation exposure. Report 1992--1994

International Nuclear Information System (INIS)

1997-01-01

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

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

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

Combat and peacekeeping operations in relation to prevalence of mental disorders and perceived need for mental health care: findings from a large representative sample of military personnel.

Science.gov (United States)

Sareen, Jitender; Cox, Brian J; Afifi, Tracie O; Stein, Murray B; Belik, Shay-Lee; Meadows, Graham; Asmundson, Gordon J G

2007-07-01

Although military personnel are trained for combat and peacekeeping operations, accumulating evidence indicates that deployment-related exposure to traumatic events is associated with mental health problems and mental health service use. To examine the relationships between combat and peacekeeping operations and the prevalence of mental disorders, self-perceived need for mental health care, mental health service use, and suicidality. Cross-sectional, population-based survey. Canadian military. A total of 8441 currently active military personnel (aged 16-54 years). The DSM-IV mental disorders (major depressive disorder, posttraumatic stress disorder, generalized anxiety disorder, panic disorder, social phobia, and alcohol dependence) were assessed using the World Mental Health version of the World Health Organization Composite International Diagnostic Interview, a fully structured lay-administered psychiatric interview. The survey included validated measures of self-perceived need for mental health treatment, mental health service use, and suicidal ideation. Lifetime exposure to peacekeeping and combat operations and witnessing atrocities or massacres (ie, mutilated bodies or mass killings) were assessed. The prevalences of any past-year mental disorder assessed in the survey and self-perceived need for care were 14.9% and 23.2%, respectively. Most individuals meeting the criteria for a mental disorder diagnosis did not use any mental health services. Deployment to combat operations and witnessing atrocities were associated with increased prevalence of mental disorders and perceived need for care. After adjusting for the effects of exposure to combat and witnessing atrocities, deployment to peacekeeping operations was not associated with increased prevalence of mental disorders. This is the first study to use a representative sample of active military personnel to examine the relationship between deployment-related experiences and mental health problems. It provides

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.

Decreased somatosensory activity to non-threatening touch in combat veterans with posttraumatic stress disorder.

Science.gov (United States)

Badura-Brack, Amy S; Becker, Katherine M; McDermott, Timothy J; Ryan, Tara J; Becker, Madelyn M; Hearley, Allison R; Heinrichs-Graham, Elizabeth; Wilson, Tony W

2015-08-30

Posttraumatic stress disorder (PTSD) is a severe psychiatric disorder prevalent in combat veterans. Previous neuroimaging studies have demonstrated that patients with PTSD exhibit abnormal responses to non-threatening visual and auditory stimuli, but have not examined somatosensory processing. Thirty male combat veterans, 16 with PTSD and 14 without, completed a tactile stimulation task during a 306-sensor magnetoencephalography (MEG) recording. Significant oscillatory neural responses were imaged using a beamforming approach. Participants also completed clinical assessments of PTSD, combat exposure, and depression. We found that veterans with PTSD exhibited significantly reduced activity during early (0-125 ms) tactile processing compared with combat controls. Specifically, veterans with PTSD had weaker activity in the left postcentral gyrus, left superior parietal area, and right prefrontal cortex in response to nonthreatening tactile stimulation relative to veterans without PTSD. The magnitude of activity in these brain regions was inversely correlated with symptom severity, indicating that those with the most severe PTSD had the most abnormal neural responses. Our findings are consistent with a resource allocation view of perceptual processing in PTSD, which directs attention away from nonthreatening sensory information. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Combat Power Analysis is Combat Power Density

Science.gov (United States)

2012-05-17

Lanchester equations, Weapon Effectiveness Index (WEI), Weighted Unit Value (WUV), Armored Division Equivalents (ADE), and Unit Frontages. The research...6 Lanchester Equations... Lanchester Equations ............................................................................................... 53 Appendix C: Relative Combat Power

On shelterbelt design for combating sand invasion.

NARCIS (Netherlands)

Mohammed, A.E.; Stigter, C.J.; Adam, H.S.

1996-01-01

After a review of the scarce literature on using trees against sand encroachment, a quantitative experiment with a wide shelterbelt to combat sand invasion is reported on. Experimental work was carried out at the northwestern border of the Gezira Scheme (Sudan), an area of severe land degradation

The report of medical exposures in diagnostic radiology. Pt. 1. The questionnaire of medical exposure and standard radiation exposure

International Nuclear Information System (INIS)

Sasakawa, Yasuhiro; Matsumura, Yoshitaka; Iwasaki, Takanobu; Segawa, Hiroo; Yasuda, Sadatoshi; Kusuhara, Toshiaki

1997-01-01

We had made reports of patient radiation exposure for doctors to judge adaptation of medical radiation rightly. By these reports the doctors can be offered data of exposure dose and somatic effect. First, we sent out questionnaires so that we grasped the doctor's understanding about radiation exposure. Consequently we understood that the doctors had demanded data of exposure dose and somatic effect. Secondly, by the result of questionnaires we made the tables of exposure dose about radiological examination. As a result we have be able to presume exposure dose about high radiation sensitive organization as concrete figures. (author)

Russia's Chechen Wars 1994-2000: Lessons from Urban Combat

National Research Council Canada - National Science Library

Oliker, Olga

2001-01-01

This report provides an analysis of Russian combat in Chechnya beginning with the first modern Chechen war of 1994-1996 and comparing and contrasting it with the ongoing conflict that began in 1999...

Acquisition of the Objective Individual Combat Weapon Increments II and III

National Research Council Canada - National Science Library

Jolliffe, Richard B; Meling, John E; Snider, Jack D; Klein, Kevin W; Thomas, Deborah J; Rodriguez-Velazquez, Zelideth; Milner, Jillisa H

2006-01-01

...). The first report, DoD Inspector General Report No. D-2006-004, "Acquisition of the Objective Individual Combat Weapon," October 7, 2005, addressed an internal control weakness associated with the Office of the Assistant Secretary of the Army...

Atypical Modulations of N170 Component during Emotional Processing and Their Links to Social Behaviors in Ex-combatants.

Science.gov (United States)

Trujillo, Sandra P; Valencia, Stella; Trujillo, Natalia; Ugarriza, Juan E; Rodríguez, Mónica V; Rendón, Jorge; Pineda, David A; López, José D; Ibañez, Agustín; Parra, Mario A

2017-01-01

Emotional processing (EP) is crucial for the elaboration and implementation of adaptive social strategies. EP is also necessary for the expression of social cognition and behavior (SCB) patterns. It is well-known that war contexts induce socio-emotional atypical functioning, in particular for those who participate in combats. Thus, ex-combatants represent an ideal non-clinical population to explore EP modulation and to evaluate its relation with SCB. The aim of this study was to explore EP and its relation with SCB dimensions such as empathy, theory of mind and social skills in a sample of 50 subjects, of which 30 were ex-combatants from illegally armed groups in Colombia, and 20 controls without combat experience. We adapted an Emotional Recognition Task for faces and words and synchronized it with electroencephalographic recording. Ex-combatants presented with higher assertion skills and showed more pronounced brain responses to faces than Controls. They did not show the bias toward anger observed in control participants whereby the latter group was more likely to misclassify neutral faces as angry. However, ex-combatants showed an atypical word valence processing. That is, words with different emotions yielded no differences in N170 modulations. SCB variables were successfully predicted by neurocognitive variables. Our results suggest that in ex-combatants the links between EP and SCB functions are reorganized. This may reflect neurocognitive modulations associated to chronic exposure to war experiences.

Atypical Modulations of N170 Component during Emotional Processing and Their Links to Social Behaviors in Ex-combatants

Directory of Open Access Journals (Sweden)

Sandra P. Trujillo

2017-05-01

Full Text Available Emotional processing (EP is crucial for the elaboration and implementation of adaptive social strategies. EP is also necessary for the expression of social cognition and behavior (SCB patterns. It is well-known that war contexts induce socio-emotional atypical functioning, in particular for those who participate in combats. Thus, ex-combatants represent an ideal non-clinical population to explore EP modulation and to evaluate its relation with SCB. The aim of this study was to explore EP and its relation with SCB dimensions such as empathy, theory of mind and social skills in a sample of 50 subjects, of which 30 were ex-combatants from illegally armed groups in Colombia, and 20 controls without combat experience. We adapted an Emotional Recognition Task for faces and words and synchronized it with electroencephalographic recording. Ex-combatants presented with higher assertion skills and showed more pronounced brain responses to faces than Controls. They did not show the bias toward anger observed in control participants whereby the latter group was more likely to misclassify neutral faces as angry. However, ex-combatants showed an atypical word valence processing. That is, words with different emotions yielded no differences in N170 modulations. SCB variables were successfully predicted by neurocognitive variables. Our results suggest that in ex-combatants the links between EP and SCB functions are reorganized. This may reflect neurocognitive modulations associated to chronic exposure to war experiences.

NUCLEAR NONPROLIFERATION: U.S. Efforts to Combat Nuclear Smuggling

National Research Council Canada - National Science Library

2002-01-01

...) information about efforts to combat nuclear smuggling at U.S. borders. My statement today is based on the results of our May 16, 2002, report on this subject1 and information we obtained from the U.S...

Applications of Capstone depleted uranium aerosol risk data to military combat risk management.

Science.gov (United States)

Daxon, Eric G; Parkhurst, Mary Ann; 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 takes 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 radiation risk management approach. The approach developed equates the Radiation Exposure Status categories to the estimated radiological risks of DU and makes use of the Capstone-developed Renal Effects Group 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.

Applications of Capstone Depleted Uranium Aerosol Risk Data to Military Combat Risk Management

International Nuclear Information System (INIS)

Daxon, Eric G.; Parkhurst, MaryAnn; Melanson, Mark A.; Roszell, Laurie E.

2009-01-01

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

Rehabilitation and multiple limb amputations: A clinical report of patients injured in combat.

Science.gov (United States)

Melcer, Ted; Pyo, Jay; Walker, Jay; Quinn, Kimberly; Lebedda, Martin; Neises, Kamaran; Nguyen, Christina; Galarneau, Michael

2016-01-01

This clinical report describes the outpatient rehabilitation program for patients with multiple limb amputations enrolled in the Comprehensive Combat and Complex Casualty Care facility at the Naval Medical Center San Diego. Injury-specific data for 29 of these patients wounded by blast weaponry in Afghanistan in 2010 or 2011 were captured by the Expeditionary Medical Encounter Database at the Naval Health Research Center and were reviewed for this report. Their median Injury Severity Score was 27 (N = 29; range, 11-54). Patients averaged seven moderate to serious injuries (Abbreviated Injury Scale scores ≥2), including multiple injuries to lower limbs and injuries to the torso and/or upper limbs. All patients received care from numerous clinics, particularly physical therapy during the first 6 mo postinjury. Clinic use generally declined after the first 6 mo with the exception of prosthetic devices and repairs. The clinical team implemented the Mayo-Portland Adaptability Inventory, 4th Revision (MPAI-4) to assess functioning at outpatient program initiation and discharge (n = 23). At program discharge, most patients had improved scores for the MPAI-4 items assessing mobility, pain, and transportation, but not employment. Case reports described rehabilitation for two patients with triple amputations and illustrated multispecialty care and contrasting solutions for limb prostheses.

Xylazine Exposures Reported to Texas Poison Centers.

Science.gov (United States)

Forrester, Mathias B

2016-10-01

Xylazine is a sedative, analgesic, anesthetic, and central muscle relaxant approved for animals but not humans. Although xylazine is an emerging drug of abuse, there are limited data on potentially adverse exposures to the drug. The intent of this study was to describe potentially adverse xylazine exposures reported to a large poison center system. All xylazine exposures reported to Texas poison centers between 2000 and 2014 were included. The distribution of cases by select variables was determined. Of 76 total cases, 93% of the patients were ≥20 years of age, and 54% were male. Fifty-one percent of the exposures occurred by injection, 28% by ingestion, 16% were dermal, 14% were ocular, and 3% by inhalation. Sixty-four percent of the exposures were unintentional, 32% were intentional, and 1% each was related to malicious use and adverse reaction. Sixty-seven percent of the patients were already at or en route to a health care facility when the poison center was contacted, 21% were managed on-site, and 9% were referred to a health care facility. The most common clinical effects were drowsiness or lethargy (47%), bradycardia (20%), hypotension (11%), hypertension (9%), puncture or wound (8%), and slurred speech (8%). Xylazine exposures tended to involve patients who were adult males, exposures were typically unintentional; and most often occurred by injection. Most of the patients were already at or en route to a health care facility when a poison center was contacted. The most frequently reported adverse effects were cardiovascular or neurologic in nature. Copyright © 2016 Elsevier Inc. All rights reserved.

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.

Intelligently interactive combat simulation

Science.gov (United States)

Fogel, Lawrence J.; Porto, Vincent W.; Alexander, Steven M.

2001-09-01

To be fully effective, combat simulation must include an intelligently interactive enemy... one that can be calibrated. But human operated combat simulations are uncalibratable, for we learn during the engagement, there's no average enemy, and we cannot replicate their culture/personality. Rule-based combat simulations (expert systems) are not interactive. They do not take advantage of unexpected mistakes, learn, innovate, and reflect the changing mission/situation. And it is presumed that the enemy does not have a copy of the rules, that the available experts are good enough, that they know why they did what they did, that their combat experience provides a sufficient sample and that we know how to combine the rules offered by differing experts. Indeed, expert systems become increasingly complex, costly to develop, and brittle. They have face validity but may be misleading. In contrast, intelligently interactive combat simulation is purpose- driven. Each player is given a well-defined mission, reference to the available weapons/platforms, their dynamics, and the sensed environment. Optimal tactics are discovered online and in real-time by simulating phenotypic evolution in fast time. The initial behaviors are generated randomly or include hints. The process then learns without instruction. The Valuated State Space Approach provides a convenient way to represent any purpose/mission. Evolutionary programming searches the domain of possible tactics in a highly efficient manner. Coupled together, these provide a basis for cruise missile mission planning, and for driving tank warfare simulation. This approach is now being explored to benefit Air Force simulations by a shell that can enhance the original simulation.

Impact of military trauma exposures on posttraumatic stress and depression in female veterans.

Science.gov (United States)

Goldstein, Lizabeth A; Dinh, Julie; Donalson, Rosemary; Hebenstreit, Claire L; Maguen, Shira

2017-03-01

Previous research has demonstrated the deleterious effects of traumatic military experiences on symptoms of posttraumatic stress disorder (PTSD) and depression in female veterans. However, more research is needed to identify the unique predictors of distressing psychological symptoms when both combat-related and sexual trauma are considered, particularly as women's combat exposure in the military increases. Female veterans who had attended at least one appointment at a large Veterans Health Administration medical center were invited to complete questionnaires about traumatic military exposures and psychiatric symptoms. A total of 403 veterans responded, with 383 respondents' data used in analyses. Multiple regression analyses were conducted with trauma exposure items entered simultaneously to determine their association with symptoms of (1) PTSD and (2) depression. Sexual assault had the strongest relationship with both posttraumatic and depressive symptoms. Sexual assault, sexual harassment, feeling in danger of being killed, and seeing others killed/injured were associated with symptoms of PTSD, but only sexual assault and sexual harassment were associated with symptoms of depression, even when accounting for several aspects of combat exposure. Improving assessment for trauma exposure and developing treatments personalized to type of trauma experienced are important clinical research priorities as female service members' roles in the military expand. Published by Elsevier B.V.

Combat-Related Facial Burns: Analysis of Strategic Pitfalls

Science.gov (United States)

2015-01-01

OMB control number. 1. REPORT DATE 01 JAN 2015 2. REPORT TYPE N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE Combat Related Facial Burns...facial autograft failure, number and types of early eyelid release procedures, rates of concomitant facial fractures, associated fungal infec- tion...allograft or autograft. In a pro- spective observational study examining the late out- comes of grafting of burned faces, the surgeon debrided the wound

Littoral Combat Vessels: Analysis and Comparison of Designs

National Research Council Canada - National Science Library

Christiansen, Bryan J

2008-01-01

.... The candidates are a Littoral Combat Ship with a surface warfare module, a National Security Cutter augmented with offensive and defensive weaponry, a "Sea Lance" inshore combat vessel, and a Combat...

A Prospective Observation Study of Medical Toxicology Consultation in a U.S. Combat Theater.

Science.gov (United States)

Maddry, Joseph K; Ng, Patrick C; Sessions, Daniel; Bebarta, Vikhyat S

2016-11-01

Since 2001, U.S. military personnel and active duty, uniformed physicians providing medical support have been deployed to Afghanistan. Medical toxicologists are among the physicians deployed. There is a paucity of information present in the literature that has documented cases treated by toxicologists in theater. This prospective observational study describes 15 male patients treated in theater by a military medical toxicologist. We performed a prospective observational study in which a medical toxicologist consulted and reported on deployed toxicology cases occurring during a 5-month deployment to Bagram, Afghanistan. Fifteen toxicology cases were collected during the 5-month period. The patients included three Afghan civilians, three U.S. civilians, and nine U.S. military personnel. Eight cases were attempts at recreational euphoria, two were self-harm attempts, two were from performance-enhancing supplements, two were accidental occupational exposures and one was alcohol withdrawal. Methanol was the most common exposure followed by dextromethorphan, supplements, opiates, and chlorine gas. In our study, we found that toxic alcohols and nonprescription medications were the most common exposures. In addition, this is the first study to describe bedside toxicology consults for U.S. combat forces in theater and the use of an observation unit for critically ill patients. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

Impact of combat and sexual harassment on the severity of posttraumatic stress disorder among men and women peacekeepers in Somalia.

Science.gov (United States)

Fontana, A; Litz, B; Rosenheck, R

2000-03-01

The impact of combat and sexual harassment on the severity of posttraumatic stress disorder (PTSD) is compared for 1,307 men and 197 women peacekeepers who served in the same military units. A theoretical model was proposed to express the nature of the impact. Structural equation modeling was used to evaluate the model separately for men and women. Good-fitting, parsimonious models were developed that showed substantial similarity for men and women. For men, severity of PTSD symptoms was impacted by exposure to combat directly and indirectly through fear and sexual harassment. For women, severity of PTSD symptoms was impacted by combat indirectly through the same two influences, although the mechanisms involving fear and sexual harassment were somewhat different. For both genders, moreover, PTSD severity was impacted directly by exposure to the dying of the Somali people. These similarities suggest that in modern stressful overseas military missions, both genders may be susceptible to the same types of risk for the development of PTSD. The incidence and impact of sexual harassment is particularly noteworthy in the case of men and calls for more detailed investigation in future studies.

CONCEPTUALISATION ONTOLOGIQUE DE LA REPRÉSENTATION DU COMBAT CONCEPTUALISATION ONTOLOGIQUE DE LA REPRÉSENTATION DU COMBAT

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Sylvain Rheault

2012-10-01

Full Text Available En adoptant une perspective existentielle, on peut tenter d'expliquer la représentation du combat au moyen de concepts comme les positions de SOI et de L'AUTRE ainsi que les statuts de l'ÊTRE et de la CHOSE, qui, une fois combinés, définissent des domaines ontologiques. Le combat devient alors, conceptuellement, l'action de forcer une conscience à passer d'un domaine à un autre. On observe qu'en modifiant l'intensité des positions (polarisation, des statuts (hiérarchisation et des actions (dosage, on peut expliquer les variations possibles des représentations du combat. Il restera à valider la pertinence de ces concepts en multipliant les analyses.En adoptant une perspective existentielle, on peut tenter d'expliquer la représentation du combat au moyen de concepts comme les positions de SOI et de L'AUTRE ainsi que les statuts de l'ÊTRE et de la CHOSE, qui, une fois combinés, définissent des domaines ontologiques. Le combat devient alors, conceptuellement, l'action de forcer une conscience à passer d'un domaine à un autre. On observe qu'en modifiant l'intensité des positions (polarisation, des statuts (hiérarchisation et des actions (dosage, on peut expliquer les variations possibles des représentations du combat. Il restera à valider la pertinence de ces concepts en multipliant les analyses.

Battlemind Training: Transitioning Home from Combat

National Research Council Canada - National Science Library

Castro, Carl A; Hoge, Charles W; Milliken, Charles W; McGurk, Dennis; Adler, Amy B; Cox, Anthony; Bliese, Paul D

2006-01-01

.... Destruction, injury, and death were ever present in the combat zone. Transitioning from combat to home can be difficult, and many Soldiers encounter readjustment problems ranging from elevated post-traumatic stress disorder (PTSD...

Disruption of bradycardia associated with discriminative conditioning in combat veterans with PTSD

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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

Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study

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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.

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…

Effect of Parachute Jump in the Psychophysiological Response of Soldiers in Urban Combat.

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Sánchez-Molina, Joaquín; Robles-Pérez, José J; Clemente-Suárez, Vicente J

2017-06-01

The study of organic and psychological response during combat situations has been poorly reported despite its importance for soldiers training and specific instruction, so it was proposed as aim of the present investigation to analyze the effect of a tactical parachute simulated jump in psycho-physiological response of paratroopers' warfighters during an urban combat simulation. 19 male paratroopers (31.9 ± 6.2 year old; 173.6 ± 5.3 cm; 73.8 ± 8.3 Kg) of the Spanish Army were divided in two groups: parachute jump group (n:11) that conducted a simulated parachute jump and a urban combat maneuver and a non-parachute jump group (n:8) that only conducted an urban combat maneuver. We analyzed before and after the maneuver the rated perceived exertion, legs strength manifestation, blood lactate, cortical activation, heart rate variability, blood oxygen saturation and pressure, skin temperature, fine motor skills, and anxiety state. A tactical parachute simulated jump prior to an urban combat maneuver produce significantly (p jump situation in professional Army paratroopers. Independently of the parachute jump, an urban combat maneuver produces a significant increase in rated perceived exertion, blood lactate, heart rate, legs strength, sympathetic modulation and anxiety response as well as a significant decrease in blood oxygen saturation and parasympathetic modulation.

Born to fight? Genetics and combat sports

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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.

Use of recombinant factor VIIA for control of combat-related haemorrhage.

Science.gov (United States)

Woodruff, Susan I; Dougherty, Amber L; Dye, Judy L; Mohrle, Charlene R; Galarneau, Michael R

2010-02-01

Recombinant activated human coagulation factor VII (rFVIIa), an intravascular strategy to promote clotting, is being used as an adjunct to surgical control of bleeding in combat trauma patients. To describe the initial experiences with rFVIIa administered to combat casualties at US Navy-Marine Corps medical treatment facilities in Iraq, and to compare survival outcomes of those treated with rFVIIa to controls not receiving rFVIIa. Medical encounter data from the US Navy-Marine Corps Combat Trauma Registry were retrospectively reviewed to identify all battle-injured patients documented as having received rFVIIa during the period May 2004 to January 2006 of Operation Iraqi Freedom. Available clinical and injury related data are presented to characterise the patients. To assess effects of rFVIIa on survival outcomes, rFVIIa cases were matched to controls on injury severity and age. 22 battle-injured patients from the Combat Trauma Registry received rFVIIa. Primarily young US Marines, these patients typically had penetrating injuries from improvised explosive devices and gunshot wounds. Injuries were often abdominal. The average dose used was similar to that reported in another study of civilian trauma patients, although dosing varies widely in the existing experimental and anecdotal literature. Over two-thirds (68%) of the rFVIIa patients survived-an identical outcome seen for a matched control group of 22 patients. Survival of seriously injured combat casualties was good, although identical to that of a control group. Methodological limitations of this retrospective study preclude making firm conclusions about the effectiveness of rFVIIa. Future controlled studies are needed for safety and efficacy testing of rFVIIa in combat trauma patients.

Skin lesions in Lorestan province chemically wounded combatants

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roghaye Jebraili

2004-01-01

Findings: All of the studied cases with mean age of 39.26 years old had skin manifestations among which the most common symptoms were itching , burning ,dry skin , scaling. From view point of lesions, the most common signs were erythema (81% , excoriation (87.9% and pruritic papules (49.5%. Final diagnosis in 78% of the patients was chronic dermatitis and in 7.7% of them was seborrhoeic dermatitis and in 8.8% both chronic and seborrhoeic dermatitis were observed .During exposure to chemical gases only 37.9% of these combatants had used special masks and 40% had properly worn special clothes to protect themselves which covered their body completely , but rest of them had either used protection instruments improperly or had not used them at all. Most of the lesions were in trunk , lower extremities , abdomen , head and neck .78% of the cases had multiple lesions Conclusion: Regarding the results of this study all of the chemical wounded combatants of Lorestan province suffer from different degrees of skin lesions , although more than half of them were not aware of kind and nature of the chemical gases , but it is suggested to do further studies on long-term effects of these chemical gases.

Validity of self-reported adult secondhand smoke exposure.

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Prochaska, Judith J; Grossman, William; Young-Wolff, Kelly C; Benowitz, Neal L

2015-01-01

Exposure of adults to secondhand smoke (SHS) has immediate adverse effects on the cardiovascular system and causes coronary heart disease. The current study evaluated brief self-report screening measures for accurately identifying adult cardiology patients with clinically significant levels of SHS exposure in need of intervention. A cross-sectional study conducted in a university-affiliated cardiology clinic and cardiology inpatient service. Participants were 118 non-smoking patients (59% male, mean age=63.6 years, SD=16.8) seeking cardiology services. Serum cotinine levels and self-reported SHS exposure in the past 24 h and 7 days on 13 adult secondhand exposure to smoke (ASHES) items. A single item assessment of SHS exposure in one's own home in the past 7 days was significantly correlated with serum cotinine levels (r=0.41, p85% and correct classification rates >85% at cotinine cut-off points of >0.215 and >0.80 ng/mL. The item outperformed multi-item scales, an assessment of home smoking rules, and SHS exposure assessed in other residential areas, automobiles and public settings. The sample was less accurate at self-reporting lower levels of SHS exposure (cotinine 0.05-0.215 ng/mL). The single item ASHES-7d Home screener is brief, assesses recent SHS exposure over a week's time, and yielded the optimal balance of sensitivity and specificity. The current findings support use of the ASHES-7d Home screener to detect SHS exposure and can be easily incorporated into assessment of other major vital signs in cardiology. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Multi-Agent Coordination Techniques for Naval Tactical Combat Resources Management

Science.gov (United States)

2008-07-01

resource coordination and cooperation problems. The combat resource allocation planning problem is treated in the companion report [2]. 2.3 Resource...report focuses on the resource coordination problem, while allocation algorithms are discussed in the companion report [2]. First, coordination in...classification of each should be indicated as with the title.) Canada’s Leader in Defence and National Security Science and Technology Chef de file au Canada en

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

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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.

Combat Leadership Styles: Empowerment versus Authoritarianism

Science.gov (United States)

1990-12-01

Combat Leadership Styles : Empowerment versus Authoritarianism FARIS R. KIRKLAND Recent research in Israel and the United States suggests that...Combat Leadership Styles : Empowerment versus Authoritarianism 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d

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.

MILITARY MISSION COMBAT EFFICIENCY ESTIMATION SYSTEM

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Ighoyota B. AJENAGHUGHRURE

2017-04-01

Full Text Available Military infantry recruits, although trained, lacks experience in real-time combat operations, despite the combat simulations training. Therefore, the choice of including them in military operations is a thorough and careful process. This has left top military commanders with the tough task of deciding, the best blend of inexperienced and experienced infantry soldiers, for any military operation, based on available information on enemy strength and capability. This research project delves into the design of a mission combat efficiency estimator (MCEE. It is a decision support system that aids top military commanders in estimating the best combination of soldiers suitable for different military operations, based on available information on enemy’s combat experience. Hence, its advantages consist of reducing casualties and other risks that compromises the entire operation overall success, and also boosting the morals of soldiers in an operation, with such information as an estimation of combat efficiency of their enemies. The system was developed using Microsoft Asp.Net and Sql server backend. A case study test conducted with the MECEE system, reveals clearly that the MECEE system is an efficient tool for military mission planning in terms of team selection. Hence, when the MECEE system is fully deployed it will aid military commanders in the task of decision making on team members’ combination for any given operation based on enemy personnel information that is well known beforehand. Further work on the MECEE will be undertaken to explore fire power types and impact in mission combat efficiency estimation.

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

2017-12-01

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. Prehosp Disaster Med. 2017;32(6):679-681.

Reported exposure to trauma among adult patients referred for ...

African Journals Online (AJOL)

Reported exposure to trauma among adult patients referred for psychological services at the Free State Psychiatric Complex, Bloemfontein. ... trauma exposure screening in routine psychiatric interviewing practices is highlighted. Keywords: Trauma exposure, Mental illness, Screening, Post-traumatic stress disorder ...

Combat ocular trauma and systemic injury.

Science.gov (United States)

Weichel, Eric D; Colyer, Marcus H

2008-11-01

To review the recent literature regarding combat ocular trauma during hostilities in Operations Iraqi Freedom and Enduring Freedom, describe the classification of combat ocular trauma, and offer strategies that may assist in the management of eye injuries. Several recent publications have highlighted features of combat ocular trauma from Operation Iraqi Freedom. The most common cause of today's combat ocular injuries is unconventional fragmentary munitions causing significant blast injuries. These explosive munitions cause high rates of concomitant nonocular injuries such as traumatic brain injury, amputation, and other organ injuries. The most frequent ocular injuries include open-globe and adnexal lacerations. The extreme severity of combat-related open-globe injuries leads to high rates of primary enucleation and retained intraocular foreign bodies. Visual outcomes of intraocular foreign body injuries are similar to other series despite delayed removal, and no cases of endophthalmitis have occurred. Despite these advances, however, significant vision loss persists in cases of perforating globe injuries as well as open and closed-globe trauma involving the posterior segment. This review summarizes the recent literature describing ocular and systemic injuries sustained during Operations Iraqi and Enduring Freedom. An emphasis on classification of ocular injuries as well as a discussion of main outcome measures and complications is discussed.

Stress response in rat brain after different durations of noise exposure.

Science.gov (United States)

Samson, James; Sheeladevi, Rathinasamy; Ravindran, Rajan; Senthilvelan, Manohar

2007-01-01

The alteration in the levels of plasma corticosterone, brain norepinephrine (NE), and expression of brain heat shock proteins (Hsp70) after different durations of noise exposure (acute, 1 day; sub-acute, 15 days; chronic, 30 days) has been studied to analyze their role in combating time-dependent stress effects of noise. Broadband white noise (100dB) exposure to male Wistar albino rats significantly increased the levels of plasma corticosterone and NE in all three durations of noise exposure. The sustained increase observed in their levels in the chronic group suggests that animals are not getting adapted to noise even after 30 days of exposure. The important role of Hsp70 in combating noise induced stress is evident from the significant increase in its expression after chronic exposure, while there was a reciprocal decrease in the NE and corticosterone when compared with their levels after acute and sub-acute noise exposure. This clearly indicates that the time-dependent stress response to noise exposure is a complex mechanism involving highly interconnected systems such as hypothalamo-pituitary-adrenal (HPA) axis, heat shock proteins and may have serious implications in vital organs, particularly in the brain when there is a prolonged noise exposure.

Canadian military personnel's population attributable fractions of mental disorders and mental health service use associated with combat and peacekeeping operations.

Science.gov (United States)

Sareen, Jitender; Belik, Shay-Lee; Afifi, Tracie O; Asmundson, Gordon J G; Cox, Brian J; Stein, Murray B

2008-12-01

We investigated mental disorders, suicidal ideation, self-perceived need for treatment, and mental health service utilization attributable to exposure to peacekeeping and combat operations among Canadian military personnel. With data from the Canadian Community Health Survey Cycle 1.2 Canadian Forces Supplement, a cross-sectional population-based survey of active Canadian military personnel (N = 8441), we estimated population attributable fractions (PAFs) of adverse mental health outcomes. Exposure to either combat or peacekeeping operations was associated with posttraumatic stress disorder (men: PAF = 46.6%; 95% confidence interval [CI] = 27.3, 62.7; women: PAF = 23.6%; 95% CI = 9.2, 40.1), 1 or more mental disorder assessed in the survey (men: PAF = 9.3%; 95% CI = 0.4, 18.1; women: PAF = 6.1%; 95% CI = 0.0, 13.4), and a perceived need for information (men: PAF = 12.3%; 95% CI = 4.1, 20.6; women: PAF = 7.9%; 95% CI = 1.3, 15.5). A substantial proportion, but not the majority, of mental health-related outcomes were attributable to combat or peacekeeping deployment. Future studies should assess traumatic events and their association with physical injury during deployment, premilitary factors, and postdeployment psychosocial factors that may influence soldiers' mental health.

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.

Epidemiological trends in electronic cigarette exposures reported to U.S. Poison Centers.

Science.gov (United States)

Vakkalanka, J P; Hardison, L S; Holstege, C P

2014-06-01

The Centers for Disease Control and Prevention (CDC) has reported an increase in electronic cigarette (e-cigarette) use in both adults and adolescents. Poison Center calls provide data on exposures pertaining to e-cigarette devices and components (including nicotine-refill cartridges), potentially identifying epidemiological trends in reported exposures over time. To characterize the trends in e-cigarette exposures reported to United States (U.S.) Poison Centers between 01 June 2010 and 30 September 2013. We obtained data from the American Association of Poison Control Centers (AAPCC) for all exposures involving e-cigarettes reported to the National Poison Data System (NPDS) by U.S. Poison Centers and described trends in exposures over time, demographics, geographical characteristics, clinical effects and outcomes, management site, and exposure route. A total of 1,700 exposures were reported to Poison Centers during this time. The most frequent age groups were children 5 years or below with 717 (42.2%) exposures and adults ages 20-39 years with 466 (27.4%) exposures. Temporal trends showed an increase of 1.36 exposures per month [95% CI: 1.16-1.56] from June 2010 through December 2012, after which exposures increased by 9.60 per month [95% CI: 8.64-10.55] from January through September 2013. The majority of patients who were followed reported that they had only minor effects. The majority of exposures to e-cigarette devices and components occurred in children of 5 years or below due to accidental exposure. Based on the available data, the reported exposures have resulted in minimal toxicity. Calls to Poison Centers regarding these products have rapidly increased since 2010, and continued surveillance may show changes in the epidemiological trends surrounding e-cigarette exposures.

The Relevance of Hyperbaric Oxygen to Combat Medicine

Science.gov (United States)

2001-06-01

and Hyperbaric Conditions [les Questions medicales a caractere oprationel liees aux conditions hypobares ou hyperbares ] To order the complete...UNCLASSIFIED Defense Technical Information Center Compilation Part Notice ADPO 11081 TITLE: The Relevance of Hyperbaric Oxygen to Combat Medicine...following component part numbers comprise the compilation report: ADPO11059 thru ADP011100 UNCLASSIFIED 25-1 The Relevance of Hyperbaric Oxygen to

Combat Stress Decreases Memory of Warfighters in Action.

Science.gov (United States)

Delgado-Moreno, Rosa; Robles-Pérez, José Juan; Clemente-Suárez, Vicente Javier

2017-08-01

The present research aimed to analyze the effect of combat stress in the psychophysiological response and attention and memory of warfighters in a simulated combat situation. Variables of blood oxygen saturation, heart rate, blood glucose, blood lactate, body temperature, lower body muscular strength manifestation, cortical arousal, autonomic modulation, state anxiety and memory and attention through a postmission questionnaire were analyzed before and after a combat simulation in 20 male professional Spanish Army warfighters. The combat simulation produces a significant increase (p body temperature post, HF post/correct sound, body temperature post/glucose post, CFFTpre/lactate post, CFFT post/wrong sound, glucose post/AC pre, AC post/wrong fusil, AS post/SC post and SC post/wrong olfactory; and negative correlations: LF post/correct sound, body temperature post/lactate post and glucose post/lactate post. This data suggest that combat stress actives fight-flight system of soldiers. As conclusion, Combat stress produces an increased psychophysiological response that cause a selective decrease of memory, depending on the nature, dangerous or harmless of the objects.

Nuclear or conventional power for surface combatant ships: Department of the Navy. Report to the Congress

International Nuclear Information System (INIS)

1977-01-01

GAO reviewed the controversy over whether the Navy's major surface combatant ships should be all nuclear powered, all conventionally powered, or a mix of both. Nuclear ships are more capable but cost more and their relative cost-effectiveness cannot be measured because Navy analysts cannot quantify many benefits of nuclear power. The Congress, in reviewing Navy shipbuilding plans for surface combatant ships, should be cognizant that buying only conventional ships will maximize naval firepower; buying only nuclear ships will provide mobility and greater freedom from logistics support; and buying a mix is a third option providing, to varying degrees, the advantages and disadvantages of the all-nuclear and all-conventional options

A survey on the measure of combat readiness

Science.gov (United States)

Wen, Kwong Fook; Nor, Norazman Mohamad; Soon, Lee Lai

2014-09-01

Measuring the combat readiness in military forces involves the measures of tangible and intangible elements of combat power. Though these measures are applicable, the mathematical models and formulae used focus mainly on either the tangible or the intangible elements. In this paper, a review is done to highlight the research gap in the formulation of a mathematical model that incorporates tangible elements with intangible elements to measure the combat readiness of a military force. It highlights the missing link between the tangible and intangible elements of combat power. To bridge the gap and missing link, a mathematical model could be formulated that measures both the tangible and intangible aspects of combat readiness by establishing the relationship between the causal (tangible and intangible) elements and its effects on the measure of combat readiness. The model uses multiple regression analysis as well as mathematical modeling and simulation which digest the capability component reflecting its assets and resources, the morale component reflecting human needs, and the quality of life component reflecting soldiers' state of satisfaction in life. The results of the review provide a mean to bridge the research gap through the formulation of a mathematical model that shows the total measure of a military force's combat readiness. The results also significantly identify parameters for each of the variables and factors in the model.

Combat Wound Initiative program.

Science.gov (United States)

Stojadinovic, Alexander; Elster, Eric; Potter, Benjamin K; Davis, Thomas A; Tadaki, Doug K; Brown, Trevor S; Ahlers, Stephen; Attinger, Christopher E; Andersen, Romney C; Burris, David; Centeno, Jose; Champion, Hunter; Crumbley, David R; Denobile, John; Duga, Michael; Dunne, James R; Eberhardt, John; Ennis, William J; Forsberg, Jonathan A; Hawksworth, Jason; Helling, Thomas S; Lazarus, Gerald S; Milner, Stephen M; Mullick, Florabel G; Owner, Christopher R; Pasquina, Paul F; Patel, Chirag R; Peoples, George E; Nissan, Aviram; Ring, Michael; Sandberg, Glenn D; Schaden, Wolfgang; Schultz, Gregory S; Scofield, Tom; Shawen, Scott B; Sheppard, Forest R; Stannard, James P; Weina, Peter J; Zenilman, Jonathan M

2010-07-01

The Combat Wound Initiative (CWI) program is a collaborative, multidisciplinary, and interservice public-private partnership that provides personalized, state-of-the-art, and complex wound care via targeted clinical and translational research. The CWI uses a bench-to-bedside approach to translational research, including the rapid development of a human extracorporeal shock wave therapy (ESWT) study in complex wounds after establishing the potential efficacy, biologic mechanisms, and safety of this treatment modality in a murine model. Additional clinical trials include the prospective use of clinical data, serum and wound biomarkers, and wound gene expression profiles to predict wound healing/failure and additional clinical patient outcomes following combat-related trauma. These clinical research data are analyzed using machine-based learning algorithms to develop predictive treatment models to guide clinical decision-making. Future CWI directions include additional clinical trials and study centers and the refinement and deployment of our genetically driven, personalized medicine initiative to provide patient-specific care across multiple medical disciplines, with an emphasis on combat casualty care.

Worldwide actions to combat abuse.

Science.gov (United States)

1998-01-01

This paper reports several developments on the global efforts to combat abuse and violence against women and children. It is noted that in South Africa, Belem, Brazil, and Lesotho, protest actions were conducted against women and child abuse. Although the protests were made separately, the protests generally called for implementation of initiatives from the government to address the issue of child and women abuse. In the context of preventing abusive behaviors, a study by the University of Cape Town in South Africa on the appropriateness and feasibility of short-term community-based group therapy concluded that such an approach might be effective in treating delinquent behavior. In Indonesia, the Rifka Annisa Women's Crisis Centre is working to combat violence against women by providing services to victims; while in Israel, a media campaign is aiming to increase awareness and support for women's help centers. In addition, the government of Bangladesh has established a Cell Against Violence Against Women that provides legal counseling and assistance for civil and criminal cases related to violence against women. Furthermore, the WHO and the International Federation of Obstetricians and Gynecologists have collaborated to conduct a joint workshop to explore how violence against women can be eliminated.

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.

Medical rescue of naval combat: challenges and future.

Science.gov (United States)

Jin, Hai; Hou, Li-Jun; Fu, Xiao-Bing

2015-01-01

There has been no large-scale naval combat in the last 30 years. With the rapid development of battleships, weapons manufacturing and electronic technology, naval combat will present some new characteristics. Additionally, naval combat is facing unprecedented challenges. In this paper, we discuss the topic of medical rescue at sea: what challenges we face and what we could do. The contents discussed in this paper contain battlefield self-aid buddy care, clinical skills, organized health services, medical training and future medical research programs. We also discuss the characteristics of modern naval combat, medical rescue challenges, medical treatment highlights and future developments of medical rescue at sea.

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.

[Gastrointestinal diseases and abdominal pain in combat veterans].

Science.gov (United States)

Pal'tsev, A I; Torgashov, M N; Popova, O S

2013-01-01

To analyze the role of consequences of combat stress in the development of gastrointestinal tract (GIT) diseases. One hundred and sixty-one combat veterans aged 24 to 69 years were examined. All underwent a clinical and neurological examination using the McGill pain questionnaire (MPQ), Beck depression inventory, Kotenev trauma stress questionnaire, and visual analogue scale to determine pain intensity. Anxiety, impairments in memory and sleep, and depression were identified. The SF-36 questionnaire was used to estimate quality of life in the patients. Gastric secretory function was investigated; esophagogastroduodenoscopy, X-ray and ultrasound studies, clinical and biochemical blood tests, coprological examinations, fecal tests for dysbiosis, if indicated, occult blood were made. Combat stress and its consequences as posttraumatic stress disorder have been shown to play an important role in the pathogenesis of GIT diseases and in the development of chronic abdominal pain. GIT diseases in combat veterans are in larger measure a sequel of impaired processes of adjustment to combat stress. Chronic abdominal pains were heterogeneous. On the one hand, chronic GIT disease serves as a source of pain syndrome; on the other hand, the central nervous system is of importance in the development of chronic abdominal pain. In addition to therapy for GIT and hepatobiliary diseases, the treatment of GIT diseases in this category of patients involves psychotherapy and neuroprotection, aimed at reducing the consequences of combat stress in combat veterans.

EphB1 as a Novel Drug Target to Combat Pain and Addiction

Science.gov (United States)

2015-09-01

EphB1  as  a  Novel  Drug  Target  to  Combat  Pain  and   Addiction   Principal  Investigator  Name:   Mark...Principal  Investigator   Phone  and  Email:   Phone :  214-­‐645-­‐5916   Email:  Mark.Henkemeyer@UTSouthwestern.edu   Report  Date...31 Aug 2015 4. TITLE AND SUBTITLE EphB1 as a Novel Drug Target to Combat Pain and Addiction 5a. CONTRACT NUMBER EphB1 as a Novel Drug Target to

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.

A naturalistic decision making model for simulated human combatants

International Nuclear Information System (INIS)

HUNTER, KEITH O.; HART, WILLIAM E.; FORSYTHE, JAMES C.

2000-01-01

The authors describe a naturalistic behavioral model for the simulation of small unit combat. This model, Klein's recognition-primed decision making (RPD) model, is driven by situational awareness rather than a rational process of selecting from a set of action options. They argue that simulated combatants modeled with RPD will have more flexible and realistic responses to a broad range of small-scale combat scenarios. Furthermore, they note that the predictability of a simulation using an RPD framework can be easily controlled to provide multiple evaluations of a given combat scenario. Finally, they discuss computational issues for building an RPD-based behavior engine for fully automated combatants in small conflict scenarios, which are being investigated within Sandia's Next Generation Site Security project

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...

Evidence of combat in triceratops.

Directory of Open Access Journals (Sweden)

Andrew A Farke

Full Text Available 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.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.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.

Technical-tactical and physiological demands of wrestling combats

Directory of Open Access Journals (Sweden)

Bianka Miarka

2016-06-01

Full Text Available Technical-tactical and physiological demand analyses of wrestling combats are important because they reveal essential information for the development of contextual training and specific physical preparation of wrestlers. Therefore, the aim of this review is to describe the characteristics of wrestling combats in freestyle, female and Greco-roman styles. The time-motion analysis presented in this article is the main component to carry out inferences on intensity and effort: pause ratio of combat actions. After rules modification in 2013, wrestling combats showed quicker and more diversified actions, especially in the lighter categories. For Greco-roman wrestling, most studies showed takedowns as the most effective techniques in World competitions for the period 2009-2011. For the same period, foot/leg techniques were the most effective in female and freestyle wrestling, followed by takedown attacks. Recent analyses, developed after 2013 rules modification, showed that the decisive offensive actions were applied on foot and in par terre situations – especially gutwrenches techniques and derivatives of suplex movements. The knowledge on the determinant and predominant actions of wrestling combats can be applied in future research, as well as can be used practically for training, physical preparation and assessments of similar combat actions. It also allows interventions to prevent injuries resulting from technical and tactical wrestling actions.

Self-Reported Environmental Tobacco Smoke Exposure and Avoidance Compared with Cotinine Confirmed Tobacco Smoke Exposure among Pregnant Women and Their Infants

Directory of Open Access Journals (Sweden)

Adam Gregory Gavarkovs

2018-04-01

Full Text Available Background: Exposure to environmental tobacco smoke (ETS presents substantial health risks for pregnant women and newborn infants. Measurements of ETS include invasive and expensive biochemical tests, as well as less invasive and lower-cost, self-reported exposure and avoidance measures. Better understanding of self-report measures will help to select ETS assessments for evaluation. Methods: This analysis was conducted within the context of a tailored video intervention to reduce tobacco smoking and ETS exposure during pregnancy and after delivery in the control group sample of 147 nonsmoking women. Measurements of salivary cotinine concentration, self-reported ETS exposure, and avoidance behaviors were captured at 32 weeks’ gestation and 6 months postpartum. Results: Salivary cotinine concentration was significantly related to ETS avoidance among pregnant nonsmokers at 32 weeks’ gestation, but not ETS exposure. At 6 months postpartum, both the reported ETS exposure of the infant and maternal avoidance behaviors to reduce her infant’s exposure were associated with the infant’s salivary cotinine concentration. At 32 weeks’ gestation and 6 months postpartum, avoidance behaviors decreased as exposure increased. Discussion: This study suggests that for nonsmoking women during pregnancy, reports of tobacco smoke avoidance are more valid than reports of exposure. After delivery, self-reported ETS exposure or avoidance are associated with each other and the biochemical measurement of salivary cotinine. These results provide researchers and clinicians with evidence to support the inclusion of avoidance behaviors in the selection of ETS measures.

Barriers to Implementing a Single Joint Combat Camouflage Uniform

Science.gov (United States)

2017-12-01

opportunities, threats (SWOT), and political, economic, social, and technological (PEST) analyses; examines the requirements and role of each of the...SUBJECT TERMS ground combat uniform, combat camouflage uniform history , combat camouflage uniform pattern, camouflage pattern testing 15. NUMBER...methodology applies strengths, weaknesses, opportunities, threats (SWOT), and political, economic, social, and technological (PEST) analyses

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

More than Just a Game? Combat-Themed Gaming Among Recent Veterans with Posttraumatic Stress Disorder.

Science.gov (United States)

Elliott, Luther; Golub, Andrew; Price, Matthew; Bennett, Alexander

2015-08-01

This article examines recent combat veterans' experiences of "first-person shooter" (FPS) gaming and its relationship to posttraumatic stress disorder (PTSD). Current PTSD treatment approaches increasingly use virtual reality (VR) technologies, which have many similarities with FPS games. To explore these similarities, this article presents six case studies from recently separated veterans in New York City who reported both current PTSD symptoms and regular use of combat-themed FPS games. In open-ended interviews, participants discussed a range of benefits as well as the importance of regulating use and avoiding particular contextual dimensions of gaming to maintain healthy gaming habits. Findings demonstrate the need for more comprehensive study and dissemination of best-practices information about FPS gaming in the context of combat-related PTSD symptomatology.

Overview of DOE Radiation Exposure Information Reporting System (REIRS)

International Nuclear Information System (INIS)

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

Medical rescue of naval combat: challenges and future

OpenAIRE

Jin, Hai; Hou, Li-Jun; Fu, Xiao-Bing

2015-01-01

There has been no large-scale naval combat in the last 30?years. With the rapid development of battleships, weapons manufacturing and electronic technology, naval combat will present some new characteristics. Additionally, naval combat is facing unprecedented challenges. In this paper, we discuss the topic of medical rescue at sea: what challenges we face and what we could do. The contents discussed in this paper contain battlefield self-aid buddy care, clinical skills, organized health servi...

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.

Workplace exposure and reported health in New Zealand diagnostic radiographers

International Nuclear Information System (INIS)

Spicer, J.; Hay, D.M.; Gordon, M.

1986-01-01

A postal survey of diagnostic radiographers in New Zealand was conducted to explore associations between exposure to the workplace and the reported frequency of a variety of health problems. Exposure was measured in terms of average hours per week spent : in the vicinity of a processor; operating a processor; and working in the darkroom. The frequency of each of 19 symptoms was reported on a 5 point scale. Correlational analyses were performed on data from 349 practising radiographers. Fifteen of the 19 symptoms were significantly and positively correlated with at least one exposure variable, although the correlations were weak. Those most consistently related to exposure were: bad taste in the mouth, sinus problems, nasal discharge, catarrh, unexpected fatigue, painful joints and numb extremities. The frequency with which symptoms apparently related to exposure were reported to some degree ranged from 15% to 61%. It is argued that the results, in conjunction with anecdotal evidence, indicate a need for further investigation of health problems, especially upper respiratory tract disorders, amongst health professionals involved in X-ray processing

The incidence of and risk factors for emergence delirium in U.S. military combat veterans.

Science.gov (United States)

McGuire, Jason M

2012-08-01

The purpose of this research was to identify the incidence and potential risk factors for emergence delirium (ED) in a U.S. military combat veteran surgical population at Naval Hospital Camp Pendleton. ED is a postanesthetic phenomenon that occurs immediately after emergence from general anesthesia and is characterized by agitation, confusion, and violent behavior. Clinical evidence suggests that ED is increasingly seen among military personnel returning from the wars in Iraq and Afghanistan, and that the incidence of anxiety, depression, and post-traumatic stress disorder (PTSD) are higher in this population than in noncombat troops or nonmilitary populations. The incidence of ED in this sample of 130 postoperative military personnel with combat exposure was 20% (n=26). Those previously diagnosed with a psychological disorder had a higher rate of ED (50%) than those who did not (17.5%), χ(2)=5.53, PPTSD symptoms, and depression [state anxiety: r(128)=0.40, PPTSD: r(128)=0.35, PPTSD, and depression as risk factors. Regression modeling suggested that state-anxiety served as the best predictor. These findings increase clinicians' understanding of ED among combat veterans and give direction to future studies that should focus on preventive treatment. Published by Elsevier Inc.

Agent Orange exposure and prevalence of self-reported diseases in Korean Vietnam veterans.

Science.gov (United States)

Yi, Sang-Wook; Ohrr, Heechoul; Hong, Jae-Seok; Yi, Jee-Jeon

2013-09-01

The aim of this study was to evaluate the association between Agent Orange exposure and self-reported diseases in Korean Vietnam veterans. A postal survey of 114 562 Vietnam veterans was conducted. The perceived exposure to Agent Orange was assessed by a 6-item questionnaire. Two proximity-based Agent Orange exposure indices were constructed using division/brigade-level and battalion/company-level unit information. Adjusted odds ratios (ORs) for age and other confounders were calculated using a logistic regression model. The prevalence of all self-reported diseases showed monotonically increasing trends as the levels of perceived self-reported exposure increased. The ORs for colon cancer (OR, 1.13), leukemia (OR, 1.56), hypertension (OR, 1.03), peripheral vasculopathy (OR, 1.07), enterocolitis (OR, 1.07), peripheral neuropathy (OR, 1.07), multiple nerve palsy (OR, 1.14), multiple sclerosis (OR, 1.24), skin diseases (OR, 1.05), psychotic diseases (OR, 1.07) and lipidemia (OR, 1.05) were significantly elevated for the high exposure group in the division/brigade-level proximity-based exposure analysis, compared to the low exposure group. The ORs for cerebral infarction (OR, 1.08), chronic bronchitis (OR, 1.05), multiple nerve palsy (OR, 1.07), multiple sclerosis (OR, 1.16), skin diseases (OR, 1.05), and lipidemia (OR, 1.05) were significantly elevated for the high exposure group in the battalion/company-level analysis. Korean Vietnam veterans with high exposure to Agent Orange experienced a higher prevalence of several self-reported chronic diseases compared to those with low exposure by proximity-based exposure assessment. The strong positive associations between perceived self-reported exposure and all self-reported diseases should be evaluated with discretion because the likelihood of reporting diseases was directly related to the perceived intensity of Agent Orange exposure.

Building Software Tools for Combat Modeling and Analysis

National Research Council Canada - National Science Library

Yuanxin, Chen

2004-01-01

... (Meta-Language for Combat Simulations) and its associated parser and C++ code generator were designed to reduce the amount of time and developmental efforts needed to build sophisticated real world combat simulations. A C++...

Combating sexual orientation discrimination in employment: legislation in fifteen EU members states (France) : Report of the European Group of Experts on Combating sexual orientation discrimination about the implementation up to April 2004 of Directive 2000/78/EC establishing a general framework for equal treatement in employment and occupation

OpenAIRE

Borrillo , Daniel

2004-01-01

Report of the European Group of Experts on Combating sexual orientation discrimination about the implementation up to April 2004 of Directive 2000/78/EC establishing a general framework for equal treatement in employment and occupation; France was the first country in the world to discriminalize sodomy.....

Estimating the human exposure to chemical substances and radiation. Definition report

International Nuclear Information System (INIS)

Vermeire, T.G.; Van Veen, M.P.

1995-06-01

This report aims at boosting the human exposure assessment activities of the RIVM with regard to chemical substances and radiation. It is the result of thorough discussions with RIVM-experts. The report starts with an overview of past developments in the area of human exposure assessment at the RIVM and continues describing recent projects. Major developments outside the Institute are also discussed. An attempt is made to harmonize definitions which are relevant for exposure assessment, i.e. definitions on exposure, intake, uptake and dose. Important gaps in the human exposure assessment work at the RIVM are identified, leading to proposals for future work. 2 figs., 31 refs., 3 appendices

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.

Combating Desertification and Mitigating the Effects of Drought

International Nuclear Information System (INIS)

Awuondo, C.O

2001-01-01

The paper discusses the effects of desertification and drought on the well-being of humankind and therefore it important for them to be combated and mitigated. Desertification is the process that turns fertile lands into desert; drought is defined as lack of sufficient precipitation to sustain plant and human life. In an effort to discuss how to combat desertification, the author has subdivided the paper into five sections namely; introduction, ecological crisis, strategies for combating desertification and mitigating the effects of drought and finally the conclusion

Analysis of Error Propagation Within Hierarchical Air Combat Models

Science.gov (United States)

2016-06-01

values alone are propagated through layers of combat models, the final results will likely be biased, and risk underestimated. An air-to-air...values alone are propagated through layers of combat models, the final results will likely be biased, and risk underestimated. An air-to-air engagement... PROPAGATION WITHIN HIERARCHICAL AIR COMBAT MODELS by Salih Ilaslan June 2016 Thesis Advisor: Thomas W. Lucas Second Reader: Jeffrey

Unit Reconstitutions: Combat Stress as an Indicator of Unit Effectiveness

Science.gov (United States)

2014-06-13

doctrinally “Combat and Operational Stress Reactions:” A. Shell shock B. War neurosis C. Battle fatigue D. Combat exhaustion E. Combat stress F...... neurosis . The approach that evolved–proximity, immediacy, and expectancy–was a formula that incorporated some of the best practices to increase the

Selected Foreign Counterparts of U.S. Army Ground Combat Systems and Implications for Combat Operations and Modernization

Science.gov (United States)

2017-01-18

responsibility is to defeat other nations’ combat formations on the battlefield. In order to accomplish this, nations indigenously develop, maintain, and improve...defeat other nations’ combat formations on the battlefield. In order to accomplish this, nations indigenously develop, maintain, and improve a variety...catastrophic kill. A number of foreign tracked IFVs mount either hard kill 13 or soft kill 14 APS and the Army is presently examining both non

Indicators of residential traffic exposure: Modelled NOX, traffic proximity, and self-reported exposure in RHINE III

Science.gov (United States)

Carlsen, Hanne Krage; Bäck, Erik; Eneroth, Kristina; Gislason, Thorarinn; Holm, Mathias; Janson, Christer; Jensen, Steen Solvang; Johannessen, Ane; Kaasik, Marko; Modig, Lars; Segersson, David; Sigsgaard, Torben; Forsberg, Bertil; Olsson, David; Orru, Hans

2017-10-01

Few studies have investigated associations between self-reported and modelled exposure to traffic pollution. The objective of this study was to examine correlations between self-reported traffic exposure and modelled (a) NOX and (b) traffic proximity in seven different northern European cities; Aarhus (Denmark), Bergen (Norway), Gothenburg, Umeå, and Uppsala (Sweden), Reykjavik (Iceland), and Tartu (Estonia). We analysed data from the RHINE III (Respiratory Health in Northern Europe, http://www.rhine.nu)

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.

Acute Assessment of Traumatic Brain Injury and Post-Traumatic Stress After Exposure to a Deployment-Related Explosive Blast.

Science.gov (United States)

Baker, Monty T; Moring, John C; Hale, Willie J; Mintz, Jim; Young-McCaughan, Stacey; Bryant, Richard A; Broshek, Donna K; Barth, Jeffrey T; Villarreal, Robert; Lancaster, Cynthia L; Malach, Steffany L; Lara-Ruiz, Jose M; Isler, William; Peterson, Alan L

2018-05-18

analysis. Because data were collected in-theater for the initial purpose of clinical evaluation, sample size varied widely between measures, from 565 patients who completed the MACE to 154 who completed the CES. Bivariate correlations revealed that the majority of psychological measures were significantly correlated with each other (ps ≤ 0.01), neuropsychological measures were correlated with each other (ps ≤ 0.05), and psychological and neuropsychological measures were also correlated with each other (ps ≤ 0.05). This paper provides one of the first descriptions of psychological and neuropsychological functioning (and their inter-correlation) within days after blast exposure in a large sample of military personnel. Furthermore, this report describes the methodology used to gather data for the acute assessment of TBI, PTSD, and ASD after exposure to an explosive blast in the combat theater. Future analyses will examine the common and unique symptoms of TBI and PTSD, which will be instrumental in developing new assessment approaches and intervention strategies.

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......, carries a real and serious risk of contracting infectious diseases due to occupational exposure to blood. The importance of reporting needs to be emphasized....... 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...

Dutch National Plan combat nuclear accidents

International Nuclear Information System (INIS)

1988-01-01

This document presents the Dutch National Plan combat nuclear accidents (NPK). Ch. 2 discusses some important starting points which are determining for the framework and the performance of the NPK, in particular the accident typology which underlies the plan. Also the new accident-classification system for the Dutch nuclear power plants, the standardization for the measures to be taken and the staging around nuclear power plants are pursued. In ch. 3 the legal framework of the combat nuclear accidents is described. In particular the Nuclear-power law, the Accident law and the Municipality law are pursued. Also the role of province and municipality are described. Ch. 4 deals with the role of the owner/licensee of the object where the accident occurs, in the combat of accident. In ch. 5 the structure of the nuclear-accident combat at national level is outlined, subdivided in alarm phase, combat phase and the winding-up phase. In ch.'s 6-12 these phases are elaborated more in detail. In ch.'s 10-13 the measures to be taken in nuclear accidents, are described. These measures are distinguished with regard to: protection of the population and medical aspects, water economy, drinking-water supply, agriculture and food supply. Ch. 14 describes the responsibility of the burgomaster. Ch.'s 15 and 16 present an overview of the personnel, material, procedural and juridical modifications and supplements of existing structures which are necessary with regard to the new and modified parts of the structure. Ch. 17 indicates how by means of the appropriate education and exercise it can be achieved that all personnel, services and institutes concerned possess the knowledge and experience necessary for the activities from the NKP to be executed as has been described. Ch. 18 contains a survey of activities to be performed and a proposal how these can be realized. (H.W.). figs.; tabs

Radiation exposures for DOE and DOE contractor employees Eighteenth annual report, 1985

International Nuclear Information System (INIS)

1986-12-01

All US Department of Energy (DOE) and DOE contractors are required to submit occupational radiation exposure records to a central repository. The data required include a summary of whole-body exposures to ionizing radiation, a summary of internal depositions of radioactive materials above specified limits, and occupational exposure reports for terminating employees. This report is a summary of the data submitted by DOE and DOE contractors for 1985. A total of 95,806 DOE and DOE contractor employees were monitored for whole-body ionizing radiation exposures in 1985. In addition to the employees, 96,665 visitors were monitored. Of all employees monitored, 58.4% received a dose equivalent that was less than measurable, 39.8% a measurable exposure less than 1 rem, and 1.9% an exposure greater than 1 rem. One employee received a dose equivalent greater than 5 rem (8.66 rem). The exposure received by 91.9% of the visitors to DOE facilities was less than measurable. No visitors received a dose equivalent greater than 2 rem. The collective dose equivalent for DOE and DOE contractor employees was 8223 person-rem. The collective dose equivalent for visitors was 461 person-rem. These averages are significantly less than the DOE 5-rem/year radiation protection standard for whole-body exposures. Ten new cases of internal depositions were reported in 1985 that exceeded 50% of the pertinent annual dose-equivalent standard. Of these ten cases, eight occurred in a previous year and are reported now because recent revisions in the dose calculations established these cases as reportable depositions. Twenty-six cases reported during 1985 were considered to be the continued tracking of previous depositions. 5 figs., 32 tabs

Personality Factors Affecting Pilot Combat Performance: A Preliminary Investigation

National Research Council Canada - National Science Library

Siem, Frederick M; Murray, Michael W

1997-01-01

.... The present research was designed to examine the relationship between personality and combat performance using the "Big Five" model of personality and a multicomponent model of pilot combat performance...

Combat desertification, arret deforestation

International Nuclear Information System (INIS)

Tin-Latt; Soe-Win-Hlaing

2000-01-01

This article presents the major progress on the actions of the Forest Department and Dry Zone Greening Department to arrest forestation and to combat desertification in the dry zone of central Myanmar

Associations of coping processes with posttraumatic stress disorder symptoms in national guard/reserve service members deployed during the OEF-OIF era.

Science.gov (United States)

Rodrigues, Camila S; Renshaw, Keith D

2010-10-01

Studies have identified coping processes as one potential factor influencing PTSD in veterans. This study examined the associations between coping, combat exposure, and PTSD among 218 National Guard veterans deployed overseas since 2001. Problem-focused coping was unrelated to combat exposure and PTSD symptoms. In contrast, increased levels of emotion focused coping (EFC) were found in veterans who reported higher levels of combat exposure. Moreover, the severity of combat was a curvilinear moderator of the relation between coping process and PTSD, such that EFC was unrelated to PTSD symptom severity at low levels of combat, associated with higher symptom severity at moderate levels of combat, and associated with lower symptom severity at high levels of combat. These findings indicate that the type and severity of trauma may moderate the association of coping and psychological outcomes, and that these associations might not be linear. Published by Elsevier Ltd.

Savannah River Plant/Savannah River Laboratory radiation exposure report

International Nuclear Information System (INIS)

Rogers, C.D.; Hyman, S.D.; Keisler, L.L.; Reeder, D.F.; Jolly, L.; Spoerner, M.T.; Schramm, G.R.

1989-01-01

The protection of worker health and safety is of paramount concern at the Savannah River Site. Since the site is one of the largest nuclear sites in the nation, radiation safety is a key element in the protection program. This report is a compendium of the results in 1988 of the programs at the Savannah River Plant and the Savannah River Laboratory to protect the radiological health of employees. By any measure, the radiation protection performance at this site in 1988 was the best since the beginning of operations. This accomplishment was made possible by the commitment and support at all levels of the organizations to reduce radiation exposures to ALARA (As Low As Reasonably Achievable). The report provides detailed information about the radiation doses received by departments and work groups within these organizations. It also includes exposure data for recent years to allow Plant and Laboratory units to track the effectiveness of their ALARA efforts. Many of the successful practices and methods that reduced radiation exposure are described. A new goal for personnel contamination cases has been established for 1989. Only through continual and innovative efforts to minimize exposures can the goals be met. The radiation protection goals for 1989 and previous years are included in the report. 27 figs., 58 tabs

Promotion of good governance and combating corruption and ...

African Journals Online (AJOL)

Melvin Mbao and G.G Komboni criticise the legal regime and institutional arrangements designed to promote good government and to combat corruption and maladministration in Botswana, a country widely acclaimed as Africa's success story. Using internationally accepted benchmarks on good governance and combating ...

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…

Combating student plagiarism an academic librarian's guide

CERN Document Server

Lampert, Lynn D

2014-01-01

This practical book introduces readers to the current issues facing todays academic reference and instruction librarians grappling with the growing problem of student plagiarism. The book provides up-to-date overviews of student plagiarism, examples of ways in which librarians can educate students through proven instructional techniques, collaboration approaches and outreach methods, and discusses common problems and questions librarians may encounter when incorporating current anti-plagiarism instruction into their instructional services. Topics include: role of the academic librarian in combating student plagiarism, discipline-based approaches to combating student plagiarism, information literacy techniques and faculty/librarian collaboration. Investigates the issues surrounding the growth of instances of student plagiarism Discusses the academic librarian's role in combating student plagiarism Recommends effective outreach techniques and instructional methods for preventing plagiarism.

Violence Exposure in Home and Community: Influence on Posttraumatic Stress Symptoms in Army Recruits

Science.gov (United States)

Chapin, Mark G.

2004-01-01

This study assessed the levels and types of violence exposure, levels of posttraumatic stress symptoms, and the relationship among exposure to violence, posttraumatic stress symptoms, and early discharge in U.S. Army recruits at Basic Combat Training (BCT). The study applied a modified ABCX model of family stress adaptation developed by McCubbin,…

Sticky situations: cyanoacrylate exposures reported to a poison control system.

Science.gov (United States)

Carstairs, Shaun D; Koh, Cynthia; Qian, Lily; Qozi, Mariam; Seivard, Grant; Cantrell, F Lee

2017-11-01

Cyanoacrylate (Super Glue ® ) exposures are commonly reported to poison control centers, but little has been published in the medical literature regarding these exposures. We sought to characterize cyanoacrylate exposures reported to a poison control system. We performed a retrospective review of a poison system's database for all cases of single-substance human exposure to cyanoacrylate-containing products from 2005 to 2015. Data collected included age, gender, route of exposure, clinical effects, treatments recommended and medical outcome. There were a total of 893 patients, 505 (56.6%) of which were female. Patient ages ranged from 6 months to 88 years with a median of 11 years. The vast majority of exposures (n = 871, 97.5%) were unintentional, but a small number of exposures (n = 22, 2.5%) were due to intentional misuse (such as trying to stop a bleeding cut) or malicious intent (such as purposefully gluing a person's eyes shut as a prank). Routes of exposure included: ingestion, n = 337 (37.7%); ocular, n = 322 (36.1%); dermatologic, n = 285 (31.9%); inhalation, n = 16 (1.8%); nasal, n = 1 (0.1%); and otic, n = 1 (0.1%); some patients had multiple routes of exposure. Treatments recommended by the poison center included irrigation (n = 411), petroleum jelly (n = 143), mineral oil (n = 131), topical antibiotic ointment (n = 82), peanut butter (n = 6), acetone (n = 4) and WD-40 ® (n = 2). A total of 657 patients (73.6%) were managed on-site, while 236 (26.4%) were seen in a health care facility. Among all exposures, effects were classified as none (n = 287), minor (n = 529) and moderate (n = 77). No major effects or deaths were reported. In this case series, the majority of cases occurred in children and most exposures did not result in significant morbidity. Notably, there was wide variation in terms of recommended treatments; further study is needed to determine the optimal treatment

Transparency: As An Instrument To Combat With Tax Havens A Study On The OECD-BEPS Action 5 (2015 Final Report"

Directory of Open Access Journals (Sweden)

Zeynep Nihan ÇAMURCU

2017-12-01

Full Text Available Apart from the problem of use of the tax havens in the financing of international crimes, the non-taxation of high amounts of funds brings some other problems such as reduction of the budget revenues of the states and the restriction of public expenditures. Therefore, the "tax havens" has become serious and current problem that needs to be resolved for the world economy. The Organisation for Economic Co-operation and Development (OECD published a report in 1998 and declared a war against harmful tax competition. This report was the first wave of fighting against harmful tax competition. However, the proliferation of tax havens led to exist a new wave -especially after the global financial crisis- in combat with tax havens. This second wave was named "transparency" by OECD. The "transparency" revealed in OECD Base Erosion Profit Shifting -5 Action (2015 final report, which can be used as an instrument in fighting against tax havens, has be examined in the study.

'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.

Reactions to combat stress in Israeli veterans twenty years after the 1982 Lebanon war.

Science.gov (United States)

Solomon, Zahava; Shklar, Rami; Singer, Yaffa; Mikulincer, Mario

2006-12-01

During the war or shortly thereafter, the most common manifestation of combat induced psychopathology is combat stress reaction (CSR). The long-term consequences of CSR have so far received little scientific attention. The aim of this study was to examine whether CSR is a marker for long-term PTSD and other psychiatric comorbidities. Two groups of veterans from the 1982 Lebanon war were assessed 20 years after the war: one comprised 286 CSR casualties and the other comprised 218 matched non-CSR soldiers. Participants were assessed for PTSD, psychiatric symptomatology, social functioning, physical health, and postwar life events. Twenty years after the war, veterans with antecedent CSR reported more PTSD, psychiatric symptomatology and distress, social dysfunction, and health problems than did non-CSR veterans. We conclude that CSR should be seen as a marker for long-term psychiatric distress and impairment. In addition, the implications of combat-related trauma are broad and varied, and go beyond the narrow scope of PTSD.

Fresh whole blood transfusions in coalition military, foreign national, and enemy combatant patients during Operation Iraqi Freedom at a U.S. combat support hospital.

Science.gov (United States)

Spinella, Philip C; Perkins, Jeremy G; Grathwohl, Kurt W; Repine, Thomas; Beekley, Alec C; Sebesta, James; Jenkins, Donald; Azarow, Kenneth; Holcomb, John B

2008-01-01

United States military doctrine permits the use of fresh whole blood (FWB), donated by U.S. military personnel on site, for casualties with life-threatening injuries at combat support hospitals. U.S. Military Medical Department policy dictates that all patients treated at military facilities during combat (coalition military personnel, foreign nationals, and enemy combatants) are to be treated equally. The objectives of this study were to describe admission vital signs and laboratory values and injury location for patients transfused with FWB, and to determine if FWB was employed equally among all patient personnel categories at a combat support hospital. This retrospective cohort study evaluated admission vital signs and laboratory values, injury location, and personnel category for all patients receiving FWB at a U.S. Army combat support hospital in Baghdad, Iraq, between January and December 2004. Eighty-seven patients received 545 units of FWB. Upon admission, the average (+/-S.D.) heart rate was 144 bpm (+/-25); systolic blood pressure, 106 mmHg (+/-33); base deficit, 9 (+/-6.5); hemoglobin, 9.0 g/dl (+/-2.6); platelet concentration, 81.9 x 10(3)/mm(3) (+/-81); international normalized ratio (INR), 2.0 (+/-1.1); and temperature 95.7 degrees F (+/-2.6). The percentages of intensive care patients who received FWB by personnel category were as follows: coalition soldiers, 51/592 (8.6%); foreign nationals, 25/347 (7.2%); and enemy combatants, 11/128 (8.5% (p = 0.38). The amount of FWB transfused by personnel category was as follows: coalition soldier, 4 units (1-35); foreign national, 4 units (1-36); and enemy combatant, 4 units (1-11) (p = 0.9). Fresh whole blood was used for anemic, acidemic, hypothermic, coagulopathic patients with life-threatening traumatic injuries in hemorrhagic shock, and it was transfused in equal percentages and amounts for coalition soldiers, foreign nationals, and enemy combatants.

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.

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

Lead Free Frangible Ammunition Exposure at United States Air Force Small Arms Firing Ranges, 2005 - 2007

National Research Council Canada - National Science Library

Moran, Michael P; Ott, Darrin K

2008-01-01

...) has performed related to health concerns expressed by Security Forces Combat Arms (CATM) instructors regarding exposure to contaminants generated during the discharge of lead free frangible ammunition...

Eleventh annual report of radiation exposures for DOE and DOE contractor employees

International Nuclear Information System (INIS)

1978-01-01

In 1968, the US Atomic Energy Commission (AEC) established a program for reporting certain occupationa radiation exposure information to a central radiation records repository maintained at the Union Carbide Computing Technology Center, Oak Ridge, Tennessee. Annual summaries (WASH-1350-R1 through WASH-1350-R6) were reported for the years 1968-1973 and included data on AEC contracter employees as well as employees of companies in the private sector licensed by the AEC. In January 1975, the operational functions of the AEC, including the maintenance of records on the occupational radiation exposure on contractor employees, were transferred to the Energy Research and Development Administration (ERDA) and the AEC's regulatory functions, including the reporting of information on the occupational radiation exposure of licenses, were transferred to the Nuclear Regulatory Commission (NRC). Previous AEC licenses then reported to NRC while the contractors reported to ERDA. On October 1, 1977, the Department of Energy (DOE) was formed and assumed the responsibilities of ERDA. This report contains the 1978 radiation exposure data for DOE and DOE contractors

From the combat medic to the forward surgical team: the Madigan model for improving trauma readiness of brigade combat teams fighting the Global War on Terror.

Science.gov (United States)

Sohn, Vance Y; Miller, Joseph P; Koeller, Craig A; Gibson, Steven O; Azarow, Kenneth S; Myers, Jerome B; Beekley, Alec C; Sebesta, James A; Christensen, Jon B; Rush, Robert M

2007-03-01

Medics assigned to combat units have a notable paucity of trauma experience. Our goal was to provide intense trauma refresher training for the conventional combat medic to better prepare them for combat casualty care in the War on Terror. Our Tactical Combat Casualty Care Course (TC3) consisted of the following five phases: (1) One and one-half-day didactic session; (2) Half-day simulation portion with interactive human surgical simulators for anatomical correlation of procedures and team building; (3) Half-day of case presentations and triage scenarios from Iraq/Afghanistan and associated skills stations; (4) Half-day live tissue lab where procedures were performed on live anesthetized animals in a controlled environment; and (5) One-day field phase where live anesthetized animals and surgical simulators were combined in a real-time, field-training event to simulate realistic combat injuries, evacuation problems, and mass casualty scenarios. Data collection consisted of surveys, pre- and posttests, and after-action comments. A total of 1317 personnel participated in TC3 from October 2003 through May 2005. Over the overlapping study period from December 2004 to April 2005, 327 soldiers participated in the formal five-phase course. Three hundred four (94%) students were combat medics who were preparing for combat operations in Iraq or Afghanistan. Of those completing the training, 97% indicated their confidence and ability to treat combat casualties were markedly improved. Moreover, of those 140 medics who took the course and deployed to Iraq for 1 year, 99% indicated that the principles taught in the TC3 course helped with battlefield management of injured casualties during their deployment. The hybrid training model is an effective method for training medical personnel to deal with modern battle injuries. This course increases the knowledge and confidence of combat medics deploying and fighting the Global War on Terrorism.

Combating gender stereotypes in the education system: success stories

OpenAIRE

Alvarez, Teresa

2015-01-01

GEC 2015. Conferência realizada em Helsínquia, de 9-10 october 2014. Conferência de Abertura do Painel 2 – Combating gender stereotypes in the education system: success stories, da Conferência promovida pelo Conselho da Europa sobre “Combating gender stereotypes in and through education”. Apresentam-se alguns desafios decorrentes do combate ao sexismo na escola e propõem-se algumas linhas de ação, ao nível individual, coletivo, organizacional e institucional. info:eu-repo/semantics/pub...

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

men and women when adjusting for demographic factors and health behavior. After further adjustment for physical workload at work the association between noise exposure and sickness absence disappeared for women, but not for men. Men that reported to be exposed to loud noise between one......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....... The association was investigated using the Cox proportional hazards model to analyze outcomes in Danish register data on the basis of Danish survey data (5357 employees aged 18-69 in 2000). The analyses showed that self-reported noise exposure was significantly associated with long-term sickness absence for both...

Impact of Combat Duty in Iraq and Afghanistan on Family Functioning: Findings from the Walter Reed Army Institute of Research Land Combat Study

National Research Council Canada - National Science Library

Huge, Charles W; Castro, Carl A; Eaton, Karen M

2006-01-01

.... However, most studies of the impact of combat on military families have not been conducted proximal to the time of deployments, and there are many research gaps in understanding the full impact of combat deployment...

Virtual reality exposure versus prolonged exposure for PTSD: Which treatment for whom?

Science.gov (United States)

Norr, Aaron M; Smolenski, Derek J; Katz, Andrea C; Rizzo, Albert A; Rothbaum, Barbara O; Difede, JoAnn; Koenen-Woods, Patricia; Reger, Mark A; Reger, Greg M

2018-06-01

The majority of studies comparing active psychological treatments for posttraumatic stress disorder (PTSD) do not find significant differences at posttreatment. This was the case in a recent trial examining prolonged exposure (PE) and virtual reality exposure (VRE) among active-duty soldiers with combat-related PTSD. Matching individual patients to specific treatments provides a potential avenue to improve significantly the public health impact of effective treatments for PTSD. A composite moderator approach was used to identify profiles of patients who would see superior PTSD symptom reduction in VRE or PE to inform future treatment matching. Active duty U.S. army soldiers (N = 108) were enrolled in a randomized clinical trial comparing VRE and PE in the treatment of PTSD stemming from deployments to Iraq or Afghanistan. Eighteen baseline variables were examined to identify treatment response heterogeneity in two patient groups: those with a superior response to PE and those with a superior response to VRE. The final composite moderator comprised four of 18 baseline variables. Results revealed that patients who were predicted to see greater PTSD symptom reduction in VRE were likely to be younger, not taking antidepressant medication, had greater PTSD hyperarousal symptoms, and were more likely to have greater than minimal suicide risk. Results suggest that treatment matching based on patient profiles could meaningfully improve treatment efficacy for combat-related PTSD. Future research can build on these results to improve our understanding of how to improve treatment matching for PTSD. © 2018 Wiley Periodicals, Inc.

Texas Bull Nettle (Cnidoscolus texanus) Exposures Reported to Texas Poison Centers.

Science.gov (United States)

Forrester, Mathias B

2017-06-01

Texas bull nettle (Cnidoscolus texanus) is covered in bristly hairs similar to stinging nettle. Contact with the plant may result in intense dermal pain, burning, itching, cellulitis, and allergic reaction. This study characterizes C texanus exposures reported to a large state-wide poison center system. Cases were C texanus exposures reported to Texas poison centers during 2000-2015. The distribution of cases was determined for patient demographics, exposure circumstances, and patient outcome. A total of 140 C texanus exposures were identified. Twenty percent of the patients were aged ≤5 years, 21% were 6 to 12 years, 5% were 13 to 19 years, and 51% were ≥20years; and 51% of the patients were male. Eighty-one percent of the exposures occurred at the patient's own residence, 11% in a public area, 2% at another residence, and 1% at school. Seventy-eight percent of the patients were managed on site, 13% were already at or en route to a health care facility, and 6% were referred to a health care facility. Eighty-eight percent of the exposures resulted in dermal effects: irritation or pain (56%), erythema or flushing (31%), edema (27%), pruritus (24%), rash (19%), puncture or wound (19%), and hives or welts (11%). C texanus exposures reported to Texas poison centers were most likely to be unintentional and occur at the patient's own residence. The outcomes of the exposures tended not to be serious and could be managed successfully outside of health care facilities. Copyright © 2017 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

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.

LOS tercios en España: el combate

Directory of Open Access Journals (Sweden)

Lorraine WHITE

2009-12-01

Full Text Available RESUMEN: Durante el siglo ??? hubo un importante incremento de la actividad militar en la Península Ibérica. Las tropas hubieron de luchar en su propio territorio y contra otros subditos del rey de España. Este artículo se centra en el combate de los ejércitos españoles en la Península. Examina el componente humano de estas fuerzas, los motivos para servir o para desertar, el conflicto de lealtades, los riesgos y las realidades del combate, así como la asistencia médica y espiritual que recibían.ABSTRACT: There was a significant rise in military activity in the Iberian Peninsula during the seventeenth century. Troops fought on 'home' territory and against fellow subjects of the Spanish king. This article looks at combat in Spain's home-based armies. It explores the human component of these forces, the motives and disincentives for serving, the conflict of loyalties, the risks and realities of combat, and medical and spiritual care.

Nonoperative Management of Splenic Injury in Combat: 2002-2012

Science.gov (United States)

2015-03-01

recognized as the defini- tive treatment for splenic injury when Dr. Johnston reported 150 splenectomies for trauma in 1908.4 However, in 1968, Upadhyaya...management safe and effective for all splenic blunt trauma ? A systematic review. Crit Care 2013; 17(5): R185. 6. Joint Theater Trauma System Clinical Practice...2014. 7. Zonies D, Eastridge B: Combat management of splenic injury: trends during a decade of conflict. J Trauma Acute Care Surg 2012; 73(2 Suppl 1

Combating trafficking: the Swiss approach

OpenAIRE

Sebastian Rauber

2006-01-01

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.

Crowd Behavior Algorithm Development for COMBAT XXI

Science.gov (United States)

2017-05-30

non-combatants to military operations in an urban area. We show how to link this model with COMBATXXI at the application programming interface (API...level so that the model can be run in tight conjunction with COMBATXXI. TRAC and other anaytic organizations can use this type of crowd model to... organizations , and materiel. crowd, agent-based modeling , combat models , COMBATXXI, NetLogo, mega-cities, civilians on the battlefield Unclassified U U U U 39

597 Days: A Division’s Morale During Sustained Combat

Science.gov (United States)

2014-05-22

The army broke combat exhaustion into two groups: new replacements and veterans. For new replacements the symptoms of combat exhaustion appeared...through the initial effects of combat to fall into the veteran group. The manifestation of symptoms for veterans generally occurred around the 120th...concentrated strength” that the German Army was simply overrun. The battle turned into a “ gigantic mopping- up operation,” one that saw the Red Bulls solidify

Associations between exposure to information and communication technology (ICT) and reported discomfort among adolescents.

Science.gov (United States)

Palmer, Kristy; Ciccarelli, Marina; Falkmer, Torbjorn; Parsons, Richard

2014-01-01

Use of Information and Communication Technologies (ICT) are common among adolescents in their daily activities.Exposure to ICT has been associated with discomfort and musculoskeletal disorders in adults, with growing concern about the potential risks to children and adolescents' physical health. The objectives of this study were to (i) quantify self-reported discomfort and exposure to ICT among adolescents; and (ii) determine if associations exist between discomfort and levels of exposure. The participant group comprised 33 Australian adolescents aged 12-15 years. The study used self-reports by participants for a one week period. Intensity and location of discomfort was reported via a written discomfort log. ICT exposure and physical activity were reported through an electronic time-use diary. The most common ICT types reported by participants were television, mobile phones and desktop and laptop computers. Discomfort was reported by 86% of participants. The most frequently reported areas were the legs, head/neck, back and shoulders. There was no statistical association found between ICT exposure and discomfort. The majority of participants exceeded the recommended 60 minutes per day of moderate to vigorous physical activity. High exposure to ICT and high prevalence of low level discomfort was reported by the participants. Participating in regular physical activity may have some protective effect against ICT-related discomfort.

Mediation and Moderation of the Relationship Between Combat Experiences and Post-Traumatic Stress Symptoms in Active Duty Military Personnel.

Science.gov (United States)

Steele, Marshall; Germain, Anne; Campbell, Justin S

2017-05-01

Post-traumatic stress disorder (PTSD) is a major health concern among the U.S. military population, affecting up to 12% to 24% of veterans returning from Iraq and Afghanistan. Sleep disturbances, neuroticism, and childhood trauma have all been associated with the development of PTSD in military populations, especially in relation to combat experiences. The effects of disrupted sleep and post-traumatic stress can affect the physical well-being of soldier and sailors in the field and impact them for years after deployment. This study aimed to evaluate the relationship between self-reported measures of combat experiences, PTSD symptoms, sleep, neuroticism, and childhood adversity in an active duty military population. 972 U.S. Navy Sailors serving in Afghanistan were given anonymous surveys that assess scales of combat stressors, PTSD symptoms, sleep problems, neuroticism, adverse child experiences (ACEs), and other covariates. Sleep disturbances were hypothesized as moderators, having an indirect effect on the relationship between combat experiences and PTSD symptoms. Neuroticism scores and ACEs were proposed as moderators of the combat-PTSD symptom relationship. Mediation and moderation models were developed and tested using logistic regressions. Increased number of combat experiences was found to be a significant predictor of PTSD, even when adjusting for all covariates (p moderating factor. These results indicate that the presence of nightmares may partially explain how traumatic combat experiences lead to the development of PTSD. The study also reaffirms neuroticism as risk factor for developing PTSD symptoms. These findings highlight the importance of sleep hygiene and operational stress models in combat situations and may help stress control professionals address risk factors associated with PTSD symptoms. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

Combating Training-Stress Syndromes.

Science.gov (United States)

Voight, Mike

2002-01-01

Addresses the nature and ramifications of various training stress syndromes (overtraining, under-recovery, distress, staleness, and burnout) that can accompany inappropriate training practices, examining the interventions that players and coaches can use to combat these syndromes (including physical, psychological, and performance interventions),…

I Symposium of Elite Performance in Combat Sports

Directory of Open Access Journals (Sweden)

Montse C. Ruiz

2017-07-01

Full Text Available 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 psychology, brain maturation, sports nutrition, competition planning, sport injuries, and perceptual-decision making training.

Sri Lanka; Report on the Observance of Standards and Codes for Anti-Money Laundering and Combating the Financing of Terrorism and Mutual Evaluation Report on Anti-Money Laundering and Combating the Financing of Terrorism

OpenAIRE

International Monetary Fund

2008-01-01

The experts reviewed the institutional framework, the relevant Anti-Money Laundering and Combating the Financing of Terrorism (AML/CFT) laws, regulations, guidelines, and other requirements, and the regulatory and other systems in place to deter money laundering (ML) and the financing of terrorism (FT) through financial institutions and designated non-financial businesses and professions (DNFBP), as well as examining the capacity, the implementation, and the effectiveness of all these systems...

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.

Growth hormone deficiency after mild combat-related traumatic brain injury.

Science.gov (United States)

Ioachimescu, Adriana G; Hampstead, Benjamin M; Moore, Anna; Burgess, Elizabeth; Phillips, Lawrence S

2015-08-01

Traumatic brain injury (TBI) has been recognized as a cause of growth hormone deficiency (GHD) in civilians. However, comparable data are sparse in veterans who incurred TBI during combat. Our objective was to determine the prevalence of GHD in veterans with a history of combat-related TBI, and its association with cognitive and psychosocial dysfunction. Single center prospective study. Twenty male veterans with mild TBI incurred during combat 8-72 months prior to enrollment. GHD was defined by a GH peak emotional, and quality of life of the GHD Veterans were described using Cohen's d. Large effect sizes were considered meaningful. Mean age was 33.7 years (SD 7.8) and all subjects had normal thyroid hormone and cortisol levels. Five (25%) exhibited a subnormal response to glucagon. Sixteen participants (80%) provided sufficient effort for valid neuropsychological assessment (12 GH-sufficient, 4 GHD). There were large effect size differences in self-monitoring during memory testing (d = 1.46) and inhibitory control (d = 0.92), with worse performances in the GHD group. While fatigue and post-traumatic stress disorder were comparable, the GHD group reported more depression (d = 0.80) and lower quality of life (d = 0.64). Our study found a 25% prevalence of GHD in veterans with mild TBI as shown by glucagon stimulation. The neuropsychological findings raise the possibility that GHD has adverse effects on executive abilities and mood. Further studies are needed to determine whether GH replacement is an effective treatment in these patients.

UNDERGRADUATE AIR BATTLE MANAGER TRAINING: PREPARED TO ACHIEVE COMBAT MISSION READY

Science.gov (United States)

2016-04-01

training to ensure ABMs develop basic airmanship similar to graduates from Undergraduate Pilot Training (UPT) or Undergraduate Combat Systems Officer... System (AWACS), the E-8C Joint Surveillance Targeting Attack Reconnaissance System (JSTARS), and the Control and Reporting Center (CRC). This study will...complexity of future air warfare, continues to grow ABMs will be required to integrate effects across Air, Space, and Cyberspace. The opportunity to train

Littoral Combat Ship and Frigate: Congress Faced with Critical Acquisition Decisions

Science.gov (United States)

2016-12-01

Authorizing the block buy strategy for the frigate appears premature . The decisions Congress makes could have implications for what aspiring...LCS and small surface combatant programs. This statement is largely based on GAO’s prior reports and larger work on shipbuilding and acquisition...ships capable of performing surface, anti-submarine, and anti-air warfare. Letter Page 2 GAO-17-262T This testimony largely

New Technologies for Treating Severe Bleeding in Far-Forward Combat Areas

Science.gov (United States)

2010-04-01

conditions have been utilized to evaluate the safety and efficacy of Combat Gauze. Combat Gauze ( kaolin -coated gauze) was recently distributed by US...woven medical gauze (50% polyester and 50% rayon) impregnated with a contact (intrinsic) pathway activating clotting agent, kaolin . The prototype...Military Tourniquet (EMT). 5.0 CONCLUSION Future combat scenarios where the troops will be more dispersed , imply that evacuation times of

The use of QuikClot combat gauze in cervical and vaginal hemorrhage

Directory of Open Access Journals (Sweden)

Nicole Vilardo

2017-08-01

Full Text Available QuikClot combat gauze is a synthetic hemostatic dressing used for hemorrhage control. There is a paucity of data describing the clinical use and hemostatic results of combat gauze in the obstetric and gynecologic setting. This case series demonstrates the use of combat gauze as an effective hemostatic agent when used as vaginal packing in cervical and vaginal hemorrhage. Hemostasis was achieved rapidly in all cases and further interventions were avoided. The combat gauze remained in place for a mean time of 15 h with no adverse side effects observed. The use of combat gauze as vaginal packing may provide an alternative option in the treatment of cervical and vaginal hemorrhage when other traditional conservative and surgical interventions fail or are unavailable.

Synthetic cannabinoid and marijuana exposures reported to poison centers.

Science.gov (United States)

Forrester, M B; Kleinschmidt, K; Schwarz, E; Young, A

2012-10-01

Synthetic cannabinoids have recently gained popularity as a recreational drug because they are believed to result in a marijuana-like high. This investigation compared synthetic cannabinoids and marijuana exposures reported to a large statewide poison center system. Synthetic cannabinoid and marijuana exposures reported to Texas poison centers during 2010 were identified. The distribution of exposures to the two agents with respect to various demographic and clinical factors were compared by calculating the rate ratio (RR) of the synthetic cannabinoid and marijuana percentages for each subgroup and 95% confidence interval (CI). The proportion of synthetic cannabinoid and marijuana exposures, respectively, were 87.3% and 46.5% via inhalation (RR 1.88, 95% CI 1.38-2.61), 74.9% and 65.7% in male (RR 1.14, 95% CI 0.87-1.51), 40.2% and 56.6% age ≤ 19 years (RR 0.71, 95% CI 0.52-0.98), 79.2% and 58.6% occurring at a residence (RR 1.35, 95% CI 1.02-1.82), 8.4% and 16.2% managed on-site (RR 0.52. 95% CI 0.28-1.00), and 59.3% and 41.4% with serious medical outcomes (RR 1.43, 95% CI 1.03-2.05). Compared to marijuana, synthetic cannabinoid exposures were more likely to be used through inhalation, to involve adults, to be used at a residence, and to result in serious outcomes.

Report on emergency exposure to external radiation

Energy Technology Data Exchange (ETDEWEB)

Pochin, E E; Rock Carling, Ernest; Court Brown, W M [Medical Research Council, Committee on Protection against Ionizing Radiations, London (United Kingdom); and others

1960-12-01

The Medical Research Council has continued a study of the effects on the health of persons in the neighbourhood of atomic energy installations should there be a release of radioactive material as a result of fires or other incidents. The Council's Committee on Protection against Ionizing Radiations has already reported (Medical Research Council, 1959) on the maximum permissible dietary contamination for iodine 131, strontium 89, strontium 90 and caesium. 137, since it was considered that for the members of the public normally resident in the area affected ingestion of contaminated food would generally be the limiting source of hazard after any such accident and that intake by inhalation, or radiation from the exterior, would become of importance only in rather special circumstances The present report deals with the problem of exposure from the exterior, namely, from external sources of beta and gamma radiation. This exposure might be derived from two sources, one of relatively short duration from the passage of a cloud of radioactive material, the other of longer duration from deposited material.

Report on emergency exposure to external radiation

International Nuclear Information System (INIS)

Pochin, E.E.; Rock Carling, Ernest; Court Brown, W.M.

1960-01-01

The Medical Research Council has continued a study of the effects on the health of persons in the neighbourhood of atomic energy installations should there be a release of radioactive material as a result of fires or other incidents. The Council's Committee on Protection against Ionizing Radiations has already reported (Medical Research Council, 1959) on the maximum permissible dietary contamination for iodine 131, strontium 89, strontium 90 and caesium. 137, since it was considered that for the members of the public normally resident in the area affected ingestion of contaminated food would generally be the limiting source of hazard after any such accident and that intake by inhalation, or radiation from the exterior, would become of importance only in rather special circumstances The present report deals with the problem of exposure from the exterior, namely, from external sources of beta and gamma radiation. This exposure might be derived from two sources, one of relatively short duration from the passage of a cloud of radioactive material, the other of longer duration from deposited material

Combatant Commanders Informational Series, USEUCOM

National Research Council Canada - National Science Library

Burton, Steven

1996-01-01

...) and the diverse challenges it faces require it to maintain one of the highest operational and personnel tempos of the combatant command, are limited in the opportunity of personnel new to the command...

Foreign Language Educators' Exposure to Research: Reported Experiences, Exposure via Citations, and a Proposal for Action

Science.gov (United States)

Marsden, Emma; Kasprowicz, Rowena

2017-01-01

This article reports on 2 connected studies that provide data about the flow of research to foreign language (FL) educators in majority Anglophone contexts. The first study investigated exposure to research among FL educators in the United Kingdom using 2 surveys (n = 391; n = 183). The data showed (a) some limited exposure to research via…

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…

Drug use and childhood-, military- and post-military trauma exposure among women and men veterans.

Science.gov (United States)

Kelley, Michelle L; Brancu, Mira; Robbins, Allison T; D'Lima, Gabrielle M; Strauss, Jennifer L; Curry, John F; Fairbank, John A; Runnals, Jennifer

2015-07-01

The current study was undertaken to examine whether posttraumatic stress symptoms (PTSS) and depressive symptoms mediated the association between trauma exposure (combat-related trauma and non-combat traumas occurring before, during, and after military service), and drug abuse symptoms use among male and female veterans. Participants were 2304 (1851 male, 453 female) veterans who took part in a multi-site research study conducted through the Department of Veterans Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC). Path analytic models were used to determine the association between problematic past-year drug use and combat-related and non-combat trauma experienced before, during, or after the military and whether current post-traumatic stress symptoms or depressive symptoms mediated these associations. For both male and female veterans, depressive symptoms significantly mediated the effects of pre- and post-military trauma on drug abuse symptoms. Mental health providers who work with trauma-exposed Iraq and Afghanistan era veterans should assess for drug use, depressive symptoms, and life-span trauma (i.e., not only combat-related traumas) as part of a thorough trauma-based assessment for both men and women. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

An examination of the roles of trauma exposure and posttraumatic stress disorder on emotion regulation strategies of Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn veterans.

Science.gov (United States)

Sippel, Lauren M; Roy, Alicia M; Southwick, Steven M; Fichtenholtz, Harlan M

2016-09-01

Theories of posttraumatic stress disorder (PTSD) implicate emotional processes, including difficulties utilizing adaptive emotion regulation strategies, as critical to the etiology and maintenance of PTSD. Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn (OIF/OEF/OND) veterans report high levels of combat exposure and PTSD. We aimed to extend findings suggesting that emotion regulation difficulties are a function of PTSD, rather than combat trauma exposure or common comorbidities, to OIF/OEF/OND veterans, in order to inform models of PTSD risk and recovery that can be applied to returning veterans. We tested differences in emotion regulation, measured with the Difficulties in Emotion Regulation Scale and Emotion Regulation Questionnaire, among trauma-exposed veterans with (n = 24) or without PTSD (n = 22) and healthy civilian comparison participants (n = 27) using multivariate analyses of covariance, adjusting for major depressive disorder, anxiety disorders, and demographic variables (age, sex, and ethnicity). Veterans with PTSD reported more use of expressive suppression and more difficulties with emotion regulation than veterans without PTSD and healthy comparison participants. Groups did not differ on cognitive reappraisal. Findings suggest the key role of PTSD above and beyond trauma exposure, depression, and anxiety in specific aspects of emotion dysregulation among OIF/OEF/OND veterans. Interventions that help veterans expand and diversify their emotion regulation skills may serve as helpful adjunctive treatments for PTSD among OIF/OEF/OND veterans.

The role of sexual assault on the risk of PTSD among Gulf War veterans.

Science.gov (United States)

Kang, Han; Dalager, Nancy; Mahan, Clare; Ishii, Erick

2005-03-01

The 1991 Gulf War was the first major military deployment where female troops were integrated into almost every military unit, except for combat ground units. We evaluated the impact of reported sexual trauma during this deployment on the risk of post-traumatic stress disorder (PTSD) after the war. A nested case-control analysis was conducted using the data collected in a population-based health survey of 30,000 Gulf War era veterans. A total of 1381 Gulf War veterans with current PTSD were compared with 10,060 Gulf veteran controls without PTSD for self-reported in-theater experiences of sexual harassment/assault and combat exposure. The adjusted odds ratio (aOR) for PTSD associated with a report of sexual assault was 5.41 (95% confidence interval [CI], 3.19-9.17) in female veterans and 6.21 (95% CI, 2.26-17.04) in male veterans. The aOR for PTSD associated with "high" combat exposure was also statistically significant (aOR, 4.03 [95% CI, 1.97-8.23] for females; aOR, 4.45 [95% CI, 3.54-5.60] for males). Notwithstanding a possibility of recall bias of combat and sexual trauma, for both men and women, sexual trauma as well as combat exposure appear to be strong risk factors for PTSD.

Methods for combating microorganisms in cooling water systems - a literature study and a market inventory

International Nuclear Information System (INIS)

Thierry, D.

1989-01-01

One of the greatest current problems in both closed and open cooling water systems is that of micro- and macro-organisms. In view of the environmental effects associated with the discharge of chemicals, the range of biocides and alternative methods for combating micro-organisms has increased during recent years. This report presents a brief description of the organisms which contribute to corrosion problems and the mechanisms associated with microbial corrosion. Thereafter descriptions are given of 15 different biocides which are used in both open and closed cooling systems. In each case, details are given of their chemical compositions and mode of action and of their effects on metals and on the environment. Finally, alternative methods of combating micro-organisms in cooling water systems are briefly described. The report also includes a survey of the biocides for cooling water systems which are available on the Swedish market. (author)

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

International Nuclear Information System (INIS)

Smith, M.H.; Hui, T.E.; Millet, W.H.; Scholes, V.A.

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

The Measurement of Combat Stress in the Field: A Product Development Study

National Research Council Canada - National Science Library

Cotton, A

1998-01-01

.... In the early nineties, however, a need was perceived to improve the individual combat capability of the infantry soldier in order to improve the combat capability of the Army as a whole. This led to the creation of Project WUNDURRA (an aboriginal word meaning "warrior"), which subsequently became known as Project LAND125 (Soldier Combat System Enhancement Study).

Occupational radiation exposure at commercial nuclear power reactors, 1981. Annual report

International Nuclear Information System (INIS)

Brooks, B.G.

1982-11-01

This report presents an updated compilation of occupational radiation exposures at commercial nuclear power reactors for the years 1969 through 1981. This year's report contains data received from the 70 light water cooled reactors (LWRs) and one high temperature gas cooled reactor that had been declared to be in commercial operation for at least one full year as of December 31, 1981. This represents an increase of two reactors over the number contained in last year's report. The total number of personnel monitored at LWRs in 1981 was 124,504, a slight decrease from that found in 1980. The number of workers that received measurable doses during 1981 was 82,183 which is about 2000 more than that found in 1980. The total collective dose at LWRs for 1981 is estimated to be 54,142 man-rems, which is only about 350 man-rems more than that reported in 1980. The report also presents a summary and some analyses of the exposure data contained in the termination reports that have been submitted by nuclear power licensees to the Commission pursuant to 10 CFR Section 20.408. As of December 31, 1981, personal identification and exposure information had been collected and computerized for some 210,000 of these terminating reactor personnel

Acute exposure to a sublethal dose of imidacloprid and coumaphos enhances olfactory learning and memory in the honeybee Apis mellifera.

Science.gov (United States)

Williamson, Sally M; Baker, Daniel D; Wright, Geraldine A

2013-06-01

The decline of honeybees and other pollinating insects is a current cause for concern. A major factor implicated in their decline is exposure to agricultural chemicals, in particular the neonicotinoid insecticides such as imidacloprid. Honeybees are also subjected to additional chemical exposure when beekeepers treat hives with acaricides to combat the mite Varroa destructor. Here, we assess the effects of acute sublethal doses of the neonicotinoid imidacloprid, and the organophosphate acaricide coumaphos, on honey bee learning and memory. Imidacloprid had little effect on performance in a six-trial olfactory conditioning assay, while coumaphos caused a modest impairment. We report a surprising lack of additive adverse effects when both compounds were administered simultaneously, which instead produced a modest improvement in learning and memory.

Prevalence of Occupational Exposure to Pathogens and Reporting Behaviour among Cypriot Nurses

Directory of Open Access Journals (Sweden)

Georgios Efstathiou

2013-01-01

Full Text Available Background: Occupational exposure to pathogens forms a major concern among nurses, the largest team among healthcare professionals. Unfortunately, international literature marks high rates of occupational exposure to pathogens among nurses. Data from these studies allow to the implementation of prevention programs to avoid such incidences.Aim:To assess the prevalence of Cypriot nurses’ occupational exposure to pathogens as well as their reporting behaviour following such incidences.Methodology: A cross sectional survey has been conducted among a convenience sample of 577 nurses, during March and May 2010.Results: Our analysis demonstrated that almost half of Cypriot nurses (48.4% had at least one incidence of occupational exposure to pathogens, with more than 20% of the exposed nurses having been exposed via more than one mode. The majority of them have made a report of the incident, according to the policy of their hospital. Main reasons for not reporting such a critical incident included being too busy and forgetfulness.Conclusions: The results indicate that exposure to pathogens among Cypriot nurses is high, a fact that puts them into danger for acquiring an infection. A risk management program should be implemented to reduce such incidents.

Community violence exposure and post-traumatic stress reactions among Gambian youth: the moderating role of positive school climate.

Science.gov (United States)

O'Donnell, Deborah A; Roberts, William C; Schwab-Stone, Mary E

2011-01-01

Community violence exposure among youth can lead to various negative outcomes, including post-traumatic stress symptoms. Research in the Western world indicates that a number of social support factors may moderate the relation between violence exposure and internalizing symptoms. Little research has been carried out in non-Western countries. This study aimed to fill this gap by exploring the relations among violence exposure, parental warmth, positive school climate, and post-traumatic stress reactions among youth in The Republic of The Gambia, Africa. A school-based survey of youth behaviors, feelings, attitudes, and perceptions was administered to 653 students at senior secondary schools in four Gambian communities. Students reported high levels of exposure to violence. Over half of students reported witnessing someone threatened with serious physical harm, beaten up or mugged, attacked or stabbed with a knife/piece of glass, or seriously wounded in an incident of violence. Nearly half of students reported being beaten up or mugged during the past year, and nearly a quarter reported being threatened with serious physical harm. There were no sex differences in levels of exposure. Traumatic stress symptoms were common, especially among females. Both violence witnessing and violent victimization significantly predicted post-traumatic stress symptoms, and positive school climate moderated the relationship. Among youth victimized by violence, positive school climate was most strongly correlated with lower levels of post-traumatic stress at low levels of exposure. Among youth who had witnessed violence, positive school climate was most strongly correlated with lower levels of post-traumatic stress at high levels of exposure. Community-based programs that bring together parents, schools, and youth may play an important role in combating the negative effects of some types of violence exposure among Gambian youth. Youth experiencing high levels of violent victimization

Experiences and perceptions of sexual harassment in the Canadian forces combat arms.

Science.gov (United States)

Gill, Ritu; Febbraro, Angela R

2013-02-01

Recent studies examining sexual harassment in the military indicate a decrease in reports of harassment, which may be attributed to several factors, including zero-tolerance policies or anti-harassment programs. However, the decrease may also be attributed to fears of losing one's job or of being derogated by colleagues if harassment is reported. This qualitative study of women employed in the Canadian combat arms examined spontaneously shared perceptions and experiences of sexual harassment. Six of the 26 women interviewed shared their experiences or perceptions of harassment, including concerns about potential repercussions of reporting. Implications for gender integration in military organizations are discussed.

VIEWS REGARDING THE ORGANIZATION OF THE ACTIVITIES RELATEDTO THE PREVENTION AND COMBAT AGAINST MONEY LAUNDERING

OpenAIRE

DUMITRESCU Serju; AVRAM Marioara

2012-01-01

The present paper tries to render different aspects of money laundering in Romania according to the present legislation. We have tried to identify several aspects related to this issue such as: the sequences of the money laundering process, the entities having reporting obligations, the duties of the persons in charge with the prevention & combat against money laundering, report deadlines, different types of reporting which have to be done to the Money Laundering Department , the contraventio...

Technical-tactical and physiological demands of wrestling combats

OpenAIRE

Bianka Miarka

2016-01-01

Technical-tactical and physiological demand analyses of wrestling combats are important because they reveal essential information for the development of contextual training and specific physical preparation of wrestlers. Therefore, the aim of this review is to describe the characteristics of wrestling combats in freestyle, female and Greco-roman styles. The time-motion analysis presented in this article is the main component to carry out inferences on intensity and effort: pause ratio of comb...

O 'combate' às doenças tropicais na imprensa colonial alemã 'Combating' tropical diseases in the German colonial press

Directory of Open Access Journals (Sweden)

Sílvio Marcus de Souza Correa

2013-03-01

Full Text Available Demonstra o quanto determinados jornais em língua alemã constituíram veículo de divulgação para o público leigo sobre o 'combate' às doenças tropicais. Pela imprensa, imigrantes e seus descendentes no Brasil eram informados não apenas sobre as doenças que acometiam os colonos alemães na África, mas também sobre medidas de saneamento, profilaxia, experimentos da medicina tropical etc. A partir de fontes hemerográficas, demonstra o quanto as comunidades alemãs no ultramar lograram compartilhar suas experiências em relação à saúde em regiões tropicais e/ou subtropicais.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.

Note nuclear accidents combat

International Nuclear Information System (INIS)

1989-01-01

In this document the starting points are described which underlie the new framework for the nuclear-accident combat in the Netherlands. All the elaboration of this is indicated in main lines. The juridical consequences of the proposed structure are enlightened and the sequel activities are indicated. (H.W.). 6 figs.; 8 tabs

Antimicrobial peptide exposure selects for Staphylococcus aureus resistance to human defence peptides

DEFF Research Database (Denmark)

Kubicek-Sutherland, Jessica Z.; Lofton, Hava; Vestergaard, Martin

2017-01-01

Background: The clinical development of antimicrobial peptides (AMPs) is currently under evaluation to combat the rapid increase in MDR bacterial pathogens. However, many AMPs closely resemble components of the human innate immune system and the ramifications of prolonged bacterial exposure to AM...

Mitigation approaches to combat the flu pandemic.

Science.gov (United States)

Chawla, Raman; Sharma, Rakesh Kumar; Madaan, Deepali; Dubey, Neha; Arora, Rajesh; Goel, Rajeev; Singh, Shefali; Kaushik, Vinod; Singh, Pankaj Kumar; Chabbra, Vivek; Bhardwaj, Janak Raj

2009-07-01

Management of flu pandemic is a perpetual challenge for the medical fraternity since time immemorial. Animal to human transmission has been observed thrice in the last century within an average range of 11-39 years of antigenic recycling. The recent outbreak of influenza A (H1N1, also termed as swine flu), first reported in Mexico on April 26, 2009, occurred in the forty first year since last reported flu pandemic (July 1968). Within less than 50 days, it has assumed pandemic proportions (phase VI) affecting over 76 countries with 163 deaths/35,928 cases (as on 15(th) June 2009). It indicated the re-emergence of genetically reassorted virus having strains endemic to humans, swine and avian (H5N1). The World Health Organisation (WHO) member states have already pulled up their socks and geared up to combat such criticalities. Earlier outbreaks of avian flu (H5N1) in different countries led WHO to develop pandemic preparedness strategies with national/regional plans on pandemic preparedness. Numerous factors related to climatic conditions, socio-economic strata, governance and sharing of information/logistics at all levels have been considered critical indicators in monitoring the dynamics of escalation towards a pandemic situation.The National Disaster Management Authority (NDMA), Government of India, with the active cooperation of UN agencies and other stakeholders/experts has formulated a concept paper on role of nonhealth service providers during pandemics in April 2008 and released national guidelines - management of biological disasters in July 2008. These guidelines enumerate that the success of medical management endeavors like pharmaceutical (anti-viral Oseltamivir and Zanamivir therapies), nonpharmaceutical interventions and vaccination development etc., largely depends on level of resistance offered by mutagenic viral strain and rationale use of pharmaco therapeutic interventions. This article describes the mitigation approach to combat flu pandemic with

Meeting the Challenge - Developing Leaders for Army National Guard Combat Units

National Research Council Canada - National Science Library

Keolanui, Stan

2000-01-01

...). Capable and qualified leaders are a necessity in complex organizations like the eSB. These leaders will insure that Guard combat units meet all readiness and deployment standards necessary for future combat...

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".

[International cooperation in combatting illicit drugs in Mozambique].

Science.gov (United States)

Buvana, Flávia; Ventura, Carla Aparecida Arena

2011-06-01

Countries from Southern Africa have formed a Development Community (SADC) to stimulate common actions in several areas, among them illicit drugs combat. In this context, the goal of this qualitative study was to identify information and perception about the cooperation set up between Mozambique and other SADC members in combatting illicit drugs. Data were collected through semi-structured interviews with public employees developing actions directed at the implementation of the Protocol to Combat Drugs in SADC. After transcriptions, the interviews were analyzed by content analysis and resulted in the categories: "Mozambique as a drugs corridor", "Cooperation Initiatives on Drugs among African countries", "Cooperation Difficulties in Africa", "Problems in Protocol Implementation" and "Difficulties to implement a control policy". As a consequence, there is a need to review and update the policies and strategies in the drugs area, as they are not contextualized in the country's current reality.

Collective stories and well-being: using a dialogical narrative approach to understand peer relationships among combat veterans experiencing post-traumatic stress disorder.

Science.gov (United States)

Caddick, Nick; Phoenix, Cassandra; Smith, Brett

2015-03-01

Using a dialogical narrative approach, this original research explored how combat veterans experiencing post-traumatic stress disorder made sense of peer relationships with other veterans and what effects these relationships had on their well-being. Interviews and participant observations were conducted with 15 male combat veterans (aged 27-60 years) and one member of the civilian emergency services, the majority of whom were diagnosed with post-traumatic stress disorder following traumatic exposure in a range of armed conflicts. All participants were part of a surfing charity for veterans experiencing post-traumatic stress disorder. Data were rigorously analysed using a dialogical narrative analysis (DNA). Findings revealed the collective story that veterans used to make sense of peer relationships within the group. This collective story worked for the veterans to shape their experiences of well-being by fostering camaraderie, stimulating deeper connections and countering the negative effects of post-traumatic stress disorder. Potential therapeutic effects of the collective story were also identified. This article extends previous knowledge on combat veterans and social relationships and advances the field of narrative health psychology through the empirical application of a sophisticated dialogical narrative approach. © The Author(s) 2015.

Conference Essay: Combat-Related Killings and Democratic Accountability: Towards an Understanding of the Cultural Capacities to Deal with Matters of War

Directory of Open Access Journals (Sweden)

Martina Kolanoski

2015-04-01

Full Text Available This report was written by the organizers of the workshop "Accounting for Combat-Related Killings," which took place at the Goethe University Frankfurt in July 2014. Scholars from Israel, the United Kingdom, the United States,, Canada, and Germany came together to present and discuss case studies on the discourse practices involved in accounting for combat-related killings in different national and transnational contexts. Intending to reflect on the methodological skills needed to analyze newly available process data, the workshop brought together scholars using different methodological approaches (here mainly ethnomethodology and critical discourse analysis. In regard to the global trend towards increasing numbers of so called permanent, asymmetric, small, and permanent wars, the report turns to concepts, methods, and empirical findings that foster understandings of the difficulties war generates at social, cultural and political levels as well as the manner in which these predicaments are negotiated, denied, or deflected. The report summarizes the workshop by presenting the papers in a specific order, beginning with accounting in combat, followed by tribunals of accounting, and finally the sedimentation of accounting in cultural representations. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1502239

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.

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.

Meta-path based heterogeneous combat network link prediction

Science.gov (United States)

Li, Jichao; Ge, Bingfeng; Yang, Kewei; Chen, Yingwu; Tan, Yuejin

2017-09-01

The combat system-of-systems in high-tech informative warfare, composed of many interconnected combat systems of different types, can be regarded as a type of complex heterogeneous network. Link prediction for heterogeneous combat networks (HCNs) is of significant military value, as it facilitates reconfiguring combat networks to represent the complex real-world network topology as appropriate with observed information. This paper proposes a novel integrated methodology framework called HCNMP (HCN link prediction based on meta-path) to predict multiple types of links simultaneously for an HCN. More specifically, the concept of HCN meta-paths is introduced, through which the HCNMP can accumulate information by extracting different features of HCN links for all the six defined types. Next, an HCN link prediction model, based on meta-path features, is built to predict all types of links of the HCN simultaneously. Then, the solution algorithm for the HCN link prediction model is proposed, in which the prediction results are obtained by iteratively updating with the newly predicted results until the results in the HCN converge or reach a certain maximum iteration number. Finally, numerical experiments on the dataset of a real HCN are conducted to demonstrate the feasibility and effectiveness of the proposed HCNMP, in comparison with 30 baseline methods. The results show that the performance of the HCNMP is superior to those of the baseline methods.

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.

Is Persuasive Advertising Always Combative in a Distribution Channel?

OpenAIRE

Chi-Cheng Wu; Ying-Ju Chen; Chih-Jen Wang

2009-01-01

The existing marketing literature suggests that persuasive advertising elicits counteractions from competing manufacturers and consequently leads to wasteful cancellation of the advertising effects. Thus, persuasive advertising is widely perceived to be combative in nature. A series of previously published papers demonstrates that appropriate targeting may partially mitigate the combative nature of persuasive advertising in that either the rival manufacturer or the retailer may benefit. In th...

Trained and Ready Combat Forces: The Role of Training Devices in Sustaining Combat Force Proficiency During Deployments

National Research Council Canada - National Science Library

Taylor, James

1997-01-01

... (MOOTW). The Army's ground combat forces, even while engaged in MOOTW activities, must maintain proficiency to wage war in the event that peacetime engagement, deterrence and conflict prevention fail...

Prevalence estimates of combat-related post-traumatic stress disorder: critical review.

Science.gov (United States)

Richardson, Lisa K; Frueh, B Christopher; Acierno, Ronald

2010-01-01

The aim of the present study was to provide a critical review of prevalence estimates of combat-related post-traumatic stress disorder (PTSD) among military personnel and veterans, and of the relevant factors that may account for the variability of estimates within and across cohorts, including methodological and conceptual factors accounting for differences in prevalence rates across nations, conflicts/wars, and studies. MEDLINE and PsycINFO databases were examined for literature on combat-related PTSD. The following terms were used independently and in combinations in this search: PTSD, combat, veterans, military, epidemiology, prevalence. The point prevalence of combat-related PTSD in US military veterans since the Vietnam War ranged from approximately 2% to 17%. Studies of recent conflicts suggest that combat-related PTSD afflicts between 4% and 17% of US Iraq War veterans, but only 3-6% of returning UK Iraq War veterans. Thus, the prevalence range is narrower and tends to have a lower ceiling among combat veterans of non-US Western nations. Variability in prevalence is likely due to differences in sampling strategies; measurement strategies; inclusion and measurement of the DSM-IV clinically significant impairment criterion; timing and latency of assessment and potential for recall bias; and combat experiences. Prevalence rates are also likely affected by issues related to PTSD course, chronicity, and comorbidity; symptom overlap with other psychiatric disorders; and sociopolitical and cultural factors that may vary over time and by nation. The disorder represents a significant and costly illness to veterans, their families, and society as a whole. Further carefully conceptualized research, however, is needed to advance our understanding of disorder prevalence, as well as associated information on course, phenomenology, protective factors, treatment, and economic costs.

INTRODUCTION TO THE SPECIAL ISSUE ON COMBAT SPORT

Directory of Open Access Journals (Sweden)

Andrew M. Lane

2006-07-01

Full Text Available Combat Sports Special Issue Editorial INTRODUCTION TO THE SPECIAL ISSUE ON COMBAT SPORT The World heavyweight professional boxing championship is arguable the biggest prize in sport. Why is this the case? It is not just the glamour that is appealing, but also the intriguing appeal of two combatants in a fixed environment. All combat sports share this similarity and in doing so, combat sports become appealing for spectators to watch, provide competitors with their ultimate challenge, and provide sport scientists and medics with a rich environment to apply their work. The role of research and theory driven interventions is key to the credibility of sport science and sports medicine. An intervention and/or treatment must be based on sound reason and the effects should be considered beforehand, both positive and negative. Equally, the nature of combat sport, where the aim is to strike, throw, or grapple with an opponent which can lead to injury, invariably raises questions on whether it is morally acceptable for these activities to be called a sport. Therefore, thorough investigation of the nature of medical issues is needed. The case for banning boxing in inextricably linked to the notion that the aim of the sport is to cause harm to the opponent; if harm was minimized and injury became less of an injury, the case for banning boxing would be weak. Quite clearly there are a plethora of arguments that point to a need for theory driven research in combat sport, and plugging this gap in the literature is an aim of this special issue of the Journal of Sports Science and Medicine. Possibly the most convincing argument for me to get involved in driving this issue stems from experiences in applied work with professional boxers (Hall and Lane, 2001; Lane and Hall, 2003, amateur boxers (Lane, 2002, kickboxers (Lane, et al., 1999 and tae-kwon-do athletes (Chapman et al., 1997 in which a raft of situations and issues were presented that required answers based

Combat Internist: The Internal Medicine Experience in a Combat Hospital in Afghanistan

Science.gov (United States)

2015-01-01

massive trans- fusion protocol.6 As such, critical care included frequent monitoring of hemoglobin and coagulation parameters with administration of...ongoing resuscitation. With the rise in nutritional supplement use, it was no sur- prise that they were frequently used in the combat zone. Numerous...recommendations on standard precautions and further care of his vaccine site. Education and Administration There were many opportunities to train and

Trends in Teenagers' Nonopiod Substance Exposures Reported to Poison Control Centers, 2010-2015.

Science.gov (United States)

Wright, Brad; Mestan, Samantha; Ahrens, Monica; Bottei, Edward

2018-05-01

To describe current trends in nonopioid substance exposures and associated outcomes among teenagers nationwide. In this cross-sectional study, we used 2010-2015 data from the American Association of Poison Control Centers' National Poison Data System and Poisson tests to document trends in the rate of calls to poison control centers involving adolescents stratified by sex, exposures by substance category, proportion of intentional exposures, and severity of exposures. The number of calls per 1000 persons increased from 5.7 to 6.8 for teenage girls and decreased from 4.7 to 4.3 for boys. Reported exposures to prescription and over-the-counter medications and illicit street drugs increased between 24% and 73%, and reported opioid exposures decreased by 16%. Among teenage girls, intentional exposures increased from 57% to 68%, with cases increasingly managed in health care facilities and more likely to result in worse health outcomes. The increase in intentional nonopioid substance exposures among teenage girls, with serious and potentially life-threatening consequences, is a matter of serious concern. Similar trends were not observed among teenage boys. Copyright © 2017 Elsevier Inc. All rights reserved.

Melioidosis Cases and Selected Reports of Occupational Exposures to Burkholderia pseudomallei--United States, 2008-2013.

Science.gov (United States)

Benoit, Tina J; Blaney, David D; Gee, Jay E; Elrod, Mindy G; Hoffmaster, Alex R; Doker, Thomas J; Bower, William A; Walke, Henry T

2015-07-03

Melioidosis is an infection caused by the Gram-negative bacillus Burkholderia pseudomallei, which is naturally found in water and soil in areas endemic for melioidosis. Infection can be severe and sometimes fatal. The federal select agent program designates B. pseudomallei as a Tier 1 overlap select agent, which can affect both humans and animals. Identification of B. pseudomallei and all occupational exposures must be reported to the Federal Select Agent Program immediately (i.e., within 24 hours), whereas states are not required to notify CDC's Bacterial Special Pathogens Branch (BSPB) of human infections. 2008-2013. The passive surveillance system includes reports of suspected (human and animal) melioidosis cases and reports of incidents of possible occupational exposures. Reporting of suspected cases to BSPB is voluntary. BSPB receives reports of occupational exposure in the context of a request for technical consultation (so that the system does not include the full complement of the mandatory and confidential reporting to the Federal Select Agent Program). Reporting sources include state health departments, medical facilities, microbiologic laboratories, or research facilities. Melioidosis cases are classified using the standard case definition adopted by the Council of State and Territorial Epidemiologists in 2011. In follow up to reports of occupational exposures, CDC often provides technical assistance to state health departments to identify all persons with possible exposures, define level of risk, and provide recommendations for postexposure prophylaxis and health monitoring of exposed persons. During 2008-2013, BSPB provided technical assistance to 20 U.S. states and Puerto Rico involving 37 confirmed cases of melioidosis (34 human cases and three animal cases). Among those with documented travel history, the majority of reported cases (64%) occurred among persons with a documented travel history to areas endemic for melioidosis. Two persons did not

Standardizing measurement, sampling and reporting for public exposure assessments

Energy Technology Data Exchange (ETDEWEB)

Rochedo, Elaine R.R. [Instituto de Radioprotecao e Dosimetria, Comissao Nacional de Energia Nuclear, Av. Salvador Allende s/No. CEP 22780-160 Rio de Janeiro, RJ (Brazil)], E-mail: elaine@ird.gov.br

2008-11-15

UNSCEAR assesses worldwide public exposure from natural and man-made sources of ionizing radiation based on information submitted to UNSCEAR by United Nations Member States and from peer reviewed scientific literature. These assessments are used as a basis for radiation protection programs of international and national regulatory and research organizations. Although UNSCEAR describes its assessment methodologies, the data are based on various monitoring approaches. In order to reduce uncertainties and improve confidence in public exposure assessments, it would be necessary to harmonize the methodologies used for sampling, measuring and reporting of environmental results.

Medical and occupational radiation exposure reported by self-administered questionnaire

International Nuclear Information System (INIS)

Yamamoto, Osamu; Fujita, Shoichiro

1977-01-01

Affirmative response rates for diagnostic, therapeutic, and occupational ionizing radiation exposure were ascertained by surveying Hiroshima and Nagasaki aBCC-JNIH Adult Health Study subjects. Half reported diagnostic exposure since last visiting ABCC; 20%, within 3 months of interview. Rates were higher for A-bomb exposed than those not-in-city; possibly because of a higher disease rate or concern therefore among the A-bomb exposed group and/or A-bomb Survivors Medical Treatment Law handbooks' facilitating more examinations of the exposed. The rates did not differ among the A-bomb exposed groups. The respective Hiroshima and Nagasaki rates were 2.6%, and 1.6% for radiation therapy; and 0.5% and 0.2% for occupational exposure. Neither radiation therapy nor occupational exposure rates differed by A-bomb dose. (auth.)

2006 Combat Vehicles Conference

Science.gov (United States)

2006-10-25

stressed or worn out beyond economic repair due to combat operations by repairing, rebuilding, or procuring replacement equipment. These...lives Vehicle Hardening Logistics Solutions for the Warfighter • Unique and economical surge capability • Support in coordination with op tempo...Speed, • Diagnostics Indicators – DECU Health Check Indicator, Utility Bus Comm Failure, 1553 Bus Comm Failure; MPU Critical Failure, Cautions and

Improving Relative Combat Power Estimation: The Road to Victory

Science.gov (United States)

2014-06-13

was unthinkable before. Napoleon Bonaparte achieved a superior warfighting system compared to his opponents, which resulted in SOF. Napoleon’s...observations about combat power estimation and force empoloyment, remain valid. Napoleon also offered thoughts about combat power and superiority whe he...force. However, Napoleon did not think one- sidedly about the problem. He also said: “The moral is to the physical as three to one.”11 This dual

Combat-related posttraumatic stress disorder and criminal responsibility determinations in the post-iraq era: a review and case report.

Science.gov (United States)

Frierson, Richard L

2013-01-01

Since 2002, hundreds of thousands of United States troops have returned from the Iraq and Afghanistan theaters, many after multiple deployments. The high suicide rate and high prevalence of mood disorders, substance use disorders, and posttraumatic stress disorder (PTSD) in this population have been widely reported. Many returning soldiers have had difficulty adjusting to civilian life, and some have incurred legal charges. In this article, I review the prevalence and legal implications of combat-related PTSD in this population, including how symptoms of PTSD may be relevant in criminal responsibility determinations in jurisdictions that use a M'Naughten standard or American Law Institute (ALI) Model Penal Code test for criminal responsibility. Finally, an actual case in which a criminal defendant was found to lack criminal responsibility in a M'Naughten jurisdiction because of PTSD symptoms at the time of the alleged offense will be presented.

Transfusion-Associated Microchimerism in Combat Casualties

National Research Council Canada - National Science Library

Dunne, James R; Lee, Tzong-Hae; Burns, Christopher; Cardo, Lisa J; Curry, Kathleen; Busch, Michael P

2007-01-01

...) in civilian trauma patients receiving allogenic red blood cell (RBC) transfusions. We explored the incidence of TA-MC in combat casualties receiving FrWB compared with patients receiving standard stored RBC transfusions. Methods...

Study on combat effectiveness of air defense missile weapon system based on queuing theory

Science.gov (United States)

Zhao, Z. Q.; Hao, J. X.; Li, L. J.

2017-01-01

Queuing Theory is a method to analyze the combat effectiveness of air defense missile weapon system. The model of service probability based on the queuing theory was constructed, and applied to analyzing the combat effectiveness of "Sidewinder" and "Tor-M1" air defense missile weapon system. Finally aimed at different targets densities, the combat effectiveness of different combat units of two types' defense missile weapon system is calculated. This method can be used to analyze the usefulness of air defense missile weapon system.

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...

Regulating and Combating Underground Banking

NARCIS (Netherlands)

Borgers, M.J.

2009-01-01

In combating and regulating underground banking, a choice can be made of roughly two models, the risk model and the assimilation model. The risk model comes down to a complete prohibition of underground banking combined with an active investigation and prosecution policy. In the assimilation model,

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...

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.

Fourteenth annual report radiation exposures for DOE and DOE contractor employees - 1981

International Nuclear Information System (INIS)

1983-03-01

All Department of Energy (DOE) and DOE contractors are required by DOE Order 5484.1, Chapter IV, to submit occupational exposure records to a central repository. The data required includes a summary of whole-body exposures to ionizing radiation, a summary of internal depositions of radioactive materials above specified limits, and occupational exposure reports for terminating employees. This report is a summary of the data submitted by DOE and DOE contractors for 1981. A total of 82,873 DOE and DOE contractor employees were monitored for whole-body ionizing radiation exposures in 1981. In addition to the employees, 84,343 visitors were monitored. Of all employees monitored, 54.43% received a dose equivalent that was less than measurable, 44.04% a measurable exposure less than 1 rem, and 1.53% an exposure granter than 1 rem. the exposure received by 88.14% of the visitors to DOE facilities was less than measurable. Only 11.85% of the visitors received a measurable exposure less than 1 rem, and 0.0% of the visitors received an exposure greater than 1 rem. No employees or visitors received a dose equivalent greater than 5 rem. The collective dose equivalent for DOE and DOE contractors employees was 6,902 person-rem. The collective dose equivalent for visitors was 579 person-rem. The total dose equivalent for employees and visitors combined was 7,481 person-rem. The average dose equivalent for all individuals (employees and visitors) monitored was 45 mrem and the average dose equivalent for all individuals who received a measurable exposure was 157 mrem. The highest average dose equivalent was observed for employees monitored at fuel processing facilities (342 mrem) and the lowest among visitors (7 mrem) to DOE facilities. These averages are significantly less than the DOE 5-rem/year radiation protection standard for whole-body exposures

Occupational correlates of low back pain among U.S. Marines following combat deployment.

Science.gov (United States)

MacGregor, Andrew J; Dougherty, Amber L; Mayo, Jonathan A; Rauh, Mitchell J; Galarneau, Michael R

2012-07-01

Many U.S. Marines have experienced routine combat deployments during Operation Iraqi Freedom, which present numerous occupational hazards that may result in low back pain (LBP). The objective of this retrospective cohort study was to identify new-onset LBP among Marines following initial deployment to Operation Iraqi Freedom. Active duty Marines deployed to Iraq or Kuwait between 2005 and 2008 were identified from deployment records and linked to medical databases (n = 36,680). The outcome of interest was an International Classification of Diseases, 9th Revision, Clinical Modification code indicating LBP (724.2) within 1 year postdeployment. Multivariate logistic regression examined the effect of occupation on LBP. Overall, 4.1% (n = 1,517) of Marines were diagnosed with LBP. After adjusting for covariates, the service/supply (odds ratio 1.33, 95% confidence interval, 1.12-1.59) and electrical/mechanical/craftsworker occupations (odds ratio 1.31, 95% confidence interval, 1.12-1.53) had higher odds of LBP when compared to the administrative/other referent group. Within these groups, the highest LBP prevalence was in the construction (8.6%) and law enforcement (6.2%) subgroups. Although infantry occupations purposefully engage the enemy and often face sustained physical rigors of combat, LBP was most prevalent in noninfantry occupations. Future studies should include detailed exposure histories to elucidate occupation-specific etiologies of LBP in order to guide prevention efforts.

Prenatal diethylstilbestrol exposure and self-reported immune-related diseases

NARCIS (Netherlands)

Vingerhoets, A. J.; Assies, J.; Goodkin, K.; van Heck, G. L.; Bekker, M. H.

1998-01-01

To compare self-reports of immune-related diseases in diethylstilbestrol (DES) daughters and controls. Prenatal exposure to DES has been associated with several malformations in the lower genital tract, a higher prevalence of adenosis, and increased risk of clear cell adenocarcinoma, and

Combat Resource Management (11bm) Applied Research Project (ARP)

Science.gov (United States)

2009-12-01

tactiques de combat embarquées, comme partie du processus C2 naval militaire, définit un domaine application qui implique à la fois des décideurs humains ...combat ships defending against incoming threats and where coordination of their respective resources is a complex problem of capital importance...the case of the several frigates defending against incoming threats, multi-agent coordi- nation is a complex problem of capital importance. Better

Microchimerism decades after transfusion among combat-injured US veterans from the Vietnam, Korean, and World War II conflicts.

Science.gov (United States)

Utter, Garth H; Lee, Tzong-Hae; Rivers, Ryan M; Montalvo, Lani; Wen, Li; Chafets, Daniel M; Reed, William F; Busch, Michael P

2008-08-01

Blood transfusion after traumatic injury can result in microchimerism (MC) of donor white cells (WBCs) in the recipient as late as 2 to 3 years postinjury, the longest prospective follow-up to date. The purpose of this study was to determine how long transfusion-associated MC lasts after traumatic injury. A group of US combat veterans who received transfusions who responded to a recruitment notice was retrospectively evaluated. Their blood was sampled, and MC was assessed by quantitative allele-specific polymerase chain reaction detection of differences at the HLA-DR locus or a panel of insertion-deletion polymorphism loci. Results of veterans were compared to those from an age- and gender-matched blood donor control group, from whom WBCs were retrieved from leukoreduction filters. Among 163 combat veterans who received transfusion and 150 control subjects who did not receive transfusions, 16 (9.8%) of the veterans and 1 (0.7%) control subject had evidence of MC (relative risk, 14.7; 95% confidence interval, 2.0-110). The veterans with MC included 3 who served in WWII (7% of subjects from that conflict), 5 in Korea (18%), and 6 in Vietnam (7%). Transfusion for combat-related injury can result in MC that lasts for 60 years, suggesting that it may involve permanent engraftment. MC is rare among male blood donors who did not receive transfusions, who are probably representative of individuals who have not had postnatal allogeneic exposures.

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.

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. Copyright © 2012 Elsevier Ltd. All rights reserved.

Longitudinal interactions of pain and posttraumatic stress disorder symptoms in U.S. Military service members following blast exposure.

Science.gov (United States)

Stratton, Kelcey J; Clark, Shaunna L; Hawn, Sage E; Amstadter, Ananda B; Cifu, David X; Walker, William C

2014-10-01

Military personnel returning from conflicts in Iraq and Afghanistan often endorse pain and posttraumatic stress disorder (PTSD) symptoms, either separately or concurrently. Associations between pain and PTSD symptoms may be further complicated by blast exposure from explosive munitions. Although many studies have reported on the prevalence and disability associated with polytraumatic injuries following combat, less is known about symptom maintenance over time. Accordingly, this study examined longitudinal interactive models of co-occurring pain and PTSD symptoms in a sample of 209 military personnel (mean age = 27.4 years, standard deviation = 7.6) who experienced combat-related blast exposure. Autoregressive cross-lagged analysis examined longitudinal associations between self-reported pain and PTSD symptoms over a 1-year period. The best-fitting covariate model indicated that pain and PTSD were significantly associated with one another across all assessment periods, χ² (3) = 3.66, P = .30, Tucker-Lewis index = .98, comparative fit index = 1.00, root mean squared error of approximation = .03. PTSD symptoms had a particularly strong influence on subsequent pain symptoms. The relationship between pain and PTSD symptoms is related to older age, race, and traumatic brain injury characteristics. Results further the understanding of complex injuries among military personnel and highlight the need for comprehensive assessment and rehabilitation efforts addressing the interdependence of pain and co-occurring mental health conditions. This longitudinal study demonstrates that pain and PTSD symptoms strongly influence one another and interact across time. These findings have the potential to inform the integrative assessment and treatment of military personnel with polytrauma injuries and who are at risk for persistent deployment-related disorders. Published by Elsevier Inc.

Occupational radiation exposure at light water cooled power reactors. Annual report, 1977

International Nuclear Information System (INIS)

Peck, L.J.

1979-04-01

This report presents an updated compilation of occupational radiation exposures at commercial light water cooled nuclear power reactors (LWRs) for the years 1969 through 1977. The information contained in this document was derived from reports submitted to the United States Nuclear Regulatory Commission in accordance with requirements of individual plant Technical Specifications, and in accordance with Part 20.407 of Title 10, Chapter 1, Code of Federal Regulations (10 CFR Part 20.407). An additional 4 LWRs completed a full calendar year of commercial operation for the first time in 1977. This report now encompasses data from 57 commercially operating U.S. nuclear power plants. The number of personnel monitored at LWRs increased approximately 10% in 1977, and the average collective dose to personnel (man-rems per reactor-year) increased 14% over the 1976 average. The average number of personnel receiving measurable exposure per reactor increased 11%, and the average exposure per individual in 1977 was 0.8 rem per person

"Shell Shock": An Entity that Predated Combat-related Posttraumatic Stress Disorder

Directory of Open Access Journals (Sweden)

Ragul Ganesh

2015-01-01

Full Text Available In the last century, numerous soldiers had been diagnosed with various post combat disorders. The terminology that has been utilized to describe such patients include combat fatigue, combat stress reaction, soldier′s heart, effort syndrome, non-ulcer dyspepsia, effects of agent orange and gulf war syndrome. The initial description of such post combat disorder was probably ′shell shock′ which came into vogue during the World War I. The soldiers, undergoing unyielding artillery bombardment, in the trenches suffered persistent symptoms of headache, behavioural changes and memory impairment, and was designated at the time as ′shell shock′. Myers and Mott, independently studied numerous soldiers to elucidate the features and aetiology of the entity. An attempt was made to restrict the usage of the term, but the psychological distress of the soldiers persisted to be addressed in some manner or the other, culminating in the genesis of Post Traumatic Stress Disorder.

Tests for the Assessment of Sport-Specific Performance in Olympic Combat Sports: A Systematic Review With Practical Recommendations.

Science.gov (United States)

Chaabene, Helmi; Negra, Yassine; Bouguezzi, Raja; Capranica, Laura; Franchini, Emerson; Prieske, Olaf; Hbacha, Hamdi; Granacher, Urs

2018-01-01

The regular monitoring of physical fitness and sport-specific performance is important in elite sports to increase the likelihood of success in competition. This study aimed to systematically review and to critically appraise the methodological quality, validation data, and feasibility of the sport-specific performance assessment in Olympic combat sports like amateur boxing, fencing, judo, karate, taekwondo, and wrestling. A systematic search was conducted in the electronic databases PubMed, Google-Scholar, and Science-Direct up to October 2017. Studies in combat sports were included that reported validation data (e.g., reliability, validity, sensitivity) of sport-specific tests. Overall, 39 studies were eligible for inclusion in this review. The majority of studies (74%) contained sample sizes sport-specific tests (intraclass correlation coefficient [ICC] = 0.43-1.00). Content validity was addressed in all included studies, criterion validity (only the concurrent aspect of it) in approximately half of the studies with correlation coefficients ranging from r = -0.41 to 0.90. Construct validity was reported in 31% of the included studies and predictive validity in only one. Test sensitivity was addressed in 13% of the included studies. The majority of studies (64%) ignored and/or provided incomplete information on test feasibility and methodological limitations of the sport-specific test. In 28% of the included studies, insufficient information or a complete lack of information was provided in the respective field of the test application. Several methodological gaps exist in studies that used sport-specific performance tests in Olympic combat sports. Additional research should adopt more rigorous validation procedures in the application and description of sport-specific performance tests in Olympic combat sports.

Occupational radiation exposure. Annual report No. 11 for 1978

International Nuclear Information System (INIS)

Brooks, B.; McDonald, S.; Richardson, E.

1981-01-01

This report summarizes the information reported for calendar year 1978 by all NRC licensees to the Commission's centralized repository of personnel occupational radiation exposure information. The bulk of the information in the report is derived from annual reports that were required to be submitted by all NRC licensees pursuant to 10CFR 20.407. Previously only certain categories - commercial nuclear power reactors, industrial radiographers, fuel fabricators and processors and commercial distributors of byproduct materials - of NRC licensees had submitted such reports. The requirement of 10CFR 20.408 for the submission of termination reports continued to apply to only these four categories, and some analysis of the data contained in these reports is also presented. A brief description of personnel overexposures reported by NRC licensees is included as well

2001 Industry Studies: Land Combat Systems

National Research Council Canada - National Science Library

Alyaqout, Faisal

2001-01-01

.... The days when production lines and factories hummed at peak capacity are gone. Orders for land combat systems have been reduced by nearly two-thirds since 1990, and competition for what few procurement dollars remain is stiff...

Women in Combat: The Medical and Behavioral Health Effects on Women Who Have Served in Combat

Science.gov (United States)

2014-06-13

urinary tract infections or bacterial vaginosis while deployed, and with limited medical care available, could lead to long-term reproductive issues......experience (Gaylord 2006). Several studies have been conducted on pregnancy outcomes in female Soldiers who have deployed to combat, such as fertility

Evidence Synthesis and Translation for Nutrition Interventions to Combat Micronutrient Deficiencies with Particular Focus on Food Fortification

Directory of Open Access Journals (Sweden)

Mark Lawrence

2016-09-01

Full Text Available Over two billion people suffer from micronutrient deficiencies. Food fortification is a prominent nutrition intervention to combat such deficiencies; however, its effectiveness, risks, and ethical implications vary depending on the contexts associated with the deficiency it is addressing and the circumstances with its implementation. The aim of this research was to analyse the profile of nutrition interventions for combating micronutrient deficiency with particular focus on food fortification reported in existing systematic reviews (SRs, guidelines and policy statements, and implementation actions for nutrition. A review of secondary data available from online databases of SRs, guidelines and policy statements, and implementation actions, categorised as either “nutrition-specific interventions” (NSpI or “nutrition-sensitive interventions” (NSeI, was conducted. Currently, there is evidence available for a diversity of food fortification topics, and there has been much translation into action. Indeed, food fortification and micronutrient supplementation interventions and NSpI more broadly dominate the profile of interventions for which there were SRs, guidelines, and policy statements available. The findings demonstrate that, although there is a rational linear relationship between evidence synthesis and translation in formulating policy and actions to combat micronutrient deficiencies, the various nutrition interventions available to help combat micronutrient deficiencies are not equally represented in the evidence synthesis and translation processes. Effective and safe policies and actions to combat micronutrient deficiencies require decisions to be informed from a body of evidence that consists of evidence from a variety of interventions. Into the future, investment in making available a higher number of SRs, guidelines and policy statements, and actions of NSeI is indicated.

Prevalence and patterns of combat sport related maxillofacial injuries

OpenAIRE

Shirani, Gholamreza; Kalantar Motamedi, Mohammad Hosein; Ashuri, Alireza; Eshkevari, Pooyan Sadr

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...

Stakeholder Analysis of Integrating Women Into Ground Combat Units

Science.gov (United States)

2014-06-01

number 21 was titled, “ Nike Store, Men’s Clearance Shoes, Clothing and Gear.” If a link to an article or media site did not work, then that data...Brown, K. (2007). Co-ed combat: The new evidence that women shouldn’t fight the nation’s wars. New York: Penguin Group (USA), Inc . Burrelli, David...L. (2013). Deadly consequences: How cowards are pushing women into combat. Washington, DC: Regnery Publishing, Inc . 110 Maginnis, R. L. (n.d

FELIN: tailored optronics and systems solutions for dismounted combat

Science.gov (United States)

Milcent, A. M.

2009-05-01

The FELIN French modernization program for dismounted combat provides the Armies with info-centric systems which dramatically enhance the performances of the soldier and the platoon. Sagem now has available a portfolio of various equipments, providing C4I, data and voice digital communication, and enhanced vision for day and night operations, through compact high performance electro-optics. The FELIN system provides the infantryman with a high-tech integrated and modular system which increases significantly their detection, recognition, identification capabilities, their situation awareness and information sharing, and this in any dismounted close combat situation. Among the key technologies used in this system, infrared and intensified vision provide a significant improvement in capability, observation performance and protection of the ground soldiers. This paper presents in detail the developed equipments, with an emphasis on lessons learned from the technical and operational feedback from dismounted close combat field tests.

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...

Combat Neurosis in the Battered Teacher.

Science.gov (United States)

Science News, 1978

1978-01-01

Investigates the effect of school violence on classroom teachers. The study of 253 Los Angeles inner city classroom teachers reveals that many of them have developed conditions similar to the combat neurosis found in soldiers at war. (HM)

Cultural and Religious Awareness: The Key to Analyzing and Combating the Relative Combat Power for Islamic-Based Terrorism

National Research Council Canada - National Science Library

Khan, Muhammad M

2005-01-01

... terrorists. Second, the United States must conduct cultural awareness/cultural intelligence training for all military personnel who are deploying to combat the GWOT, and for all staff in the regional standing...

Is effective mass in combat sports punching above its weight?

Science.gov (United States)

Lenetsky, Seth; Nates, Roy J; Brughelli, Matt; Harris, Nigel K

2015-04-01

The segmental and muscular complexity of the human body can result in challenges when examining the kinetics of impacts. To better understand this complexity, combat sports literature has selected effective mass as a measure of an athlete's inertial contribution to the momentum transfer during the impact of strikes. This measure helps to clarify the analysis of striking kinetics in combat sports. This paper will review: (1) effective mass as a concept and its usage as a measure of impact intensity in combat sports, (2) the neuromuscular pattern known as "double peak muscle activation" which has been theorized to help enhance initial hand velocity upon impact and joint stiffening during impact, (3) the methods and equations used to calculate effective mass, and (4) practitioner recommendations based on the literature. We will argue in this manuscript that the act of punching presents unique challenges to the current understanding of effective mass due to additional force application during impact. This review will improve the understanding of effective mass and its roles in effective striking serving to underpin future research into performance enhancement in striking based combat sports. Copyright © 2014 Elsevier B.V. All rights reserved.

Assessment of combating-desertification strategies using the linear assignment method

Science.gov (United States)

Hassan Sadeghravesh, Mohammad; Khosravi, Hassan; Ghasemian, Soudeh

2016-04-01

Nowadays desertification, as a global problem, affects many countries in the world, especially developing countries like Iran. With respect to increasing importance of desertification and its complexity, the necessity of attention to the optimal combating-desertification alternatives is essential. Selecting appropriate strategies according to all effective criteria to combat the desertification process can be useful in rehabilitating degraded lands and avoiding degradation in vulnerable fields. This study provides systematic and optimal strategies of combating desertification by use of a group decision-making model. To this end, the preferences of indexes were obtained through using the Delphi model, within the framework of multi-attribute decision making (MADM). Then, priorities of strategies were evaluated by using linear assignment (LA) method. According to the results, the strategies to prevent improper change of land use (A18), development and reclamation of plant cover (A23), and control overcharging of groundwater resources (A31) were identified as the most important strategies for combating desertification in this study area. Therefore, it is suggested that the aforementioned ranking results be considered in projects which control and reduce the effects of desertification and rehabilitate degraded lands.

Female Service Members and Symptom Reporting after Combat and Non-Combat-Related Mild Traumatic Brain Injury.

Science.gov (United States)

Brickell, Tracey A; Lippa, Sara M; French, Louis M; Kennedy, Jan E; Bailie, Jason M; Lange, Rael T

2017-01-15

Females are often excluded from military-related mild traumatic brain injury (mTBI) research because of its relatively low prevalence in this population. The purpose of this study was to focus on outcome from mTBI in female service members, compared with males. Participants were 172 United States military service members selected from a larger sample that had sustained an mTBI, and were evaluated within 24 months of injury (Age: mean = 28.9, SD = 8.1) at one of six military medical centers. Eighty-six women were matched to 86 men on nine key variables: TBI severity, mechanism of injury, bodily injury severity, days post-injury, age, number of deployments, theater where wounded, branch of service, and rank. Participants completed the Neurobehavioral Symptom Inventory (NSI) and the Posttraumatic Stress Disorder Checklist (PCL-C). There were no meaningful gender differences across all demographic and injury-related variables (p > 0.05). There were significant group differences and medium effect sizes for the NSI total score and all four NSI cluster scores. Symptoms most affected related to nausea, sensitivity to light, change in taste/smell, change in appetite, fatigue, and poor sleep. There were significant group differences and small-medium effect sizes for the PCL-C total score and two of the three PCL-C cluster scores. Symptoms most affected related to poor concentration, trouble remembering a stressful event, and disturbing memories/thoughts/images. Females consistently experienced more symptoms than males. As females become more active in combat-related deployments, it is critical that future studies place more emphasis on this important military population.

Effective Protection or Effective Combat

DEFF Research Database (Denmark)

Lemberg-Pedersen, Martin

2016-01-01

alternative routes. On the other hand, European border control and its ‘combat against smugglers’ has emerged as a massively lucrative market for the European arms industry, both in terms of contracts to guard the EU’s external borders and in terms of the export of weapons and control systems to North African...

Teaching Combative Sports through Tactics

Science.gov (United States)

Kozub, Francis M.; Kozub, Mary L.

2004-01-01

Martial arts have become popular in the United States and have transitioned from being spectator sports to avenues for active participation by people of all ages. The purpose of this article is to highlight tactical similarities in selected combative sport activities and to provide martial arts and wrestling instructors with an alternative…

Characterization of edible marijuana product exposures reported to United States poison centers.

Science.gov (United States)

Cao, Dazhe; Srisuma, Sahaphume; Bronstein, Alvin C; Hoyte, Christopher O

2016-11-01

Edible marijuana products are sold as brownies, cookies, and candies, which may be indistinguishable from counterparts without marijuana and are palatable to children and adults. The consumption of an entire product containing multiple dose-units may result in overdose. To characterize edible marijuana exposures reported to US poison centers with subgroup analysis by age. We analyzed single substance, human exposure calls coded to marijuana brownies, candies, cookies, beverages, or other foods reported to the National Poison Data System from January 2013 to December 2015. Calls were analyzed by state, age, gender, exposure route, clinical effect, therapies, and level of healthcare facility utilization. Four-hundred and thirty calls were reported: Colorado (N = 166, 1.05/100,000 population/year) and Washington (96, 0.46) yielded the highest number of exposures. Three hundred and eighty-one (91%) calls occurred in states with decriminalized medical/recreational marijuana. The number of calls increased every year of the study. The most common age groups were: ≤5 years (N = 109, 0.15/100,000 population/year) and 13-19 (78, 0.09). The most frequent clinical effects were drowsiness/lethargy (N = 118, percentage = 43%), tachycardia (84, 31%), agitated/irritable (37, 14%), and confusion (37, 14%). Children ≤5 years have more drowsiness/lethargy, ataxia, and red eye/conjunctivitis. No deaths were reported. The most common therapies administered were intravenous fluids (85, 20%), dilute/irrigate/wash (48, 11 %), and benzodiazepines (47, 11%). Three patients (ages 4, 10, and 57 years) received intubation. 97 (23%), 217 (50%), and 12 (3%) calls were managed at home, treated/released, admitted to a critical care unit, respectively. Although most clinical effects are minor, ventilatory support may be necessary for children and adults. We speculate the increasing exposures may be related to a combination of delayed absorption kinetics of Δ9

Human bromethalin exposures reported to a U.S. Statewide Poison Control System.

Science.gov (United States)

Huntington, Serena; Fenik, Yelena; Vohra, Rais; Geller, Richard J

2016-03-01

Bromethalin is an increasingly used alternative to long-acting anticoagulant and cholecalciferol rodenticides. There are few reports of human exposures, and no existing professional society guidelines on medical management of bromethalin ingestions. The aim of this retrospective data review is to characterize bromethalin exposures reported to the California Poison Control System (CPCS) between 1997 and 2014. This is an observational retrospective case review of our statewide poison control system's electronic medical records. Following Institutional Board Review and Research Committee approvals, poison center exposures related to bromethalin were extracted using substance code and free text search strategies. Case notes of bromethalin exposures were reviewed for demographic, clinical, laboratory, and outcome information; inclusion criteria for the study was single-substance, human exposure to bromethalin. There were 129 calls related to human bromethalin exposures (three cases met exclusion criteria). The age range of cases was 7 months-90 years old, with the majority of exposures (89 cases; 70.6%), occurring in children younger than 5 years of age (median age of 2 years). Most exposures occurred in the pediatric population as a result of exploratory oral exposure. One hundred and thirteen patients (89.7%) had no effects post exposure, while 10 patients (7.9%) had a minor outcome. Adverse effects were minor, self-limited, and mostly gastrointestinal upset. There were no moderate, major, or fatal effects in our study population. The approximate ingested dose, available in six cases, ranged from 0.067 mg/kg to 0.3 mg/kg (milligrams of bromethalin ingested per kilogram of body weight), and no dose-symptom threshold could be established from this series. Exposures were not confirmed through urine or serum laboratory testing. The prognosis for most accidental ingestions appears to be excellent. However, bromethalin exposures may result in a higher number of

Mitigation Approaches to Combat the Flu Pandemic

Science.gov (United States)

Chawla, Raman; Sharma, Rakesh Kumar; Madaan, Deepali; Dubey, Neha; Arora, Rajesh; Goel, Rajeev; Singh, Shefali; Kaushik, Vinod; Singh, Pankaj Kumar; Chabbra, Vivek; Bhardwaj, Janak Raj

2009-01-01

Management of flu pandemic is a perpetual challenge for the medical fraternity since time immemorial. Animal to human transmission has been observed thrice in the last century within an average range of 11-39 years of antigenic recycling. The recent outbreak of influenza A (H1N1, also termed as swine flu), first reported in Mexico on April 26, 2009, occurred in the forty first year since last reported flu pandemic (July 1968). Within less than 50 days, it has assumed pandemic proportions (phase VI) affecting over 76 countries with 163 deaths/35,928 cases (as on 15th June 2009). It indicated the re-emergence of genetically reassorted virus having strains endemic to humans, swine and avian (H5N1). The World Health Organisation (WHO) member states have already pulled up their socks and geared up to combat such criticalities. Earlier outbreaks of avian flu (H5N1) in different countries led WHO to develop pandemic preparedness strategies with national/regional plans on pandemic preparedness. Numerous factors related to climatic conditions, socio-economic strata, governance and sharing of information/logistics at all levels have been considered critical indicators in monitoring the dynamics of escalation towards a pandemic situation. The National Disaster Management Authority (NDMA), Government of India, with the active cooperation of UN agencies and other stakeholders/experts has formulated a concept paper on role of nonhealth service providers during pandemics in April 2008 and released national guidelines - management of biological disasters in July 2008. These guidelines enumerate that the success of medical management endeavors like pharmaceutical (anti-viral Oseltamivir and Zanamivir therapies), nonpharmaceutical interventions and vaccination development etc., largely depends on level of resistance offered by mutagenic viral strain and rationale use of pharmaco therapeutic interventions. This article describes the mitigation approach to combat flu pandemic with its

Self-reported and laboratory evaluation of late pregnancy nicotine exposure and drugs of abuse.

Science.gov (United States)

Hall, E S; Wexelblatt, S L; Greenberg, J M

2016-10-01

The objective of this study was to evaluate the prevalence of late pregnancy nicotine exposures, including secondhand smoke exposures, and to evaluate the associated risk of exposure to drugs of abuse. The study was a retrospective single-center cohort analysis of more than 18 months. We compared self-reported smoking status from vital birth records with mass spectrometry laboratory results of maternal urine using a chi-square test. Logistic regression estimated adjusted odds for detection of drugs of abuse based on nicotine detection. Compared with 8.6% self-reporting cigarette use, mass spectrometry detected high-level nicotine exposures for 16.5% of 708 women (Pdrugs of abuse, presented as adjusted odds ratios, (95% confidence interval (CI), for both low-level (5.69, CI: 2.09 to 15.46) and high-level (13.93, CI: 7.06 to 27.49) nicotine exposures. Improved measurement tactics are critically needed to capture late pregnancy primary and passive nicotine exposures from all potential sources.

Optimizing fitness for duty and post-combat clinical services for military personnel and combat veterans with ADHD-a systematic review of the current literature.

Science.gov (United States)

Ivanov, Iliyan; Yehuda, Rachel

2014-01-01

Attention deficit hyper activity disorder (ADHD) is a developmental disorder, most often diagnosed in childhood, and characterized by hyperactivity and inattention that negatively impacts one's ability to function and fulfill social and personal obligations. Individuals with past history of ADHD may enlist in the military under certain conditions, however the full impact of military training and deployment of later in life ADHD symptoms is unclear. It is of particular interest how military experience may affect ADHD in remission and if such individuals might be at elevated risk for relapse of ADHD symptoms. We performed a systematic review f the available literature including the Department of Defense (DOD) guidelines for both eligibility to enlist and fitness for deployment based on reported history and current symptomatology of ADHD. The after care for veterans with ADHD relapse is inconsistent and presents with number of challenges. We evaluate the DOD policies regarding the implications of ADHD for fitness for military service and post-combat mental health. The full extend of the interaction between pre-existing ADHD and post-combat PTSD are not fully understood. The development of comprehensive and clear algorithms for diagnosing and treating ADHD in the military before and after deployment will have a strong positive impact on the quality of care delivered to soldiers and veterans.

Combat aircraft noise

Science.gov (United States)

Sgarbozza, M.; Depitre, A.

1992-04-01

A discussion of the characteristics and the noise levels of combat aircraft and of a transport aircraft in taking off and landing are presented. Some methods of noise reduction are discussed, including the following: operational anti-noise procedures; and concepts of future engines (silent post-combustion and variable cycle). Some measurement results concerning the noise generated in flight at great speeds and low altitude will also be examined. Finally, the protection of the environment of French air bases against noise will be described and the possibilities of regulation examined.

The role of intrinsic and extrinsic rewards in committing violence during combat: A cross-sectional study with former combatants in the DR Congo.

Science.gov (United States)

Haer, Roos; Hermenau, Katharin; Elbert, Thomas; Moran, James K; Hecker, Tobias

2017-05-01

It has been postulated that the violent behavior that characterizes armed conflict is reinforced by the possibility of receiving rewards. The present study examined the potential influence of two types of rewards in an ongoing setting of conflict: extrinsic and intrinsic rewards. Former combatants active in the Democratic Republic of the Congo (N = 198) were interviewed and questioned about the way they were recruited, the offenses they committed during combat, their level of perceived intrinsic rewards (i.e., appetitive perception of violence), and the number of received extrinsic rewards during their time in the armed group (e.g., money, extra food, alcohol, or drugs). A moderated multiple regression analysis showed that the number of received extrinsic rewards and the level of intrinsic rewards were significantly positively related to the number of different types of offenses committed. In contrast to our expectations and previous findings, the recruitment type (forced conscription vs. voluntary enlistment) did not moderate this relation. Our findings suggest that both types of rewards play a role in committing violence during combat. We suggest, therefore, that reintegration programs should not only consider the influence of extrinsic rewards, but also need to address the influence of intrinsic rewards to counter violent behavior among former combatants. Aggr. Behav. 43:241-250, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

A Pilot Study of the Effects of Mindfulness-Based Stress Reduction on Post-traumatic Stress Disorder Symptoms and Brain Response to Traumatic Reminders of Combat in Operation Enduring Freedom/Operation Iraqi Freedom Combat Veterans with Post-traumatic Stress Disorder.

Science.gov (United States)

Bremner, James Douglas; Mishra, Sanskriti; Campanella, Carolina; Shah, Majid; Kasher, Nicole; Evans, Sarah; Fani, Negar; Shah, Amit Jasvant; Reiff, Collin; Davis, Lori L; Vaccarino, Viola; Carmody, James

2017-01-01

Brain imaging studies in patients with post-traumatic stress disorder (PTSD) have implicated a circuitry of brain regions including the medial prefrontal cortex, amygdala, hippocampus, parietal cortex, and insula. Pharmacological treatment studies have shown a reversal of medial prefrontal deficits in response to traumatic reminders. Mindfulness-based stress reduction (MBSR) is a promising non-pharmacologic approach to the treatment of anxiety and pain disorders. The purpose of this study was to assess the effects of MBSR on PTSD symptoms and brain response to traumatic reminders measured with positron-emission tomography (PET) in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) combat veterans with PTSD. We hypothesized that MBSR would show increased prefrontal response to stress and improved PTSD symptoms in veterans with PTSD. Twenty-six OEF/OIF combat veterans with PTSD who had recently returned from a combat zone were block randomized to receive eight sessions of MBSR or present-centered group therapy (PCGT). PTSD patients underwent assessment of PTSD symptoms with the Clinician-Administered PTSD Scale (CAPS), mindfulness with the Five Factor Mindfulness Questionnaire (FFMQ) and brain imaging using PET in conjunction with exposure to neutral and Iraq combat-related slides and sound before and after treatment. Nine patients in the MBSR group and 8 in the PCGT group completed all study procedures. Post-traumatic stress disorder patients treated with MBSR (but not PCGT) had an improvement in PTSD symptoms measured with the CAPS that persisted for 6 months after treatment. MBSR also resulted in an increase in mindfulness measured with the FFMQ. MBSR-treated patients had increased anterior cingulate and inferior parietal lobule and decreased insula and precuneus function in response to traumatic reminders compared to the PCGT group. This study shows that MBSR is a safe and effective treatment for PTSD. Furthermore, MBSR treatment is associated with

A Pilot Study of the Effects of Mindfulness-Based Stress Reduction on Post-traumatic Stress Disorder Symptoms and Brain Response to Traumatic Reminders of Combat in Operation Enduring Freedom/Operation Iraqi Freedom Combat Veterans with Post-traumatic Stress Disorder

Directory of Open Access Journals (Sweden)

James Douglas Bremner

2017-08-01

Full Text Available ObjectiveBrain imaging studies in patients with post-traumatic stress disorder (PTSD have implicated a circuitry of brain regions including the medial prefrontal cortex, amygdala, hippocampus, parietal cortex, and insula. Pharmacological treatment studies have shown a reversal of medial prefrontal deficits in response to traumatic reminders. Mindfulness-based stress reduction (MBSR is a promising non-pharmacologic approach to the treatment of anxiety and pain disorders. The purpose of this study was to assess the effects of MBSR on PTSD symptoms and brain response to traumatic reminders measured with positron-emission tomography (PET in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF combat veterans with PTSD. We hypothesized that MBSR would show increased prefrontal response to stress and improved PTSD symptoms in veterans with PTSD.MethodTwenty-six OEF/OIF combat veterans with PTSD who had recently returned from a combat zone were block randomized to receive eight sessions of MBSR or present-centered group therapy (PCGT. PTSD patients underwent assessment of PTSD symptoms with the Clinician-Administered PTSD Scale (CAPS, mindfulness with the Five Factor Mindfulness Questionnaire (FFMQ and brain imaging using PET in conjunction with exposure to neutral and Iraq combat-related slides and sound before and after treatment. Nine patients in the MBSR group and 8 in the PCGT group completed all study procedures.ResultsPost-traumatic stress disorder patients treated with MBSR (but not PCGT had an improvement in PTSD symptoms measured with the CAPS that persisted for 6 months after treatment. MBSR also resulted in an increase in mindfulness measured with the FFMQ. MBSR-treated patients had increased anterior cingulate and inferior parietal lobule and decreased insula and precuneus function in response to traumatic reminders compared to the PCGT group.ConclusionThis study shows that MBSR is a safe and effective treatment for PTSD

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

Directory of Open Access Journals (Sweden)

Wil Lieberman-Cribbin

Full Text Available 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.

Tests for the Assessment of Sport-Specific Performance in Olympic Combat Sports: A Systematic Review With Practical Recommendations

Directory of Open Access Journals (Sweden)

Helmi Chaabene

2018-04-01

Full Text Available The regular monitoring of physical fitness and sport-specific performance is important in elite sports to increase the likelihood of success in competition. This study aimed to systematically review and to critically appraise the methodological quality, validation data, and feasibility of the sport-specific performance assessment in Olympic combat sports like amateur boxing, fencing, judo, karate, taekwondo, and wrestling. A systematic search was conducted in the electronic databases PubMed, Google-Scholar, and Science-Direct up to October 2017. Studies in combat sports were included that reported validation data (e.g., reliability, validity, sensitivity of sport-specific tests. Overall, 39 studies were eligible for inclusion in this review. The majority of studies (74% contained sample sizes <30 subjects. Nearly, 1/3 of the reviewed studies lacked a sufficient description (e.g., anthropometrics, age, expertise level of the included participants. Seventy-two percent of studies did not sufficiently report inclusion/exclusion criteria of their participants. In 62% of the included studies, the description and/or inclusion of a familiarization session (s was either incomplete or not existent. Sixty-percent of studies did not report any details about the stability of testing conditions. Approximately half of the studies examined reliability measures of the included sport-specific tests (intraclass correlation coefficient [ICC] = 0.43–1.00. Content validity was addressed in all included studies, criterion validity (only the concurrent aspect of it in approximately half of the studies with correlation coefficients ranging from r = −0.41 to 0.90. Construct validity was reported in 31% of the included studies and predictive validity in only one. Test sensitivity was addressed in 13% of the included studies. The majority of studies (64% ignored and/or provided incomplete information on test feasibility and methodological limitations of the sport

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.

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.

Logistical Analysis of the Littoral Combat Ship

National Research Council Canada - National Science Library

Rudko, David

2003-01-01

The purpose of the Littoral Combat Ship (LCS) is to provide the Navy with an affordable, small, multi-mission ship capable of independent, interdependent, and integrated operations inside the littorals...

Understanding Combat-Related PTSD Symptom Expression Through Index Trauma and Military Culture: Case Studies of Filipino Soldiers.

Science.gov (United States)

Dela Cruz Fajarito, Cariñez; De Guzman, Rosalito G

2017-05-01

symptoms (i.e., feeling guilty for the comrade's death) may be understood in the light of their military culture and how they were personally traumatized by the details of their index traumas. The participants' index trauma and military culture potentially shaped their PTSD symptom expressions that were distinct from one another. The details of the index trauma, including the level of exposure and proximity; and the salience of military culture, such as the soldier's creed, are important elements into understanding how participants experience their PTSD. Limitations of the study include findings that do not give causal interpretations, use of self-report measures, retrospective accounts from interviews, and participants who are all Filipino active soldiers and enlisted army military personnel. Nevertheless, the study provides an enriched and holistic understanding of personal experiences of soldiers with combat-related PTSD. The findings may inform tailored treatments to soldiers whose experiences may be similar to the settings and concepts discovered in the study. Possible clinical and treatment implications were provided in the study. Future researchers may explore on: possible existence of PTSD subtypes within combat-related PTSD category, other facets of military culture that may mitigate or influence PTSD symptoms, and potential roles of index trauma and military culture using national representative samples. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

Rushing to Failure Impacts of a Gender-Neutral Military on Combat Effectiveness

Science.gov (United States)

2016-02-16

muscular strength and aerobic capacity place women at a distinct disadvantage when performing tasks required for direct ground combat specialties...order to preserve readiness, grow the talented pool of women, and ensure combat effectiveness of the military force. Proponents that advocate for

New approaches to combat Porphyromonas gingivalis biofilms

Science.gov (United States)

Gerits, Evelien; Verstraeten, Natalie; Michiels, Jan

2017-01-01

ABSTRACT In nature, bacteria predominantly reside in structured, surface-attached communities embedded in a self-produced, extracellular matrix. These so-called biofilms play an important role in the development and pathogenesis of many infections, as they are difficult to eradicate due to their resistance to antimicrobials and host defense mechanisms. This review focusses on the biofilm-forming periodontal bacterium Porphyromonas gingivalis. Current knowledge on the virulence mechanisms underlying P. gingivalis biofilm formation is presented. In addition, oral infectious diseases in which P. gingivalis plays a key role are described, and an overview of conventional and new therapies for combating P. gingivalis biofilms is given. More insight into this intriguing pathogen might direct the development of better strategies to combat oral infections. PMID:28473880

Towards a theory of ex-combatant reintegration

Directory of Open Access Journals (Sweden)

Stina Torjesen

2013-12-01

Full Text Available This paper encourages the development of a theoretical framework for the study of the reintegration of ex-combatants after war. It takes the first steps towards this by proposing a new definition of reintegration, where the processes ex-combatants experience, rather than the programmatic support offered by international and national agencies, take centre stage. The article links the study of reintegration to two broader disciplines; political economy and sociology, and in particular to the two disciplines’ account of power and group belonging. It argues that a political economy approach is particularly useful for making sense of the context in which reintegration processes unfold. The article also suggests some relevant research questions and highlights methodological concerns related to research on reintegration.

Planning the annual cycle in groups of cadet combat sports perfection

Directory of Open Access Journals (Sweden)

Ananchenko Konstantin

2016-08-01

Full Text Available Within a large training cycle in conditions of high general level of stress the authors recommend optimal implementation of planning undulating dynamics of cadets’ combat exercise stress. The article proves the efficiency of one-cycle construction of training highly- qualified single-combat cadets at the stage of maximal realization of sporting possibilities, which includes both features of traditional cycles (preparatory, competitional, transitional and module-sectional composition of training. It scientifically substantiates, that the choice of those or other types of microcycles which present the structure of mesocycles is determined by a few basic factors which must be necessarily taken into account while planning the training process of sportsmen of different qualification. It is suggested to use certain varieties of microcycles in the practice of preparation of single combat cadets. It is substantiated that accounting in planning the annual cycle in groups of sporting perfection of students of the educed types of microcycles for every type of single combats is an actual task of further scientific research.

Excellence in fleet combat replacement squadrons: predicting carrier qualification success

OpenAIRE

Smith, Martin P.

1988-01-01

This thesis presents a two-part analysis of excellence criteria for fleet combat replacement squadrons. Part one focuses on the qualitative issues and management techniques identified in outstanding fleet combat replacement squadrons. Part two develops and presents a regression model for predicting a fleet replacement squadron pilot's carrier qualification grade. The model was derived using standard linear regression techniques and the SPSSx software package of the Naval Postgraduate School. ...

U.S. Navy Bloodhounds: Establishing A New Maritime Security Combatant

Science.gov (United States)

2016-06-01

economy- car ’ standards, but it would move on Corvette engines: twin HP General Electric LM2500 gas turbine engines.”55 Considered sports cars of...and defense leaders craving something more high tech than inexpensive combat workhorses. Based on this assumption, the Perry class’ high-end...to restructure the LCS program for development of a new small surface combatant.195 This brief identifies that, beginning with FY 2019 construction

Medical capability team: the clinical microsystem for combat healthcare delivery in counterinsurgency operations.

Science.gov (United States)

Clark, Susz; Van Steenvort, Jon K

2008-01-01

Today's operational environment in the support of counterinsurgency operations requires greater tactical and operational flexibility and diverse medical capabilities. The skills and organizations required for full spectrum medical operations are different from those of the past. Combat healthcare demands agility and the capacity for rapid change in clinical systems and processes to better support the counterinsurgency environment. This article proposes the Army Medical Department (AMEDD) develop and implement the medical capability team (MCT) for combat healthcare delivery. It discusses using the concept of the brigade combat team to develop medical capability teams as the unit of effectiveness to transform frontline care; provides a theoretical overview of the MCT as a "clinical microsystem"; discusses MCT leadership, training, and organizational support, and the deployment and employment of the MCT in a counterinsurgency environment. Additionally, this article proposes that the AMEDD initiate the development of an AMEDD Combat Training Center of Excellence to train and validate the MCTs. The complexity of combat healthcare demands an agile and campaign quality AMEDD with joint expeditionary capability in order to promote the best patient outcomes in a counterinsurgency environment.

Air Force Intelligence Role in Combating Weapons of Mass Destruction (Maxwell Paper, Number 39)

Science.gov (United States)

2006-11-01

Zielinski , National Counterproliferation Center chief of staff, interview by the author, 3 February 2006. 42...Col Joe Pridotkas, NASIC/CC, interview by the author, 28 Febru- ary 2006. 29 78. Report to the President, 6. 79. Sandi Zielinski , National...Force C-CBRNE Master Plan, 30 June 2004, 5. 84. Dave Coffey, Air Combat Command IS/FPI, interview by the author, 2 February 2006. 85. Col

A New Approach to Weapon-Target Assignment in Cooperative Air Combat

Directory of Open Access Journals (Sweden)

Yi-zhe Chang

2017-01-01

Full Text Available A new approach to solving weapon-target assignment (WTA problem is proposed in this paper. Firstly, relative superiority that lays the foundation for assignment is calculated based on the combat power energy of the fighters. Based on the relative superiority, WTA problem is formulated. Afterwards, a hybrid algorithm consisting of improved artificial fish swarm algorithm (AFSA and improved harmony search (HS is introduced and furthermore applied to solve the assignment formulation. Finally, the proposed approach is validated by eight representative benchmark functions and two concrete cooperative air combat examples. The results show that the approach proposed in this paper achieves good performances in solving WTA problem in cooperative air combat.

Enhancing Brigade Combat Team Adaptability

Science.gov (United States)

2010-06-11

Developing Learning Infrastructures (Training, Education , Practice, Research, Doctrine) -Create a shared vision -Build the business case (assess/Buy...To effectively respond to the characteristics of the operational environment, Brigade Combat Teams must be able to learn constantly from experience...behavior. Organizational adaptive behavior consists of three supporting emergent behaviors which are: self-organization, learning , and organizational

Maturity In The Petrochemical Industry Features, Motives And Combating

International Nuclear Information System (INIS)

Farag, H.; El Messirie, A.

2004-01-01

Petrochemicals give the highest value from crude oil and natural gas but suffers from maturity like any other business. Petrochemicals companies are promoting their business in the direction from oil and gas commodities. Specialities and life science. Reasons of maturity are expired patents, low demand, over capacity, intense competition. Actions to combat maturity are to restructure capacity achieving mega sizes, do downstream, and restructuring business practices. Strategies followed by some companies to combat maturity include exit, focus on core business and exploit a competitive advantage

Race/ethnicity, psychological resilience, and social support among OEF/OIF combat veterans.

Science.gov (United States)

Herbert, Matthew S; Leung, Desmond W; Pittman, James O E; Floto, Elizabeth; Afari, Niloofar

2018-07-01

This study examined the relationship between race/ethnicity and psychological resilience, and the moderating role of social support in this relationship among non-Hispanic White (n = 605), Hispanic (n = 107), African American (n = 141), and Asian American (n = 97) Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) combat veterans. Veterans were primarily male (88%) with a mean age of 31.4 years (SD = 8.35). An analysis of covariance showed that Asian American veterans reported significantly lower psychological resilience than non-Hispanic White veterans. The interaction of race/ethnicity and social support with psychological resilience was examined via linear regression. We found that the relationship between psychological resilience and social support significantly differed by race/ethnicity such that social support was positively associated with psychological resilience among non-Hispanic White veterans, but not among other racial/ethnic groups. Our findings are consistent with previous studies that show Asian American veterans report lower psychological resilience than non-Hispanic White veterans. Cultural differences in how and why individuals use social support may underlie racial/ethnic differences in the relationship between social support and psychological resilience. Future qualitative and quantitative research is encouraged to better understand how social support relates to psychological resilience among minority OEF/OIF combat veterans. Copyright © 2018. Published by Elsevier B.V.

Health-related quality of life among US military personnel injured in combat: findings from the Wounded Warrior Recovery Project.

Science.gov (United States)

Woodruff, Susan I; Galarneau, Michael R; McCabe, Cameron T; Sack, Daniel I; Clouser, Mary C

2018-05-01

Little is known about the long-term, health-related quality of life (HRQOL) of those wounded in combat during Operations Enduring Freedom, Iraqi Freedom, and New Dawn. The present study described the overall HRQOL for a large group of US service members experiencing mild-to-severe combat-related injuries, and assessed the unique contribution of demographics, service- and injury-related characteristics, and mental health factors on long-term HRQOL. The Wounded Warrior Recovery Project examines patient-reported outcomes in a cohort of US military personnel wounded in combat. Participants were identified from the Expeditionary Medical Encounter Database, a US Navy-maintained deployment health database, and invited to complete a web-based survey. At the time of this study, 3245 service members consented and completed the survey. Hierarchical linear regression analyses were conducted to assess the unique contribution of each set of antecedents on HRQOL scores. HRQOL was uniquely associated with a number of demographics, and service- and injury-related characteristics. Nevertheless, screening positive for posttraumatic stress disorder (B = - .09; P < .001), depression (B = - .10; P < .001), or both as a set (B = - .19; P < .001) were the strongest predictors of lower long-term HRQOL. Postinjury HRQOL among service members wounded in combat was associated with service and injury experience, and demographic factors, but was most strongly linked with current mental health status. These findings underscore the significance of mental health issues long after injury. Further, findings reinforce that long-term mental health screening, services, and treatment are needed for those injured in combat.

Project VALOR: Trajectories of Change in PTSD in Combat-Exposed Veterans

Science.gov (United States)

2015-10-01

Post - traumatic stress disorder ( PTSD ), military sexual trauma (MST), suicide, combat-exposed veterans, PTSD ...develop the first longitudinal registry of combat-exposed men and women with post - traumatic stress disorder ( PTSD ), 1649 participants from across the...Keane, T. M. (2012). Project VALOR: Design and methods of a longitudinal registry of post - traumatic stress disorder ( PTSD ) in

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.

Assured communications and combat resiliency: the relationship between effective national communications and combat efficiency

Science.gov (United States)

Allgood, Glenn O.; Kuruganti, Phani Teja; Nutaro, James; Saffold, Jay

2009-05-01

Combat resiliency is the ability of a commander to prosecute, control, and consolidate his/her's sphere of influence in adverse and changing conditions. To support this, an infrastructure must exist that allows the commander to view the world in varying degrees of granularity with sufficient levels of detail to permit confidence estimates to be levied against decisions and course of actions. An infrastructure such as this will include the ability to effectively communicate context and relevance within and across the battle space. To achieve this will require careful thought, planning, and understanding of a network and its capacity limitations in post-event command and control. Relevance and impact on any existing infrastructure must be fully understood prior to deployment to exploit the system's full capacity and capabilities. In this view, the combat communication network is considered an integral part of or National communication network and infrastructure. This paper will describe an analytical tool set developed at ORNL and RNI incorporating complexity theory, advanced communications modeling, simulation, and visualization technologies that could be used as a pre-planning tool or post event reasoning application to support response and containment.

EphB1 as a Novel Drug Target to Combat Pain and Addiction

Science.gov (United States)

2017-09-01

AWARD NUMBER: W81XWH-14-1-0220 TITLE: EphB1 as a Novel Drug Target to Combat Pain and Addiction PRINCIPAL INVESTIGATOR: Mark Henkemeyer...as a Novel Drug Target to Combat Pain and Ad 5a. CONTRACT NUMBER EphB1 as a Novel Drug Target to Combat Pain and Addiction 5b. GRANT NUMBER W81XWH...neuronal and has functions in vascular endothelial cells. 6. We have also carried out computational analysis of potantial docking/binding of chemical

Legislations combating counterfeit drugs in Hong Kong.

Science.gov (United States)

Lai, C W; Chan, W K

2013-08-01

To understand legislation combating counterfeit drugs in Hong Kong. This study consisted of two parts. In part I, counterfeit drugs–related ordinances and court cases were reviewed. In part II, indepth interviews of the stakeholders were described. Hong Kong. All Hong Kong ordinances were screened manually to identify those combating counterfeit drugs. Court cases were searched for each of the identified cases. Then, the relevant judgement justifications were analysed to identify sentencing issues. Indepth interviews with the stakeholders were conducted to understand their perceptions about such legislation. Trade Marks Ordinance, Patents Ordinance, Trade Descriptions Ordinance, and Pharmacy and Poisons Ordinance were current legislative items combating counterfeit drugs. Sentencing criteria depended on: intention to deceive, quantity of seized drugs, presence of expected therapeutic effect or toxic ingredients, previous criminal records, cooperativeness with Customs officers, honest confessions, pleas of guilty, types of drugs, and precautionary measures to prevent sale of counterfeit drugs. Stakeholders’ perceptions were explored with respect to legislation regarding the scale and significance of the counterfeit drug problem, penalties and deterrents, drug-specific legislation and authority, and inspections and enforcement. To plug the loopholes, a specific law with heavy penalties should be adopted. This could be supplemented by non-legal measures like education of judges, lawyers, and the public; publishing the names of offending pharmacies; and emphasising the role of pharmacists to the public.

Marked lability in urinary cortisol levels in subgroups of combat veterans with posttraumatic stress disorder during an intensive exposure treatment program.

Science.gov (United States)

Mason, John W; Wang, Sheila; Yehuda, Rachel; Lubin, Hadar; Johnson, David; Bremner, J Douglas; Charney, Dennis; Southwick, Steven

2002-01-01

The objective of this study was to obtain longitudinal data on lability of cortisol levels in posttraumatic stress disorder (PTSD) because previous studies have largely been based on sampling at a single time point and have yielded varying results. This study measured urinary cortisol levels at admission, midcourse, and discharge during a 90-day hospitalization period in male Vietnam combat veterans with PTSD (N = 51). Although there were no significant differences in the mean +/- SEM urinary cortisol levels between the admission (59.4 +/- 3.0 microg/d), midcourse (55.6 +/- 3.9 microg/d), and discharge (53.4 +/- 3.4 microg/d) values, marked lability of cortisol levels in individual patients was observed over time, with changes ranging from +93 to -58 microg/d from admission to midcourse. In addition, this hormonal lability defined discrete subgroups of patients on the basis of the longitudinal pattern of cortisol change during exposure treatment, and there were significant psychometric differences in the level of social functioning between these subgroups. The findings do not support the concept of either a static "hypocortisolism" or "hypercortisolism" in PTSD, but rather suggest a psychogenic basis for cortisol alterations in PTSD in relation to psychosocial stress and indicate a central regulatory dysfunction of the hypothalamic-pituitary-adrenal axis characterized by a dynamic tendency to overreact in both upward and downward directions. The longitudinal findings fit with recent observations that cortisol elevations occur when acutely superimposed stressful conditions emotionally engage patients and overwhelm the usually dominating disengaging coping mechanisms associated with suppression of cortisol levels in PTSD. The findings emphasize the importance of longitudinal data in studies of the hypothalamic-pituitary-adrenal axis in PTSD.

Defense Acquisitions: 2009 Review of Future Combat System Is Critical to Program's Direction

National Research Council Canada - National Science Library

Francis, Paul L

2008-01-01

The Future Combat System (FCS) program which comprises 14 integrated weapon systems and an advanced information network is the centerpiece of the Army's effort to transition to a lighter, more agile, and more capable combat force...

Women in Combat Compendium

Science.gov (United States)

2008-01-01

support area • Location of unit TOC or HQ • Location of actual combat operations • No basis to answer this question 4. Given the U.S. Army’s current...welfare issue. I recall that part of General Order #1 was no sexual relations when deployed. Obviously, soldiers discovering pregnancy in the middle of...and had discussion about sexual relations and the 60 effect on unit cohesion, pregnancy testing, and affairs of the heart; whether appropriate or

Self-Compassion as a prospective predictor of PTSD symptom severity among trauma-exposed U.S. Iraq and Afghanistan war veterans.

Science.gov (United States)

Hiraoka, Regina; Meyer, Eric C; Kimbrel, Nathan A; DeBeer, Bryann B; Gulliver, Suzy Bird; Morissette, Sandra B

2015-04-01

U.S. combat veterans of the Iraq and Afghanistan wars have elevated rates of posttraumatic stress disorder (PTSD) compared to the general population. Self-compassion, characterized by self-kindness, a sense of common humanity when faced with suffering, and mindful awareness of suffering, is a potentially modifiable factor implicated in the development and maintenance of PTSD. We examined the concurrent and prospective relationship between self-compassion and PTSD symptom severity after accounting for level of combat exposure and baseline PTSD severity in 115 Iraq and Afghanistan war veterans exposed to 1 or more traumatic events during deployment. PTSD symptoms were assessed using the Clinician Administered PTSD Scale for DSM-IV (CAPS-IV) at baseline and 12 months (n =101). Self-compassion and combat exposure were assessed at baseline via self-report. Self-compassion was associated with baseline PTSD symptoms after accounting for combat exposure (β = -.59; p Afghanistan war veterans. Copyright © 2015 Wiley Periodicals, Inc., A Wiley Company.

Combating illicit trafficking

International Nuclear Information System (INIS)

Biro, L.L.; Grama, E.V.

2002-01-01

Full text: National Commission for Nuclear Activities Control (CNCAN) is the national authority, which is contact point for illicit trafficking and coordinates all measures and activities to combat and prevent illicit trafficking with nuclear material and radioactive sources. Legal framework regarding illicit trafficking has been improved due to new Physical Protection Regulations, Regulations on using the DBT, Regulations on requirements for qualification of guards and physical protection personnel, Design Basis Threat for each nuclear facility to avoid the unauthorized removal or theft of nuclear material or radioactive sources. New amendments of the Law for the safe deployment of nuclear activities, Law no. 111/1996, republished, in respect of illicit trafficking with nuclear material and radioactive sources are in the process to be approved by the Parliament. CNCAN is member of the Romanian Non-proliferation Group that is an interdepartmental mechanism of cooperation entered into force in August 1999. During the sessions of this group there are discussions focused on the preventing and combating illicit trafficking with nuclear material and radioactive sources. CNCAN is member of the Interministerial Council that controls import and export with strategic products including nuclear material, non nuclear material and equipment pertinent for proliferation of nuclear weapons. An Emergency Mobile Unit has been created in 2001 that contains instruments (gamma dose rate instruments portable and personal, contaminometers, mini MCA with CdZnTe detector, a CANBERRA Inspector with Nal, CdZnTe and HPGe detectors and 2 FiedSPEC, a mobile laboratory, 2 cars and individual equipment). CNCAN is cooperating with the Police through a National Plan to verify the authorization holders in order to prevent and combat illicit trafficking, and to find the orphan sources. CNCAN is the beneficiary of the PECO Project initiated by the European Commission in cooperation with the IAEA and

Combining conservation value, vulnerability, and effectiveness of mitigation actions in spatial conservation decisions: an application to coastal oil spill combating.

Science.gov (United States)

Ihaksi, Taina; Kokkonen, Teemu; Helle, Inari; Jolma, Ari; Lecklin, Tiina; Kuikka, Sakari

2011-05-01

Increasing oil transportation and severe oil accidents in the past have led to the development of various sensitivity maps in different countries all over the world. Often, however, the areas presented on the maps are far too large to be safeguarded with the available oil combating equipment and prioritization is required to decide which areas must be safeguarded. While oil booms can be applied to safeguard populations from a drifting oil slick, decision making on the spatial allocation of oil combating capacity is extremely difficult due to the lack of time, resources and knowledge. Since the operational decision makers usually are not ecologists, a useful decision support tool including ecological knowledge must be readily comprehensible and easy to use. We present an index-based method that can be used to make decisions concerning which populations of natural organisms should primarily be safeguarded from a floating oil slick with oil booms. The indices take into account the relative exposure, mortality and recovery potential of populations, the conservation value of species and populations, and the effectiveness of oil booms to safeguard different species. The method has been implemented in a mapping software that can be used in the Gulf of Finland (Baltic Sea) for operational oil combating. It could also be utilized in other similar conservation decisions where species with varying vulnerability, conservational value, and benefits received from the management actions need to be prioritized.

RxPATROL: a Web-based tool for combating pharmacy theft.

Science.gov (United States)

Smith, Meredith Y; Graham, J Aaron; Haddox, J David; Steffey, Amy

2009-01-01

To report the incidence of pharmacy-related burglaries and robberies and characteristics of pharmacies where such crimes have occurred using recent data from Rx Pattern Analysis Tracking Robberies & Other Losses (RxPATROL), a national Web-based information clearinghouse on pharmacy-related theft of prescription medications and over-the-counter products. Descriptive, nonexperimental study. United States between 2005 and 2006. Not applicable. Not applicable. Number of pharmacy theft reports received; incident type, date, and location; point of entry; and pharmacy security features. Between 2005 and 2006, 202 pharmacy burglary and 299 pharmacy robbery reports from 45 different states were filed with RxPATROL. More than 70% of pharmacies reporting such crimes lacked a security camera. Among those reporting a burglary, 60% lacked dead bolt locks, a solid exterior door, a motion detector device, or a safe or vault for storage of controlled substances. Burglars most often obtained access to the pharmacy via the front door. RxPATROL is a Web-based tool that can assist pharmacies and law enforcement in collaborating more effectively to combat and prevent pharmacy-related crimes.

Integrated Assessment of Prevention and Restoration Actions to Combat Desertification

Science.gov (United States)

Bautista, S.; Orr, B. J.; Vallejo, R.

2009-12-01

Recent advances in desertification and land degradation research have provided valuable conceptual and analytical frameworks, degradation indicators, assessment tools and surveillance systems with respect to desertification drivers, processes, and impacts. These findings, together with stakeholders’ perceptions and local/regional knowledge, have helped to define and propose measures and strategies to combat land degradation. However, integrated and comprehensive assessment and evaluation of prevention and restoration strategies and techniques to combat desertification is still lacking, and knowledge on the feasibility and cost-effectiveness of the proposed strategies over a wide range of environmental and socio-economic conditions is very scarce. To address this challenge, we have launched a multinational project (PRACTICE - Prevention and Restoration Actions to Combat Desertification. An Integrated Assessment), funded by the European Commission, in order to link S & T advances and traditional knowledge on prevention and restoration practices to combat desertification with sound implementation, learning and adaptive management, knowledge sharing, and dissemination of best practices. The key activities for pursuing this goal are (1) to establish a platform and information system of long-term monitoring sites for assessing sustainable management and actions to combat desertification, (2) to define an integrated protocol for the assessment of these actions, and (3) to link project assessment and evaluation with training and education, adaptive management, and knowledge sharing and dissemination through a participatory approach involving scientists, managers, technicians, financial officers, and members of the public who are/were impacted by the desertification control projects. Monitoring sites are distributed in the Mediterranean Europe (Greece, Italy, Spain, and Portugal), Africa (Morocco, Namibia, South Africa), Middle East (Israel), China, and South and North

Innovative contracting strategies for combating climate change.

Science.gov (United States)

2011-11-01

The state of Maryland has made a strong commitment to combating climate change and reducing : greenhouse gas emissions. This research investigated the state of practice of innovative contracting : solutions to reduce emissions from highway constructi...

The Aftermath of Combat-Related PTSD: Toward an Understanding of Transgenerational Trauma

Science.gov (United States)

Pearrow, Melissa; Cosgrove, Lisa

2009-01-01

The number of military personnel who are involved in combat situations continues to increase. As a result, researchers have identified risk factors associated with the development of combat-related posttraumatic stress disorder (PTSD). The authors of this article review some of the characteristics of military personnel involved in these conflicts,…

The Course and Correlates of Combat-Related PTSD in Australian Vietnam Veterans in the Three Decades After the War.

Science.gov (United States)

O'Toole, Brian I; Catts, Stanley V

2017-02-01

Australian male Vietnam veterans (N = 388) were assessed 22 and 36 years after their return to Australia using standardized diagnostic interviews, with added data from Army records and self-report questionnaires. Among veterans who ever had posttraumatic stress disorder (PTSD), 50.3% had a current diagnosis at the second assessment; of those who had a current diagnosis at Wave 1, 46.9% were also current at Wave 2. Late onset occurred for 19.0% of veterans, of whom 60.8% were current at Wave 2. Multivariate analysis compared veterans with no history of PTSD (n = 231) with veterans who had ever had PTSD (n = 157) to assess risk factors for PTSD incidence; and veterans with a history, but not current PTSD (n = 78) with veterans who had current PTSD at the second assessment (n = 79) to assess risk factors for failure to remit. Incidence was associated with lower education, shorter Army training predeployment, higher combat, excess drinking, and help-seeking after return to Australia. Prevalence was associated with having a father who saw combat in World War II, being injured in battle, having a lower intelligence test score, experiencing higher combat, and having a diagnosis of phobia at the first assessment. Only combat was common to incidence and prevalence. Copyright © 2017 International Society for Traumatic Stress Studies.

Optimizing fitness for duty and post-combat clinical services for military personnel and combat veterans with ADHD—a systematic review of the current literature

Directory of Open Access Journals (Sweden)

Iliyan Ivanov

2014-08-01

Full Text Available Background: Attention deficit hyper activity disorder (ADHD is a developmental disorder, most often diagnosed in childhood, and characterized by hyperactivity and inattention that negatively impacts one's ability to function and fulfill social and personal obligations. Individuals with past history of ADHD may enlist in the military under certain conditions, however the full impact of military training and deployment of later in life ADHD symptoms is unclear. It is of particular interest how military experience may affect ADHD in remission and if such individuals might be at elevated risk for relapse of ADHD symptoms. Method: We performed a systematic review f the available literature including the Department of Defense (DOD guidelines for both eligibility to enlist and fitness for deployment based on reported history and current symptomatology of ADHD. Results: The after care for veterans with ADHD relapse is inconsistent and presents with number of challenges. We evaluate the DOD policies regarding the implications of ADHD for fitness for military service and post-combat mental health. Conclusion: The full extend of the interaction between pre-existing ADHD and post-combat PTSD are not fully understood. The development of comprehensive and clear algorithms for diagnosing and treating ADHD in the military before and after deployment will have a strong positive impact on the quality of care delivered to soldiers and veterans.

1999 report on occupational radiation exposures in Canada

International Nuclear Information System (INIS)

Sont, W.; Ashmore, J.P.

1999-01-01

The report provides statistics on occupational radiation exposures for use by regulatory authorities, organizations and private individuals. Out of a total of 125,883 monitored workers, 4 annual doses exceeded the regulatory limit of 50 mSv in 1998. Out of 43 specified job categories, 18 had a smaller annual average in 1998 than in 1997, 17 had a higher average, and 8 had the same average rounded to 0.01 mSv. The uranium mining job categories are not in this list because the conversion factor for radon progeny exposure to effective dose was changed from 10 to 5 mSv/WLM, precluding a valid comparison of the averages. In all categories of workers, from 1996 to 1997, 19 average annual doses went up, 33 went down, and 4 stayed the same. The figures reflect a sustained effort in keeping the occupational doses low. (author)

Occupational radiation exposure at commercial nuclear power reactors and other facilities, 1990: Twenty-third annual report

International Nuclear Information System (INIS)

Raddatz, C.T.

1993-01-01

This report summarizes the occupational radiation exposure information that has been reported to the NRC's Radiation Exposure Information Reporting System (REIRS) by nuclear power facilities and certain other categories of NRC licensees during the years 1969 through 1990. The bulk of the data presented in the report was obtained from annual radiation exposure reports submitted in accordance with the requirements of 10 CFR 20.407 and the technical specifications of nuclear power plants. Data on workers terminating their employment at certain NRC licensed facilities were obtained from reports submitted pursuant to 10 CFR 20.408. The 1990 annual reports submitted by about 443 licensees indicated that approximately 214,568 individuals were monitored, 110,204 of whom were monitored by nuclear power facilities. They incurred an average individual dose of 0.19 rem (cSv) and an average measurable dose of about 0.36 (cSv). Termination radiation exposure reports were analyzed to reveal that about 113,361 individuals completed their employment with one or more of the 443 covered licensees during 1990. Some 77,633 of these individuals terminated from power reactor facilities, and about 11,083 of them were considered to be transient workers who received an average dose of 0.67 rem (cSv)

Weight Management Practices of Australian Olympic Combat Sport Athletes.

Science.gov (United States)

Reale, Reid; Slater, Gary; Burke, Louise M

2017-09-05

Combat sport athletes undertake chronic and rapid weight loss (RWL) practices to qualify for weight divisions lower than their training weight. Variation between sports in the prevalence, methods, and magnitude of weight loss as well as recovery practices may be influenced by factors including competition level and culture. Differences in methodologies of previous research in combat sports make direct comparisons difficult, thus this study aimed to examine weight loss practices among all Olympic combat sports in Australia, using standardised methodology. High calibre competitors in wrestling, boxing, judo and taekwondo (n=260) at Australian competitions were surveyed using a validated tool which provides quantification of how extreme an athlete's weight loss practices are; the RWL score (RWLS). Additional qualitative and quantitative survey data were also collected. Neither sport, sex or weight division group had an effect on RWLS however a significant effect of athlete calibre was detected [F (2,215) = 4.953, MSE = 4.757, p = 0.00792]. Differences between sports were also evident for: most weight ever lost in order to compete [H = 19.92, p = 0.0002), age at which weight cutting began (H = 16.34, p = 0.001) and selected methods/patterns of RWL (p < 0.001). Weight cycling between competitions was common among all sports as were influences on athlete's behaviours. While many similarities in weight loss practices and experiences exist between combat sports, specific differences were evident. Nuanced, context/culturally specific guidelines should be devised to assist fighters' in optimising performance while minimising health implications.

System composition and operation of exposure dose registration and control system (Final report)

International Nuclear Information System (INIS)

1978-01-01

Since November, 1976, the committee concerning the investigation of exposure dose registration and control system for employees in nuclear industries has discussed on the exposure dose registration and control system, issued the interim report (outline) in April, 1977, and continued to investigate the details organizing the working group. Here, the final report is presented. It describes first on the definition of the terms used and the basic concept of the exposure dose registration and control system, in which the name of that organization is decided as ''Central Registration Office for Radiation Works'', Radiation Influence Association, the foundational juridical person. Next, the works to be performed in the Center and nuclear energy enterprises are explained. The items concerning the business management at the time of practical execution are the major part of the report, and are over 22 items. These include the registration business, the official reporting business, inquiry and answer business about career, change and revision, and computer processing system. As the temporary measures for transfer ring to the new system, 10 items are also provided. Supplementary explanation of 9 important items is given in the appendix. (Wakatsuki, Y.)

A Simple Probabilistic Combat Model

Science.gov (United States)

2016-06-13

Government may violate any copyrights that exist in this work. This page intentionally left blank. ABSTRACT The Lanchester ...page intentionally left blank. TABLE OF CONTENTS Page No.Abstract iii List of Illustrations vii 1. INTRODUCTION 1 2. DETERMINISTIC LANCHESTER MODEL...This page intentionally left blank. 1. INTRODUCTION The Lanchester combat model1 is a simple way to assess the effects of quantity and quality

Characterizing Center of Mass and Moment of Inertia of Soldiers' Loads Packed for Combat

National Research Council Canada - National Science Library

Hasselquist, Leif; Bensel, Carolyn K; Norton, Karen; Piscitelle, Louis; Schiffman, Jeffrey M

2004-01-01

...) location and moment of inertia (MOI) may be influenced in combat load packing. In addition, the physical properties of the combat loads were compared to the properties of a laboratory fabricated backpack...

Strategic Misstep: ’Immortal’ Robotic Warfare, Inviting Combat to Suburban America

Science.gov (United States)

2010-03-01

locations of those combatants.59 Predator “ Porn ” – Immoral, or Just “Freaking Cool” Air Force RPA combatant operators and those around them will likely...accessed February 4, 2010). Predator “feeds” have been renamed in military circles to Predator “ porn ”. For reference see Mockenhaupt, “We’ve Seen the

Road traffic noise: self-reported noise annoyance versus GIS modelled road traffic noise exposure.

Science.gov (United States)

Birk, Matthias; Ivina, Olga; von Klot, Stephanie; Babisch, Wolfgang; Heinrich, Joachim

2011-11-01

self-reported road traffic noise annoyance is commonly used in epidemiological studies for assessment of potential health effects. Alternatively, some studies have used geographic information system (GIS) modelled exposure to road traffic noise as an objective parameter. The aim of this study was to analyse the association between noise exposure due to neighbouring road traffic and the noise annoyance of adults, taking other determinants into consideration. parents of 951 Munich children from the two German birth cohorts GINIplus and LISAplus reported their annoyance due to road traffic noise at home. GIS modelled road traffic noise exposure (L(den), maximum within a 50 m buffer) from the noise map of the city of Munich was available for all families. GIS-based calculated distance to the closest major road (≥10,000 vehicles per day) and questionnaire based-information about family income, parental education and the type of the street of residence were explored for their potential influence. An ordered logit regression model was applied. The noise levels (L(den)) and the reported noise annoyance were compared with an established exposure-response function. the correlation between noise annoyance and noise exposure (L(den)) was fair (Spearman correlation r(s) = 0.37). The distance to a major road and the type of street were strong predictors for the noise annoyance. The annoyance modelled by the established exposure-response function and that estimated by the ordered logit model were moderately associated (Pearson's correlation r(p) = 0.50). road traffic noise annoyance was associated with GIS modelled neighbouring road traffic noise exposure (L(den)). The distance to a major road and the type of street were additional explanatory factors of the noise annoyance appraisal.

Contributions of Women to U.S. Combat Operations

National Research Council Canada - National Science Library

Burnes, Thresa

2008-01-01

.... combat operations from the Revolutionary War to present-day conflicts. The U.S. military continues to fight a transnational, dispersed enemy that employs irregular tactics and asymmetric warfare...

Combat veterans and the death penalty: a forensic neuropsychiatric perspective.

Science.gov (United States)

Wortzel, Hal S; Arciniegas, David B

2010-01-01

With our nation's present conflicts, a new generation of veterans are returning home, many of whom have substantial psychopathology and are encountering significant barriers in accessing care. Headlines from around the nation reflect that some of these wounded warriors go on to commit offenses that are potentially punishable by death. Existing circumstances speak to the urgency with which the subject of combat veterans with post-traumatic stress disorder (PTSD), traumatic brain injury (TBI), or both facing capital crimes ought to be addressed. This publicity has led to a recent call for a legislatively or judicially enacted, narrow, categorical exclusion for combat veterans who were affected by either PTSD or TBI at the time of their capital offenses. In the present article, we illustrate the reality that combat veterans who commit capital offenses may face execution, summarize legal arguments offered in favor of a categorical exclusion, and provide a neuropsychiatric perspective on PTSD, TBI, and aggression, to help inform further dialogue on this weighty subject.

Systems Engineering Approach To Ground Combat Vehicle Survivability In Urban Operations

Science.gov (United States)

2016-09-01

GROUND COMBAT VEHICLE SURVIVABILITY IN URBAN OPERATIONS 5. FUNDING NUMBERS N/A 6. AUTHOR(S) Luhai Wong 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS...distance of 100m in the model , which is reasonable due to the constrained nature of an urban environment. This thesis also uses the key parameters...ENGINEERING APPROACH TO GROUND COMBAT VEHICLE SURVIVABILITY IN URBAN OPERATIONS by Luhai Wong September 2016 Thesis Advisor: Christopher A

Rebelle De Fatou Keita Ou le Combat Feminin Contre la Patriarchie ...

African Journals Online (AJOL)

Le combat féministe est un sujet d'actualité dans une Afrique toujours gouvernée par des systèmes phallocentriques qui emprisonnent la femme ou l'enterrent dans la misère. L'écriture, parmi d'autres moyens, est une arme par excellence utilisée dans le combat contre le système patriarcal. L'écrivaine féministe s'en sert ...

Pediatric Exposures to Topical Benzocaine Preparations Reported to a Statewide Poison Control System.

Science.gov (United States)

Vohra, Rais; Huntington, Serena; Koike, Jennifer; Le, Kevin; Geller, Richard J

2017-08-01

Topical benzocaine is a local anesthetic commonly used to relieve pain caused by teething, periodontal irritation, burns, wounds, and insect bites. Oral preparations may contain benzocaine concentrations ranging from 7.5% to 20%. Pediatric exposure to such large concentrations may result in methemoglobinemia and secondarily cause anemia, cyanosis, and hypoxia. This is a retrospective study of exposures reported to a statewide poison control system. The electronic health records were queried for pediatric exposures to topical benzocaine treated at a healthcare facility from 2004 to 2014. Cases of benzocaine exposure were reviewed for demographic and clinical information, and descriptive statistical analysis was performed. The query resulted in 157 cases; 58 were excluded due to co-ingestants, or miscoding of non-benzocaine exposures. Children four years of age and younger represented the majority of cases (93%) with a median age of 1 year. There were 88 cases of accidental/ exploratory exposure, while 6 cases resulted from therapeutic application or error, 4 cases from adverse reactions, and 1 case from an unknown cause. Asymptomatic children accounted for 75.5% of cases, but major clinical effects were observed in 5 patients. Those with serious effects were exposed to a range of benzocaine concentrations (7.5-20%), with 4 cases reporting methemoglobin levels between 20.2%-55%. Methylene blue was administered in 4 of the cases exhibiting major effects. The majority of exposures were accidental ingestions by young children. Most exposures resulted in minor to no effects. However, some patients required treatment with methylene blue and admission to a critical care unit. Therapeutic application by parents or caregivers may lead to adverse effects from these commonly available products.

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

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

A Systematic Review of Dropout From Psychotherapy for Posttraumatic Stress Disorder Among Iraq and Afghanistan Combat Veterans.

Science.gov (United States)

Goetter, Elizabeth M; Bui, Eric; Ojserkis, Rebecca A; Zakarian, Rebecca J; Brendel, Rebecca Weintraub; Simon, Naomi M

2015-10-01

A significant number of veterans of the conflicts in Iraq and Afghanistan have posttraumatic stress disorder (PTSD), yet underutilization of mental health treatment remains a significant problem. The purpose of this review was to summarize rates of dropout from outpatient, psychosocial PTSD interventions provided to U.S. Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF), and Operation New Dawn (OND) veterans with combat-related PTSD. There were 788 articles that were identified which yielded 20 studies involving 1,191 individuals eligible for the review. The dropout rates in individual studies ranged from 5.0% to 78.2%, and the overall pooled dropout rate was 36%, 95% CI [26.20, 43.90]. The dropout rate differed marginally by study type (routine clinical care settings had higher dropout rates than clinical trials) and treatment format (group treatment had higher dropout rates than individual treatment), but not by whether comorbid substance dependence was excluded, by treatment modality (telemedicine vs. in-person treatment), or treatment type (exposure therapy vs. nonexposure therapy). Dropout is a critical aspect of the problem of underutilization of care among OEF/OIF/OND veterans with combat-related PTSD. Innovative strategies to enhance treatment retention are needed. Copyright © 2015 Wiley Periodicals, Inc., A Wiley Company.

Fatal chlorine gas exposure at a metal recycling facility: Case report.

Science.gov (United States)

Harvey, Robert R; Boylstein, Randy; McCullough, Joel; Shumate, Alice; Yeoman, Kristin; Bailey, Rachel L; Cummings, Kristin J

2018-06-01

At least four workers at a metal recycling facility were hospitalized and one died after exposure to chlorine gas when it was accidentally released from an intact, closed-valved cylinder being processed for scrap metal. This unintentional chlorine gas release marks at least the third such incident at a metal recycling facility in the United States since 2010. We describe the fatal case of the worker whose clinical course was consistent with acute respiratory distress syndrome (ARDS) following exposure to high concentrations of chlorine gas. This case report emphasizes the potential risk of chlorine gas exposure to metal recycling workers by accepting and processing intact, closed-valved containers. The metal recycling industry should take steps to increase awareness of this established risk to prevent future chlorine gas releases. Additionally, public health practitioners and clinicians should be aware that metal recycling workers are at risk for chlorine gas exposure. © 2018 Wiley Periodicals, Inc.

Biocides Steering Group on human exposure assessment: a preliminary report.

Science.gov (United States)

van Hemmen, J J

1999-06-30

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, approaches are presented for the exposure assessment to be used for estimation of risks in authorization procedures under the recently accepted Directive 98/8/EC. Gaps in knowledge are indicated, making it possible to study the issues involved in a comprehensive and cost-effective way. Some recommendations are given on how to best do this. The current project has been detailed in a final report.

Object-Oriented Modular Architecture for Ground Combat Simulation

National Research Council Canada - National Science Library

Luqi; Berzins, V; Shing, M; Saluto, M; Williams, J

2000-01-01

.... It describes the effective use of computer-aided prototyping techniques for re-engineering the legacy software to develop an object-oriented modular architecture for the Janus combat simulation system. Janus...

Networked sensors for the combat forces

Science.gov (United States)

Klager, Gene

2004-11-01

Real-time and detailed information is critical to the success of ground combat forces. Current manned reconnaissance, surveillance, and target acquisition (RSTA) capabilities are not sufficient to cover battlefield intelligence gaps, provide Beyond-Line-of-Sight (BLOS) targeting, and the ambush avoidance information necessary for combat forces operating in hostile situations, complex terrain, and conducting military operations in urban terrain. This paper describes a current US Army program developing advanced networked unmanned/unattended sensor systems to survey these gaps and provide the Commander with real-time, pertinent information. Networked Sensors for the Combat Forces plans to develop and demonstrate a new generation of low cost distributed unmanned sensor systems organic to the RSTA Element. Networked unmanned sensors will provide remote monitoring of gaps, will increase a unit"s area of coverage, and will provide the commander organic assets to complete his Battlefield Situational Awareness (BSA) picture for direct and indirect fire weapons, early warning, and threat avoidance. Current efforts include developing sensor packages for unmanned ground vehicles, small unmanned aerial vehicles, and unattended ground sensors using advanced sensor technologies. These sensors will be integrated with robust networked communications and Battle Command tools for mission planning, intelligence "reachback", and sensor data management. The network architecture design is based on a model that identifies a three-part modular design: 1) standardized sensor message protocols, 2) Sensor Data Management, and 3) Service Oriented Architecture. This simple model provides maximum flexibility for data exchange, information management and distribution. Products include: Sensor suites optimized for unmanned platforms, stationary and mobile versions of the Sensor Data Management Center, Battle Command planning tools, networked communications, and sensor management software. Details

Intrathecal Pump Exposure to Electromagnetic Interference: A Report of Device Interrogation following Multiple ECT Sessions.

Science.gov (United States)

Bicket, Mark C; Hanna, George M

2016-02-01

Intrathecal drug delivery systems represent an increasingly common treatment modality for patients with a variety of conditions, including chronic pain and spasticity. Pumps rely on electronic programming to properly control and administer highly concentrated medications. Electromagnetic interference (EMI) is a known exposure that may cause a potential patient safety issue stemming from direct patient injury, pump damage, or changes to pump operation or flow rate. The objective of our case report was to describe an approach to evaluating a patient with a pump prior to and following exposure to EMI from electroconvulsive therapy (ECT), as well as to document findings from device interrogations associated with this event. Case report. Academic university-based pain management center. We present the case of a patient with an intrathecal pump who underwent multiple exposures to EMI in the form of 42 ECT sessions. Interrogation of the intrathecal drug delivery system revealed no safety issues following ECT sessions. At no time were error messages, unintentional changes in event logs, unintentional changes in pump settings, or evidence of pump stall or over-infusion noted. Communication with multiple entities (patient, family, consulting physicians, and device manufacturer) and maintaining vigilance through device interrogation both before and after EMI exposure are appropriate safeguards to mitigate the risk and detect potential adverse events of EMI with intrathecal drug delivery systems. Given the infrequent reports of device exposure to ECT, best practices may be derived from experience with EMI exposure from magnetic resonance imaging (MRI). Although routine EMI exposure to intrathecal drug delivery systems should be avoided, we describe one patient with repeated exposure to ECT without apparent complication.

Neural indicators of interpersonal anger as cause and consequence of combat training stress symptoms.

Science.gov (United States)

Gilam, G; Lin, T; Fruchter, E; Hendler, T

2017-07-01

Angry outbursts are an important feature of various stress-related disorders, and commonly lead to aggression towards other people. Findings regarding interpersonal anger have linked the ventromedial prefrontal cortex (vmPFC) to anger regulation and the locus coeruleus (LC) to aggression. Both regions were previously associated with traumatic and chronic stress symptoms, yet it is unclear if their functionality represents a consequence of, or possibly also a cause for, stress symptoms. Here we investigated the relationship between the neural trajectory of these indicators of anger and the development and manifestation of stress symptoms. A total of 46 males (29 soldiers, 17 civilians) participated in a prospective functional magnetic resonance imaging experiment in which they played a modified interpersonal anger-provoking Ultimatum Game (UG) at two-points. Soldiers were tested at the beginning and end of combat training, while civilians were tested at the beginning and end of civil service. We assumed that combat training would induce chronic stress and result in increased stress symptoms. Soldiers showed an increase in stress symptoms following combat training while civilians showed no such change following civil service. All participants were angered by the modified UG irrespective of time point. Higher post-combat training stress symptoms were associated with lower pre-combat training vmPFC activation and with higher activation increase in the LC between pre- and post-combat training. Results suggest that during anger-provoking social interactions, flawed vmPFC functionality may serve as a causal risk factor for the development of stress symptoms, and heightened reactivity of the LC possibly reflects a consequence of stress-inducing combat training. These findings provide potential neural targets for therapeutic intervention and inoculation for stress-related psychopathological manifestations of anger.

Biomarkers of exposure and dose: State of the art

International Nuclear Information System (INIS)

Brooks, A.L.

2001-01-01

Biomarkers provide methods to measure changes in biological systems and to relate them to environmental insults and disease processes. Biomarkers can be classified as markers of exposure and dose, markers of sensitivity, and markers of disease. It is important that the differences and applications of the various types of biomarkers be clearly understood. The military is primarily interested in early biomarkers of exposure and dose that do not require high levels of sensitivity but can be used to rapidly triage war fighters under combat or terrorist conditions and determine which, if any, require medical attention. Biomarkers of long-term radiation risk represent the second area of interest for the military. Biomarkers of risk require high sensitivity and specificity for the disease and insult but do not require rapid data turn around. Biomarkers will help provide information for quick command decisions in the field, characterise long-term troop risks and identify early stages of radiation-induced diseases. This information provides major positive reassurances about individual exposures and risk that will minimise the physical and psychological impact of wartime radiation exposures. (author)

An Increase in Dietary Supplement Exposures Reported to US Poison Control Centers.

Science.gov (United States)

Rao, Nisha; Spiller, Henry A; Hodges, Nichole L; Chounthirath, Thiphalak; Casavant, Marcel J; Kamboj, Amrit K; Smith, Gary A

2017-09-01

The objective of this study was to investigate the epidemiology of dietary supplement exposures in the USA. A retrospective analysis was conducted of out-of-hospital dietary supplement exposures reported to the National Poison Data System from 2000 through 2012. There were 274,998 dietary supplement exposures from 2000 through 2012. The annual rate of dietary supplement exposures per 100,000 population increased by 46.1% during 2000-2002, decreased 8.8% during 2002-2005, and then increased again by 49.3% from 2005 to 2012. These trends were influenced by the decrease in ma huang exposures starting in 2002. Miscellaneous dietary supplements accounted for 43.9% of all exposures, followed by botanicals (31.9%), hormonal products (15.1%), and other supplements (5.1%). The majority of dietary supplement exposures (70.0%) occurred among children younger than 6 years old and were acute (94.0%) and unintentional (82.9%). Serious medical outcomes accounted for 4.5% of exposures and most (95.0%) occurred among individuals 6 years and older. Ma huang products, yohimbe, and energy products were the categories associated with the greatest toxicity. There was an overall increase in the rate of dietary supplement exposures from 2000 through 2012. Although the majority of these exposures did not require treatment at a health care facility or result in serious medical outcomes, exposures to yohimbe and energy products were associated with considerable toxicity. Our results demonstrate the success of the FDA ban on ma huang products and the need for FDA regulation of yohimbe and energy products in the USA.

Advanced protection technology for ground combat vehicles.

Science.gov (United States)

Bosse, Timothy G

2012-01-01

Just as highway drivers use radar detectors to attempt to stay ahead of police armed with the latest radar technology, the Armed Forces are locked in a spiral to protect combat vehicles and their crews against the latest threats in both the contemporary operating environment and the anticipated operating environment (ie, beyond 2020). In response to bigger, heavier, or better-protected vehicles, adversaries build and deploy larger explosive devices or bombs. However, making improvements to combat vehicles is much more expensive than deploying larger explosives. In addition, demand is increasing for lighter-weight vehicles capable of rapid deployment. Together, these two facts give the threat a clear advantage in the future. To protect vehicles and crews, technologies focusing on detection and hit avoidance, denial of penetration, and crew survivability must be combined synergistically to provide the best chance of survival on the modern battlefield.

THE HARMONISATION OF LEGISLATION ON COMBATTING TAX EVASION IN THE EUROPEAN UNION

Directory of Open Access Journals (Sweden)

DANIELA IANCU

2011-04-01

Full Text Available Combating tax evasion is part of the Lisbon Strategy. Tax fraud created a significant distortion in the functioning of the internal market and prevented fair competition.In its resolution of 2th of September 2008 on a coordinated strategy to improve the fight against fiscal fraud (2008/2033 (INI the European Parliament stressed that the Member States cannot combat cross-border fraud in isolation and called on the Commission to propose mechanisms to promote cooperation between Member States.This paper aims to analyse the main mechanisms to combat the tax evasion at the European level and, also, the changes that our country had to make in the field of legislation in order to achieve the EU standard on the fight against tax evasion.

Pediatric Exposures to Topical Benzocaine Preparations Reported to a Statewide Poison Control System

Directory of Open Access Journals (Sweden)

Rais Vohra

2017-07-01

Full Text Available Introduction: Topical benzocaine is a local anesthetic commonly used to relieve pain caused by teething, periodontal irritation, burns, wounds, and insect bites. Oral preparations may contain benzocaine concentrations ranging from 7.5% to 20%. Pediatric exposure to such large concentrations may result in methemoglobinemia and secondarily cause anemia, cyanosis, and hypoxia. Methods: This is a retrospective study of exposures reported to a statewide poison control system. The electronic health records were queried for pediatric exposures to topical benzocaine treated at a healthcare facility from 2004 to 2014. Cases of benzocaine exposure were reviewed for demographic and clinical information, and descriptive statistical analysis was performed. Results: The query resulted in 157 cases; 58 were excluded due to co-ingestants, or miscoding of non-benzocaine exposures. Children four years of age and younger represented the majority of cases (93% with a median age of 1 year. There were 88 cases of accidental/ exploratory exposure, while 6 cases resulted from therapeutic application or error, 4 cases from adverse reactions, and 1 case from an unknown cause. Asymptomatic children accounted for 75.5% of cases, but major clinical effects were observed in 5 patients. Those with serious effects were exposed to a range of benzocaine concentrations (7.5–20%, with 4 cases reporting methemoglobin levels between 20.2%–55%. Methylene blue was administered in 4 of the cases exhibiting major effects. Conclusion: The majority of exposures were accidental ingestions by young children. Most exposures resulted in minor to no effects. However, some patients required treatment with methylene blue and admission to a critical care unit. Therapeutic application by parents or caregivers may lead to adverse effects from these commonly available products.

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

OpenAIRE

Adriana Iordache

2015-01-01

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 ...

Thirteen years of oxcarbazepine exposures reported to US poison centers: 2000 to 2012.

Science.gov (United States)

Spiller, H A; Strauch, J; Essing-Spiller, S J; Burns, G

2016-10-01

Oxcarbazepine (OXC) is a 10-keto analogue of carbamazepine used in patients with partial and secondary generalized seizures. We evaluated ingestions of OXC reported to US poison centers for adverse effects from supratherapeutic doses and/or overdose. Retrospective analysis of data reported to National Poison Data System from single-substance OXC ingestions between January 2000 and December 2012. There were 18,867cases with a mean of 1451 exposures/year. The patients were predominantly adults with 5464 exposures in children effects were drowsiness (n = 4703, 25%), vomiting (n = 1559, 8%), tachycardia (n = 590, 3%), agitated (n = 342, 1.8%), hypotension (n = 178, 0.9%), electrolyte disturbance (n = 153, 0.8%), coma (n = 156, 0.8%), and seizures (n = 121, 0.6%). There were 176 patients with a major effect of which 31 involved were children and 1728 (9%) patients with moderate effects of which 300 involved were children. Five deaths were reported in adults. Intentional exposure (e.g. suicide) was the reason for exposure in 68% of patients with major effects and in all fatalities. Fifty-three percent of adults and 38% of children were managed in a health-care facility (HCF). HCF utilization levels remained consistent. Severe outcomes appear to be infrequent (<1%). Unlike other anticonvulsants OXC does not appear to be proconvulsant in overdose. Serious outcomes for OXC overdoses are unlikely in the pediatric patient. With only mild symptoms likely, observation at home may be appropriate for the majority of cases. In the adult population there appears to be few neurologic and cardiovascular complications even in the intentional exposure. © The Author(s) 2015.

Assessment of Psychophysiological Response and Specific Fine Motor Skills in Combat Units.

Science.gov (United States)

Sánchez-Molina, Joaquín; Robles-Pérez, José J; Clemente-Suárez, Vicente J

2018-03-02

Soldiers´ training and experience can influence the outcome of the missions, as well as their own physical integrity. The objective of this research was to analyze the psycho-physiological response and specific motor skills in an urban combat simulation with two units of infantry with different training and experience. psychophysiological parameters -Heart Rate, blood oxygen saturation, glucose and blood lactate, cortical activation, anxiety and heart rate variability-, as well as fine motor skills were analyzed in 31 male soldiers of the Spanish Army, 19 belonging to the Light Infantry Brigade, and 12 to the Heavy Forces Infantry Brigade, before and after an urban combat simulation. A combat simulation provokes an alteration of the psycho-physiological basal state in soldiers and a great unbalance in the sympathetic-vagal interaction. The specific training of Light Infantry unit involves lower metabolic, cardiovascular, and anxiogenic response not only previous, but mainly after a combat maneuver, than Heavy Infantry unit's. No differences were found in relation with fine motor skills, improving in both cases after the maneuver. This fact should be taken into account for betterment units´ deployment preparation in current theaters of operations.

Combating Forest Corruption: the Forest Integrity Network

NARCIS (Netherlands)

Gupta, A.; Siebert, U.

2004-01-01

This article describes the strategies and activities of the Forest Integrity Network. One of the most important underlying causes of forest degradation is corruption and related illegal logging. The Forest Integrity Network is a timely new initiative to combat forest corruption. Its approach is to

Potential exposure in nuclear safety. INSAG-9. A report by the International Nuclear Safety Advisory Group

International Nuclear Information System (INIS)

1995-01-01

The report defines potential exposure in terms of probability of its occurrence and possible consequences. Individual risk is expressed as the probability of the exposure and the conditional probability of death resulting from the exposure. Societal risk is more than the sum of individual risks. This report explores the relationship between individual risk and societal risk and the relevant criteria. For accidents causing serious damage to a nuclear power plant or having off-site consequences, individual risk is not sufficiently limiting because of the many aspects of societal impact. The approach to dealing with potential exposures in nuclear safety results in risks that are consistent with or more stringent than the ICRP's recommendations in its recent publications. 10 refs

Predictive Methods for Dense Polymer Networks: Combating Bias with Bio-Based Structures

Science.gov (United States)

2016-03-16

Combating bias with bio - based structures 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Andrew J. Guenthner...unlimited. PA Clearance 16152 Integrity  Service  Excellence Predictive methods for dense polymer networks: Combating bias with bio -based...Architectural Bias • Comparison of Petroleum-Based and Bio -Based Chemical Architectures • Continuing Research on Structure-Property Relationships using

Is magnetic resonance imaging safe for patients with retained metal fragments from combat and terrorist attacks?

International Nuclear Information System (INIS)

Eshed, Iris; Kushnir, Tamar; Shabshin, Noga; Konen, Eli

2010-01-01

Background: Increasing numbers of military confrontations and terrorist attacks have led to increasing reports of retained metal fragments among patients referred for magnetic resonance imaging (MRI). The potential hazard of retained metal fragments for patients undergoing MRI has been studied among patients with retained metal fragments from domestic violence but not from combat and terrorist attacks. Purpose: To retrospectively evaluate the safety of MRI in patients with subcutaneous warfare-metal fragments. Material and Methods: 10,322 consecutive metal screening forms of patients scheduled for 1.5 Tesla (T) MR examination were retrospectively reviewed. All patients reported to have retained metal fragments were contacted by telephone and asked to describe the event in which they were exposed to the fragments and for any adverse sequelae or sensations during and after MRI. Their radiographs were evaluated for the number and size of the fragments. The data were analyzed for correlations between these factors. Results: Seven of the 24 patients who reported retained metal fragments were excluded, since there was no validating evidence of their presence. Fragments in the remaining 17 patients (18 MRI examinations) were inflicted by military or terrorist attacks that occurred 2-39 years prior to the MRI. The fragment size ranged between 1 and 10 mm. One patient reported a superficial migration of a 10-mm fragment after MRI. No other adverse reactions were reported. Conclusion: Conducting 1.5T MRI examinations is safe in patients with retained metal fragments from combat and terrorist attacks not in the vicinity of vital organs. However, caution is advised.

Is magnetic resonance imaging safe for patients with retained metal fragments from combat and terrorist attacks?

Energy Technology Data Exchange (ETDEWEB)

Eshed, Iris; Kushnir, Tamar; Shabshin, Noga; Konen, Eli (Dept. of Diagnostic Imaging, Sheba Medical center, Tel Hashomer, Sackler School of Medicine, Tel Aviv Univ., Tel Aviv (Israel)), e-mail: iris.eshed@sheba.health.gov.il

2010-03-15

Background: Increasing numbers of military confrontations and terrorist attacks have led to increasing reports of retained metal fragments among patients referred for magnetic resonance imaging (MRI). The potential hazard of retained metal fragments for patients undergoing MRI has been studied among patients with retained metal fragments from domestic violence but not from combat and terrorist attacks. Purpose: To retrospectively evaluate the safety of MRI in patients with subcutaneous warfare-metal fragments. Material and Methods: 10,322 consecutive metal screening forms of patients scheduled for 1.5 Tesla (T) MR examination were retrospectively reviewed. All patients reported to have retained metal fragments were contacted by telephone and asked to describe the event in which they were exposed to the fragments and for any adverse sequelae or sensations during and after MRI. Their radiographs were evaluated for the number and size of the fragments. The data were analyzed for correlations between these factors. Results: Seven of the 24 patients who reported retained metal fragments were excluded, since there was no validating evidence of their presence. Fragments in the remaining 17 patients (18 MRI examinations) were inflicted by military or terrorist attacks that occurred 2-39 years prior to the MRI. The fragment size ranged between 1 and 10 mm. One patient reported a superficial migration of a 10-mm fragment after MRI. No other adverse reactions were reported. Conclusion: Conducting 1.5T MRI examinations is safe in patients with retained metal fragments from combat and terrorist attacks not in the vicinity of vital organs. However, caution is advised.

Positive resources for combating job burnout among Chinese telephone operators: Resilience and psychological empowerment.

Science.gov (United States)

Tian, Xiaohong; Liu, Chunqin; Zou, Guiyuan; Li, Guopeng; Kong, Linghua; Li, Ping

2015-08-30

Job burnout is a major concern within the service industry. However, there is a lack of research exploring positive resources for combating burnout among telephone operators. The purpose of this study was to examine the associations between resilience, psychological empowerment, and job burnout, and the mediating role of psychological empowerment. A cross-sectional survey of 575 telephone operators was conducted in 2 call centers in Shandong Province, China. Self-report questionnaires were used to assess job burnout symptoms, resilience, and psychological empowerment. Hierarchical linear regression was performed to analyze the degree to which resilience and psychological empowerment are associated with job burnout, and the mediating role of psychological empowerment. The results showed that resilience and psychological empowerment had significant "net effects" on job burnout, which may represent positive resources for combating job burnout. Psychological empowerment may partially mediate the relationship between resilience and job burnout. Thus, interventions focused on resilience and psychological empowerment may be useful options for managers concerned about burnout. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

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...

Estratégias utilizadas no combate a resistência bacteriana Recent achievements to combat bacterial resistance

OpenAIRE

Gustavo Pozza Silveira; Faruk Nome; José Carlos Gesser; Marcus Mandolesi Sá; Hernán Terenzi

2006-01-01

This article provides an overview on the recent achievements to combat Gram-positive bacteria and the mechanisms related to antimicrobial activity and bacterial resistance. Selected synthetic methodologies to access structurally diverse bioactive compounds are presented in order to emphasize the most important substances currently developed to overcome multiresistant strains. The main properties of vancomycin and related glycopeptide antibiotics are also discussed as a background to understan...

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.

New Equipping Strategies for Combat Support Hospitals

Science.gov (United States)

2010-01-01

Combat and Doctrine Development and COL Timothy Lamb , supported by MAJ Gary Cooper, included members of our team in visits to Sierra Army Depot and...aspect of improving materiel stew - ardship is improving the quality of data related to the procurement, maintenance, and upgrading of equipment

Unintended Relevance: The Role of the Stryker Brigade Combat Team in the Decisive Action Environment

Science.gov (United States)

2017-05-25

its_time_to_create_a_megacities_combat_unit_110717.html. 47 Steve Krippel and Chris Ricci, “The Stryker Brigade Combat Team: America’s Early Entry Force,” Infantry, July...vehicles to transport the large amounts of equipment to do their job , which is to fight dismounted in complex terrain. Light infantry is necessary...2015_National_Military_Strategy.pdf. Krippel, Steve , and Chris Ricci. “The Stryker Brigade Combat Team: America’s Early Entry Force.” Infantry, July-September 2014

Gender differences in the effects of deployment-related stressors and pre-deployment risk factors on the development of PTSD symptoms in National Guard Soldiers deployed to Iraq and Afghanistan.

Science.gov (United States)

Polusny, Melissa A; Kumpula, Mandy J; Meis, Laura A; Erbes, Christopher R; Arbisi, Paul A; Murdoch, Maureen; Thuras, Paul; Kehle-Forbes, Shannon M; Johnson, Alexandria K

2014-02-01

Although women in the military are exposed to combat and its aftermath, little is known about whether combat as well as pre-deployment risk/protective factors differentially predict post-deployment PTSD symptoms among women compared to men. The current study assesses the influence of combat-related stressors and pre-deployment risk/protective factors on women's risk of developing PTSD symptoms following deployment relative to men's risk. Participants were 801 US National Guard Soldiers (712 men, 89 women) deployed to Iraq or Afghanistan who completed measures of potential risk/protective factors and PTSD symptoms one month before deployment (Time 1) and measures of deployment-related stressors and PTSD symptoms about 2-3 months after returning from deployment (Time 2). Men reported greater exposure to combat situations than women, while women reported greater sexual stressors during deployment than men. Exposure to the aftermath of combat (e.g., witnessing injured/dying people) did not differ by gender. At Time 2, women reported more severe PTSD symptoms and higher rates of probable PTSD than did men. Gender remained a predictor of higher PTSD symptoms after accounting for pre-deployment symptoms, prior interpersonal victimization, and combat related stressors. Gender moderated the association between several risk factors (combat-related stressors, prior interpersonal victimization, lack of unit support and pre-deployment concerns about life/family disruptions) and post-deployment PTSD symptoms. Elevated PTSD symptoms among female service members were not explained simply by gender differences in pre-deployment or deployment-related risk factors. Combat related stressors, prior interpersonal victimization, and pre-deployment concerns about life and family disruptions during deployment were differentially associated with greater post-deployment PTSD symptoms for women than men. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

Roles of scholars in the practice of combating-desertification: a case study in northwest China.

Science.gov (United States)

Yang, Lihua; Lan, Zhiyong; Wu, Jianguo

2010-08-01

This study investigated the perceived importance of scholars' participation in combating-desertification programs in northwest China and analyzed the underlying factors and mechanisms. Our results show that, while various experts, professors, and researchers have participated in combating-desertification programs, their actions were often not effective. Only those scholars who understood the local situations adequately had important and positive impacts. These scholars served as information brokers between the governments and other stakeholders, entrepreneurial activity organizers for farmers, governmental representatives, or advocators for local affairs themselves. They played indispensible roles in facilitating efforts in combating desertification. The study also identified key factors that led to the success of scholars' participation in combating-desertification activities. Our findings have practical implications for improving the effectiveness of scholars' participation in land restoration and environmental management.

Training Strategies to Mitigate Expectancy-Induced Response Bias in Combat Identification: A Research Agenda

Energy Technology Data Exchange (ETDEWEB)

Greitzer, Frank L.; Andrews, Dee H.

2008-04-15

Historical assessments of combat fratricide reveal principal contributing factors in the effects of stress, continuous operations or sleep deprivation, poor situational awareness, emotions, and lack of training. This paper discusses what and how improvements in combat identification (CID) may be achieved through training. In addition to skill-based training, CID training must focus on countering the negative effects of expectancy in the face of heightened anxiety and stressors of continuous operations that lead to combat errors or fratricide. The paper examines possible approaches to training for overcoming erroneous expectancies and emotional factors that may distort or limit accurate "blue force" identification.

Training Strategies to Mitigate Expectancy-Induced Response Bias in Combat Identification: A Research Agenda

Energy Technology Data Exchange (ETDEWEB)

Greitzer, Frank L.; Andrews, Dee H.

2009-12-01

Historical assessments of combat fratricide reveal principal contributing factors in the effects of stress, continuous operations or sleep deprivation, poor situational awareness, emotions, and lack of training. This paper discusses what and how improvements in combat identification (CID) may be achieved through training. In addition to skill-based training, CID training must focus on countering the negative effects of expectancy in the face of heightened anxiety and stressors of continuous operations that lead to combat errors or fratricide. The paper examines possible approaches to training for overcoming erroneous expectancies and emotional factors that may distort or limit accurate "blue force" identification.

Anaesthesia perspective of combat injuries at south waziristan agency-a field experience of war on terrorism

International Nuclear Information System (INIS)

Ahmad, M.; Ahmad, M.

2015-01-01

To determine the presentation form of combat injuries, different aspects of anaesthesia management and methods of effective pain control inside the field hospital. Study Design: A descriptive study. Place and Duration of Study: South Waziristan Scouts Hospital, South Waziristan Agency, Wana, Khyber Pakhtun Khawa province from March 2007 to August 2009. Patients and Methods: A descriptive review of the type of injuries sustained by the troops including local civil population reporting to South Waziristan Scouts (SWS) Hospital from March 2007 to Aug 2009. All patients of combat related injuries reporting to SWS Hospital were included in this study excluding elective surgical cases, gynaecological cases and routine medical patients. Initial anaesthesia management, pain control in anaesthetized patients or analgesia provided without anaesthesia in injured patients and evacuation process of emergencies to tertiary care hospital are discussed. The data was collected from hospital records including operation theatre and was analyzed in the SPSS version 14 for windows in the form of frequency of patients. Results: A total of 149 male (age 30 ± 15) patients were managed at SWS hospital after sustaining combat related injuries. General anaesthesia was given to 61% patients whereas 26% were operated under spinal anaesthesia. Deaths reported were 12.75% comprising 1.3% brought in dead during combat, 2.68% after cardiopulmonary resuscitation inside the hospital, 2.68% homicides by miscreants, 0.67% suicide, 0.67% of bomb disposal squad during mines search operation and 4.69% due to helicopter crash due to snow fall. Firearm and splinter injuries were the commonest in active encounter followed by IED linked injuries. Stray bullets injured a soldier in the chest causing pneumothorax and minor injuries to other 2%. Suicide 0.67% of permanent residing troop and homicides of 2.68% soldiers by the miscreants were documented. The time for casualty arrival in the hospital was 15 min

Glasgow Coma Scores, Early Opioids, and Posttraumatic Stress Disorder Among Combat Amputees

Science.gov (United States)

2014-04-01

extracted from in- theater patient encounter forms by Expeditionary Medical En- counter Database trauma nurses . GCS scores of 3 to 12 in- dicate moderate to...that may negatively impact hemodynamics (Fox et al., 1995). Combat-trauma anes- thesiologists are advised to minimize these side effects when managing...the most seriously injured and/or hemodynamically unstable patients. The present findings are consistent with this principle of combat casualty care by

The effects of gender, flow and video game experience on combat identification training.

Science.gov (United States)

Plummer, John Paul; Schuster, David; Keebler, Joseph R

2017-08-01

The present study examined the effects of gender, video game experience (VGE), and flow state on multiple indices of combat identification (CID) performance. Individuals were trained on six combat vehicles in a simulation, presented through either a stereoscopic or non-stereoscopic display. Participants then reported flow state, VGE and were tested on their ability to discriminate friend vs. foe and identify both pictures and videos of the trained vehicles. The effect of stereoscopy was not significant. There was an effect of gender across three dependent measures. For the two picture-based measures, the effect of gender was mediated by VGE. Additionally, the effect of gender was moderated by flow state on the identification measures. Overall, the study suggests that gender differences may be overcome by VGE and by achieving flow state. Selection based on these individual differences may be useful for future military simulation. Practitioner Summary: This work investigates the effect of gender, VGE and flow state on CID performance. For three measures of performance, there was a main effect of gender. Gender was mediated by previous VGE on two measures, and gender was moderated by flow state on two measures.

Caffeine and energy drink use by combat arms soldiers in Afghanistan as a countermeasure for sleep loss and high operational demands.

Science.gov (United States)

McLellan, Tom M; Riviere, Lyndon A; Williams, Kelly W; McGurk, Dennis; Lieberman, Harris R

2018-03-11

Combat deployments are characterized by high operational demands with limited opportunities for sleep leading to fatigue and degraded cognitive and operational performance. Caffeine in moderate doses is recognized as an effective intervention for physical and cognitive decrements associated with sleep loss. This report is based on data collected by two separate, independently conducted surveys administered in Afghanistan in 2011-2012. It assessed caffeine use and sleep disruption among U.S. Army combat soldiers (J-MHAT 8; n = 518) and among deployed soldiers with different military assignments (USARIEM Deployment Survey; n = 260). Daily caffeine intake assessed in the J-MHAT 8 survey averaged 404 ± 18 mg. In the USARIEM Deployment Survey, intake was 303 ± 29 mg and was significantly higher among combat arms soldiers (483 ± 100 mg) compared to combat service support personnel (235 ± 23 mg). In both surveys, over 55% of total caffeine intake was from energy drinks. Additional sources of caffeine included coffee, tea, sodas, gum, candy, and over-the-counter medications. Higher caffeine intake was not associated with ability to fall asleep at night or wake-up in the morning (J-MHAT 8 survey). Higher caffeine consumption was associated with disrupted sleep from high operational tempo and nighttime duties of combat operations. Overall caffeine consumption and energy drink use in Afghanistan was greater than among non-deployed soldiers and civilians. Caffeine was frequently used as a countermeasure during night operations to offset adverse effects of sleep loss on physical and cognitive function, consistent with current Department of the Army recommendations.

Conforming and nonconforming personality and stress coping styles in combat athletes

Directory of Open Access Journals (Sweden)

Bernacka Ryszarda Ewa

2016-06-01

Full Text Available The main objective of this study was to investigate whether the personality dimension of conformism/nonconformism was a predictor of stress coping styles in athletes training combat sports, and to present the characteristics of this personality dimension in the context of the competitors’ adaptive/innovative sport performance. Scores of 346 males practising combat sports such as kick boxing, MMA, thai boxing, boxing and wrestling were analyzed. The participants completed the Creative Behaviour Questionnaire (KANH III measuring the conformity/nonconformity personality dimension and the Coping Inventory for Stressful Situations (CISS measuring stress coping styles. The comparative analyses were conducted only for the groups of conformists and nonconformists. Differences in stress coping styles between conformists and nonconformists training combat sports were found as nonconformists tended to prefer the task-oriented coping style. Conclusively, a higher rate of nonconformity was associated with increasingly frequent occurrence of task-oriented coping and decreasingly frequent emotion-oriented coping.

Combatives for Alienated Youth: Problems and Prospects.

Science.gov (United States)

Hellison, Don

Combative activities (boxing, wrestling, kung fu, etc.) are seen as having a positive influence on alienated inner city youth. Potential contributions of such activities in a school curriculum or recreation program include involvement, security, self-concept, and self-realization. Participants may be able to free themselves from such stereotype…

Limitations and information needs for engineered nanomaterial-specific exposure estimation and scenarios: recommendations for improved reporting practices

Science.gov (United States)

Clark, Katherine; van Tongeren, Martie; Christensen, Frans M.; Brouwer, Derk; Nowack, Bernd; Gottschalk, Fadri; Micheletti, Christian; Schmid, Kaspar; Gerritsen, Rianda; Aitken, Rob; Vaquero, Celina; Gkanis, Vasileios; Housiadas, Christos; de Ipiña, Jesús María López; Riediker, Michael

2012-09-01

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 publicly available sources (literature, books, and reports), publicly available exposure estimation models, occupational sampling campaign data from partnering institutions, and industrial partners regarding their own facilities. The primary focus was on carbon-based nanomaterials, nano-silver (nano-Ag) and nano-titanium dioxide (nano-TiO2), and included occupational and consumer uses of these materials with consideration of the associated environmental release. The process of building exposure scenarios illustrated the availability and limitations of existing information and exposure assessment tools for characterizing exposure to ENM, particularly as it relates to risk assessment. This article describes the gaps in the information reviewed, recommends future areas of ENM exposure research, and proposes types of information that should, at a minimum, be included when reporting the results of such research, so that the information is useful in a wider context.

Limitations and information needs for engineered nanomaterial-specific exposure estimation and scenarios: recommendations for improved reporting practices

Energy Technology Data Exchange (ETDEWEB)

Clark, Katherine, E-mail: katherine.clark@lkc-ltd.com [LKC (Switzerland); Tongeren, Martie van, E-mail: martie.vantongeren@iom-world.org [Institute of Occupational Medicine (IOM) (United Kingdom); Christensen, Frans M., E-mail: fmch@cowi.dk [COWI (Denmark); Brouwer, Derk, E-mail: dick.brouwer@tno.nl [TNO (Netherlands); Nowack, Bernd, E-mail: nowack@empa.ch; Gottschalk, Fadri, E-mail: Fadri.Gottschalk@empa.ch [EMPA-Swiss Federal Laboratories for Materials Science and Technology (Switzerland); Micheletti, Christian, E-mail: Christian.micheletti@gmail.com [Veneto NanoTech S.C.p.A (Italy); Schmid, Kaspar, E-mail: kasparschmid@alumni.ethz.ch [Institute of Occupational Medicine (IOM) (United Kingdom); Gerritsen, Rianda, E-mail: rianda.gerritsen@tno.nl [TNO (Netherlands); Aitken, Rob, E-mail: rob.aitken@iom-world.org [Institute of Occupational Medicine (IOM) (United Kingdom); Vaquero, Celina, E-mail: celina.vaquero@tecnalia.com [TECNALIA Research and Innovation (Spain); Gkanis, Vasileios, E-mail: v_gkanis@hotmail.com; Housiadas, Christos, E-mail: christos@ipta.demokritos.gr [National Center for Scientific Research ' Demokritos' (Greece); Ipina, Jesus Maria Lopez de, E-mail: jesus.lopezdeipina@tecnalia.com [TECNALIA Research and Innovation (Spain); Riediker, Michael, E-mail: michael.riediker@hospvd.ch [Institute for Work and Health (IST) (Switzerland)

2012-09-15

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 publicly available sources (literature, books, and reports), publicly available exposure estimation models, occupational sampling campaign data from partnering institutions, and industrial partners regarding their own facilities. The primary focus was on carbon-based nanomaterials, nano-silver (nano-Ag) and nano-titanium dioxide (nano-TiO{sub 2}), and included occupational and consumer uses of these materials with consideration of the associated environmental release. The process of building exposure scenarios illustrated the availability and limitations of existing information and exposure assessment tools for characterizing exposure to ENM, particularly as it relates to risk assessment. This article describes the gaps in the information reviewed, recommends future areas of ENM exposure research, and proposes types of information that should, at a minimum, be included when reporting the results of such research, so that the information is useful in a wider context.

Prevalence and patterns of combat sport related maxillofacial injuries.

Science.gov (United States)

Shirani, Gholamreza; Kalantar Motamedi, Mohammad Hosein; Ashuri, Alireza; Eshkevari, Pooyan Sadr

2010-10-01

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. 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 referred to us by the physician team. The type of injury (facial laceration, facial fractures, jaw dislocation, etc.), site of facial injury (jaw, nose, malar bone, teeth, etc.), dental injuries (tooth fracture, displacement, luxation, and avulsion), causative sport (boxing, taekwondo, kickboxing, and Muay Thai) as well as demographic data were recorded. Injuries were examined clinically and radiographically, and treated accordingly by a specialist. Treatment data and demographics were recorded for each subject. Recorded data were assessed, and χ(2), ANOVA, and Kruskal-Wallis tests were used to statistically analyze and compare the data. Of 120 subjects, 95 male subjects (79.2%), aged 18-25 years (avg. 20 years), had at least one traumatic injury to the face requiring medical treatment. These injuries included facial laceration, bone fractures (nose, mandible, and zygoma), dental injuries (displacement, luxation, fracture, and avulsion), and mandibular dislocation which were recorded in 83 (69.2%), 55 (45.1%), 53 (44.2%), and 8 (6.7%) cases respectively. Statistically significant differences were encountered among various injuries and the sports; kickboxing caused the most maxillofacial injuries and was identified as more injurious. Tooth fractures (59.7%) were the most common dental injuries, and the nose (84.7%) was the most frequently fractured facial bone. Lacerations were more common in Thai-boxers (93.3%). Injuries were significantly greater in professional rather than amateur athletes. In this study

Prevalence and patterns of combat sport related maxillofacial injuries

Directory of Open Access Journals (Sweden)

Shirani Gholamreza

2010-01-01

Full Text Available 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 referred to us by the physician team. The type of injury (facial laceration, facial fractures, jaw dislocation, etc., site of facial injury (jaw, nose, malar bone, teeth, etc., dental injuries (tooth fracture, displacement, luxation, and avulsion, causative sport (boxing, taekwondo, kickboxing, and Muay Thai as well as demographic data were recorded. Injuries were examined clinically and radiographically, and treated accordingly by a specialist. Treatment data and demographics were recorded for each subject. Recorded data were assessed, and c2 , ANOVA, and Kruskal-Wallis tests were used to statistically analyze and compare the data. Results: Of 120 subjects, 95 male subjects (79.2%, aged 18-25 years (avg. 20 years, had at least one traumatic injury to the face requiring medical treatment. These injuries included facial laceration, bone fractures (nose, mandible, and zygoma, dental injuries (displacement, luxation, fracture, and avulsion, and mandibular dislocation which were recorded in 83 (69.2%, 55 (45.1%, 53 (44.2%, and 8 (6.7% cases respectively. Statistically significant differences were encountered among various injuries and the sports; kickboxing caused the most maxillofacial injuries and was identified as more injurious. Tooth fractures (59.7% were the most common dental injuries, and the nose (84.7% was the most frequently fractured facial bone. Lacerations were more common in Thai-boxers (93.3%. Injuries were significantly greater in professional rather

posttraumatic stress and its relationship to physical health functioning in a sample of Iraq and Afghanistan War veterans seeking postdeployment VA health care.

Science.gov (United States)

Jakupcak, Matthew; Luterek, Jane; Hunt, Stephen; Conybeare, Daniel; McFall, Miles

2008-05-01

The relationship between posttraumatic stress and physical health functioning was examined in a sample of Iraq and Afghanistan War veterans seeking postdeployment VA care. Iraq and Afghanistan War veterans (N = 108) who presented for treatment to a specialty postdeployment care clinic completed self-report questionnaires that assessed symptoms of posttraumatic stress disorder (PTSD), chemical exposure, combat exposure, and physical health functioning. As predicted, PTSD symptom severity was significantly associated with poorer health functioning, even after accounting for demographic factors, combat and chemical exposure, and health risk behaviors. These results highlight the unique influence of PTSD on the physical health in treatment seeking Iraq and Afghanistan War veterans.

Effectiveness of a Driving Intervention on Safe Community Mobility for Returning Combat Veterans

Science.gov (United States)

2016-05-01

integration Deployment and  Driving • Combat Veterans (CV)  self ‐report (Lew et al. 2011; Zamorski & Kelley, 2012) – driving  fast and unpredictably...1, 2) a car and truck pull out in front of the driver, and (3) a lead vehicle brakes suddenly because of a cyclist. The drive also includes six...anxiety, potentially leading to driving errors. They include: (1) a car pulls out from the right and swerves, (2) a trash can located close to the

Role of Occupational Therapy in Combating Human Trafficking.

Science.gov (United States)

Gorman, Kathleen W; Hatkevich, Beth Ann

Human trafficking is a modern-day form of slavery that includes sex trafficking, labor trafficking, and trafficking of children. It is estimated that 35.8 million people are enslaved around the world. Because of the traumatic experiences that victims of human trafficking encounter, the needs of victims are extensive and require the services of several providers, including health care providers, for victims to transform into survivors and thrivers. Currently, the role of occupational therapy is minimal and unexplored. The profession of occupational therapy has the capacity of having a profound role in both providing client-centered care services to victims and survivors of human trafficking and partaking in preventive advocacy efforts to combat human trafficking. Further advocacy efforts are required to promote the profession of occupational therapy in combating human trafficking. Copyright © 2016 by the American Occupational Therapy Association, Inc.

Candid Voices - Agile Combat Support From the OC-ALC Engine Shop Viewpoint. Volume XXII, Number 4

National Research Council Canada - National Science Library

Larvick, Jon

1998-01-01

.... This article will take the Agile Combat Support initiative -the focus of combat support shifts from maintaining massive inventories to establishing a response capability-as the goal and will focus...

Combating Corruption Relates Money Laundering Activities in Indonesia: a Hope and Reality

OpenAIRE

Handoyo, Sigit

2008-01-01

Corruption in Indonesia has become a culture and systemic so that it could not be eradicated in the short period of time. As corruption is closely related to money laundering activities, it is not impossible that combating corruption also means combating money laun-dering activities. PPATK (Pusat Pengkajian dan Analisis Transaksi Keuangan) as the Indone-sia's FIU (Financial Intelligence Unit) has hard works to reveal those money laundering and corruptions activities. Beside its obstacles, PPA...

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

2016-01-01

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.

A Theory of Combative Advertising

OpenAIRE

Yuxin Chen; Yogesh V. Joshi; Jagmohan S. Raju; Z. John Zhang

2009-01-01

In mature markets with competing firms, a common role for advertising is to shift consumer preferences towards the advertiser in a tug-of-war, with no effect on category demand. In this paper, we analyze the effect of such “combative” advertising on market power. We show that, depending on the nature of consumer response, combative advertising can reduce price competition to benefit competing firms. However, it can also lead to a procompetitive outcome where individual firms advertise to incr...

Role of infection control in combating antibiotic resistance

African Journals Online (AJOL)

] that impacts on human health and may potentially have a major effect on the global economy.[2] The United States Centers for Disease Control and Prevention (CDC) has identified four core actions to combat this challenge, i.e. surveillance, ...

Reported Exposure and Emotional Reactivity to Daily Stressors: The Roles of Adult-Age and Global Perceived Stress

Science.gov (United States)

Stawski, Robert S.; Sliwinski, Martin J.; Almeida, David M.; Smyth, Joshua M.

2012-01-01

A central goal of daily stress research is to identify resilience and vulnerability factors associated with exposure and reactivity to daily stressors. The current study examined how age differences and global perceptions of stress relate to exposure and emotional reactivity to daily stressors. Sixty-seven younger (Mage = 20) and 116 older (Mage = 80) adults completed a daily stress diary and measures of positive and negative affect on 6 days over a 14 day period. Participants also completed a measure of global perceived stress. Results revealed that reported exposure to daily stressors is reduced in old age, but that emotional reactivity to daily stressors did not differ between young and older adults. Global perceived stress was associated with greater reported exposure to daily stressors in old adults, and greater stress-related increases in negative affect in younger adults. Furthermore, across days on which daily stressors were reported, intraindividual variability in the number and severity of stressors reported was associated with increased negative affect, but only among younger adults. PMID:18361654

Reported exposure and emotional reactivity to daily stressors: the roles of adult age and global perceived stress.

Science.gov (United States)

Stawski, Robert S; Sliwinski, Martin J; Almeida, David M; Smyth, Joshua M

2008-03-01

A central goal of daily stress research is to identify resilience and vulnerability factors associated with exposure and reactivity to daily stressors. The present study examined how age differences and global perceptions of stress relate to exposure and emotional reactivity to daily stressors. Sixty-seven younger (M age = 20) and 116 older (M age = 80) adults completed a daily stress diary and measures of positive and negative affect on 6 days over a 14-day period. Participants also completed a measure of global perceived stress. Results revealed that reported exposure to daily stressors is reduced in old age but that emotional reactivity to daily stressors did not differ between younger and older adults. Global perceived stress was associated with greater reported exposure to daily stressors in older adults and greater stress-related increases in negative affect in younger adults. Furthermore, across days on which daily stressors were reported, intraindividual variability in the number and severity of stressors reported was associated with increased negative affect, but only among younger adults. (c) 2008 APA, all rights reserved.

Forensic Analysis of Terrorist Counter-Financing to Combat Nuclear Proliferation

Energy Technology Data Exchange (ETDEWEB)

Drame, B. [Brookhaven National Lab. (BNL), Upton, NY (United States); Toler, L. [Brookhaven National Lab. (BNL), Upton, NY (United States); Bachner, Katherine [Brookhaven National Lab. (BNL), Upton, NY (United States)

2016-02-01

The single greatest threat to U.S. homeland security remains the proliferation of nuclear weapons, especially among terrorists and other non-state actors who are not governed by the Non-Proliferation Treaty. One of the most important tools for combating terrorism among such rogue actors is counter-financing. Without funding, terrorists cannot acquire, maintain, or deploy nuclear weapons. According to the official report of the 9/11 Commission, counter-financing could have prevented the attacks of September 11, 2001. Unfortunately, no single country can defeat global terrorism. Successful counter-financing requires significant international cooperation. Since 2001, the United States and the European Union, despite vastly different approaches to intelligence gathering, have shared information through the Terrorist Finance Tracking Program (TFTP). That shared information allows authorities to trace suspicious transactions, identify culprits, and map out global terrorist networks. The TFTP successfully thwarted a 2011 plot to assassinate the Saudi Arabian Ambassador to the U.S. and multiple threats during the 2012 Summer Olympics in London; it also aided in the investigation of the 2013 Boston Marathon bombing. That program is necessary but not sufficient. To strengthen our ability to detect and disrupt terrorist plotting and prevent nuclear proliferation, we must expand and coordinate two additional transnational measures: (1) the Society for Worldwide Interbank Financial Telecommunications (SWIFT), a standardized global messaging network for financial institutions to quickly, accurately, and securely send and receive money transfer instructions, and (2) International Bank Account Numbers (IBAN) to identify individual accounts involved in international transactions. Both initiatives were incompletely adopted in the wake of 9/11, but most global banks use one or neither. More fully implementing and coordinating these two systems would allow for coherent information

Occupational radiation exposure at commercial nuclear power reactors and other facilities 1992. Twenty-fifth annual report, Volume 14

International Nuclear Information System (INIS)

Raddatz, C.T.

1993-12-01

This report summarizes the occupational radiation exposure information that has been reported to the NRC's Radiation Exposure Information Reporting System (REIRS) by nuclear power facilities and certain other categories of NRC licensees during the years 1969 through 1992. The bulk of the data presented in the report was obtained from annual radiation exposure reports submitted in accordance with the requirements of 10CFR20.407 and the technical specifications of nuclear power plants. Data on workers terminating their employment at certain NRC licensed facilities were obtained from reports submitted pursuant to 10CFR20.408. The 1992 annual reports submitted by about 364 licensees indicated that approximately 204,365 individuals were monitored, 183,927 of whom were monitored by nuclear power facilities. They incurred an average individual dose of 0.16 rem (cSv) and an average measurable dose of about 0.30 (cSv). Termination radiation exposure reports were analyzed to reveal that about 74,566 individuals completed their employment with one or more of the 364 covered licensees during 1992. Some 71,846 of these individuals terminated from power reactor facilities, and about 9,724 of them were considered to be transient workers who received an average dose of 0.50 rem (cSv)

Occupational radiation exposure at commercial nuclear power reactors and other facilities, 1993. Volume 15, Twenty-six annual report

International Nuclear Information System (INIS)

Raddatz, C.T.

1995-01-01

This report the occupational radiation exposure information that has been reported to the NRC's Radiation Exposure Information Reporting System (REIRS) by nuclear power facilities and certain other categories of NRC licensees during the years 1969 through 1993. The bulk of the data presented in the report was obtained from annual radiation exposure reports submitted in accordance with the requirements of 10 CFR 20.407 and the technical specifications of nuclear power plants. Data on workers terminating their employment at certain NRC licensed facilities were obtained from reports submitted pursuant to 10 CFR 20.408. The 1993 annual reports submitted by about 360 licensees indicated that approximately 189,711 individuals were monitored, 169,872 of whom were monitored by nuclear power facilities. They incurred an average individual dose of 0.16 rem (cSv) and an average measured dose of about 0.31 (cSv). Termination radiation exposure reports were analyzed to reveal that about 99,749 individuals completed their employment with one or more of the 360 covered licensees during 1993. Some 91,000 of these individuals terminated from power reactor facilities, and about 12,685 of them were considered to be transient workers who received an average dose of 0.49 rem (cSv)

Simulation and Effectiveness Analysis on One versus One Beyond Visual Range Air Combat

Directory of Open Access Journals (Sweden)

Haoyu Liu

2018-01-01

Full Text Available A kind of one versus one beyond visual range (BVR air combat model has been established, which includes functional models of radar, missile and fighter and the process of several combat stages. Air combat effectiveness ratio (ACER is defined to analyse the result. The 2k factor design method is used to design combat test case and analyses the influence of three factors (fighter stealth character, missile range and flight height on ACER. Simulation result reveals that when RCS of one fighter is reduced from 0dBm2 to -10dBm2 which cannot remarkably affect the opposition fighter’s radar detection distance and missile launch distance, the RCS factor has small influence and the missile range factor has great influence. When RCS of one fighter is reduced from -10dBm2 to -20dBm2, the opposition fighter’s radar detection distance will be reduced and lead the result of its missile launch distance be less than its missile range. Compared with the former case, the effect of RCS factor increases and the effect of missile range factor decreases. However, the effect of height is not significant.

Combat deployment is associated with sexual harassment or sexual assault in a large, female military cohort.

Science.gov (United States)

Leardmann, Cynthia A; Pietrucha, Amanda; Magruder, Kathryn M; Smith, Besa; Murdoch, Maureen; Jacobson, Isabel G; Ryan, Margaret A K; Gackstetter, Gary; Smith, Tyler C

2013-01-01

Previous studies have examined the prevalence, risk factors, and health correlates of sexual stressors in the military, but have been limited to specific subpopulations. Furthermore, little is known about sexual stressors' occurrence and their correlates in relation to female troops deployed to the current operations in Iraq and Afghanistan. Using longitudinal data from Millennium Cohort participants, the associations of recent deployment as well as other individual and environmental factors with sexual harassment and sexual assault were assessed among U.S. female military personnel. Multivariable analyses were used to investigate the associations. Of 13,262 eligible participants, 1,362 (10.3%) reported at least one sexual stressor at follow-up. Women who deployed and reported combat experiences were significantly more likely to report sexual harassment (odds ratio [OR], 2.20; 95% confidence interval [CI], 1.84-2.64) or both sexual harassment and sexual assault (OR, 2.47; 95% CI, 1.61-3.78) compared with nondeployers. In addition, significant risk factors for sexual stressors included younger age, recent separation or divorce, service in the Marine Corps, positive screen for a baseline mental health condition, moderate/severe life stress, and prior sexual stressor experiences. Although deployment itself was not associated with sexual stressors, women who both deployed and reported combat were at a significantly increased odds for sexual stressors than other female service members who did not deploy. Understanding the factors associated with sexual stressors can inform future policy and prevention efforts to eliminate sexual stressors. Copyright © 2013 Jacobs Institute of Women's Health. All rights reserved.

Considerations of health benefit-cost analysis for activities involving ionizing radiation exposure and alternatives. Technical report

International Nuclear Information System (INIS)

1977-01-01

The report deals with development of methodology for the health benefit-cost analysis of activities that result in radiation exposure to humans. It attempts to frame the problems and to communicate the necessary elements of the complex technical process required for this method of analysis. The main thrust of the report is to develop a methodology for analyzing the benefits and costs of these activities. Application of the methodology is demonstrated for nuclear power production and medical uses of radiation, but no definitive analysis is attempted. The report concludes that benefit-cost analysis can be effectively applied to these applications and that it provides a basis for more informed governmental decision-making and for public participation in evaluating the issues of radiation exposure. It notes, however, that for cases where national policy is involved, decisions must inevitably be made on the basis of value judgements to which such analyses can make only limited contributions. An important conclusion is that a significant reduction in radiation exposure to the population is apparently achievable by development of methods for eliminating unproductive medical X-ray exposure

Is Democratization a Sound Strategy for Combating Fundamentalist Islam

National Research Council Canada - National Science Library

Johnson, Anthony J

2008-01-01

.... This paper examines the premise that "universal human rights", as the basis for democracy, is compatible with Islamic culture and is therefore a sound strategy for combating the spread of "Islamic...

MEG Working Memory N-Back Task Reveals Functional Deficits in Combat-Related Mild Traumatic Brain Injury.

Science.gov (United States)

Huang, Ming-Xiong; Nichols, Sharon; Robb-Swan, Ashley; Angeles-Quinto, Annemarie; Harrington, Deborah L; Drake, Angela; Huang, Charles W; Song, Tao; Diwakar, Mithun; Risbrough, Victoria B; Matthews, Scott; Clifford, Royce; Cheng, Chung-Kuan; Huang, Jeffrey W; Sinha, Anusha; Yurgil, Kate A; Ji, Zhengwei; Lerman, Imanuel; Lee, Roland R; Baker, Dewleen G

2018-04-13

Combat-related mild traumatic brain injury (mTBI) is a leading cause of sustained cognitive impairment in military service members and Veterans. However, the mechanism of persistent cognitive deficits including working memory (WM) dysfunction is not fully understood in mTBI. Few studies of WM deficits in mTBI have taken advantage of the temporal and frequency resolution afforded by electromagnetic measurements. Using magnetoencephalography (MEG) and an N-back WM task, we investigated functional abnormalities in combat-related mTBI. Study participants included 25 symptomatic active-duty service members or Veterans with combat-related mTBI and 20 healthy controls with similar combat experiences. MEG source-magnitude images were obtained for alpha (8-12 Hz), beta (15-30 Hz), gamma (30-90 Hz), and low-frequency (1-7 Hz) bands. Compared with healthy combat controls, mTBI participants showed increased MEG signals across frequency bands in frontal pole (FP), ventromedial prefrontal cortex, orbitofrontal cortex (OFC), and anterior dorsolateral prefrontal cortex (dlPFC), but decreased MEG signals in anterior cingulate cortex. Hyperactivations in FP, OFC, and anterior dlPFC were associated with slower reaction times. MEG activations in lateral FP also negatively correlated with performance on tests of letter sequencing, verbal fluency, and digit symbol coding. The profound hyperactivations from FP suggest that FP is particularly vulnerable to combat-related mTBI.

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

Phthalate exposure associated with self-reported diabetes among Mexican women

International Nuclear Information System (INIS)

Svensson, Katherine; Hernandez-Ramirez, Raul U.; Burguete-Garcia, Ana; Cebrian, Mariano E.; Calafat, Antonia M.; Needham, Larry L.; Claudio, Luz; Lopez-Carrillo, Lizbeth

2011-01-01

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 T3vs.T1 =2.66; 95% CI: 0.97-7.33; p for trend=0.063) and MEOHP (OR 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: → This study evaluated phthalate exposure and diabetes status among Mexican women. → Urinary phthalates metabolite concentrations were used to determine

Social Cognitive Training Improves Emotional Processing and Reduces Aggressive Attitudes in Ex-combatants

Science.gov (United States)

Trujillo, Sandra; Trujillo, Natalia; Lopez, Jose D.; Gomez, Diana; Valencia, Stella; Rendon, Jorge; Pineda, David A.; Parra, Mario A.

2017-01-01

Emotional processing (EP) is a complex cognitive function necessary to successfully adjust to social environments where we need to interpret and respond to cues that convey threat or reward signals. Ex-combatants have consistently shown atypical EP as well as poor social interactions. Available reintegration programs aim to facilitate the re-adaptation of ex-combatants to their communities. However, they do not incorporate actions to improve EP and to enhance cognitive-emotional regulation. The present study was aimed at evaluating the usefulness of an intervention focused on Social Cognitive Training (SCT), which was designed to equip ex-combatants enrolled in the Social Reintegration Route with EP and social cognition skills. A group of 31 ex-combatants (mean age of 37.2, 29 men) from Colombian illegal armed groups were recruited into this study. Of these, 16 were invited to take part in a SCT and the other continued with the conventional reintegration intervention. Both groups underwent 12 training sessions in a period 12–14 weeks. They were assessed with a comprehensive protocol which included Psychosocial, Behavioral, and Emotion Processing instruments. The scores on these instruments prior to and after the intervention were compared within and between groups. Both groups were matched at baseline. Ex-combatants receiving the SCT experienced significant improvements in EP and a reduction in aggressive attitudes, effects not observed in those continuing the conventional reintegration intervention. This is the first study that achieves such outcomes in such a population using SCT intervention. We discuss the implications of such results toward better social reintegration strategies. PMID:28428767

Motion analysis systems as optimization training tools in combat sports and martial arts

Directory of Open Access Journals (Sweden)

Ewa Polak

2016-01-01

Full Text Available Introduction: Over the past years, a few review papers about possibilities of using motion analysis systems in sport were published, but there are no articles that discuss this problem in the field of combat sports and martial arts. Aim: This study presents the diversity of contemporary motion analysis systems both, those that are used in scientific research, as well as those that can be applied in daily work of coaches and athletes in combat sports and martial arts. An additional aim is the indication of example applications in scientific research and range of applications in optimizing the training process. It presents a brief description of each type of systems that are currently used in sport, specific examples of systems and the main advantages and disadvantages of using them. The presentation and discussion takes place in the following sections: motion analysis utility for combat sports and martial arts, systems using digital video and systems using markers, sensors or transmitters. Conclusions: Not all types of motion analysis systems used in sport are suitable for combat sports and martial arts. Scientific studies conducted so far showed the usefulness of video-based, optical and electromechanical systems. The use of research results made with complex motion analysis systems, or made with simple systems, local application and immediate visualization is important for the preparation of training and its optimization. It may lead to technical and tactical improvement in athletes as well as the prevention of injuries in combat sports and martial arts.

Sodium bicarbonate ingestion increases glycolytic contribution and improves performance during simulated taekwondo combat.

Science.gov (United States)

Lopes-Silva, João Paulo; Da Silva Santos, Jonatas Ferreira; Artioli, Guilherme Giannini; Loturco, Irineu; Abbiss, Chris; Franchini, Emerson

2018-04-01

To investigate the effect of sodium bicarbonate (NaHCO 3 ) on performance and estimated energy system contribution during simulated taekwondo combat. Nine taekwondo athletes completed two experimental sessions separated by at least 48 h. Athletes consumed 300 mg/kg body mass of NaHCO 3 or placebo (CaCO 3 ) 90 min before the combat simulation (three rounds of 2 min separated by 1 min passive recovery), in a double-blind, randomized, repeated-measures crossover design. All simulated combat was filmed to quantify the time spent fighting in each round. Lactate concentration [La - ] and rating of perceived exertion (RPE) were measured before and after each round, whereas heart rate (HR) and the estimated contribution of the oxidative (W OXI ), ATP (adenosine triphosphate)-phosphocreatine (PCr) (W PCR ), and glycolytic (W [ La - ] ) systems were calculated during the combat simulation. [La - ] increased significantly after NaHCO 3 ingestion, when compared with the placebo condition (+14%, P = 0.04, d = 3.70). NaHCO 3 ingestion resulted in greater estimated glycolytic energy contribution in the first round when compared with the placebo condition (+31%, P = 0.01, d = 3.48). Total attack time was significantly greater after NaHCO 3 when compared with placebo (+13%, P = 0.05, d = 1.15). W OXI , W PCR , VO 2 , HR and RPE were not different between conditions (P > 0.05). NaHCO 3 ingestion was able to increase the contribution of glycolytic metabolism and, therefore, improve performance during simulated taekwondo combat.

Legal Principles and Solutions to Combat Money Laundering in the International System

OpenAIRE

Majid Karimi

2013-01-01

This study focuse on combat money laundering legal principles and solutions to in the International System. As its clear Money laundering is the attempt to disguise the proceeds of illegal activity so that they appear to come from legitimate sources. Money is laundered through banking systems and credit institutions, non financial institutions and non financial economic activities. Combating money laundering phenomenon dates back to the 1980s. In 1989, Financial Action Task Force was set up t...

Combating Corruption Relates Money Laundering Activities in Indonesia: A Hope and Reality

OpenAIRE

Handoyo, Sigit

2009-01-01

Corruption in Indonesia has become a culture and systemic so that it could not be eradicated in the short period of time. As corruption is closely related to money laundering activities, it is not impossible that combating corruption also means combating money laun-dering activities. PPATK (Pusat Pengkajian dan Analisis Transaksi Keuangan) as the Indone-sia’s FIU (Financial Intelligence Unit) has hard works to reveal those money laundering and corruptions activities. Beside its obstacles, PPA...

Developing the PTSD Checklist-I/F for the DSM-IV (PCL-I/F: Assessing PTSD Symptom Frequency and Intensity in a Pilot Study of Male Veterans with Combat-Related PTSD

Directory of Open Access Journals (Sweden)

Ryan Holliday

2015-02-01

Full Text Available The widely used posttraumatic stress disorder (PTSD Checklist (PCL has established reliability and validity, but it does not differentiate posttraumatic symptom frequency from intensity as elements of posttraumatic symptom severity. Thus, the PCL in its existing form may not provide a comprehensive appraisal of posttraumatic symptomatology. Because of this, we modified the PCL to create the PCL-I/F that measures both frequency and intensity of PTSD symptoms via brief self-report. To establish validity and internal consistency of the PCL-I/F, we conducted a pilot study comparing PCL-I/F scores to structured diagnostic interview for PTSD (the Clinician Administered PTSD Scale [CAPS] in a male combat veteran sample of 92 participants. Statistically significant correlations between the PCL-I/F and the CAPS were found, suggesting initial validation of the PCL-I/F to screen and assess frequency and intensity of combat-related PTSD symptoms. Implications are discussed for screening and assessment of PTSD related to combat and non-combat trauma.

Online fathering: the experience of first-time fatherhood in combat-deployed troops.

Science.gov (United States)

Schachman, Kathleen A

2010-01-01

More than 90% of fathers in the United States attend the births of their children. Each year, thousands of fathers are absent during this important life transition because of military deployment in combat regions; however, it is unknown how this population experiences new fatherhood. The purpose of this study was to explore the lived experience of first-time fatherhood from the unique perspective of military men deployed to combat regions during birth. A phenomenological approach was used. Seventeen men who were stationed in Okinawa, Japan, and had returned recently from a combat deployment participated. Unstructured, in-depth interviews were conducted 2 to 6 months after the births. Interviews were audiotaped, transcribed, and analyzed using Colaizzi's method. Disruption of the protector and provider role was a main theme that encompassed four theme clusters: (a) worry-a traumatic and lonely childbirth; (b) lost opportunity; (c) guilt-an absent father; and (d) fear of death and dismemberment-who will be the father? Although their absence interfered with their ability to fulfill the fatherhood role as they perceived it, this was offset by the theme cluster Communication: The ties that bind, highlighting the role of online communication with their partner (e.g., e-mail, instant messaging, Facebook, blogs, and chat rooms) in restoring balance to the protector and provider role. Insight is provided into the needs of first-time fathers who are combat-deployed during the births of their babies. Understanding these experiences assists nurses in identifying better ways to prepare and to support men in an involved fatherhood role, despite the limitations of a stressful combat environment and geographic separation. This information can set the stage for a healthy reunion, which may take place at military bases and within communities across the globe, and thus is of benefit to all nurses working with military families.

The effects of video game experience and active stereoscopy on performance in combat identification tasks.

Science.gov (United States)

Keebler, Joseph R; Jentsch, Florian; Schuster, David

2014-12-01

We investigated the effects of active stereoscopic simulation-based training and individual differences in video game experience on multiple indices of combat identification (CID) performance. Fratricide is a major problem in combat operations involving military vehicles. In this research, we aimed to evaluate the effects of training on CID performance in order to reduce fratricide errors. Individuals were trained on 12 combat vehicles in a simulation, which were presented via either a non-stereoscopic or active stereoscopic display using NVIDIA's GeForce shutter glass technology. Self-report was used to assess video game experience, leading to four between-subjects groups: high video game experience with stereoscopy, low video game experience with stereoscopy, high video game experience without stereoscopy, and low video game experience without stereoscopy. We then tested participants on their memory of each vehicle's alliance and name across multiple measures, including photographs and videos. There was a main effect for both video game experience and stereoscopy across many of the dependent measures. Further, we found interactions between video game experience and stereoscopic training, such that those individuals with high video game experience in the non-stereoscopic group had the highest performance outcomes in the sample on multiple dependent measures. This study suggests that individual differences in video game experience may be predictive of enhanced performance in CID tasks. Selection based on video game experience in CID tasks may be a useful strategy for future military training. Future research should investigate the generalizability of these effects, such as identification through unmanned vehicle sensors.

Littoral Combat Ship: Knowledge of Survivability and Lethality Capabilities Needed Prior to Making Major Funding Decisions

Science.gov (United States)

2015-12-01

USS Port Royal hit a coral reef in order to provide an independent review of the damage the ship sustained. Our classified report discussed...Improved Weight Management Needed Prior to Further Investments, GAO-14-349SU (Washington, D.C.: Apr. 8, 2014); Littoral Combat Ship: Knowledge of...Early in the program, the Navy decided to forgo a number of traditional ship requirements in order to help reduce the costs and the weight and size

USAARL Annual Progress Report Fiscal Year 2012

Science.gov (United States)

2013-04-01

safety, and combat effectiveness of the Warfighter. USAARL continued to establish collaborative partnerships with other military organizations, industry ...need for military personnel to wear protective eyewear at all times during training and combat. The data were presented at the Fifth Military Vision...the New York City Industries for the Blind Litter Strap II. (Report No. 2012-01). Fort Rucker, AL: U.S. Army Aeromedical Research Laboratory. Capó

75 FR 56558 - Office of the Secretary: Combating Exploitative Child Labor by Promoting Sustainable Livelihoods...

Science.gov (United States)

2010-09-16

... and its root causes, and the importance of education for all children and mobilizing a wide array of..., education, and sustainable livelihoods, and the capacity of national institutions to combat child labor... DEPARTMENT OF LABOR Office of the Secretary: Combating Exploitative Child Labor by Promoting...

Energy Harvesting Combat Boot for Satellite Positioning

Directory of Open Access Journals (Sweden)

Haluk Akay

2018-05-01

Full Text Available Most portable electronic devices are power-limited by battery capacity, and recharging these batteries often interrupts the user’s experience with the device. The product presented in this paper provides an alternative to powering portables by converting regular human walking motion to electricity. The device harvests electric power using air bulbs, distributed in the sole of a shoe to drive a series of micro-turbines connected to small DC motors. The number and position of air bulbs is optimized to harvest the maximum airflow from each foot-strike. The system is designed to continuously drive the micro-turbines by utilizing both outflow and inflow from the air bulbs. A prototype combat boot was fitted on the right foot of a 75 kg test subject, and produced an average continuous power on the order of 10 s of mW over a 22 Ω load during walking at 3.0 mph. This combat boot provides enough electric power to a passive GPS tracker that periodically relays geographical coordinates to a smartphone via satellite without battery replacement.

Combat Trains Command Post (CTCP) Operations

Science.gov (United States)

2016-10-28

development through the execution of several validation exercises leading up to the NTC rotation. The squadron utilized home station training opportunities at...evolving problem as the troop 1SG had the responsibility to tie in all disabled vehicles awaiting parts into the security plan. The crews of those...Additionally, depth of knowledge in critical equipment would have assisted the CTCP [i.e. only one operator for the Combat-Service- Support Automated

Combat Stress and Substance Use Intervention

Science.gov (United States)

2017-06-01

Additionally, excessive alcohol use in the military has been linked to serious consequences and loss of productivity , both of which are detrimental...and absenteeism among Iraq war veterans. The American Journal of Psychiatry, 164(1), 150– 153. Jakupcak, M., Tull, M. T., McDermott, M. J., Kaysen, D...2015, 2016) 106 1 Product Line Review (PLR) Meeting Technology- Facilitated Monitoring and Treatment in Mental Health 21 August 2012 Combat

Combating Corruption in International Business Transactions

OpenAIRE

Celentani, Marco; Ganuza, Juan-José; Peydró, José-Luis

2004-01-01

International business transactions pose the problem of deterring bribing of public officials by foreign firms. We first analyse a convention styled after the OECD's 'Convention on Combating Bribery of Foreign Public Officials in International Business Transactions', which requires signatory countries to proceed against firms that have bribed public officials of any foreign country. We then study the case in which the convention requires signatory countries to proceed against firms that have ...

Combating cyberspace fraud in Africa

CSIR Research Space (South Africa)

Grobler, M

2009-12-01

Full Text Available in Africa Marthie Grobler, Joey Jansen van Vuuren Council for Scientific and Industrial Research Defence, Peace, Safety & Security © CSIR 2007 www.csir.co.za Combating cyber crime in Africa is a reality • Computer crime... www.csir.co.za Reduction of Cyber Crime was given as one of the major objectives during the State of the Nation address by President Zuma on 3 June 2009. “Amongst other key initiatives, we will start the process of setting up a Border Management...

Social, psychological and psychosomatic disorders in the people with combat stress in their medical histories

Directory of Open Access Journals (Sweden)

L. V. Gracheva

2013-01-01

Full Text Available The authors examined three groups of patients – military men (40 men in each group with combat stress of different intensity in their medical histories (two main groups and a  control group – without combat stress. The results showed that the military men with a high level combat stress in the past (more than 5 years ago more frequently demonstrated socialmental disadaptation against the background of subclinical chronic posttraumatic stress disorder (PTSD. The conclusion is that this group of people requires dynamic followup and adequate medicopsychological aid.

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.

Management of colonic injuries in the combat theater.

Science.gov (United States)

Cho, S David; Kiraly, Laszlo N; Flaherty, Stephen F; Herzig, Daniel O; Lu, Kim C; Schreiber, Martin A

2010-05-01

Combat injuries are more often associated with blast, penetrating, and high-energy mechanisms than civilian trauma, generating controversy about the management of combat colonic injury. Despite implementation of mandatory colostomy in World War II, recent civilian data suggest that primary repair without diversion is safe and feasible. This study describes the modern management of battle-related colonic injuries and seeks to determine whether management strategy affects early complications. Records from the combat theater (downrange) and tertiary referral center in Germany were retrospectively reviewed from 2005 to 2006. Patient characteristics, management strategy, treatment course, and early complications were recorded. Comparison groups by management strategy were as follows: primary repair, diversion, and damage control. A total of 133 (97% male) patients sustained colonic injuries from penetrating (71%), blunt (5%), and blast (23%) mechanisms. Average injury severity score was 21 and length of stay in the referral center was 7.1 days. Injury distribution was 21% ascending, 21% descending, 15% transverse, 27% sigmoid, and 25% rectum. Downrange complications for primary repair, initial ostomy, and damage control groups were 14%, 15%, and 30%, respectively. On discharge from the center, 62% of patients had undergone a diversion. The complication rate was 18% overall and was unrelated to management strategy (P = .16). Multivariate analysis did not identify independent predictors of complications. Early complications were similar by mechanism, anatomic location, severity of injury, and management strategy. More diversions were performed for rectosigmoid injury. Good surgical judgment allows for low morbidity and supports primary repair in selected cases. Damage control surgery is effective in a multinational theater of operations.

Changes in Resting EEG in Colombian Ex-combatants ith Antisocial Personality Disorder.

Science.gov (United States)

Ramos, Claudia; Duque-Grajales, Jon; Rendón, Jorge; Montoya-Betancur, Alejandro; Baena, Ana; Pineda, David; Tobón, Carlos

Although the social and economic consequences of Colombian internal conflicts mainly affected the civilian population, they also had other implications. The ex-combatants, the other side of the conflict, have been the subject of many studies that question their personality structures and antisocial features. Results suggest that ex-combatants usually have characteristics of an antisocial personality disorder (ASPD) that is related with their behaviour. Quantitative EEG (qEEG) was used to evaluate differences in cortical activity patterns between an ex-combatants group and a control group. The Psychopathy Checklist-Revised (PCL-R) was used to assess the presence of ASPD in the ex-combatants group, as well as the Diagnostic Interview for Genetic Studies (DIGS) for other mental disorders classified in the DCI-10. There are significant differences in psychopathy levels between groups, as well as in alpha-2 and beta waves, especially in left temporal and frontal areas for alpha-2 waves and left temporal-central regions for beta waves. qEEG measurements allow spectral resting potential to be differentiated between groups that are related with features typically involved in antisocial personality disorder, and to correlate them with patterns in the questionnaires and clinical interview. Copyright © 2017 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Violence associated with combat-related posttraumatic stress disorder: The importance of anger.

Science.gov (United States)

Novaco, Raymond W; Chemtob, Claude M

2015-09-01

The importance of anger with regard to violence among veterans with combat-related PTSD has received little attention. We previously proposed that in PTSD the activation of threat-related cognitive networks strongly potentiates anger in a positive feedback loop and that inhibitory controls on aggression can be overridden when PTSD and anger activation are conjoined. We predicted that violence would be intensified when combat-related PTSD was conjoined with anger. We used the National Vietnam Veterans Readjustment Study (NVVRS) public use data set, selecting the male combat theater veterans, which entailed 1,200 from the main survey (Study 1) and 259 from the clinical interview component (Study 2). Anger indices were constructed from NVVRS variables. PTSD was assessed by continuous symptom scores and by clinical diagnostic measures. Conjoined anger and PTSD was associated with greatly increased violence. PTSD was not associated with violence in the absence of anger. This result was obtained using alternative measures of PTSD and of anger in both the main survey and the clinical interview component. These findings call for reconceptualizing the association of PTSD and violence. Concerted attention should be given to anger as a risk factor for violence in the assessment and treatment of combat-related PTSD, and as an important portal of entry for treatment. (c) 2015 APA, all rights reserved).

Effects of combat deployment on risky and self-destructive behavior among active duty military personnel.

Science.gov (United States)

Thomsen, Cynthia J; Stander, Valerie A; McWhorter, Stephanie K; Rabenhorst, Mandy M; Milner, Joel S

2011-10-01

Although research has documented negative effects of combat deployment on mental health, few studies have examined whether deployment increases risky or self-destructive behavior. The present study addressed this issue. In addition, we examined whether deployment effects on risky behavior varied depending on history of pre-deployment risky behavior, and assessed whether psychiatric conditions mediated effects of deployment on risky behavior. In an anonymous survey, active duty members of the U.S. Marine Corps and U.S. Navy (N = 2116) described their deployment experiences and their participation in risky recreational activities, unprotected sex, illegal drug use, self-injurious behavior, and suicide attempts during three time frames (civilian, military pre-deployment, and military post-deployment). Respondents also reported whether they had problems with depression, anxiety, or PTSD during the same three time frames. Results revealed that risky behavior was much more common in civilian than in military life, with personnel who had not deployed, compared to those who had deployed, reporting more risky behavior and more psychiatric problems as civilians. For the current time period, in contrast, personnel who had deployed (versus never deployed) were significantly more likely to report both risky behavior and psychiatric problems. Importantly, deployment was associated with increases in risky behavior only for personnel with a pre-deployment history of engaging in risky behavior. Although psychiatric conditions were associated with higher levels of risky behavior, psychiatric problems did not mediate associations between deployment and risky behavior. Implications for understanding effects of combat deployment on active duty personnel and directions for future research are discussed. Published by Elsevier Ltd.

[Food habits and body composition of Spanish elite athletes in combat sports].

Science.gov (United States)

Ubeda, N; Palacios Gil-Antuñano, N; Montalvo Zenarruzabeitia, Z; García Juan, B; García, A; Iglesias-Gutiérrez, E

2010-01-01

There is a scarcity of information about the dietary intake and food selection of combat sport people. Optimizing nutritional status, body weight, and body composition are key factors for their performance. The assessment of dietary intake, food habits, and body composition in elite combat sport people. 22 sportsmen were recruited from the Spanish National Teams of Tae kwon do, Judo, and Boxing. Food intake (FFQ), food habits and body composition (DXA and Bioimpedance) were analyzed. Weight and body composition of the individuals assessed were similar to that previously described, although almost half of them were moderately over their desired competition weight. A lower than the recommended intake of vegetables (77% of individuals), cereals, bread, rice, potatoes, and pasta (73%), while red meat and derivatives intake exceeded the recommendations. Their main preferences were pasta, meat, and cereals. Legumes, vegetables, and fish were their main dislikes. A statistically significant relationship between food preferences and intakes was only observed for legumes, yogurt, and nuts. The athletes reported that reducing the intake of biscuits and confectionery (68% of individuals), high-fat foods (36%), and/or bread (27%) would be a good dietetic strategy for losing weight. None of them reported that voluntary dehydration would be a good strategy for this purpose. food offer to which this sport people have access and their choices are adequate, although the intake of some food groups (vegetables, red meat and derivatives) does not follow the recommendations. Their body weight slightly exceeds their competition weight, what it is frequently found in these sports. Nevertheless, their knowledge about nutrition and dietetics applied to exercise are acceptable.

Can guilt lead to psychological growth following trauma exposure?

Science.gov (United States)

Dekel, Sharon; Mamon, Daria; Solomon, Zahava; Lanman, Olivia; Dishy, Gabriella

2016-02-28

With the growing interest in posttraumatic growth (PTG) and its predictors, this study examined the relationship between trauma-related guilt and PTG in a sample of veterans over time. Self-reported guilt, PTG, and posttraumatic stress disorder (PTSD) symptoms were measured in combat veterans and prisoners of war (POWs). Positive correlations were found between guilt, PTSD, and PTG levels. Hierarchical regression revealed that initial guilt levels predicted subsequent PTG controlling for initial PTSD in combat veterans but not in POWs. The findings suggest that posttraumatic growth can be facilitated by trauma-related guilt, underscoring the complex relationship between positive and negative trauma outcomes. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Inter-Agency Cooperation in Combating Terrorism in Nigeria ...

African Journals Online (AJOL)

... phenomenon through the analysis of its various definitions, its nature and consequences. Based on the analysis, the paper proffers a ten-point policy recommendation for enhancing the existing instruments and frameworks in the security services that would foster interagency cooperation in combating terrorism in Nigeria.

Africanity: A Combative Ontology | Mafeje | CODESRIA Bulletin

African Journals Online (AJOL)

Africanity: A Combative Ontology. Archie Mafeje. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's Partners · Terms and Conditions of Use · Contact AJOL · News. OTHER RESOURCES... for Researchers · for Journals · for Authors · for Policy ...

The relationship between self-reported tobacco exposure and cotinines in urine and blood for pregnant women.

Science.gov (United States)

Chiu, Hsien-Tsai; Isaac Wu, Hong-Dar; Kuo, Hsien-Wen

2008-11-15

To explore the relationship of self-reported exposure to tobacco smoke and the cotinine levels in the urine and blood over the follow-up period for pregnant women. Three hundred ninety-eight pregnant women undergoing prenatal care were interviewed in different trimesters at three hospitals in central Taiwan using a structured questionnaire. Based on their self-reported smoking experience, the participants were classified into three groups (25 smokers, 191 passive smokers, and 182 non-smokers) and were tracked in this study up to the time of delivery. Cotinine levels were tested for the maternal blood and urine at the end of each trimester and for the umbilical cord-blood of the newborns. All specimens were measured using a sensitive high-performance liquid chromatographic (HPLC) technique. In general, urinary cotinine levels were higher in subjects who smoked (including current- and ex-smokers) than those who never smoked. The pattern of distribution of cotinine levels among smoking/ETS exposure group in the urine sample was similar to that in the blood sample. The umbilical cord-blood cotinine levels was found to be highest in the active smoking group, followed by the ETS group exposed to ETS both at home and in the workplace. Over the course of the pregnancies, there was an increase in cotinine levels in urine and maternal blood for each of 3 exposure groups. Exposure to smoking by self-reported information in pregnant women has been found to be directly related to the levels of cotinine in the umbilical cord-blood of the fetus. Cotinine is a sensitive measure of ETS exposure, but if biochemical analysis is not available or convenient for a pregnant woman, then self-reported exposure to ETS can provide a good estimate if the information is gathered by a well-trained interviewer in a structured way.

New development thoughts on the bio-inspired intelligence based control for unmanned combat aerial vehicle

Institute of Scientific and Technical Information of China (English)

无

2010-01-01

Bio-inspired intelligence is in the spotlight in the field of international artificial intelligence,and unmanned combat aerial vehicle(UCAV),owing to its potential to perform dangerous,repetitive tasks in remote and hazardous,is very promising for the technological leadership of the nation and essential for improving the security of society.On the basis of introduction of bioinspired intelligence and UCAV,a series of new development thoughts on UCAV control are proposed,including artificial brain based high-level autonomous control for UCAV,swarm intelligence based cooperative control for multiple UCAVs,hy-brid swarm intelligence and Bayesian network based situation assessment under complicated combating environments, bio-inspired hardware based high-level autonomous control for UCAV,and meta-heuristic intelligence based heterogeneous cooperative control for multiple UCAVs and unmanned combat ground vehicles(UCGVs).The exact realization of the proposed new development thoughts can enhance the effectiveness of combat,while provide a series of novel breakthroughs for the intelligence,integration and advancement of future UCAV systems.

The effects of surfing and the natural environment on the well-being of combat veterans.

Science.gov (United States)

Caddick, Nick; Smith, Brett; Phoenix, Cassandra

2015-01-01

Although researchers have identified the benefits of physical activity on well-being, there is little evidence concerning the effects of nature-based physical activity. We investigated the effect of one nature-based activity-surfing-on the well-being of combat veterans experiencing posttraumatic stress disorder (PTSD). We conducted interviews and participant observations with a group of combat veterans belonging to a United Kingdom-based veterans' surfing charity. Our primary analytical approach was dialogical narrative analysis. Based on our rigorous analysis and findings, we suggest that surfing facilitated a sense of respite from PTSD. Respite was a fully embodied feeling of release from suffering that was cultivated through surfing and shaped by the stories veterans told of their experiences. We significantly extend previous knowledge on physical activity, combat veterans, and PTSD by highlighting how nature-based physical activity, encapsulated in the conceptual notion of the "blue gym," can promote well-being among combat veterans. © The Author(s) 2014.

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.

Baseline psychophysiological and cortisol reactivity as a predictor of PTSD treatment outcome in virtual reality exposure therapy.

Science.gov (United States)

Norrholm, Seth Davin; Jovanovic, Tanja; Gerardi, Maryrose; Breazeale, Kathryn G; Price, Matthew; Davis, Michael; Duncan, Erica; Ressler, Kerry J; Bradley, Bekh; Rizzo, Albert; Tuerk, Peter W; Rothbaum, Barbara O

2016-07-01

Baseline cue-dependent physiological reactivity may serve as an objective measure of posttraumatic stress disorder (PTSD) symptoms. Additionally, prior animal model and psychological studies would suggest that subjects with greatest symptoms at baseline may have the greatest violation of expectancy to danger when undergoing exposure based psychotherapy; thus treatment approaches which enhanced the learning under these conditions would be optimal for those with maximal baseline cue-dependent reactivity. However methods to study this hypothesis objectively are lacking. Virtual reality (VR) methodologies have been successfully employed as an enhanced form of imaginal prolonged exposure therapy for the treatment of PTSD. Our goal was to examine the predictive nature of initial psychophysiological (e.g., startle, skin conductance, heart rate) and stress hormone responses (e.g., cortisol) during presentation of VR-based combat-related stimuli on PTSD treatment outcome. Combat veterans with PTSD underwent 6 weeks of VR exposure therapy combined with either d-cycloserine (DCS), alprazolam (ALP), or placebo (PBO). In the DCS group, startle response to VR scenes prior to initiation of treatment accounted for 76% of the variance in CAPS change scores, p < 0.001, in that higher responses predicted greater changes in symptom severity over time. Additionally, baseline cortisol reactivity was inversely associated with treatment response in the ALP group, p = 0.04. We propose that baseline cue-activated physiological measures will be sensitive to predicting patients' level of response to exposure therapy, in particular in the presence of enhancement (e.g., DCS). Published by Elsevier Ltd.

Logistics Operations in Combat Operations Against an Insurgent Force

National Research Council Canada - National Science Library

Hatcher, Clay

2007-01-01

.... The road networks are generally not secure and put soldiers at risk. How do we distribute supplies and reduce the risk or avoid the enemy's threat to our combat logistics patrols in an insurgent environment...

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.

To reiterate the concept of self-aid and buddy-aid for combat wounded

Directory of Open Access Journals (Sweden)

Zhong-jie HE

2015-11-01

Full Text Available Explore new concept of self-aid and buddy-aid for combat wounded based on the emergency timeliness and the challenges we are going to face in the future combats, the importance of self-aid, buddy-aid and rescue are discussed. The concept and characteristics of self-aid and buddy-aid in our army are reviewed, and the care of the wounded in foreign armies were reviewed. Based on the experiences gained from previous combats, and the results of "Medical Service Mission-2014 Drill", it was believed that the emergency rescue of battle wounded should follow the timeliness rule and the principle of self-aid and buddy-aid technology. It might be beneficial to use cell protective agent, urgent relief of life-threatening conditions such as profuse bleeding from extremities, suffocation, pneumothorax, and traumatic shock etc., in order to stabilize the general condition of the wounded, according to the regime of "Platinum 10 minutes" and "golden 1 hour", self-aid and buddy-aid might play an important role in preventing early death and late morbidity of the wounded, thus helps reduce the mortality rate or the victims of combat wounds. DOI: 10.11855/j.issn.0577-7402.2015.11.01

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.

Orthodontic exposure of multiple lmpactions: a case report.

Science.gov (United States)

Munda-Lacson, Maridin C; Venugopal, Adith

2014-01-01

There are rare cases of impacted permanent central incisors with dilacerations, a dental deformity characterized by pronounced angulations of the longitudinal tooth axis. Impaction of maxillary canines is an orthodontic anomaly that causes facial and dentoalveolar system problems, both functional and esthetic. A combination of surgery and orthodontics is important in bringing impacted teeth to their ideal position in the dental arch. This is a case report of a 10-year-old patient with impacted and dilacerated right central incisor and impacted left maxillary canine, following surgical exposure and appropriate orthodontic traction, the impacted teeth were surgically exposed and aligned into the dental arch.

The future of resuscitative endovascular balloon occlusion in combat operations.

Science.gov (United States)

Smith, Shane A; Hilsden, R; Beckett, A; McAlister, V C

2017-08-09

Damage control resuscitation and early thoracotomy have been used to increase survival after severe injury in combat. There has been a renewed interest in resuscitative endovascular balloon occlusion of the aorta (REBOA) in both civilian and military medical practices. REBOA may result in visceral and limb ischaemia that could be harmful if use of REBOA is premature or prolonged. The purpose of this paper is to align our experience of combat injuries with the known capability of REBOA to suggest an implementation strategy for the use of REBOA in combat care. It may replace the resuscitative effect of thoracotomy; can provide haemostasis of non-compressible torso injuries such as the junctional and pelvic haemorrhage caused by improvised explosive devices. However, prehospital use of REBOA must be in the context of an overall surgical plan and should be restricted to deployment in the distal aorta. Although REBOA is technically easier than a thoracotomy, it requires operator training and skill to add to the beneficial effect of damage control resuscitation and surgery. © 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.

Videojuego de rol táctico de estética retro basado en combates por turnos

OpenAIRE

García García, Juan de la Cruz

2010-01-01

Videojuego de rol basado en combates por turnos con estética retro, de nombre comercial TierraCuadrada, donde el jugador podrá llevar a cabo partidas en modo historia, involucrando combates con la Inteligencia Artificial, y partidas contra rivales humanos.

Second Report. Dose reduction of occupational exposure during cardiac catheterization and angiography

International Nuclear Information System (INIS)

Saito, Yoshimi; Matsumoto, Kunihiro; Fujihashi, Hiroshi; Umeda, Kazuhiro

2000-01-01

Since X-ray fluoroscopy in the IVR has tended to take longer than usual diagnosis, exposure of medical personnel to scattered X-rays has increased and become a problem. The authors report the results of a questionnaire survey to investigate the types of devices currently being used in medical facilities to protect against scattered X-ray exposure. Questionnaires were distributed to a total of 71 medical facilities, and replies were obtained from 57 (80%). Many facilities used ''ceiling-suspended types'', as commercially available devices, and ''examining-table fixed type'' and ''mobile type'' devices were described as self-manufactured devices in some facilities. The overall evaluation of protective devices yielded opinions such as ''time-consuming'', ''restricted imaging directions'' and expensive'', and the mobile-type devices were said to involve the problem of taking up a great deal of space in the fluoroscopy room. In regard to the problems or degree of satisfaction with the devices, 75% answered ''we have some problems'', but a reply of ''unsatisfactory'' was obtained from only one facility. The results of this survey show that popularization of protective devices and reduction of exposure depend on ''consideration of operator exposure'' and that it is important to increase awareness of exposure and the need for protective devices. (K.H.)

International cooperation in combating illicit trafficking of nuclear materials by technical means

International Nuclear Information System (INIS)

Herbillon, J; Koch, L; Mason, G; Niemeyer, S; Nikiforov, N

1999-01-01

A consensus has been emerging during the past several years that illicit trafficking of nuclear materials is a problem that needs a more focused international response. One possible component of a program to combat illicit trafficking is nuclear forensics whereby intercepted nuclear materials are analyzed to provide clues for answering attribution questions. In this report we focus on international cooperation that is specifically addressing the development of nuclear forensics. First we will describe the role of the Nuclear Smuggling International Technical Working Group (ITWG) in developing nuclear forensics, and then we will present some specific examples of cooperative work by the Institute for Transuranium Elements of the European Commission with various European states. Recognizing the potential importance of a nuclear forensics capability, the P-8 countries in 1995 encouraged technical experts to evaluate the role of nuclear forensics in combating nuclear smuggling and possibly developing mechanisms for international cooperation. As a result, an International Conference on Nuclear Smuggling Forensic Analysis was held in November, 1995, at Lawrence Livermore National Laboratory to investigate technical cooperation on nuclear forensics. The International Conference provided a unique mix of scientists, law enforcement, and intelligence experts from 14 countries and organizations. All participants were invited to make presentations, and the format of the Conference was designed to encourage open discussion and broad participation

Optimizing the recovery efficiency of Finnish oil combating vessels in the Gulf of Finland using Bayesian Networks.

Science.gov (United States)

Lehikoinen, Annukka; Luoma, Emilia; Mäntyniemi, Samu; Kuikka, Sakari

2013-02-19

Oil transport has greatly increased in the Gulf of Finland over the years, and risks of an oil accident occurring have risen. Thus, an effective oil combating strategy is needed. We developed a Bayesian Network (BN) to examine the recovery efficiency and optimal disposition of the Finnish oil combating vessels in the Gulf of Finland (GoF), Eastern Baltic Sea. Four alternative home harbors, five accident points, and ten oil combating vessels were included in the model to find the optimal disposition policy that would maximize the recovery efficiency. With this composition, the placement of the oil combating vessels seems not to have a significant effect on the recovery efficiency. The process seems to be strongly controlled by certain random factors independent of human action, e.g. wave height and stranding time of the oil. Therefore, the success of oil combating is rather uncertain, so it is also important to develop activities that aim for preventing accidents. We found that the model developed is suitable for this type of multidecision optimization. The methodology, results, and practices are further discussed.

Self-reported exposure to pesticides and radiation related to pregnancy outcome--results from National Natality and Fetal Mortality Surveys

International Nuclear Information System (INIS)

Savitz, D.A.; Whelan, E.A.; Kleckner, R.C.

1989-01-01

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

Plan for Combat Operations (Battlefield Function 18) as Accomplished by a Heavy Brigade. Volume 2: Assessment Package

National Research Council Canada - National Science Library

Mullen, William

1997-01-01

The purpose of the overall research program was to document the synchronization required by command and control tasks performed within the armored brigade, to include combat support and combat service support units...

The Way of the Gun: Applying Lessons of Ground Combat to Pilot Training

Science.gov (United States)

2016-02-29

i AU/ACSC/2016 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY THE WAY OF THE GUN : APPLYING LESSONS OF GROUND COMBAT...teaching officers, for example, that the guns go quiet in combat inoculates them from suspecting a bad lot of ammunition or firearm malfunction when...their guns go “pop” instead of “bang.”41 This 17 first piece of the puzzle is called Survival Stress Management, and it is the most basic level

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

Science.gov (United States)

Nindl, Bradley C

2015-11-01

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

E-Cheating: Combating a 21st Century Challenge.

Science.gov (United States)

McMurtry, Kim

2001-01-01

Discusses electronic cheating in higher education made possible by new technologies. Highlights include statistics on plagiarism; using Web search engines and paper mills; and ways to combat cheating, including academic honesty policies, designing writing assignments with specific goals and instructions, being aware of what is available on the…

Combating Ukraine’s Health Crisis : Lessons from Europe

OpenAIRE

Rekha Menon

2010-01-01

This knowledge brief synthesizes the important findings of a recent study. It spotlights key issues and challenges facing Ukraine's health sector and suggests strategies for improvement. To combat the current health crisis, Ukraine could look at the lessons learned by other European countries that have faced similar health crises.

Psychotherapeutic Intervention in the Demobilization Process: Addressing Combat‐related Mental Injuries with Narrative Exposure in a First and Second Dissemination Stage

Science.gov (United States)

Schaal, Susanne; Hecker, Tobias; Elbert, Thomas

2015-01-01

Background Depending on the exposure to traumatic stressors and combat, 20% to 50% of ex‐combatants present with trauma‐related disorders, and more than half of the members of armed groups have a proclivity to violence. Therefore, psychotherapeutic assistance should address both, trauma‐related suffering and the lowered threshold for aggressive behaviour. Objective Supporting the demobilization process of ex‐combatants in the eastern DR‐Congo, we implemented a version of Narrative Exposure Therapy adapted for Forensic Offender Rehabilitation (FORNET). Method In two successive dissemination stages (DS), local counsellors conducted FORNET. In DS1, they were trained by clinical experts, and in DS2, the by then experienced counsellors trained and supervised a second group of local counsellors (DS2). The training consisted of a 3‐week workshop covering theoretical concepts and practical therapeutic skills. In DS1 and DS2, a total of 98 demobilizing combatants received an intervention; treatment‐as‐usual served as the control condition. Posttraumatic stress disorder, appetitive aggression, depression severity and drug dependence were assessed prior to the intervention and 6 and 12 months later; additionally, we assessed reintegration success. Results Six months post‐intervention, FORNET significantly reduced Posttraumatic stress disorder symptoms but had less effect on the trait of appetitive aggression; moreover, beneficial effects were found for depression severity and drug dependence as well as for reintegration indices. Treatment gains were retained at 12 months. Conclusions Individuals without previous training in psychotherapy can learn to effectively apply the brief intervention FORNET and support the demobilization process in ongoing conflicts. The study suggests that it is possible to pass down psychotherapeutic techniques over generations of counsellors. © 2015 The Authors. Clinical Psychology & Psychotherapy published by John Wiley

Future Combat Systems (FCS) Creates Cannon and Mortar Synergy

National Research Council Canada - National Science Library

Beard, Kirby; James, Jeff; Tolbert, Vincent J

2008-01-01

.... The NLOS-C is one of the eight MGVs. Program Manager FCS (Brigade Combat Team (PM FCS(BCT)) is leveraging previous and current research and development efforts to create synergy between cannons and mortars, without duplication of effort...

Project Guardian: Optimizing Electronic Warfare Systems for Ground Combat Vehicles

National Research Council Canada - National Science Library

Parks, Jack G; Jackson, William; Revello, James; Soltesz, James

1995-01-01

.... The study, Project Guardian, represents a new process for determining the optimum set of sensors and countermeasures for a specific vehicle class under the constraints of threat projection, combat...

Prepubertal Gynecomastia Due to Indirect Exposure to Nonformulary Bioidentical Hormonal Replacement Therapy: A Case Report.

Science.gov (United States)

De Pinho, Joao Correia; Aghajanova, Lusine; Herndon, Christopher N

2016-01-01

Gynecomastia is a disorder of the endocrine system characterized by an abnormal presence of a palpable unilateral or bilateral enlargement and proliferation of glandular ductal benign breast tissue in male individuals. This case discusses the medical implications of an unregulated, indirect exposure to nonformulary, bioidentical hormone replacement therapy in male children. An 8-year-old boy presented with prepubertal gynecomastia secondary to estrogen exposure from maternal use of bioidentical hormonal replacement therapy (the Wiley protocol). We review the literature on prepubertal gynecomastia secondary to exogenous estrogen exposure, evaluation, clinical surveillance of the pubertal development, and relevant short- and long-term implications. Indirect exposure to nonformulary hormonal replacement in our case report was an etiologic factor in the development of prepubertal gynecomastia. This novel estrogen exposure source has important implications in the differential diagnosis of prepubertal gynecomastia and potential adverse effects secondary to precocious hormonal exposure.

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

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