Frequency and risk factors of hepatitis c virus in pregnant women attending military hospital rawalpindi

International Nuclear Information System (INIS)

Anwar, R.; Razzaq, K.; Imran, A.

2016-01-01

Objective: To determine the frequency of anti-Hepatitis C virus antibodies in pregnant ladies attending Military Hospital Rawalpindi and to analyze risk factors for disease acquisition in them. Study Design: Cross sectional study. Place and Duration of Study: Department of gynaecology and obstetrics Military Hospital Rawalpindi, from Feb 2013 to Jul 2013. Material and Methods: All pregnant ladies attending Military Hospital Rawalpindi were tested for anti HCV antibodies by third generation ELISA method and evaluation of potential risk factors for acquisition of HCV infection was done. Results: Six point ninety five percent of study population was found to be positive for anti HCV antibodies. Conclusion: Six point nine five percentage of study pregnant ladies were found to have anti HCV antibodies. These HCV positive pregnant women were more likely to have history of blood transfusion, therapeutic injection use and surgery. (author)

Hillary Clinton's visit to Ottawa hospital an exercise in military precision

Science.gov (United States)

Gray, Charlotte

1995-01-01

The Children's Hospital of Eastern Ontario learned that hosting the wife of the US president is more like a military manoeuvre than a typical VIP visit, but Hillary Rodham Clinton brought a unique perspective on universal health care to the Ottawa hospital. CMAJ Contributing Editor Charlotte Gray, who is also vice-chair of the hospital's board of trustees, recounts the experience of listening to “the sharpest, most intense professor of health care management you've ever met.” Imagesp1299-a

Knowledge, attitude and practice of pediatricians and pharmacists in Riyadh City toward the use of sugar free medications.

Science.gov (United States)

Bawazir, Omar A; Alsuwayt, Bandar; Alqahtani, Waleed; Al-Dhafiri, Ahmad; Al-Shamrani, Mosleh

2014-11-01

This study was intended to assess the knowledge, attitude and practice of pediatricians and pharmacists about sugar free medications (SFMs) and their impact on oral health. Self-administered close ended questionnaire was handed out to all pediatricians and pharmacists in five tertiary hospitals in Riyadh (King Khalid University Hospital, King Saud Medical City, King Fahad Medical City, Prince Sultan Medical Military City, Security Forces Hospital) to investigate the knowledge, attitude and practice concerning SFMs. Eighty-five pediatricians and 77 pharmacists participated in this study. The results showed that pediatricians and pharmacists have a good knowledge, but negative attitude toward SFMs. Only (5.9%) of pediatricians had formal undergraduate training which is significantly lower than pharmacists (15.6%) (p = 0.04). One-third of pediatricans and pharmacists prescribe or dispense SFMs. The most influencing factors toward prescription (pediatrician) of SFMs was the medical status of the patient (70.6%), while the most influencing factor of dispensing (pharmacists) SFMs was the availability in the pharmacy (64.9%). Two-third of pediatricians (67%) guide the parents about the risk associated with sugar-containing medications (SCMs) which is significantly higher than pharmacists (p < 0.0001). Also, 53% of pediatricians recommend oral hygiene instructions when prescribing SCMs which is also significantly higher than pharmacists (p = 0.0 02). There is a considerable knowledge about SFMs and its impact on dental caries, among pediatricians and pharmacists participated in this study. However, their attitude toward prescribing or dispensing SFMs was not positive and may be linked to the gap in knowledge. Further training and education of healthcare providers regarding the use of SFMs and its negative impact on dental caries has to be reiterated.

Views From the Pacific--Military Base Hospital Libraries in Hawaii and Guam.

Science.gov (United States)

Stephenson, Priscilla L; Trafford, Mabel A; Hadley, Alice E

2016-01-01

Hospital libraries serving military bases offer a different perspective on library services. Two libraries located on islands in the Pacific Ocean provide services to active duty service men and women, including those deployed to other regions of the world. In addition, these hospital libraries serve service members' families living on the base, and often citizens from the surrounding communities.

Prevalence of subclinical hypothyroidism in adults visiting primary health-care setting in Riyadh.

Science.gov (United States)

Al Eidan, Eidan; Ur Rahman, Saeed; Al Qahtani, Saeed; Al Farhan, Ali I; Abdulmajeed, Imad

2018-01-01

Background and objectives : Subclinical hypothyroidism is an asymptomatic condition with normal thyroxin and raised thyroid stimulating hormone (TSH) level. The objective of the study was to determine the prevalence of subclinical hypothyroidism in primary health care (PHC) settings in Riyadh and explore the relationship of TSH level with age, gender, family history, body mass index, and co-morbid conditions. Subjects and methods : A cross-sectional study of adult visitors to nine satellites PHC clinics in military housing in Riyadh was carried out. TSH concentration and free T4 levels were measured. Data were collected by nurses and physicians during routine clinical practice in primary care. Descriptive analysis was performed on all variables in study, and relationships were explored using chi-square, t -test, analysis of variance, and linear regression. Results : A total of 340 out of 394 participants in the study gave blood samples. Subclinical hyperthyroidism was identified in 2.1% ( p  = .001) and subclinical hypothyroidism in 10.3% ( p  = .001) of the PHC visitors. TSH levels were found to be significantly higher ( p  = .047) in elderly population of ≥60 years and those with family history of thyroid disease. Non-significant upward trends were noted in TSH levels with hyperlipidemia and increasing blood pressure. No overt hyperthyroidism or hypothyroidism was found in our study sample. Conclusion : Subclinical hypothyroidism has a prevalence of 10% of adults visiting PHC's. TSH levels are higher in the elderly, which warrants screening of those aged 60 years and above.

Duration of untreated psychosis and pathway to care in Riyadh, Saudi Arabia.

Science.gov (United States)

Al Fayez, Hanan; Lappin, Julia; Murray, Robin; Boydell, Jane

2017-02-01

Recent studies of 'duration of untreated psychosis' (DUP) indicate that some patients remain untreated in the community for some time. Considerable emphasis has been placed on reducing the DUP. However, most studies investigating DUP have been conducted in Western countries, where well-developed primary care systems are available. This study aims to describe DUP and its association with both demographic factors and pathways to care in Riyadh, Saudi Arabia. A retrospective study of 421 new case records of all Saudi schizophrenia patients over a 2-year period in six governmental hospitals in Riyadh, Saudi Arabia. The median DUP was 1.41 years (interquartile range 0.35-2.81 years). The longest time to contact was 9.86 years but 90% had a DUP shorter than 5 years. Older age at onset, single marital status and higher educational level were associated with shorter DUP. Long DUP was associated with help seeking from traditional healers. In Saudi Arabia, it usually takes longer for patients to seek help from psychiatric services after their first psychosis onset than it does in Western countries. The results suggest that the DUP is influenced by both demographic factors and pathways to care. © 2015 Wiley Publishing Asia Pty Ltd.

Work-related assaults on nursing staff in riyadh, saudi arabia.

Science.gov (United States)

Mohamed, Ashry G

2002-09-01

To determine the extent of work-related violence against nurses in hospitals in Riyadh. Through a cross sectional approach, a self administered questionnaire was offered to 500 active-duty nurses selected randomly. In addition to the demographic characteristics, the questionnaire inquired about exposure to workplace violence, hospital and department of employment at the time of exposure, characteristics of the assailant and nurses' perception of the causes of violence. Out of 434 respondents, 93 (21.4%) were males, and 341 (78.6%) females. The mean age was 36.1 ± 7.97 years. Workplace violence was experienced by 235 (54.3%) nurses. Of these 93.2% were exposed to harsh insulting language, 32.8% to verbal threat, 28.1% to attempts of physical assault, 17.4% to sexual harassment and 16.2% to actual physical assault. Nurses working in psychiatry and emergency units had the highest rate of exposure to violence (84.3% & 62.1% respectively) Nurses perceived shortage in security personnel (82%), shortage in nursing staff (63%), language barrier (36.3%) and unrestricted movement of patients in hospitals (21.5%) as causes of their exposure to violence. improve security in hospitals by increasing the number of security officers on duty and increase the community's awareness of the problem.

Birthing experiences of Ghanaian women in 37th Military Hospital, Accra, Ghana

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R.S. Mensah

2014-01-01

Full Text Available The purpose of the study was to explore the expectations of women relating to their labor and delivery needs at the 37th Military Hospital, in Ghana. Using a generic or non-categorical qualitative research design women who delivered at the 37th Military Hospital were interviewed. Data was collected by using semi-structured individual interviews. Emerging themes from the data were: the importance of environmental serenity in childbirth, the need to confirm true labor, being in control during labor, the importance of midwives, and childbirth as a sacred and euphoric journey. The findings revealed that not only were the environment serene and devoid of noise but the nurse-midwives were friendly and supportive for the women and were competent in diagnosing the progression of labor. The competencies and attributes that the nurse-midwives possessed at this hospital offered the women with an element of ownership regarding their laboring processes.

Evaluation of disaster preparedness for mass casualty incidents in private hospitals in Central Saudi Arabia

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Abdullah A. Bin Shalhoub

2017-03-01

Full Text Available Objectives: To identify and describe the hospital disaster preparedness (HDP in major private hospitals in Riyadh, Saudi Arabia. Methods: This is an observational cross-sectional survey study performed in Riyadh city, Saudi Arabia between December 2015 and April 2016. Thirteen major private hospitals in Riyadh with more than 100 beds capacity were included in this investigation. Results: The 13 hospitals had HDP plan and reported to have an HDP committee. In 12 (92.3% hospitals, the HDP covered both internal and external disasters and HDP was available in every department of the hospital. There were agreements with other hospitals to accept patients during disasters in 9 facilities (69.2% while 4 (30.8% did not have such agreement. None of the hospitals conducted any unannounced exercises in previous year. Conclusion: Most of the weaknesses were apparent particularly in the education, training and monitoring of the hospital staff to the preparedness for disaster emergency occasion. Few hospitals had conducted an exercise with casualties, few had drilled evacuation of staff and patients in the last 12 months, and none had any unannounced exercise in the last year.

Factors affecting length of hospital stay for people with spinal cord injuries at Kanombe military hospital, Rwanda

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PB Bwanjugu

2012-12-01

Full Text Available In patients with spinal cord injuries increased length ofhospital stay is often as a result of secondary complications such as pressuresores, urinary tract infection and respiratory infection. An increased lengthof hospital stay was observed at Kanombe Military Hospital in Rwanda.The aim of this study was to determine specific factors affecting length ofhospital stay for individuals with spinal cord injuries at Kanombe MilitaryHospital in Rwanda. The records of 124 individuals with spinal cordinjuries who were discharged from the hospital between 1st January1996and 31st December 2007 were reviewed to collect data. Information collected and captured on a data gathering sheetincluded demographic data, information relating to the injury, occurrence of medical complications and length ofhospital stay. Linear regression analysis was computed in SPSS to determine factors affecting the length of stay.The necessary ethical considerations were adhered to during the implementation of the study. Current employmentstatus and the occurrence of pressure sores were significantly associated with the length of hospital stay (p=0.021 andp=0.000 respectively. A strong relationship was noted between pressure sores and length of stay (R= 0.703. There is aneed for all members of the rehabilitation team to devise and implement effective measures to prevent the developmentof pressure sores, in patients with spinal cord injuries in the study setting.

Injury-related hospital admissions of military dependents compared with similarly aged nonmilitary insured infants, children, and adolescents.

Science.gov (United States)

Pressley, Joyce C; Dawson, Patrick; Carpenter, Dustin J

2012-10-01

Military deployment of one or both parents is associated with declines in school performance, behavioral difficulties, and increases in reported mental health conditions, but less is known regarding injury risks in pediatric military dependents. Kid Health Care Cost and Utilization Project 2006 (KID) was used to identify military dependents aged 0.1 year to 17 years through expected insurance payer being CHAMPUS, Tricare, or CHAMPVA (n = 12,310) and similarly aged privately insured nonmilitary in CHAMPUS, Tricare, or CHAMPVA states (n = 730,065). Mental health diagnoses per 1,000 hospitalizations and mechanisms of injury per 1,000 injury-related hospitalizations are reported. Unweighted univariate analyses used Fisher's exact, χ(2), and analysis of variance tests for significance. Odds ratios are age and sex adjusted with 95% confidence intervals. Injury-related admissions were higher in military than in nonmilitary dependents (15.5% vs. 13.2%, p sex-adjusted motor vehicle occupant and pedestrian injuries were significantly lower in all-age military dependents but not in age-stratified categories. Very young military dependents had higher all-cause injury admissions (p < 0.0001), drowning/near drowning (p < 0.0001), and intracranial injury (p < 0.0001) and showed a tendency toward higher suffocation (p = 0.055) and crushing injury (p = 0.065). Military adolescents and teenagers had higher suicide/suicide attempts (p = 0.0001) and poisonings from medicinal substances (p = 0.0001). Mental health diagnoses were significantly higher in every age category of military dependents. All-cause in-hospital mortality tended to be greater in military than in nonmilitary dependents (p = 0.052). This study suggests that military dependents are a vulnerable population with special needs and provides clues to areas where injury prevention professionals might begin to address their needs. Prognostic/epidemiologic study, level II.

Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique

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Bahadori, Mohammadkarim; Ravangard, Ramin; Yaghoubi, Maryam; Alimohammadzadeh, Khalil

2014-01-01

Background: Military hospitals are responsible for preserving, restoring and improving the health of not only armed forces, but also other people. According to the military organizations strategy, which is being a leader and pioneer in all areas, providing quality health services is one of the main goals of the military health care organizations. This study was aimed to evaluate the service quality of selected military hospitals in Iran based on the Joint Commission International (JCI) standards and comparing these hospitals with each other and ranking them using the analytic hierarchy process (AHP) technique in 2013. Materials and Methods: This was a cross-sectional and descriptive study conducted on five military hospitals, selected using the purposive sampling method, in 2013. Required data collected using checklists of accreditation standards and nominal group technique. AHP technique was used for prioritizing. Furthermore, Expert Choice 11.0 was used to analyze the collected data. Results: Among JCI standards, the standards of access to care and continuity of care (weight = 0.122), quality improvement and patient safety (weight = 0.121) and leadership and management (weight = 0.117) had the greatest importance, respectively. Furthermore, in the overall ranking, BGT (weight = 0.369), IHM (0.238), SAU (0.202), IHK (weight = 0.125) and SAB (weight = 0.066) ranked first to fifth, respectively. Conclusion: AHP is an appropriate technique for measuring the overall performance of hospitals and their quality of services. It is a holistic approach that takes all hospital processes into consideration. The results of the present study can be used to improve hospitals performance through identifying areas, which are in need of focus for quality improvement and selecting strategies to improve service quality. PMID:25250364

Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique.

Science.gov (United States)

Bahadori, Mohammadkarim; Ravangard, Ramin; Yaghoubi, Maryam; Alimohammadzadeh, Khalil

2014-01-01

Military hospitals are responsible for preserving, restoring and improving the health of not only armed forces, but also other people. According to the military organizations strategy, which is being a leader and pioneer in all areas, providing quality health services is one of the main goals of the military health care organizations. This study was aimed to evaluate the service quality of selected military hospitals in Iran based on the Joint Commission International (JCI) standards and comparing these hospitals with each other and ranking them using the analytic hierarchy process (AHP) technique in 2013. This was a cross-sectional and descriptive study conducted on five military hospitals, selected using the purposive sampling method, in 2013. Required data collected using checklists of accreditation standards and nominal group technique. AHP technique was used for prioritizing. Furthermore, Expert Choice 11.0 was used to analyze the collected data. Among JCI standards, the standards of access to care and continuity of care (weight = 0.122), quality improvement and patient safety (weight = 0.121) and leadership and management (weight = 0.117) had the greatest importance, respectively. Furthermore, in the overall ranking, BGT (weight = 0.369), IHM (0.238), SAU (0.202), IHK (weight = 0.125) and SAB (weight = 0.066) ranked first to fifth, respectively. AHP is an appropriate technique for measuring the overall performance of hospitals and their quality of services. It is a holistic approach that takes all hospital processes into consideration. The results of the present study can be used to improve hospitals performance through identifying areas, which are in need of focus for quality improvement and selecting strategies to improve service quality.

Influences on indoor radon concentrations in Riyadh, Saudi Arabia

International Nuclear Information System (INIS)

Alghamdi, Abdulrahman S.; Aleissa, Khalid A.

2014-01-01

The influences on indoor radon concentrations in Riyadh, Saudi Arabia survey was carried out for 786 dwellings. The measurements were obtained by using a passive integrating ionization system with an E-Perm ® Electret ion chamber. Radon levels ranged from 1 to 195 Bq m −3 , with a mean value of 24.68 Bq m −3 , the geometric mean and the geometric standard deviation are 21 and 2 respectively. 98.5% of the results were below the action level recommended by WHO of 100 Bq.m −3 . The results were found to vary substantially due to types of houses and rooms, ventilation, seasons and building materials. Radon concentrations were higher in houses with no ventilation systems, and central air conditioners, and were relatively lower in well ventilated houses with red bricks and water air conditioners. - Highlights: • Limited information about indoor radon in Riyadh. • Several factors influence Radon level were investigated in 786 dwellings in Riyadh over one year. • Some results are over the action level and are advised to improve their ventilation systems

Optimization and Management of Naval Hospital Bremerton's Military-Medicare Population by Market Analysis of the Naval Hospital Bremerton Empanelled Population

National Research Council Canada - National Science Library

Coefield, Ocie

2001-01-01

The purpose of this research project was to determine whether Naval Hospital Bremerton could meet the service demands for the care of the over 65 military-Medicare eligible population within the catchment area...

The british military hospitals in macedonia during the first world war.

Science.gov (United States)

Cvetkovski, Vladimir

The paper focusses its attention to the medical work of the British Military hospitals stationed in Macedonia during the First World War, the surgical work carried out under very heavy conditions in improvised operating theatres as well as the treatment of the wounded and sick solders brought from the battlefields on the Macedonian Front.

Analysing the Severity and Frequency of Traffic Crashes in Riyadh City Using Statistical Models

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Saleh Altwaijri

2012-12-01

Full Text Available Traffic crashes in Riyadh city cause losses in the form of deaths, injuries and property damages, in addition to the pain and social tragedy affecting families of the victims. In 2005, there were a total of 47,341 injury traffic crashes occurred in Riyadh city (19% of the total KSA crashes and 9% of those crashes were severe. Road safety in Riyadh city may have been adversely affected by: high car ownership, migration of people to Riyadh city, high daily trips reached about 6 million, high rate of income, low-cost of petrol, drivers from different nationalities, young drivers and tremendous growth in population which creates a high level of mobility and transport activities in the city. The primary objective of this paper is therefore to explore factors affecting the severity and frequency of road crashes in Riyadh city using appropriate statistical models aiming to establish effective safety policies ready to be implemented to reduce the severity and frequency of road crashes in Riyadh city. Crash data for Riyadh city were collected from the Higher Commission for the Development of Riyadh (HCDR for a period of five years from 1425H to 1429H (roughly corresponding to 2004-2008. Crash data were classified into three categories: fatal, serious-injury and slight-injury. Two nominal response models have been developed: a standard multinomial logit model (MNL and a mixed logit model to injury-related crash data. Due to a severe underreporting problem on the slight injury crashes binary and mixed binary logistic regression models were also estimated for two categories of severity: fatal and serious crashes. For frequency, two count models such as Negative Binomial (NB models were employed and the unit of analysis was 168 HAIs (wards in Riyadh city. Ward-level crash data are disaggregated by severity of the crash (such as fatal and serious injury crashes. The results from both multinomial and binary response models are found to be fairly consistent but

Dengue Fever in American Military Personnel in the Philippines: Clinical Observations on Hospitalized Patients during a 1984 Epidemic

Science.gov (United States)

1989-03-01

the mean maximum temperature was Hypotenson 15 (62.5) 102.0 + 1.3 F. A "saddle back" or dip- Rash (Non- Petechial ) 13 (54.2) hasic fever pattern was not...DENGUE FEVER IN AMERICAN MILITARY PERSONNEL IN THE PHILIPPINES: CLINICAL OBSERVATIONS ON HOSPITALIZED PATIENS DURING A 1984 EPIDEMIC C.G. Hayes, T.F...Accession Tr~I Jti ti DENGUE FEVER IN AMERICAN MILITARY PERSONNEL IN THE PHILIPPINES: CLINICAL OBSERVATIONS ON HOSPITALIZED PATIENTS DURING A 1984

Effort-reward imbalance and quality of life of healthcare workers in military hospitals: a cross-sectional study

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Tzeng Dong-Sheng

2012-09-01

Full Text Available Abstract Background Taiwan’s National Defense Bureau has been merging its hospitals and adjusting hospital accreditation levels since the beginning of 2006. These changes have introduced many stressors to the healthcare workers in these hospitals. This study investigates the association between job stress, psychological morbidity and quality of life in healthcare workers in three military hospitals. Methods We posted surveys to 1269 healthcare workers in three military hospitals located in southern Taiwan. The surveys included the General Health Questionnaire (GHQ, the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF, and the Effort-Reward Imbalance (ERI Questionnaire. High effort-reward (ER ratio and overcommitment were defined when scores fell into the upper tertile of the total distribution. Results The survey was completed by 791 healthcare workers. On average, women reported a higher ERI than men. High ERI was associated with younger age, higher psychological morbidity, and poor physical and psychological QOL domains in this population. High ER ratio and high overcommitment were associated with psychological morbidity and poor QOL in both sexes. However, high ER ratio was not significantly associated with the social QOL domain in either sexes or the physical QOL domain in males. Conclusions There was a clear association between ERI and QOL in the healthcare workers in the military hospitals under reorganization and accreditation in this study. We found ER ratio and overcommitment to be suitable indicators of job stress.

Effect of Socio-Demographic and Clinical Characteristics on Physical Activity of Pregnant Women at Referral Hospital in Riyadh, KSA

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Shaffi Ahamed Shaik

2017-01-01

Full Text Available Objective: The objective of this study was to investigate the effects of socio demographic and clinical characteristics of pregnant women on their physical activity. Methods: An observational quantitative cross sectional design was carried out in the delivery ward and paediatrics clinic of king Khalid University Hospital, Riyadh, Saudi Arabia. The study subjects included all women who had delivered in the last three months, during the study period between 2013- 2014. The sample size was 336. Data collection included socio-demographic variables, pregnancy related variables and the physical activity by using validated pregnancy physical activity questionnaire. Results: The mean (standard deviation total physical activity score of all the study subjects was 197.39(72.1. The physical activity scores are statistically significantly higher in younger women, graduation education level, and among those who were employed. The physical activity scores were statistically significantly higher in women who had normal delivery, did not have any illness and those who had followed the advice to perform physical activity. Conclusion: The levels of physical activity along with their socio demographic and clinical characteristic were assessed among the pregnant women. The study found low pursuance of physical activity during pregnancy. Any kind of illness suffered during pregnancy further reduced the physical activity levels. It was only the young and educated pregnant women who held onto regular physical activity as advised during their pregnancy.

Retinopathy risk factors among diabetics in a tertiary care military hospital

International Nuclear Information System (INIS)

Nizi, M.K.; Ameen, S.S.; Saeed, K.; Yaqub, M.A.; Khan, M.D.; Arain, M.A.

2011-01-01

Objective: To determine the frequency and risk factors for severity of retinopathy in diabetic patients referred to a tertiary military hospital. Study Design: Cross-sectional study. Place and duration of study: Armed Forces Institute of Ophthalmology, Rawalpindi from Jun 2008 to Dec 2009. Patients and Methods: Diabetic patients aged 40 to 79, referred for suspected diabetic retinopathy (DR) on fundoscopy from medical outpatient clinic of Military Hospital Rawalpindi were randomly included in the study. Participants underwent a standardized interview and examination. Retinopathy was assessed through dilated pupils, and graded into absent retinopathy, mild to moderate, or advanced. Presence of clinically significant macular edema (CSME) was also recorded. To evaluate the simultaneous effect of significant risk factors on the different stages of DR, multivariate regression analysis was carried out. Results: Out of five hundred and ten patients, DR was confirmed in 63% cases with advanced retinopathy in 21.3%. In univariate analysis, duration of diabetes, fasting blood glucose, and presence of macular oedema were significantly associated with retinopathy (P<0.005). On multivariate analysis, however, only duration of diabetes (Odds Ratio 6.15 for 5 to 10 years and 38.29 for more than 10 years) and macular oedema (OR 6.617 95% CI 3.95-11.07) remained significant. CSME was present in 173 (33%) patients and its frequency increased with the severity of DR (P <0.001). Conclusion: The frequency of DR among military personnel and their dependants was high with strong association to duration of diabetes. This underscores the importance of regular retinal examination to detect DR in the early stages and timely intervention to prevent diabetes related blindness. (author)

Frequency of syphilis among antenatal clinic attendee in combined military hospital abbottabad

International Nuclear Information System (INIS)

Qayum, M.; Shaheen, N.; Khan, M.Q.A.; Ali, W.

2015-01-01

Frequency of syphilis among pregnant women attending Combined Military Hospital Abbottabad Study Design: Descriptive study. Material and Methods: A screening for syphilis of 500 married pregnant women presenting to antenatal clinics was carried out using the qualitative Rapid Plasma Regent (RPR) test/ Venereal Disease Research Laboratory (VDRL) test. The Treponema Palladium Haem-Agglutination Assay (TPHA) test was used as confirmatory test for all Venereal Disease Research Laboratory (VDRL) test positive cases. Results: A total of 8 women (1.6%) were positive for Venereal Disease Research Laboratory (VDRL) test. Out of these 4 (0.8%) were positive for Treponema Palladium Haem-Agglutination Assay (TPHA) test. All of these cases have bad obstetrical history. Conclusion: The sero-positivity of Venereal Disease Research Laboratory (VDRL) test is (1.6%), considered high among pregnant women reporting in obstetrics clinics of Combined Military Hospital Abbottabad. Similarly sero-positivity of Treponema Palladium Haem-Agglutination Assay (TPHA) test is (0.8%) considered high among the Venereal Disease Research Laboratory (VDRL) test population. Therefore Screening of syphilis in pregnancy especially in patients having bad obstetrical history (BOH) should be incorporated into the study. (author)

Evaluation of TRMM satellite-based precipitation indexes for flood forecasting over Riyadh City, Saudi Arabia

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Tekeli, Ahmet Emre; Fouli, Hesham

2016-10-01

Floods are among the most common disasters harming humanity. In particular, flash floods cause hazards to life, property and any type of structures. Arid and semi-arid regions are equally prone to flash floods like regions with abundant rainfall. Despite rareness of intensive and frequent rainfall events over Kingdom of Saudi Arabia (KSA); an arid/semi-arid region, occasional flash floods occur and result in large amounts of damaging surface runoff. The flooding of 16 November, 2013 in Riyadh; the capital city of KSA, resulted in killing some people and led to much property damage. The Tropical Rainfall Measuring Mission (TRMM) Multi-satellite Precipitation Analysis (TMPA) Real Time (RT) data (3B42RT) are used herein for flash flood forecasting. 3B42RT detected high-intensity rainfall events matching with the distribution of observed floods over KSA. A flood early warning system based on exceedance of threshold limits on 3B42RT data is proposed for Riyadh. Three different indexes: Constant Threshold (CT), Cumulative Distribution Functions (CDF) and Riyadh Flood Precipitation Index (RFPI) are developed using 14-year 3B42RT data from 2000 to 2013. RFPI and CDF with 90% captured the three major flooding events that occurred in February 2005, May 2010 and November 2013 in Riyadh. CT with 3 mm/h intensity indicated the 2013 flooding, but missed those of 2005 and 2010. The methodology implemented herein is a first-step simple and accurate way for flash flood forecasting over Riyadh. The simplicity of the methodology enables its applicability for the TRMM follow-on missions like Global Precipitation Measurement (GPM) mission.

Educating nurses to care for military veterans in civilian hospitals: An integrated literature review.

Science.gov (United States)

Cooper, Linda; Andrew, Sharon; Fossey, Matt

2016-12-01

In the UK, military veterans will receive care by civilian nurses in civilian hospitals. We propose that the nurses providing this care require an understanding of the unique experiences and specific health needs of veterans to deliver evidence-based care. To conduct an integrative review of published literature to explore how nursing programmes prepare nurses to care for the military veteran population in civilian hospitals. A systematic search was undertaken of a range of electronic databases, Google Scholar and hand searching of Military and Veteran health journals. Papers that focused on education of civilian nurses about veteran health and included primary research or description of practice-based innovations were included in the review. The search generated sixteen papers that were focused on nurse education in higher education institutions. Several papers focused on simulation as a teaching method for veteran-specific health issues or curriculum developments with educational innovations such as online courses. Six papers focusing in continuing professional education of nurses in the clinical setting were included as supplementary information. All papers reviewed were US focused and dated between January 2011 and September 2015. Our search concluded that there is a gap in knowledge in this subject area within a UK context, therefore our review includes UK background information to support the US findings. Civilian nurses need educational preparation to understand the specific needs of veterans. Educational institutions in the US have responded to nationwide initiatives to undertake that preparation. More empirical studies need to be undertaken to develop, test and evaluate educational innovations for preparing students and nurses delivering care to military veteran in civilian healthcare settings. Copyright © 2016 Elsevier Ltd. All rights reserved.

Culture of Safety among Nurses in a Tertiary Teaching Hospital in ...

African Journals Online (AJOL)

Purpose: To assess the culture of safety among nurses in a tertiary teaching hospital in Saudi Arabia. Methods: A cross-sectional survey was conducted in King Khaled University Hospital in Riyadh, Saudi Arabia. A random sample of 492 nurses was included in the survey using a pre-validated instrument, Safety Attitudes ...

A study of the effects of different disinfectants used in Riyadh hospitals and their efficacy against Methicillin Resistant Staphylococcus Aureus (MRSA)

International Nuclear Information System (INIS)

Baddour, Manal M.

2008-01-01

Methicillin resistant Staphylococcus aureus (MRSA) and the means of controlling it, continue to be of major interest to the healthcare community. The bactericidal activity of some disinfectants which are in common use in seven major tertiary care hospitals in Riyadh was tested against two control strains of S.aureus, namely MRSA ATCC 33591 and Methicillin sensitive Staphylococcus aureus (MSSA) ATCC 29213. The disinfectants tested in this study were a group used for hand antisepsis (Purell, EZ-clean, Cida stat and Manorapid Synergy) and another group used for environmental disinfection (Combi spray, Tristel fusion, Alphadine, Isopropanol, Presept and Diesin). Presept, diesin and tristel fusion had a remarkable effect on the tested strains, both methicillin sensitive and methicillin resistant. There was hardly any noticeable difference between the effects on either (P>0.05). On the other hand, Purell and EZ-clean and Manorapid Synergy hand rubs had a relatively weak action after 15 and 30 minutes while their effect was better after 1 and 2 hours. There was no observable differences between their effects on MRSA or MSSA, P>0.05. Cita stat had a remarkably pronounced effect against both MRSA and MSSA. Contrary to some previous reports, this study has proven also that chlorhexidine and quaternary ammonium compounds show comparable efficacy against both MRSA and MSSA. (author)

Surgical care in the isolated military hospital.

Science.gov (United States)

Lukish, J R; Gill, G G; McCoy, T R

2001-01-01

To maintain the health of service members and their families throughout the world, the Department of Defense has established several isolated military hospitals (IHs). The operational environment of IHs is such that illness and traumatic injury requiring surgical intervention is common. This study sought to examine the general and orthopedic surgical experience at an IH to determine whether surgical care could be provided in an effective and safe manner. All patients evaluated by the general and orthopedic surgeon at Guantanamo Bay Naval Hospital from October 1, 1998, to April 1, 1999, were included in this study. The following data were retrospectively reviewed: patient demographic data, diagnosis, initial and follow-up care, medical evacuation data, operative procedures, and complications. There were 336 patients who presented for surgical evaluation, resulting in 660 follow-up appointments during the study period. There were 31 medical evacuations (3 emergent). The surgical services performed 122 major operative procedures. There were 58 inpatient admissions. There was 1 death, and surgical complications occurred in 2 patients, for an overall morbidity and mortality of 1.4% and 0.7%, respectively. Our data show that an IH is capable of providing surgical care, including care for traumatic injuries, in a safe manner. This is the first study that provides objective evidence that general and orthopedic surgery at an IH can be provided within the standard of care.

Snake bite envenomation in Riyadh province of Saudi Arabia over the period (2005–2010)

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Al-Sadoon, Mohammed K.

2014-01-01

The present investigation is a retrospective review of snake bites in Riyadh province over the period (2005–2010). A total of 1019 cases of bites admitted to the Ministry of Health medical centers in Riyadh province were analyzed on the basis of age, sex, time of bite and its site on the body, outcome of treatment, antiserum dose and type of snake. Bites occurred throughout the six years with the highest frequency in 2005 and least in 2006 where most of the bite cases were mild and all evolved to cure except four patients who died following the administration of antivenom during 24 h after snake bite. Most of the patients were males (81.7%) and the most attacked age was within the range of 11–30 years (51.5%). All the bites were mainly in the exposed limbs and the most frequently bitten anatomical regions were the lower limbs (427 cases, 41.9%), principally the feet. The study incriminates Cerastes cerastes gasperettii in most of the bites indicating it as the snake of medical importance in Riyadh province. Also, the study indicates low degree of threat in spite of high rate of snake bites as a result of the availability of the medical facilities and the antivenin use in medical centers in Riyadh province. PMID:25737653

Human parainfluenza virus type 2 hemagglutinin-neuramindase gene: sequence and phylogenetic analysis of the Saudi strain Riyadh 105/2009

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Almajhdi Fahad N

2012-12-01

Full Text Available Abstract Background Although human parainfluenza type 2 (HPIV-2 virus is an important respiratory pathogen, a little is known about strains circulating in Saudi Arabia. Findings Among 180 nasopharyngeal aspirates collected from suspected cases in Riyadh, only one sample (0.56% was confirmed HPIV-2 positive by nested RT-PCR. The sample that was designated Riyadh 105/2009 was used for sequencing and phylogenetic analysis of the most variable virus gene; the haemagglutinin-neuramindase (HN. Comparison of HN gene of Riyadh 105/2009 strain and the relevant sequences available in GenBank revealed a strong relationship with Oklahoma-94-2009 strain. Phylogenetic analysis indicated four different clusters of HPIV-2 strains (G1-4. Twenty-three amino acid substitutions were recorded for Riyadh 105/2009, from which four are unique. The majority of substitutions (n=18 had changed their amino acids characteristics. By analyzing the effect of the recorded substitutions on the protein function using SIFT program, only two located at positions 360 and 571 were predicted to be deleterious. Conclusions The presented changes of Riyadh 105/2009 strain may possess potential effect on the protein structure and/or function level. This is the first report that describes partial characterization of Saudi HPIV-2 strain.

The Level of Shyness among Talented Students in Light of Socio-Economic Level of the Family in Riyadh

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Asi, Khaled Yousef

2016-01-01

The present study aimed to identify the level of shyness among talented students in the city of Riyadh, Saudi Arabia, and detect differences according to the variable of socio-economic level of the family. The sample consisted of (101) students, who randomly chosen from centers of talented students in Riyadh, Saudi Arabia. Shyness scale utilized…

Riyadh Mother and Baby Multicenter Cohort Study: The Cohort Profile.

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Hayfaa Wahabi

Full Text Available To assess the effects of non-communicable diseases, such as diabetes, hypertension and obesity, on the mother and the infant.A multicentre cohort study was conducted in three hospitals in the city of Riyadh in Saudi Arabia. All Saudi women and their babies who delivered in participating hospitals were eligible for recruitment. Data on socio-demographic characteristics in addition to the maternal and neonatal outcomes of pregnancy were collected. The cohort demographic profile was recorded and the prevalence of maternal conditions including gestational diabetes, pre-gestational diabetes, hypertensive disorders in pregnancy and obesity were estimated.The total number of women who delivered in participating hospitals during the study period was 16,012 of which 14,568 women participated in the study. The mean age of the participants was 29 ± 5.9 years and over 40% were university graduates. Most of the participants were housewives, 70% were high or middle income and 22% were exposed to secondhand smoke. Of the total cohort, 24% were married to a first cousin. More than 68% of the participants were either overweight or obese. The preterm delivery rate was 9%, while 1.5% of the deliveries were postdate. The stillbirth rate was 13/1000 live birth. The prevalence of gestational diabetes was 24% and that of pre-gestational diabetes was 4.3%. The preeclampsia prevalence was 1.1%. The labour induction rate was 15.5% and the cesarean section rate was 25%.Pregnant women in Saudi Arabia have a unique demographic profile. The prevalence of obesity and diabetes in pregnancy are among the highest in the world.

Prevalence of overweight and obesity among police officers in Riyadh City and risk factors for cardiovascular disease

OpenAIRE

Alghamdi, Abdullah S.; Yahya, Mohammed A.; Alshammari, Ghedeir M.; Osman, Magdi A.

2017-01-01

Background Despite the prevalence of overweight and obesity and increases in associated diseases such as diabetes and heart disease in the Saudi population, no studies have addressed the spread of obesity among Saudi police officers. Therefore, the present study aimed to assess the prevalence of overweight and obesity and associations with biochemical parameters among the police in Riyadh. Method The study involved a cross-sectional survey of 160 police officers in Riyadh, Saudi Arabia. Anthr...

Oral Cancer: Awareness and Knowledge Among Dental Patients in Riyadh.

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Al-Maweri, Sadeq Ali; Al-Soneidar, Walid Ahmed; Dhaifullah, Esam; Halboub, Esam Saleh; Tarakji, Bassel

2017-06-01

More than 50 % of oral cancer cases are diagnosed at advanced stages. Public knowledge about oral cancer can help in prevention and early detection of the disease. The aim of the present study was to assess the levels of awareness and knowledge about signs and risk factors of oral cancer among dental patients in Saudi Arabia. A self-administered questionnaire was used to collect information from 1410 randomly selected patients attending dental departments within public hospitals in Riyadh, Saudi Arabia. The collected data were analyzed using SPSS software. The significance level was set at P oral cancer. Some 68.2 and 56.5 %, respectively, were able to correctly identify tobacco and alcohol as risk factors. More than two thirds of subjects had no knowledge about any signs of oral cancer. Participants with lower than university education were significantly less aware, and had much less knowledge, of the signs and risk factors of oral cancer. The knowledge regarding oral cancer among Saudi dental patients is alarmingly low. Interventions to improve public knowledge about oral cancer and attitudes towards early diagnosis and treatment are urgently indicated.

Correlates of sexual violence among adolescent females in Riyadh, Saudi Arabia.

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Al-Quaiz, Al-Joharah M; Raheel, Hafsa M

2009-06-01

To determine the frequency, experiences and correlates of sexual violence among female adolescents in Riyadh city, Kingdom of Saudi Arabia. A cross-sectional survey was conducted in 2 schools in Riyadh city for adolescent females starting from January 2008 for 3 months. Five classes with 25 students in each were randomly selected from intermediate and secondary grade of each school. Four hundred and nineteen students were included. A self-answering questionnaire was distributed and collected after 15 minutes by 3 research assistants. Forty-two adolescent students (10%) were exposed to sexual violence. Only 31% of the students were taught how to react to sexual violence. Students whose order was > or = 5th among siblings and who had unsupportive parents in discussing sexual issues were more exposed to sexual violence (chi2=4.02, p=0.044, chi2=4.24, p=0.039). Being > or = 5th in order among siblings and having unsupportive parents in discussing sexual issues were correlates for exposure to sexual violence.

Possibilities for Hospital Treatment of Industrial Accident Victims in Military Medical Academy

International Nuclear Information System (INIS)

Todorovic, V.; Jevtic, M.; Jovanovic, D.; Jovic-Stosic, J.

2007-01-01

Possibility of mass injuries in traffic, industrial accidents or terrorist attack is every day reality. Management of victims may need complex measures including activities on the site, transportation, and hospital care. Preparedness for hospital treatment of mass trauma or poisoning is among the main duties of Military Medical Academy (MMA). It is medical institution of tertiary level with the capacity of 1214 beds in 13 surgical clinics, 12 internal medicine clinics, 2 neuropsychiatry clinics, poison control centre and organ transplantation centre. National Poison Control Centre is the only specialized institution for treatment of adult's acute poisonings in the country. Centre includes: 1. Clinic of Toxicology and Clinical Pharmacology with Intensive Care Unit and Toxicology Information Department; 2. Institute of Experimental Toxicology and Pharmacology; 3. Mobile Toxicological - Chemical Squad. Being a part of MMA, Centre benefits from all advantages of central type hospital, including possibilities for contemporary diagnostic and therapeutic procedures of different specialities, and other necessary medical and logistic support. Except hospital organization and preparedness for admission of mass injuries victims, one of strategic goals of MMA is functional integration in civilian health care system including more detailed planning for collaboration in case of chemical accidents.(author)

Oral parafunctional habits among preschool children in Riyadh, Saudi Arabia

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Awrad Aloumi

2018-01-01

Conclusion: Nail-biting habit was highly prevalent among preschool children in Riyadh, followed by mouth breathing, thumb sucking, and teeth clenching. Malocclusion was the main factor related to the habits of thumb sucking and pacifier sucking. Respiratory and tonsils problems were related to mouth breathing. Teeth clenching was highly related to the presence of carious teeth.

Puberty Onset among Boys in Riyadh, Saudi Arabia

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Ibrahim Al Alwan

2010-01-01

Full Text Available Background The ages of onset of pubertal characteristics are influenced by genetic, geographic, dietary and socioeconomic factors; however, due to lack of country-specific norms, clinicians in Saudi Arabia use Western estimates as standards of reference for local children. Aims The aim of the Riyadh Puberty Study was to provide data on pubertal development to determine the average age of onset of pubertal characteristics among Saudi boys. Methods Cross-sectional study among male school children in Riyadh, Saudi Arabia, in 2006, 542 schoolboys, aged 6 to 16 years old, from diverse socioeconomic levels were selected into the sample using a cluster sample design. Tanner stages were ascertained during physical examination by pediatric endocrine consultants, and also trained pediatric residents and fellows. Results The mean age (standard deviation at Tanner Stages 2, 3, 4, and 5 for pubic hair development of Saudi boys was 11.4 (1.6, 13.3 (1.3, 14.4 (1.0 and 15.1 (0.8 years old, respectively. For gonadal development, the mean age (standard deviation at stages 2, 3, 4, and 5 were 11.4 (1.5, 13.3 (1.2, 14.3 (1.1 and 15.0 (0.9 years old, respectively. Conclusion The ages of onset of pubertal characteristics, based on gonadal development, among Saudi boys are comparable to those reported in Western populations.

Impact of shift work on sleep and daytime performance among health care professionals

OpenAIRE

Sultan M. Alshahrani; Abdulsalam A. Baqays; Abdelelah A. Alenazi; Abdulaziz M. AlAngari; Ahmad N. AlHadi

2017-01-01

Objectives: To evaluate sleep quality and daytime sleepiness in health care professionals who are performing shift work. Methods: This cross-sectional study was conducted on 510 health care professionals at Prince Sultan Military Medical City and King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia between December 2015 and April 2016. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS). Particip...

[Impact of headache among studied military population in Afghanistan deployed in the Kabul military field hospital].

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Guilloton, L; Bruneau, O; Trousselard, M; Zagnoli, F; Blanc, P A; De Greslan, T; Drouet, A

2015-11-01

Headaches are a common reason for consultation with a prevalence of 30%. Few data exist for military personnel, including in situations of war operations. The main objective of this work was to measure the evolution of the impact of headache in such a context. Two hundred and one personnel deployed in the Kaïa military field hospital in Afghanistan were recruited. A questionnaire designed to recognize headaches, supported by two quality of life scales (MIDAS and HIT-6) and a stress questionnaire were filled out before departure and upon return from missions. Sixty-three patients with headache were initially identified, of whom 52 remained symptomatic during the mission. The average total score of MIDAS before departure was 4 days and fell to 1.4 days upon return, with a mean measured change of 3.3 days. For HIT-6, the mean total score was 51.2 points initially and 51.9 points at the end of the mission with a mean change of-0.3 points. Nine patients without headache initially became symptomatic: MIDAS and HIT-6 were not affected. Thus, the impact of headache in the particular context of presence in a theater of operations was low: improved MIDAS score and the lack of influence on the HIT-6 score are underlined. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Prevalence of glucose-6-phosphate dehydrogenase deficiency and sickle cell trait among blood donors in Riyadh

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Alabdulaali Mohammed

2010-01-01

Full Text Available Background and Aims: Blood donation from glucose-6-phosphate dehydrogenase (G6PD-deficient and sickle cell trait (SCT donors might alter the quality of the donated blood during processing, storage or in the recipient′s circulatory system. The aim of this study was to determine the prevalence of G6PD deficiency and SCT among blood donors coming to King Khalid University Hospital (KKUH in Riyadh. It was also reviewed the benefits and risks of transfusing blood from these blood donors. Materials and Methods: This cross-sectional study was conducted on 1150 blood samples obtained from blood donors that presented to KKUH blood bank during the period April 2006 to May 2006. All samples were tested for Hb-S by solubility test, alkaline gel electrophoresis; and for G6PD deficiency, by fluorescent spot test. Results: Out of the 1150 donors, 23 (2% were diagnosed for SCT, 9 (0.78% for G6PD deficiency and 4 (0.35% for both conditions. Our prevalence of SCT and G6PD deficiency is higher than that of the general population of Riyadh. Conclusion: We recommend to screen all units for G6PD deficiency and sickle cell trait and to defer donations from donors with either of these conditions, unless if needed for special blood group compatibility, platelet apheresis or if these are likely to affect the blood bank inventory. If such blood is to be used, special precautions need to be undertaken to avoid complications in high-risk recipients.

Diagnostic, evaluation and handling of the tumors of soft tissues. Experience in the Central Military Hospital

International Nuclear Information System (INIS)

Pineda Acero, Gustavo Adolfo; Torres Quintero, Pio

2001-01-01

With the purpose of analyzing the experience of the orthopedics service and traumatology of the central military hospital in the treatment of the tumors of soft tissues, it carries out a descriptive observational study, type series of cases and retrospective. The incidence of the tumors of soft tissues compared with carcinomas and other neoplasia, constitutes less than 1% of all cancerous and the benign ones are more common than the wicked ones in a range of 100:1. The knowledge of the classification, stadification, evaluation strategies, previous biopsy, surgical treatment, radiotherapy y/o chemotherapy is vital for a good final result. 29 clinical histories were included of patient with tumoral lesions in the soft tissues, valued in the central military hospital between March of 1996 and March of 2001. The age average was of 39 years and the pursuit of 24 months. In most of the cases the anatomical commitment belonged to the inferior members (93%), 79% for benign tumors and 21% for wicked tumors. To avoid incorrect diagnoses and inappropriate treatments it is necessary the coordinated evaluation of all multidisciplinary team

Childhood blindness at a school for the blind in Riyadh, Saudi Arabia.

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Kotb, Amgad A; Hammouda, Ehab F; Tabbara, Khalid F

2006-02-01

To determine the major causes of eye diseases leading to visual loss and blindness among children attending a school for the blind in Riyadh, Saudi Arabia. A total of 217 school children with visual disabilities attending a school for the blind in Riyadh were included. All children were brought to The Eye Center, Riyadh, and had complete ophthalmologic examinations including visual acuity testing, biomicroscopy, ophthalmoscopy, tonometry and laboratory investigations. In addition, some patients were subjected to electroretinography (ERG), electrooculography (EOG), measurement of visual evoked potentials (VEP), and laboratory work-up for congenital disorders. There were 117 male students with an age range of 6-19 years and a mean age of 16 years. In addition, there were 100 females with an age range of 6-18 years and a mean age of 12 years. Of the 217 children, 194 (89%) were blind from genetically determined diseases or congenital disorders and 23 (11%) were blind from acquired diseases. The major causes of bilateral blindness in children were retinal degeneration, congenital glaucoma, and optic atrophy. The most common acquired causes of childhood blindness were infections and trauma. The etiological pattern of childhood blindness in Saudi Arabia has changed from microbial keratitis to genetically determined diseases of the retina and optic nerve. Currently, the most common causes of childhood blindness are genetically determined causes. Consanguineous marriages may account for the autosomal recessive disorders. Public education programs should include information for the prevention of trauma and genetic counseling. Eye examinations for preschool and school children are mandatory for the prevention and cure of blinding disorders.

Smartphone addiction among university students in Riyadh, Saudi Arabia

OpenAIRE

Alosaimi, Fahad D.; Alyahya, Haifa; Alshahwan, Hatem; Mahyijari, Nawal Al; Shaik, Shaffi A.

2016-01-01

Objectives: To investigate the prevalence and correlates of smartphone addiction among university students in Saudi Arabia. Methods: This cross-sectional study was conducted in King Saud University, Riyadh, Kingdom of Saudi Arabia between September 2014 and March 2015. An electronic self administered questionnaire and the problematic use of mobile phones (PUMP) Scale were used. Results: Out of 2367 study subjects, 27.2% stated that they spent more than 8 hours per day using their smartphones....

[Ryazan hospital--80 years].

Science.gov (United States)

Klimov, A S; Gromov, M F

2012-02-01

In December 2011 marked 80 years of the founding of the Ryazan garrison hospital, originally housed in two buildings: "Redut housed"--a monument of architecture of the XVIII century and the former almshouses room "for the maimed in the war", was built in 1884 now Ryazan garrison hospital (from 2010--Branch No 6 FSI "in 1586 the district military hospital in the Western Military District", the Defense Ministry of Russia)--a multi-field medical preventive institution on the basis of which soldiers, military retirees, family members and military retirees from Ryazan, Moscow, Tambov regions are treated. Every year more than 7 thousand patients get treatment here. During the counterterrorism operations in Chechnya over 800 wounded were brought to the hospital from the battle area.

Military and Military Medical Support in Highly Pathogenic Avian Influenza (HPAI/H5N1) Pandemic Scenario

International Nuclear Information System (INIS)

Taleski, V.

2007-01-01

Avian influenza (Bird flu) is a highly contagious viral disease affecting mainly chickens, turkeys, ducks, other birds and mammals. Reservoirs for HPAI /H5N1 virus are shore birds and waterfowl (asymptomatic, excrete virus in feces for a long periods of time), live bird markets and commercial swine facilities. Virus tends to cycle between pigs and birds. HPAI (H5N1) virus is on every 'top ten' list available for potential agricultural bio-weapon agents. The threat of a HPAI/H5N1 pandemic is a definitively global phenomenon and the response must be global. A number of National plans led to various measures of preventing and dealing with epidemics/pandemics. Lessons learned form the pandemic history indicated essential role of military and military medical support to civil authorities in a crisis situation. Based on International Military Medical Avian Influenza Pandemic workshop (Vienna 2006), an expected scenario would involve 30-50% outpatients, 20-30% hospital admission, 2-3% deaths, 10-20% complicated cases. Activities of civil hospital may be reduced by 50%. Benefits of military support could be in: Transportation of patients (primarily by air); Mass vaccination and provision of all other preventive measures (masks, Tamiflu); Restriction of movements; Infection control of health care facilities; Field hospitals for triage and quarantine, military barracks to treat milder cases and military hospitals for severe cases; Deal with corpses; Stockpiling (vaccines, antiviral, antibiotics, protective equipment, supplies); Training; Laboratories; Ensure public safety, etc. With the aim of minimizing the risk of a pandemic spread by means of rapid and uncomplicated cooperation, an early warning system has to be established to improve surveillance, improve international contacts (WHO, ECDC, CDC), establish Platform for sharing information, close contacts of national and international military and civilian surveillance networks and databases, cooperation between military

Knowledge and attitude of health professionals in the Riyadh region, Saudi Arabia, toward complementary and alternative medicine

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Abdullah M AlBedah

2012-01-01

Full Text Available Background: Complementary and alternative medicine (CAM is a popular treatment option for many populations. The present work is aimed at studying the knowledge and attitude of health professionals in the Riyadh region, Saudi Arabia, toward CAM. Material and Methods: In this cross-sectional survey, a multistage random sample was taken from health professionals working in hospitals in Riyadh city and surrounding governorates. Data were collected through a self-administered questionnaire, from 306 health professionals working in 19 hospitals, on socio-demographic data, knowledge about CAM and their sources, and attitudes toward CAM practices. Results: Of the participants, 88.9% had some knowledge about CAM. Respondents with a doctorate degree (94.74% and 92.53% of those with a bachelor′s degree had significantly higher knowledge of CAM than subjects with a diploma, a fellowship, or a master′s degree (68.75%, 76.67%, and 85.41%, respectively, P = 0.004. Mass media represented 60.1% of sources of the knowledge of CAM followed by family, relatives, and friends (29.08% and health educational organizations (14.71%. Participants estimated that prophetic medicine including prayer, honey and bee products, medical herbs, Hijama, nutrition and nutritional supplements, cauterization, and camel milk and urine were the most commonly used CAM practices (90.5%, 85%, 76.9%, 70.6%, 61.4%, 55.9%, and 52.5%, respectively in addition to medical massage (61.8% and acupuncture (55%. One hundred and fifteen (80% physicians were ready to talk with their patients on CAM. Conclusion: The willingness to improve knowledge and create a positive attitude in health professionals toward CAM has increased. Religious practices, especially those related to prophetic medicine, are more common in the region. Health educational organizations have to play a greater role by being the source of evidence-based knowledge of CAM. Talking on CAM with patients should be improved by rooting

A Tale of Two Baby-Friendly Hospitals: Comparison of a Military and a Civilian Experience.

Science.gov (United States)

Terry, Melissa V; Barnes, Courtney; Beal, Katie; Enciso, Angel Jaime; Love-Zaranka, Angela

2016-10-01

To compare and contrast military hospital and civilian hospital experiences of achieving Baby-Friendly designation, and to examine administration and staff responses as well as institutional and patient postimplementation outcomes. Staff, administration, and chairs of Baby-Friendly committees at both hospitals were interviewed. Motivating factors and perceived administrative support were similar at both institutions. Both sites saw an increase in exclusive breastfeeding rates upon discharge to a rate of 80-90%, and both noted an overall increase in delivery rates, which may also be attributed to achieving Baby-Friendly designation. Significant differences included the amount of time it took to achieve Baby-Friendly status, the number of specialties represented on the Baby-friendly committee, the percentage of employees who received training, pediatrics involvement and support, and funding sources for staff training.

Impact of shift work on sleep and daytime performance among health care professionals

OpenAIRE

Alshahrani, Sultan M.; Baqays, Abdulsalam A.; Alenazi, Abdelelah A.; AlAngari, Abdulaziz M.; AlHadi, Ahmad N.

2017-01-01

Objectives: To evaluate sleep quality and daytime sleepiness in health care professionals who are performing shift work. Methods: This cross-sectional study was conducted on 510 health care professionals at Prince Sultan Military Medical City and King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia between December 2015 and April 2016. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS). Participants were...

Planning guidance for emergency response to a hypothetical nuclear attack on Riyadh, Saudi Arabia

Science.gov (United States)

Shubayr, Nasser Ali M.

The threat of nuclear attack will remain imminent in an ever-advancing society. Saudi Arabia is not immune to this threat. This dissertation establishes planning guidance for response to a nuclear attack on Riyadh, the capital of Saudi Arabia, based on a hypothetical scenario of a nuclear detonation. A case scenario of a one-megaton thermonuclear bomb detonated at ground level over Riyadh is used to support the thesis. Previous nuclear tests and the Hiroshima and Nagasaki bombings have been used to present possible effects on Riyadh. US planning guidance and lessons learned from the Chernobyl and Fukushima nuclear plants accidents have been used to develop the emergency response guidance. The planning guidance outlines a rapid response to the nuclear detonation. Four damage zones have been identified; severe damage zone, moderate damage zone, light damage zone and dangerous fallout zone. Actions that are recommended, and those that should be avoided, have been determined for each zone. Shelter/ evacuation evaluation for blast-affected and fallout-affected areas is the basis for the recommendation that shelter in place is the best decision for the first hours to days after the attack. Guidelines for medical care response and population monitoring and decontamination are included to reduce the early and long-term effects of the attack. Recommendations to the Saudi Arabian authorities have been made to facilitate suitable preparedness and response for such an event.

Indoor-outdoor nitric oxide and nitrogen dioxide concentrations at three sites in Riyadh, Saudi Arabia

Energy Technology Data Exchange (ETDEWEB)

Rowe, D.R. (D.R. Rowe Engineering Services, Inc., Bowling Green, KY (United States)); Al-Dhowalia, K.H.; Mansour, M.E. (King Saud Univ., Riyadh (Saudi Arabia))

1991-08-01

The objective of this study was to evaluate the nitric oxide and nitrogen oxide concentrations indoors and outdoors at three sites in Riyadh, Saudi Arabia. Results show that the outdoor and indoor concentrations for NO were at least 270 and 16 times the reported average worldwide NO concentrations, respectively. The NO(sub 2) concentrations were about 14 times reported outdoor worldwide levels; however, NO(sub 2) concentrations indoors were generally below those reported in the literature. The data presented, in combination with information presented in previous articles, will provide a valuable background database for use in dispersion models to determine the effect of the Kuwaiti oil well fires on the air quality of Riyadh.

Quality Assurance for Radiographic Imaging (Military Corps Hospitals in Khartoum State) in Sudan

International Nuclear Information System (INIS)

Mohamad, M. Y.

2007-01-01

The purpose of this study is to evaluate the Quality Assurance procedures in the Military Corps in Khartoum state, through the comprehensive Quality Control QC procedures of the x-ray machines and darkrooms in the x-ray departments, and to provide a Quality Assurance Manual to support the federal ministry of Health running QA program. This study is the first time that the departments of the Military Corps apply QC tests on their x-ray machines. The total number of x-ray machines in Khartoum state is 10 machines with 4 darkrooms. Only three of the x-ray machines are tested and the results showed that there are unacceptable parameters of the major exposure factors which determine the image quality. The percentage of accuracy defects are 67% for kVp Accuracy, 67% for Time Accuracy, 33% for Relative mA Linearity, 33% for Relative mAs Linearity, 67% for kVp Reproducibility, 67% for Collimator test. Also the tested darkrooms showed that the percentage of unacceptable parameters as: 15% for tested intensifying screens, 18% for tested Cassettes, 100% for light leakage, 67% for Safelight. Reject film Analysis showed that 5.3% and 10% is the reject percentage during four months for the main and casualty centers respectively. Personal monitoring records showed that the dose is within the dose limits the maximum and minimum Dose equivalent in 2001 is 4.231 Sv, 0.154 Sv and in 2002 is 2.736 Sv, 0.167 Sv consequently, and the monitoring has been stopped since July 2002. Also the study reveals that only 4% from the total cost of the x-ray machines owned by the mentioned hospitals is the price of the QC test tools equipments. The study gives a review of all definitions and QC procedures needed for the QA manual and can be referenced as a QA Manual for the Military Corps or any other hospital.

Intimate partner relationship stress and suicidality in a psychiatrically hospitalized military sample.

Science.gov (United States)

LaCroix, Jessica M; Colborn, Victoria A; Hassen, Helena O; Perera, Kanchana U; Weaver, Jennifer; Soumoff, Alyssa; Novak, Laura A; Ghahramanlou-Holloway, Marjan

2018-07-01

Suicide among United States service members is a significant public health concern. Intimate partner relationship stress may contribute to suicide risk, as a failed or failing relationship is the most commonly documented stressor preceding military suicide attempts and deaths. However, little is known about the manner by which relationship stressors are associated with the experience of military suicidality. A sample of 190 psychiatrically hospitalized military personnel and adult dependents enrolled in an ongoing randomized controlled trial evaluating the efficacy of an inpatient cognitive behavioral treatment for suicidality were included in this study. Analyses examined depression, hopelessness, and suicidality among participants with (n = 105) and without (n = 85) self-reported romantic relationship stress. Over half (55%) of the sample reported current romantic relationship stress. Compared to participants without current romantic relationship stress, results indicated that individuals reporting current romantic relationship stress were more hopeless (AOR = 1.07 (95% CI: 1.01-1.12), p = 0.020), more likely to endorse multiple suicide attempts (AOR = 1.96 (95% CI: 1.01-3.79), p = 0.046), had higher overall suicide risk (AOR = 2.49, (95% CI: 1.03-6.06), p = 0.044), and were more likely to report that the reason for their suicidality was at least in part to get a reaction from others. Findings suggest romantic relationship stress is associated with greater suicide risk, and have clinical implications for suicide prevention and intervention. Future research may examine mechanisms and pathways between romantic relationship stress, suicidality, and prevention and intervention strategies. Published by Elsevier Inc.

Non prescribed sale of antibiotics in Riyadh, Saudi Arabia: a cross sectional study.

Science.gov (United States)

Bin Abdulhak, Aref A; Altannir, Mohamad A; Almansor, Mohammed A; Almohaya, Mohammed S; Onazi, Atallah S; Marei, Mohammed A; Aldossary, Oweida F; Obeidat, Sadek A; Obeidat, Mustafa A; Riaz, Muhammad S; Tleyjeh, Imad M

2011-07-07

Antibiotics sales without medical prescriptions are increasingly recognized as sources of antimicrobial misuse that can exacerbate the global burden of antibiotic resistance. We aimed to determine the percentage of pharmacies who sell antibiotics without medical prescriptions, examining the potential associated risks of such practice in Riyadh, Saudi Arabia, by simulation of different clinical scenarios. A cross sectional study of a quasi-random sample of pharmacies stratified by the five regions of Riyadh. Each pharmacy was visited once by two investigators who simulated having a relative with a specific clinical illness (sore throat, acute bronchitis, otitis media, acute sinusitis, diarrhea, and urinary tract infection (UTI) in childbearing aged women). A total of 327 pharmacies were visited. Antibiotics were dispensed without a medical prescription in 244 (77.6%) of 327, of which 231 (95%) were dispensed without a patient request. Simulated cases of sore throat and diarrhea resulted in an antibiotic being dispensed in (90%) of encounters, followed by UTI (75%), acute bronchitis (73%), otitis media (51%) and acute sinusitis (40%). Metronidazole (89%) and ciprofloxacin (86%) were commonly given for diarrhea and UTI, respectively, whereas amoxicillin/clavulanate was dispensed (51%) for the other simulated cases. None of the pharmacists asked about antibiotic allergy history or provided information about drug interactions. Only 23% asked about pregnancy status when dispensing antibiotics for UTI-simulated cases. We observed that an antibiotic could be obtained in Riyadh without a medical prescription or an evidence-based indication with associated potential clinical risks. Strict enforcement and adherence to existing regulations are warranted.

Non prescribed sale of antibiotics in Riyadh, Saudi Arabia: A Cross Sectional Study

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Obeidat Sadek A

2011-07-01

Full Text Available Abstract Background Antibiotics sales without medical prescriptions are increasingly recognized as sources of antimicrobial misuse that can exacerbate the global burden of antibiotic resistance. We aimed to determine the percentage of pharmacies who sell antibiotics without medical prescriptions, examining the potential associated risks of such practice in Riyadh, Saudi Arabia, by simulation of different clinical scenarios. Methods A cross sectional study of a quasi-random sample of pharmacies stratified by the five regions of Riyadh. Each pharmacy was visited once by two investigators who simulated having a relative with a specific clinical illness (sore throat, acute bronchitis, otitis media, acute sinusitis, diarrhea, and urinary tract infection (UTI in childbearing aged women. Results A total of 327 pharmacies were visited. Antibiotics were dispensed without a medical prescription in 244 (77.6% of 327, of which 231 (95% were dispensed without a patient request. Simulated cases of sore throat and diarrhea resulted in an antibiotic being dispensed in (90% of encounters, followed by UTI (75%, acute bronchitis (73%, otitis media (51% and acute sinusitis (40%. Metronidazole (89% and ciprofloxacin (86% were commonly given for diarrhea and UTI, respectively, whereas amoxicillin/clavulanate was dispensed (51% for the other simulated cases. None of the pharmacists asked about antibiotic allergy history or provided information about drug interactions. Only 23% asked about pregnancy status when dispensing antibiotics for UTI-simulated cases. Conclusions We observed that an antibiotic could be obtained in Riyadh without a medical prescription or an evidence-based indication with associated potential clinical risks. Strict enforcement and adherence to existing regulations are warranted.

Flood hazards in an urbanizing watershed in Riyadh, Saudi Arabia

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Hatim O. Sharif

2016-03-01

Full Text Available Riyadh, the capital of the Kingdom of Saudi Arabia, has experienced unusual levels of urbanization in the past few decades, making it one of the fastest growing cities in the world. This paper examines flood hazards in the rapidly urbanizing catchment of Al-Aysen in Riyadh. Remote sensing and geographic information system techniques were employed to obtain and prepare input data for hydrologic and hydraulic models, with the former based on the very popular curve number approach. Due to the limited nature of the rainfall data, observations from two rain gauges in the vicinity of the catchment were used to estimate design storms. The hydrologic model was run in a semi-distributed mode by dividing the catchment into many sub-catchments. The impact of urbanization on run-off volume and peak discharge resulting from different storms was investigated, with various urbanization scenarios simulated. Flood hazard zones and affected streets were also identified through hydrologic/hydraulic model simulation. The mismatch between administrative and catchment boundaries can create problems in flood risk management for similar cities since hydrologic processes and flood hazards are based on the hydrologic connectivity. Since flooding events impact the road network and create driving hazards, governmental decision-makers must take the necessary precautions to protect drivers in these situations.

A baseline study of drug prescribing practices in a Nigerian military ...

African Journals Online (AJOL)

Military facilities provide health care services to an important segment of both themilitary and civil population. Methods: The aim of this study was to evaluate drug prescribing practices at a Nigerian military hospital (MilitaryHospital, Ikoyi, Lagos) and tomake recommendations for its improvement.UsingWHOrational drug use ...

The Prevalence of Organized Retail Crime in Riyadh, Saudi Arabia

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Saleh Dabil

2014-01-01

This study investigates the level of existence of organized retail crime in supermarkets of Riyadh, Saudi Arabia. The store managers, security managers and general employees were asked about the types of retail crimes occur in the stores. Three independent variables were related to the report of organized retail theft. The independent variables are: 1) the supermarket profile (volume, location, standard and type of the store), 2) the social physical environment of the store (maintenance, clea...

Management accounting and rationalisation in the Army: The case of Spanish Military Hospitals in the 18th century

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Juan Baños Sánchez-Matamoros

2014-01-01

Full Text Available The present paper deals with one of the most neglected areas of research in accounting, that of the Army. In spite of the literature on industries related to the Army, not too much has been extended on the Army per se. For this reason, this paper analyses the process of rationalization developed in the 18th century in Spanish Army Hospitals, as a result of the bankruptcy of the Royal Finances. Due to this process, the Military Hospitals were the most developed in the country, and it led to the emergence of the Contralor (Controller within the hospital, and thus accounting was considered as an essential matter.

Use of child restraint system and patterns of child transportation in Riyadh, Saudi Arabia.

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Alsanea, Mohammd; Masuadi, Emad; Hazwani, Tarek

2018-01-01

Child restraint system (CRS) is designed to protect children from injury during motor vehicle crash (MVC). However, there is no regulation or enforcement of CRS use in Saudi Arabia. This study estimated the prevalence of CRS use and identified patterns of child transportation in Riyadh, Saudi Arabia. In this cross-sectional study, a self-administered questionnaire was distributed across Riyadh targeting families who drove with children aged less than 5 years. The questionnaire inquired about CRS availability, patterns of child transportation if a CRS was unavailable, seat belt use by the driver and adult passengers, and the perception of CRS. Of 385 respondents, only 36.6% reported the availability of a CRS (95% CI: 31.8-41.7%), with only half of those reported consistent use 74 (52.2%). Nearly 30% of all children aged less than 5 years were restrained during car journeys. Sitting on the lap of an adult passenger on the front seat was the most common pattern of child transportation (54.5%). Approximately 13.5% of respondents were involved in an MVC while driving with children; 63.5% of these children were unprotected by any safety system. Seat belt use by drivers was low, with only 15.3% reporting constant use. The prevalence of CRS use in Riyadh is low, and safety practices are seldom used by drivers and passengers. In addition to legal enforcement of CRS use, implementation of a child transportation policy with age-appropriate height and weight specifications is imperative.

Fungi of the house dust in Riyadh, Saudi Arabia.

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Saad, R R; el-Gindy, A A

1990-01-01

30 species belonging to 18 genera were isolated from floor dust of 30 homes in Riyadh. Out of them 16 species and 10 genera were isolated from dust of air conditioners of the same homes. The most common genera in floor dust were Aspergillus, Penicillium and Cladosporium. Aspergillus repens, A. amstelodami, A. versicolor, A. fumigatus, Penicillium purpurogenum, P. crustosum, Cladosporium cladosporoides and C. herbarum were frequently isolated. The most abundant genera in air conditioner dust were Aspergillus and Penicillium. Aspergillus fumigatus, A. ochraceus, A. terreus, Penicillium oxalicium and P. crustosum were most frequent species.

5 year Survey of Carcinoma Breast at No.(2) Military Hospital (1987 to 1991)

Energy Technology Data Exchange (ETDEWEB)

Pe, Aye; Saw, Kaythi; Mon, Shu; Aung, Yin Yin [Department of Medical Oncology, Yangon, (Myanmar)

1993-03-15

Over 250 cases of carcinoma of Breast in different stages, treated by Joint Cancer Clinic (JCC) of No (2) Military Hospital over 5 years (1987 to 1991) were analysed. Different combination of drugs CMF, CMF(P),CMFVP and COFA regimes were given either alone on in combination with local radiation therapy after surgery- lumpectomy or extended simple mastectomy. Hormonal therapy was also added to the standard method of treatment in most of the cases. Results were evaluated in different arms of treatment. The value of immunotherapy and neochemotherapy were also studied.

5 year Survey of Carcinoma Breast at No.(2) Military Hospital (1987 to 1991)

International Nuclear Information System (INIS)

Aye Pe; Kaythi Saw; Shu Mon; Yin Yin Aung

1993-03-01

Over 250 cases of carcinoma of Breast in different stages, treated by Joint Cancer Clinic (JCC) of No (2) Military Hospital over 5 years (1987 to 1991) were analysed. Different combination of drugs CMF, CMF(P),CMFVP and COFA regimes were given either alone on in combination with local radiation therapy after surgery- lumpectomy or extended simple mastectomy. Hormonal therapy was also added to the standard method of treatment in most of the cases. Results were evaluated in different arms of treatment. The value of immunotherapy and neochemotherapy were also studied

Perceptions of gender equality, work environment, support and social issues for women doctors at a university hospital in Riyadh, Kingdom of Saudi Arabia.

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Baqi, Shehla; Albalbeesi, Amal; Iftikhar, Sundus; Baig-Ansari, Naila; Alanazi, Mohammad; Alanazi, Awadh

2017-01-01

The Kingdom of Saudi Arabia (KSA) is an Islamic monarchy and was established in 1932. Saudi women first entered the medical field in 1975 and the country has since seen a steady increase in women pursuing medicine. However, there is limited data on gender related issues for women doctors practicing in Saudi Arabia. Therefore, our study objective was to assess the perception amongst peers regarding gender equality and social issues faced by women doctors in Saudi Arabia. An online anonymous cross-sectional survey was administered in English to doctors at King Khalid Hospital, affiliated to King Saud University, in Riyadh, between April and May of 2016. Of 1015 doctors, 304 (30%) participated, of which 129 (42.4%) were females and 231 (76%) were Saudi nationals. The average age was 32.4 years (±SD: 8.7). The majority opined that there was no gender discrimination in salaries (73.7% p-value = 0.4), hospital benefits (62.2% p-value = 0.06) or entry into any field of Medicine/Pediatrics (68.4% p-value = 0.207). However, only a minority believed that there was no gender discrimination for entry into surgery (37.3% p-value = .091). A higher proportion of male doctors agreed that promotion opportunities are equal (66.3% vs 45.7%, p-value = 0.002). However, of 54 consultants, only 18 (33.3%) were women. Over half of the women (52.3%) reported that they never wear the face veil. Only a minority of male and female doctors (12.2%) believed women doctors should wear the veil since they examine male patients. Fewer respondents believed that female doctors face harassment from male doctors (14.5%) whereas 30.7% believed female doctors face harassment from male patients. More females, than males, agreed with the statement that female doctors are as committed to their careers as are males (92.2% vs 67.4%, p-valueequal proportions between males and females (68% vs 70.5%, p-value = 0.79). In conclusion, our survey of male and female doctors at a government university hospital in

Use of child restraint system and patterns of child transportation in Riyadh, Saudi Arabia.

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Mohammd Alsanea

Full Text Available Child restraint system (CRS is designed to protect children from injury during motor vehicle crash (MVC. However, there is no regulation or enforcement of CRS use in Saudi Arabia. This study estimated the prevalence of CRS use and identified patterns of child transportation in Riyadh, Saudi Arabia.In this cross-sectional study, a self-administered questionnaire was distributed across Riyadh targeting families who drove with children aged less than 5 years. The questionnaire inquired about CRS availability, patterns of child transportation if a CRS was unavailable, seat belt use by the driver and adult passengers, and the perception of CRS.Of 385 respondents, only 36.6% reported the availability of a CRS (95% CI: 31.8-41.7%, with only half of those reported consistent use 74 (52.2%. Nearly 30% of all children aged less than 5 years were restrained during car journeys. Sitting on the lap of an adult passenger on the front seat was the most common pattern of child transportation (54.5%. Approximately 13.5% of respondents were involved in an MVC while driving with children; 63.5% of these children were unprotected by any safety system. Seat belt use by drivers was low, with only 15.3% reporting constant use.The prevalence of CRS use in Riyadh is low, and safety practices are seldom used by drivers and passengers. In addition to legal enforcement of CRS use, implementation of a child transportation policy with age-appropriate height and weight specifications is imperative.

Satisfaction of Patients Attending in Primary Healthcare Centers in Riyadh, Saudi Arabia: A Random Cross-Sectional Study.

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Almutairi, Khalid M

2017-06-01

This study aims to determine the level of satisfaction of patients who visit primary healthcare centers in Riyadh, Saudi Arabia. The investigation was a cross-sectional study conducted in twenty randomly selected primary healthcare centers in Riyadh, Saudi Arabia from October to December 2014. A descriptive data analysis was performed. Eligible participants had visited at least one of the selected primary healthcare centers within the past 12 months. A total of 1741 participants completed the survey, providing a response rate of 87 % (43 % male, 57 % female). The highest satisfaction rates were in the following areas: comprehensiveness and coordination 76.2 % (95 % CI 74.8 ± 77.5), communication 72.7 % (95 % CI 71.3 ± 74) and attitude of staff 73.4 % (95 % CI 72.1 ± 74.8) The areas of greatest concern expressed by the participants were the length of the wait and the quality of the facility 55.4 % (95 % CI 53.3 ± 57.5), 50.5 % (95 % CI 48.3 ± 52.7), respectively. The majority of the patients attending primary healthcare centers in Riyadh showed high levels of satisfaction; however, there are still some factors that need to be considered and improved upon. These include the accessibility of primary healthcare centers as well as waiting time of patients. The results of the current study showed relative improvement in other factors such as comprehensiveness and coordination, communication and attitude of staff. The level of satisfaction of patients and stakeholders shows the progress of the quality of care in healthcare facilities in Riyadh, Saudi Arabia.

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

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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.

Patterns of Self-Medication Behavior for Oral Health Problems Among Adults Living in Riyadh, Saudi Arabia

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Arwa Aldeeri

2018-02-01

Full Text Available Abstract: Self-medication is a widespread behavior worldwide. It is defined as the practice of self-diagnosis and drug prescription without proper professional consultation. Aim: To determine the prevalence and predictors of self-medication for oral health problems among adults living in Riyadh city. Methods: A cross-sectional study based on a structured close-ended questionnaire was distributed among adults visiting shopping malls in all different five regions of Riyadh. A two-stage sampling technique was used: cluster and simple random sampling. The questionnaire was composed of two main sections: demographic characteristics and questions assessing the behavior of self-medication. Results: The prevalence of self-medication was found to be 63.25%, with a higher prevalence among females than males. Gender and nationality were significantly associated with self-medication. Salt in hot water locally (52.57% and acetaminophen (47.43%, a type of an analgesic, were, systemically, the most frequently used. Pharmacy shops were the main source of these medicaments (66.01%. Similarly, the advice for using them was mainly given by pharmacists (53.36%. Lack of time was claimed to be the main reason for practicing self-medication (54.55% with abscess, toothache, and gingival bleeding being the main predictors. Conclusions: Self-medication was found to be a common practice among the population of Riyadh city.

Infection control practice in private dental laboratories in Riyadh

International Nuclear Information System (INIS)

AlKheraif, Abdulaziz A; Mobarak, Fahmy A

2008-01-01

In view of the risk of infection of dental health care workers and patients, interruption of possible chains of infection is to be demanded. The objective of this study was to assess infection control practice in private dental laboratories in Riyadh City, Kingdom of Saudi Arabia. The study was conducted on thirty-two private dental laboratories in Riyadh City regarding infection control practiced by these laboratories. The instrument of the study consisted of ten open-ended questions that were asked from the laboratories directors. A large percentage of the surveyed laboratories (87.5 %) did not implement any infection control protocol during their practice. The mean number of impressions received per week was 16. Most of the surveyed laboratories (90.6 %) had no way of communication with the clinics regarding the disinfection procedures. The results indicated that 62.5 % of the laboratories reported that they were aware that they may get infection from non-disinfected items. Only a small percentage (6.2%) of the laboratories added disinfecting agent to pumice slurry. Wearing laboratory coats was reported by 75% of the laboratory workers. The use of gloves during work was reported by 59.3% of the laboratories while 56.2% reported the use protective eyewear. Only 21.8% of the laboratories use face masks during work. Construction of infection control manuals that contain updated and recommended guidelines to ensure aseptic practice in private dental laboratories is highly recommended. Also, a way of communication between dentists and dental technicians regarding disinfection of laboratory items should be strongly encouraged. (author)

Oral health knowledge, attitude and practices among health professionals in King Fahad Medical City, Riyadh

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Mohammad Abdul Baseer

2012-01-01

Conclusion: Oral health knowledge among the health professionals working in KFMC, Riyadh was lower than what would be expected of these groups, which had higher literacy levels in health care, but they showed a positive attitude toward professional dental care.

[The chief surgeon Claude Louis Sommé (1772-1855) French military physician, surgeon of Antwerp hospital].

Science.gov (United States)

Tricot, Jean-pierre

2015-01-01

Claude Louis Sommé was born in Paris in 1772. After surgical studies between 1790 and 1792, he successfully embraced a military career in the armies of Napoleon at different fronts and in several hospitals. In 1806 he submitted his doctoral thesis at the Special Medical School of Strasburg, Dissertation upon Pain. The same year he presented his dismissal from he imperial armies and became chief-surgeon at the St Elisabeth hospital of Antwerp where he stayed on duty until his death in 1855. Sommé wrote a lot of medical books: surgical, anatomical and physiological. After the battle of Waterloo one third of the injured soldiers were transferred to Antwerp and were attended in his department. He also played an important role as a professor at the Primary Medical School of Antwerp. Sommé also created the botanical garden of Antwerp, close to the hospital.

Perceptions of gender equality, work environment, support and social issues for women doctors at a university hospital in Riyadh, Kingdom of Saudi Arabia.

Directory of Open Access Journals (Sweden)

Shehla Baqi

Full Text Available The Kingdom of Saudi Arabia (KSA is an Islamic monarchy and was established in 1932. Saudi women first entered the medical field in 1975 and the country has since seen a steady increase in women pursuing medicine. However, there is limited data on gender related issues for women doctors practicing in Saudi Arabia. Therefore, our study objective was to assess the perception amongst peers regarding gender equality and social issues faced by women doctors in Saudi Arabia. An online anonymous cross-sectional survey was administered in English to doctors at King Khalid Hospital, affiliated to King Saud University, in Riyadh, between April and May of 2016. Of 1015 doctors, 304 (30% participated, of which 129 (42.4% were females and 231 (76% were Saudi nationals. The average age was 32.4 years (±SD: 8.7. The majority opined that there was no gender discrimination in salaries (73.7% p-value = 0.4, hospital benefits (62.2% p-value = 0.06 or entry into any field of Medicine/Pediatrics (68.4% p-value = 0.207. However, only a minority believed that there was no gender discrimination for entry into surgery (37.3% p-value = .091. A higher proportion of male doctors agreed that promotion opportunities are equal (66.3% vs 45.7%, p-value = 0.002. However, of 54 consultants, only 18 (33.3% were women. Over half of the women (52.3% reported that they never wear the face veil. Only a minority of male and female doctors (12.2% believed women doctors should wear the veil since they examine male patients. Fewer respondents believed that female doctors face harassment from male doctors (14.5% whereas 30.7% believed female doctors face harassment from male patients. More females, than males, agreed with the statement that female doctors are as committed to their careers as are males (92.2% vs 67.4%, p-value<0.0001. Of 304 participants, 210 (69.1% said that they would still choose to become a doctor with approximately equal proportions between males and females (68% vs

Pattern of childhood malignancies at combined military hospital, rawalpindi

International Nuclear Information System (INIS)

Saleem, M.Z.; Haq, M.Z.U.; Badsha, S.

2012-01-01

Objective: To document distribution of childhood malignancies among Paediatric Oncology patients. Study design: Descriptive study Place and duration of study: Department of Paediatric Oncology, Combined Military Hospital, Rawalpindi from June 2006 to May 2007. Methodology: We collected data of 141 consecutive newly diagnosed paediatric oncology patients. Demographics (age and gender) and types of malignancy (diagnosed on histopathology) were collected in all cases. Results: Of the total patients 90 were male, 51 female with a male to female ratio of 1.76. Childhood malignancies found were leukaemia (60.3%) lymphomas (11.3%), bone tumours (4.3%), brain tumours (2.8%), germ cell tumours (3.5%), retinoblastoma (7.1%), neuroblastoma (3.5%), Wilms tumour (2.8%), rhabdomyosarcoma (2.1%), hepatoblastoma (1.4%) and synovial sarcoma(0.7%).Mean age at diagnosis was 5.4 +- 3.05 years. 24 (17%) patients were from Punjab, 9 (6.4%) from Sindh, 82 (58.2%) from Khyber Pakhtunkhwa, 5 (3.5%) from Baluchistan and 21 (14.9%) from Azad Jammu and Kashmir (AJK). Conclusion: This study showed that distribution varies according to gender, age and geography. Leukemia is the commonest childhood malignancy. Our research findings are useful for prioritizing future childhood cancer research needs. (author)

A hospital based autopsy study of 50 cases at combined military hospital (cmh), sialkot

International Nuclear Information System (INIS)

Asif, N.

2014-01-01

To analyze the pattern of deaths on autopsy carried out on Armed Forces personnel in CMH Sialkot. Study Design: Retrospective analytical study Place and Duration of Study: Combined Military Hospital Sialkot (CMH), from 2009 to 2012 Materials and Methods: In a total of fifty (50) cases detailed postmortems were carried out and gross features on external examination and different systemic examinations were recorded. Histopathology of various organs was done in all cases. Chemical and toxicological examination of various abdominal viscera was carried out in all sudden and suspicious deaths. Results: Ischemic Heart Disease (IHD) was most common cause of death (38%) followed by road traffic accidents (14%) and electrocution (8%). Sudden adult death syndrome accounted for 4 cases of deaths. Other causes were drowning, cerebral malaria, heat stroke, gunshot wounds, myocarditis, brain hemorrhage, meningitis and diabetic ketoacidosis. Most of these cases were young soldiers (n=30) followed by Non-Commissioned Officers (n=17). Conclusion: A large number of our young soldiers dying of heart problems is an alarming situation. Awareness among the troops of various risk factors is most important. Precautionary measures against preventable causes should be taken. (author)

High prevalence of the PER-1 gene among carbapenem-resistant Acinetobacter baumannii in Riyadh, Saudi Arabia.

Science.gov (United States)

Aly, M M; Abu Alsoud, N M; Elrobh, M S; Al Johani, S M; Balkhy, H H

2016-11-01

The prevalence of carbapenem-resistant Acinetobacter baumannii in Saudi Arabia and their resistance genetic mechanisms are yet to be identified. We studied the prevalence and genetic diversity of extended-spectrum beta-lactamase genes, particularly the PER-1 gene, among carbapenem-resistant A. baumannii strains from patients at a tertiary care hospital in Riyadh, Saudi Arabia between 2006 and 2014. Fresh subcultured samples were tested for antimicrobial susceptibility minimum inhibitory concentration (MIC). Total genomic DNA was extracted from each isolate and further used for polymerase chain reaction (PCR) genotyping, sequence-based typing (SBT) of PER-1 and OXA-51-like gene, and multilocus sequence typing (MLST) of positive isolates. Randomly selected clinical isolates (n = 100) were subjected to MLST. A total of 503 isolates were characterized as multidrug-resistant (MDR) using the MIC. Isolates were further PCR tested for bla -TEM and bla -PER-1 resistance genes (n = 503). The genotyping results showed that 68/503 (14 %) isolates were positive to bla TEM. The genotyping results of PER-1-like genes showed that 384/503 (76.3 %) were positive among MDR Acinetobacter isolates. Based on SBT, the majority of these isolates were clustered into three main groups including isolates harboring PER-1: AB11 (bla -PER-1 ), isolate AB16 (bla -PER-1 ), and, finally, the plasmid pAB154 (bla -PER-7 ). Remarkably, many isolates were concealing the PER-1 gene and harboring the TEM resistance genes as well. MLST results for selected isolates (n = 100) identified four main sequence types (STs: 2, 19, 20, and 25) and four novel isolates (ST 486-489). We report 76.3 % prevalence of the PER-1 resistance gene among Acinetobacter clinical isolates from Riyadh, Saudi Arabia. Further work is needed to explore the clinical risks and patient outcome with such resistance related to healthcare-associated infections and investigate the genetic and molecular mechanisms that confer the MDR

[Problems of military medical examination of military servicemen suffering from chronic obstructive pulmonary disease].

Science.gov (United States)

Chapliuk, A L; Brovkin, S G; Kal'manov, A S; Bulavin, V V

2015-02-01

The authors showed that at the present time military much more servicemen, suffering from obstructive pulmonary disease, may receive medical examination in outpatient conditions. Series of researches allow us to perform a medical examination on an outpatient basis. The calculation of the cost-effectiveness of health services to such patients during a military medical examination in the hospital and clinics was made. Savings during the examination in the clinic for 1 patient was 2829 rubbles.

Military Construction: Process and Outcomes

Science.gov (United States)

2016-12-14

barracks, schools, hospitals, child development centers, and other facilities needed to support U.S. military forces at home and overseas. This military...and programming into the President’s budget could take three or more years. Furthermore, it is important to note that only those projects that have...travel, fuel, minor construction projects of $1M or less, training and education , and depot maintenance, and base operations support. O&M

[Impact of sugammadex on neuromuscular blocking agents use: a multicentric, pharmaco-epidemiologic study in French university hospitals and military hospitals].

Science.gov (United States)

Beny, K; Piriou, V; Dussart, C; Hénaine, R; Aulagner, G; Armoiry, X

2013-12-01

Seven Neuromuscular Blocking Agents (NMBA) are commercialized in France. Four of them have an intermediate duration of action. Sugammadex required the use of NMBA slightly employed in clinical practice in France. Its introduction in routine practice could have an impact on NMBA use in clinical practice. This study was then conducted to assess and compare NMBA use before and after the commercialization of sugammadex. A longitudinal, retrospective, observational study was conducted between 2008 and 2011 in French university hospitals and military hospitals. The consumption data for sugammadex and NMBA were collected using a collection grid which was filled by pharmacists or anesthesiologists. Drug use was measured by the number of vials used divided by the annual number of hospitalizations in surgery and obstetrics (HSO). An overall analysis of the annual frequency of NMBA use was firstly performed, then individual data of each hospital were analyzed. Descriptive statistical analysis including mean, standard deviation, median, minimum and maximum was achieved. Thirty-four out of 39 hospitals participated in the study (87%) and analysis was performed on 26 of them (7%). The data of eight institutions were excluded due to missing values or because of the non-admission of sugammadex in their formulary. The NMBA mostly used were non-steroidal NMBA (75% of market share) with an increased use between 2008 and 2011 concerning atracurium (from 41 to 51 vials of 50mg atracurium used per 100 HSO). The overall analysis revealed an increase of the occurrence of rocuronium (between 2008 and 2011: from 1 to 4.8 vials of 50mg rocuronium used per 100 HSO). Individual analyses on each hospital showed a possible effect of sugammadex introduction on NMBA use in nine hospitals. The commercialization of sugammadex seems to have induced a discrete increase of steroidal NMBA but non-steroidal NMBA remain the leading agent in France. A long-term follow-up is deserved. Copyright © 2013 Soci

The Reasons for Living Scale-Military Version: Assessing Protective Factors Against Suicide in a Military Sample.

Science.gov (United States)

Deutsch, Anne-Marie; Lande, R Gregory

2017-07-01

Military suicide rates have been rising over the past decade and continue to challenge military treatment facilities. Assessing suicide risk and improving treatments are a large part of the mission for clinicians who work with uniformed service members. This study attempts to expand the toolkit of military suicide prevention by focusing on protective factors over risk factors. In 1983, Marsha Linehan published a checklist called the Reasons for Living Scale, which asked subjects to check the reasons they choose to continue living, rather than choosing suicide. The authors of this article hypothesized that military service members may have different or additional reasons to live which may relate to their military service. They created a new version of Linehan's inventory by adding protective factors related to military life. The purpose of these additions was to make the inventory more acceptable and relevant to the military population, as well as to identify whether these items constitute a separate subscale as distinguished from previously identified factors. A commonly used assessment tool, the Reasons for Living Inventory (RFL) designed by Marsha Linehan, was expanded to offer items geared to the military population. The RFL presents users with a list of items which may be reasons to not commit suicide (e.g., "I have a responsibility and commitment to my family"). The authors used focus groups of staff and patients in a military psychiatric partial hospitalization program to identify military-centric reasons to live. This process yielded 20 distinct items which were added to Linehan's original list of 48. This expanded list became the Reasons for Living-Military Version. A sample of 200 patients in the military partial hospitalization program completed the inventory at time of or close to admission. This study was approved by the Institutional Review Board at Walter Reed National Military Center for adhering to ethical principles related to pursuing research

The Impact of Bilingualism on the Creative Capabilities of Kindergarten Children in Riyadh, Saudi Arabia

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Al Saud, Al Johara Fahad

2016-01-01

Saudi Arabia is one of the countries that encounter the issue of bilingualism due to the spread of private schools that offer programs in different languages. This research is an attempt to investigate the impact of bilingualism on the creative capabilities (Fluency, Flexibility, Originality, Details) of kindergarten children in Riyadh. It aims at…

Application of ultrasound examination in tactical conditions illustrated with an example of the Field Hospital of the Polish Military Contingent in Afghanistan

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Waldemar Machała

2014-12-01

Full Text Available It is assumed that tactical medicine encompasses all therapeutic activities performed by a military medical service during military and humanitarian missions. Its scope is only apparently limited by the standards which, when referred to the NATO member countries, have been collected in the Joint Theater Trauma System – Clinical Practice Guidelines. The stage-structured character of medical assistance and treatment of the wounded, injured and sick patients assumes that the scope of therapeutic activities performed at each stage is limited only to essential actions. Consequently, more injured patients may be saved – those for whom life-saving activities are performed prior to their transfer to a higher level. The second level is represented by a field hospital. Its first structure is the trauma room in which a rescue team saves and qualifies the injured for further medical activities. Each injured patient undergoes an eFAST ultrasound examination which allows for a quick decision about a surgical treatment to be provided. Moreover, this technique is helpful in vascular cannulation. The authors present their own experiences with using an ultrasound examination during the work in the Field Hospital of the Polish Military Contingent in Afghanistan.

Arthroplasty of hip resection, handling with external fixation - Experience in the central military hospital

International Nuclear Information System (INIS)

Satizabal Azuero, Carlos E; Calderon Uribe, Oscar; Naquira Escobar, Luis F

2006-01-01

This is an observational retrospective study series of cases carried out between January 1998 and July 2004 in the central military hospital, 13 patients were treated with Girdlestone arthroplasty with external fixation, with a pursuit average of 53 months. Function, return to the daily activities and associate complications was evaluated. They were as complication; pain in the fixator site, osteitis, and fixator broke. All patients report at the end of the treatment no pain in the hip. Shortening in the patient without lenghting was 3,5 cm and in the group with lenghting was 1.5 cm. the obtained results demonstrate that Girdlestone arthroplasty with external fixation, is option, to improve the patient's pain and function of the hip

Indoor radon levels in Riyadh city dwellings

International Nuclear Information System (INIS)

Alghamdi, Abdulrahman S.; Khalid, Aleissa; Ghazi, Alzeer

2008-01-01

Full text: Building materials used for construction of houses represent a major source of indoor radon. In this investigation, indoor radon concentrations are found to vary substantially among the different building materials, ventilation, cooling and heating systems used. This paper presents the effects of these factors on the radon concentration in Riyadh city dwellings. The measurements were obtained by using a passive integrating ionization system with an E-Perm Electret ion chamber. The study covered more than 700 houses and apartments, which were selected to cover the most common type of houses. The concentration range was found to be 1.02 to 196 Bq.m -3 , with an average value of 17.5 ± 3 Bq.m -3 . The results show that the radon concentration is higher in houses where the white bricks, no ventilation systems, plastic paint and Freon air conditioners are used, but relatively lower in houses where the red bricks, window ventilation, and water air conditioner is used. (author)

Oropharyngeal tularemia cases admitted to a military hospital in Ankara, Turkey.

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Karakas, Ahmet; Coskun, Omer; Artuk, Cumhur; Savasci, Umit; Gul, Hanefi Cem; Mert, Gurkan; Avci, Ismail Yasar; Besirbellioglu, Bulent Ahmet; Eyigun, Can Polat

2014-08-13

This study aimed to review the possible sources of infection of 16 oropharyngeal tularemia hospital cases, and to document their epidemiological and demographical characteristics, laboratory findings, treatment methods, and treatment results. Sixteen cases from a Turkish military hospital between January 2011 and December 2012 were retrospectively evaluated. The age, sex, occupation, place of residence, symptoms, duration of symptoms, laboratory results, treatment and duration, and treatment results were recorded. Tularemia was diagnosed through tularemia-specific tests once the other conditions that may have caused lymphadenopathy were excluded. Twelve of the patients included in this study were males. The average age of the patients was 32.1 ± 17.2 years. Sore throat, fatigue, and fever were the most frequent symptoms. The mean duration of symptoms was 21.6 ± 6.9 days. All the patients had been treated for tonsillopharyngitis in primary healthcare institutions previously. However, despite the treatment, cervical lymphadenopathy had developed in these cases. Patients were given streptomycin, doxycycline, and ciprofloxacin monotherapy or in combination. Ten of the cases fully recovered, while five required surgical lymph node drainage. Spontaneous drainage occurred in the single remaining case. Turkey is considered to be an endemic country with regards to tularemia. Prompt diagnosis and proper treatment of the disease is imperative in providing cure. Since it can be potentially confused with tuberculous lymphadenitis, differential diagnosis is vital. Patients presenting with a condition of tonsillopharyngitis in endemic areas must be carefully monitored.

Children′s growth pattern and mothers′ education and socio-economic status in Riyadh, Saudi Arabia

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Suliman Ibrahim Alhaidari

2016-01-01

Full Text Available Background: An important indication of a child′s well-being is evidence of having a normal growth pattern. A child′s growth pattern is influenced by multiple factors, genetic and/or environmental. From an environmental point of view, the socio-economic status of the mother plays an important role in a child′s growth during the early stages of childhood. Aim: The aim of this study was to explore the association between mothers′ educational and socio-economic status on their children′s growth in Riyadh. Methods: A cross-sectional study was conducted in eight hospitals in Riyadh. The target population was children aged between 1 month and 7 years and their mothers visiting the vaccination clinics. The mother′s data were collected using a structured interview, and the child′s weight and height were measured and plotted on growth charts. Results: A total of 744 mothers and children were screened (392 males, 352 females. The proportion of children with weight and height under the 25 th percentile was 40% and 29%, respectively. In terms of education, the height of a higher proportion of children (33% was under the 25 th percentile if the mother had a high school education compared with 25% when the mother had a college education (P = 0.02. Private sector-employed mothers had a lower proportion of children (26% with weight below the 25 th percentile compared to mothers who were government-employed or unemployed (both 41%. Mothers living in an apartment had a significantly lower proportion of children (24% with height under the 25 th percentile compared to mothers living in a house (33% (P = 0.04. In addition, mothers living in a rented residence had a significantly lower proportion (40% of children with weight under the 25 th percentile than mothers living in owned ones (42% (P = 0.02. Conclusion: Underweight and short stature among children are associated with less educated and unemployed mothers and with mothers who live in a house. The

Social Shyness among Mothers of Children with Disabilities Based on Some Variables in Riyadh, Saudi Arabia

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Allala, Saeb; Alzubairi, Sharefa

2016-01-01

The current study is an attempt to identify social shyness among mothers of children with disabilities based on (Disability type, mother's academic qualification, and family's economic level) in Riyadh. Thus, Social Shyness Scale was prepared of (28) paragraphs according to five-point Likert Scale. The reliability coefficient of the scale rated…

[Approaches to development and implementation of the medical information system for military-medical commission of the multidisciplinary military-medical organisation].

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Kuvshinov, K E; Klipak, V M; Chaplyuk, A L; Moskovko, V M; Belyshev, D V; Zherebko, O A

2015-06-01

The current task of the implementation of medical information systems in the military and medical organizations is an automation of the military-medical expertise as one of the most important activities. In this regard, noteworthy experience of the 9th Medical Diagnostic Centre (9th MDC), where on the basis of medical information system "Interi PROMIS" for the first time was implemented the automation of the work of military medical commission. The given paper presents an algorithm for constructing of the information system for the military-medical examination; detailed description of its elements is given. According to military servicemen the implementation of the Military Medical Commission (MMC) subsystem of the medical information system implemented into the 9th MDC has reduced the time required for the MMC and paperwork, greatly facilitate the work of physicians and medical specialists on military servicemen examination. This software can be widely applied in ambulatory and hospital practice, especially in case of mass military-medical examinations.

Achieving Competitive Advantage in Human Resource Management in General School District of Riyadh in Saudi Arabia

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Al dakeel, Taghreed M.; Almannie, Mohamed A.

2015-01-01

The general school district of Riyadh is one of largest in the country of (45) school districts in Saudi Arabia. The school districts play an important roles in the development of education, therefore the objective of the study is to examine the roles of the management in the school districts to see if it is achieving competitive advantage. After…

Proper use of antibiotics: situation of linezolid at the intensive care unit of the Tunisian Military Hospital.

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Safa, Louhichi; Afif, Neffati; Zied, Hajjej; Mehdi, Dridi; Ali, Yousfi Mohamed

2016-01-01

Linezolid was introduced in clinical practice in the early 2000s. It was considered to be an ideal reserve drug for treatment of vancomycin-resistant Enterococcus spp. (VRE) and vancomycin-resistant Staphylococcus aureus (VRSA). The aim of our study was to describe and evaluate the use of linezolid in clinical practice at the intensive care unit (ICU) of the Tunisian military hospital. This is a thirty-month retrospective study including patients treated with linezolid at the ICU of the Tunisian military hospital. Data collection was realized using the patients' medical files and prescriptions. A pharmacist conducted an extended medication history and checked if an advice from an infectious disease-physician and a microbiological documentation were requested. A total of 80 patients were included. Forty-one per cent of indications were outside the Marketing Authorization (MA) criteria, and were mainly sepsis and postoperative mediastinitis (32% and 4% of total prescriptions, respectively). This antibiotic was used as a first-line therapy in 58% of cases. The advice from an infectious-disease physician was requested for 33% of prescriptions. Only 20% of infections were documented microbiologically, of which 35% were caused by methicillin resistant coagulase-negative Staphylococcus. Linezolid is an interesting therapeutic alternative in case of infections due to multi-resistant bacteria and/or complex clinical situations. Therefore, its prescription must be rationalized in order to slow down the emergence of resistance to this antibiotic. The high frequency of its use outside the MA criteria shows the importance of carrying out more clinical trials to evaluate its effectiveness and safety for new indications.

[Organization of scientific-methodological work in Central Military Clinical Hospital named after A.A. Vishnevskiĭ].

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Beliakin, S A; Fokin, Iu N; Kokhan, E P; Frolkin, M N

2009-09-01

There was congested a wide experience of organization and management of scientific work in the 3rd CMCH by Vishnevsky A.A. for a term of more than 40 years. This experience is subjected to generalization, analyze for the purpose of determination of it's priority orientations of improvement. Scientific-methods work in hospital is rated as a complex of measures, organisationaly-planed and coordinated by purpose and reinforcement of scientific schools of the 3rd CMCH by Vishnevsky A.A., as a basis of effective delivery of specialized medical aid. The vector of scientific researches is directed, generally, to solving questions of military and field medicine.

Pediatric Surgical Care in a Dutch Military Hospital in Afghanistan.

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Idenburg, Floris J; van Dongen, Thijs T C F; Tan, Edward C T H; Hamming, Jaap H; Leenen, Luke P H; Hoencamp, Rigo

2015-10-01

From August 2006-August 2010, as part of the ISAF mission, the Armed Forces of the Netherlands deployed a role 2 enhanced Medical Treatment Facility (R2E-MTF) to Uruzgan province, Afghanistan. Although from the principle doctrine not considered a primary task, care was delivered to civilians, including many children. Humanitarian aid accounted for a substantial part of the workload, necessitating medical, infrastructural, and logistical adaptations. Particularly pediatric care demanded specific expertise and equipment. In our pre-deployment preparations this aspect had been undervalued. Because these experiences could be influential in future mission planning, we analyzed our data and compared them with international reports. This is a retrospective, descriptive study. Using the hospital's electronic database, all pediatric cases, defined as patients Afghanistan were analyzed. Of the 2736 admissions, 415 (15.2 %) were pediatric. The majority (80.9 %, 336/415) of these admissions were for surgical, often trauma-related, pathology and required 610 surgical procedures, being 26 % of all procedures. Mean length of stay was 3.1 days. The male to female ratio was 70:30. Girls were significantly younger of age than boys. In-hospital mortality was 5.3 %. Pediatric patients made up a considerable part of the workload at the Dutch R2E-MTF in Uruzgan, Afghanistan. This is in line with other reports from the recent conflicts in Iraq and Afghanistan, but used definitions in reported series are inconsistent, making comparisons difficult. Our findings stress the need for a comprehensive, prospective, and coalition-wide patient registry with uniformly applied criteria. Civilian disaster and military operational planners should incorporate reported patient statistics in manning documents, future courses, training manuals, logistic planning, and doctrines, because pediatric care is a reality that cannot be ignored.

Effect of fasting for Ramadan on kidney graft function during the hottest month of the year (August) in Riyadh, Saudi Arabia.

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Qurashi, Salem; Tamimi, Abdulrahman; Jaradat, Maha; Al Sayyari, Abulla

2012-12-01

To assess the effect of fasting Ramadan during the hottest month of the year in Riyadh, Saudi Arabia. This prospective cohort study was performed at the King Fahd National Guard Hospital in Riyadh, Saudi Arabia. We used the Modification of Diet in Renal Disease formula to estimate the glomerular filtration rate in renal transplant patients who fasted and did not fast before and after Ramadan. There were 43 fasters and 37 nonfasters of comparable ages, with fasters having longer posttransplant times compared with nonfasters (P = .0001). The 2 groups had similar mean estimated glomerular filtration rates before Ramadan: 75.6 ± 29.2 and 65.9 ± 25.9 mL/min (P = .1) and similar mean estimated glomerular filtration rates 6 months after Ramadan: 77.2 ± 29.7 and 64.1 ± 29 mL/min (P = .21). Mean changes in the estimated glomerular filtration rate were similar in the 2 groups: -1.5 ± 10.9 and -2.8 ± 19.3 (P = .7) as was the percentage change (-0.2.2 ± 13.4 and 1.8 ± 15.9; P = .4). In the fasting group, serum creatinine and estimated glomerular filtration rate were similar before and 6 months after Ramadan: 105.1 ± 55 and 105.14 ± 61 μmol/L (P = 1.0) and 75.6 ± 29 and 72.2 ± 29.7 mL/min (P = .36). No significant changes were observed in the nonfasting group. No significant differences were detected regarding fasting in the estimated glomerular filtration rate before and 6 months after Ramadan in the 3 groups with the low, moderate, and high glomerular filtration rates at baseline. Fasting for Ramadan in August does not adversely affect graft function at a mean follow-up of 7.6 ± 1.3 months.

Assessing the Effectiveness of Microelement Removal in the South Tertiary Wastewater Plant, Riyadh KSA

OpenAIRE

Leda G. Bousiakou; Leda G. Bousiakou; Rabia Qindeel; A. S. Almuzaini; Hosham A. Alghamdi; Walid Tawfik; Walid Tawfik; W. A Farooq; H. Kalkani; E. Manzou

2015-01-01

This work focuses on the monitoring of trace element removal from the Riyadh South Tertiary Wastewater Treatment plant using inductively coupled plasma mass spectrometry (ICP-MS). Considering that the final effluent originating from the plant is directed for irrigation purposes towards the farms of Al- Dirayia, Dirab and Wadi Hanifa it is important to consider the possible presence of elevated microelement concentrations that could pose potential threats to the human health. All samples were...

FOUNDING OF THE DISTRICT HOSPITAL IN NIS

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Misa Zivic

2007-01-01

Full Text Available After the liberation of Nis from the Turks which took place on January 11th, 1878, there were two military hospitals: one was next to The Skull Tower and the other on the road to Leskovac and there was Islahana the civil institution which was not the forerunner of the district hospital in Nis. At first, they founded the military hospital in Nis in 1878 and then they founded The District Hospital on July 17th in 1881. The first director of the District hospital was Anton Zajicek. He is also the first graduated medical doctor in Nis. The District Hospital was situated on the left bank of the Nisava river in a private house.

How will military/civilian coordination work for reception of mass casualties from overseas?

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Mackenzie, Colin; Donohue, John; Wasylina, Philip; Cullum, Woodrow; Hu, Peter; Lam, David M

2009-01-01

In Maryland, there have been no military/civilian training exercises of the Medical Mutual Aid Agreement for >20 years. The aims of this paper are to describe the National Disaster Medical System (NDMS), to coordinate military and civilian medical mutual aid in response to arrival of overseas mass casualties, and to evaluate the mass-casualty reception and bed "surge" capacity of Maryland NDMS Hospitals. Three tabletop exercises and a functional exercise were performed using a simulated, overseas, military mass-casualty event. The first tabletop exercise was with military and civilian NMDS partners. The second tested the revised NDMS activation plan. The third exercised the Authorities of State Emergency Medical System and Walter Reed Army Medical Center Directors of Emergency Medicine over Maryland NDMS hospitals, and their Medical Mutual Aid Agreement. The functional exercise used Homeland Security Exercise Evaluation Program tools to evaluate reception, triage, staging, and transportation of 160 notional patients (including 20 live, moulaged "patients") and one canine. The first tabletop exercise identified deficiencies in operational protocols for military/civilian mass-casualty reception, triage, treatment, and problems with sharing a Unified Command. The second found improvements in the revised NDMS activation plan. The third informed expectations for NDMS hospitals. In the functional exercise, all notional patients were received, triaged, dispatched, and accounted in military and five civilian hospitals within two hours. The canine revealed deficiencies in companion/military animal reception, holding, treatment, and evacuation. Three working groups were suggested: (1) to ensure 100% compliance with triage tags, patient accountability, and return of equipment used in mass casualty events and exercises; (2) to investigate making information technology and imaging networks available for Emergency Operation Centers and Incident Command; and (3) to establish NDMS

Depression and Associated Factors among Adolescent Females in Riyadh, Kingdom of Saudi Arabia, A Cross-sectional Study.

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Raheel, Hafsa

2015-01-01

Adolescents who suffer from depression early in life, have an increase in suicidal tendency, anxiety, conduct disorders, substance abuse, and continue to be depressed, later on in life. This study was conducted to identify the prevalence and correlates of depression among adolescent girls in Riyadh city in order to carry out early intervention. A cross-sectional, school-based survey was conducted among 1028 adolescent girls aged 15-19 years in secondary schools of Riyadh city. Riyadh was divided into clusters and within each cluster, both public and private schools were enrolled. From the selected schools students from grade 10-12 were surveyed. Survey was conducted using a structured questionnaire including the beck depression inventory-II, and questions exploring the correlates of depression. About 30% of participants were found to be depressed. Depression was more prevalent among female adolescents whose household income was Saudi Riyal/month (odds ratio [OR] 2.17, confidence interval [CI] 0.97-6.84), did not have a good relationship with peers and family members (OR 4.63, CI 2.56-8.41), lived with single parent or alone (OR 1.77, CI 0.97-3.23), been emotionally abused (OR 3.45, CI 2.56-8.41), and those who had been subjected to physical violence, at least once (OR 3.34, CI 1.89-5.91). Strategies need to be developed to identify early signs and symptoms of depression among Saudi female adolescents. Training can be given to groups of students to help their peers, and also to the teachers to identify, and help students identify early signs of depression and provide them with better-coping strategies to combat progression of depression and anxiety among such adolescents.

Thermal comfort requirements in hot dry regions with special reference to Riyadh Part 2: for Friday prayer

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Saeed, S.A.R. [King Saud University, Riyadh (Saudi Arabia). Dept. of Architecture and Building Science

1996-01-01

This study is an attempt to define thermal comfort requirements for Friday prayer during the hot season of Riyadh, Saudi Arabia. According to Islam, a Muslim should perform his prayers five times a day. The obligatory five prayers are Subuh prayer immediately before dawn, Thohor prayer in the afternoon, Assor prayer in late afternoon, Maghreb prayer immediately after sunset, and Ishaa prayer early evening. Generally, Muslims are encouraged to perform all five prayers in a mosque. Friday prayer that replaces Thohor prayer once a week, should take place in one of the main mosques of the neighbourhood. The mosque where Friday prayer could be performed is known as Friday mosque. Usually Friday prayer is attended by hundreds of worshippers and takes place in the afternoon. Since the summer of Riyadh is characterised by a very high temperature and a very low relative humidity, the indoor climate of the Friday mosque (Al-Masjed Al-Gamae) need a special study. This is the second part of a series of field investigations dealing with thermal comfort requirements in the hot-dry region of Saudi Arabia. (author)

Welcome to Naval Hospital Jacksonville

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. Transparency in Medicine See How We're Doing Compare Military Health System Hospitals and Clinics TRICARE Online | ICE | OWA | Suicide Prevention Lifeline | 1-800-USA-NAVY | Navy Medicine | Military Health Child Street, Jacksonville, Florida 32214 This is an official U.S. Navy website. This is a Department of

A Survey of Phytopathogenic Fungi and Oomycetes in Riyadh, Saudi Arabia

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Arya Widyawan

2015-06-01

Full Text Available A survey of phytopathogenic fungi and Oomyceteswas conducted in Riyadh, Kingdom of Saudi Arabia duringOctober 2008 – May 2009. Total of 223 samples were collectedfrom four regions; Al-Kharj, Oyaynah, Old Diriyah, and Al Amariyah. Isolation was done using Potato Dextrose Agar(PDA. Infected parts were cut then sterilized in chlorox(10%, then were put in petridish that contain PDA andincubated at 25-27 °C. A total twelve genera of fungi andsingle genera of Oomycetes were isolated from the infectedplants and identifi ed as Fusarium spp., Alternaria spp.,Helmintosphorium (Bipolaris spp., Sclerotium spp., Rhizoctoniaspp., Cladosporium spp., Mauginiella scattae, Erysiphe spp.,Leveillula spp., Macrophomina phaseolina, Ustilago spp.,Ulocladium spp., and Phytium spp.

 Public Knowledge, Attitude and Practice of Complementary and AlternativeMedicine in Riyadh Region, Saudi Arabia

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Abdullah M.N. AlBedah

2012-01-01

Full Text Available  Objectives: Complementary and alternative medicine (CAM iswell established world wide. The present work is aimed at studying the knowledge, attitude and practice of CAM by the people of Riyadh region, Saudi Arabia.Methods: A cross-sectional descriptive household survey studyof the people living in Riyadh city, as well as the surrounding governorates. A multistage random sample was taken from1st January to the end of March 2010, with a total number of 518 participants. Data were collected using a pre-designed questionnaire through direct interview. The data was collected based on socio-demography, as well as knowledge, attitude and practice of CAM.Results: Participants were nearly sex-matched, consisting of approximately 70�0Saudi and 30�0non-Saudis. About 89�0ofthe participants had some knowledge of CAM. Mass media e.g.(T.V., newspapers and radio and family, relatives and friends represented the main sources of CAM knowledge, (46.5�0and46.3�0respectively. Nearly 85�0of participants or one of their family members has used some form of CAM before, and the most common users of CAM practices were females, housewives, and illiterate subjects (or those who could just read and write, as well as participants aged 60 years and above. Medical herbs (58.89� prayer (54� honey and bee products (54� hijama (35.71�nd cauterization or medical massage therapy (22�20were thecommonly used CAM practices. Most participants agreed that there are needs for; CAM practices (93.8� regulations for CAM(94.9� health education (96.6� specialized centers (94.8�20and CAM clinics (92.7� While only 8.3�0of participants usually discussed CAM with their physicians.Conclusion: There is a high prevalence and increased public interest in CAM use in the Riyadh region. There is a positiv eattitude towards CAM, yet most participants are reluctant to share and discuss CAM information with their physicians.

Acceptance of premarital health counseling in riyadh city, 1417h.

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Al-Kahtani, N H

2000-05-01

Health counseling before marriage can be a most worthwhile and satisfying aspect of preventive medicine. It is important in genetic diagnosis and the prevention of hereditary, sexually transmitted and other infectious diseases. To determine the acceptance of the concept of Premarital Health Counseling (PMHC), and to identify some factors, which may efect this acceptance among Saudis who attend Primary Health Care Center in Riyadh, Kingdom of Saudi Arabia (KSA), 1417H. The present study is a cross-sectional one with a selected sample of Saudis who attended the Primary Health Care Centers in Riyadh during the year 1417H. A multistage sampling and equal allocation stratified sampling within was used to select 484 persons comprising an equal number of males and females, married and single above the age of 18 years. A pre-designed pre-tested questionnaire sheet was used to collect the required data, which were then tabulated and statistically analyzed. The study indicated that 364 (75.2%) of the study population accepted the concept of Premarital Health Counseling. PMHC was positively affected by the advancing age, experience of marriage, educational level and well-understood Islamic-health related issues. Out f those who accepted the concept, 273 (75%) agreed on the exchange of PMHC certificates between couples to be married and 152 (42%) agreed on the implementation of legislation on PMHC. Also, 298 (82%) of them wanted PMHC to be confidential and 168 (46%) agreed to the concept despite its cost. As regards the location of PMHC, most of participants who agreed to PMHC would prefer it to be given at governmental establishments. The study recommended the implementation of PMHC in Saudi Arabia, since it was accepted by the study population. However, further studies should be carried out to determine the details to be incorporated in the PMHC, their implementation and legislation on demographic basis of the Saudi community. Also, a community health education program for

Hemispheric distribution of middle cerebral artery ischemic strokes in patients admitted to military hospital rawalpindi

International Nuclear Information System (INIS)

Tariq, M.; Ishtiaq, S.; Zulfiqar, S.O.

2016-01-01

Objective: To determine the difference in the frequency of middle cerebral artery (MCA) ischemic strokes between left and right cerebral hemispheres in the adult patients admitted to the Military Hospital (MH) Rawalpindi. Study Design: A descriptive study. Place and Duration of Study: MH Rawalpindi from 01 Dec 2013 to 30 Mar 2014. Patients and Methods: Seventy eight adult patients admitted to MH Rawalpindi with neurologic deficits consistent with MCA strokes and having no evidence of intracerebral haemorrhage on Computed Tomographic (CT) scan of brain. Descriptive Statistics were calculated using SPSS version 17. Results: A total of 78 patients met the inclusion criteria of the study; 35 (45 percent) patients had right MCA stroke while 43 (55 percent) had left MCA stroke. Conclusion: Left MCA ischemic strokes are more common than right MCA ischemic strokes. (author)

Indoor Fungal and Bacterial Contaminations on Household Environment in Riyadh, Saudi Arabia

International Nuclear Information System (INIS)

Alwakeel, Suaad S

2008-01-01

This study was conducted to determine the microbial and inhabitant of household environment in Riyadh, Saudi Arabia. Overall, a total of 180 samples were collected and analyzed for fungal growth, 160 house samples were obtained on BAP medium and PDA medium. The Eastern Riyadh region turned out with the highest fungal isolates with 15/61 (24.6%). Among the most common fungal isolates from bedroom carpets were Aspergillus niger (21.6%), Alternaria sp. (15.7%), Aspergillus flavus (15.7%) Candida sp. (11.8%), Cladosporium sp. (9.8%) and Rhizopus sp. (9.8%). Other fungal isolates from bedroom carpets included Penicillium sp (5.9%)., Cunninghamella sp.(3.9%), Rhodotorula sp.(3.9%) and Aspergillus terreus (1.9%) Overall relative densities from all specimens obtained from household carpets, bedroom walls and carpet stores showed Alternaria spp. as the most common fungal isolate (55.3%) followed by Aspergillus niger (29%), Aspergillus flavus (19.3%), Rhizopus spp. (9.7%) and Penicillium spp. (7.0%). Other fungal isolates such as Candida spp., Cladosporium spp., Cunninghamella spp., Rhodotorula spp. and Aspergillus terreus had less than 6% overall relative density. From 40 carpet specimens collected for microbial analysis, 20 (50%) showed bacterial growth. Bacillus spp. was the most common isolated organism (35%) followed by Staphylococcus epidermidis (10%), Epiococcus spp. (10%), Corynebacterium spp. (10%) and Bacillus polymyxa (10%). Other bacterial isolates included Bacillus subtilis, Pseudomonas aeruginosa, Bacteroides spp., Clostridium spp. and Staphylococcus aureus .The presence of these fungal and microbial pathogens poses risk for individuals. When possible, floor carpeting in homes should be minimized or avoided since this serves as habitats for opportunistic fungi and infectious agents that pose harm to one's health. (author)

Antimicrobial-resistant bacteria in a general intensive care unit in Saudi Arabia

International Nuclear Information System (INIS)

Nermin K. Saeed; Abdulmageed M. Kambal; Noura A. El-Khizzi

2010-01-01

To assess the prevalence of multi-drug resistant (MDR) bacteria causing infections in patients at the intensive care units (ICUs) of Riyadh Military Hospital (RMH), as well as their antimicrobial resistance patterns for one year. A retrospective, cohort investigation was performed. Laboratory records from January to December 2009 were studied for the prevalence of MDR Gram-negative and Gram-positive bacteria and their antimicrobial resistance in ICU patients from RMH, Riyadh, Kingdom of Saudi Arabia. A total of 1210 isolates were collected from various specimens such as: respiratory (469), blood (400), wound/tissue (235), urinary (56), nasal swabs (35), and cerebro-spinal fluid (15). Regardless of the specimen, there was a high rate of nosocomial MDR organisms isolated from patients enrolled in the General ICU (GICU) in Riyadh. Acinetobacter baumannii (A. baumannii) comprised 40.9%, Klebsiella pneumonia (K. pneumonia) - 19.4%, while Pseudomonas aeruginosa (P. aeruginosa) formed 16.3% of these isolates. The P. aeruginosa, A. baumannii, K. pneumoniae, Escherichia coli, Staphylococcus aureus (methycillin sensitive and methycillin resistant), and Staphylococccus coagulase negative are the most common isolates recovered from clinical specimens in the GICU of RMH. Respiratory tract specimens represented nearly 39% of all the specimens collected in the ICU. The most common MDR organisms isolated in this unit were A. baumannii, and K. pneumoniae (Author).

Prevalence and Risk Factors of Domestic Violence Against Women Attending a Primary Care Center in Riyadh, Saudi Arabia.

Science.gov (United States)

Barnawi, Fatima Hamza

2015-05-27

Domestic violence (DV) against women can negatively affect the physical, mental, sexual, and reproductive health of the women as well as the well-being of their children. The objective was to estimate among Saudi women the prevalence of different types of DV, to identify its associated risk factors, and to determine the immediate victims' reactions to such violence. A cross-sectional study was carried between March and July, 2011. Self-administrated questionnaire was administered to ever-married Saudi women attending Al-Wazarat primary health care center, in Riyadh, Saudi Arabia. Out of the 720 women studied, 144 (20%) reported exposure to DV over the last year. The most common DV types were emotional (69%), social (34%), economic (26%), physical (20%), and sexual violence (10%). In multivariate logistic regression analysis, the following characteristics were independently associated with DV: younger women age, longer duration of marriage, higher women education, lower husband education, working husbands, military occupation, fewer children, husbands with multiple wives, smoking husbands, aggressive husbands, presence of chronic disease in women or husbands, and non-sufficient family income. The most common impacts of DV on women were medical or behavioral problems (72%) and psychiatric problems (58%). The most common reactions to DV were seeking separation (56%) and doing nothing (41%). More than 90% of children of abused women suffered psychological or behavioral problems. In conclusion, DV against Saudi women is considerable and the response is generally passive. Promoting a culture non-tolerant to DV and providing accessible, effective, and trustful social services to abused women are critically needed. © The Author(s) 2015.

Assessment of status of thyroid function in patients of beta thalassemia major, reporting to OPD of military hospital, rawalpindi

International Nuclear Information System (INIS)

Jehanzeb, K.

2016-01-01

Objective: To determine the status of thyroid functions in patients of Beta Thalassemia Major, reporting to OPD of Military Hospital, Rawalpindi. Study Design: Descriptive cross sectional study. Place and Duration of Study: Paediatric Outpatients Department of Military Hospital, Rawalpindi from 1st Jan to 30th Jun 2012. Material and Methods: After taking informed consent from the parents of all the children fulfilling the inclusion criteria, detailed history was taken and blood samples were drawn by strict aseptic means. Samples taken from these patients included complete blood and thyroid profile (serum thyroxine T4, triiodothyronine T3 and thyroid stimulating hormone TSH). These blood samples were labeled and sent to Armed Forces Institute of Pathology (AFIP), Rawalpindi for analysis by enzyme-linked immunosorbent assay (ELISA). Primary hypothyroidism was defined by TSH levels >4IU/ml. Statistical analysis was done at the end of study using SPSS version 10. Significance for association was calculated using student t-test. Results: Sixty patients fulfilled the inclusion criteria out of these sixty four patients lost the follow up while 56 patients completed the study. Out of 56 patients, 21 (37.5 percent) had biochemical evidence of hypothyroidism. Mean Ferritin level was 3924 +- 1247ng/ml in hypothyroid and 3136 +- 1387ng/ml in euthyroid patients indicating a significant difference in mean serum ferritin levels between hypothyroid patients and others. Conclusion: The study demonstrates hypothyroidism in a significant number of hyper transfused Beta- thalassemic patients, emphasizing the importance of monitoring thyroid functions in thalassemic patients, particularly in those receiving suboptimal chelation. (author)

Risk factors for neural tube defects in Riyadh City, Saudi Arabia: Case-control study.

Science.gov (United States)

Salih, Mustafa A M; Murshid, Waleed R; Mohamed, Ashry Gad; Ignacio, Lena C; de Jesus, Julie E; Baabbad, Rubana; El Bushra, Hassan M

2014-01-01

Both genetic and non-genetic environmental factors are involved in the etiology of neural tube defects (NTD) which affect 0.5-2/1000 pregnancies worldwide. This study aimed to explore the risk factors for the development of NTD in Saudi population, and highlight identifiable and preventable causes. Similar studies are scarce in similar populations ofthe Arabian Peninsula and North Africa. This is an unmatched concurrent case-control study including NTD cases born at King Khalid University Hospital, Riyadh during a 4-year period (2002-2006). The case-control study included 25 cases and 125 controls (case: control ratio of 1:5). Years of formal education, employment, household environment (including availability of air conditioning) and rate of parental consanguinity did not differ between mothers of cases and controls. Significantly higher proportion of mothers of cases had history of stillbirth compared to control mothers (16% vs 4.1%, P=0.02). Also family history of hydrocephalus and congenital anomalies were more prevalent in cases than controls (P values=0.0000 and 0.003, respectively). There was significant protective effect of periconceptional folic acid consumption both prior to conception (OR 0.02, 95% CI 0.00-0.07) and during the first 6 weeks of conception (OR 0.13, 95% CI 0.04-0.39). Further research, including a larger cohort, is required to enable ascertainment of gene-nutrient and gene environment interactions associated with NTD in Saudi Arabia.

Screening of coeliac disease in undetected adults and patients diagnosed with irritable bowel syndrome in Riyadh, Saudi Arabia.

Science.gov (United States)

Al-Ajlan, Abdulrahman S

2016-07-01

The present study is to determine the prevalence and implication of coeliac disease (CD) among adult Saudis and compared to those with diagnosed irritable bowel syndrome. This prospective study was conducted among 980 adults. Out of that, 482 subjects (staff and students of Riyadh Health Science College) were designated as control cohorts for undetected coeliac disease. Furthermore, another contingent of 498 subjects diagnosed with irritable bowel syndrome (IBS) at Prince Salman Hospital and Al-Iman General Hospital also constituted a segment of the overall initial 1020 subjects. Both cases and control were tested for serological markers of coeliac disease (tissues transglutaminase (tTGAs) and endomysial autoantibody (EMAs) and were confirmed by histopathology test. All the positive for cases of coeliac disease were screened for iron deficiency anaemia, Vitamin D deficiency, and osteoporosis and weight assessment. The percentage of coeliac disease in control subjects and patients diagnosed with irritable bowel syndrome (IBS) were found to be 1.9% and 9.6% respectively, about 38% of the total coeliac disease patients are among females of middle age (20-39-years) and 16% of the males in the same age range. Whereas, 20% and 25% of all coeliac disease cases with ages of 40-59 were remarked as females and males respectively. The identical nature and overlap of symptoms of the two conditions could possibly result in misdiagnosis of coeliac diseases or over-diagnosis of irritable bowel syndrome. The findings of the study might also give considerable implications of the disease in the nutritional level which is noticeable.

Screening of coeliac disease in undetected adults and patients diagnosed with irritable bowel syndrome in Riyadh, Saudi Arabia

Directory of Open Access Journals (Sweden)

Abdulrahman S. Al-Ajlan

2016-07-01

Full Text Available The present study is to determine the prevalence and implication of coeliac disease (CD among adult Saudis and compared to those with diagnosed irritable bowel syndrome. This prospective study was conducted among 980 adults. Out of that, 482 subjects (staff and students of Riyadh Health Science College were designated as control cohorts for undetected coeliac disease. Furthermore, another contingent of 498 subjects diagnosed with irritable bowel syndrome (IBS at Prince Salman Hospital and Al-Iman General Hospital also constituted a segment of the overall initial 1020 subjects. Both cases and control were tested for serological markers of coeliac disease (tissues transglutaminase (tTGAs and endomysial autoantibody (EMAs and were confirmed by histopathology test. All the positive for cases of coeliac disease were screened for iron deficiency anaemia, Vitamin D deficiency, and osteoporosis and weight assessment. The percentage of coeliac disease in control subjects and patients diagnosed with irritable bowel syndrome (IBS were found to be 1.9% and 9.6% respectively, about 38% of the total coeliac disease patients are among females of middle age (20–39-years and 16% of the males in the same age range. Whereas, 20% and 25% of all coeliac disease cases with ages of 40–59 were remarked as females and males respectively. The identical nature and overlap of symptoms of the two conditions could possibly result in misdiagnosis of coeliac diseases or over-diagnosis of irritable bowel syndrome. The findings of the study might also give considerable implications of the disease in the nutritional level which is noticeable.

The Physician-Patient Relationship and its Association with Self-Efficacy in Female Patients Managing Chronic Diseases in Riyadh, Saudi Arabia

DEFF Research Database (Denmark)

Alghabiwi, Reem; Palianopoulou, Maria; Eklund Karlsson, Leena

2018-01-01

-efficacy in self-managing chronic disease in 253 female patients aged 18-55 years from six primary care clinics in Riyadh, Saudi Arabia. The data were collected using two standard questionnaires (PDRQ-9 and SEMCD) and analysis was performed using the Kruskal-Wallis test (SPSS Software). Our findings showed...

Role of duration of catheterization and length of hospital stay on the rate of catheter-related hospital-acquired urinary tract infections

Directory of Open Access Journals (Sweden)

Al-Hazmi H

2015-03-01

Full Text Available Hamdan Al-HazmiDivision of Urology, Department of Surgery, College of Medicine and King Khalid University Hospital, King Saud University, Riyadh, Saudi ArabiaObjective: Our aim is to prove that duration of catheterization and length of hospital stay (LOS are associated with the rate of hospital-acquired urinary tract infections (UTI, while taking into account type of urinary catheter used, the most common organisms found, patient diagnosis on admission, associated comorbidities, age, sex, precautions that should be taken to avoid UTI, and comparison with other studies.Methods: The study was done in a university teaching hospital with a 920-bed capacity; this hospital is a tertiary care center in Riyadh, Saudi Arabia. The study was done on 250 selected patients during the year 2010 as a retrospective descriptive study. Patients were selected as purposive sample, all of them having been exposed to urinary catheterization; hospital-acquired UTI were found in 100 patients. Data were abstracted from the archived patients' files in the medical record department using the annual infection control logbook prepared by the infection control department. The data collected were demographic information about the patients, clinical condition (diagnosis and the LOS, and possible risk factors for infection such as duration of catheterization, exposure to invasive devices or surgical procedures, and medical condition.Results: There was a statistically significant association between the rate of UTI and duration of catheterization: seven patients had UTI out of 46 catheterized patients (15% at 3 days of catheterization, while 30 patients had UTI out of 44 catheterized patients (68% at 8 days of catheterization (median 8 days in infected patients versus 3 days in noninfected patients; P-value <0.05, which means that the longer the duration of catheterization, the higher the UTI rate. There was a statistically significant association between the rate of UTI and LOS

Military radiology during the first world conflict

International Nuclear Information System (INIS)

Le Vot, J.

2016-01-01

Published at the occasion of the centenary of the First World War, this article proposes an historical overview of the emergence and development of military medical radiology during this conflict. The author first describes the situation of radiology in the different armies and countries on the eve of the war as this application of radiology is relatively recent (it is based on Roentgen's discovery in 1895). He indicates the first steps of emergence of radiology department in military hospitals, the interest of military physicians in radiology and the availability of mobile equipment which had been actually presented at the parade on the 14 July 1914. The author then highlights some important personalities who have been important actors of the development, application and use of radiology and of military radiology during the war. He proposes an overview of radiological equipment in 1914, of the variety of vehicles adapted to transport and use such equipment. He also comments how radiology professionals were trained

Brief communication

Indian Academy of Sciences (India)

Unknown

Department of Medical Research, Riyadh Al Kharj Hospital Program, Riyadh 11159, Kingdom of Saudi Arabia. (Email ... human brain, biochemical assay of ATP continues to be .... Financial support from Research and Ethics Committee.

Breast cancer correlates in a cohort of breast screening program participants in Riyadh, KSA

International Nuclear Information System (INIS)

Al-Amri, F.; Saeedi, M.Y.; Al-Tahan, F.M.; Alomary, S.A.; Kassim, K.A.; Ali, A.M.; Mostafa Arafa, M.; Ibrahim, A.K.; Ali, A.M.

2015-01-01

Background: Breast cancer is the first cancer among females in the Kingdom of Saudi Arabia, accounting for 27.4% of all newly diagnosed female cancers in 2010. There are several risk factors affecting the incidence of breast cancer where some factors influence the risk more than the others. Aim: We aimed to identify the different risk factors related to breast cancer among females participating in the breast-screening program in Riyadh, KSA. Methods: Based on data from phase-I of the breast-screening program, a case-control study was conducted on women living in Riyadh, KSA. A sample of 349 women (58 cases and 290 controls) was recruited to examine the different breast cancer correlates. Multivariate regression model was built to investigate the most important risk factors. Results: The mean age of cases was 48.5 ± 7.1 years. Age at marriage, number of pregnancy, age at menopause, oral contraceptive pills, breast feeding and family history of breast cancer in first-degree relative were identified as the most important correlates among the studied cohort. Conclusions: The findings of the current work suggested that age at marriage, age at menopause ≥50 years, and 1st degree family history of breast cancer were risk factors for breast cancer, while, age at menopause<50 years, number of pregnancies and practicing breast feeding were protective factors against breast cancer. There was no effect of body mass index or physical inactivity. Further studies are needed to explore the hereditary, familial and genetic background risk factors in Saudi population.

IK Brunel's Crimean war hospital.

Science.gov (United States)

Merridew, C G

2014-07-01

"Those wonderful huts…" (Florence Nightingale). This is the story of the British Civil Hospital, erected in 1855 at Renkioi on the south Dardanelles coast of Turkey. The spectacular hospital was a portable one designed by British engineer IK Brunel. It was his only health-related project, and it was known as a Civil Hospital because its staff were all civilians, despite its patients being military.

Laparoscopic vs. open adrenalectomy: Experience at King Faisal Specialist Hospital and Research Centre, Riyadh

International Nuclear Information System (INIS)

Yousuf, Husam Bin; Al-Zahrani, A. A.; Al-Sobhi, S.

2003-01-01

We describe our experiences of adrenalectomy and compare the results of open and laparoscopic approach. From March 1999 to March 2002 we performed 23 adrenalectomies. An anterior transabdominal approach was used for the open procedure (OP), and a lateral transperitoneal approach for the laparoscopic procedure (LP). There was no difference in tumor size or pathology between the two groups. The tumor size was smaller, operative time was longer and blood loss was was less in (LP). Mean length of hospital stay was shorter, mean time of resumption of oral intake was faster in the LP group. It was concluded that laparoscopic adrenalectomy is a safe procedure that can be performed for most adrenal pathology. It is associated with faster recovery, less postoperative pain, and shorter hospital stay. (author)

Short stature in children: Pattern and frequency in a pediatric clinic, Riyadh, Saudi Arabia.

Science.gov (United States)

Al-Jurayyan N, Nasir A; Mohamed, Sarar H; Al Otaibi, Hessah M; Al Issa, Sharifah T; Omer, Hala G

2012-01-01

Longitudinal growth assessment is essential in child care. Short stature can be promptly recognized only with accurate measurements of growth and critical analysis of growth data. The objective of this study was to determine the pattern of short stature among patients referred to an endocrine pediatric clinic, King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia and to ascertain the aetiological profile of short stature. This is a retrospective review of patients referred to a pediatric endocrine clinic with short stature during the period January 1990 and December 2009. After a proper detailed medical history, growth analysis and physical examination, followed by a radiological (bone age) and laboratory screening (complete blood count and thyroid function). Growth hormone stimulation tests were performed when indicated. Magnetic resonance imaging (MRI) of the pituitary was performed when necessary. As well, celiac screening and small bowel biopsy were performed when appropriate. During the period under review, hundred and ten patients were evaluated for short stature. Their age ranged from 2 years and six months to 4 years. The male to female ratio was 1.3:1. The commonest etiology was genetic short stature found in 57 (51.8%) patients, while in the other 53 (48.2%) patients, variable endocrine and nutritional causes were noted. Short stature was a common referral. A wide variety of etiological diagnosis was noticed with genetic short stature being the commonest. A wide variety of endocrine causes were evident, with growth hormone deficiency, as a results of different etiologies, being the commonest.

Review

African Journals Online (AJOL)

abp

2014-01-15

Jan 15, 2014 ... However, there are no known drug therapies to improve recovery after stroke. ... psychological, social and cognitive functions [1-4]. The established ..... the Rehabilitation Unit of Prince Sultan Military Medical City of. Riyadh ...

Crystal chemistry and Moessbauer spectroscopic analysis of clays around Riyadh for brick industry

Energy Technology Data Exchange (ETDEWEB)

Khalil, Mutasim I., E-mail: mkhalil@ksu.edu.sa [King Saud University, Department of Chemistry, College of Science (Saudi Arabia)

2013-04-15

A total of 30 clay samples were collected from the area around Riyadh city, Saudi Arabia. A complete chemical analysis was carried out using different techniques. X-ray diffraction studies showed that the clay samples were mainly of the smectite group with traces of the kaolinite one. The samples studied were classified as nontronite clay minerals. One of the clay fraction has been studied by Moessbauer spectroscopy as raw clay fraction and after being fired at 950-1,000 Degree-Sign C. The Moessbauer spectra showed accessory iron compounds in the form of hematite and goethite. The structural iron contents disintegrate on firing transforming into magnetic iron oxide and a paramagnetic small particles iron oxide.

PACIFISM AND THE MILITARY - A PERSPECTIVE

African Journals Online (AJOL)

this revival of pacifist influence a threat to West- ern military efforts to .... man sacrifice his life even in a cause in which he did not believe. ... by hospital work, civil defence and coal mining.16. The American .... question of balance; no society can contemplate ..... defence, international security, East-West arms control, and ...

Breastfeeding practice and knowledge among women attending primary health-care centers in Riyadh 2016

Directory of Open Access Journals (Sweden)

Norah Faleh Al-Mutairi

2017-01-01

Full Text Available Introduction: Breast milk is the best natural essential nutrition to newborns and infants. However, the practice of breastfeeding (BF has declined in Saudi Arabia. Objective: The objective of this study was to assess the knowledge and practice of BF with their determinants among mothers in Riyadh. Materials and Methods: In this cross-sectional study, 252 mothers attending the well-baby clinics in Riyadh from March 2016 to May 2017 were selected randomly with their consent and studied by a standardized questionnaire. Results: Of the 252 women, 69.4% were 25–35 years of age and 56.7% with a bachelor degree or higher education. Nearly 75% mothers had education on BF before our study. Mixed feeding was the most preferred method (51.6% followed by artificial milk (29.4%. The most reported reason for discontinuing BF was breast milk insufficiency (37.3% and of breastfeed continuation was their perceived benefit (36.6%. Excellent knowledge was observed among 12.7%, good knowledge in 57.1%, and unsatisfactory level in 30.2% mothers. The regression model shows that high school education improved the knowledge by 10.9 points (P = 0.024 and undergraduate by 18.7 points (P value = 0.001 when compared to women who were literate. Women with parity> 5 improved knowledge score by 17.3 points (P < 0.001. Conclusion: We observed that majority (57.1% of Saudi mothers had a moderate level of knowledge on BF benefits and 19% had practiced exclusive BF. There is a need for better educational programs to increase awareness on its benefits for the health situation in the country on the long term.

Navy Hospital ships in history

Directory of Open Access Journals (Sweden)

Sougat Ray

2017-01-01

Full Text Available Hospital ships are operated by the Naval forces in or near war zones to provide medical assistance to the wounded personnel of all nationalities and not be used for any military purpose. Hospital ships possibly existed in ancient times and the Athenian Navy had a ship named Therapia. However, it was only during the 17th century that it became a common practice for the naval squadrons to be accompanied by large ships with the facilities of carrying the wounded after each engagement. In 1860, the steamships HMS Melbourne and HMS Mauritius were equipped with genuine medical facilities. They were manned by the Medical Staff Corps and provided services to the British expedition to China. During the World War I and World War II, passenger ships were converted for use as hospital ships and were started to be used on a massive scale. RMS Aquitania and HMHS Britannic were two famous examples of hospital ships used extensively. Modern US hospital ships USNS Mercy and USNS Comfort are operated by Military Sealift Command of the US Navy. Their primary mission is to provide emergency on-site care for US combatant forces deployed in war or other operations.

A Model for the Development of Hospital Beds Using Fuzzy Analytical Hierarchy Process (Fuzzy AHP).

Science.gov (United States)

Ravangard, Ramin; Bahadori, Mohammadkarim; Raadabadi, Mehdi; Teymourzadeh, Ehsan; Alimomohammadzadeh, Khalil; Mehrabian, Fardin

2017-11-01

This study aimed to identify and prioritize factors affecting the development of military hospital beds and provide a model using fuzzy analytical hierarchy process (Fuzzy AHP). This applied study was conducted in 2016 in Iran using a mixed method. The sample included experts in the field of military health care system. The MAXQDA 10.0 and Expert Choice 10.0 software were used for analyzing the collected data. Geographic situation, demographic status, economic status, health status, health care centers and organizations, financial and human resources, laws and regulations and by-laws, and the military nature of service recipients had effects on the development of military hospital beds. The military nature of service recipients (S=0.249) and economic status (S=0.040) received the highest and lowest priorities, respectively. Providing direct health care services to the military forces in order to maintain their dignity, and according to its effects in the crisis, as well as the necessity for maintaining the security of the armed forces, and the hospital beds per capita based on the existing laws, regulations and bylaws are of utmost importance.

Use of hormones and nutritional supplements among gyms' attendees in Riyadh

Science.gov (United States)

Alshammari, Sulaiman A.; AlShowair, Mishal A.; AlRuhaim, Abdulmalik

2017-01-01

BACKGROUND: Worldwide, studies have shown a high prevalence of hormones and nutritional supplement use by athletes and gym members. Many athletes consume unproven, potentially harmful or even banned supplements. OBJECTIVES: To assess the prevalence of the use of hormones and nutritional supplements by people who exercise in gyms in Riyadh, Saudi Arabia, and the types of supplements they most commonly use and to obtain a general view of the main reasons for using these enhancements. MATERIALS AND METHODS: A cross-sectional study using a self-administered questionnaire was conducted at gyms in Riyadh that were selected randomly from different sectors of the city. The sample size was estimated at 289, but the actual number of randomly selected participants in the study was 457. RESULTS: The number of gym members who participated in this study was 457. Approximately 47.9% of the sample reported an intake of nutritional supplements and 7.9% reported that they took hormones. Protein powder was consumed by 83.1% of the participants. Approximately 16.8% of supplement users had noticed some side effects, and 25.7% of those who took hormones had stopped taking them because of adverse effects. Only half of the hormone users (54.2%) reported that they had had medical checkups. The major source of information on supplement and hormone use was non-health professionals; friends being major source (40%) of information on the use of hormones. The use of nutritional supplements was significantly associated with BMI (OR = 1.89, CI = 1.06–3.39), duration of daily exercise (OR = 4.23, CI = 2.06–8.68), and following a special diet (OR = 8.42, CI = 5.37–13.2). There was a very strong association between nutritional supplement consumption and hormone use (P gyms took nutritional supplements, and most had received their information from nonhealth professionals. There was an association between the duration of exercise and the use of hormones and supplements. Fewer than half of

Military Interoperable Digital Hospital Testbed (MIDHT) Phase III

Science.gov (United States)

2014-10-01

silently changed, it is common knowledge  that some  Java  Development  Kit (JDK) implementations create slightly differently  formatted PEM and  DER...tracking software  JKS  Java  KeyStore  LDAP  Lightweight Directory Access Protocol  MHS  Military Health System  MIMC  Conemaugh Miners Medical... MySQL ~ Conemaugh Health System ’-J Common Access Layer (CAL) Interface I I t J J AIIScripts I I McKe-n J Sunque.st Horizon EHR Lab Patient

Social Media Contribution to the Promotion of Digital Citizenship among Female Students at Imam Mohammed bin Saud Islamic University in Riyadh

Science.gov (United States)

Alharbi, Wafa Owaydhah; Alturki, Khaled Ibrahim

2018-01-01

The study aimed to identify the degree of social media contribution to reinforcing digital citizenship meaning from the viewpoint of female students at Imam Mohammed bin Saud Islamic University in Riyadh. The study was an attempt to answer the following two questions in order to achieve the objectives of the study: To which extent does SnapChat…

Stress fractures in military training

International Nuclear Information System (INIS)

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

2002-01-01

During military training, the incidence of overuse injuries like stress fractures increase. The aim of the study was to investigate the utility of bone scan in a military population with clinical suspected stress fractures or periostitis. Material and methods: A three-year retrospective analysis was made on patients who were clinically diagnosed with stress fractures at the Military Hospital Nuclear Medicine Department. Thirty-seven patients were studied (mean age 23. +/- 8 y.o; 31 males), 28 cases of which (76%) had tibial stress syndrome. Other localizations were lumbar spine, femoral, fibular, tarsal or metatarsal. Bone scintigraphy was performed injecting 1036 MBq of Tc99m-MDP i.v. Whole body images and lateral projections of lower extremities were done. Results: Bone scan in tibial syndrome was positive for 23 cases (82%), 65% of them were bilateral and 13% also had femoral injuries. X-rays were done in 10 cases and were all negative. In other localizations, the bone scans were negative, but demonstrated other degenerative lesions. All stress fractures were conservatively treated with non-steroidal anti-inflammatories and suspension of physical activity. Conclusions: Bone scan is a reliable confirmatory tool for tibial stress syndrome diagnosis. In addition, it helps to determine both the severity and extension of the injury as well as support the indication of rest in the military population

Stress fractures in military training

Energy Technology Data Exchange (ETDEWEB)

Jofre, M J; Sierralta, M P [Military Hospital Nuclear Medicine Department, Santiago (Chile)

2002-09-01

During military training, the incidence of overuse injuries like stress fractures increase. The aim of the study was to investigate the utility of bone scan in a military population with clinical suspected stress fractures or periostitis. Material and methods: A three-year retrospective analysis was made on patients who were clinically diagnosed with stress fractures at the Military Hospital Nuclear Medicine Department. Thirty-seven patients were studied (mean age 23. +/- 8 y.o; 31 males), 28 cases of which (76%) had tibial stress syndrome. Other localizations were lumbar spine, femoral, fibular, tarsal or metatarsal. Bone scintigraphy was performed injecting 1036 MBq of Tc99m-MDP i.v. Whole body images and lateral projections of lower extremities were done. Results: Bone scan in tibial syndrome was positive for 23 cases (82%), 65% of them were bilateral and 13% also had femoral injuries. X-rays were done in 10 cases and were all negative. In other localizations, the bone scans were negative, but demonstrated other degenerative lesions. All stress fractures were conservatively treated with non-steroidal anti-inflammatories and suspension of physical activity. Conclusions: Bone scan is a reliable confirmatory tool for tibial stress syndrome diagnosis. In addition, it helps to determine both the severity and extension of the injury as well as support the indication of rest in the military population.

Young Australians’ Attitudes to the Military and Military Service

Directory of Open Access Journals (Sweden)

Ben Wadham

2014-08-01

Full Text Available What are young Australians’ understandings of, and attitudes to, the military and military service? This article describes a pilot study of 320 young Australian university students’ attitudes to the military and military service during a time when Australia was engaged in the Afghanistan war. The main purpose of this study was to develop a survey instrument for further work in researching civil–military relations in Australia. Civil–military relations describe the complex set of relationships between the civil and military spheres. The role of the military, the relationship between the state and the military, the division of labor between civilian and military entities, foreign policy, and knowledge of military service are some of the fields that constitute a study of civil–military relations. This article reports on beliefs about, and attitudes to the specificities of military service and responses to the broader field of civil–military relations.

Adaptation and validation of a questionnaire assessing patient satisfaction with pharmacy services in general hospitals

Directory of Open Access Journals (Sweden)

Al-Jumah KA

2014-03-01

Full Text Available Khalaf Ali Al-Jumah,1 Mohamed Azmi Hassali,2 Ibrahem Al-Zaagi31Al Amal Psychiatric Hospital, Riyadh, Saudi Arabia; 2School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia; 3King Saud Medical City, Riyadh, Saudi ArabiaObjective: The aim of this study was to cross-culturally adapt the Armando Patient Satisfaction Questionnaire into Arabic and validate its use in the general population.Methods: The translation was conducted based on the principles of the most widely used model in questionnaire translation, namely Brisling’s back-translation model. A written authorization allowing translation into Arabic was obtained from the original author. The Arabic version of the questionnaire was distributed to 480 participants to evaluate construct validity. Statistical Package for Social Sciences version 17.0 for Windows was used for the statistical analysis.Results: The response rate of this study was 96%; most of the respondents (52.5% were female. Internal consistency was assessed using Cronbach’s α, which showed that this questionnaire provides a high reliability coefficient (reaching 0.9299 and a high degree of consistency and thus can be relied upon in future patient satisfaction research.Keywords: cross-cultural, Arabic, survey

Psychiatric disorders among infertile men and women attending three infertility clinics in Riyadh, Saudi Arabia.

Science.gov (United States)

Alosaimi, Fahad Dakheel; Altuwirqi, Maram Hani; Bukhari, Mujahid; Abotalib, Zeinab; BinSaleh, Saleh

2015-01-01

No study has assessed psychiatric disorders among infertile men and women seeking fertility treatment in Saudi Arabia. Therefore, we sought to measure the rate of psychiatric disorders in this population. This was a cross-sectional observational study among patients attending infertility clinics at three referral hospitals in Riyadh, Saudi Arabia, between January 2013 and September 2014. 406 patients (206 women and 200 men) participated in the study. The approved Arabic version of the MINI tool was used to assess 18 common psychiatric illnesses. The response rate was 81%. Of the men surveyed, only 4.5% self-reported having a psychiatric disorder. Of the women surveyed, only 10.2% reported having a psychiatric disorder. However, using the MINI scale, psychiatric illness was documented in 30% of males and 36.9% of females. The most common diagnoses for both genders were depression (21.7%) and anxiety (21.2%). Significantly more females than males exhibited suicidality and depression. In contrast, significantly more males than females had bipolar disorders and substance-related disorders. A low monthly income among male and female participants and polygamy among female participants were significantly associated with psychiatric disorders. This study shows that a higher prevalence of psychiatric disorders, particularly depression and anxiety, among infertile men and women in Saudi Arabia is associated with lower income and polygamy. This study highlights the importance of integrated care for alleviating the psychological burden of this unfortunate population and improving outcomes and quality of life. This study also encourages follow-up studies that aim to further understand the complex relationship between fertility and psychological well-being.

Knowledge, attitude and practice of tobacco smoking by medical students in Riyadh, Saudi Arabia

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Al-Haqwi Ali

2010-01-01

Full Text Available Background: Tobacco consumption is associated with considerable negative impact on health. Health professionals, including future doctors, should have a leading role in combating smoking in the community. Objectives: The aims of the study were to assess the prevalence of smoking among medical students of newly established medical colleges in Riyadh city, the capital of Saudi Arabia, as well as to assess students′ attitude, practice and their knowledge on the risk factors of tobacco consumption. Methods: A cross-sectional, questionnaire-based study of students from two medical colleges in Riyadh, Saudi Arabia was carried out. The questionnaire used was anonymous, self-administered and developed mainly from Global Adult Tobacco Survey (GATS. Results: A total of 215 students participated in this study. Forty students (19% indicated that they smoke tobacco at the time of the study. All of them were males, which raise the prevalence among male students to 24%. Tobacco smoking was practiced by males more than females (P value < 0.0001 and by senior more than junior students (< 0.0001. About 94% of the study sample indicated that smoking could cause serious illnesses. About 90% of the students indicated that they would advice their patients to quit smoking in the future and 88% thought that smoking should be banned in public areas. Forty-four students (20% thought that smoking has some beneficial effects, mainly as a coping strategy for stress alleviation. Conclusion: Despite good knowledge about the hazards of tobacco consumption, about 25% of the medical students in this study continue to smoke. The main reported reasons should be addressed urgently by policy-makers. Special efforts should be taken to educate medical students on the effective strategies in managing stress during their study as they thought that tobacco smoking could be used as a coping strategy to face such a stress.

Prevalence of attention deficit hyperactivity disorder among primary school-children in Riyadh, Saudi Arabia; 2015–2016

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Turki H. Albatti

2017-09-01

Full Text Available Objectives: The aim of the study was to 1 determine the prevalence of Attention Deficit Hyperactivity Disorder (ADHD among both governmental and private primary Saudi school children, 2 measure the gender difference of ADHD prevalence, and 3 determine any association between the socio-demographic characteristic of the parents of children with ADHD. Methods: This is an observational cross-sectional study of 1000 primary school children belonging to 1st, 2nd and 3rd grade. The selected students were screened by the ADHD rating scale using multistage sampling technique. The first stage was selection of 20 schools from all Riyadh regions by simple randomization. The second stage was choosing children whom serial numbers were multiples of five in each class. The ADHD rating scale was filled by both parents and teachers along with a socio-demographic questionnaire for the parents. Results: The estimated prevalence of ADHD was 3.4%. ADHD manifestations affect boys more than girls. In addition, ADHD was more frequent among children of illiterate mothers. Finally, ADHD was significantly more prevalent among first grade children. Conclusion: This epidemiological study filled the data gap of ADHD prevalence in Riyadh. The study's findings go in line with many nearby and global studies. Keywords: ADHD, Prevalence, Socio-demographics, Children, Saudi Arabia

Indications and Morbidity of Reoperative Thyroid Surgeries in a Military Hospital of Senegal

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Abdou Sy

2017-01-01

Full Text Available Objectives. To describe reoperative thyroid surgeries in our department. Study Design. Retrospective cross-sectional and descriptive study at the Ouakam Military Hospital in Dakar (Senegal, over a period of eight and a half years. Methods. The study involved all records of patients who had a reoperative thyroidectomy regardless of the indication and time of the second surgery. Parameters evaluated for first and reoperative surgery were time interval between the two surgeries, operative indications, surgical procedures, intraoperative findings, pathological examination, and morbidity. Results. 30 records of patients were selected out of a total of 698 thyroidectomies (4.3%. Thyroid cancers diagnosed on first surgical specimens were the first indications of reoperations (46.67% followed by neck hematoma (20%. Completion thyroidectomy with a prophylactic central lymph nodes dissection was the most performed surgical procedure (43.33% followed by haemostasis (20%. During reoperation, we found active bleeding (20%, textiloma (6.67%, and fourth branchial cleft fistula (3.33%. The morbidity accounted for 10%: lymphorrhea, permanent hypocalcemia, and permanent recurrent nerve palsy, in one case, respectively. There were no statistically significant differences between the morbidity in patients reoperated on and the one for patients operated on once. Conclusion. We did not find an increased risk of postoperative morbidity after reintervention.

Prevalence of overweight and obesity among police officers in Riyadh City and risk factors for cardiovascular disease.

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Alghamdi, Abdullah S; Yahya, Mohammed A; Alshammari, Ghedeir M; Osman, Magdi A

2017-04-14

Despite the prevalence of overweight and obesity and increases in associated diseases such as diabetes and heart disease in the Saudi population, no studies have addressed the spread of obesity among Saudi police officers. Therefore, the present study aimed to assess the prevalence of overweight and obesity and associations with biochemical parameters among the police in Riyadh. The study involved a cross-sectional survey of 160 police officers in Riyadh, Saudi Arabia. Anthropometric measurements, blood pressure, lipid profiles and fasting blood sugar levels were measured for all individuals. According to the results, the average body mass index (BMI) was 27.5 ± 5.1, indicating an increase in overweight in this population and 66.9% were overweight or obese. Moreover, the mean systolic and diastolic blood pressure values were 119.5 and 79.4 mmHg, respectively, within normal limits. The mean total cholesterol (TC), high-density lipoprotein-cholesterol (HDL-C), low-density lipoprotein-cholesterol (LDL-C), and triglyceride (TG) levels were 187.5, 43.9, 119.5 and 124.5 mg/100 ml, respectively. These BMI and biochemical findings suggest a high proportion of overweight and obese individuals in the sample population, as well as an increase in the proportion of individuals with high levels of biochemical indicators who are therefore susceptible to heart disease and diabetes. The study recommends using preventive programs to combat obesity and overweight and related diseases and conducting further studies using measures other than BMI.

Military duty: risk factor for preterm labor? A review.

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McNeary, A M; Lomenick, T S

2000-08-01

The female military population represents a high-risk group for preterm labor and other adverse pregnancy outcomes. As the number of women entering the armed forces continues to increase, concerns regarding the effects of military service on pregnancy must persist. Although active duty females have access to prenatal care and maintain consistent follow-up, previous research has noted a 5-fold increase in preterm labor compared with civilian working women. Hospitalization and loss of work attributable to pregnancy complications directly affect productivity and mission accomplishment; therefore, it is crucial to identify those at risk to institute measures that will prevent such occurrences and decrease time away from work. This article provides a review of the existing literature concerning preterm labor in military women, comparisons with the civilian population, and recommendations for future research.

A Framework for NGO-Military Collaboration

Science.gov (United States)

2013-12-13

missions to such regions as Indonesia , Africa, and the South Pacific (Pueschel 2013). The end of the Cold War combined with, heightened global...Navy deployed the carrier Abraham Lincoln and the hospital ship Mercy to Indonesia . . . .Two things became clear very quickly. First, the military can...The samaritan’s dilemma. New York: Oxford University Press. Goodhand, Jonathan, and Mark Sedra. 2007. Bribes or bargains? Peace conditionalities

Frequency of anti hepatitis C virus antibodies amongst sanitary workers in a tertiary care hospital in Pakistan

International Nuclear Information System (INIS)

Khan, A.Z.; Razzaq, K.; Ansari, J.K.; Niazzi, S.K.

2011-01-01

Objective: To determine the frequency of anti Hepatitis C Virus antibodies in sanitary workers at Military Hospital Rawalpindi and to identify additional risk factors in them for hepatitis C infection. Cross sectional study Place and Duration of Study: Department of medicine, Military Hospital (M.H.), Rawalpindi, Pakistan over six months. Patients and Methods: All sanitary workers working at Military Hospital Rawalpindi were tested for anti HCV antibodies by third generation ELISA. Results: Six percent of the study population was found to be positive for anti HCV antibodies. Conclusion: The frequency of anti HCV antibodies is fairly high in sanitary workers, working in this tertiary care hospital studied. HCV infection is more frequent in those sanitary workers who have longer duration of service. (author)

Health Outcomes among Infants Born to Women Deployed to US Military Operations during Pregnancy

Science.gov (United States)

2011-01-01

electronic inpa- tient and outpatient medical records from the following sources: Standard Inpatient Data Record, which contains one record for each...Deployment dates to military opera- tions between September 2001 and March 2008 were determined using military electronic data from the Defense... plasms requiring hospitalization in the first year of life among this cohort. Although multivariable statistical modeling was not performed for

Chinese Military Evaluation of a Portable Near-Infrared Detector of Traumatic Intracranial Hematomas.

Science.gov (United States)

Liang, Chun-Yang; Yang, Yang; Shen, Chun-Sen; Wang, Hai-Jiang; Liu, Nai-Ming; Wang, Zhi-Wen; Zhu, Feng-Lei; Xu, Ru-Xiang

2018-02-06

Secondary brain injury is the main cause of mortality from traumatic brain injury (TBI). One hallmark of TBI is intracranial hemorrhage, which occurs in 40-50% of severe TBI cases. Early identification of intracranial hematomas in TBI patients allows early surgical evacuation and can reduce the case fatality rate of TBI. As pre-hospital care is the weakest part of Chinese emergency care, there is an urgent need for a capability to detect brain hematomas early. In China, in addition to preventing injuries and diseases in military staff and in enhancing the military armed forces during war, military medicine participates in actions such as emergency public health crises, natural disasters, emerging conflicts, and anti-terrorist campaigns during peacetime. The purpose of this observational study is to evaluate in the Chinese military general hospital the performance of a near-infrared (NIR)-based portable device, developed for US Military, in the detection of traumatic intracranial hematomas. The endpoint of the study was a description of the test characteristics (sensitivity, specificity, and positive and negative predictive values [NPV]) of the portable NIR-based device in identification of hematomas within its detection limits (volume >3.5 mL and depth hematoma detection in patients sustaining TBI. Data were collected in the People's Liberation Army General Hospital in Beijing using the NIR device at the time of CT scans, which were performed to evaluate suspected TBI. One hundred and twenty seven patients were screened, and 102 patients were included in the per protocol population. Of the 102 patients, 24 were determined by CT scan to have intracranial hemorrhage. The CT scans were read by an independent neuroradiologist who was blinded to the NIR measurements. The NIR device demonstrated sensitivity of 100% (95% confidence intervals [CI] 82.8-100%) and specificity of 93.6% (95%CI 85-97.6%) in detecting intracranial hematomas larger than 3.5 mL in volume and that

Sources of organic compounds in fine soil and sand particles during winter in the metropolitan area of Riyadh, Saudi Arabia.

Science.gov (United States)

Rushdi, Ahmed I; Al-Mutlaq, Khalid; Simoneit, Bernd R T

2005-11-01

Major advances have been made in molecular marker analysis to distinguish between natural and anthropogenic organic matter inputs to the atmosphere. Resuspension of soil and sand by wind is one of the major mechanisms that produces particle dusts in the atmosphere. Soil and sand samples from the Riyadh area were collected in winter 2002, sieved to remove coarse particles and extracted with a mixture of dichloromethane and methanol (3:1, v:v). The total extracts were analyzed by gas chromatography-mass spectrometry in order to characterize the contents and identify the potential sources of the organic components. The major organic compounds of these extracts were derived from natural biogenic and anthropogenic sources. Organic compounds from natural sources, mainly vegetation, were major in samples from outside the city of Riyadh and included n-alkanes, n-alkanoic acids, n- alkanols, methyl alkanoates, and sterols. Anthropogenic inputs were significant in the fine particles of soil and sand samples collected from populated areas of the city. They consisted mainly of n-alkanes, hopanes, UCM (from vehicular emissions), and plasticizers (from discarded plastics, e.g., shopping bags). Carbohydrates had high concentrations in all samples and indicate sources from decomposed cellulose fibers and/or the presence of viable microbiota such as bacteria and fungi.

Microbiological and molecular identification of bacterial species isolated from nasal and oropharyngeal mucosa of fuel workers in Riyadh, Saudi Arabia.

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AlWakeel, Suaad S

2017-09-01

This study aimed to determine the bacterial species colonizing the nasal and oropharyngeal mucosa of fuel workers in Central Riyadh, Saudi Arabia on a microbiological and molecular level. Throat and nasal swab samples were obtained from 29 fuel station attendants in the period of time extending from March to May 2014 in Riyadh, Saudi Arabia. Microbiological identification techniques were utilized to identify the bacterial species isolated. Antibiotic sensitivity was assessed for each of the bacterial isolates. Molecular identification techniques based on PCR analysis of specific genomic sequences was conducted and was the basis on which phylogeny representation was done for 10 randomly selected samples of the isolates. Blood was drawn and a complete blood count was conducted to note the hematological indices for each of the study participants. Nineteen bacterial species were isolated from both the nasal cavity and the oropharynx including Streptococcus thoraltensis , alpha-hemolytic streptococci, Staphylococcus hominis , coagulase-negative staphylococci, Leuconostoc mesenteroides , Erysipelothrix rhusiopathiae and several others. We found 100% sensitivity of the isolates to ciprofloxacin, cefuroxime and gentamicin. Whereas cefotaxime and azithromycin posted sensitivities of 85.7% and 91.4%, respectively. Low sensitivities (fuel products may be a contributing factor to bacterial colonization of the respiratory tract in fuel workers.

Characteristics of developmental dysplasia of the hip at a tertiary hospital in Riyadh, Saudi Arabia

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Omar A Al-Mohrej

2017-01-01

Conclusions: The awareness of DDH should be increased among paediatricians to decrease the incidence of late DDH diagnosis. A structured screening program has to be created and implemented in all hospitals of the country to detect DDH earlier and to provide treatment as early as possible.

Postpartum fatigue in the active-duty military woman.

Science.gov (United States)

Rychnovsky, Jacqueline D

2007-01-01

(a) To describe fatigue levels in military active-duty women, (b) to describe the relationship among selected predictor variables of fatigue, and (c) to examine the relationship between predictor variables, fatigue levels, and performance (as measured by functional status) after childbirth. Based on the Theory of Unpleasant Symptoms, a longitudinal, prospective design. A large military medical facility in the southwest United States. A convenience sample of 109 military active-duty women. Postpartum fatigue. Women were found to be moderately fatigued across time, with no change in fatigue levels from 2 to 6 weeks after delivery. All variables correlated with fatigue during hospitalization and at 2 weeks after delivery, and depression, anxiety, maternal sleep, and functional status correlated with fatigue at 6 weeks after delivery. Regression analyses indicated that maternal anxiety predicted fatigue at 6 weeks after delivery. Over half the women had not regained full functional status when they returned to work, and 40% still displayed symptoms of postpartum depression and anxiety. Military women continue to experiencing postpartum fatigue when they return to the workplace. Future research is needed to examine issues surrounding fatigue and its associated variables during the first year after delivery.

Serratia Infections: from Military Experiments to Current Practice

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Mahlen, Steven D.

2011-01-01

Summary: Serratia species, in particular Serratia marcescens, are significant human pathogens. S. marcescens has a long and interesting taxonomic, medical experimentation, military experimentation, and human clinical infection history. The organisms in this genus, particularly S. marcescens, were long thought to be nonpathogenic. Because S. marcescens was thought to be a nonpathogen and is usually red pigmented, the U.S. military conducted experiments that attempted to ascertain the spread of this organism released over large areas. In the process, members of both the public and the military were exposed to S. marcescens, and this was uncovered by the press in the 1970s, leading to U.S. congressional hearings. S. marcescens was found to be a certain human pathogen by the mid-1960s. S. marcescens and S. liquefaciens have been isolated as causative agents of numerous outbreaks and opportunistic infections, and the association of these organisms with point sources such as medical devices and various solutions given to hospitalized patients is striking. Serratia species appear to be common environmental organisms, and this helps to explain the large number of nosocomial infections due to these bacteria. Since many nosocomial infections are caused by multiply antibiotic-resistant strains of S. marcescens, this increases the danger to hospitalized patients, and hospital personnel should be vigilant in preventing nosocomial outbreaks due to this organism. S. marcescens, and probably other species in the genus, carries several antibiotic resistance determinants and is also capable of acquiring resistance genes. S. marcescens and S. liquefaciens are usually identified well in the clinical laboratory, but the other species are rare enough that laboratory technologists may not recognize them. 16S rRNA gene sequencing may enable better identification of some of the less common Serratia species. PMID:21976608

Learning methods and strategies of anatomy among medical students in two different Institutions in Riyadh, Saudi Arabia.

Science.gov (United States)

Al-Mohrej, Omar A; Al-Ayedh, Noura K; Masuadi, Emad M; Al-Kenani, Nader S

2017-04-01

Anatomy instructors adopt individual teaching methods and strategies to convey anatomical information to medical students for learning. Students also exhibit their own individual learning preferences. Instructional methods preferences vary between both instructors and students across different institutions. In attempt to bridge the gap between teaching methods and the students' learning preferences, this study aimed to identify students' learning methods and different strategies of studying anatomy in two different Saudi medical schools in Riyadh. A cross-sectional study, conducted in Saudi Arabia in April 2015, utilized a three-section questionnaire, which was distributed to a consecutive sample of 883 medical students to explore their methods and strategies in learning and teaching anatomy in two separate institutions in Riyadh, Saudi Arabia. Medical students' learning styles and preferences were found to be predominantly affected by different cultural backgrounds, gender, and level of study. Many students found it easier to understand and remember anatomy components using study aids. In addition, almost half of the students felt confident to ask their teachers questions after class. The study also showed that more than half of the students found it easier to study by concentrating on a particular part of the body rather than systems. Students' methods of learning were distributed equally between memorizing facts and learning by hands-on dissection. In addition, the study showed that two thirds of the students felt satisfied with their learning method and believed it was well suited for anatomy. There is no single teaching method which proves beneficial; instructors should be flexible in their teaching in order to optimize students' academic achievements.

Impact of mobile teams on tuberculosis treatment outcomes, Riyadh Region, Kingdom of Saudi Arabia, 2013–2015

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Sami Alqahtani

2018-03-01

Full Text Available The objective of this study was to evaluate the impact of the tuberculosis (TB mobile teams on treatment outcomes in Riyadh Region by comparing patients who received treatment under mobile teams and those who did not, from 2013 to 2015. This was a retrospective descriptive study using National TB Control and Prevention Program data from 2013 to 2015 from Riyadh, Kingdom of Saudi Arabia. Descriptive analyses were used to summarize characteristics of TB case-patients served by mobile teams and those who were not served. The χ2 test measured the significant differences between mobile-served and non-mobile-served case-patients. Exposure was whether or not the TB case-patient was under the care of the mobile team; the outcome of interest was whether or not treatment was successful, defined as treatment completed and cured. We found that the ratio of treatment success among mobile team case-patients was 1.28 greater than among those not served by mobile teams. The χ2 test showed a statistically significant finding (probability ratio = 1.28; 95% confidence interval = 1.21–1.35, p < 0.01. Mobile teams increased the treatment success rate to 92%, compared to 71.77% among those not served by mobile teams. This study shows that community mobilization of mobile teams is an effective strategy to enhance TB treatment, reduced mortality and loss to follow-up and improve TB treatment outcomes. Keywords: Directly observed therapy, Mobile teams, Saudi Arabia, Tuberculosis

38 CFR 17.46 - Eligibility for hospital, domiciliary or nursing home care of persons discharged or released from...

Science.gov (United States)

2010-07-01

..., domiciliary or nursing home care of persons discharged or released from active military, naval, or air service... Hospital, Domiciliary and Nursing Home Care § 17.46 Eligibility for hospital, domiciliary or nursing home care of persons discharged or released from active military, naval, or air service. (a) In furnishing...

Training of trainers in active learning methods at the Princess Nourah Bint Abdul Rahman University, Riyadh, Saudi Arabia

DEFF Research Database (Denmark)

Ikonen, Anne Leena; Eklund Karlsson, Leena; Andersen, Pernille Tanggaard

(from SDU to Princess Nourah University - PNU) in Bachelor level education in 2013-17. The SDU BSc in Public Health curriculum was adjusted into a BSc in Health Education and Promotion and BSc in Epidemiology Programmes to fit into the Saudi context and culture and education needs. Training the PNU......Abstract title: Training of trainers in active learning methods at the Princess Nourah Bint Abdul Rahman University, Riyadh, Saudi Arabia Students’ learning outcome of teaching activity/course presented: University of Southern Denmark (SDU) conducted a cross-cultural knowledge transfer project...

Military Strategy vs. Military Doctrine

DEFF Research Database (Denmark)

Barfoed, Jacob

2015-01-01

The article argues that while doctrine represents the more scientific side of warfare, strategy represents the artistic side. Existing doctrine will almost never meet the requirements for winning the next war; it is through the artistic application of generic peacetime doctrine to the specific st...... strategic and operational context, using doctrine as building blocks for a context specific military strategy, that the military commander outwits and defeats or coerces the adversary and achieves the military objectives....

Violence exposure among health care professionals in Saudi public hospitals. A preliminary investigation.

Science.gov (United States)

Algwaiz, Waleed M; Alghanim, Saad A

2012-01-01

To identify the prevalence, causes, types, and sources of workplace violence among health professionals in public hospitals in the Kingdom of Saudi Arabia. This exploratory cross-sectional survey employed self-administered questionnaires to collect data on aspects of workplace violence against physicians and nurses in Saudi hospitals. The questionnaires were distributed randomly to 600 physicians and nurses, of which 383 (63.8%) completed the questionnaires at 2 public hospitals in Riyadh city between May and July 2011. More than two-thirds (67.4%) of respondents reported they were victims of violence in the previous 12 months. Nurses were more likely to be exposed to violent incidents than physicians (pviolence. Verbal abuse was the most common type encountered. The assailants were mostly the patients' relatives or friends, followed by the patients themselves. Reasons for not reporting violent events included: feel it is a part of the job, previous experience of no action, and fear of consequences. Physicians and nurses are at high risk of violent incidents. Health decision makers need to be aware of the potential consequences of such events. Appropriate preventive measures are needed to make hospitals safer environments.

Incidence, Etiology and Risk Factors for Travelers' Diarrhea during a Hospital Ship-Based Military Humanitarian Mission: Continuing Promise 2011.

Directory of Open Access Journals (Sweden)

Jessica M Hameed

Full Text Available Travelers' diarrhea (TD is the most common ailment affecting travelers, including deployed U.S. military. Continuing Promise 2011 was a 5-month humanitarian assistance/disaster response (HA/DR military and non-governmental organization training mission aboard the hospital ship USNS Comfort, which deployed to Central and South America and the Caribbean between April and September 2011. Enhanced TD surveillance was undertaken during this mission for public health purposes. Passive surveillance (clinic visits, active surveillance (self-reported questionnaires, and stool samples were collected weekly from shipboard personnel. Descriptive statistics and multivariate-logistic regression methods were used to estimate disease burden and risk factor identification. Two polymerase chain reaction methods on frozen stool were used for microbiological identification. TD was the primary complaint for all clinic visits (20% and the leading cause of lost duties days due to bed rest confinement (62%, though underreported, as the active self-reported incidence was 3.5 times higher than the passive clinic-reported incidence. Vomiting (p = 0.002, feeling lightheaded or weak (p = 0.005, and being a food handler (p = 0.017 were associated with increased odds of lost duty days. Thirty-eight percent of self-reported cases reported some amount of performance impact. Based on the epidemiological curve, country of exercise and liberty appeared to be temporally associated with increased risk. From the weekly self-reported questionnaire risk factor analysis, eating off ship in the prior week was strongly associated (adjusted odds ratio [OR] 2.4, p<0.001. Consumption of seafood increased risk (aOR 1.7, p = 0.03, though consumption of ice appeared protective (aOR 0.3, p = 0.01. Etiology was bacterial (48%, with enterotoxigenic Escherichia coli as the predominant pathogen (35%. Norovirus was identified as a sole pathogen in 12%, though found as a copathogen in an additional 6

Young Australians’ Attitudes to the Military and Military Service

OpenAIRE

Ben Wadham; Grace Skrzypiec; Phillip Slee

2014-01-01

What are young Australians’ understandings of, and attitudes to, the military and military service? This article describes a pilot study of 320 young Australian university students’ attitudes to the military and military service during a time when Australia was engaged in the Afghanistan war. The main purpose of this study was to develop a survey instrument for further work in researching civil–military relations in Au...

Organizational commitment of military physicians.

Science.gov (United States)

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

2009-09-01

An individual's loyalty or bond to his or her employing organization, referred to as organizational commitment, influences various organizational outcomes such as employee motivation, job satisfaction, performance, accomplishment of organizational goals, employee turnover, and absenteeism. Therefore, as in other sectors, employee commitment is crucial also in the healthcare market. This study investigates the effects of organizational factors and personal characteristics on organizational commitment of military physicians using structural equation modeling (SEM) on a self-report, cross-sectional survey that consisted of 635 physicians working in the 2 biggest military hospitals in Turkey. The results of this study indicate that professional commitment and organizational incentives contribute positively to organizational commitment, whereas conflict with organizational goals makes a significantly negative contribution to it. These results might help develop strategies to increase employee commitment, especially in healthcare organizations, because job-related factors have been found to possess greater impact on organizational commitment than personal characteristics.

Military Interoperable Digital Hospital Testbed (MIDHT)

Science.gov (United States)

2010-02-01

concentrated on consumer informatics and community outreach in the rural environment by extending the boundaries of the hospital “ brick and mortar...Randomized Controlled Equivalence Trial." Psychiatr Serv. 58(6): 836-843. 8. Stone N (2004). "Focus on lifestyle change... SME Subject Matter Expert SMS Secure Messaging System SOAP Simple Object Access Protocol SOW Statement of Work SSL Secure Sockets Layer SSN Social

Military Interoperable Digital Hospital Testbed (MIDHT)

Science.gov (United States)

2015-12-01

began slightly satisfied and finished close to a neutral valuation ; whereas MYMC began slightly satisfied and finished slightly dissatisfied. This...other than to that of MYMC. MMC and MIMC began slightly satisfied and finished close to a neutral valuation ; whereas MYMC began slightly satisfied and...Profile CVMH Conemaugh Valley Memorial Hospital (dba “CONEMAUGH”) DQ Document Query DoD Department of Defense FHA Federal Health Architecture GUI

The Level of Psychological Burnout at the Teachers of Students with Autism Disorders in Light of a Number of Variables in Al-Riyadh Area

Science.gov (United States)

Atiyat, Omar Khalil

2017-01-01

This study aimed at measuring the level of the psychological burnout in the teachers of students that have autism symptoms in Al-Riyadh area--kingdom of Saudi Arabia. In light of variables. These variables are the gender, the teaching place, the academic qualification of the teachers, the experience of the teachers, the age of the teachers, and…

Sources of PM2.5 carbonaceous aerosol in Riyadh, Saudi Arabia

Science.gov (United States)

Bian, Qijing; Alharbi, Badr; Shareef, Mohammed M.; Husain, Tahir; Pasha, Mohammad J.; Atwood, Samuel A.; Kreidenweis, Sonia M.

2018-03-01

Knowledge of the sources of carbonaceous aerosol affecting air quality in Riyadh, Saudi Arabia, is limited but needed for the development of pollution control strategies. We conducted sampling of PM2.5 from April to September 2012 at various sites in the city and used a thermo-optical semi-continuous method to quantify the organic carbon (OC) and elemental carbon (EC) concentrations. The average OC and EC concentrations were 4.7 ± 4.4 and 2.1 ± 2.5 µg m-3, respectively, during this period. Both OC and EC concentrations had strong diurnal variations, with peaks at 06:00-08:00 LT and 20:00-22:00 LT, attributed to the combined effect of increased vehicle emissions during rush hour and the shallow boundary layer in the early morning and at night. This finding suggested a significant influence of local vehicular emissions on OC and EC. The OC / EC ratio in primary emissions was estimated to be 1.01, close to documented values for diesel emissions. Estimated primary organic carbon (POC) and secondary organic carbon (SOC) concentrations were comparable, with average concentrations of 2.0 ± 2.4 and 2.8 ± 3.4 µg m-3, respectively.We also collected 24 h samples of PM10 onto quartz microfiber filters and analyzed these for an array of metals by inductively coupled plasma atomic emission spectroscopy (ICP-AES). Total OC was correlated with Ca (R2 of 0.63), suggesting that OC precursors and Ca may have similar sources, and the possibility that they underwent similar atmospheric processing. In addition to a ubiquitous dust source, Ca is emitted during desalting processes in the numerous refineries in the region and from cement kilns, suggesting these sources may also contribute to observed OC concentrations in Riyadh. Concentration weighted trajectory (CWT) analysis showed that high OC and EC concentrations were associated with air masses arriving from the Persian Gulf and the region around Baghdad, locations with high densities of oil fields and refineries as well as a

Smartphone addiction among university students in Riyadh, Saudi Arabia.

Science.gov (United States)

Alosaimi, Fahad D; Alyahya, Haifa; Alshahwan, Hatem; Al Mahyijari, Nawal; Shaik, Shaik A

2016-06-01

To investigate the prevalence and correlates of smartphone addiction among university students in Saudi Arabia. This cross-sectional study was conducted in King Saud University, Riyadh, Kingdom of Saudi Arabia between September 2014 and March 2015. An electronic self administered questionnaire and the problematic use of mobile phones (PUMP) Scale were used.  Out of 2367 study subjects, 27.2% stated that they spent more than 8 hours per day using their smartphones. Seventy-five percent used at least 4 applications per day, primarily for social networking and watching news. As a consequence of using the smartphones, at least 43% had decrease sleeping hours, and experienced a lack of energy the next day, 30% had a more unhealthy lifestyle  (ate more fast food, gained weight, and exercised less), and 25% reported that their academic achievement been adversely affected. There are statistically significant positive relationships among the 4 study variables, consequences of smartphone use (negative lifestyle, poor academic achievement), number of hours per day spent using smartphones, years of study, and number of applications used, and the outcome variable score on the PUMP. The mean values of the PUMP scale were 60.8 with a median of 60.  University students in Saudi Arabia are at risk of addiction to smartphones; a phenomenon that is associated with negative effects on sleep, levels of energy, eating habits, weight, exercise, and academic performance.

Microbiological and molecular identification of bacterial species isolated from nasal and oropharyngeal mucosa of fuel workers in Riyadh,

Directory of Open Access Journals (Sweden)

Suaad S. AlWakeel

2017-09-01

Full Text Available This study aimed to determine the bacterial species colonizing the nasal and oropharyngeal mucosa of fuel workers in Central Riyadh, Saudi Arabia on a microbiological and molecular level. Throat and nasal swab samples were obtained from 29 fuel station attendants in the period of time extending from March to May 2014 in Riyadh, Saudi Arabia. Microbiological identification techniques were utilized to identify the bacterial species isolated. Antibiotic sensitivity was assessed for each of the bacterial isolates. Molecular identification techniques based on PCR analysis of specific genomic sequences was conducted and was the basis on which phylogeny representation was done for 10 randomly selected samples of the isolates. Blood was drawn and a complete blood count was conducted to note the hematological indices for each of the study participants. Nineteen bacterial species were isolated from both the nasal cavity and the oropharynx including Streptococcus thoraltensis, alpha-hemolytic streptococci, Staphylococcus hominis, coagulase-negative staphylococci, Leuconostoc mesenteroides, Erysipelothrix rhusiopathiae and several others. We found 100% sensitivity of the isolates to ciprofloxacin, cefuroxime and gentamicin. Whereas cefotaxime and azithromycin posted sensitivities of 85.7% and 91.4%, respectively. Low sensitivities (<60% sensitivity to the antibiotics ampicillin, erythromycin, clarithromycin and norfloxacin were observed. Ninety-seven percent similarity to the microbial bank species was noted when the isolates were compared to it. Most hematological indices recorded were within the normal range. In conclusion, exposure to toxic fumes and compounds within fuel products may be a contributing factor to bacterial colonization of the respiratory tract in fuel workers.

Diagnostic radiation of potentially reproductive females

Energy Technology Data Exchange (ETDEWEB)

Abd El-Bagi, M E; Al-Mutairi, M S; Al-Thagafi, M A; Al-Masri, N M; Al-Sasi, O [Department of Radiology and Imaging, Armed Forces Hospital, Riyadh (Saudi Arabia)

2001-03-01

Objectives: To find out how consistent or variable is the understanding and practice of radiation protection procedures for women of childbearing age at a multispecialty tertiary hospital. Setting: Riyadh Military Hospital Study. Design: Non-clustered population survey. Methods: A questionnaire was distributed during grand rounds, mid-day clinics and a radiology conference. Questions included which radiation protection rule does the respondent use for females, whether he or she is familiar with those rules and what is his or her source of reference. Further questions were about the radiation dangers to the fetus. Results: Response was 95 (100%). Fifty-seven (60%) were males and 38 (40%) were females. The majority 50 (53%) were Saudis, 16 (17%) Western and 29 (30%) were other nationals. Sixty-two (65%) followed the old rule '10-day rule'; 17 (18%) followed the new '28-day rule' and 16 (17%) didn't know which rule to follow. None of those who followed the '28-day rule' indicated hospital policy as their reference. Conclusions: The understanding and practice of radiation protection guidelines for females is inconsistent. There is significant unfamiliarity with the radiation protection rules among our hospital practitioners. (author)

Diagnostic radiation of potentially reproductive females

International Nuclear Information System (INIS)

Abd El-Bagi, M.E.; Al-Mutairi, M.S.; Al-Thagafi, M.A.; Al-Masri, N.M.; Al-Sasi, O.

2001-01-01

Objectives: To find out how consistent or variable is the understanding and practice of radiation protection procedures for women of childbearing age at a multispecialty tertiary hospital. Setting: Riyadh Military Hospital Study. Design: Non-clustered population survey. Methods: A questionnaire was distributed during grand rounds, mid-day clinics and a radiology conference. Questions included which radiation protection rule does the respondent use for females, whether he or she is familiar with those rules and what is his or her source of reference. Further questions were about the radiation dangers to the fetus. Results: Response was 95 (100%). Fifty-seven (60%) were males and 38 (40%) were females. The majority 50 (53%) were Saudis, 16 (17%) Western and 29 (30%) were other nationals. Sixty-two (65%) followed the old rule '10-day rule'; 17 (18%) followed the new '28-day rule' and 16 (17%) didn't know which rule to follow. None of those who followed the '28-day rule' indicated hospital policy as their reference. Conclusions: The understanding and practice of radiation protection guidelines for females is inconsistent. There is significant unfamiliarity with the radiation protection rules among our hospital practitioners. (author)

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

Directory of Open Access Journals (Sweden)

Mao-nian ZHANG

2011-10-01

Full Text Available Objective To investigate the current global status of military ocular injury for the purpose of improving the level of domestic epidemiological investigation,in order to improve treatment strategies,and to prevent and reduce the incidence of military ocular injury in Chinese PLA.Methods The epidemiological literature concerning military ocular injury occurring in our country and abroad in recent five years was retrieved by information research;the problems and experiences in the aspects of epidemiological survey,registry,data collection,systematic treatment and prevention of military ocular injury existed in PLA were also summarized and analyzed.Results There were currently no systematic epidemiological data about ocular injury in PLA.A few articles about epidemiological study on ocular injury showed that servicemen were the high risk population of ocular injury.Both in peacetime or wartime the ocular injury was the primary cause leading to monocular blindness of soldiers.As to the ocular injury,in 51.55% of the patients,it occurred in the military operations and work,and 30.31% in military training.The incidence of ocular injury was different in various services,for example,the incidence in the internal security forces of armed police could be as high as 78.85% due to training of martial arts and boxing and wrestling.The deficiency of microsurgery equipments and untimely evacuation were the main causes affecting prognosis during treatment course in primary military hospitals.Conclusions Military affairs,physical training,military maneuver and defense constructions are the main causes of ocular injury in servicemen,and young male soldiers are the main group for prevention and treatment for military ocular injury.More attention should be paid to the epidemiological survey of military ocular injury to find out the causes leading to ocular injury,to improve treatment strategies,to formulate feasible protective measures and then military ocular

Diagnostic, therapeutic and evolutionary characteristics of cervical cancer in Department of Radiotherapy, Mohamed V Military Hospital - Rabat in Morocco.

Science.gov (United States)

Elmarjany, Mohammed; Maghous, Abdelhak; Razine, Rachid; Marnouche, Elamin; Andaloussi, Khalid; Bazine, Amine; Lalya, Issam; Zaghba, Noha; Hadadi, Khalid; Sifat, Hassan; Habib, Baba; Kouach, Jaouad; Mansouri, Hamid

2015-01-01

Cancer of uterine cervix is the second most common cause of cancer related deaths among women. The aim of this study is to report the experience of Military Hospital Mohamed V in the management of cervical cancer and their results. All cervical cancer managed at the radiotherapy department of Military Hospital Mohamed V between January 2005 and February 2010, were included for investigation of their demographic, histological, therapeutic and follow-up characteristics. Of the 162 cases managed, 151 (93.2 %) cases were treated in our department. In our study the median age was 51.5 years (33-82). The median duration of symptoms before diagnosis was four [3, 7] months. The major presenting complaints were abnormal vaginal bleeding (89.8 %). Squamous cell carcinoma cervix was seen in 86.2 % (n = 137), adenocarcinoma in 11.3 % (n = 18) and adenosquamous carcinoma in 2.4 % (n = 4). One hundred seventeen (84.8 %) cases were seen at late stage. An abdominal and pelvic computed tomography (CT) scan was performed in 34.6 % (n = 56) of cases, magnetic resonance imaging (MRI) in 62.9 % (n = 102). The pelvic lymph nodes were achieved in 16.6 % of cases. Over half of patients 58.3 % (n = 88) were treated with a combination of external beam radiation therapy (EBRT) and a concurrent cisplatin based chemotherapy (40 mg /m2 weekly). With a mean of 51.6 months (2 to 109), we recorded 19 (12.6 %) pelvic relapse and 15 (9.9 %) metastases. The median time to onset was 19.4 months (2-84 months). The local control rate was 63.6 % (n = 96) and 21 (13.9 %) patients were lost to follow-up. The overall survival (OS) at 3 years and 5 years was respectively 78.3 % and 73.6 % and the relapse-free survival (RFS) was respectively 80 % and 77.2 %. Most of cervical cancer patients in Morocco are seen at late stage necessitating referral for radiotherapy, chemotherapy or palliative care. This may reflect lack of cervical screening in order to early

Syria’s Military Capabilities and Options for Military Intervention

DEFF Research Database (Denmark)

Pradhan-Blach, Flemming

2012-01-01

This background paper does not endorse any military action towards Syria. The document does not reflect or express any official Danish policy or a position of the University of Copenhagen or the Centre for Military Studies. The purpose of this paper is to briefly describe military capabilities...... and options in order to provide a factual background for the ongoing discussion on possible military intervention in the Syrian conflict and Denmark’s possible participation in such an intervention. The paper is primarily based on the Military Balance published by the International Institute for Strategic...

Staffing Levels and Inpatient Outcomes at Military Health Care Facilities: A Resource-Based View

National Research Council Canada - National Science Library

Yap, Glenn

2004-01-01

Using a Resource-Based Theory/View of the firm, this study examined if increased inpatient staffing levels at military hospitals can generate a competitive advantage based on better patient quality outcomes...

A Case for Telestroke in Military Medicine: A Retrospective Analysis of Stroke Cost and Outcomes in U.S. Military Health-Care System.

Science.gov (United States)

Dave, Ajal; Cagniart, Kendra; Holtkamp, Matthew D

2018-06-07

The development of primary stroke centers has improved outcomes for stroke patients. Telestroke networks have expanded the reach of stroke experts to underserved, geographically remote areas. This study illustrates the outcome and cost differences between neurology and primary care ischemic stroke admissions to demonstrate a need for telestroke networks within the Military Health System (MHS). All adult admissions with a primary diagnosis of ischemic stroke in the MHS Military Mart database from calendar years 2010 to 2015 were reviewed. Neurology, primary care, and intensive care unit (ICU) admissions were compared across primary outcomes of (1) disposition status and (2) intravenous tissue plasminogen activator administration and for secondary outcomes of (1) total cost of hospitalization and (2) length of stay (LOS). A total of 3623 admissions met the study's parameters. The composition was neurology 462 (12.8%), primary care 2324 (64.1%), ICU 677 (18.7%), and other/unknown 160 (4.4%). Almost all neurology admissions (97%) were at the 3 neurology training programs, whereas a strong majority of primary care admissions (80%) were at hospitals without a neurology admitting service. Hospitals without a neurology admitting service had more discharges to rehabilitation facilities and higher rates of in-hospital mortality. LOS was also longer in primary care admissions. Ischemic stroke admissions to neurology had better outcomes and decreased LOS when compared to primary care within the MHS. This demonstrates a possible gap in care. Implementation of a hub and spoke telestroke model is a potential solution. Published by Elsevier Inc.

ATTITUDINAL PROFILE OF MILITARY NURSING SERVICE OFFICERS.

Science.gov (United States)

Goel, D S; Kumari, Renu; Saldanha, D; Kaushik, A; Gupta, Lalit

2000-04-01

A questionnaire designed to assess attitudinal profile was mailed to nursing officers in five representative military hospitals. 158 (77.83%) of 203 addressees responded. Cluster analysis indicated higher level of commitment in nursing officers with over 16 years service as compared to those with less than 5 years. Self-image and job-satisfaction, however tended to be eroded with increasing length of service which was also associated with a more authoritarian attitude, relatively less materialistic outlook and (paradoxically) greater negative attitude towards authority figures. Marriage and having children did not influence any parameter. The feeling of sexual harassment increased with seniority in service, as also a perceived erosion in the authority of the principal matron. Relatively junior nursing officers appeared dissatisfied with "too much paper work" and a felt deterioration in working environment as well as the image of Military Nursing Service.

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

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Military pilots or former military pilots... Ratings and Pilot Authorizations § 61.73 Military pilots or former military pilots: Special rules. (a... a disciplinary action involving aircraft operations, a U.S. military pilot or former military pilot...

Converting Resources from Military to Non-military Uses

OpenAIRE

Jurgen Brauer; John Tepper Marlin

1992-01-01

As a proportion of gross national product, U.S. military spending has declined steadily since the mid-1980s. The end of the Cold War has given rise to calls for even more cuts in military spending. In early 1992, President George Bush proposed to reduce military spending by 3 percent per year, in real dollars, for the next five years. The Democratic leadership in the House of Representatives countered with a plan calling for substantially deeper cuts. Any substantial changes in military expen...

Bacterial and Aspergillus spp. Contamination of Domestic Kitchens in Riyadh, Saudi Arabia

International Nuclear Information System (INIS)

Alwakeel, Suaad S.

2007-01-01

A randomized sampling of 50 households in Riyadh City, Saudi Arabia was conducted to determine microbial and Aspergillus spp contaminants in domestic kitchens between May and June 2006. Samples were taken from open air in the kitchen and from used kitchen sponges. Inoculation procedures were varied from direct inoculation of the sponge into the medium to dilution of a cut portion of the sponge. A total of 200 samples were taken from which, 700 culture plates were done (BAP and Nutrient agar). Identification by the API system of identification (Analytical Profile Index, BioMerieux) revealed Pseudomonas aeruginosa, Klebsiella pneumonia, Staphylococcus epidermidis, Enterobacter cloacae, Diphtheroids and Bacillus cereus, Aspergillus spp. was isolated and identified microscopically. Among the isolates, Staphylococcus epidermidis , Staphylococcus aureus was isolated in 90% of the plates followed by Pseudomonas aeruginosa (83%) , Klebsiella pneumonia ; Bacillus cereus (63%).and Aspergillus spp (15%) These opportunistic pathogens may be harmful especially in immunocompromised hosts. In this setting, there is a constant risk of contamination and transfer to willing hosts, thus appropriate measures should be implemented such as the use of disposable sponges. (author)

Disinfection of wastewater from a Riyadh Wastewater Treatment Plant with ionizing radiation

International Nuclear Information System (INIS)

Basfar, A.A.; Abdel Rehim, F.

2002-01-01

The goal of this research was to establish the applicability of the electron beam treatment process for treating wastewater intended for reuse. The objective of this study was to determine the effectiveness of gamma irradiation in the disinfection of wastewater, and the improvement of the water quality by determining the changes in organic matter as indicated by the measurement of biochemical oxygen demand (BOD), chemical oxygen demand (COD) and total organic carbon (TOC). Samples of effluent, before and after chlorination, and sludge were obtained from a Riyadh Wastewater Treatment Plant. The studies were conducted using a laboratory scale 60 Co gamma source. The improvement in quality of the irradiated samples was demonstrated by the reduction in bacteria, and the reduction in the BOD, COD and TOC. Radiation of the wastewater provided adequate disinfection while at the same time increasing the water quality. This treatment could lead to additional opportunities for the reuse of this valuable resource. Limited studies, conducted on the anaerobically digested secondary biosolids, showed an improvement in bacterial content and no change in COD

Epidemiological investigation of ocular injuries related to military training and operations in Chinese army

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Jian-he XIAO

2011-10-01

Full Text Available Objective To investigate the epidemiological characters of ocular injuries related to military training and operations in Chinese army.Methods The data of servicemen with ocular injuries,hospitalized in 11 military evacuation hospitals from 2005-01-01 to 2009-12-31,were entered into a registration table.The data included the time and place when the injury happened,type and cause of injury,examination records,treatment,rehabilitation level,etc.All data were input into the database for statistical analysis.Results Of all the cases of ocular injuries,189(45.5% were related to military training and operations.The mean age of the 189 cases was 23.4±5.4 years,all of them were men,and soldiers accounted for 91.0% and officers accounted for 9.0%.The incidence declined in 2006 compared with that in 2005,and then rose gradually thereafter year by year.Eight patients(4.2% were complicated with bodily injuries,and 4.2% of patients had the history of eye surgery or eye disease before the ocular injury.Of the 189 cases,in 172(91.0% one eye was injured while in 17(9.0% both eyes were injured.After injury,in 35.0% of patients sight restoration to grade 1,in 20.6% to grade 2,in 13.6% to grade 3,in 25.7% to grade 4,and in 4.4% to grade 5.In 87.3% of patients injuries were due to mechanical forces and in 12.7% ocular injuries were not mechanical.Most patients with eye injury occurring in military training and operations were sent to evacuation hospital and treated timely,and good results were obtained.Conclusions Military training and operations related ocular injury is a prevalent ocular injury occurring in Chinese armed forces,and should be paid more attention in prevention.One important measure is to improve the prevention awareness of Chinese servicemen,and a detailed prevention measures should be further studied.

First detection of Nosema sp., microsporidian parasites of honeybees (Apis mellifera in Riyadh city, Saudi Arabia

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Abdel-Azeem S. Abdel-Baki

2016-10-01

Full Text Available Nosema sp. is recorded in Saudi Arabia for the first time, in adult Apis mellifera collected from apiaries in Riyadh city. Samples of 100 workers were collected and examined for the infection with Nosema sp. 5% of the bees were found positively infected with Nosema sp. Spores were oval to elliptical shaped and measuring 6.4 (5.0–7.0 μm in length, 3.4 (3.0–4.5 μm in width. The conclusive identification of the present Nosema species will preclude until further ultrastructure and molecular studies. The present study concluded that intensive surveys are prerequisite to identify the species of Nosema and to estimate their distribution and prevalence in different regions of Saudi Arabia.

The self medication use among adolescents aged between 13–18 years old; Prevalence and behavior, Riyadh – Kingdom of Saudi Arabia, from 2014–2015

Directory of Open Access Journals (Sweden)

Turki Homod Albatti

2017-03-01

Conclusion: Self-medication is highly prevalent in Riyadh, particularly among adolescents. Easy access to pharmacies was found to be the leading cause for self-medication. The use of these drugs was associated with inappropriate drug use and the deterioration of health status. Self-medication should be closely monitored and awareness should be increased with educational programs among students.

Gunpowder, the Prince of Wales's feathers and the origins of modern military surgery.

Science.gov (United States)

Pearn, John

2012-04-01

The history of military surgery claims many forebears. The first surgeon-soldiers were Homer's Machaon and Podalirius, followed a thousand years later by the Roman surgeons-general, Antonius Musa and Euphorbus; and later, e.g. Ambrose Paré, John Hunter and Sir John Pringle; and the 19th century innovators, Dominique-Jean Larrey (France), Friedrich von Esmarch (Prussia) and the Russian, Nikolai Pirogoff. The singular feature that distinguished modern military surgery from its earlier practice was the use of gunpowder. It was one of two inventions (the other was printing) that by the empowerment of individuals, lifted Western humankind from the medieval to the modern era. Research of primary and secondary archives. Gunpowder was first used in European warfare at Algeceras (1344-1368). Hitherto, the destruction of tissue had been the result of (relative) low-energy wounding with tissue damage caused by incisional or crushing wounds. The founder of modern surgery, Master John of Arderne (1307-1380), wrote of his experience gained as a military surgeon on the battlefield at Crecy (1346). Following Crecy, Arderne was the only chronicler who described the origins of the Prince of Wales's feathers as a royal and later commercial symbol, and the motto 'Ich Dien', 'I serve', as that of hospitals in the Western World. Later advances in military surgery incorporated both clinical experimentation and the innovation of new systems of pre-hospital battlefield care. © 2012 The Author. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons.

Sources of PM2.5 carbonaceous aerosol in Riyadh, Saudi Arabia

Directory of Open Access Journals (Sweden)

Q. Bian

2018-03-01

Full Text Available Knowledge of the sources of carbonaceous aerosol affecting air quality in Riyadh, Saudi Arabia, is limited but needed for the development of pollution control strategies. We conducted sampling of PM2.5 from April to September 2012 at various sites in the city and used a thermo-optical semi-continuous method to quantify the organic carbon (OC and elemental carbon (EC concentrations. The average OC and EC concentrations were 4.7 ± 4.4 and 2.1 ± 2.5 µg m−3, respectively, during this period. Both OC and EC concentrations had strong diurnal variations, with peaks at 06:00–08:00 LT and 20:00–22:00 LT, attributed to the combined effect of increased vehicle emissions during rush hour and the shallow boundary layer in the early morning and at night. This finding suggested a significant influence of local vehicular emissions on OC and EC. The OC ∕ EC ratio in primary emissions was estimated to be 1.01, close to documented values for diesel emissions. Estimated primary organic carbon (POC and secondary organic carbon (SOC concentrations were comparable, with average concentrations of 2.0 ± 2.4 and 2.8 ± 3.4 µg m−3, respectively.We also collected 24 h samples of PM10 onto quartz microfiber filters and analyzed these for an array of metals by inductively coupled plasma atomic emission spectroscopy (ICP-AES. Total OC was correlated with Ca (R2 of 0.63, suggesting that OC precursors and Ca may have similar sources, and the possibility that they underwent similar atmospheric processing. In addition to a ubiquitous dust source, Ca is emitted during desalting processes in the numerous refineries in the region and from cement kilns, suggesting these sources may also contribute to observed OC concentrations in Riyadh. Concentration weighted trajectory (CWT analysis showed that high OC and EC concentrations were associated with air masses arriving from the Persian Gulf and the region around Baghdad, locations with

Shrinking the Civil-Military Divide: A Military Perspective

Science.gov (United States)

2015-04-13

behavior and rights, the values of the military are different and unique. Senior military officers highlight the importance of understanding the...Examples include on-base housing, shopping , schools, children’s sports leagues, and community and social events such as concerts, comedy shows, and movies... mall , a sporting event, or the movies provides a simple, 16 Skelton, “The Civil-Military Gap

Activities of an ethics consultation service in a Tertiary Military Medical Center.

Science.gov (United States)

Waisel, D B; Vanscoy, S E; Tice, L H; Bulger, K L; Schmelz, J O; Perucca, P J

2000-07-01

The Joint Commission on Accreditation of Healthcare Organizations requires hospitals to have a mechanism to address issues of medical ethics. Most hospitals, especially those in the military, have an ethics committee composed solely of members who serve as an additional duty. To enhance the ethics consultation service, the 59th Medical Wing created a position under the chief of the medical staff for a full-time, fellowship-trained, medical ethicist. After establishment of this position, the number of consultations increased, a systematic program for caregiver education was developed and delivered, and an organizational presence was achieved by instituting positions on the institutional review board, the executive committee of the medical staff, and the credentials committee. Issues in medical care are becoming increasingly complicated, due in large part to financial stresses and technological advancements. Ethics consultation can help prevent and resolve many of these problems. This report discusses the activities of the first year of a full-time ethicist in a tertiary military medical center.

Gender-specific differences in depression and anxiety symptoms and help-seeking behavior among gastroenterology patients in Riyadh, Saudi Arabia.

Science.gov (United States)

Alosaimi, Fahad D; Al-Sultan, Omar A; Alghamdi, Qusay A; Almohaimeed, Ibrahim K; Alqannas, Sulaiman I

2014-07-01

To evaluate the gender-specific difference in the prevalence of depression and anxiety and the help-seeking behavior among gastroenterology outpatients. A cross-sectional study was carried out in gastroenterology clinics in 4 hospitals in Riyadh, Saudi Arabia between February and September 2013. A self-administrated questionnaire was developed and administered to patients. The Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder (GAD-7) questionnaires were used to identify depression and anxiety. A total of 438 patients completed the study questionnaire; 135 (31%) females, and 303 (69%) males. Compared with males, females had more depression symptoms (44% versus 32%, p=0.012), anxiety symptoms (34% versus 24%, p=0.036), anxiety-associated difficulty (65% versus 52%, p=0.012), but similar suicidal thoughts (14% versus 11%, p=0.347). Females had similar gastrointestinal complaints but longer duration of symptoms. In both females and males, the most common first interventions were using medications (63% versus 69%), and undergoing endoscopy (19% versus 15%), while very few patients initially used herbs or Islamic incantation `Roquia` (7% versus 8%). Compared with males, females were more likely to subsequently seek help at private clinics (23% versus 14%, p=0.014), or with a Quran therapist (11% versus 5%, p=0.012). There are clear gender-specific differences in depression and anxiety symptoms and associated perceived difficulty, but modest differences in help-seeking behavior. Female patients at the gastroenterology clinic may deserve more psychological attention to diagnose depression and anxiety and to alleviate their impact.

Preparing British Military nurses to deliver nursing care on deployment. An Afghanistan study.

Science.gov (United States)

Finnegan, Alan; Finnegan, Sara; Bates, David; Ritsperis, Debra; McCourt, Kath; Thomas, Mike

2015-01-01

This paper forms part of the first British Armed forces qualitative nursing research study undertaken on deployment. To provide an analysis of the impact and effectiveness of the pre-deployment educational preparation and clinical placements provided for military nurses. A Constructivist Grounded Theory was utilised with data collected through semi-structured interviews with 18 nurses based in Camp Bastion Hospital, Afghanistan during 2013. Initial coding indicated 21 educational preparation and clinical placement categories that influenced the delivery of nursing care. Analysis of these elements led to the identification of four major clusters: Military Nursing Care; Military Nurse Education; Unique Hospital Environment and Clinical Placements. Educational preparation consists of completing deployable operational nursing competencies, specialist training and individual tailored courses. This strategy was viewed as proving the appropriate academic requirement. However, training would be enhanced by introducing a formalised military preceptorship programme focussing on fundamental nursing skills. Caring for children was a particular concern, and it was emphasised that educational courses must be combined with a standardised clinical placement policy. Adequate clinical exposure can be challenging as nurses are not routinely exposed to War Zone levels of trauma in the UK. Clinical placements need to be standardised and harmonised, and located in areas where nurses cared for patients with similar injury patterns to those witnessed on deployment. Current NHS Trust placements can reduce the opportunities for employment in suitable clinical environments and diminishing the openings for collective military training. Better use should be made of clinical rotation programmes, including high dependency units, elective surgery, medical assessment units, paediatrics, and outreach teams such as burns and plastic surgery and pain management. Practice Educators should be utilised

The effect of military deployment on mental health

DEFF Research Database (Denmark)

Vincent, Stéphanie; Weatherall, Cecilie Dohlmann; W. Jepsen, Peter

2016-01-01

Public concern about soldiers’ mental health has increased over the last decade. Yet the large literature on the mental health problems of returning soldiers relies primarily on self-reported measures that may suffer from non-response bias, usually refers to older conflicts, and focuses mainly...... on specific diagnoses such as PTSD. Another challenge is that the differences between soldiers and non-soldiers are not necessarily causal, instead possibly reflecting an underlying propensity towards active military service. Using the objective measures of hospitalizations and the purchase of mental health...... medication, this paper is the first to investigate the effect of recent military deployments on a broader measure of mental health, for a full population of Danish soldiers and a comparison group of eligible men. We exploit a panel of Danish health administrative records and use propensity score matching...

Saudi normative data for the Wisconsin Card Sorting test, Stroop test, Test of Non-verbal Intelligence-3, Picture Completion and Vocabulary (subtest of the Wechsler Adult Intelligence Scale-Revised).

Science.gov (United States)

Al-Ghatani, Ali M; Obonsawin, Marc C; Binshaig, Basmah A; Al-Moutaery, Khalaf R

2011-01-01

There are 2 aims for this study: first, to collect normative data for the Wisconsin Card Sorting Test (WCST), Stroop test, Test of Non-verbal Intelligence (TONI-3), Picture Completion (PC) and Vocabulary (VOC) sub-test of the Wechsler Adult Intelligence Scale-Revised for use in a Saudi Arabian culture, and second, to use the normative data provided to generate the regression equations. To collect the normative data and generate the regression equations, 198 healthy individuals were selected to provide a representative distribution for age, gender, years of education, and socioeconomic class. The WCST, Stroop test, TONI-3, PC, and VOC were administrated to the healthy individuals. This study was carried out at the Department of Clinical Neurosciences, Riyadh Military Hospital, Riyadh, Kingdom of Saudi Arabia from January 2000 to July 2002. Normative data were obtained for all tests, and tables were constructed to interpret scores for different age groups. Regression equations to predict performance on the 3 tests of frontal function from scores on tests of fluid (TONI-3) and premorbid intelligence were generated from the data from the healthy individuals. The data collected in this study provide normative tables for 3 tests of frontal lobe function and for tests of general intellectual ability for use in Saudi Arabia. The data also provide a method to estimate pre-injury ability without the use of verbally based tests.

Frequency of different grades of retinopathy in type-2 diabetes mellitus patients at Military Hospital Rawalpindi

International Nuclear Information System (INIS)

Khan, A.U.; Yasmeen, R.; Habib, M.

2012-01-01

To analyse the various types of retinopathy in individuals with type 2 DM. Design: Descriptive study. Place and duration of study: Military Hospital Rawalpindi from January 2010 to July 2010 Methods: One hundred and fifty patients with type 2 DM were studied into for different types of retinopathy, based on history, clinical examination (ophthalmological) and laboratory investigations. Results: Out of 150 patients who fulfilled the criteria for study, 93(62%) were male and 57(38%) were female patients, frequency of retinopathy was 28.67%. The duration of diabetes ranged from 5 to 30 years. The frequency of retinopathy was higher in males as compared to females. The mean age of the patients was 51.10 +- 8.33 years with range 36-77 years. Proliferative retinopathy was seen more in those diabetic patients whose duration of disease was more than 10 years. They also showed poor glycaemic control in the form of raised blood glucose and HbA1C levels. Conclusion: About twenty eight percent of our diabetic patients are suffering from diabetic retinopathy. This can be controlled by early detection and effective treatment both in terms of strict glycemic control and laser photocoagulation, thus decreasing the morbidity and mortality due to this chronic disease. (author)

Atmospheric turbidity and transmittance of solar radiation in Riyadh, Saudi Arabia

Science.gov (United States)

El-Shobokshy, Mohammad S.; Al-Saedi, Yaseen G.

During the last two decades, the urban areas in the city of Riyadh—the capital of Saudi Arabia—were increasing at an exceptionally high rate through a series of development plans. The major plans had been completed by the end of 1982. Some other big utility projects were started and completed during 1987. As a consequence, the air quality has deteriorated markedly and air pollution episodes recorded during these activities showed that particulates were present in the atmosphere at high concentrations. Later in January 1991 the Gulf war started and the firing of the oil fields in Kuwait soon followed. It was estimated that soot particulates were emitted at a rate of 600 ton d -1 along with high rates of other gases. This event has led to significant air quality and visibility problems. Direct normal solar radiation has been measured during the summer months of July and August which were characterized by very dry and cloudless weather for the period between 1982 and 1992. A year-to-year trend of the transmittance of direct normal solar irradiance was then determined. The atmospheric fine aerosol (oil field fires in Kuwait were passing over Riyadh are presented. The reduction in solar irradiation reflects the intensity of dark smoke at a distance of 500 km from Kuwait.

Evaluation Models for E-Learning Platform in Riyadh City Universities (RCU with Applied of Geographical Information System (GIS

Directory of Open Access Journals (Sweden)

Abdulaziz I. Alharrah

2014-12-01

Full Text Available E-learning that integrates digital knowledge content, network and information technology has become an emerging learning method. As the e-learning platform approach is becoming an important tool to allow the flexibility and quality requested by such a kind of learning process. There is a new kind of problem faced by organizations consisting in the selection of the most suitable e-learning platform. This paper proposes evaluation model for E-Learning platform in Riyadh City universities (RCU with Applied Geographic Information System (GIS. The E-Learning platform solution selection is a multiple criteria decision-making problem that needs to be addressed objectively taking into consideration the relative weights of the criteria for any organization. We formulate the quoted multi criteria problem as a decision hierarchy to be solved using GIS. AGIS-based evaluation index system and web-based evaluating platform were established. In this paper we will show the general evaluation strategy and some obtained results using our model to evaluate some existing commercial platforms.The results of evaluation model are outlined as follows: Total weights of the proposed framework in management feature is 20.25/25, in collaborative feature is 9.2/10, in adaption learning path is 6.8/10 and in interactive learning object is 5/5. The total weights of all features are 41.25/50. In this study an evaluation model was applied on Riyadh City universities like KSU, IMAMU, NAUSS, YU and FU. Then, the results were compared with each other. The total weighs of KSU was 41. While the total weights of FU, IMAMU, YU and NAUSS was 40, 37, 36 and 32, respectively. Evaluation process shows that the proposed framework satisfied the objectives with applied GIS.

Military and Political Studies

OpenAIRE

Alexey I. Podberyozkin

2014-01-01

Military-political issues is an important area of research work at MGIMO. The difference in this direction from the classical international specialization is that it is at the intersection of several disciplines: military science, military-technical and military-industrial as well as International Relations. A specialist in military and political issues should not only be an expert in the field of international relations and diplomacy, but also have a deep knowledge of military-technical issu...

Tobacco Pricing in Military Stores: Views of Military Policy Leaders.

Science.gov (United States)

Smith, Elizabeth A; Jahnke, Sara A; Poston, Walker S C; Malone, Ruth E; Haddock, Christopher K

2016-10-01

Higher tobacco taxes reduce tobacco use. On military installations, cigarettes and other tobacco products are sold tax-free, keeping prices artificially low. Pricing regulations in the military specify that tobacco should be within 5% of the local most competitive price, but prices still average almost 13% lower than those at local Walmarts. To gain insight into policy leaders' ideas and positions on military tobacco pricing, we interviewed members of the Department of Defense (DoD) Addictive Substances Misuse Advisory Committee and the Advisory Committee on Tobacco about tobacco pricing policies (n = 12). Participants frequently lacked specific knowledge of details of military pricing policy, and the impact higher prices might have on military tobacco use. Most participants thought tobacco should not be sold at military stores, but many also felt that this policy change was unlikely due to tobacco industry pressure, and DoD reliance on tobacco profits to support Morale, Welfare, and Recreation funds. Achieving a tobacco-free military will require changing pricing policy, but this study suggests that for effective implementation, military leadership must also understand and articulate more clearly the rationale for doing so. Previous work has found that adherence to military tobacco pricing policy is inconsistent at best. This study suggests that lack of knowledge about the policy and conflicting pressures resulting from the funding stream tobacco sales represent extend to high level military policy leaders. Without clearer information and direction, these leaders are unlikely to be able to establish and implement better tobacco pricing policy. © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Comprehensive geo-spatial data creation for Ar-Riyadh region in the KSA

Science.gov (United States)

Alrajhi, M.; Hawarey, M.

2009-04-01

The General Directorate for Surveying and Mapping (GDSM) of the Deputy Ministry for Land and Surveying (DMLS) of the Ministry of Municipal and Rural Affairs (MOMRA) in the Kingdom of Saudi Arabia (KSA) has the exclusive mandate to carry out aerial photography and produce large-scale detailed maps for about 220 cities and villages in the KSA. This presentation is about the comprehensive geo-spatial data creation for the Ar-Riyadh region, Central KSA, that was founded on country-wide horizontal geodetic ground control using Global Navigation Satellite Systems (GNSS) within the MOMRA's Terrestrial Reference Frame 2000 (MTRF2000) that is tied to International Terrestrial Reference Frame 2000 (ITRF2000) Epoch 2004.0, and vertical geodetic ground control using precise digital leveling in reference to Jeddah 1969 mean sea level, and included aerial photography of area 3,000 km2 at 1:5,500 scale and 10,000 km2 at 1:45,000 scale, full aerial triangulation, and production of orthophoto maps at scale of 1:10,000 (480 sheets) for 10,000 km2, with aerial photography lasting from July 2007 thru August 2007.

Prevalence and associated factors of burnout among military doctors in pakistan

International Nuclear Information System (INIS)

Chaudhry, M.A.; Khokhar, M.M.; Haq, A.I.U.; Alvi, Z.Z.

2015-01-01

To determine the frequency of factors contributing to burnout among military Physicians in Lahore, Pakistan. Study Design: Cross-sectional analytical study. Place and Duration of Study: Combined Military Hospital (CMH) Lahore and CMH Lahore Medical and Dental College from March 2014 to September 2014. Methodology: Sample consisted of 133 physicians (n=66) males and n=67 females). Convenient sampling procedure was used. Mashlach Burnout Inventory (MBI) which included 22 questions was used to measure emotional exhaustion, depersonalization and personal accomplishment. The questionnaire also elicited information about socio-demographic and work characteristics. Data was entered and analyzed by using Statistical Package for Social Sciences (SPSS version 20.0). Chi-square test of significance was used to see the significance of association between age, gender, duration of service in years and working hours per week. p value <0.05 was considered statistically significant. Results: On the MBI, 29 (21.8%) physicians showed high emotional exhaustion, 22 (16.6%) showed high depersonalization and 34 (25.6%) showed low personal accomplishment. Thirty-seven physicians (27.8%) were identified as experiencing a high degree of burnout (high emotional exhaustion and depersonalization and low personal accomplishment). The frequency of high degree of burnout was higher among males (36.4%) as compared to females (17.9%) and this difference was statistically borderline significant (p = 0.057). However, there was statistically significant difference (p = 0.03) of burnout between those working = 41 hours per week as compared to working = 40 hours per week. Conclusion: The prevalence of high degree of burnout in Pakistani military physicians was higher than those reported internationally. Work redesign plans as well as early assessment and intervention may be helpful in the reduction of job burnout in physicians working in military hospitals. (author)

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

National Research Council Canada - National Science Library

Palmer, William A., Jr; Hanna, Marcia

2000-01-01

The Military Librarian Workshop(MLW) is an annual meeting that brings together civilian and military personnel who serve as special librarians, library supervisors, or technical information officers in military or governmental...

The potential of blended learning in education and training for advanced civilian and military trauma care.

Science.gov (United States)

Sonesson, Linda; Boffard, Kenneth; Lundberg, Lars; Rydmark, Martin; Karlgren, Klas

2018-01-01

In the field of advanced care of the complex trauma patient, there is an emerging need for focused education and training. However, several hospitals do not support further education and training in this field, and the challenge of releasing time for physicians and nurses is well-known. Educational strategies using blended learning, which combines traditional classroom methods with modern computer-assisted methods and media, have not yet been widely used. This study analysed the educational challenges and areas for improvement, according to senior physicians and nurses, and investigated the potential use of blended learning. The setting was an international course, Definitive Surgical Trauma Care (DSTC) - Military Version, part of a programme which prepares health professionals for work during extreme conditions. The sample consisted of senior physicians and nurses, participating in the course in September 2015. A survey was completed, interviews were performed and a post-course survey was conducted 18 months later in March 2017. The most difficult aspect of learning how to manage the complex trauma patient, was the lack of real practice. Even though the respondents were knowledgeable in advanced trauma, they lacked personal experience in managing complex trauma cases. Cases presented during the course represented significantly greater complexity of injury compared to those usually seen in hospitals and during military deployment. The following educational challenges were identified from the study: (1) Lack of experience and knowledge of advanced trauma care. (2) Lack of the use of blended learning as support for education and training. (3) Limited time available for preparation and reflection in the education and training process. (4) Lack of support for such education and training from home hospitals. (5) The unfulfilled requirement for multidisciplinary team-training in the military medical environment. Educational strategies and methods, such as blended

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

Directory of Open Access Journals (Sweden)

Sambu R. Tsyrendorzhjyev

2015-01-01

Full Text Available The notion of "military danger, military threats, military and non-military measures to Parry, and other definitions from the policy of the State to ensure the military security of the now widely used in journalism, conceptual, other documents and research. The attentive reader it is not difficult to notice the ambiguity in the interpretation of these concepts. This makes it difficult to not only the perception of the relevant topics for ensuring military security publications, but also the development of the theory and practice of ensuring the defence and security of the State. The author's view on the essence of the reasoning logic of non-military measures to counter military threats, as the ultimate goal of the article is the following.First the task of analyzing the concept of "national security", "object of national security" and understand the functions of the State, society and the individual to ensure national security. Decomposition of an object of national security, which is "national property" (the content of the concepts described in the article has made it possible to substantiate the basis for classification of national security threats and with better understanding of the nature, variety, Genesis. This provided a rationale for the role and the place of the tasks ensuring military security in the common task of ensuring national security, the correlation of military and non-military threats.The final phase of the research, the results of which are set out in the article is devoted to analysis of military threats, which made it possible to identify their main structural elements: source, media, military-political and strategic nature, install the main factors defining the content of these elements and their interaction. Based on these results, the proposed definition of the essence of non-military measures for counteracting of military threats, as well as guidelines for developing these measures.

Evaluation and comparison of health care Work Environment Scale in military settings.

Science.gov (United States)

Maloney, J P; Anderson, F D; Gladd, D L; Brown, D L; Hardy, M A

1996-05-01

The purpose of this study was to describe health care providers' perceptions of their work environment at a large U.S. Army medical center, and to compare the findings to other military medical centers. The sample (N = 112) consisted of the professional nursing staff working on the nine inpatient units. The Work Environmental Scale (WES) was used to measure perceptions of the workplace relative to gender, position (head nurses, staff nurses, and agency nurses), specialty nursing (intensive care unit [ICU] versus non-ICU), education (MSN, BSN, and ADN), and patterns of differences between the WES subscales of four military medical centers. Results of the study indicate that there were no significant gender differences. Head nurses, non-ICU nurses, and MSN nurses perceived their environment more positively. There were significant differences in the WES subscales between the military hospitals. Implications for nursing using the WES were recommended.

[Stress at work among military doctors: a preliminary study].

Science.gov (United States)

Knezević, Bojana; Belosević, Ljiljana

2006-09-01

This preliminary study examined the sources of work stress in military physicians. Forty-eight medical doctors (24 military and 24 civilian) completed a questionnaire on stressors at the work place. The participation in the study was anonymous and voluntary. Out of 24 military physicians, 14 were military general practitioners (mean age 40.5, 14 female), and 10 were consultants of different specialties (mean age 43.5, 7 male and 3 female). Civilian physicians included 13 general practitioners working at primary health care system (mean age 37, 3 male and 10 female), and 11 consultants of different specialties working at out of hospital practice (average age 37, 6 male and 5 female). The questionnaire included items aiming to obtain demographic characteristics (sex, age, marital status, children, academic degree, clinical specialty, work place, average time in practice, average time at current position) and 37 items to determine occupational stressors. The stressors were related to work management, professional demands, interpersonal and patient-doctor relationship. Differences in recognizing work stressors between the groups of civilian and military physicians were statistically analyzed by using chi-squared-test. The leading work stressors identified by military physicians were inadequate salary, being bypassed for promotion, inadequate continuous education, poor resources, poor communication with superiors, poor management, trouble with superiors, excessive paperwork, unpredictable situations, and 24-hour standby. Civilian physicians reported inadequate salary, poor resources, poor management, misinformed patients, lack of co-workers, lack of time, unpredictable situations, exposure to indictment, dealing with incurable patients and exposure to public criticism and judgment. In comparison with civilian physicians, military physicians significantly more frequently reported inadequate salary (pcommunication with superiors (pcommunication with superiors (12

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

OpenAIRE

Bolin, Phil Warren

1980-01-01

Approved for public release; distribution is unlimited. The influence of military service and military vocational training on post-service earnings was analyzed using the National Longitudinal Survey of young men (14-24 years of age in 1966) . When individuals were classified by their propensity to use training neither military service nor military vocational training was a significant determinant of post-service earnings. A disaggregation of the sample IQ revealed that m...

Hand Hygiene: Knowledge and Attitudes of Fourth-Year Clerkship Medical Students at Alfaisal University, College of Medicine, Riyadh, Saudi Arabia.

Science.gov (United States)

Hamadah, Reem; Kharraz, Razan; Alshanqity, Airabab; AlFawaz, Danah; Eshaq, Abdulaziz M; Abu-Zaid, Ahmed

2015-08-24

Little is known about the clerkship (clinical) medical students' knowledge of hand hygiene as the single most important precautionary measure to reduce nosocomial healthcare-associated infections. The aim of this study is to explore the knowledge of, and attitudes towards, hand hygiene practices among fourth-year clerkship medical students at Alfaisal University, College of Medicine, Riyadh, Saudi Arabia. A cross-sectional, paper-based, Yes/No formatted questionnaire was administered to explore the students' knowledge of, and attitudes towards, hand hygiene practices. Data were decoded in Microsoft Excel sheet and presented as numbers and percentages. One hundred and eleven students (n=111/147) participated in the questionnaire (response rate: 76%). Although the majority of students had a fair knowledge of hand hygiene practices, a number of them had some misconceptions. Only 14% of students correctly agreed to the statement: "Traditional hand washing (water, plus regular soap) decreases the number of germs." Furthermore, only 32% of students correctly answered that "hand washing with a regular soap, instead of an antiseptic soap, is better in limiting the transmission of clostridium difficile infections". Almost all students (93%) agreed to the importance of hand hygiene education in medical curricula and its awareness in healthcare centers. Despite the importance of hand hygiene, only 13% of students reviewed the respective WHO and CDC guidelines before starting their clinical training in the teaching hospital. The students' inadequate knowledge about hand hygiene needs to be enriched by well-structured curricular and extra-curricular programs as well as more positive attitudes by healthcare workers.

Chronic pain management in the active-duty military

Science.gov (United States)

Jamison, David; Cohen, Steven P.

2012-06-01

As in the general population, chronic pain is a prevalent and burdensome affliction in active-duty military personnel. Painful conditions in military members can be categorized broadly in terms of whether they arise directly from combat injuries (gunshot, fragmentation wound, blast impact) or whether they result from non-combat injuries (sprains, herniated discs, motor vehicle accidents). Both combat-related and non-combat-related causes of pain can further be classified as either acute or chronic. Here we discuss the state of pain management as it relates to the military population in both deployed and non-deployed settings. The term non-battle injury (NBI) is commonly used to refer to those conditions not directly associated with the combat actions of war. In the history of warfare, NBI have far outstripped battle-related injuries in terms not only of morbidity, but also mortality. It was not until improvements in health care and field medicine were applied in World War I that battle-related deaths finally outnumbered those attributed to disease and pestilence. However, NBI have been the leading cause of morbidity and hospital admission in every major conflict since the Korean War. Pain remains a leading cause of presentation to military medical facilities, both in and out of theater. The absence of pain services is associated with a low return-to-duty rate among the deployed population. The most common pain complaints involve the low-back and neck, and studies have suggested that earlier treatment is associated with more significant improvement and a higher return to duty rate. It is recognized that military medicine is often at the forefront of medical innovation, and that many fields of medicine have reaped benefit from the conduct of war.

Bringing the Military Back in: Military Expenditures and Economic Growth 1990 to 2003

Directory of Open Access Journals (Sweden)

Jeffrey Kentor

2015-08-01

Full Text Available After the “peace bonus” era, global military expenditures have escalated sharply despite some worldwide declines in military personnel. Theories on the economic impacts of the military institution and escalated military spending greatly differ and include arguments that they either improve domestic economic performance or crowd out growth-inducing processes. Empirical findings on this matter are inconclusive, in part due to a failure to disentangle the various dimensions of military expenditures. We further suggest that modern sociology's relative inattention to such issues has contributed to these shortcomings. We explore a new dimension of military spending that clarifies this issue—military expenditures per soldier —which captures the capital intensiveness of a country’s military organization. Our cross-national panel regression and causal analyses of developed and less developed countries from 1990 to 2003 show that military expenditures per soldier inhibit the growth of per capita GDP, net of control variables, with the most pronounced effects in least developed countries. These expenditures inhibit national development in part by slowing the expansion of the labor force. Labor-intensive militaries may provide a pathway for upward mobility, but comparatively capital-intensive military organizations limit entry opportunities for unskilled and under- or unemployed people. Deep investments in military hardware also reduce the investment capital available for more economically productive opportunities. We also find that arms imports have a positive effect on economic growth, but only in less developed countries.

Clinical and laboratory profile of dengue fever patients admitted in combined military hospital rawalpindi in year 2015

International Nuclear Information System (INIS)

Rehman, M. M. U.; Zakaria, M.; Mustafvi, S. A.

2017-01-01

Objective: The purpose of this study was to determine the pattern of clinical presentations, haematological and biochemical abnormalities, and outcome of dengue fever patients admitted in Combined Military Hospital (CMH) Rawalpindi in year 2015. Study Design: A descriptive cross sectional study. Place and Duration of Study: Department of Medicine, CMH Rawalpindi, from January 2015 to December 2015. Material and Methods: Patients meeting the inclusion criteria were admitted at CMH Rawalpindi and blood serology was done to confirm the diagnosis of dengue fever. Cases with positive dengue serology were included in the study. Clinical symptoms, signs, investigations and outcome of these patients were recorded on a proforma. Blood samples were taken for analysis. Chest X-Ray and ultrasound abdomen were done on required basis. Results: Out of forty confirmed cases of dengue fever, there were 25 (62.5 percent) males and 15 (37.5 percent) females. Mean age was 40 years. There were 39 cases (97.5 percent) of dengue fever and one case (2.5 percent) of dengue shock syndrome.There was no case of dengue haemorrhagic syndrome. Maximum cases were seen in the month of October 2015.The clinical features noted were: headache and myalgias 62.5 percent, chills and rigors 57.5 percent, retro-orbital pain 42.5 percent, vomiting 35.0 percent, pruritus 27 percent, skin rash 20 percent, abdominal pain 20 percent, diarrhoea 10 percent, bleeding 2.5 percent, ascites and pleural effusion 2.5 percent, and hepatomegaly 15 percent. The laboratory findings were: leucopenia 85 percent and thrombocytopenia 92.5 percent. Serum alanine transaminase (ALT), urea, and creatinine were raised in 30 percent, 2.5 percent and 7.5 percent cases respectively. Mortality was 2.5 percent. Conclusion: This study showed that patients admitted to CMH hospital had a milder presentation of dengue fever in the year 2015. (author)

Sixty years of the Military Technical Courier: Origins of the military technical thinking in the military printing of the Kingdom of Serbia

Directory of Open Access Journals (Sweden)

Ivan B. Mijatović

2012-04-01

Full Text Available The article sheds light on the origins of the military technical thinking in the military publishing of the Kingdom of Serbia with a view to marking a jubilee - the sixtieth anniversary of the Military Technical Courier. 'Vojin', the first military review, printed in the middle of 19th century as a private venture, covered a wide scope of military issues, among which a special place was given to 'the science of weapons'. No sooner had this review ceased to exist than The Headquarters of the Army of the Kingdom of Serbia started publishing a new military review, 'Ratnik', which, apart from the art of war and war literature, dealt with the science of weapons in order to inform officers about the latest achievements in military technology and to educate them as well. Serbian military thinking, including its technical aspect, did not fall behind modern trends in its European and world counterparts until 1914. The development of weaponry in Europe and the world was regularly covered on the pages of military reviews.

Military and Political Studies

Directory of Open Access Journals (Sweden)

Alexey I. Podberyozkin

2014-01-01

Full Text Available Military-political issues is an important area of research work at MGIMO. The difference in this direction from the classical international specialization is that it is at the intersection of several disciplines: military science, military-technical and military-industrial as well as International Relations. A specialist in military and political issues should not only be an expert in the field of international relations and diplomacy, but also have a deep knowledge of military-technical issues to understand the basic trends in the development of scientific and technological progress and its impact on the balance of forces in the world. Global changes in the balance of power and the nature of the conflict, the emergence of new types of weapons are changing the basic methods and approaches to the art of war, which requires a science-based perspective on problem solving and multi-disciplinary approach in achieving the goals. Military and political studies allow us to understand how the development of military technology and military organization of the state affected by the political situation in the world, the national security of the country and its place in the system of international relations. Military-political research has been developing at MGIMO for a few decades. It laid down the basis for a scientific school of political-military studies. Its founding fathers were such prominent scholars of international affairs, as I.G. Usachyov, A.D. Nikonov, A.G. Arbatov, V.G. Baranovsky, V.M. Kulagin, A.N. Nikitin and other well-known experts. Their work covers a wide range of military and political issues, including the topics of arms control and disarmament, international, and especially European security, military policy, NATO, the Western military-political doctrines and their practical application. Now the lead in the development of this research at MGIMO has taken Center for Military-Political Studies, which became a concentration of relevant

Challenges with diagnosing and investigating suspected active tuberculosis disease in military trainees.

Science.gov (United States)

Chang, David; Webber, Bryant J; Hetrick, Steven M; Owen, Jerry B; Blasi, Audra A; Steele, Bernadette M; Yun, Heather C

2017-08-01

Between 1 January 2010 and 31 December 2016, a total of 14 U.S. and international military personnel in training at Joint Base San Antonio-Lackland, TX, were hospitalized due to suspected pulmonary tuberculosis (TB); of these, five personnel were diagnosed with active TB disease. Only one TB case had pulmonary symptoms, but these symptoms were not suggestive of TB. The incidence rate in the training population was 1.89 per 100,000 population (95% CI: 0.81, 4.42), with a higher rate when restricted to international military students attending the Defense Language Institute English Language Center. No instances of TB transmission were identified. The variety of atypical presentations and their resulting diagnostic and public health challenges prompted this retrospective review of all hospitalized cases. This case series highlights both the importance of a high index of clinical suspicion when TB is being considered in close congregate settings as well as the risk of overreliance on acid-fast bacilli staining and nucleic acid amplification testing for ruling out active pulmonary disease in young, otherwise healthy trainees. Practical solutions are suggested.

Land Use and Land Cover Changes and Urban Sprawl in Riyadh, Saudi Arabia: AN Analysis Using Multi-Temporal Landsat Data and SHANNON'S Entropy Index

Science.gov (United States)

Rahman, M. T.

2016-06-01

The city of Riyadh, Saudi Arabia has experienced rapid population growth and urban expansion over the past several decades. Due to such growth, the capital city faces many short and long-term social and environmental consequences. In order to monitor and mitigate some of these consequences, it is essential to examine the past changes and historical growth of the city. It is also essential to measure its urban sprawl over the past few decades. The objective of this study is to fulfil these goals. It does so by first examining the historical growth of the city of Riyadh. To do so, Landsat data over the past two and half decades are classified using a combination of supervised and unsupervised classification techniques. Based on the classification results, the study then uses Shannon's Entropy to measure the urban sprawl in the city. The results show that from 1990-2009, the urban built-up area of the city has increased by 90% in the western, south-eastern, and northern parts. The Shannon's entropy values show that the city is dispersing towards the outskirts of the city. The results from this study will assist city planners and government officials to plan, reduce, and perhaps mitigate some of the social and environmental consequences and enable the growth of the city in a sustainable manner in the near future.

14 CFR 65.117 - Military riggers or former military riggers: Special certification rule.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Military riggers or former military riggers: Special certification rule. 65.117 Section 65.117 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION... Riggers § 65.117 Military riggers or former military riggers: Special certification rule. In place of the...

Military Health System Transformation Implications on Health Information Technology Modernization.

Science.gov (United States)

Khan, Saad

2018-03-01

With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system. In this perspective, we discuss the implications of the intersection of two large-scope and large-scale initiatives, health system transformation, and information technology modernization, being rolled out in the largest and most complex federal agency and potential risk mitigating steps. The Military Health System will require an expanded unified clinical leadership to spearhead short-term transformation; furthermore, developing, organizing, and growing a cadre of informatics expertise to expand the use and diffusion of novel solutions such as health information exchanges, data analytics, and others to transcend organizational barriers are still needed to achieve the long-term aim of health system reform as envisioned by the National Defense Authorization Act for Fiscal Year 2017.

The Military's Business

DEFF Research Database (Denmark)

Rasmussen, Mikkel Vedby

If the military were a business, would you buy shares? Over recent years, Western armed forces, particularly the US, have been costing more yet achieving less. At the same time, austerity measures are reducing defence budgets. This book uses defence data to examine the workings of modern Western...... militaries and explore what kind of strategies can overcome this gap between input and output. Instead of focusing on military strategy, Mikkel Vedby Rasmussen seeks to draw on the ideas of business strategy to assess alternative business cases - reforming military HR to combat instability in the 'Global...

A review of one year of British Armed Forces mental health hospital admissions.

Science.gov (United States)

Finnegan, A; Finnegan, S; Gamble, D

2007-03-01

The paper provides a review of one year of military Mental Health (MH) hospital admissions. This includes an exploration into demographic trends, differences in clinical opinion and how information gained is used to improve the service and ensure appropriate, cost effective care in the optimum environment. The sample group is entitled military MH hospital admissions from 1 April 2005 to 31 March 2006. Data was collected on questionnaires with SPSS used for the management and analysis of the quantitative data, with the information exposed to descriptive and inferential statistical analysis. There were 344 admissions. The paper contains a detailed review of a number of variables. Depression was the most common diagnosis resulting in 112 (33%) hospital admissions and Post Traumatic Stress Disorder accounted for 23 (7%). There were statistically significant differences that may be attributable to gender with more women admitted with depression and more men with alcohol related disorders. The average length of stay was 21 days, with 48% of patients discharged within 3 weeks. 45% of all returns included significant events reporting that highlighted written evidence of good and poor practice. This study is part of an extensive monitoring programme of military MH hospital admissions. Depression is the most common MH problem leading to hospital admission. The results indicate that Service-personnel have access to a highly responsive service that provides brief assessment and treatment within a safe therapeutic environment. 45% of returns included significant event information that resulted in policy changes, leading to improved patient care and a better interface with the NHS. Bench-marking, both internally between military Departments of Community Mental Health and externally have improved visibility and self awareness leading to better GP induction programmes, PHC educational seminars and the establishment of MH web-pages. The Armed Forces need an effective MH service

Command in a field hospital.

Science.gov (United States)

Bricknell, M C M

2003-03-01

This paper examines the challenges involved in commanding a field hospital. There are frequent, dynamic tensions between the military culture that is based on a task-focussed, hierarchical structure and the clinical culture that is based on flat, process-focussed, multidisciplinary teams. The paper outlines the cultural environment of the field hospital and then examines the deployment sequence whereby a functioning clinical facility may be created from a group of disparate individuals. There are a number of tools that may assist with this including the personality of the Commanding Officer, individual skills, the creation of an organizational identity and the choice of command structure.

Iraqi Military Academies

Directory of Open Access Journals (Sweden)

Nodar Z. Mossaki

2015-03-01

Full Text Available The article analyzes the system of training of officers in military academies in Iraq – in Zakho, Qalacholan, ar-Rustamiyah and an-Nasiriyah. The author describes the history of creation, process of evolution, challenges and features of training in these colleges. Particular attention paid to military academies in the territory of Iraqi Kurdistan, which actually do not obey the central government of Iraq, however, have the highest level of training. Currently, Iraq's military academies operate on the basis of the NATO standards. Iraqi military academies paid miuch attention to the specifics of the military and political situation in Iraq – counterinsurgency and counterterrorism operations, patrolling cities, fighting in an urban environment etc. Significant place in the curriculum take the courses contributing to the formation of pro-Western sentiment.

The Global Youth Tobacco Survey: 2001–2002 in Riyadh region, the Kingdom of Saudi Arabia

Directory of Open Access Journals (Sweden)

Al-Bedah AM

2011-11-01

Full Text Available Abdullah Mohammed Al-Bedah1, Naseem Akhtar Qureshi21Arabian Center for Tobacco Control, 2General Administration for Medical Research and Mental Health and Social Services, Ministry of Health, Riyadh, Saudi ArabiaBackground: Tobacco use is a major public health problem, and its prevalence is globally increasing, especially among children and adolescents.Objective: The Global Youth Tobacco Survey aimed to explore the epidemiological trends and risk factors of tobacco smoking among intermediate school boys in Riyadh region of the Kingdom of Saudi Arabia.Method: A two-stage cluster sample design was used to produce a representative sample of male students from selected schools. The participants (n = 1830 self recorded their responses on the Global Youth Tobacco Survey questionnaire.Results: Lifetime prevalence of cigarette smoking was 35%, while 13% of students currently used other tobacco products. About 16% of students currently smoked at home, and 84% of students bought cigarettes without any refusal from storekeepers. Thirty-one percent and 39% of students were exposed to secondhand tobacco smoke inside and outside the house, respectively, which was definitely or probably harmful to health as opined by 87% of participants, and 74% voiced to ban smoking from public places. Among current smokers, 69% intended (without attempt to quit and 63% attempted (but failed to quit during the past year. Almost an equal number of students saw antismoking and prosmoking media messages in the last month, and 28% of students were offered free cigarettes by a tobacco company representative. In schools, more than 50% of students were taught about the dangers of cigarette smoking in the last year. Smoking by parents, older brothers, and close friends, watching prosmoking cigarette advertisements, free offer of cigarettes by tobacco company representatives, perception of smoking being not harmful, and continuing smoking which can be easily quit significantly

Telecommunications in Israeli field hospitals deployed to three crisis zones.

Science.gov (United States)

Finestone, Aharon S; Levy, Gadi; Bar-Dayan, Yaron

2014-10-01

A field hospital overseas requires various types of communication equipment. This study presents the communications equipment used by three Israeli field hospital delegations to earthquake sites at Adapazari, Turkey, in 1999, Port-au-Prince, Haiti, in 2010 and Minamisanriku, Japan, in 2011. The delegations to Turkey and Haiti were relatively large (105-230 personnel) and were on the site early (three to four days after each event). The 55-person delegation to Japan arrived later and was established as an outpatient community hospital. Standard military VHF radios were the only effective tool up to 5 km, until cellular coverage was regained (1-2 weeks after each event). International communication was good. While short-wave communication (telephone and Internet) was used in Turkey, a direct satellite channel was set up in Haiti. In Japan, BGAN Inmarsat provided efficient Wi-Fi for all needs. Motorola walkie talkies were not efficient beyond the immediate vicinity. This paper recommends continued use of military-specification equipment alongside newer modalities, particularly in situations where infrastructure is damaged. © 2014 The Author(s). Disasters © Overseas Development Institute, 2014.

Employee use and perceived benefit of a complementary and alternative medicine wellness clinic at a major military hospital: evaluation of a pilot program.

Science.gov (United States)

Duncan, Alaine D; Liechty, Janet M; Miller, Cathy; Chinoy, Gail; Ricciardi, Richard

2011-09-01

The objectives of this study were to examine the feasibility of a weekly on-site complementary and alternative medicine (CAM) wellness clinic for staff at a military hospital, and to describe employees' perceptions of program effectiveness. The study setting was the Restore & Renew(®) Wellness Clinic at a United States Department of Defense hospital. The subjects were hospital nurses, physicians, clinicians, support staff, and administrators. The walk-in wellness clinic was open 8:00 am-2:00 pm 1 day a week. Participants selected one or more modalities each visit: ear acupuncture, clinical acupressure, and Zero Balancing.(®) A self-report survey was done after each clinic visit to evaluate clinic features and perceived impact on stress-related symptoms, compassion for patients, sleep, and workplace or personal relationships. Surveys completed after first-time and repeat visits (n=2,756 surveys) indicated that most participants agreed or strongly agreed they felt more relaxed after sessions (97.9%), less stress (94.5%), more energy (84.3%), and less pain (78.8%). Ninety-seven percent (97%) would recommend it to a co-worker. Among surveys completed after five or more visits, more than half (59%-85%) strongly agreed experiencing increased compassion with patients, better sleep, improved mood, and more ease in relations with co-workers. Perceived benefits were sustained and enhanced by number of visits. The most frequently reported health habit changes were related to exercise, stress reduction, diet/nutrition, and weight loss. This evaluation suggests that a hospital-based wellness clinic based on CAM principles and modalities is feasible, well-utilized, and perceived by most participants to have positive health benefits related to stress reduction at work, improved mood and sleep, and lifestyle.

The impact of a school based oral hygiene instruction program on the gingival health of middle school children in Riyadh: Saudi Arabia

Directory of Open Access Journals (Sweden)

Hessa Alwayli

2015-01-01

Full Text Available Aim: To determine the impact of a school-based oral hygiene instructions program on the gingival health of children in randomly selected middle schools in Riyadh, Saudi Arabia. Materials and Methods: Nine hundred and fourteen children were selected from nine schools that were randomly determined from Riyadh City public schools. After obtaining the parents′ consent, the criteria-guided enrolment of study participants yielded 457 children in the control group and 457 students in the experimental group. The intervention design was 90 days experimental period with an intermediate follow-up visit at 45 days. A calibrated examiner (HW measured the plaque index (PI and the gingival index (GI. The indices were measured at day 1, day 45 and day 90 in both the control and the experimental groups. Results were analyzed with Wilcoxon sign rank test for each index, site, and by sessions for each group to determine if the scores had increased, decreased, or remained the same between intervals. Results: Plaque and gingival scores in the control group showed a steady improvement throughout the experimental period when compared with the baseline scores. Scores in the experimental group were significantly improved at each session between baseline and session 2 (45 days and session 3 (90days respectively. Conclusions: The continued reduction of GI and PI scores at the end of the intervention observed in this pilot study suggest that a school-based oral hygiene measures program can significantly improve oral health among school children in Saudi Arabia.

Pattern of prescription drug use in Nigerian army hospitals

African Journals Online (AJOL)

Army Dental Centre, Military Hospital, Awolowo Road, Ikoyi, 1Department of ... Correspondence to: Dr. E. Taiwo Adebayo, General Post Office Box 3338, Kaduna – 800 001, Nigeria. .... meet their individual requirements for an adequate ..... reference materials such as essential drugs list, ... and sterilization equipment.

A survey on postanesthetic patient satisfaction in a university hospital

Directory of Open Access Journals (Sweden)

Adel Ali Alshehri

2015-01-01

Full Text Available Background and Objectives: Patient satisfaction after anesthesia is an important outcome of hospital care. The aim is to evaluate the postoperative patient satisfaction during the patient stay at King Khalid University Hospital in Riyadh, Saudi Arabia. Patients and Methods: Three hundred and fifty-three patients who underwent surgery under general/regional anesthesia were surveyed. They were interviewed face to face on the first postoperative day. We recorded pain and pain controls in addition to some common complication of anesthesia like nausea and vomiting (postoperative nausea and vomiting as a parameter to assess the rate of patient′s satisfaction. Results: The overall level of satisfaction was high (95.2%; 17 (4.8% patients were dissatisfied with their anesthetic care. There was a strong relation between patient dissatisfaction and: (i Patients with poor postoperative pain control 13 (12.4%, (ii patients with moderate nausea 8 (11.1% and (iii patients with static and dynamic severe pain 6 (21.4. Several factors were associated with dissatisfaction can be prevented, or better treated. Conclusion: We concluded that the patient satisfaction was high. Postoperative visit should be routinely performed in order to assess the quality and severity of postoperative pain, nausea and vomiting and the other side-effects postoperatively.

Unconventional Military Advising Mission Conducted by Conventional US Military Forces

OpenAIRE

Hajjar, Remi M.

2016-01-01

This article examines how and why many contemporary US mainstream military advisors—as compared to Special Forces advisors—often work from a position of disadvantage when conducting unconventional advising missions. Post-9/11 deployments to Iraq and Afghanistan have caused the US military to adapt to myriad complexities, including a renewed need for the widespread execution of the unconventional military advising mission by the Special Forces and conventional units. Although Special Forces ty...

What Military Officers Need to Know About Civil-Military Relations

Science.gov (United States)

2012-04-01

2012, Vol. 65, No. 2 Mackubin Thomas Owens ivil-military relations describe the interactions among the people of a state, the institutions of that...civilians for the unexpect- edly difficult occupation of Iraq,” one close observer—U.S. Army major Isaiah Wilson III, an official historian of the...U.S. Civil- Military Relations. 4. I have addressed these questions in depth in Mackubin Thomas Owens, US Civil-Military Relations after 9/11

Dysfunctional personality disorder beliefs and lifetime suicide attempts among psychiatrically hospitalized military personnel.

Science.gov (United States)

Ghahramanlou-Holloway, Marjan; Lee-Tauler, Su Yeon; LaCroix, Jessica M; Kauten, Rebecca; Perera, Kanchana; Chen, Rusan; Weaver, Jennifer; Soumoff, Alyssa

2018-04-01

Personality disorders (PDs) are associated with an increased risk for suicide. However, the association between PDs and suicide risk has not been examined among military personnel. This study evaluated whether endorsement of different PD dysfunctional beliefs was associated with lifetime suicide attempt status. Cross-sectional data were collected during the baseline phase of a randomized controlled trial, evaluating the efficacy of an inpatient cognitive behavior therapy protocol for the prevention of suicide. Participants (N = 185) were military service members admitted for inpatient psychiatric care following a suicide-related event. MANOVA and Poisson regression evaluated the association between each type of PD dysfunctional belief and the number of suicide attempts. Service members' PBQ subscale scores for borderline (p = 0.049) and histrionic PD dysfunctional beliefs (p = 0.034) significantly differed across those with suicide ideation only, single attempt, and multiple attempts. Upon further analysis, histrionic PD dysfunctional beliefs scores were significantly higher among those with multiple suicide attempts than those with single attempts. One point increase of dependent (Incidence Risk Ratio = 1.04, p = 0.009), narcissistic (IRR = 1.07, p histrionic beliefs as part of a psychosocial intervention will be useful. Copyright © 2018. Published by Elsevier Inc.

The Military's Business

DEFF Research Database (Denmark)

Rasmussen, Mikkel Vedby

If the military were a business, would you buy shares? Over recent years, Western armed forces, particularly the US, have been costing more yet achieving less. At the same time, austerity measures are reducing defence budgets. This book uses defence data to examine the workings of modern Western...... militaries and explore what kind of strategies can overcome this gap between input and output. Instead of focusing on military strategy, Mikkel Vedby Rasmussen seeks to draw on the ideas of business strategy to assess alternative business cases - reforming military HR to combat instability in the 'Global...... to fit within a nation's overall national security system without ever-increasing budgets....

Glycemic control and sponsor rank of military dependents with type 1 diabetes mellitus.

Science.gov (United States)

Paz, Rachael; Rouhanian, Minoo; Vogt, Karen

2016-09-01

Disparities in glycemic control are reported in children with type 1 diabetes related to differences in access to health care and socioeconomic status. In the US military, rank is an indicator of socioeconomic status, but all have complete health care access without cost. We sought to determine if glycemic control in children with type 1 diabetes differs if their sponsor (parent) is an officer vs. enlisted military service member. We performed a cross-sectional retrospective chart review of children with type 1 diabetes >1 yr duration whose parent is a military service member. A total of 281 subjects met study criteria, 136 (48.4%) having an enlisted and 145 (51.6%) having an officer sponsor. The groups differed by race with 38.2% black in the enlisted and 9% black in the officer group (p 1). The median enlisted average hemoglobin A1c (HbA1c) over the most recent year of available data was significantly higher than the officer group (9.2 vs. 8.4%, p 1). The difference remained significant when controlled for age and race. Diabetes-related hospitalizations were greater in the enlisted group (39.0 vs. 19.3%, p 1). More subjects in the officer group were on insulin pumps (54.5 vs. 28.7%, p 1). Dependent children of enlisted service members with type 1 diabetes have higher HbA1c levels, more diabetes-related hospitalizations, and are less likely to use insulin pumps than children of officers. These differences are likely linked to socioeconomic status and education levels given the universal access to health care within the military system. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

An outbreak of trichinellosis in a military unit

Directory of Open Access Journals (Sweden)

Radosavljević Vladan

2008-01-01

Full Text Available Background/Aim. In December 2001, an outbreak of trichinellosis spreaded in a military unit. The aim of this paper was to show possibilities and consequences of trichinellosis infestations in military units during peace time, as well as to improve knowledge and awareness of medical corps personnel, commanders and soldiers about this disease. Methods. A descriptive and analytical epidemiological models were used to find out a source of outbreak and to identify the ways of its transmission. Results. This outbreak was caused by the contaminated raw smoked sausage which had not undergone health inspection and brought from civilians to a military unit. Thirty-eight persons were exposed, twenty-one affected and hospitalized. The most frequent symptoms reported were fever (76.2%, myalgia (76.2%, palpebral edema (42.8%, face edema (19.0% and diarrhea (14.3%. Test for indirect immunofluorescence was positive in 14.3% and ELISA test was positive in 28.6% of the patients. Eosinophilia was present in 85.7% of the affected. IgE values were increased in 28.6% and CPK values were increased in 61.9% of the diseased. All of the 17 exposed undiseased had negative laboratory analyses for trichinellosis. Conclusion. We propose intensifying health education and continuing the implementation of duly supervised and evaluated self-check programs. A well-tuned, fast-reacting epidemiological monitoring system has to be obligatory.

The Importance of Military Cultural Competence.

Science.gov (United States)

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

2016-03-01

Military cultural competence has recently gained national attention. Experts have posited that limited outcomes in the treatment of posttraumatic stress disorder and depression in the military may be related to limited familiarity with the military. National surveys have indicated low military cultural competence among providers and limited educational efforts on military culture or pertinent military pathology in medical schools and residency training programs. Military families, with their own unique military cultural identity, have been identified as a population with increased risks associated with deployment. In response to these findings, several curricula regarding military culture have been established and widely distributed. Assessments of military cultural competence have also been developed. The clinical impact of enhanced cultural competence in general has thus far been limited. The military, however, with its highly prescribed cultural identity, may be a model culture for further study.

Impact of Military Lifestyle on Military Spouses' Educational and Career Goals

Science.gov (United States)

Ott, Laura E.; Kellley Morgan, Jessica; Akroyd, H. Duane

2018-01-01

The military lifestyle imposes unique challenges for military spouses in regards to their education and careers. To help alleviate these challenges, military spouses are encouraged to pursue portable career paths. This causes one to question whether spouses desire these portable careers and what influences spouses place on pursuing specific…

Deployment of military mothers: supportive and nonsupportive military programs, processes, and policies.

Science.gov (United States)

Goodman, Petra; Turner, Annette; Agazio, Janice; Throop, Meryia; Padden, Diane; Greiner, Shawna; Hillier, Shannon L

2013-07-01

Military mothers and their children cope with unique issues when mothers are deployed. In this article, we present mothers' perspectives on how military resources affected them, their children, and their caregivers during deployment. Mothers described beneficial features of military programs such as family readiness groups and behavioral health care, processes such as unit support, and policies on length and timing of deployments. Aspects that were not supportive included inflexibility in family care plans, using personal leave time and funds for transporting children, denial of release to resolve caretaker issues, and limited time for reintegration. We offer recommendations for enhanced support to these families that the military could provide. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.

Sociometric approaches for managing military units and predicting of behavior of military personnel

Science.gov (United States)

Kudro, Nataliya M.; Puzikova, Svetlana M.

2017-09-01

In the Republic of Kazakhstan military service becomes attractive primarily for that category of people who have no opportunity to acquire high quality vocational or higher education, decent income by the speciality available, or those who have not yet identified themselves professionally and socially. Its a serious problem how to ensure ability of military units to execute their service duties in conditions of more and more increasing requirements for professional competences of military personnel, increased intellectualization of military service when the quality of "human material" often is not corresponding to the required standards. This problem in the national and foreign science is still being developed and has no final solutions accessible for the scientific society. This article presents an effort to offer specialists in the military administration area one of probable tools to forecast successfulness of execution of professional tasks by military units based on results of sociometric studies and algorithms of plotting Bayesian networks. Using these tools a military leader will be able to evaluate effectiveness of his managerial activity, correct mechanisms of individual and mentoring activity with regard to individual servicemen, provide an opportunity to eliminate risks of failing to fulfill professional tasks on time and failing to ensure combat readiness of entrusted military team.

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

Directory of Open Access Journals (Sweden)

Piotr Malinowski

2015-06-01

Full Text Available The origins of military leadership are rooted in ancient times and its embodiment are great chieftains and commanders. However, since the moment when in organisation and management sciences the civil theories of leadership started to emerge, the military forces have incorporated their solutions to structure the assumptions of new, coherent and effective models of military leadership. A good example of such solutions is the Canadian model of military leadership, competently merging the civil theories with experience and needs of the military environment. This solution may be a perfect example of effective application of leadership theory to modify the existing national model of military leadership and construct a more efficient one.

Prevalence of Hepatitis C Virus Infection and Its Risk Factors among Patients Attending Rwanda Military Hospital, Rwanda.

Science.gov (United States)

Umumararungu, Esperance; Ntaganda, Fabien; Kagira, John; Maina, Naomi

2017-01-01

In Rwanda, the prevalence of viral hepatitis (HCV) is poorly understood. The current study investigated the prevalence and risk factors of HCV infection in Rwanda. A total of 324 patients attending Rwanda Military Hospital were randomly selected and a questionnaire was administered to determine the risk factors. Blood was collected and screened for anti-HCV antibodies and seropositive samples were subjected to polymerase chain reaction method. Hematology abnormalities in the HCV infected patients were also investigated. Anti-HCV antibody and active HCV infection were found in 16.0% and 9.6% of total participants, respectively. Prevalence was highest (28.4%; 19/67) among participants above 55 years and least (2.4%; 3/123) among younger participants (18-35 years). There was a significant ( P = 0.031) relationship between place of residence and HCV infection with residents of Southern Province having significantly higher prevalence. The hematological abnormalities observed in the HCV infected patients included leukopenia (48.4%; 15/52), neutropenia (6.5%; 2/52), and thrombocytopenia (25.8%; 8/52). The HCV infection was significantly higher in the older population (>55 years) and exposure to injection from traditional practitioners was identified as a significant ( P = 0.036) risk factor of infection. Further studies to determine the factors causing the high prevalence of HCV in Rwanda are recommended.

Military Hospitalizations among Deployed US Service Members Following Anthrax Vaccination, 1998-2001

National Research Council Canada - National Science Library

Wells, Timothy S; Sato, Paul A; Smith, Tyler C; Wang, Linda Z; Reed, Robert J; Kappel Ryan, Margaret A

2006-01-01

.... To determine if anthrax vaccination was associated with an increased risk of hospitalization, a historical cohort study utilizing pre- and post-anthrax-vaccination hospitalizations was undertaken...

Workplace violence against nursing staff in a Saudi university hospital.

Science.gov (United States)

Alkorashy, Hanan A Ezzat; Al Moalad, Fawziah Bakheet

2016-06-01

Violence against nurses is a major challenge for healthcare administrators. It is gaining more attention because it has a negative impact on nurses, the quality of health care and health organization. Common types of violence include physical harassment, sexual abuse, aggression, mobbing and bullying. Patients, their relatives and co-workers are considered the main perpetrators. To determine the prevalence rate of workplace violence against nursing professionals in a university hospital in Riyadh, Saudi Arabia, most frequent type and perpetrators as well as the contributing factors. This quantitative cross-sectional study adapted a survey questionnaire from the Massachusetts Nurses Association Survey on Workplace Violence/Abuse to collect data from a quota sample of 370 nursing personnel. Almost half of the participants had experienced violence in the professional setting during the 12 months prior to the study. The majority of subjects perceived workplace violence as verbal abuse. Nearly all nursing professionals identified patients as the leading cause. Slightly more than half mentioned understaffing, misunderstandings, long waits for service and lack of staff training and policies for preventing crisis as contributing factors. The prevalence rate is extremely high among nurses in the targeted Saudi university hospital. Saudi health as well as university hospitals' administration and policy makers should adopt and introduce a 'zero tolerance policy', set standards and develop practical measures for preventing the incidence and for controlling the prevalence of violence against nurses. Besides, healthcare organizations, particularly hospitals, can fulfil their obligations to provide both staff and patients with more secure environment. Further research on the topic is needed. © 2016 International Council of Nurses.

Prevalence of Methicillin-resistant Staphyloccocus Aureus and associated risk factors on admission to a specialist care eye hospital

International Nuclear Information System (INIS)

Islam, Sara I.; Moore, C.

2002-01-01

Staphyloccocus aureus is known to be a frequent pathogen in hospital settings, with its well-known and resistant forms to the anti-staphylococcal penicillins. Reports on community carriage outside hospital settings have been feared to be on the increase due to the due to the frequency of reported cases on admission to hospitals. We undertook this study to determine the prevalence of and to establish predictors for, nasal carriage of methicillin-resistant S.aureus (MRSA) at the time of admission to a specialist care eye hospital. A prospective survey was conducted at King Khaled Eye Specialist Hospital (KKESH), Riyadh during the three differing weeks randomly selected from the year 1999. The first 100 patients admitted during those three weeks were selected according to inclusion criteria. The hospital is a 220-bed tertiary ophthalmic care facility, with an average 7,500admission per year. Nasal bacterial swabs were taken within 48 hours of admission and tested for all strains of S.aureus and sensitivity to methicillin. Detailed interviews were conducted about medical history and habitual environment. Of 306 nasal cultures tested, none was isolated for MRSA and 102 (33%) were sensitive to methicillin (MSSA).We found 0% nasal carriage rate for MRSA. Respondents have difficulty with questions related to antibiotic administration. No identifiable medical or environmental risk factors could be found. Nasal swabs of patients admitted to KKESH did not reveal MRSA colonization, indicating that MRSA may not be prevalent in the community at present. (author)

Selling petroleum to the military

International Nuclear Information System (INIS)

Uscher, R.H.

1999-01-01

This article examines what petroleum products and services the US military buys, the contracts awarded to Asian and European refiners for supplies outside the USA, and military specifications and test methods including the specifications of JP-8 battlefield fuel and the JP-8+100 additive package for military aircraft. The way in which the military buys petroleum products is described, and details are given of the types of military contracts, the bidding on Defense Energy Support Center (DESC) petroleum contracts, the performance of military petroleum contracts, socio-economic programmes, the Prompt Payment Act requiring contractors to be paid promptly, and procedures for claims and disputes

Safety assessment of the magnetic resonance imaging (MRI) facility at the 37 Military Hospital

International Nuclear Information System (INIS)

Mintah, R.O

2010-01-01

Safety assessment of the operation of the Magnetic Resonance Imaging (MRI) system at 37 Military Hospital was done. Protocols were developed to assess the radiological health and safety impact of some selected MR imaging procedures on patients, staff and the general public. The parameters considered to be assessed were; specific absorption rate (SAR); temperature rise in the body, variation of the magnetic field gradients, RF energy used, sound pressure level and the potential for missile effects. The Smart brain and Routine lumbar Spine examination cards specific to brain and lumbar spine anatomy techniques were used. For brain examinations the T1 W-SE sagittal PH, and the T1 W-SE Tra-PH protocols gave the highest SAR values with a mean value 1.6 W/kg for 3 minutes. For the lumbar spine examinations, the T1 W-TSE axial protocols exposed patients to the highest consistent SAR value of 2.8 W /kg. The T2W-TSE axial protocol gave the highest SAR value of 3.8 W/kg with a mean value of 3.1 W/kg with the highest exposure time of 4 minutes with a mean of 2.5 minutes. These SAR values were within the limits recommended by the United States Food and Drug Administration (USFDA). To optimize patient, staff and public safety, local guidelines for safety assessment were developed which include: in house screening with a metal detector, filling in the screening form and ensuring that safety requirements are met before entering the MR room. The choice of protocols that minimize SAR values and strict compliance to safety protocols developed at the MRI facility therefore should be followed and continuously updated to achieve maximum safety for staff, patient and the general public in and around an MRI facility. (au)

Teacher's Knowledge, Attitudes and Management Practices about Diabetes Care in Riyadh's Schools.

Science.gov (United States)

Abdel Gawwad, Ensaf S

2008-01-01

The objective of this study was to assess diabetes-related knowledge, attitudes and management practices among school teachers in order to determine their diabetes training needs and preparedness to provide adequate care for students with diabetes. A cross sectional descriptive study was carried out among 177 school teachers in Boys and Girls primary and intermediate school compounds in Riyadh City. Data was collected using self-administered questionnaires during the period February-March 2007. The results showed that most of the school teachers had fair diabetes knowledge (78%), and unfavorable attitudes toward taking responsibility of diabetes education and care in schools. Recognizing normal, low and high blood sugar levels was the least known. The most frequent sources of information were booklets, brochures, mass media and own experience. A negative significant relationship was found between knowledge and attitude scores. Only 18.6% of teachers had got good total score of diabetes management practices for their diabetic students. The most frequent practices mentioned were trying to have competency in using glucometer, and allowing students to use restroom as needed. Developing an emergency action plan, and observing diabetic students all the school day were the least mentioned practices. Good diabetes managers were more knowledgeable and more expressing unfavorable attitudes. This study highlighted the need of diabetes education training courses especially designed to school teachers to promote adequate care and management of diabetes emergencies in schools.

Prevalence of extended-spectrum beta-lactamases among Enterobacteriaceae isolated from blood culture in a tertiary care hospital

International Nuclear Information System (INIS)

El-Khizzi, Noura A.; Bakheshwain, S. M.

2006-01-01

To determine the prevalence of extended spectrum beta-lactamase among Enterobacteriaceae isolated from blood culture in a tertiary care hospital. We carried out this study at the Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia during the period between January 2003 - December 2004. We tested a total of 601 isolates of the family Enterobacteriaceae from blood culture for the prevalence of extended spectrum beta-lactamase (ESBL) production by the standardized disc diffusion method and confirmed by the ESBL E test strips. Ninety-five (15.8%) of the isolates were ESBL producers. Among these, 48.4% were Klebsiella pneumoniae (K. pneumoniae) followed by15.8% of both Escherichia coli (E. coli) and Enterobacter cloacae (Ent. cloacae). Other isolates produced ESBL in low numbers. Klebsiella pneumoniae produced ESBL in significant numbers. Extended spectrum beta-lactamase gram-negative bacilli present significant diagnostic and therapeutic challenges to the management of infections due to these organisms. Microbiology laboratories should start reporting ESBL producing Enterobacteriaceae organism due to their importance in respect to antibiotic therapy and infection control aspects. (author)

China's Military Potential

National Research Council Canada - National Science Library

Wortzel, Larry

1998-01-01

The People's Republic of China (PRC) is seen by many as an economic powerhouse with the world's largest standing military that has the potential to translate economic power into the military sphere...

Knowledge and attitudes towards cardiopulmonary resuscitation among university students in Riyadh, Saudi Arabia

International Nuclear Information System (INIS)

Al-Turki, Yousef A.; Al-Fraih, Yasser S.; Jalalay, Jalal B.; Al-Maghlouth, Ibrahim A.; Al-Rashoudi, Fahad H.; Al-Otaibi, Azzam F.; Al-Thnayan, Anas A.; Trabzoni, Abdulmohsin I.; Al-Shaykh, Abdulaziz S.

2008-01-01

Objective was to assess the knowledge and attitudes towards cardiopulmonary resuscitation (CPR) among the students of King Saud University. This study was a cross sectional survey among King Saud University students, Riyadh, Kingdom of Saudi Arabia, which took place on December 17-20, 2006. The data was collected from self-administered questionnaires prepared in Arabic. The questionnaires were distributed to all 15 colleges of the university. Out of a study sample of 2250 students, 31% did not have prior CPR information. Of those with previous knowledge, 85% feel that it is inadequate. The most common sources of information were television and movies. The 12.7% of individuals encountered a situation that required the use of CPR. However, 14% of them performed it. This was mostly due to lack of knowledge (42.8%). Eighty-eight percent of students would like to learn how to perform CPR. Out of all King Saud University students, 45% believe that CPR training should be a graduation requirement. It was found that overall attitude towards CPR was positive. However, the knowledge on the topic was insufficient. Thus, more focus should be placed on the improvement of CPR skills. In addition, more studies are needed to assess knowledge and attitudes towards CPR in the community. (author)

A preliminary study on HTGR with air-cooled condenser at Riyadh, Saudi Arabia

Energy Technology Data Exchange (ETDEWEB)

Chang, Jonghwa; Lee, Wonjae [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2013-05-15

N GNP reactor plant adopted a Rank in steam cycle for early deployment and for reducing R and D risk and cost. Original plant design is based on a wet cooling tower with wet bulb temperature of 34 .deg. C. This cooling environment may be sufficient for most area in North America. However, we should consider air temperature of 45 .deg. C and no available cooling water for any site near Riyadh, Saudi Arabia. A plausible option in such arid area is using an air-cooled condenser(ACC) which is widely used in a combined cycle plant in arid region. ACC is also suitable for freezing area such as northern territory or high elevation remote area. We have studied impact of the cooling method on the power generation efficiency and the annual average power production referencing N GNP steam turbine. Even though condenser split is assumed to be the same between ACC and wet cooling tower, large difference in air temperature and wet bulb temperature makes large efficiency loss in the ACC. The ACC efficiency is lower than that of the wet cooling tower by 1.12%. To make up this loss, we proposed the variable steam extraction rates operation. An air cooled condenser is a practical.

Levels and correlates of physical activity, inactivity and body mass index among Saudi women working in office jobs in Riyadh city.

Science.gov (United States)

Albawardi, Nada M; Jradi, Hoda; Al-Hazzaa, Hazzaa M

2016-06-20

Physical inactivity is among the leading risk factors for non-communicable diseases. Saudi Arabia has just begun to address physical inactivity as recent studies have shown an alarming prevalence of insufficiently physically active adults. Saudi women are identified as among the most overweight/obese and least active worldwide. With an increase in the number of women in office based jobs, the risk of physical inactivity is likely to increase. Identifying the level and correlates for high BMI and physical inactivity in Saudi women will help to plan more effective public health strategies. The aim of this study is to assess the level of physical activity, inactivity and body mass index among Saudi women working in office based jobs in Riyadh city and identify the correlates for overweight, obesity and low physical activity. A cross- sectional study was conducted on 420 Saudi women aged 18 to 58 years working in office based jobs in eight worksites in Riyadh, Saudi Arabia. Body mass index was determined using weight and height measurements and physical activity was assessed based on a validated self-administered questionnaire. The majority of the subjects were overweight or obese (58.3 %). Overweight/obesity was associated with increased age, lower income and with those working in the public versus private sector. More than half of the sample (52.1 %) were insufficiently physically active. Participants working seven or more hours per day and those working in private versus public sector were significantly associated with low physical activity. This study identified Saudi women working in office based jobs as a high risk group for overweight, obesity and physical inactivity. As sedentary jobs may compound the risk for obesity and physical inactivity, this may support the use of workplace health programs to reduce sitting time and promote physical activity as a viable public health initiative.

Coping strategies for stress used by adolescent girls in Riyadh, Kingdom of Saudi Arabia.

Science.gov (United States)

Raheel, Hafsa

2014-09-01

Secondary school girls, ages 15 - 19 yrs were surveyed to find out the coping strategies they used when stressed. Adolescents, who are affected with stress and depression early in life, suffer from depression throughout their lives especially if they are utilizing improper ways to cope with it. A cross sectional school based survey among 1028 adolescent girls was conducted among the secondary schools in Riyadh city,Kingdom of Saudi Arabia. About 25% stated that they cry, 19% listen to music, 15% start eating a lot, 12% sit alone/isolate themselves, 11% pray/read the Quran, 10% get into a verbal argument or a fight. Only a few, 3% exercise, and 2% stated that they find someone to discuss and talk to. Majority of the adolescent girls in our survey, rely on emotion related coping mechanisms rather than problem solving mechanisms. This can cause long term implications in these adolescents as there is an increased probability to develop depression later on in life. Policy makers need to implement strategies for early identification of stress and depression. Talking to friends and family can serve as an effective way to cope with stress.

Obesity and the US Military Family

Science.gov (United States)

Tanofsky-Kraff, Marian; Sbrocco, Tracy; Theim, Kelly R.; Cohen, L. Adelyn; Mackey, Eleanor R.; Stice, Eric; Henderson, Jennifer L.; McCreight, Sarah J.; Bryant, Edny J.; Stephens, Mark B.

2014-01-01

Objective This review discusses the current knowledge and future directions regarding obesity within the US military family (i.e., active-duty servicemembers, as well as military spouses, children, retirees, and veterans). The increasing rates of overweight and obesity within the US military adversely impact military readiness, limit recruitment, and place a significant financial burden on the Department of Defense. Design and Methods The following topics are reviewed: 1) The prevalence of and the financial, physical, and psychological costs associated with overweight in military communities; 2) military weight regulations, and challenges faced by the military family related to overweight and disordered eating; 3) the continued need for rigorous program evaluations and new intervention development. Results Overweight and its associated sequelae impact the entire military family. Military families share many similarities with their civilian counterparts, but they face unique challenges (e.g., stress related to deployments and relocations). Although the military has weight management resources, there is an urgent need for rigorous program evaluation and the development of enhanced obesity prevention programs across the lifespan of the military family–several of which are proposed herein. Conclusions Interdisciplinary and collaborative research efforts and team-based interventions will continue to inform understanding of obesity treatment and prevention within military and civilian populations. PMID:23836452

Test for Local Insect Traps against some Solanacea Insects Plant under Green House Conditions in Riyadh, Saudi Arabia

International Nuclear Information System (INIS)

Al-Ayedh, Hassan Ibn Yahiya

2005-01-01

Trapping efficiency of seven different colored sticky traps (Green, Fluorescent yellow, Orange, Pink, red, White and Yellow) was evaluated in some solanacea plants, tomatoes (Lycopersicon esculentum), eggplant (Solanum Magellan) and sweet pepper (Capsicum spp.) crops, for whitefly (Bemis ia airlifting), leaf miners (Liriomyza trifolii), thrips (Thrips tabaci) in Riyadh, Saudi Arabia. The traps were placed at four different heights (0.5, 1.0, 1.5 and 2.0 m above the ground). The experiment was laid out in a Completely Randomized Block Design (CRBD) with four replications during autumn 2001, spring and autumn 2002. Significantly high insect populations were trapped on Fluorescent yellow, yellow and green colored sticky traps. No significant differences were witnessed between mean numbers of various insects caught on sticky traps placed at different heights but more insects were trapped at 0.5 - 1.5m. (author)

Military Internal Medicine Resident Decision to Apply to Fellowship and Extend Military Commitment.

Science.gov (United States)

Barsoumian, Alice E; Hartzell, Joshua D; Bonura, Erin M; Ressner, Roseanne A; Whitman, Timothy J; Yun, Heather C

2018-02-06

Nationally, the number of internal medicine physicians practicing in primary care has decreased amidst increasing interest in hospitalist medicine. Current priorities in the Military Health System include access to primary care and retention of trained personnel. Recently, we have conducted a study of military internal medicine residents' decision to enter infectious disease. As part of our larger effort, we saw an opportunity to characterize factors impacting decision making of internal medicine residents' desire to apply for subspecialty training and to extend active duty service obligations. Questions were developed after discussion with various military graduate medical education and internal medicine leaders, underwent external review, and were added to a larger question set. The survey link was distributed electronically to all U.S. military affiliated residencies' graduating internal medicine residents in December 2016-January 2017. Data were analyzed by decision to apply to fellowship and decision to extend military obligation using Fisher's exact test or Pearon's chi-square test. Sixty-eight residents from 10 of 11 military residency programs responded, for a response rate of 51%. The majority (62%) applied to fellowship to start after residency completion. Reasons cited for applying to fellowship included wanting to become a specialist as soon as possible (74%), wishing to avoid being a general internist (57%), and because they are unable to practice as a hospitalist in the military (52%). Fellowship applicants were more likely to plan to extend their military obligation than non-applicants, as did those with longer duration of military commitments. No other factors, including Uniformed Services University attendance or participation in undergraduate military experiences, were found to impact plan to extend active duty service commitment. The majority of graduating internal medicine residents apply for fellowship and report a desire to avoid being a

MILITARY CONSTRUCTION: Kaiserslautern Military Community Center Project Continues to Experience Problems

National Research Council Canada - National Science Library

Kutz, Gregory D; Causseaux, Bruce A; Dorn, Terrell G

2008-01-01

The Kaiserslautern Military Community Center (KMCC) is one of many projects initiated at Ramstein Air Base to upgrade capabilities of the base as a result of the consolidation of military bases in Europe...

Military Construction, Military Quality of Life and Veterans Affairs: FY2007 Appropriations

National Research Council Canada - National Science Library

Else, Daniel H; Scott, Christine; Panangala, Sidath V

2007-01-01

... construction, military housing allowances, military installation maintenance and operation, the Department of Veterans Affairs, and other veteran-related agencies, rested in the House Committee...

Benefits of HIV testing during military exercises.

Science.gov (United States)

Gross, M L; Rendin, R W; Childress, C W; Kerstein, M D

1989-12-01

During U.S. Marine Corps Reserve summer 2-week active duty for training periods, 6,482 people were tested for human immunodeficiency virus (HIV). Testing at an initial exercise, Solar Flare, trained a cadre of contact teams to, in turn, train other personnel in phlebotomy and the HIV protocol at three other exercises (141 Navy Reserve and Inspector-Instructor hospital corpsmen were trained). Corpsmen could be trained with an indoctrination of 120 minutes and a mean of 15 phlebotomies. After 50 phlebotomies, the administration, identification, and labeling process plus phlebotomy could be completed in 90 seconds. HIV testing during military exercises is both good for training and cost-effective.

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

National Research Council Canada - National Science Library

Jorgensen, Brent M

2005-01-01

"Outsourcing Small Wars: Expanding the Role of Private Military Companies in U.S. Military Operations" argues that, under current domestic and international laws, and current military regulations and doctrine...

Global hospital bed utilization crisis. A different approach.

Science.gov (United States)

Waness, Abdelkarim; Akbar, Jalal U; Kharal, Mubashar; BinSalih, Salih; Harakati, Mohammed

2010-04-01

To test the effect of improved physician availability on hospital bed utilization. A prospective cohort study was conducted from 1st January 2009 to 31st March 2009 in the Division of Internal Medicine (DIM), King Abdul-Aziz Medical City (KAMC), Riyadh, Kingdom of Saudi Arabia. Two clinical teaching units (CTU) were compared head-to-head. Each CTU has 3 consultants. The CTU-control provides standard care, while the CTU-intervention was designed to provide better physician-consultant availability. Three outcomes were evaluated: patient outsourcing to another hospital, patient discharge during weekends, and overall admissions. Statistical analysis was carried out by electronic statistics calculator from the Center for Evidence-Based Medicine. Three hundred and thirty-four patients were evaluated for admission at the Emergency Room by both CTU's. One hundred and eighty-three patients were seen by the CTU-control, 6 patients were outsourced, and 177 were admitted. One hundred fifty-one patients were seen by the CTU-intervention: 39 of them were outsourced, and 112 were admitted. Forty-eight weekend patient discharges occurred during this period of time: 21 by CTU-control, and 27 by CTU-intervention. Analysis for odds ratio in both the rate of outsourcing, and weekend discharges, showed statistical significance in favor of the intervention group. The continuous availability of a physician-consultant for patient admission evaluation, outsourcing, or discharge during regular weekdays and weekends at DIM, KAMC proved to have a positive impact on bed utilization.

Vedr.: Military capacity building

DEFF Research Database (Denmark)

Larsen, Josefine Kühnel; Struwe, Lars Bangert

2013-01-01

Military capacity building has increasingly become an integral part of Danish defence. Military capacity is a new way of thinking Danish defence and poses a new set of challenges and opportunities for the Danish military and the Political leadership. On the 12th of december, PhD. Candidate Josefine...... Kühnel Larsen and researcher Lars Bangert Struwe of CMS had organized a seminar in collaboration with Royal Danish Defense Colleg and the East African Security Governance Network. The seminar focused on some of the risks involved in Military capacity building and how these risks are dealt with from...

Study populations and casemix: influence on analysis of postoperative outcomes.

Science.gov (United States)

Isbister, W H

2000-04-01

The importance of patient casemix as a determinant of surgical outcome is now being recognized. The present study was undertaken in order to compare the presentation and outcomes in colorectal patients managed surgically by the same surgeon, in the same way, in different settings. Colorectal outcome data from the University Department of Surgery in Wellington and the King Faisal Specialist Hospital in Riyadh were analysed in order to determine casemix differences between the two hospitals. Data relating to the type of surgery, the surgeon, the patient's disease, the operation performed and the postoperative complications were compared. Specific colorectal clinical indicators were compared for two commonly performed operations for rectal cancer: anterior resection and abdomino-perineal resection of the rectum. Wellington patients were slightly older and there were more females. Emergency surgery was more frequent in Wellington. Left hemicolectomy, sigmoid colectomy, abscess drainage and pilonidal surgery were more common in Wellington whereas abdomino-perineal resection and anterior resection of the rectum, stoma closure, fistula surgery, seton insertion, restorative proctocolectomy and ileostomy were undertaken more frequently in Riyadh. More complex anal fistulas were managed in Riyadh. Condylomata accuminata, pilonidal abscess, anorectal abscess, rectal prolapse and diverticular disease were rarely seen in Riyadh. There were more postoperative pulmonary and cardiac complications in Wellington. Patients having anterior resection of the rectum were younger in Riyadh and there were proportionally more females. There were some obvious numerical outcome differences in postoperative atelectasis, wound infection, anastomotic leak and deep vein thrombosis rates but none of these reached statistical significance except atelectasis. In Riyadh the usual male-to-female ratio of patients undergoing abdomino-perineal resection was reversed but, again, none of the numerical

Military Dissent: What are the Ethical Implications of Tensions in U.S. Civil-Military Relations?

Science.gov (United States)

2013-06-14

ethical , and political. 22 Pfaff 1999, 8). The beliefs of egoism and post-modern relativism can be...MILITARY DISSENT: WHAT ARE THE ETHICAL IMPLICATIONS OF TENSIONS IN U.S. CIVIL-MILITARY RELATIONS? A thesis presented to the...JUN 2013 4. TITLE AND SUBTITLE Military Dissent: What are the Ethical Implications of Tensions in U.S. Civil-Military Relations? 5a. CONTRACT

Decrease Hospital Spending: There's an App for That! A Retrospective Analysis of Implementation of a Mobile Resident Handbook on Hospital Costs and Disposition.

Science.gov (United States)

Holtkamp, Matthew D

2017-10-01

Patient care involves time sensitive decisions. Matching a patient's presenting condition with possible diagnoses requires proper assessment and diagnostic tests. Timely access to necessary information leads to improved patient care, better outcomes, and decreased costs. This study evaluated objective outcomes of the implementation of a novel Resident Handbook Application (RHAP) for smart phones. The RHAP included tools necessary to make proper assessments and to order appropriate tests. The RHAPs effectiveness was accessed using the Military Health System Military Mart database. This database includes patient specific aggregate data, including diagnosis, patient demographics, itemized cost, hospital days, and disposition status. Multivariable analysis was used to compare before and after RHAP implementation, controlling for patient demographics and diagnosis. Internal medicine admission data were used as a control group. There was a statistically significant decrease in laboratory costs and a strong trend toward statistically significant decreases in the cost of radiology performed after implementation of RHAP (p value of <0.02 and <0.07, respectively). There was also a decrease in hospital days (3.66-3.30 days), in total cost per admission ($18,866-$16,305), and in cost per hospital day per patient ($5,140-$4,936). During the same time period a Control group had no change or increases in these areas. The use of the RHAP resulted in decreases in costs in a variety of areas and a decrease in hospital bed days without any apparent negative effect upon patient outcomes or disposition status.

The Mobile Modular Surgical Hospital: the Army Medical Department’s Future Unit of Action

Science.gov (United States)

2005-06-17

requirements. Paula C. Lodi in her monogram “The Army Medical Department and Full Spectrum Operations” written for the School of Advanced Military...Center, 2004), 2.1-2.10. 14Paula C. Lodi, The Army Medical Department and Full Spectrum Operations, ( Monogram , School of Advanced Military Studies...paper in the past ten years on the level III hospital. Paula C. Lodi in her monogram “The Army Medical Department and Full Spectrum Operations” written

78 FR 5717 - Safety Zone; Military Ocean Terminal Concord Safety Zone, Suisun Bay, Military Ocean Terminal...

Science.gov (United States)

2013-01-28

...-AA00 Safety Zone; Military Ocean Terminal Concord Safety Zone, Suisun Bay, Military Ocean Terminal... Guard is establishing a safety zone in the navigable waters of Suisun Bay near Military Ocean Terminal Concord, CA in support of military onload and offload operations. This safety zone is established to...

[The results of delivering surgical care to the wounded and sick in military medical establishments and impending tasks].

Science.gov (United States)

Briusov, P G; Efimenko, N A

1997-07-01

In article results of activity of the military surgeons on rendering of the surgical care to wounded and sick in 1996 are analyzed. During combat actions in Chechnya despite of severe forms of wounds and significant increase of combined battle traumas lethality among heavy wounded was reduced in 2 times. At common lethality rate in 1.3%, in hospitals from wounds 1.5% of wounded died, from traumas--0.7%, burns--2.9%, frostbitten--0.5%. As to peace time surgery, the analysis of main parameters of surgical work in military medical establishments, structure of diseases of servicemen, surgical activity, average terms of treatment, lethality after operations, defects in rendering of the surgical care is given. In conclusions the authors say about problems, that the military surgeons have today.

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

Science.gov (United States)

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

2018-05-01

Although research conducted within the military has assessed the health and mental health problems of military personnel, little information exists about personnel who seek care outside the military. The purpose of this study is to clarify the personal characteristics, mental health diagnoses, and experiences of active duty U.S. military personnel who sought civilian sector services due to unmet needs for care. This prospective, multi-method study included 233 clients, based in the United States, Afghanistan, South Korea, and Germany, who obtained care between 2013 and 2016 from a nationwide network of volunteer civilian practitioners. A hotline organized by faith-based and peace organizations received calls from clients and referred them to the network when the clients described unmet needs for physical or mental health services. Intake and follow-up interviews at 2 wk and 2 mo after intake captured demographic characteristics, mental health diagnoses, and reasons for seeking civilian rather than military care. Non-parametric bootstrap regression analyses identified predictors of psychiatric disorders, suicidality, and absence without leave (AWOL). Qualitative analyses of clients' narratives clarified their experiences and reasons for seeking care. The research protocol has been reviewed and approved annually by the Institutional Review Board at the University of New Mexico. Depression (72%), post-traumatic stress disorder (62%), alcohol use disorder (27%), and panic disorder (25%) were the most common diagnoses. Forty-eight percent of clients reported suicidal ideation. Twenty percent were absence without leave. Combat trauma predicted post-traumatic stress disorder (odds ratio [OR] = 8.84, 95% confidence interval [CI] 1.66, 47.12, p = 0.01) and absence without leave (OR = x3.85, 95% CI 1.14, 12.94, p = 0.03). Non-combat trauma predicted panic disorder (OR = 3.64, 95% CI 1.29, 10.23, p = 0.01). Geographical region was associated with generalized anxiety disorder

Influence of military sexual assault and other military stressors on substance use disorder and PTS symptomology in female military veterans.

Science.gov (United States)

Yalch, Matthew M; Hebenstreit, Claire L; Maguen, Shira

2018-05-01

Servicewomen exposed to traumatic stressors over the course of their military service are at increased risk of developing symptoms of substance use disorder (SUD) and posttraumatic stress (PTS). They are also at risk for exposure to military sexual assault (MSA), which is also associated with SUD and PTS symptomology. Research is unclear about the incremental contributions of different forms of traumatic stressors on co-occurring SUD and PTS symptomology. In this study we examined the independent and combined effects of MSA and other military stressors on SUD and PTS symptomology in a sample of female veterans (N=407). Results indicate that MSA and other military stressors exhibit incremental effects on SUD and PTS symptomology. Results further suggest that women exposed to both MSA and other military stressors are at increased risk for developing co-occurring SUD and PTSD. These findings extend previous research on comorbid SUD and PTSD, highlighting the cumulative effects of traumatic stressors on posttraumatic psychopathology, and have implications for future research and clinical practice with female veterans. Copyright © 2017 Elsevier Ltd. All rights reserved.

Forecasting military expenditure

Directory of Open Access Journals (Sweden)

Tobias Böhmelt

2014-05-01

Full Text Available To what extent do frequently cited determinants of military spending allow us to predict and forecast future levels of expenditure? The authors draw on the data and specifications of a recent model on military expenditure and assess the predictive power of its variables using in-sample predictions, out-of-sample forecasts and Bayesian model averaging. To this end, this paper provides guidelines for prediction exercises in general using these three techniques. More substantially, however, the findings emphasize that previous levels of military spending as well as a country’s institutional and economic characteristics particularly improve our ability to predict future levels of investment in the military. Variables pertaining to the international security environment also matter, but seem less important. In addition, the results highlight that the updated model, which drops weak predictors, is not only more parsimonious, but also slightly more accurate than the original specification.

Worldwide Military Spending, 1990-1995

OpenAIRE

Jerald A Schiff; Benedict J. Clements; Sanjeev Gupta

1996-01-01

The decline in military spending that began in the mid-1980s continued through 1995, and this decline was widespread both geographically and by level of development. Cuts in military spending appear to have potentially important implications for nonmilitary spending and fiscal adjustment. In contrast to findings for previous periods, military spending has declined more than proportionately in those countries that have reduced total spending. Countries with Fund programs have reduced military ...

Assessment of Infectious Waste Management Practices at Hospital with Excellent Accreditation Level in Bandung, Cimahi and East Jakarta, Indonesia

Directory of Open Access Journals (Sweden)

Fitria Novi

2018-01-01

Full Text Available This study includes the procedures available and methods of handling and disposing of infectious waste at Military hospital with Excellent Accreditation level in Bandung, Cimahi and East Jakarta, Indonesia. A total three (3 military hospitals with equal type of hospital and level accreditation were surveyed during the course of this research. The methods consisted of survey and interview with the authorities of the hospital and the personal involved in the management of the generated waste. The information was collected using forms specially developed for this purpose. Site visits were conducted to support and supplement information gathered in the survey. Assessment of infectious waste handling divided into six parameters: Hospital policy at organizational structure, status of cleaning services worker, classification/segregation process, collect and transport the infectious waste, condition of temporary storage of infectious waste and disposal phase of infectious waste. The result showed that the hospital with highest level of accreditation have less appropriate practices when it comes to segregation, collecting, storage and disposal of waste generated in comparison to developed country. It appears that hospital authorities should pay better attention to educational planning, organizational resources and supervision at infectious waste management.

THE DEMOCRATIC CONTROL OF MILITARY FORCES

Directory of Open Access Journals (Sweden)

Smail Oštraković

2011-04-01

Full Text Available The transition requirement for post communism countries, especially the part that is about military forces is to establish those civil-military relation that will have prepared projects for awareness evolving of society and military about necessity of democratic control over military sector of country through development of many different communication forms and shapes. Before everything, it means the entire freedom and independence of media at access to military forces as the topic and subject of its interests and also the organization of public military communication system as integral part of information-communication system in society

Supporting deployed operations: are military nurses gaining the relevant experience from MDHUs to be competent in deployed operations?

Science.gov (United States)

Beaumont, Steven P; Allan, Helen T

2014-01-01

To explore how peacetime employment of military nurses in the UK National Health Service Medical Defence Hospital Units prepares them to be competent to practise in their role on deployment. Military secondary care nurses are employed within UK National Health Service Trusts to gain clinical experience that will be relevant to their military nursing role. A two-stage grounded theory study using mixed methods: postal questionnaire survey and in-depth interviews. In stage one a postal questionnaire was distributed to all serving military nurses. Stage two involved 12 semi-structured interviews. The data from both parts of the study were analysed using grounded theory. Four categories and one core category were identified, which suggested that participants did not feel fully prepared for deployment. Their feelings of preparedness increased with deployment experience and decreased when the nature of injuries seen on deployment changed. Respondents argued that even when unprepared, they did not feel incompetent. The findings suggest that the peacetime clinical experience gained in the National Health Service did not always develop the necessary competencies to carry out roles as military nurses on deployment. This study highlights the unique role of military nurses. We discuss these findings in the light of the literature on competency and expertise. The military nurses in this study did not feel fully prepared for deployed operations. We propose a new model for how military nurses could gain relevant experience from their National Health Service placements. National Health Service clinical placements need to be reassessed regularly to ensure that they are meeting military nurses' clinical requirements. Experiences of nurses returning from deployment could be shared and used as a basis for reflection and learning within National Health Service Trusts and also inform decisions regarding the appropriateness of clinical placements for qualified military nurses. © 2012

Military Expenditure, Threats, and Growth

OpenAIRE

Aizenman, Joshua; Glick, Reuven

2003-01-01

This paper clarifies one of the puzzling results of the economic growth literature: the impact of military expenditure is frequently found to be non-significant or negative, yet most countries spend a large fraction of their GDP on defense and the military. We start by empirical evaluation of the non- linear interactions between military expenditure, external threats, corruption, and other relevant controls. While growth falls with higher levels of military spending, given the values of the o...

The economic impact of military expenditures

OpenAIRE

Landau, Daniel

1993-01-01

The author addresses three questions about military spending in developing countries: What are the levels of (and trends in) military spending as a percentage of gross national product? What impact does peacetime military spending have on growth, government spending on social welfare and infrastructure, and other key economic variables? What major factors influence the level of military spending? The author finds that military spending as a share of GNP generally fell in the 1980s, even in th...

Military Versus Civilian Murder-Suicide.

Science.gov (United States)

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

2015-07-03

Previous studies have implicated significant differences between military members and civilians with regard to violent behavior, including suicide, domestic violence, and harm to others, but none have examined military murder-suicide. This study sought to determine whether there were meaningful differences between military and civilian murder-suicide perpetrators. Using data from the Center for Disease Control's (CDC) National Violent Death Reporting System (NVDRS), military (n = 259) and civilian (n = 259) murder-suicide perpetrators were compared on a number of demographic, psychological, and contextual factors using chi-square analyses. Logistic regression was used to determine which variables predicted membership to the military or civilian perpetrator groups. Military murder-suicide perpetrators were more likely to be older, have physical health problems, be currently or formerly married, less likely to abuse substances, and to exhibit significantly different motives than civilian perpetrators. Logistic regression revealed that membership to the military, rather than the civilian, perpetrator group was predicted by age, physical health problems, and declining heath motive-reflecting the significance of a more than 15-year difference in mean age between the two groups. Findings point to the need to tailor suicide risk assessments to include questions specific to murder-suicide, to assess attitudes toward murder-suicide, and to the importance of assessing suicide and violence risk in older adult military populations. © The Author(s) 2015.

32 CFR 575.1 - Military Academy.

Science.gov (United States)

2010-07-01

... 32 National Defense 3 2010-07-01 2010-07-01 true Military Academy. 575.1 Section 575.1 National... MILITARY ACADEMY § 575.1 Military Academy. (a) Organization and administration. (1) The United States Military Academy is under the general direction and supervision of the Department of the Army. The...

Obstetric outcomes in reduced and non-reduced twin pregnancies. A single hospital experience

Directory of Open Access Journals (Sweden)

UmmKulthoum E. AlShelaly

2015-09-01

Full Text Available Objectives: To compare pregnancy outcomes between high-order multiple pregnancies resulting from assisted reproductive technology (ART reduced to twins and non-reduced pregnancies, and to evaluate indications for using ART. Methods: This is a descriptive retrospective review of women with high-order multiple pregnancies reduced to twin carried out at the Department of Obstetrics & Gynecology, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia between December 2010 and December 2013. The control group consisted of subjects with twin pregnancies who received their fertility treatment at the same hospital during the same period. Results: One hundred and twelve women were included in this study. Of women reaching fetal viability, significantly more women delivered before the thirtieth week in the study group (50% versus 12%, p<0.004. Miscarriage/delivery prior to fetal viability, chorioamnionitis, and preterm premature rupture of membranes were statistically higher in the study group. A total of 83% of the miscarriages in the study group were in women carrying 4 or more fetuses initially, and 50% of women in the study group were multiparous with no clear indication for fertility treatment. Conclusion: Although fetal reduction is a safe procedure, it is associated with complications. Primary prevention of high-order multiple pregnancy is recommended.

Eruption time of permanent first molars and incisors among female primary school children of riyadh

International Nuclear Information System (INIS)

Chohan, A.N.

2007-01-01

To determine the mean eruption time of permanent first molars, central and lateral incisors and to compare the relationship of mean eruption time with body mass index (BMI) in Saudi female primary school children from Riyadh, Saudi Arabia. The mean age of children was 89.3 (SD 9.6) months ranging from 71 months to 109 months. The maxillary right first molar had the lowest mean eruption time of 77.4 (SD 3.9) months and the maxillary right lateral incisor was the last tooth to erupt with eruption time of 98.4 (SD 6.5) months. Furthermore, the mandibular incisors erupted significantly earlier than maxillary incisors. By the age of 100 months, 97% of the girls had all their first permanent molars erupted. There was no significant correlation observed between eruption times with BMI of the studied teeth except the maxillary right lateral incisor. However, an inverse relationship may exist between the eruption times and BMI. The Saudi female primary school children showed later eruption time of permanent first molars, central and lateral incisors when compared with the reported results of other national studies. Key words: Eruption time, permanent teeth, Saudi Arabia, female children. (author)

Pre-hospital haemostatic dressings: a systematic review.

Science.gov (United States)

Granville-Chapman, J; Jacobs, N; Midwinter, M J

2011-05-01

Uncontrolled haemorrhage is a leading cause of prehospital death after military and civilian trauma. Exsanguination from extremity wounds causes over half of preven military combat deaths and wounds to the anatomical junctional zones provide a particular challenge for first responders. Commercial products have been developed, which claim to outperform standard gauze bandages in establishing and maintaining non-surgical haemostasis. Since 2004, two advanced haemostatic dressing products, HemCon and QuikClot have been widely deployed in military operations. Newer products have since become available which aim to provide more efficient haemostasis than and thus supersede HemCon and QuikClot. To conduct a systematic review of clinical and preclinical evidence to compare the relative efficacy and safety of available haemostatic products, which are of relevance to pre-hospital military and civilian emergency medical providers. An English language literature search was performed, using PubMed and Web of Knowledge Databases, with cross-referencing, focussed product searches and communication with product manufacturers. For studies employing animal models, the injury model was required to produce fatal haemorrhage. Products were categorised by primary mode of action as either factor concentrators,mucoadhesive agents or procoagulant supplementors. From 60 articles collated, 6 clinical papers and 37 preclinical animal trials were eligible for inclusion in this review. Products have been tested in three different types of haemorrhage model: low pressure, high volume venous bleeding, high pressure arterial bleeding and mixed arterial-venous bleeding. The efficacy of products varies with the model adopted. Criteria for the 'ideal battle field haemostatic dressing' have previously been defined by Pusateri, but no product has yet attained suchstatus. Since 2004, HemCon (a mucoadhesive agent) and QuikClot (a factor concentrator) have been widely deployed by United States and United

Weather data around the world for design of field hospital HVAC

NARCIS (Netherlands)

Forejt, L.; Hensen, J.L.M.; Drkal, F.; Barankova, P.

2006-01-01

Field hospital (FH) is a military mobile complex to be deployed in almost any climate around the world. Heating, ventilation and air-conditioning (HVAC) system for the Czech Republic FH units is being redesigned. Computer simulation software will be used for the design of HVAC under variety of

Reporting time of ischemic stroke patients within the time window for thrombolysis in a tertiary care hospital at rawalpindi

International Nuclear Information System (INIS)

Tariq, M.; Ishtiaq, S.; Anwar, S.O.

2014-01-01

To determine the reporting time of ischemic stroke patients within the time window for thrombolysis at Military Hospital (MH) Rawalpindi. Design: A descriptive study. Place and duration of Study: Military Hospital Rawalpindi over a period of four months from Dec 2013 to Mar 2014. Patients and Methods: Patients admitted to MH Rawalpindi with symptoms suggestive of stroke and having objective focal neurologic deficits consistent with stroke were included in the study. A CT scan of brain was carried out immediately to rule out intracranial bleed. The CT scan of brain was either normal or revealed radiological findings suggestive of an infarct. Results: A total of 86 patients met the inclusion criteria of the study. Only 19 (22%) patients with ischemic stroke presented to the hospital within 4.5 hours after onset of their symptoms. Conclusion: Only a small number of ischemic stroke patients report to the hospital within the therapeutic window for thrombolytic therapy. (author)

Tropical Journal of Pharmaceutical Research - Vol 16, No 1 (2017)

African Journals Online (AJOL)

Tropical Journal of Pharmaceutical Research. ... in vitro evaluation of their biocompatibility with rheumatoid arthritis macrophages (RAW 264.7) ... impact of returned intravenous medications at a tertiary care hospital in Riyadh, Saudi Arabia ...

Occurrence and sources of aliphatic hydrocarbons in surface soils from Riyadh city, Saudi Arabia

Directory of Open Access Journals (Sweden)

Ahmed I. Rushdi

2013-01-01

Full Text Available Soil particles contain a variety of anthropogenic and natural organic components derived from many sources such as industrial and traffic fossil fuel emissions and terrestrial biota. The organic contents of soil and sand from the Arabian region have not fully characterized. Thus, samples of fine soil particles (sieved to <125 μM were collected from the Riyadh area in November 2006 (late summer and February 2007 (late winter. The samples were extracted with a mixture of dichloromethane/hexane and analyzed by gas chromatography–mass spectroscopy (GCMS in order to characterize the chemical composition and sources of aliphatic hydrocarbons. The results showed that both anthropogenic and natural biogenic inputs were the major sources of the aliphatic hydrocarbons in these extracts. Vehicular emission products and discarded plastics were the major anthropogenic sources in the fine particles of the soils and ranged from 64% to 96% in November 2006 and from 70% to 92% in February 2007. Their tracers were n-alkanes, hopanes, sterane, plasticizers and UCM. Vegetation was also a major natural source of hydrocarbon compounds in samples ranging from ∼0% to18% in November 2006 and from 1% to 13% in February 2007 and included n-alkanes and triterpenoids.

Military Effectiveness: A Reappraisal

National Research Council Canada - National Science Library

Bernasconi, Jeffrey J

2007-01-01

.... Two divergent theories cover the ground of military effectiveness. One looks at the interaction of social structures, whereas the other looks at the effect organization has on military effectiveness...

Military exceptionalism or tobacco exceptionalism: How civilian health leaders' beliefs may impede military tobacco control efforts

OpenAIRE

Smith, EA; Malone, RE

2013-01-01

Smoking impairs the readiness and performance of military personnel, yet congressional opposition has thwarted military tobacco control initiatives. Involvement of civilian organizations might alter this political dynamic. We interviewed 13 leaders of national civilian public health and tobacco control organizations to explore their perspectives on military tobacco control, inductively analyzing data for themes. Leaders believed that military tobacco use was problematic but lacked specific kn...

MILITARY LEADERSHIP VISION

Directory of Open Access Journals (Sweden)

Gheorghe CALOPĂREANU

2013-12-01

Full Text Available The actual study is aimed at defining the place and the role of the concepts of authority, management and leadership and their connexions within the recognized military strategic systems. In addition to the above mentioned main objective, the following related aims will be achieved in the present work: - to analyze the command, management and leadership nexus; - to make suggestions for configuring an effective professional framework to address the armed forces leadership challenges and the visionary leader concept. Eventually, the present study will emphasize the need for the military leaders to lead not only the members of the organization but the military organizations themselves.

A cross-sectional observational study to assess inhaler technique in Saudi hospitalized patients with asthma and chronic obstructive pulmonary disease

Science.gov (United States)

Ammari, Maha Al; Sultana, Khizra; Yunus, Faisal; Ghobain, Mohammed Al; Halwan, Shatha M. Al

2016-01-01

Objectives: To assess the proportion of critical errors committed while demonstrating the inhaler technique in hospitalized patients diagnosed with asthma and chronic obstructive pulmonary disease (COPD). Methods: This cross-sectional observational study was conducted in 47 asthmatic and COPD patients using inhaler devices. The study took place at King Abdulaziz Medical City, Riyadh, Saudi Arabia between September and December 2013. Two pharmacists independently assessed inhaler technique with a validated checklist. Results: Seventy percent of patients made at least one critical error while demonstrating their inhaler technique, and the mean number of critical errors per patient was 1.6. Most patients used metered dose inhaler (MDI), and 73% of MDI users and 92% of dry powder inhaler users committed at least one critical error. Conclusion: Inhaler technique in hospitalized Saudi patients was inadequate. Health care professionals should understand the importance of reassessing and educating patients on a regular basis for inhaler technique, recommend the use of a spacer when needed, and regularly assess and update their own inhaler technique skills. PMID:27146622

31 CFR 29.333 - Military service.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Military service. 29.333 Section 29... Satisfied by June 30, 1997 § 29.333 Military service. (a) For employees who entered on duty on or before June 30, 1997, and whose military service was performed prior to that date, credit for military service...

The Ambiguity of Foreign Military Assistance

DEFF Research Database (Denmark)

Laugesen, Henrik

This study tests the argument that Foreign Military Assistance and the consequently professionalizing of the recipient military has a positive effect on the process of democratization in Kenya.......This study tests the argument that Foreign Military Assistance and the consequently professionalizing of the recipient military has a positive effect on the process of democratization in Kenya....

Diabetes mellitus type 2 and other chronic non-communicable diseases in the central region, Saudi Arabia (riyadh cohort 2: a decade of an epidemic

Directory of Open Access Journals (Sweden)

Alkharfy Khalid M

2011-06-01

Full Text Available Abstract Background Follow-up epidemiologic studies are needed to assess trends and patterns of disease spread. No follow-up epidemiologic study has been done in the Kingdom of Saudi Arabia to assess the current prevalence of major chronic, noncommunicable diseases, specifically in the urban region, where modifiable risk factors remain rampant. This study aims to fill this gap. Methods A total of 9,149 adult Saudis ages seven to eighty years (5,357 males (58.6% and 3,792 females (41.4% were randomly selected from the Riyadh Cohort Study for inclusion. Diagnosis of type 2 diabetes mellitus (DMT2 and obesity were based on the World Health Organization definitions. Diagnoses of hypertension and coronary artery disease (CAD were based on the Seventh Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and American Heart Association criteria, respectively. Results The overall crude prevalence of DMT2 was 23.1% (95% confidence interval (95% CI 20.47 to 22.15. The age-adjusted prevalence of DMT2 was 31.6%. DMT2 prevalence was significantly higher in males, with an overall age-adjusted prevalence of 34.7% (95% CI 32.6 to 35.4, than in females, who had an overall age-adjusted prevalence of 28.6% (95% CI 26.7 to 29.3 (P P Conclusion Comparisons of our findings with earlier data show that the prevalence of DMT2, hypertension and CAD in Riyadh, Saudi Arabia, has alarmingly worsened. Aggressive promotion of public awareness, continued screening and early intervention are pivotal to boosting a positive response.

National Military Family Association

Science.gov (United States)

... MilitaryFamily.org © 2017 - National Military Family Association Twitter Facebook Pinterest Instagram Charity Navigator Four Star Charity GuideStar Exchange Better Business Bureau Charity Watch Independent Charity of America nonprofit ...

Military experience can influence Women's eating habits.

Science.gov (United States)

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

2017-11-01

Disordered eating, ranging from occasional binge eating or restriction to behaviors associated with eating disorder diagnoses, is common among military personnel and veterans. However, there is little information on how military service affects eating habits. To describe possible pathways between military service and disordered eating among women veterans, a high risk group. Twenty women veterans who reported changing eating habits in response to stress participated in audio-recorded focus groups or dyadic interviews between April 2013 and October 2014. We used thematic analysis of transcripts to identify and understand women's self-reported eating habits before, during, and after military service. Participants reported entering the military with varied eating habits, but little disordered eating. Participants described several ways military environments affected eating habits, for example, by promoting fast, irregular, binge-like eating and disrupting the reward value of food. Participants believed military-related stressors, which were often related to gender, also affected eating habits. Such stressors included military sexual trauma and the need to meet military weight requirements in general and after giving birth. Participants also reported that poor eating habits continued after military service, often because they remained under stress. For some women, military service can result in socialization to poor eating habits, which when combined with exposure to stressors can lead to disordered eating. Additional research is needed, including work to understand possible benefits associated with providing support in relation to military weight requirements and the transition out of military service. Given the unique experiences of women in the military, future work could also focus on health services surrounding pregnancy-related weight change and the stress associated with being a woman in predominantly male military environments. Published by Elsevier Ltd.

New business with the new military.

Science.gov (United States)

Apgar, Mahlon; Keane, John M

2004-09-01

A $200 billion market has appeared on your business horizon, but you may not have noticed it. It's the U.S. military--the new U.S. military. Virtually all aspects of the military are changing to ensure it can fight unpredictable threats while sustaining the infrastructure needed to support and train forces. The military is turning to non-traditional business partners to meet a wide range of needs, from health care to housing to information technology. The Defense Department is yielding its monopoly on every aspect of national security and adopting a more businesslike model in which the military's warfighting capabilities are supported through outsourcing and business alliances. Civilians are replacing military personnel in many noncombat roles. Military functions with corporate equivalents are candidates for outsourcing and privatization. Market standards are replacing the heavy customization that has locked many companies out of this marketplace. The authors have participated in the transformation process from different perspectives--one civilian, the other military. Together, they highlight the prospects that transformation is creating for companies outside the traditional defense industry and reveal paths to success in this complex market. They also present six principles for doing business with the military that require persistence, integrity, and a willingness to master the intricacies of a distinctive culture. By understanding the logic of military transformation, executives can identify and create vast new business opportunities. And by mastering the six principles, they can build profitable long-term relationships.

Children Treated at an Expeditionary Military Hospital in Iraq

Science.gov (United States)

2006-09-01

cryptorchidism [752.89]) 3 Hernia (inguinal [550.9], ventral [553.2]) 3 Vascular (228.01)/lymphatic (457.9) malformation 3 Craniofacial malformation...girl who underwent resection of a cervical cystic hy- groma at our hospital and later received radiofrequency ablation treatment of her enlarged tongue...head and neck mass 2 Orthopedic fixation 2 Hernia repair 2 Computed tomography while under general anesthesia 2 Orchidopexy 1 Repair of rectal

Military Classics

Science.gov (United States)

1988-01-01

the relation of religion and politics to seventeenth-century English military history. Frederick II, King of Prussia. Frederick the Great on the Art...Beginning with the reign of King Henry VIII, Barnett’s work explores the history of the British Army as an institution and fighting force. The volume...native clans led by Shaka , to its fall under the guns of the British Army by 1878. The Zulus produced a formidable military force, and this excellent

Problems of Military Cemeteries Greenery - Case Study of the Military Cemetery in Zvolen

Science.gov (United States)

Halajová, Denisa; Petreková, Denisa; Bihuňová, Mária

2017-10-01

The intention of this work is to highlight the importance of understanding military cemeteries as objects of cultural and historical heritage and as a part of garden design history. The design and maintenance of cemeteries and graves is a manifestation of the national culture. This is even more evident in military cemeteries, the maintenance of which is regulated by international agreements. Objects of military cemeteries are important places not only from the historical and architectural point of view, but also as green space. Most military cemeteries in Slovakia originated from World War I and II. In Slovakia, 160,000 soldiers were buried, 75,206 of them lost their lives in World War I and 93,000 in World War II. 32,495 war graves are registered by The Ministry of the Interior of the Slovak Republic - 23,316 war graves from World War I and 9,179 from World War II. From the period of World War II, there are 22 cemeteries and graveyards in Slovakia, established for soldiers of the Soviet, German, Romanian and Czechoslovak army. Military cemeteries and memorials are mostly high quality works of architecture and art. This paper focuses on the current situation and restoration issues of military cemeteries by examining the Military Cemetery in Zvolen. In the context of its planned reconstruction, a comprehensive tree assessment has been started in 2016. The Military Cemetery in Zvolen, being one of the largest military cemeteries in Slovakia, consists of The Cemetery of the Soviet Army with 17,628 buried soldiers and The Romanian Cemetery with 11,000 buried soldiers. The Romanian Cemetery is one of the largest cemeteries of the Romanian Army in Europe. Both cemeteries were declared national cultural monuments in 1963. In the cemetery, dendrometrical parameters and the health condition of trees were evaluated. In total, there are 825 woody plants. In both cemeteries, coniferous trees prevail, mainly individuals of the genus Thuja (49.4 %). Moreover, the maintenance of

A brief introduction to the military workplace culture.

Science.gov (United States)

Redmond, S A; Wilcox, S L; Campbell, S; Kim, A; Finney, K; Barr, K; Hassan, A M

2015-01-01

Military culture and workplace are areas of interest for researchers across disciplines. However, few publications on military culture exist. The purpose of this article is to introduce general concepts regarding the structure and culture of the United States Military and discuss how this creates challenges for reintegrating into the civilian world. Topics that will be covered in this article include an overview of the Department of Defense (DoD) and Department of Veterans Affairs (VA), socialization to military culture, the unique features of the military as a workplace, the cultural experiences of military personnel reintegrating back into the community, and the challenges faced by military members and their spouses. The provided information on military culture will expand military cultural competency so that civilian employers can enhance their ability to create supportive workplaces for veterans and military spouses during times of transition and reintegration. The unique characteristics of the military culture should be understood by those who work with or plan to work with military populations.

Mainstreaming Military Compensation: Problems and Prospects

National Research Council Canada - National Science Library

MacDonald, David

1998-01-01

Changes to the military retirement system in the 1980's and attention by law makers, military leadership, and service members to pay comparability between the private sector and the military indicate...

TRICARE, Military Health System

Science.gov (United States)

... Claim Get Proof of TRICARE Coverage View My Military Health Record Less TRICARE Enrollment Freeze Starting Dec. ... Disaster Information Download a Form Go Paperless My Military Health Records Multimedia Center Plan Information Kits Recoupment ...

Students’ knowledge of, and attitudes toward, mentoring: a case study at the Master’s Program in Health and Hospital Administration

Directory of Open Access Journals (Sweden)

Al Qahtani S

2015-02-01

Full Text Available Saad Al QahtaniKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaIntroduction: Mentoring has been defined as a process whereby the mentor guides the mentee in personal or professional development. Few mentoring programs are available to prepare the qualified and scientifically trained administrators required to manage the rapidly expanding national health services in the Kingdom of Saudi Arabia. We wanted to measure the attitude and knowledge of the students of the Master’s Program in Health and Hospital Administration toward mentoring.Materials and methods: This is a cross-sectional survey, design study, conducted at King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. The participants were students enrolled in the master’s program. The dimensions of the questionnaire were demographics, knowledge about mentoring, understanding of mentoring, perception toward mentoring, attitude toward mentoring, experience with mentoring, and the need of mentoring. A Likert scale was used to measure responses.Results: Among 120 students, the response rate was 85%. In the domain of attitude toward mentoring, 92% of the respondents stated that mentoring is an effective method of developing their potential. The mean age was 30±4 years, 75.5% were female, 36% had finished at least two semesters, and 92% expressed a strong need for mentoring in the master program.Conclusion: Mentorship is considered an important underutilized educational tool, which has great potential if implemented properly. Our university masters’ students demonstrated a need for mentoring that we believe is a good platform to plan future development of mentorship programs.Keywords: mentor, student knowledge, higher education

MILITARY COMPETITION BETWEEN FRIENDS? HEGEMONIC DEVELOPMENT AND MILITARY SPENDING AMONG EIGHT WESTERN DEMOCRACIES, 1920-1938

Directory of Open Access Journals (Sweden)

Jari Eloranta

2001-01-01

Full Text Available This article explores the complicated phenomenon of military spending among a sample of eight Western democracies in the interwar period by analyzing especially the possibility of economic and/or military competition between the Western Great Powers and the ensuing impacts on the smaller states included here. The hegemonic paradigm suggested by e.g. Paul Kennedy predicts that the economic leader in a system will increasingly invest on maintaining security; thus eventually bringing economic growth to a halt. The military spending patterns respective of economic growth at first seem to suggest that not only the totalitarian states, as is the traditional view, but also the UK and France stepped in to fill the void created by the lack of American leadership. However, the military expenditures of these nations were too low to warrant the conclusion that they had any impact on their respective economic performance. This result is also verified here by employing Granger non-causality tests between the military spending and economic growth variables. Moreover, regression analysis on the military spending variables for the UK and France points towards competition on the level. The smaller states, respectively, seemed to follow the UK and France fairly closely in their military spending decisions.

Price of military uranium

International Nuclear Information System (INIS)

Klimenko, A.V.

1998-01-01

The theoretical results about optimum strategy of use of military uranium confirmed by systems approach accounts are received. The numerical value of the system approach price of the highly enriched military uranium also is given

private military contractors, war crimes and international

African Journals Online (AJOL)

HP USER

work.10 Military history has recorded a strong role for private actors in military affairs firmly ..... Evidence records that, while the state military officers found by a military ... Should it be the chief executive officer (CEO) of .... The Financial Times.

SEARCH AND DETENTION OF THE MILITARY PERSONNEL WHO HAS AVOIDED THE MILITARY SERVICE: SOURCES, REALITIES, IMPROVEMENT PROSPECTS

OpenAIRE

Natalia V. V.

2014-01-01

The article is devoted to the topical issues of the search and detention of the military personnel who has avoided the military service. On the basis of official information, the author gave a short historical digression, the analysis of a current state of the problem of evasion of the military personnel from military service is carried out and possible ways of its solutions are proposed

Mortality of first world war military personnel: comparison of two military cohorts.

Science.gov (United States)

Wilson, Nick; Clement, Christine; Summers, Jennifer A; Bannister, John; Harper, Glyn

2014-12-16

To identify the impact of the first world war on the lifespan of participating military personnel (including in veterans who survived the war). Comparison of two cohorts of military personnel, followed to death. Military personnel leaving New Zealand to participate in the first world war. From a dataset of the New Zealand Expeditionary Forces, we randomly selected participants who embarked on troopships in 1914 and a comparison non-combat cohort who departed on troopships in late 1918 (350 in each group). Lifespan based on dates of birth and death from a range of sources (such as individual military files and an official database of birth and death records). A quarter of the 1914 cohort died during the war, with deaths from injury predominating (94%) over deaths from disease (6%). This cohort had a significantly shorter lifespan than the late 1918 "non-combat" cohort, with median ages of death being 65.9 versus 74.2, respectively (a difference of 8.3 years shown also in Kaplan-Meier survival curves, log rank Pworld war in 1914 from New Zealand lost around eight years of life (relative to a comparable military cohort). In the postwar period they continued to have an increased risk of premature death. © Wilson et al 2014.

Conversion of Abbandoned Military Areas

Directory of Open Access Journals (Sweden)

Daiva Marcinkevičiūtė

2011-03-01

Full Text Available The article analyses the situation of abandoned military sites, their value and significance of their conservation. It also reviews their impact on their environment and their potential in tourism, environmental, economic and social spheres. Further the positive experiences in military sites' conversion are studied. The importance of society's involvement in the conversions is discussed. The situation of XIX-XX age's military object's, the significance of their conservation and their potential in tourism market is separately analysed. The results of two researches are introduced, one of which inquires about the Lithuanian military objects' potential in tourism sphere, another one explores the possibilities of conversion. Article in Lithuanian

Health in Argentina under the Military Junta.

Science.gov (United States)

Bermann, S; Escudero, J C

1978-01-01

The socioeconomic policies of Argentina's Military Junta, in power since March 1976, have led to a sharp impoverishment of the vast majority of the population. In the health sector, facilities which previously were public are being transferred to the private sector, and public hospitals formerly providing free services to the population now charge patients for the care received. As a necessary counterpart to these unpopular measures, a regime of terror has been waged against members of the health team--both those politically active and those considered potentially subversive, particularly the psychiatrists and workers in community health. Differences between the Argentinian situation and previous European fascist patterns are noted, and the possibility of use of the "Argentinian model" in other capitalist countries in crisis is discussed.

Cultural Dimensions of Military Training

Science.gov (United States)

2014-06-13

to military, and to make them able to operate effectively in multicultural dimensions. This cultural impact forced the military doctrine to adapt...degree the research findings and conclusions. The bibliography reviewed for this thesis is available at the Combined Arms Research Library . Unfortunately...in terms of increased ability of understanding and operating in a different cultural or multicultural setting, led the military decision makers to

Analysis of written advertising material distributed through community pharmacies in Riyadh, Saudi Arabia

Directory of Open Access Journals (Sweden)

Al-Aqeel SA

2013-09-01

Full Text Available Background: Advertising is a crucial component of pharmaceutical industry promotion. Research indicates that information on advertisement materials might be inadequate, inaccurate, biased, and misleading. Objective: To analyse and critically assess the information presented in print pharmaceutical advertisements in Saudi Arabia.Methods: Pharmaceutical advertisements were collected from 280 community pharmacies in Riyadh city, Saudi Arabia. The advertisements were evaluated using criteria derived from the Saudi Food and Drug Authority (SFDA regulation, the World Health Organization (WHO ethical medicinal drug promotion criteria, and other principles reported in similar studies. The data were extracted independently by two of the researchers using a standardized assessment form. Results: One hundred eighty five printed advertisements were included in the final sample. Approximately half of the advertisements (n = 94, 51% were for over-the-counter (OTC medications, and 71 (38% were for prescription-only medication. Information such as the name of active ingredients was available in 168 (90.8% advertisements, therapeutic uses were mentioned in 156 (98.7% of analysed advertisements. Safety information related to side effects, precautions, and major interactions were stated in 53 (28.5%, 58 (31%, and 33 (16.5% advertisements, respectively. Only 119 advertisements (64% provided references for information presented. Conclusions: Our findings suggest that print advertisements do not convey all the information necessary for safe prescribing. These results have implications for the regulation of drug advertising and the continuing education of pharmacists.

On Military Innovation: Toward an Analytical Framework

OpenAIRE

Ross, Andrew L

2010-01-01

What is military innovation? How should we think about Chinese military innovation? By developing an analytical framework that captures both the components of military innovation (technology, doctrine, and organization) and the continuum of change, we can better assess the nature, extent, and importance of contemporary Chinese military innovation.

Families in the Military

Science.gov (United States)

... family that loses the active presence of a parent through separation faces significant challenges and stress. During the parent's ... children can and do adjust successfully to the separation and stress involved when a parent in the military is deployed. Visit AACAP's Military ...

Impact of a health education program for secondary school Saudi girls about menstruation at Riyadh city.

Science.gov (United States)

Fetohy, Ebtisam M

2007-01-01

An experimental study was conducted to assess the impact and suitability of menstrual education program (MEP) for 1st and 2nd graders at a girls' secondary school in Riyadh city. The MEP was conducted on 5 classes, through one session and one assessment. The results revealed that the mean scores of knowledge, attitude and practice of the intervention classes (1st and 2nd graders) were significantly higher than that of the control classes. Stepwise linear regression models show that the age of menarche and grade were the predictors of students' knowledge among the control group and explained 7.8% of the variation of the knowledge score. Knowledge was a predictor of students' attitude of both groups (control and intervention) (beta = 0.359, 0.300 respectively). Knowledge was also a predictor of students' menstrual practice among control group (beta = -2.12). Attitude was a predictor of students' menstrual practice for both groups (beta = 0.360, 0.252 respectively). The study recommended the replication of the same program among elementary, preparatory, and other secondary schools for improvement of students' menstrual knowledge, attitudes and practice.

Infection prevention and control in deployed military medical treatment facilities.

Science.gov (United States)

Hospenthal, Duane R; Green, Andrew D; Crouch, Helen K; English, Judith F; Pool, Jane; Yun, Heather C; Murray, Clinton K

2011-08-01

Infections have complicated the care of combat casualties throughout history and were at one time considered part of the natural history of combat trauma. Personnel who survived to reach medical care were expected to develop and possibly succumb to infections during their care in military hospitals. Initial care of war wounds continues to focus on rapid surgical care with debridement and irrigation, aimed at preventing local infection and sepsis with bacteria from the environment (e.g., clostridial gangrene) or the casualty's own flora. Over the past 150 years, with the revelation that pathogens can be spread from patient to patient and from healthcare providers to patients (including via unwashed hands of healthcare workers, the hospital environment and fomites), a focus on infection prevention and control aimed at decreasing transmission of pathogens and prevention of these infections has developed. Infections associated with combat-related injuries in the recent operations in Iraq and Afghanistan have predominantly been secondary to multidrug-resistant pathogens, likely acquired within the military healthcare system. These healthcare-associated infections seem to originate throughout the system, from deployed medical treatment facilities through the chain of care outside of the combat zone. Emphasis on infection prevention and control, including hand hygiene, isolation, cohorting, and antibiotic control measures, in deployed medical treatment facilities is essential to reducing these healthcare-associated infections. This review was produced to support the Guidelines for the Prevention of Infections Associated With Combat-Related Injuries: 2011 Update contained in this supplement of Journal of Trauma.

[Red Cross hospital in Krapina, during the First world war from 1914 to 1918].

Science.gov (United States)

Fures, Rajko; Habek, Dubravko; Kozina, Drago

2016-08-01

Red Cross Hospital in Krapina, during the First World War, was active from 1914 to 1918. Hospital led by Dr. Mirko Crkvenac, oriented humanist. The hospital is operated thanks to the help of municipalities and citizens. The hospital staff concern is for civilian and military victims of the First World War. Dr. Crkvenac, with the support of the City of Krapina and Mayor Vilibald Sluga, he succeeds to the organization and operation of the hospital to an enviable level. Across the Austro-Hungarian Empire and Croatian, Hospitals Red Cross, had a significant role in caring for the wounded, injured and sick soldiers and civilians. Red Cross Hospital in Krapina, is an example of a well-organized hospital in the toughest conditions. Such an organization was not simple in its implementation, and left the valuable lessons and experience.

Spiritual distress of military veterans at the end of life.

Science.gov (United States)

Chang, Bei-Hung; Stein, Nathan R; Skarf, Lara M

2015-06-01

Although combat experiences can have a profound impact on individuals' spirituality, there is a dearth of research in this area. Our recent study indicates that one unique spiritual need of veterans who are at the end of life is to resolve distress caused by combat-related events that conflict with their personal beliefs. This study sought to gain an understanding of chaplains' perspectives on this type of spiritual need, as well as the spiritual care that chaplains provide to help veterans ease this distress. We individually interviewed five chaplains who have provided spiritual care to veterans at the end of life in a Veterans Administration hospital. The interviews were recorded, transcribed, and analyzed based on "grounded theory." Chaplains reported that they frequently encounter veterans at the end of life who are still suffering from thoughts or images of events that occurred during their military career. Although some veterans are hesitant to discuss their experiences, chaplains reported that they have had some success with helping the veterans to open up. Additionally, chaplains reported using both religious (e.g., confessing sins) and nonreligious approaches (e.g., recording military experience) to help veterans to heal. Our pilot study provides some insight into the spiritual distress that many military veterans may be experiencing, as well as methods that a chaplain can employ to help these veterans. Further studies are needed to confirm our findings and to examine the value of integrating the chaplain service into mental health care for veterans.

Biological and Molecular Variability of Alfalfa mosaic virus Affecting Alfalfa Crop in Riyadh Region

Directory of Open Access Journals (Sweden)

Mohammed A. AL-Saleh

2013-12-01

Full Text Available In 2011–2012, sixty nine samples were collected from alfalfa plants showing viral infection symptoms in Riyadh region. Mechanical inoculation with sap prepared from two collected samples out of twenty five possitive for Alfalfa mosaic virus (AMV by ELISA were produced systemic mosaic on Vigna unguiculata and Nicotiana tabacum, local lesion on Chenopodium amaranticolor and C. quinoa. Vicia faba indicator plants that induce mosaic and mottle with AMV-Sagir isolate and no infection with AMV-Wadi aldawasser isolate. Approximately 700-bp was formed by RT-PCR using AMV coat protein specific primer. Samples from infected alfalfa gave positive results, while healthy plant gave negative result using dot blot hybridization assay. The nucleotide sequences of the Saudi isolates were compared with corresponding viral nucleotide sequences reported in GenBank. The obtained results showed that the AMV from Australia, Brazil, Puglia and China had the highest similarity with AMV-Sajer isolate. While, the AMV from Spain and New Zealaland had the lowest similarity with AMV-Sajer and Wadi aldawasser isolates. The data obtained in this study has been deposited in the GenBank under the accession numbers KC434083 and KC434084 for AMV-Sajer and AMV- Wadialdawasser respectively. This is the first report regarding the gnetic make up of AMV in Saudi Arabia.

7 CFR 3550.158 - Active military duty.

Science.gov (United States)

2010-01-01

... 7 Agriculture 15 2010-01-01 2010-01-01 false Active military duty. 3550.158 Section 3550.158... AGRICULTURE DIRECT SINGLE FAMILY HOUSING LOANS AND GRANTS Regular Servicing § 3550.158 Active military duty...-time active military duty after a loan is closed not exceed six percent. Active military duty does not...

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

Science.gov (United States)

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

2010-01-01

Extension needs new venues to promote their programming skills to unfamiliar audiences. One new audience Extension is currently reaching is military children. By partnering with Operation: Military Kids to offer a Speak Out for Military Kids training, Extension supports military children and document changes in the behavior of this audience.…

International conference on non-military radiation emergencies: [Final technical report

International Nuclear Information System (INIS)

1986-01-01

The subject of this report was limited to non-military radiation emergencies because such events needed to be addressed and the topic was considered to be manageable. The Conference theme developed around the lessons learned from the radiation emergencies at Chernobyl, Three Mile Island, and Windscale. Specific topics to be considered included acute and long-term effects of radiation exposure; frequency and nature of radiation emergencies; national standards for exposures to ionizing radiation; plans and procedures for responding to emergencies at the hospital, community, and national levels; and responsibilities of physicians and other health professionals regarding radiation exposures and emergencies

Characteristics and values of a British military nurse. International implications of War Zone qualitative research.

Science.gov (United States)

Finnegan, Alan; Finnegan, Sara; McKenna, Hugh; McGhee, Stephen; Ricketts, Lynda; McCourt, Kath; Warren, Jem; Thomas, Mike

2016-01-01

Between 2001 and 2014, British military nurses served in Afghanistan caring for both Service personnel and local nationals of all ages. However, there have been few research studies assessing the effectiveness of the military nurses' operational role and no papers naming the core values and characteristics. This paper is from the only qualitative nursing study completed during this period where data was collected in the War Zone. To explore the characteristics and values that are intrinsic to military nurses in undertaking their operational role. A constructivist grounded theory was utilised. The authors designed the interview schedule, and then following a pilot study, conducted and transcribed the discussions. Informed consent and UK Ministry of Defence Research Ethical Committee approval was obtained. Camp Bastion Hospital, Afghanistan, in 2013. Semi-structured interviews were conducted with 18 British Armed Forces nurses. A theoretical model was developed that identifies the intrinsic characteristics and values required to be a military nurse. Nursing care delivered within the operational environment was perceived as outstanding. Nurses consciously detached themselves from any legal processes and treated each casualty as a vulnerable patient, resulting in care, compassion and dignity being provided for all patients, irrespective of their background, beliefs or affiliations. The study findings provide military nurses with a framework for a realistic personal development plan that will allow them to build upon their strengths as well as to identify and ameliorate potential areas of weakness. Placing nurses first, with a model that focusses on the requirements of a good nurse has the potential to lead to better patient care, and improve the quality of the tour for defence nurses. These findings have international implications and have the potential for transferability to any level of military or civilian nursing practice. Crown Copyright © 2015. Published by

Perception among medical students in Riyadh, Saudi Arabia, regarding alcohol and substance abuse in the community: a cross-sectional survey

Directory of Open Access Journals (Sweden)

Al-Haqwi Ali I

2010-01-01

Full Text Available Abstract Background This study was conducted to examine the perception and views of medical students regarding the extent of alcohol and substance abuse in the community and the possible predisposing factors for this problem. Methods It is a cross-sectional study involving samples from two medical colleges in Riyadh, Saudi Arabia. The students who decided to participate in the study without the offer of any incentives filled an anonymous, self administered questionnaire which had been designed to meet the purpose of the study. Results Two hundred and fifteen out of three hundred and thirty students (65% response rate participated in this study. About 75% of them believe that alcohol and substance abuse is a common problem in the community. Students' views also correspond with the reported view that the problem is mainly present in young adult males. Married males and senior students perceived the problem as more serious than their other colleagues. Students perceived that alcohol was the most commonly abused drug in the community, followed by amphetamines, heroin, cannabis and cocaine. They believe that influence of friends, life stressors, tobacco smoking and curiosity are the most important predisposing factors for abuse of alcohol and other substances. According to the students' perception, the main beneficial effect of alcohol and substance abuse was stress alleviation. About 3% of the students have also indicated that they may use alcohol or some other substance in the future. Conclusion Despite scarce information on the subject and a strong religious belief in Saudi Arabia against the use of alcohol and other addictive substances, a significant majority of the medical students in Riyadh, the capital of Saudi Arabia, perceived that alcohol and substance abuse is a common problem in the community. Some students appear to perceive the seriousness of the problem less than others. Efforts are needed to educate young men and women at an early

Correlations of Physical Activity, Body Mass Index, Shift Duty, and Selected Eating Habits among Nurses in Riyadh, Saudi Arabia.

Science.gov (United States)

Almajwal, Ali M

2015-01-01

Nurses are the largest group of direct health providers and can serve as role models for their patients. In this cross sectional study we assessed the relationship among physical activity and barriers, shift duty, elevated BMI, and selected eating habits among 362 non-Saudi female nurses in Riyadh, Saudi Arabia. Results showed that 46.7% were either overweight or obese. Marital status, shift duty, education level, and BMI were significant predictors of physical activity. Weather was the most frequently reported barrier to physical activity (88.3%), followed by a lack of transportation (82.6%), and a lack of time (81.3%). Nurses who worked shift duty had significantly (p = 0.004) higher BMIs compared with day shift nurses. Nurses who rarely ate breakfast (p = 0.004) and meals (p = 0.001) and often eat fast food (p = 0.001) were more likely to be overweight or obese. Nurses should be encouraged for a better healthy lifestyles.

Pending crisis in Russian civil military relations

Energy Technology Data Exchange (ETDEWEB)

Ball, D.Y.

1997-10-01

A key issue in the study of civil-military relations has been how to create a military sufficiently strong to ensure security from external threats while simultaneously preventing the military from using its preponderance of power in the domestic arena. This dilemma arises from the fear engendered by a large armed force created to combat foreign threats, but which is also inherently a threat to the society that created it. In Russia, however, the question is not how the civilian leadership can keep the military out of politics, but how the military can keep the leadership from politicizing the armed forces. The Russian military has no interest in resolving Russia`s domestic political problems. It is a professional military that prefers to leave politics to the politicians, and to carry out its mission of defending the nation against external attack. But the lack of responsible central leadership and the poor state of the economy are driving the military toward involvement in domestic politics if for no other reason than to ensure its own survival.

REVOLUTION IN MILITARY SCIENCE, ITS IMPORTANCE AND CONSEQUENCES, MILITARY ART ON A NEW STAGE,

Science.gov (United States)

The central problem of modern military art is defined as the development of new methods of conducting armed conflict. The changes involving the radical military technical re-equipping of Soviet Armed Forces, are described.

Frequency of primary uterine malignancy in hystrectomy specimens of postmenopausal women - a study of 255 cases at combined military hospital peshawar

International Nuclear Information System (INIS)

Bashir, S.; Bashir, J.

2014-01-01

Objective: To determine the frequency of primary uterine malignancy in hysterectomy specimens in women with postmenopausal bleeding. Study Design: A descriptive cross-sectional study. Place and Duration of study: It was conducted in the department of histopathology at Combined Military Hospital, Peshawar from 1st September 2010 to 31st May 2011. Material and Methods: A total of 255 hysterectomy specimens of postmenopausal women were examined grossly and microscopically to analyse the underlying pathology. Results: The mean age of patients with malignant diseases was 56.4 years and with benign diseases 49.3 years. Out of 255 patients 215 (95.6%) were found to have benign pathologies and 10 (4.4%) had malignant lesions. The frequency and histological pattern of primary uterine malignancy was; endometrial carcinoma 3.1%, cervical carcinoma 0.9% and leiomyosarcoma 0.4%. The benign pathologies included leiomyoma 35.6%, atrophic endometritis 16.4%, endometrial hyperplasia 15.1%, adenomysis 11.1%, endometrial polyp 10.2%, adenomyoma 6.7% and endometrial stromal nodule 0.4%. Conclusion: This study shows that frequency of malignancy in postmenopausal women is low in our set up and most of the underlying pathologies are benign. The most frequent malignancy found in postmenopausal women is endometrial carcinoma followed by cervical carcinoma. (author)

Patient Satisfaction in Military Dental Treatment Facilities

Science.gov (United States)

2006-03-07

the variance in regards to overall satisfaction. 15. SUBJECT TERMS Dentistry, Patient Satisfaction, Military, Consumer Satisfaction, Dental... patient satisfaction in military dental treatment facilities. Dental health is extremely important for the military as dental assets are not always... customer satisfaction is an important component of military dental care. Quarterly patient satisfaction reports are generated for each dental treatment

The Military and the Transition to Adulthood

Science.gov (United States)

Kelty, Ryan; Kleykamp, Meredith; Segal, David R.

2010-01-01

Ryan Kelty, Meredith Kleykamp, and David Segal examine the effect of military service on the transition to adulthood. They highlight changes since World War II in the role of the military in the lives of young adults, focusing especially on how the move from a conscription to an all-volunteer military has changed the way military service affects…

32 CFR 1602.17 - Military service.

Science.gov (United States)

2010-07-01

... 32 National Defense 6 2010-07-01 2010-07-01 false Military service. 1602.17 Section 1602.17 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM DEFINITIONS § 1602.17 Military service. The term military service includes service in the Army, the Navy, the Air Force...

Privatized Military Operations

Science.gov (United States)

2006-01-01

environment such as that in Abu Grahib prison , where military personnel tasked with similar duties to that of contractors have been held legally accountable... Grahib Prison . The Washington Post. Office of Management and Budget Circular A-76. (August 4, 1988. Revised 1999). Performance of Commercial...downsizes the military after the Global War on Terror as it did after the Cold War. Private contractors depend largely upon former service members to

Forensic mental health evaluations of military personnel with traumatic life event, in a university hospital in Ankara, Turkey.

Science.gov (United States)

Balandiz, Huseyin; Bolu, Abdullah

2017-10-01

The definition of psychological trauma has been rephrased with the DSM-5. From now on, witnessing someone else's traumatic event is also accepted as a traumatic life event. Therefore, the psychiatric examination of forensic cases gains importance for not overlooking a psychiatric trauma. This research aims to discuss the psychiatric examinations of military personnel who had a traumatic life event and to reveal psychiatric states of soldiers after trauma. The forensic reports prepared at Gulhane Military Medical Academy (GMMA), Forensic Medicine polyclinic between January 1, 2011 and November 30, 2014 were examined, and among them the cases sent to GMMA Psychiatry polyclinic for psychiatric examination were analyzed retrospectively. There were a total of 2408 cases who applied for the arrangement of a judicial report and 167 of them required a psychological examination. Among 167 cases, 165 were male and 2 were female, and the mean age was 25.6 years. Anxiety disorder (53.9%) was the most common diagnosis as a result of the psychiatric examination, following posttraumatic stress disorder (PTSD) (18.6%), and 3.6% had no psychopathology. It was determined that injuries caused by firearms (38.3%) and explosive materials (26.3%) had caused psychological trauma the most. On the other hand, 11 (6.6%) cases were determined to have undergone a psychological trauma on account of being a witness to their friends' injuries during the conflict without experiencing any physical injury. There were not any statistically significant relationships between the severity of physical injury and being PTSD or anxiety disorder. Development of PTSD risk is directly correlated with the nature of trauma. The trauma types of the cases in our study were in the high-risk group because of the military population. Our study is of importance in terms of putting forward the psychiatric disorders seen in the military population with traumatic life history associated with war (combat-related). In

Gender Dysphoria in the Military.

Science.gov (United States)

Ford, Shannon; Schnitzlein, Carla

2017-11-07

With the announcement that members of the military who identify as transgender are allowed to serve openly, the need for Department of Defense behavioral health providers to be comfortable in the assessment, diagnosis, and treatment of this population becomes quickly evident. This population has been seeking care in the community and standards have been developed to help guide decision-making, but a comparable document does not exist for the military population. Previously published papers were written in anticipation of the policy allowing for open service. The civilian sector has treatment guidelines and evidence supporting the same for reference. There is no similar document for the military population, likely due to the recent change and ongoing development. This paper attempts to provide an overview of the recent Department of Defense policy and walks the reader through key considerations when providing care to a transgender member of the military as it relates to those who are currently serving in the military through the use of a case example. The military transgender population faces some unique challenges due to the need to balance readiness and deployability with medically necessary health care. Also complicating patient care is that policy development is ongoing-as of this publication, the decision has not yet been made regarding how people who identify as transgender will access into the military nor is there final approval regarding coverage for surgical procedures. Unique circumstances of this population are brought up to generate more discussion and encourage further evaluation and refinement of the process.

Assessment of Military Cultural Competence: A Pilot Study.

Science.gov (United States)

Meyer, Eric G; Hall-Clark, Brittany N; Hamaoka, Derrick; Peterson, Alan L

2015-08-01

Cultural competence is widely considered a cornerstone of patient care. Efforts to improve military cultural competency have recently gained national attention. Assessment of cultural competence is a critical component to this effort, but no assessment of military cultural competence currently exists. An assessment of military cultural competence (AMCC) was created through broad input and consensus. Careful review of previous cultural competency assessment designs and analysis techniques was considered. The AMCC was organized into three sections: skills, attitudes, and knowledge. In addition to gathering data to determine absolute responses from groups with different exposure levels to the military (direct, indirect, and none), paired questions were utilized to assess relative competencies between military culture and culture in general. Piloting of the AMCC revealed significant differences between military exposure groups. Specifically, those with personal military exposure were more likely to be in absolute agreement that the military is a culture, were more likely to screen for military culture, and had increased knowledge of military culture compared to those with no military exposure. Relative differences were more informative. For example, all groups were less likely to agree that their personal culture could be at odds with military culture as compared to other cultures. Such perceptions could hinder asking difficult questions and thus undermine care. The AMCC is a model for the measurement of the skills, attitudes, and knowledge related to military cultural competence. With further validity testing, the AMCC will be helpful in the critical task of measuring outcomes in ongoing efforts to improve military cultural competence. The novel approach of assessing variance appears to reduce bias and may also be helpful in the design of other cultural competency assessments.

A Guide to Interagency Support for DoD: Military Force Deployment, Civilian Noncombatant Repatriation, and Military Patient Regulation

Science.gov (United States)

1986-10-01

organizations for facility support of bulk petrole - um products if necessary. Military construction of petroleum storage terminals is a joint responsibili...and MSC in arranging for domestic transport of petrole - um products. These two TOAs have specific responsibilities, depending on the type of vehicle...Military Liaison Office, Kuwait U.S. Liaison Office, Tunisia U.S. Mutual Defense Assistance Office U.S. Military Group U.S. Military Liaison Office U.S

5 CFR 842.306 - Military service.

Science.gov (United States)

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Military service. 842.306 Section 842.306... EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Credit for Service § 842.306 Military service. (a) Except as...' Retirement System Act of 1986, an employee's or Member's military service is creditable if it was performed...

5 CFR 831.301 - Military service.

Science.gov (United States)

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Military service. 831.301 Section 831.301...) RETIREMENT Credit for Service § 831.301 Military service. (a) Service of an individual who first became an... is not receiving military retired pay awarded for reasons other than (i) service-connected disability...

Military Justice Study Guide

Science.gov (United States)

1990-07-01

statute within the military system, persons unfamiliar with the military justice system may find the procedure something of a paradox at first blush...Manual for Courts-Martial) Is RM Nemitafinuestlitimelf.(er- V. GRAD*: c. ORGANIZATION dDT FRPR ast eiRO t: fII) EPR LCDR/ Naval Justice School

A CONTENT ANALYSIS OF MILITARY COMMANDER MESSAGES ABOUT TOBACCO AND OTHER HEALTH ISSUES IN MILITARY INSTALLATION NEWSPAPERS: WHAT DO MILITARY COMMANDERS SAY ABOUT TOBACCO?

Science.gov (United States)

Poston, Walker S.C.; Haddock, Christopher K.; Jahnke, Sara A.; Hyder, Melissa L.; Jitnarin, Nattinee

2014-01-01

Military installation newspapers are a primary means used by military commanders to communicate information about topics important to military personnel including leadership, training issues, installation events, safety concerns, and vital health issues. We conducted a content analysis of military commanders’ messages about health issues that were published in online military installation newspapers/newsfeeds. We identified a total of 75 publicly accessible installation newspapers/newsfeeds with commanders’ messages (n=39 Air Force, n=19 Army, n=7 Navy, n=1 Marine, and n=9 Joint Bases). Commander messages published between January 2012–December 2012 were collected, screened, and coded. Coder inter-rater reliability was 98.9%. Among the 2,479 coded commanders’ messages, 132 (5.3%) addressed a health topic as the primary focus. There were no significant differences between service branches in the percentage of health-oriented messages (χ2=5.019, p=0.285). The most commonly addressed health topics were exercise/fitness (23.5%), other mental health concerns (19.7%), alcohol/DUI (13.6%), and suicide (12.1%). Tobacco use was directly addressed as a primary health aim in only two commanders’ messages (1.5%). Health topics, and particularly tobacco-related content, are rarely written about by military commanders. The absence of tobacco-related health messages from line leadership contributes to the perception that tobacco control is a low priority. PMID:26032388

22 CFR 126.6 - Foreign-owned military aircraft and naval vessels, and the Foreign Military Sales program.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Foreign-owned military aircraft and naval vessels, and the Foreign Military Sales program. 126.6 Section 126.6 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS GENERAL POLICIES AND PROVISIONS § 126.6 Foreign-owned military...

Hypertension Control and co-morbidities in primary health care centers in Riyadh

Energy Technology Data Exchange (ETDEWEB)

Al-Tuwijri, Abdulmohsin A [Dept. of Family Medicine, Ministry of Health, Riyadh (Saudi Arabia); Al-Rukban, Mohammed Othman [Dept. of Family and Community Medicine, Coll. of Medicine, King Saud Univ., Riyadh (Saudi Arabia)

2006-07-01

The prevalence of hypertension in Saudi Arabia has been assessed only in preliminary reports. The aim of this study was to determine the degree of control of blood pressure and the prevalence of common hypertension co-morbidities among hypertensive patients attending primary health care (PHC) centers in Riyadh. A cross sectional study was conducted by reviewing medical records of hypertensive patients during May and June 2001. Two hundred fifty-five medical records selected by a stratified randomization process according to the distribution of the 73 PHC centers in the city and the total number of hypertensive patients registered in the mini-clinic of each PHC-center. Trained mini-clinic nurses collected data using a data collection form developed for this purpose. Of 255 patients, 121 (47.5%) were males and 134 (52.5%) were females, the mean age was 57.2+-11.1 years and 8.3% were smokers. The majority 204 (85.7%) had greater than normal body weight. Only 101 (40.4%) had controlled systolic BP. The most common co-morbidity was diabetes mellitus found in 98 (38.4%), followed by dislipidemia in 50 (19.6%), bronchial asthma in 28 (11.0%) and renal diseases in 12 (4.7%). Except for osteoporosis, which was reported by females only (P=0.003), the occurrences of hypertensive co-morbidities did not vary from other demographic characteristics. This study demonstrated poor blood pressure control in the mini-clinics in the PHC-centers. To improve the quality of care for hypertensive patients, we recommend an improvement in PHC physician knowledge of and attitudes toward the importance of achieving targeted blood pressure levels. (author)

Hypertension Control and co-morbidities in primary health care centers in Riyadh

International Nuclear Information System (INIS)

Al-Tuwijri, Abdulmohsin A.; Al-Rukban, Mohammed Othman

2006-01-01

The prevalence of hypertension in Saudi Arabia has been assessed only in preliminary reports. The aim of this study was to determine the degree of control of blood pressure and the prevalence of common hypertension co-morbidities among hypertensive patients attending primary health care (PHC) centers in Riyadh. A cross sectional study was conducted by reviewing medical records of hypertensive patients during May and June 2001. Two hundred fifty-five medical records selected by a stratified randomization process according to the distribution of the 73 PHC centers in the city and the total number of hypertensive patients registered in the mini-clinic of each PHC-center. Trained mini-clinic nurses collected data using a data collection form developed for this purpose. Of 255 patients, 121 (47.5%) were males and 134 (52.5%) were females, the mean age was 57.2+-11.1 years and 8.3% were smokers. The majority 204 (85.7%) had greater than normal body weight. Only 101 (40.4%) had controlled systolic BP. The most common co-morbidity was diabetes mellitus found in 98 (38.4%), followed by dislipidemia in 50 (19.6%), bronchial asthma in 28 (11.0%) and renal diseases in 12 (4.7%). Except for osteoporosis, which was reported by females only (P=0.003), the occurrences of hypertensive co-morbidities did not vary from other demographic characteristics. This study demonstrated poor blood pressure control in the mini-clinics in the PHC-centers. To improve the quality of care for hypertensive patients, we recommend an improvement in PHC physician knowledge of and attitudes toward the importance of achieving targeted blood pressure levels. (author)

Russia - Nato. The military balance

OpenAIRE

Daugaard, Søren Bech; Jacobsen, Karen Vestergård; Aigro, Signe; Skarequist, Anne

2010-01-01

This project aims to explain how the military balancing of Russia against NATO can be explained from a neoclassical realist framework. The project consists in three analytical parts of respectively, 1: The military capabilities balance between NATO and Russia; 2: How the international system puts pressure on Russia; and 3: How the strategic culture of Russia can explain its balancing. This project aims to explain how the military balancing of Russia against NATO can be explained from a neo...

The Diffusion of Military Dictatorships

OpenAIRE

Raul Caruso; Ilaria Petrarca; Roberto Ricciuti

2012-01-01

We show the existence of a diffusion process of military dictatorships in Sub-Saharan Africa from 1972 through 2007, using panel data probit estimation and a Markov chain transition model. This process is shortly-lived, since we observe an overall trend that reduces the number of military regimes. We also find that Manufacturing share of GDP, Primary share of GDP positively affect the probability of military dictatorship, and Openness to trade, whereas the British colonial origin are negative...

Military Culture. A Paradigm Shift?

National Research Council Canada - National Science Library

Dunivin, Karen

1997-01-01

In this study, Lt Col Karen O. Dunivin, USAF, examines social change in American military culture and explores the current struggle between the military's traditional and exclusionary combat, masculine-warrior (CMW...

Korean Crisis, 1994: Military Geography, Military Balance, Military Options. CRS Report for Congress

National Research Council Canada - National Science Library

Collins, John

1994-01-01

.... This report reviews military options open to each side as the United Nations, United States, and South Korea explore ways to resolve the resultant crisis peacefully despite threats of war from Pyongyang...

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

National Research Council Canada - National Science Library

McGuire, William

1997-01-01

This research thesis is a study through a military commercial industry partnership to seek whether investments in military modeling and simulation can be easily transferred to benefit commercial industry...

SPECIFIC SUBJECTS OF LICENSE ACADEMIC PROGRAM - AN IMPORTANT STAGE OF PROFESSIONAL DEVELOPMENT OF FUTURE MILITARY LEADERS AT NATIONAL MILITARY UNIVERSITY, BULGARIA

Directory of Open Access Journals (Sweden)

Elitsa Stoyanova PETROVA

2016-09-01

Full Text Available On the basis of an approved request by the Head of National Military University it is conducting research on motivation in military formations of the example of Vasil Levski National Military University in Veliko Tarnovo, Bulgaria. Subject of the study is motivation for training and military activities of the cadets and the objects of the study are students in professional military direction in "Organization and management of military units at the tactical level," Land forces faculty at the National Military University of Bulgaria. The article presents results of the study at second item - "Do you agree that the study of specialized topics is an important stage of your professional development of future military leader?". The interviewees were cadets who graduated through the following academic years - 2013/2014, 2014/2015, 2015/2016.

Medical Efforts and Injury Patterns of Military Hospital Patients Following the 2013 Lushan Earthquake in China: A Retrospective Study

Directory of Open Access Journals (Sweden)

Peng Kang

2015-08-01

Full Text Available The aim of this paper is to investigate medical efforts and injury profiles of victims of the Lushan earthquake admitted to three military hospitals. This study retrospectively investigated the clinical records of 266 admitted patients evacuated from the Lushan earthquake area. The 2005 version of the Abbreviated Injury Scale (AIS-2005 was used to identify the severity of each injury. Patient demographic data, complaints, diagnoses, injury types, prognosis, means of transportation, and cause of injury were all reviewed individually. The statistical analysis of the study was conducted primarily using descriptive statistics. Of the 266 patients, 213 (80.1% were admitted in the first two days. A total of 521 injury diagnoses were recorded in 266 patients. Earthquake-related injuries were primarily caused by buildings collapsing (38.4% and victims being struck by objects (33.8%; the most frequently injured anatomic sites were the lower extremities and pelvis (34.2% and surface area of the body (17.9%. Fracture (41.5% was the most frequent injury, followed by soft tissue injury (27.5%, but crush syndrome was relatively low (1.2% due to the special housing structures in the Lushan area. The most commonly used procedure was suture and dressings (33.7%, followed by open reduction and internal fixation (21.9%.The results of this study help formulate recommendations to improve future disaster relief and emergency planning in remote, isolated, and rural regions of developing countries.

Medical Efforts and Injury Patterns of Military Hospital Patients Following the 2013 Lushan Earthquake in China: A Retrospective Study.

Science.gov (United States)

Kang, Peng; Tang, Bihan; Liu, Yuan; Liu, Xu; Liu, Zhipeng; Lv, Yipeng; Zhang, Lulu

2015-08-31

The aim of this paper is to investigate medical efforts and injury profiles of victims of the Lushan earthquake admitted to three military hospitals. This study retrospectively investigated the clinical records of 266 admitted patients evacuated from the Lushan earthquake area. The 2005 version of the Abbreviated Injury Scale (AIS-2005) was used to identify the severity of each injury. Patient demographic data, complaints, diagnoses, injury types, prognosis, means of transportation, and cause of injury were all reviewed individually. The statistical analysis of the study was conducted primarily using descriptive statistics. Of the 266 patients, 213 (80.1%) were admitted in the first two days. A total of 521 injury diagnoses were recorded in 266 patients. Earthquake-related injuries were primarily caused by buildings collapsing (38.4%) and victims being struck by objects (33.8%); the most frequently injured anatomic sites were the lower extremities and pelvis (34.2%) and surface area of the body (17.9%). Fracture (41.5%) was the most frequent injury, followed by soft tissue injury (27.5%), but crush syndrome was relatively low (1.2%) due to the special housing structures in the Lushan area. The most commonly used procedure was suture and dressings (33.7%), followed by open reduction and internal fixation (21.9%).The results of this study help formulate recommendations to improve future disaster relief and emergency planning in remote, isolated, and rural regions of developing countries.

Efficacy of Insulin Pump Therapy on Diabetes Treatment Satisfaction and Glycemic Control Among Patients with Type 1 Diabetes Mellitus in Saudi Arabia: A Prospective Study

OpenAIRE

Al Hayek, Ayman A.; Robert, Asirvatham A.; Al Dawish, Mohamed A.; Braham, Rim B.; Goudeh, Hanouf S.; Al Sabaan, Fahad S.

2015-01-01

Introduction The aim of this study was to explore the impact of insulin pump therapy on diabetes treatment satisfaction and glycemic control among patients with type 1 diabetes mellitus (T1DM) in Saudi Arabia. Methods A 6-month, prospective study was conducted among 47 patients (aged 17?24?years) with T1DM who attended the Insulin Pump Clinic at Prince Sultan Military Medical City, Riyadh, Saudi Arabia, between April 2014 and November 2014. The respondents were purposively and conveniently se...

Violence against health workers in Family Medicine Centers

OpenAIRE

Al-Turki, Nouf; Afify, Ayman AM; AlAteeq, Mohammed

2016-01-01

Nouf Al-Turki,1 Ayman AM Afify,1 Mohammed AlAteeq2 1Family Medicine Department, Prince Sultan Military Medical City, 2Department of Family Medicine and PHC, King Abdul-Aziz Medical City, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia Background: Health care violence is a significant worldwide problem with negative consequences on both the safety and well-being of health care workers as well as workplace activities. Reports examining health care violence in Saudi Arabia are lim...

Factors predicting health behaviors among Army Reserve, active duty Army, and civilian hospital employees.

Science.gov (United States)

Wynd, Christine A; Ryan-Wenger, Nancy A

2004-12-01

This study identified health-risk and health-promoting behaviors in military and civilian personnel employed in hospitals. Intrinsic self-motivation and extrinsic organizational workplace factors were examined as predictors of health behaviors. Because reservists represent a blend of military and civilian lifestyles, descriptive analyses focused on comparing Army Reserve personnel (n = 199) with active duty Army (n = 218) and civilian employees (n = 193), for a total sample of 610. Self-motivation and social support were significant factors contributing to the adoption of health-promoting behaviors; however, organizational workplace cultures were inconsistent predictors of health among the three groups. Only the active Army subgroup identified a hierarchical culture as having an influence on health promotion, possibly because of the Army's mandatory physical fitness and weight control standards. Social support and self-motivation are essential to promoting health among employees, thus hospital commanders and chief executive officers should encourage strategies that enhance and reward these behaviors.

Family stress and posttraumatic stress: the impact of military operations on military health care providers.

Science.gov (United States)

Gibbons, Susanne W; Barnett, Scott D; Hickling, Edward J

2012-08-01

This study uses data from the 2005 Department of Defense Survey of Health-Related Behaviors Among Military Personnel to examine relationships between family stress and posttraumatic stress symptoms across 4 subgroups of Operation Iraqi Freedom-deployed (i.e., war in Iraq) or Operation Enduring Freedom-deployed (i.e., war in Afghanistan) active-duty military service members. Results suggest the following: (a) the greatest positive correlation of family stressors with posttraumatic stress symptoms was found within the military health care officer group, and (b) these military health care officers differed in family stressors mediating posttraumatic stress with divorce and financial problems accounting for significant and unique portions of the variance. Implications for care of service members and their families are discussed. Published by Elsevier Inc.

Trial by Jury in Russian Military Courts

Directory of Open Access Journals (Sweden)

Nikolai P. Kovalev

2008-07-01

Full Text Available One of peculiar features of the military criminal justice system in Russia is that in some cases military defendants may apply for trial by jury. Unlike the existing U.S. court-martial jury and the Russian military jury of the early 1900s (World War I period which were comprised of the members of the armed forces, in modern Russia jurors trying military defendants are civilians. This article aims to provide a brief history of military jury in Russia and identify issues of independence and impartiality in Russian military courts with participation of lay decision-makers. In particular, the article will analyze two high-profile cases which resulted in acquittals of Russian officers accused of killing several Chechen civilians during counter-terrorist operations in Chechnya.

Sexual Assault and Sexual Harassment in the U.S. Military: Highlights from the 2014 RAND Military Workplace Study

Science.gov (United States)

2015-01-01

assault, sexual harassment , and gender discrimination in the military. The resulting study, the RAND Military Workplace Study (RMWS), invited close to...members are highlighted in this brief. Sexual Assault and Sexual Harassment in the U.S. Military HigHligHts from tHe 2014 rAND militAry WorkplAce stuDy...significantly higher rates than men : 22 percent of women and 7 percent of men experienced sexual harassment in the past year. In addition, we estimate

MILITARY MISSION COMBAT EFFICIENCY ESTIMATION SYSTEM

Directory of Open Access Journals (Sweden)

Ighoyota B. AJENAGHUGHRURE

2017-04-01

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

Impact of shift work on sleep and daytime performance among health care professionals

Directory of Open Access Journals (Sweden)

Sultan M. Alshahrani

2017-08-01

Full Text Available Objectives: To evaluate sleep quality and daytime sleepiness in health care professionals who are performing shift work. Methods: This cross-sectional study was conducted on 510 health care professionals at Prince Sultan Military Medical City and King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia between December 2015 and April 2016. Data were collected using the Pittsburgh Sleep Quality Index (PSQI and the Epworth Sleepiness Scale (ESS. Participants were divided into 2 groups: shift workers and non-shift workers. Results: We compared both groups regarding the effect of shift work on the total score of PSQI and ESS. We found that the PSQI global score (p less than 0.001 and the total ESS score (p=0.003 were significantly higher in shift work health care professionals. Conclusion: Shift work among health care professionals is associated with poor sleep quality but not excessive daytime sleepiness. Health care professionals performing shift work have PSQI and ESS scores slightly higher than non-shift work health professionals.

Impact of shift work on sleep and daytime performance among health care professionals.

Science.gov (United States)

Alshahrani, Sultan M; Baqays, Abdulsalam A; Alenazi, Abdelelah A; AlAngari, Abdulaziz M; AlHadi, Ahmad N

2017-08-01

To evaluate sleep quality and daytime sleepiness in health care professionals who are performing shift work. Methods: This cross-sectional study was conducted on 510 health care professionals at Prince Sultan Military Medical City and King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia between December 2015 and April 2016. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS). Participants were divided into 2 groups: shift workers and non-shift workers. Results: We compared both groups regarding the effect of shift work on the total score of PSQI and ESS. We found that the PSQI global score (p less than 0.001) and the total ESS score (p=0.003) were significantly higher in shift work health care professionals.  Conclusion: Shift work among health care professionals is associated with poor sleep quality but not excessive daytime sleepiness. Health care professionals performing shift work have PSQI and ESS scores slightly higher than non-shift work health professionals.

French military plans for Superphenix

International Nuclear Information System (INIS)

Albright, D.

1984-01-01

France refuses to rule out military use of the plutonium produced by the planned breeder reactor Superphenix, although other nations, including the US, have contributed nuclear materials to it. US policy has been to separate military and civilian nuclear programs to set an example. France has not stated an intention to use Superphenix for military purposes, but is reserving the right to do so. It does not separate the two kinds of nuclear materials for economic reasons. The Non-Proliferation Treaty (NPT) does not address the possibility that plutonium pledged to peaceful use might be commingled with plutonium for military use in a civilian facility within a weapons state. The US could work to strengthen the US-Euratom Agreement on the basis of the contamination principle. 11 references

The importance of understanding military culture.

Science.gov (United States)

Hall, Lynn K

2011-01-01

Social workers can make a significant contribution to military service members and their families, but first it is essential that the worldview, the mindset, and the historical perspective of life in the military are understood. Unless we understand how the unique characteristics of the military impact the service members and their families, we cannot work effectively with them. In addition, unless we understand their language, their structure, why they join, their commitment to the mission, and the role of honor and sacrifice in military service, we will not be able to adequately intervene and offer care to these families.

Military Strategy Of India

Directory of Open Access Journals (Sweden)

M. S. Zaitsev

2017-01-01

Full Text Available The article analyzes the evolution of military strategy of the Republic of India and key factors that influences its development. New Delhi keeps an eye on the balance of power in South Asia to create favorable conditions for its economic and social development, yet the remaining threats and new challenges still undermine the security and stability in India. The ambitions of China aspiring to power in Asia-Pacific region, combined with its immense military build-up and territorial disputes, cause disturbance in New Delhi. The remaining tensions between India and Pakistan also cause often border skirmishes and medium-scale conflicts. Close relations between China and Pakistan, labeled as “all-weather friendship”, are a source of major concern for India. The fact that both Beijing and Islamabad wield nuclear weapons means that without effective mechanisms of nuclear deterrence any military conflict may turn into a full-scale nuclear war. Terrorist activities and insurgency in the Indian state of Jammu and Kashmir and in the North-Eastern regions of the country, along with maritime piracy and illicit drug trafficking contribute to the complicated nature of the challenges to the Indian security. Indian military strategy is considered as a combination of the army doctrine, maritime doctrine and nuclear doctrine. The Indian political and military leadership wants to meet the challenges of changing geopolitical environment and thus continuously adapts its strategy. However, there is still a gap between theory and practice: Indian armed forces lack the capacity to implement the declared goals because of bulky bureaucratic system, outdated military equipment and insufficient level of command and control. The government needs to mobilize political will and administrative resources to upgrade its defense sector to counter its security threats and challenges.

The Presence of the American Troops in Romania: Civil-Military Challenges Beyond a "Military Relationship"

National Research Council Canada - National Science Library

Simion, Valentin

2008-01-01

This thesis analyzes the civil-military relations of the growing U.S. military presence in Romania and the implications of this development for bi-lateral relations beyond the barracks and the maneuver field...

76 FR 6509 - Notice of Certification; Foreign Military Financing, and International Military Education and...

Science.gov (United States)

2011-02-04

... DEPARTMENT OF STATE [Public Notice: 7312] Notice of Certification; Foreign Military Financing, and International Military Education and Training; Guatemala AGENCY: Department of State. ACTION: Notice. The... internationally recognized human rights; (B) the Guatemalan Air Force, Navy, and Army Corps of Engineers are...

A Historical Survey of Military Health Services: The Crimean War and Florence Nigtingale

Directory of Open Access Journals (Sweden)

Unal Demirtas

2014-02-01

Full Text Available During the Crimean War freezing cold and contagious diseases was more important than the Russian soldiers for the allied armies. Typhus, scorbut, cholera and malaria prepare the dead of a large number of soldiers. According to the resources, the contagious diseases led to death more than ten times of the military actions. That and #8217;s why, The European armies understood the importance of the treatment diseases in the war and the Crimean War became the beginning point in military health concept development. Florence Nightingale and a staff of 38 volunteers provide clean bedding, improve ventilation and sewage disposal, and reorganize everyday sanitary procedures at British barracks in Istanbul. She was an early theorist of sanitation and one of the founders of the modern nursing profession. Nightingale worked to improve sanitation, nutrition, and activity of patients at hospitals. Death rates were reduced dramatically with the introduction of such measures. [TAF Prev Med Bull 2014; 13(1.000: 1-6

The Arab Spring and civil-military relations

African Journals Online (AJOL)

abel

power interplay between the civil elites and the military elites using the term 'civil- military relations' ..... the American military, whose 5th Fleet is headquartered in Bahrain. The advice was that the ..... Embassy Madrid. 23 Danopoulos, C (ed).

Defending the Military Food Supply Acquisition, Preparation, and Protection of Food at U.S. Military Installations

Science.gov (United States)

2009-09-01

former KGB official, with polonium - 210 in 2006.25 However, a number of factors make radiological contamination of food unlikely. First, it is...Defense University September 2009 Defending the Military Food Supply Acquisition, Preparation, and Protection of Food at U.S. Military...DATE SEP 2009 2. REPORT TYPE 3. DATES COVERED 00-00-2009 to 00-00-2009 4. TITLE AND SUBTITLE Defending the Military Food Supply Acquisition

A theory of military dictatorships

OpenAIRE

Acemoglu, Daron; Ticchi, Davide; Vindigni, Andrea

2008-01-01

We investigate how nondemocratic regimes use the military and how this can lead to the emergence of military dictatorships. Nondemocratic regimes need the use of force in order to remain in power, but this creates a political moral hazard problem; a strong military may not simply work as an agent of the elite but may turn against them in order to create a regime more in line with their own objectives. The political moral hazard problem increases the cost of using repression in nondemocratic r...

[Hospitals in Europe and Yugoslavia through the centuries].

Science.gov (United States)

Topalović, R

1998-01-01

The primary object of this paper is to give a retrospective of hospital development in Europe and Yugoslavia for the past twenty-five centuries. The earliest records of hospitals called the "iatreia" date back to the V century B.C., ancient Greece. The sick in those hospitals were treated with drugs as well operated on. The Romans, during the reign of the emperor Augustus, built valetudinaries within military camps. The name "hospital" was introduced in the IV century A.D. and has been used ever since. The first hospital was founded in Cesarea, i.e. in the East Roman Empire in Asia Minor. The chronology of the hospital development in the Middle Ages is given in table 1--"Chronology of Hospital Development in the Middle Ages." St. Sava (Nemanjić) founded the first Serbian hospital in the Monastery of Hilandar about 1199 and in 1208/1209 a hospital in the Monastery of Studenica. In the hospital of the Monastery of St. Arhangel in Prizren, according to the regulations prescribed by tzar Dusan, only curable patients were to be treated. The first hospital in Vojvodina in Bac near Novi Sad dates back to 1234. More data about hospitals in former Yugoslavia are given in table 2--"The Oldest Hospitals in former Yugoslavia" and about the Frontier Hospitals in Vojvodina in table 3--"Frontier Hospitals for the Wounded and Sick in Vojvodina". The first medical high school was established in Salerno in the IX century and the first European University in Bologna in 1088, where the School of Medicine was founded in 1156. The University in Paris was founded in 1107 and in Oxford in 1145.

Military Citation, Sixth Edition, July 1997

National Research Council Canada - National Science Library

1997-01-01

.... If the Military Citation and The Bluebook do not address a source of authority used in military practice, the author should attempt to maintain uniformity in citation style by adapting the most analogous and useful citation form that Military Citation and The Bluebook do address. Most importantly, the author should provide the reader with sufficient information to locate the referenced material swiftly.

Physical Workload On Neck And Shoulder Muscles During Military Helicopter Flight

DEFF Research Database (Denmark)

Murray, Mike; Lange, Britt; Olsen, Henrik Baare

, Odense University Hospital, DK E-mail: mmurray@health.sdu.dk AIM: Flight-related neck/shoulder pain is common among military helicopter pilots and crew members. During flight, the flight helmet and additional Night Vision Goggles (NVG) pose a considerable load on the cervical spine. The aim of this study....... (TRA), the upper neck extensors (UNE) and sternocleido-mastoid m. (SCM). Nine repetitive flights were completed, encompassing: Patient-Transport (PT), Patient-Transport with NVG (PT+NVG) and Search And Rescue with NVG (SAR+NVG). A standard helmet (1.85 kg) and NVG (1.1 kg) were used. The EMG signal...

Asthma control assessment using asthma control test among patients attending 5 tertiary care hospitals in Saudi Arabia

International Nuclear Information System (INIS)

Al-Jahdali, Hamdan H.; Al-Hajjaj, Mohamed S.; Alanezi, Mohamed O.; Zeitoni, Mohamed O.; Al-Tassan, Turki H.

2008-01-01

Objective was the evaluation of asthma control using the Asthma Control Test (ACT). The ACT was used to assess asthma control among patients with bronchial asthma visiting pulmonary clinics in 5 major tertiary care hospitals in Riyadh, Kingdom of Saudi Arabia. Each hospital had target of 300 patients to recruit over the period of the study from 1st September to 30th November 2006. The total number of patients studied was 1060 patients. Males constituted 442 (42%) and the females constituted 618 (58%), the median age was 38.56 years range 15-75. One-third of the patients had no formal education. The ACT score revealed uncontrolled asthma in 677 (64%), well controlled asthma in 328 (31%) and complete controlled in 55 (5%). There were no significant correlation between the age below 40 and above 40 years and level of asthma control p=0.12. However, the younger age group less than 20 had better control of asthma in comparison with older patients p=0.0001. There was significant correlation between level of asthma control and gender, males 44% had better asthma control than females (30%, p=0.0001). Control of bronchial asthma is still major concern in our population. Further studies are needed to explore the factors leading to poor asthma control. (author)

A Study of Military Technopolitics

DEFF Research Database (Denmark)

Nørgaard, Katrine

, governments and military services hope to introduce game-changing military technologies that are ‘better, faster and cheaper’, investing heavily in research and development of AWS. In this paper, I wish to map the different and competing practices of critique and justification that shape the technopolitical...... controversy of AWS, showing its complexity and internal contradictions. In addition to identifying the dominant regimes of justification, that organize the discourse of AWS, I argue that the military bureau and its officeholders become technopolitical mediators and translators of risk in an emergent practice...

Determination of heavy metals in the fruit of date palm growing at different locations of Riyadh.

Science.gov (United States)

Aldjain, Ibrahim M; Al-Whaibi, Mohamed H; Al-Showiman, Salim S; Siddiqui, Manzer H

2011-04-01

Exposure of heavy metals to human beings has risen dramatically in the last 50 years. In today's urban and industrial society, there is no escaping from exposure to toxic chemicals and heavy metals. Humans are more likely to be exposed to heavy metal contamination from the dust that adheres to edible plants than from bioaccumulation. This is because it is very difficult to wash off all the dust particles from the plant material before ingesting them. The objectives of this experiment were to determine the concentrations of lead (Pb) and cadmium (Cd) in washing residues and in the tissues of fruits of date palm growing in 14 sites of Riyadh and also to assess whether the fruits were safe for human consumption. The washing residues and tissue of date palm fruits collected from different sites showed the presence of significant amounts of the Pb and Cd. The concentration of Pb in the dust and fruit tissue increased with increasing anthropogenic sources. Therefore, fruits of date palm might be used as a pollution indicator; it might be recommend that fruits of date palm could be safe for human consumption after washing. The mean concentration of Pb and Cd in all the samples collected from different sites is within the safe limits recommended by FAO/WHO.

Military Family Coping Project - Phase II

Science.gov (United States)

2015-05-01

Anxiety, Life Satisfaction , Addiction, Trauma 4 The Military Family Coping Project reflects two phases. The first consisted of a series of focus...need for and guided the work of the Military Family Coping Project Phase II funded by TATRC. The Military Family Coping Project Phase II was...solidarity. For the purposes of family functioning analyses, married and unmarried soldiers were analyzed separately because marital status affects

A Conceptual Model of Military Recruitment

Science.gov (United States)

2009-10-01

Hiring Expectancies – Expectancy (VIE) Theory ( Vroom , 1996) states individuals choose among a set of employment alternatives on the basis of the...A Conceptual Model of Military Recruitment Presented at NATO Technical Course HFM 180 – Strategies to Address Recruiting and Retention Issues in...the Military Fariya Syed October, 2009 Based on A Proposed Model Of Military Recruitment (Schreurs & Syed, 2007) Report Documentation Page

Public Awareness regarding Common Eye Diseases among Saudi Adults in Riyadh City: A Quantitative Study

Directory of Open Access Journals (Sweden)

Waleed A. Al Rashed

2017-01-01

Full Text Available Aim. The current study aimed to evaluate the knowledge of eye disease and awareness of eye care among the Saudi adults and to explore existing eye-related misconceptions in the community. Methods. A cross-sectional study was conducted in Riyadh city during May and June 2016. A self-administered anonymous online questionnaire was used to explore the most common misconceptions related to eye diseases and eye care. Results. Out of 1000 individuals, only 711 (71.1% participant responses were received. The participants’ acceptable knowledge (score ≥50% was high about the eye problem in diabetes (88.6%, ocular trauma (81.2%, and other general eye diseases (91.3%, whereas low about refractive errors (63%, pediatric eye problems (51.5%, and glaucoma (14.8%. The variation in knowledge about specific ocular morbidities was significant (p<0.001. The majority of participants reported sources of information about the common eye diseases and eye care encountered from the community, internet-based resources, and social media. Conclusions. The majority of the participants had awareness about the common eye diseases, whereas low percentage of participant’s awareness about specific condition of eye diseases. Public eye health awareness should be more focused on social media and the internet to be able to cover the younger individuals of the community.

32 CFR 644.522 - Clearance of military scrap.

Science.gov (United States)

2010-07-01

... 32 National Defense 4 2010-07-01 2010-07-01 true Clearance of military scrap. 644.522 Section 644... Excess Land and Improvements § 644.522 Clearance of military scrap. Military scrap can contain or be... destruction, by using command, of all military scrap and scrap metal from lands suitable for cultivation or...

Methodology for contaminated sites of military activity territories restoration

International Nuclear Information System (INIS)

Khrushchov, D. P.; Yushchenko, Yu. V.; Shekhunova, S. B.

2002-01-01

Major part of Eastern Europe countries meet environmental problems related to sites of military activity. Major part of these sites is characterised with degradation of natural landscapes and contamination of geological environment with toxic and hazardous waste representing actual and potential danger for population and environment. Actual danger is caused with localisation of toxic waste, hazardous materials and waste which are preventing normal land use. Potential danger is related to successive dispersion of contamination in biosphere as well as origin of new derivatives and products having toxic and hazardous properties. The list of such sites and objects comprises bases of land, air and naval forces. These objects include a network of infrastructures: storages of fuels and lubricants (surface, underground), filling stations, pipe lines, reparation stations, garages, decontamination stations, underground storages of different purposes, depots (for ammunition, chemical products), hospitals, constructions, firing grounds (tank, artillery, aircraft bombing etc.) and waste disposal sites. Special programs aimed at military industries and bases contaminated sites remediation have been carrying out in developed countries (USA, United Kingdom, Germany etc.). This experience was used in the frames of joint programs having been founded in several countries of Central and Eastern Europe (Chesh Republic, Slovakia, Lithuania etc.). (author)

Clinical effects and antivenom use for snake bite victims treated at three US hospitals in Afghanistan.

Science.gov (United States)

Heiner, Jason D; Bebarta, Vikhyat S; Varney, Shawn M; Bothwell, Jason D; Cronin, Aaron J

2013-12-01

Annually, more than 100,000 US and international military and civilian personnel work in Afghanistan within terrain harboring venomous snakes. Current literature insufficiently supports Afghan antivenom treatment and stocking guidelines. We report the clinical course and treatments for snakebite victims presenting to US military hospitals in Afghanistan. All snakebite victims presenting to 3 US military emergency departments between July 2010 and August 2011 in northern and southern Afghanistan were examined via chart review. Case information included patient demographics, snake description, bite details and complications, laboratory results, antivenom use and adverse effects, procedures performed, and hospital course. Of 17 cases, median patient age was 20 years (interquartile range [IQR], 12-30), 16 were male, and 82% were Afghans. All bites were to an extremity, and median time to care was 2.8 hours (IQR, 2-5.8). On arrival, 8 had tachycardia and none had hypotension or hypoxia. A viper was implicated in 5 cases. Ten cases received at least 1 dose of polyvalent antivenom, most commonly for coagulopathy, without adverse effects. Six received additional antivenom, 6 had an international normalized ratio (INR) > 10, and none developed delayed coagulopathy. Three received blood transfusions. Hospital stay ranged from 1 to 4 days. None required vasopressors, fasciotomy, or other surgery, and none died. All had resolution of marked coagulopathies and improved swelling and pain on discharge. We report the largest series of snake envenomations treated by US physicians in Afghanistan. Antivenom was tolerated well with improvement of coagulopathy and symptoms. All patients survived with minimal advanced interventions other than blood transfusion. Published by Elsevier Inc.

Headache triggers in the US military.

Science.gov (United States)

Theeler, Brett J; Kenney, Kimbra; Prokhorenko, Olga A; Fideli, Ulgen S; Campbell, William; Erickson, Jay C

2010-05-01

Headaches can be triggered by a variety of factors. Military service members have a high prevalence of headache but the factors triggering headaches in military troops have not been identified. The objective of this study is to determine headache triggers in soldiers and military beneficiaries seeking specialty care for headaches. A total of 172 consecutive US Army soldiers and military dependents (civilians) evaluated at the headache clinics of 2 US Army Medical Centers completed a standardized questionnaire about their headache triggers. A total of 150 (87%) patients were active-duty military members and 22 (13%) patients were civilians. In total, 77% of subjects had migraine; 89% of patients reported at least one headache trigger with a mean of 8.3 triggers per patient. A wide variety of headache triggers was seen with the most common categories being environmental factors (74%), stress (67%), consumption-related factors (60%), and fatigue-related factors (57%). The types of headache triggers identified in active-duty service members were similar to those seen in civilians. Stress-related triggers were significantly more common in soldiers. There were no significant differences in trigger types between soldiers with and without a history of head trauma. Headaches in military service members are triggered mostly by the same factors as in civilians with stress being the most common trigger. Knowledge of headache triggers may be useful for developing strategies that reduce headache occurrence in the military.

Nuclear plants - military hostages

International Nuclear Information System (INIS)

Ramberg, B.

1986-01-01

Recent events suggest that nuclear reactors could make tempting military or terrorist targets. Despite the care with which most reactors are built, studies document their vulnerability to willful destruction through disruption of coolant mechanisms both inside and outside the containment building. In addition to reactors, such nuclear support facilities as fuel fabrication, reprocessing, and waste storage installations may be attractive military targets. A nuclear bomb which exploded in the vicinity of a reactor could increase its lethal effects by one-third. The implications of this is vulnerability for Middle East stability as well as to other volatile regions. The author suggests several avenues for controlling the dangers: international law, military and civil defense, facility siting, increasing plant safety, and the international management of nuclear energy. 21 references

Resurgent Military Political Adventurism in West Africa: Implications ...

African Journals Online (AJOL)

DR Nneka

military intervention in the politics of some West African states and this calls for ... experienced military coup leading to military rule in most cases. ... study, we shall examine the closely knit nature of inter-state relationships in West ... It is instructive to note that the military juntas did not fare better in office. ..... Sweden: SIPRI.

The pending crisis in Russian civil-military relations

International Nuclear Information System (INIS)

Ball, D.Y.

1997-01-01

A key issue in the study of civil-military relations has been how to create a military sufficiently strong to ensure security from external threats while simultaneously preventing the military from using its preponderance of power in the domestic arena. This dilemma arises from the fear engendered by a large armed force created to combat foreign threats, but which is also inherently a threat to the society that created it. In Russia, however, the question is not how the civilian leadership can keep the military out of politics, but how the military can keep the leadership from politicizing the armed forces. The Russian military has no interest in resolving Russia's domestic political problems. It is a professional military that prefers to leave politics to the politicians, and to carry out its mission of defending the nation against external attack. But the lack of responsible central leadership and the poor state of the economy are driving the military toward involvement in domestic politics if for no other reason than to ensure its own survival

Hospital ships adrift? Part 1: a systematic literature review characterizing US Navy hospital ship humanitarian and disaster response, 2004-2012.

Science.gov (United States)

Licina, Derek

2013-06-01

United States foreign policy is tied extensively to health initiatives, many related to the use of military assets. Despite substantial resource investment by the US Department of Defense (DoD) in hospital ship humanitarian assistance and disaster response missions, the impact of this investment is unclear. A systematic literature review of both peer-reviewed and grey literature using eight databases representing the international community and multiple sectors was conducted. Data on the characteristics of missions directly related to US Navy hospital ship humanitarian assistance and disaster response from 2004-2012 were extracted and documented. Of the 1445 sources reviewed, a total of 43 publications met criteria for review. Six (13.9%) met empirical documentation criteria and 37 (86.0%) were considered nonempirical expert opinions and anecdotal accounts that were primarily descriptive in nature. Overall, disaster response accounted for 67.4% (29/43) and humanitarian assistance 25.6% (11/43). Public and private sector participants produced 79.0% (34/43) and 20.9% (9/43) of the publications respectively. Of private sector publications, 88.9% (8/9) focused on disaster response compared to 61.8% (21/34) from the public sector. Of all publications meeting inclusion criteria, 81.4% (35/43) focused on medical care, 9.3% (4/43) discussed partnerships, 4.7% (2/43) training, and 4.7% (2/43) medical ethics and strategic utilization. No primary author publications from the diplomatic, development, or participating host nations were identified. One (2.3%) of the 43 publications was from a partner nation participant. Discussion Without rigorous research methods yielding valid and reliable data-based information pertaining to Navy hospital ship mission impact, policy makers are left with anecdotal reports to influence their decision-making processes. This is inadequate considering the frequency of hospital ship deployments used as a foreign policy tool and the considerable

TRENDS IN SLOVAK REPUBLIC’S MILITARY SPENDING

Directory of Open Access Journals (Sweden)

Milota KUSTROVÁ

2012-01-01

Full Text Available The article focuses on the amount of military spending in the Slovak Republic. In the first part, the terms of defense expenditure and military spending are defined. The second part focuses on the evolution of military spending in the Slovak Republic so far and the future prospects, as well as on the structure of military spending. The final part covers the amount of defense expenditure in relation to the objectives and tasks of the Armed Forces of the Slovak Republic.

The Role of Communication in Military Leadership

Directory of Open Access Journals (Sweden)

Monika Lewińska

2015-06-01

Full Text Available The aim of the paper is to discuss the role of communication in military leadership. First of all, basic terms related to communication, command and military leadership are explained. In the following parts of the paper it is intended to answer the question contained in the title: what is the role of communication in the military leadership? To precise the issue: is the role of communication in military organisations similar to civilian leadership and management or does it significantly differ?

Truth and (self) censorship in military memoirs

NARCIS (Netherlands)

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

2016-01-01

It can be difficult for researchers from outside the military to gain access to the field. However, there is a rich source on the military that is readily available for every researcher: military memoirs. This source does provide some methodological challenges with regard to truth and (self)

[Economic problems in military public health].

Science.gov (United States)

Petrov, G M; Moretskiĭ, A A

2000-03-01

There are discussed the problems of military treatment and prophylactic institution (TPI) functioning under conditions of market reform of Russian public health. Main marketing concepts in military health are determined and some recommendations on work improvement in TPI of the Armed Forces in the system of obligatory medical insurance are presented, granting population paid medical services. It is necessary to form a new type of director--military and medical manager.

Cappellani militari e prospettive di riforma

Directory of Open Access Journals (Sweden)

Paolo Cavana

2016-03-01

SOMMARIO: 1. Riforma dell’assistenza spirituale nelle Forze armate e impegni pattizi - 2. L’evoluzione dei sistemi di difesa in Europa e la sua incidenza sull’assistenza spirituale: il passaggio dalla coscrizione obbligatoria a un servizio di tipo professionale - 3. L’assistenza spirituale tra modello confessionista e modello pluralista. Le ragioni del ritardo legislativo - 4. L’inquadramento dei cappellani militari all’interno delle Forze armate, tra esigenze di ammodernamento e tendenze alla smilitarizzazione - 5. Inquadramento gerarchico dei cappellani militari e tradizione storica - 6. Inquadramento militare dei cappellani, principio di laicità ed esigenze funzionali - 7. Compiti delle Forze armate, principi costituzionali e nuovo ruolo dei cappellani militari - 8. La recente valorizzazione del ruolo dei cappellani militari nel sistema di difesa NATO. Osservazioni conclusive. Abstract: Military Chaplaincy in the process of reform This paper examines the service of spiritual assistance in the State military forces according to the Italian system of law, in the context of their current evolution given to the principles of the Constitution and the changing international situation and policy. After some preliminary remarks about the origins of the present debate, it compares the models of other countries concerning the service of military chaplains and focuses on the issue of their juridic status as commissioned officers in the Army, taking into consideration the advantages and disadvantages of this legal framework. In the end it makes some conclusive remarks about the new role of chaplains in military organizations, not only religious support but also advisor to the command on issue of religion and ethics and liaison with local religious leaders in an effort to understand the role of religion as both a factor in hostility and war and as a force for reconciliation and peace.

41 CFR 102-33.230 - May we use military FSCAP on non-military FAA-type certificated Government aircraft?

Science.gov (United States)

2010-07-01

... FSCAP on non-military FAA-type certificated Government aircraft? 102-33.230 Section 102-33.230 Public... Aircraft Parts Managing Aircraft Parts § 102-33.230 May we use military FSCAP on non-military FAA-type... installation by the FAA. See detailed guidance in FAA Advisory Circular 20-142, “Eligibility and Evaluation of...

Obesity Prevention in the Military.

Science.gov (United States)

Shams-White, Marissa; Deuster, Patricia

2017-06-01

The objective was to review prevention efforts and approaches attempting to limit the problem of obesity in the military. Various individual-level initiatives have emerged, including programs promoting healthy cooking, meal planning, and other behavior changes among service members. Importantly, the military is attempting to tackle environmental factors contributing to the rise of obesity, by focusing on many recent environmental-level interventions and initiatives to improve military dining facilities and examine and modify other aspects of installations' built environments. Although published research within the military setting directed towards obesity prevention is limited, many innovative programs have been launched and need to be followed forward. The review of past and ongoing efforts can be an important step in identifying specific areas needing improvement, gaps that should be considered, lessons learned, and characteristics of successful programs that should be disseminated as best practices and further expanded.

20 CFR 226.61 - Use of military service.

Science.gov (United States)

2010-04-01

... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Use of military service. 226.61 Section 226... § 226.61 Use of military service. (a) Claim for use of military service. An employee is deemed to have filed a claim for the use of military service and earnings as service and compensation under the...

HIV voluntary counseling and testing practices among military personnel and civilian residents in a military cantonment in southeastern Nigeria

Directory of Open Access Journals (Sweden)

Azuogu BN

2011-10-01

Full Text Available BN Azuogu, LU Ogbonnaya, CN Alo Communicable Diseases Control Research Centre, Department of Community Medicine, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria Background: Voluntary counseling and testing (VCT services are expected to lower rates of HIV transmission through a reduction in high-risk sexual behavior and through improved access to medical treatment, care, and support. However, increasing access to and uptake of VCT, especially among groups at high risk for HIV infection, has remained a major challenge in Africa. Purpose: The study was undertaken to determine the uptake of VCT (measured by whether study participants had ever received an HIV test and the factors influencing this practice among military and civilian residents of a military cantonment in Abakaliki, southeastern Nigeria. Methods: A cross-sectional descriptive survey of all cantonment residents aged between 20 and 64 years was conducted. A multistage sampling technique was used to establish the sample size; data were collected from 350 military and civilian cantonment residents using a pretested questionnaire. Data were analyzed using SPSS software (v 16.0; SPSS Inc, Chicago, IL and the significance of any association was tested at P < 0.05 using the chi-square statistic. Results: One hundred and forty-five (41.4% respondents reported having ever been tested for HIV; however, only 44 (12.6% respondents had received the test between 4 and 12 months prior to the survey period. Some of the significant factors that positively influenced uptake of VCT were awareness of VCT (P < 0.001, education level (P < 0.006, and knowledge of antiretroviral therapy benefits (P < 0.01. Conclusion: The uptake of VCT by the residents of the cantonment was low. The establishment of VCT services in the cantonment is urgently recommended, together with the targeting of high-risk population groups in HIV/AIDS and VCT information dissemination efforts. Keywords: VCT uptake, HIV test

Determination of aims military-technical policy of Ukraine

Directory of Open Access Journals (Sweden)

O. F. Salnikova

2014-06-01

Full Text Available In the article the aims of military-technical policy are considered. Determination of aims (tasks of military-technical policy, its maintenance, requirements to it and directions of its further development it must come true by the analysis of different factors of external and internal environment. Among such factors: geopolitical and military-political position of Ukraine and its military doctrine; realized and operating programs of development (reformation of the soldiery forming and them technical rigging; terms of future military operations and progress of their maintenance, forms, methods and characteristic signs of battle actions trend; substantive provisions of art of war; conceptions, theories and doctrines of battle application of the soldiery forming of the different states; resources dedicated by the state on development of military-technical sphere and others like that. The fundamental chart of sequence of forming of public military-technical policy is presented in the article.

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

Directory of Open Access Journals (Sweden)

Pavel V. Didov

2016-12-01

Full Text Available The article analyzes the phenomenon of "polite people" from the point of view of the history and theory of ethical thought. Identify and specify ethical principles that form the basis of military courtesy. On the basis of the revealed regularities, the study proves that ethics is impossible without a certain power attributes, which constitute its core. In relation to the traditions of Russian warriors revealed the key role to their formation of the Orthodox ethics and the military of meekness. The obtained results can serve as material for educational activities for the formation of fighting spirit.

European military mental health research: benefits of collaboration.

Science.gov (United States)

Himmerich, Hubertus; Willmund, G D; Wesemann, U; Jones, N; Fear, N T

2017-06-01

Despite joint participation in international military operations, few collaborative military mental health research projects have been undertaken by European countries. From a common perspective of military mental health researchers from Germany and the UK, the lack of shared research might be related not only to the use of different languages but also the different ways in which the two militaries provide mental health and medical support to operations and differences in military institutions. One area that is suitable for military health research collaboration within UK and German forces is mental health and well-being among military personnel. This could include the study of resilience factors, the prevention of mental disorder, mental health awareness, stigma reduction and the treatment of mental disorder. Military mental health research topics, interests and the studies that have been conducted to date in the UK and Germany have considerable overlap and commonality of purpose. To undertake the investigation of the long-term consequences of operational deployment, the specific burdens placed on military families and to further the understanding of the role of factors such as biomarkers for use in military mental health research, it seems advisable to forge international research alliances across European nations, which would allow for researchers to draw transcultural and generalisable conclusions from their work. Such an enterprise is probably worthwhile given the shared research interests of Germany and the UK and the common perspectives on military mental health in particular. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Psychological Safety During Military Integrations

NARCIS (Netherlands)

Wermser, Frederik; Täuber, Susanne; Essens, Peter; Molleman, Henricus; Beeres, Robert; Bakx, Gwendolyn; de Waard, Erik; Rietjens, Sebastiaan

Increased military cooperation between member states of the European Union is a political given. The Netherlands and Germany form a spearhead in this process by integrating entire military units (i.e., brigades, battalions, companies) into higher-order units of the respective other nation (i.e.,

Poison exposures in young Israeli military personnel: a National Poison Center Data analysis.

Science.gov (United States)

Lavon, Ophir; Bentur, Yedidia

2017-06-01

To characterize poison exposures in young Israeli military personnel as reported to the national poison center. Retrospective poison center chart review over a 14-year period. Cases included were Israeli soldiers aged 18-21 years, the compulsory military service age required by the Israeli law. 1770 records of poison exposures in young military personnel were identified. Most exposed individuals involved males (n = 1268, 71.6%). Main routes of exposure were ingestion (n = 854, 48.3%), inhalation (n = 328, 18.6%) and ocular (n = 211, 11.9%). Accidents or misuse (n = 712, 40.2%) were the most frequently reported circumstances, followed by suicide attempts (370, 20.9%), and bites and stings (161, 9.1%). More than half of the cases involved chemicals (n = 939, 53.1%); hydrocarbons, gases and corrosives were the main causative agents. Pharmaceuticals (mainly analgesics) were involved in 519 (29.3%) cases, venomous animals (mainly scorpions, centipedes, and snakes) in 79 (4.5%). Clinical manifestations were reported in 666 (37.6%) cases, mostly gastrointestinal, neurologic, and respiratory. The vast majority of cases (1634, 92.3%) were asymptomatic or mildly affected; no fatalities were recorded. In 831 (46.9%) cases the clinical toxicologist recommended referral to an emergency department; ambulatory observation was recommended in 563 (31.8%) cases, and hospitalization in 86 (4.9%). Our data show that poison exposures among young soldiers involve mainly males, accidents, misuse and suicides, oral route and chemicals; most exposures were asymptomatic or with mild severity. Repeated evaluations of poison center data pertaining to military personnel is advised for identifying trends in poison exposure and characteristics in this particular population.

Food allergy guidance in the United States Military: A work group report from the AAAAI Military Allergy and Immunology Assembly (MAIA).

Science.gov (United States)

Waibel, Kirk; Lee, Rachel; Coop, Christopher; Mendoza, Yun; White, Kevin

2018-05-16

A diagnosis of food allergy adversely impacts one's ability to join or remain in the military. Inadequate knowledge or misconceptions of current military-specific standards regarding food allergy and how these apply to enlistment, induction, and retention in the United States military can potentially lead to inaccurate counseling as each military service has specific regulations which impact the evaluation and decision-making process. Recognizing this knowledge gap, the American Allergy, Asthma, and Immunology (AAAAI) Military Allergy and Immunology Assembly (MAIA) established a Work Group who reviewed and summarized all aspects of military instructions, policies, and regulations regarding IgE mediated food allergy. A flowchart was developed outlining each step of the military entry process for an individual with a history of food allergy. Further, summary tables were made to provide improved "fluency" regarding each service's medical regulations while key considerations were outlined for the allergist who is evaluating an individual who is seeking military entry or retention. Both civilian and military allergists play an essential role in the evaluation, counseling, and management of patients with a food allergy history. Understanding the service-specific language and regulations regarding food allergy will improve the allergist's awareness, counseling, and management of these individuals. Copyright © 2018. Published by Elsevier Inc.

JPRS Report, Soviet Union, Military Affairs

National Research Council Canada - National Science Library

1988-01-01

Partial Contents: Military Political Issues, Military Science, Warsaw Pact, Armed Forces, Air Forces, Air Defense Forces, Naval Forces, Strategic Rocket Forces, Civil Defense, Rear Services, Defense Industries, DOSAAF...

Military Medical Care: Questions and Answers

National Research Council Canada - National Science Library

Jansen, Don J

2009-01-01

.... Known as Tricare, this system of military and private health care offers benefits to active duty personnel and other beneficiaries, including dependents of active duty personnel, military retirees...

Shaping the Environmental Attitude of Military Geography Students at the South African Military Academy

Science.gov (United States)

Smit, Hennie A. P.

2009-01-01

Globally there is a growing environmental awareness among all segments of society, but research on the effect of environmental education in shaping the attitude of military students is lacking. Tertiary environmental education to officers of the South African Department of Defence is seated in the Department of Military Geography at the South…

Autonomous military robotics

CERN Document Server

Nath, Vishnu

2014-01-01

This SpringerBrief reveals the latest techniques in computer vision and machine learning on robots that are designed as accurate and efficient military snipers. Militaries around the world are investigating this technology to simplify the time, cost and safety measures necessary for training human snipers. These robots are developed by combining crucial aspects of computer science research areas including image processing, robotic kinematics and learning algorithms. The authors explain how a new humanoid robot, the iCub, uses high-speed cameras and computer vision algorithms to track the objec

Prevalence and Trends of Cigarette Smoking Among Military Personnel in Taiwan: Results of 10-Year Anti-Smoking Health Promotion Programs in Military.

Science.gov (United States)

Chu, Nain-Feng; Lin, Fu-Huang; Wu, Yi-Chang

2017-07-01

The purpose of this study is to evaluate the prevalence and trends of cigarette smoking among young military conscripts, military officers, and military university students during recently 10 years in Taiwan. Repeated cross-sectional surveys were conducted annually among young military conscripts and military university students from 2006 to 2014. All the young conscripts were reviewed within 1 month at the military training center and before retiring after 1 year of military services. The military officers were included using purposive sampling from 2004 to 2008 and 2013 to 2014 in different military services. Military university students were included in this study. Freshman and senior students were random sampled as the study subjects. Participants completed a structured questionnaire that included questions on general demographics and health-related behaviors. Current smokers is defined as subjects who smoked ≥1 cigarette/day during the past 30 days or had smoked ≥100 cigarettes in their lifetime or still have the habit of smoking during study. We used a χ 2 test to examine the difference between the prevalence of cigarette smoking among different groups. The Cochran-Armitage test for trend was applied to examine the change of prevalence of smoking after repeated cross-sectional surveys among populations. The prevalence of cigarette smoking within military training center and after 1-year military services was 48.6% and 48.1% on 2006, which became 39.2% and 38.6% on 2010, and then further declined to 31.0% and 30.1% on 2014. For military officers, the trends of prevalence of smoking among different military services showed slight decline from 2004 to 2008, but decreased significantly between 2013 and 2014. The prevalence of smoking in 2014 was 32.1%, 32.8%, and 32.4% for the Army, Navy, and Air Force, respectively. More interestingly, the prevalence of smoking of freshman and senior students increased during the first 5 years (2007-2011) of survey and then

The Barracks Subculture of Military School Students

Science.gov (United States)

Poliakov, R. Iu.

2011-01-01

The subcultures that develop among military students have a powerful influence on their values and behavior, and in some situations are more influential than the official, military culture. Any attempt to improve levels of discipline in the military cannot afford to ignore these subcultures. [This article was translated by Kim Braithwaite.

Teaching in Overseas Military Settings.

Science.gov (United States)

McKinney, Fred

1980-01-01

Reveals strengths and weaknesses encountered by a psychology teacher involved in the overseas graduate counseling program for Ball State University. Problems included lack of proper teaching and counseling facilities, long teaching hours, and civilian teachers' ignorance of military protocol. Advantages included helping military personnel obtain a…

Military Implications of Global Warming.

Science.gov (United States)

1999-05-20

U.S. environmental issues also have important global implications. This paper analyzes current U.S. Policy as it pertains to global warming and climate...for military involvement to reduce global warming . Global warming and other environmental issues are important to the U.S. military. As the United

Counseling and Connecting with the Military Undergraduate: The Intersection of Military Service and University Life

Science.gov (United States)

Bonar, Ted C.; Domenici, Paula L.

2011-01-01

The majority of military undergraduates at universities are National Guard and Reserve personnel and prior-service military veterans, all difficult to identify on campus. These students face unique cultural challenges. Though the academic literature primarily addresses disability services and administrative programs often focus on "wounded…

Arms and the University: Military Presence and the Civic Education of Non-Military Students

Science.gov (United States)

Downs, Donald Alexander; Murtazashvili, Ilia

2012-01-01

Alienation between the U.S. military and society has grown in recent decades. Such alienation is unhealthy, as it threatens both sufficient civilian control of the military and the long-standing ideal of the "citizen soldier." Nowhere is this issue more predominant than at many major universities, which began turning their backs on the…

Civil-Military Engagement: An Empirical Account of Humanitarian Perceptions of Civil-Military Coordination During the Response to Typhoon Haiyan.

Science.gov (United States)

Bollettino, Vincenzo

2016-02-01

This study sought to identify how humanitarian actors in natural disasters coordinate (or communicate) with the military to identify the needs of disaster-affected populations, identify how coordination should be undertaken for the delivery of relief goods, perceive the effectiveness of such coordination, perceive the role that training played in preparation for coordinating with the military and the effectiveness of this training, and view the overall civil-military engagement and its implications for the independence of the humanitarian sector. A survey instrument focused on participant perceptions of the civil-military engagement in response to Typhoon Haiyan in the Philippines was sent to country directors and agency leads who played a role in the response. Although the data supported anecdotal accounts that the coordination between civilian and military actors during the disaster relief efforts in Typhoon Haiyan worked well, they also revealed that fewer than half of the respondents were familiar with the Guidelines on the Use of Foreign Military and Civil Defence Assets in Disaster Relief (the "Oslo Guidelines") and only 12% of respondents thought that the Oslo Guidelines were used to develop organizational policy on humanitarian aid agency engagement with military actors. Humanitarians felt that international militaries and the Philippines Armed Forces played an important role in ensuring that aid reached people in need, particularly in the early days of the response. However, less than half of the respondents were familiar with the Oslo Guidelines.

Public awareness and perception toward Adverse Drug Reactions reporting in Riyadh, Saudi Arabia.

Science.gov (United States)

Sales, Ibrahim; Aljadhey, Hisham; Albogami, Yasser; Mahmoud, Mansour A

2017-09-01

Purpose: To assess the general public awareness and perception about Adverse Drug Reactions (ADRs) reporting and pharmacovigilance. Method: A cross-sectional study conducted on June 2012 during awareness campaign held in two malls in Riyadh city for two days. A self-administered questionnaire consisting of three parts was distributed to the attendees who accepted to participate in the study. Results: A total of 204 questionnaires were collected with a response rate of 68%. Twenty-three percent could correctly define ADRs. Only 13(15.7%) of responders were familiar with the term "Pharmacovigilance" and only 78.6% were aware about the Saudi Pharmacovigilance Center. Sixty-seventy percent indicated that their physicians or pharmacists don't actively encourage them to report ADRs that may occur when they take their medications. The majority of responders (73.2%) believed that the medical team, rather than consumers, should report ADRs. When asked why patients do not report ADRs, 19.1(48.5%) believed that patients do not know whether the ADR is from the medication or not, 18.1(46.1%) stated that the reason was because patients don't know about the Pharmacovigilance Center, 16(40.7%) think that patients don't know about the importance of ADRs reporting, and 14(36.3%) responded that patients probably don't know how to report ADRs. Conclusion: The general public in Saudi Arabia are not aware about ADRs reporting and the pharmacovigilance system. The Saudi Food and Drug Authorities (FDA) need to put more efforts to increasing public awareness about the importance of ADRs reporting process and the importance of pharmacovigilance system in promoting patient safety.

The Death of Military Justice

Science.gov (United States)

2010-01-01

Military Court of Appeals ruled in United States v. Beeker that “the use or possession of marihuana was service connected because the use or...possession . . . of marihuana and narcotics has a special military significance since their use has ‘disastrous effects on the health, morale and fitness

Hospitals Capability in Response to Disasters Considering Surge Capacity Approach

Directory of Open Access Journals (Sweden)

Gholamreza Khademipour

2016-01-01

Full Text Available Background: The man-made and natural disasters have adverse effects with sound, apparent, and unknown consequences. Among various components of disaster management in health sector, the most important role is performed by health-treatment systems, especially hospitals. Therefore, the present study aimed to evaluate the surge capacity of hospitals of Kerman Province in disaster in 2015. Materials and Methods: This is a quantitative study, conducted on private, military, and medical sciences hospitals of Kerman Province. The sampling method was total count and data collection for the research was done by questionnaire. The first section of the questionnaire included demographic information of the studied hospitals and second part examined the hospital capacity in response to disasters in 4 fields of equipment, physical space, human resources, and applied programs. The extracted data were analyzed by descriptive statistics. Results: The mean capability of implementing the surge capacity programs by hospitals of Kerman Province in disasters and in 4 fields of equipment, physical space, human resources, and applied programs was evaluated as 7.33% (weak. The surge capacity capability of state hospitals in disasters was computed as 8% and compared to private hospitals (6.07% had a more suitable condition. Conclusion: Based on the results of study and significance of preparedness of hospitals in response to disasters, it is proposed that managers of studied hospitals take measures to promote the hospital response capacity to disasters based on 4 components of increasing hospital capacity.

USSR Report Military Affairs No. 1790

National Research Council Canada - National Science Library

1983-01-01

Partial Contents: Military Political Issues, Ministry Of Defense and General Staff, Warsaw Pact and Groups of FOrces, Armed Forces, Ground Forces, Air Defense Forces, Naval Forces, Civil Defense, DOSAAF and Military...

Military Transformation: Intelligence, Surveillance and Reconnaissance

National Research Council Canada - National Science Library

Chizek, Judy G

2003-01-01

.... As the military services attempt to increase the agility and versatility of their weapon systems, they also see a need to increase the capabilities of military intelligence, surveillance and reconnaissance (ISR...

Period prevalence, risk factors and consequent injuries of falling among the Saudi elderly living in Riyadh, Saudi Arabia: a cross-sectional study.

Science.gov (United States)

Almegbel, Faisal Yousef; Alotaibi, Ibrahim Muthyib; Alhusain, Faisal Ahmed; Masuadi, Emad M; Al Sulami, Salma Lafyan; Aloushan, Amairah Fahad; Almuqbil, Bashayer Ibrahim

2018-01-10

Approximately 28% to 35% of people aged 65 and over fall each year. The consequent injuries of falls are considered a major public health problem. Falls account for more than half of injury-related hospitalisations among old people. The aim of this study was to measure a 1-year period prevalence of falling among old people in Riyadh, Saudi Arabia. In addition, this study described the most common risk factors and consequent injuries of falls. A cross-sectional survey was carried out in Riyadh, using a convenient sampling. The targeted population were Saudi citizens who were 60 years or above. Over a 6-month period, 1182 individuals were sampled (545 men and 637 women). The 1-year prevalence of falling among old Saudis (>=60 years) was 49.9%. Our results show that 74% of the participants who experienced falls had postfall injuries. Old participants who were uneducated and those with middle school certification were associated with falls (adjusted OR (aOR) 1.72; 95% CI 1.15 to 2.56, aOR 1.81; 95% CI 1.15 to 2.85, respectively). Those who live in rented houses had a higher risk of falls. Interestingly, having a caregiver was significantly associated with more falls (aOR 1.39; 95% CI 1.08 to 1.79). However, not using any medications was significantly related to fewer falls. In addition, old individuals using walking aids were more likely to fall than those who did not. Participants who mentioned 'not having stressors were associated with less frequent falls (aOR 0.62; 95% CI 0.39 to 0.97). Cerebrovascular accidents were strongly associated with falls with an estimated OR of 2.75 (95% CI 1.18 to 6.43). Moreover, osteoporosis, poor vision and back pain were found to be predictors for falls among the elderly. 49.9% of elderly Saudis had experienced one or more falls during a 12-month period. Several preventable risk factors could be addressed by routine geriatric assessment. Research on the impact of these risk factors is needed. © Article author(s) (or their

Regulation of human cytokines by Cordyceps militaris

Directory of Open Access Journals (Sweden)

Yong Sun

2014-12-01

Full Text Available Cordyceps (Cordyceps militaris exhibits many biological activities including antioxidant, inhibition of inflammation, cancer prevention, hypoglycemic, and antiaging properties, etc. However, a majority of studies involving C. militaris have focused only on in vitro and animal models, and there is a lack of direct translation and application of study results to clinical practice (e.g., health benefits. In this study, we investigated the regulatory effects of C. militaris micron powder (3 doses on the human immune system. The study results showed that administration of C. militaris at various dosages reduced the activity of cytokines such as eotaxin, fibroblast growth factor-2, GRO, and monocyte chemoattractant protein-1. In addition, there was a significant decrease in the activity of various cytokines, including GRO, sCD40L, and tumor necrosis factor-α, and a significant downregulation of interleukin-12(p70, interferon-γ inducible protein 10, and macrophage inflammatory protein-1β activities, indicating that C. militaris at all three dosages downregulated the activity of cytokines, especially inflammatory cytokines and chemokines. Different dosages of C. militaris produced different changes in cytokines.

[Civilian-military coordination].

Science.gov (United States)

de Montravel, G

2002-01-01

Current humanitarian emergencies create complex, mutidimensional situations that stimulate simultaneous responses from a wide variety of sources including governments, non-governmental organizations (NGO), United Nations agencies, and private individuals. As a result, it has become essential to establish a coherent framework in which each actor can contribute promptly and effectively to the overall effort. This is the role of the United Nations Office for the Coordination of Humanitarian Affairs. Regardless of the circumstances and level of coordination, cooperation and collaboration between humanitarian and military personnel, it is necessary to bear in mind their objectives. The purpose of humanitarian action is to reduce human suffering. The purpose of military intervention is to stop warfare. The author of this article will discuss the three major obstacles to civilian-military coordination (strategic, tactical, and operational). Operations cannot be conducted smoothly and differences cannot be ironed out without mutual respect between the two parties, an explicit definition of their respective duties and responsibilities, a clear understanding of their cultural differences, and the presence of an organization and facilities for coordination and arbitrage by a neutral referee.

Western University (No. 10 Canadian Stationary Hospital and No. 14 Canadian General Hospital): a study of medical volunteerism in the First World War.

Science.gov (United States)

Istl, Alexandra C; McAlister, Vivian C

2016-12-01

The Canadian government depended on chaotic civilian volunteerism to staff a huge medical commitment during the First World War. Offers from Canadian universities to raise, staff and equip hospitals for deployment, initially rejected, were incrementally accepted as casualties mounted. When its offer was accepted in 1916, Western University Hospital quickly adopted military decorum and equipped itself using Canadian Red Cross Commission guidelines. Staff of the No. 10 Canadian Stationary Hospital and the No. 14 Canadian General Hospital retained excellent morale throughout the war despite heavy medical demand, poor conditions, aerial bombardment and external medical politics. The overwhelming majority of volunteers were Canadian-born and educated. The story of the hospital's commanding officer, Edwin Seaborn, is examined to understand the background upon which the urge to volunteer in the First World War was based. Although many Western volunteers came from British stock, they promoted Canadian independence. A classical education and a broad range of interests outside of medicine, including biology, history and native Canadian culture, were features that Seaborn shared with other leaders in Canadian medicine, such as William Osler, who also volunteered quickly in the First World War.

20 CFR 614.21 - Findings of Federal military agency.

Science.gov (United States)

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Findings of Federal military agency. 614.21... UNEMPLOYMENT COMPENSATION FOR EX-SERVICEMEMBERS Responsibilities of Federal Military Agencies and State Agencies § 614.21 Findings of Federal military agency. (a) Findings in military documents. Information...

[The current state and prospectives of military endocrinology].

Science.gov (United States)

Nagibovich, O A; Golota, A S; Krassiĭ, A B

2014-10-01

The article is dedicated to the current state and prospectives of military endocrinology demonstrated on the examples of the endocrinology services of armed forces of Serbia, Poland, France, and USA. It is shown that this branch of military healthcare receives much attention abroad. The prospectives of military endocrinology are demonstrated in the context of two nosological forms which dominate in this section of military medicine, namely, primary hypothyroidism an diabetes mellitus.

Mental Reservation and Military Testimony before Congress

National Research Council Canada - National Science Library

Roberts, Gordon R

2008-01-01

.... The cause for this apparent mental reservation on the part of military leaders can be found in their organizational bias and environmental influences, but the solution can be found in history. It is vital for the military to understand that a currency of truth is the most important contribution it can make to the civilian-military relationship.

Analysis of Unmanned Systems in Military Logistics

Science.gov (United States)

2016-12-01

performance measures: customer satisfaction , flexibility, visibility, and trust. If we apply this explanation of Li and Schulze (2011) to the military...unmanned systems, initially, we aimed to define current and proposed unmanned applications in civilian-sector logistics and current military...aimed to define current and proposed unmanned applications in civilian-sector logistics and current military logistics challenges. Then, justifying

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.

The Effectiveness of Military Operations

Science.gov (United States)

1987-01-01

against the heart of the U.S. Pacific Fleet in 1941. Italy’s uneven naval buildup, stressing submarines and unemployed battleships, posed a particular...military, not to speak of a society which has yet to recover from its psychic wounds. How to arrange our American military institutions so that they

DEFENCE, DEMOCRACY AND SOUTH AFRICA’S CIVIL-MILITARY GAP

OpenAIRE

Lindy Heinecken

2011-01-01

Civil-military relations theory suggests that a functional and effective military requires a unique culture, separate from its parent society. This is based on the assumption that a “gap” between the military and society is inevitable as the military’s function, the lawful application of military force in accordance with government direction, is fundamentally different from civilian business. Those interested in civil-military relations are essentially concerned with determining when the “gap...

Military Medical Care: Questions and Answers

National Research Council Canada - National Science Library

Best Jr, Richard A

2008-01-01

... carry out their military missions, and to be prepared to deliver health care during wartime. The military health system also provides, where space is available, health care services in Department of Defense (DOD...

Military to civilian nurse: Personal and professional reconstruction.

Science.gov (United States)

Elliott, Brenda; Chargualaf, Katie A; Patterson, Barbara

2017-05-01

To examine and describe the transition process of military nurses from military nursing practice to civilian nursing practice. A second aim was to identify challenges and facilitators to this transition. Serving in the military, and embodying its values, can have a major impact on a person's worldview. These individuals serve not only as nurses but also as part of a larger military culture with a mission to protect. The decision to separate from the military and transition into the civilian workforce carries many challenges capable of influencing nurses' personal and professional identities. Qualitative descriptive. Semi-structured interviews of 10 nurse veterans were conducted in 2015-2016. Data were collected until saturation was reached. The transition includes four major phases from military to civilian nurse: Separating from Military Life, Conflict and Chaos, Shifting Sands and Personal and Professional Reconstruction. Duration and progress through each phase varied slightly for individual nurses. Both work-role and personal identity transition occur when a nurse leaves the military and enters civilian practice. Military and civilian organisations, in both the USA and other countries, can implement supports to aid these nurses during this personal and professional change. Recommendations from the study group are provided. The global nursing profession, as well as healthcare organisations that employ nurse veterans, has a commitment and obligation to understand the transition process of nurses who practise within the scope of military nursing and later in civilian nursing environments so that they may be supported and used to the extent of their prior experience. Lessons learned and advice from this group of nurses may positively aid others in their transition experience. © 2016 John Wiley & Sons Ltd.

Military and civilian media coverage of suicide.

Science.gov (United States)

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

2011-01-01

Military suicide has increased over the past decade and reports of Service Member and Veteran suicides receive media attention. Some methods of reporting suicide appear to cause a "media contagion" effect, potentially increasing suicide. This effect is explored in relation to media reports of both military and civilian suicides. To reduce possible contagion, recommendations for media reporting of suicides were adapted by the Suicide Prevention Resource Center (SPRC). We assessed 240 military and civilian newspaper reports of suicide from 15 different sources for compliance with the SPRC guidelines. Nearly all reviewed articles violated at least one guideline. Results highlighted military news articles regarding Service Members included more pejorative language and discussion of failed psychological treatment. Conversely, civilian articles romanticized the victim and provided more details regarding the suicide. Further exploration of military suicide reporting bias is discussed as a need in future research.

Committee on Military Nutrition Research Proposal

National Research Council Canada - National Science Library

Poos, Mary

1999-01-01

This publication, Military Sfrategies for Sustainment of Nufrition and Immune Function in the Field, is the latest in a series of reports based on workshops sponsored by the Committee on Military Nutrition Research (CMNR...

Jewish Culture and the American Military

National Research Council Canada - National Science Library

Goldberg, Adam M

2006-01-01

This study explores the Jewish experience within the American military. The history of military service by persons of the Jewish faith corresponds roughly to that of persons from many other ethnic or religious groups...

32 CFR 637.4 - Military Police and the USACIDC.

Science.gov (United States)

2010-07-01

... 32 National Defense 4 2010-07-01 2010-07-01 true Military Police and the USACIDC. 637.4 Section... ENFORCEMENT AND CRIMINAL INVESTIGATIONS MILITARY POLICE INVESTIGATION Investigations § 637.4 Military Police and the USACIDC. (a) The military police or the USACIDC are authorized to investigate allegations of...

The Professional Military Ethic

Science.gov (United States)

2012-12-14

would require of us. (In fact, it could ultimately end up requiring us to do harm.) This is a case of cultural relativism in its least plausible...recent accounts of the PME that seek its source in various artifacts of our military culture and society. Moral obligation is a product of...that seek its source in various artifacts of our military culture and society. Moral obligation is a product of individual abilities and relationships

Do Military Personnel Patent

Science.gov (United States)

2016-12-01

following questions: In what fields are military personnel most likely to patent, and how do demographics, such as age, race, and gender , along with...technologies, which have transformed how the United States wages war. DARPA continues to develop new technologies and capabilities for the U.S. military today...build the European navies so it instead decided to utilize an innovative ship design to exploit a gap specific to the British Royal Navy. The six

Sandfly fever in Afghanistan-a sometimes overlooked disease of military importance: a case series and review of the literature.

Science.gov (United States)

Downs, John W; Flood, Daniel T; Orr, Nicholas H; Constantineau, Jason A; Caviness, James W

2017-01-01

Sandfly fever, sometimes known as pappataci fever or Phlebotomus fever, is a vector transmitted viral illness with a history of affecting naïve military formations that travel through or fight in areas in which the infection is endemic. We present a series of 4 hospitalized cases of sandfly fever (2 presumptive, 2 laboratory confirmed) that were admitted to a Role 3 hospital in Afghanistan for evaluation and treatment following medical evacuation from a forward area for marked fevers and malaise. Laboratory evaluation of these cases was significant for leukopenia and thrombocytopenia, consistent with historical descriptions of sandfly fever. In the correct geographic and clinical setting, the finding of mild leukopenia among a cluster of febrile patients should prompt the clinician to at least consider a diagnosis of sandfly fever. A cluster investigation conducted by preventive medicine personnel identified numerous other presumed cases of sandfly fever in this forward special operations camp. Response efforts emphasized enforcement of standard vector-borne disease control measures by operational leadership in order to limit effect on tactical operations. We review historical instances of sandfly fever affecting military operations, and present a review of clinical presentation, transmission, management, and prevention.

75 FR 81244 - Military Leadership Diversity Commission Meeting

Science.gov (United States)

2010-12-27

... DEPARTMENT OF DEFENSE Office of the Secretary Military Leadership Diversity Commission Meeting... will take place: 1. Name of Committee: Military Leadership Diversity Commission (MLDC). 2. Date... Military Leadership Diversity Commission to continue their efforts to address congressional concerns as...

Military Families: A Selected Bibliography

Science.gov (United States)

2011-08-01

CTC_depression_family_sheet.pdf U.S. Army War College. Basics from the Barracks: Military Etiquette and Protocol ; A Spouse’s Quick Reference to Its Unique Customs...http://youtu.be/zfTknLkDPTY U.S. Army War College. Military Family Program. Customs & Courtesies/ Protocol . Carlisle Barracks: U.S. Army War College

Military chemical warfare agent human subjects testing: part 1--history of six-decades of military experiments with chemical warfare agents.

Science.gov (United States)

Brown, Mark

2009-10-01

Military chemical warfare agent testing from World War I to 1975 produced thousands of veterans with concerns of possible long-term health consequences. Clinical and research evaluation of potential long-term health effects has been difficult because the exposures occurred decades ago, the identity of troops exposed and exposure magnitudes are uncertain, and acute effects during experiments poorly documented. In contrast, a companion article describes the large amount of information available about the specific agents tested and their long-term health effects. This short history describes U.S. military chemical-agent experiments with human subjects and identifies tested agents. Finally, the demonstrated need to anticipate future health concerns from military personnel involved in such military testing suggests current and future military researchers should be required, by law and regulation, to fully record the identity of those exposed, relevant exposure magnitude, and complete medical information for all subjects. New study protocols and institutional review board approvals for research involving military personnel should reflect this need.

Utilization of psychiatric services by female military personnel changes since admission of women to all German Armed Forces military careers.

Science.gov (United States)

Zimmermann, Peter; Ströhle, Andreas; Langner, Franziska; Lanczik, Mario

2010-07-01

In 2001, women were admitted to all military careers in the German Armed Forces. This study examines whether the utilization of psychiatric services of female military personnel has changed since then. The central medical database of German military personnel for the years 2000 and 2006 was analyzed. Between 2000 and 2006, the percentage (based on the average totals of male and female military personnel) of consultations of primary care unit surgeons for psychiatric problems increased significantly for both male and female military personnel, this increase being more apparent for women than for men. Stress-related disorders showed the greatest rise. In 2006, as opposed to 2000, the total proportion of both outpatient and inpatient mental health treatment provided to female military personnel was significantly higher than for males, particularly regarding stress-related, affective and personality disorders. Gender-specific aspects should be considered more intensely in preventive and therapeutic psychiatric supply in the German Armed Forces.

Comparative analysis of prevalence of intimate partner violence against women in military and civilian communities in Abuja, Nigeria

Directory of Open Access Journals (Sweden)

Chimah CU

2015-03-01

Full Text Available Carol Uzoamaka Chimah,1 Prosper Obunikem Uche Adogu,2 Kofoworola Odeyemi,3 Amobi Linus Ilika4 1Medical Department, Ministry of Defence Headquarters, Abuja, Nigeria; 2Department of Community Medicine and PHC, Nnamdi Azikiwe University/Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria; 3Department of Community Health, University of Lagos, Lagos, Nigeria Introduction: Intimate partner violence (IPV occurs across the world, in various cultures, and affects people across societies irrespective of economic status or gender. Most data on IPV before World Health Organization multicountry study (WHOMCS usually came from sources other than the military. Result of this study will contribute to the existing body of knowledge and may serve as a baseline for future studies in military populations. This study compares the prevalence of the different types of IPV against women in military and civilian communities in Abuja, Nigeria.Methods: Using a multistage sampling technique, 260 women who had intimate male partners were selected from military and civilian communities of Abuja. Collected data on personal characteristics and different types of IPV experienced were analyzed to demonstrate comparison of the association between the different forms of IPV and the respondents’ sociodemographic and partner characteristics in the two study populations using percentages and Χ-square statistics, and P-value was assumed to be significant at ≤0.05.Results: The prevalence of the four major types of IPV was higher among the military respondents than among civilians: controlling behavior, 37.1% versus 29.1%; emotional/psychological abuse, 42.4% versus 13.4%; physical abuse, 19.7% versus 5.9%, and sexual abuse, 9.2% versus 8.8%. Significantly more respondents from the military population (59 [45.4%] compared to civilians (21 [19.4%] were prevented by their partners from seeing their friends (P=0.000. The situation is reversed with regard to permission to seek

Regulation of human cytokines by Cordyceps militaris.

Science.gov (United States)

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

2014-12-01

Cordyceps (Cordyceps militaris) exhibits many biological activities including antioxidant, inhibition of inflammation, cancer prevention, hypoglycemic, and antiaging properties, etc. However, a majority of studies involving C. militaris have focused only on in vitro and animal models, and there is a lack of direct translation and application of study results to clinical practice (e.g., health benefits). In this study, we investigated the regulatory effects of C. militaris micron powder (3 doses) on the human immune system. The study results showed that administration of C. militaris at various dosages reduced the activity of cytokines such as eotaxin, fibroblast growth factor-2, GRO, and monocyte chemoattractant protein-1. In addition, there was a significant decrease in the activity of various cytokines, including GRO, sCD40L, and tumor necrosis factor-α, and a significant downregulation of interleukin-12(p70), interferon-γ inducible protein 10, and macrophage inflammatory protein-1β activities, indicating that C. militaris at all three dosages downregulated the activity of cytokines, especially inflammatory cytokines and chemokines. Different dosages of C. militaris produced different changes in cytokines. Copyright © 2014. Published by Elsevier B.V.

Simulation and the future of military medicine.

Science.gov (United States)

Leitch, Robert A; Moses, Gerald R; Magee, Harvey

2002-04-01

The U.S. military currently faces serious difficulties in training medical personnel in peacetime for the tasks of war. The military beneficiary population comprises fit young service men and women, their dependents, and retirees. Their peacetime care, although vital, does little to prepare military medical personnel for war. Medical commanders have instituted an array of training programs to compensate for this shortfall, but there remains a large gap between operational medical needs and training opportunities in peacetime. The military has begun to examine whether simulation can fill this gap. An array of commercial, off-the-shelf technologies are already being used with varying degrees of success, and major initiatives are under way in both academia and industry, supported by the military, to develop virtual reality products for combat medical training. Even as the military exploits emerging technology and begins to articulate a simulation strategy, there is a growing interest in civilian medicine in the potential for simulation to affect patient safety--how medical simulation might mitigate the injuries and deaths caused by medical errors--and how it might also improve the quality of medical education and training.

Barriers to mental health treatment for military wives.

Science.gov (United States)

Lewy, Colleen S; Oliver, Celina M; McFarland, Bentson H

2014-09-01

An Internet-based survey sought information about barriers to mental health services for military wives. On the basis of qualitative work, an Internet-based program was created to identify military wives who may have major depressive disorder. Women (N=569, ages 18 to 56) were recruited from 45 states and eight foreign countries. Most participants (78%) reported mild to severe depression. Many (44%) reported unaddressed mental health needs. Barriers included inability to attend daytime appointments (38%), inability to find a counselor who understands the needs of military spouses (35%), inability to find a counselor the participant could trust (29%), concerns about confidentiality (26%), and lack of knowledge about where to get services (25%). The barriers reported differed markedly from those described by distressed women in the general population. Military wives are an underserved population. Knowledge of military culture is essential for civilian mental health providers working with military wives.

Military Revolution, Organisational Revolutions...and Other Revolutions

DEFF Research Database (Denmark)

Harste, Gorm

  This paper is a continuation of Kantian peace and war analysis, but with other means. The paper is part of an effort to establish a systemic theory of state-formation based on the description of the emergence of a number of functional systems. In a historical perspective the military system...... was dominant in the establishment of the European State-model as well as it has a decisive role in the stabilisation of recent states. Using Niklas Luhmann's system theory that does not describes neither military systems nor the emergence of a organisational system, the present paper outlines a system...... theoretical perspective on the present and historical transformations of military systems. One the one hand the paper offers a systemic criticism of the recent so called revolution in military affairs (RMA), on the other hand the historical establishment of a self-referential form of the military system...

Enlisting in the Military

Directory of Open Access Journals (Sweden)

Kevin M. Beaver

2015-04-01

Full Text Available Given that enlistment in the U.S. military is completely voluntary, there has been a great deal of interest in identifying the various factors that might explain why some people join the military, whereas others do not. The current study expanded on this line of literature by estimating the extent to which genetic and environmental factors explained variance in the liability for lifetime participation in the military. Analysis of twin pairs drawn from the National Longitudinal Study of Adolescent to Adult Health (Add Health revealed that 82% of the variance was the result of genetic factors, 18% of the variance was the result of nonshared environmental factors, and none of the variance was accounted for by shared environmental factors. In light of a number of limitations, replication studies are needed to determine the robustness of these findings and whether they are generalizable to other samples and populations.

Translations on USSR Military Affairs, Number 1319

Science.gov (United States)

1977-12-22

basis of military economics. As is known, the modern scientific and technological revolution has strengthened even more the dependence of war and...investment spheres of an academy’s graduates must also be consider- ed The teaching of political and military economies would border on enlight - enment...dynamics of its military, economic, scientific and technological potential without mastering the changes in the industrial structure of physical

32 CFR 809a.10 - Military commanders' responsibilities.

Science.gov (United States)

2010-07-01

... authorities as soon as possible. (c) Military forces will ordinarily exercise police powers previously... 32 National Defense 6 2010-07-01 2010-07-01 false Military commanders' responsibilities. 809a.10... Disturbance Intervention and Disaster Assistance § 809a.10 Military commanders' responsibilities. (a...

Military Contractors - Too Much Dependence

National Research Council Canada - National Science Library

Hill, Nathan E

2008-01-01

.... There is undoubtedly a need for military contractors and there are numerous positive arguments in their favor. However, the negative arguments have not been highlighted enough recently and the scales are now out of balance. The intent of this research paper is to encourage the U.S. military to rebalance the scales and curb the over-reliance on contractors.

National Museum of Military History

Directory of Open Access Journals (Sweden)

A Nicolaides

2011-01-01

Full Text Available Attractions such as military history museums which exhibit a wide range of important historical artefacts are fundamental sub-elements in any tourism systems, and yet their study suffers from lack of theoretical depth. Military history is an integral element of the history of any nation and countless varieties of tourists both local and international, visit military museums whenever the opportunity presents itself because museums are generally stimulating places of interest. This article focuses predominantly on international tourists visiting the Ditsong National Museum of Military History. In addition to the interest that such museums generate, they play a key role as the organizational foundation stones of modernity. It is via their many interesting exhibits that museums enlighten us about the past that intrinsically highlights its distance from the present era. Museums also selectively reconstitute aspects of history and in so doing alienate many artefacts from their original context and yet manage to impart deep understanding of events that shaped the modern world. Museums of all types thus impart knowledge and have a wide range of tales to tell concerning the many and diverse assortments of objects they hold. National pride is an obvious reason for having a military museum where the comprehensive display of military equipment is exceptionally unique while exhibition halls also offer an educational narrative of a nation’s history. What is also of interest to many visitors is the type of research that is carried out in a multiplicity of ways. The huge global growth in tourism in recent years has contributed to many museums radically altering their exhibits in both content and manner of exhibition. This is significant given the reciprocal impact that museums and tourism have on one another. The attractions in museums are regarded by many to be central to the tourism process and these are very often the main reason for many tourists visiting

Does Peacetime Military Service Affect Crime?

DEFF Research Database (Denmark)

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

2017-01-01

Draft lottery data combined with Danish longitudinal administrative records show that military service can reduce criminal activity for youth offenders. For this group, property crime is reduced, and our results indicate that the effect is unlikely to be the result of incapacitation only. We find...... no effect of military service on violent crime, on educational attainment, or on employment and earnings, either in the short run or in the long run. These results suggest that military service does not upgrade productive human capital directly, but rather affects criminal activity through other channels (e...

Does Peacetime Military Service Affect Crime?

DEFF Research Database (Denmark)

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

Draft lottery data combined with Danish longitudinal administrative records show that military service can reduce criminal activity for youth offenders who enter service at ages 19-22. For this group property crime is reduced for up to five years from the beginning of service, and the effect...... is therefore not only a result of incapacitation while enrolled. We find no effect of service on violent crimes. We also find no effect of military service on educational attainment and unemployment, but we find negative effects of service on earnings. These results suggest that military service does...

Does Peacetime Military Service Affect Crime

DEFF Research Database (Denmark)

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

Draft lottery data combined with Danish longitudinal administrative records show that military service can reduce criminal activity for youth offenders who enter service at ages 19-22. For this group property crime is reduced for up to five years from the beginning of service, and the effect...... is therefore not only a result of incapacitation while enrolled. We find no effect of service on violent crimes. We also find no effect of military service on educational attainment and unemployment, but we find negative effects of service on earnings. These results suggest that military service does...

Military discipline: in the history and in modern Russia

OpenAIRE

Grigoryev O. V.

2016-01-01

the article deals with the problem of changing the approaches to military discipline. Analyzed and its inextricable link with the military law, the role and place of discipline in strengthening statehood and the suppression of the destructive manifestations. The analysis of the modern understanding of military discipline in passing of military service in the Russian Federation.

Military Veterans' Midlife Career Transition and Life Satisfaction

Science.gov (United States)

Robertson, Heather C.; Brott, Pamelia E.

2014-01-01

Many military veterans face the challenging transition to civilian employment. Military veteran members of a national program, Troops to Teachers, were surveyed regarding life satisfaction and related internal/external career transition variables. Participants included military veterans who were currently or had previously transitioned to K-12…

Prevalence of harassment and discrimination among residents in three training hospitals in Saudi Arabia.

Science.gov (United States)

Fnais, Naif; al-Nasser, Muhammad; Zamakhshary, Mohammad; Abuznadah, Wesam; Dhukair, Shahla Al; Saadeh, Mayssa; Al-Qarni, Ali; Bokhari, Bayan; Alshaeri, Taqreed; Aboalsamh, Nouf; Binahmed, AbdulAziz

2013-01-01

Multiple surveys of medical residents have shown a high incidence of harassment and discrimination in academic health centers. Harassment has a negative effects on residents' health and on their ability to function. No previous study has documented the prevalence of harassment and discrimination among residents in Saudi Arabia. We aimed in this study to assess the prevalence of harassment and discrimination among residents at a tertiary care academic hospitals in Saudi Arabia. Cross-sectional survey conducted at National Guard Hospitals in Riyadh, Jeddah and Al-Ahsa'a from 27 July to 20 August 2010. The survey included questions on the prevalence of harassment of different types, inlcuding verbal, academic, physical and sexual harassment, as well as discrimination on the basis of gender, region of origin or physical appearance. Of 380 residents, 213 (56%) returned a completed questionnaire (123 male, 57.8%). At least one of type of harassment and discrimination was reported by 83.6% of respondents. The most frequently reported forms were verbal harassment and gender discrimination (61.5% and 58.3%, respectively). Sexual harassment was commonly reported (19.3%) and was experienced significantly more often by female residents than by male residents (P=.0061). Harassment and discrimination of Saudi residents is common with more than three-quarters reporting having had such an experience. Identification of the risk factors is a necessary first step in clarifying this issue and could be used when planning strategies for prevention.

Civil-Military Relations in a Post-9/11 World

National Research Council Canada - National Science Library

Wong, Leonard

2008-01-01

KEY INSIGHTS: *The civil-military relationship, and specifically the interaction between civilian leadership and uniformed military leaders, relies on the attitudes and actions of both civilians and the military...

Open-Heart surgery and cerebrovascular accident: retrospective study at King Khalid University Hospital

International Nuclear Information System (INIS)

Al-Satli, R.A.; Takrouri, Mohammad S.M.; Al-Daif, A.; Fouda, Mohamed N.; Maher, S.; Al-Khwsky, F.

2000-01-01

Stroke after coronary by-pass grafting (CABG) is often disabling. The incidence of ischemic stroke may approach 3% to 5%. Several risk factors have been identified including previous history of stroke, prolonged cardiopulmonary bypass time, and postoperative atrial fibrillation. Objective was to determine the incidence and risk factors of neurological deficit after open heart surgery. Retrospective study was done during the period 1992-1995 at the King Khalid University Hospital, Riyadh, Saudi Arabia. There were 350 patients who were subjected to (CABG), 10 patients (2.8%) found to suffer from cerebrovascular accidents (CVA) following open-heart surgery. In 8 patients, the complaint lasted more than 24 hours (stroke), while 2 patients developed transient ischemic attacks (TIA). Five factors were found to be associated with increased risk of post cardiac surgery CVA. These factors are postoperative atrial fibrillation, carotid bruit, past history of heart failure, past history of CVA and smoking. The authors concluded that it is necessary to start a prospective study to verify the area of improvement with regards to technique, selection of patients and mode of perfusion during cardiopulmonary bypass (CPB) Arabia. (author)

Pneumonia Caused by Moraxella Catarrhalis in Haematopoietic ...

African Journals Online (AJOL)

Two patients with haematopoietic stem cell transplant who developed pneumonia caused by M. catarrhalis at King Faisal Specialist Hospital and Research Centre in Riyadh are reported and the literature is reviewed. To our knowledge, these are the first case reports of M. catarrhalis pneumonia in haematopoietic stem cell ...

32 CFR 634.16 - Reciprocal state-military action.

Science.gov (United States)

2010-07-01

... 32 National Defense 4 2010-07-01 2010-07-01 true Reciprocal state-military action. 634.16 Section... Reciprocal state-military action. (a) Commanders will recognize the interests of the states in matters of POV... formal military reciprocity, the procedures below will be adopted: (1) Commanders will recognize official...

Military medical graduates' perceptions of organizational culture in Turkish military medical school.

Science.gov (United States)

Ozer, Mustafa; Bakir, Bilal; Teke, Abdulkadir; Ucar, Muharrem; Bas, Turker; Atac, Adnan

2008-08-01

Organizational culture is the term used to describe the shared beliefs, perceptions, and expectations of individuals in organizations. In the healthcare environment, organizational culture has been associated with several elements of organizational experience that contribute to quality, such as nursing care, job satisfaction, and patient safety. A range of tools have been designed to measure organizational culture and applied in industrial, educational, and health care settings. This study has been conducted to investigate the perceptions of military medical graduates on organizational culture at Gülhane Military Medical School. A measurement of organizational culture, which was developed by the researchers from Akdeniz University, was applied to all military medical graduates in 2004. This was a Likert type scale that included 31 items. Designers of the measurement grouped all these items into five main dimensions in their previous study. The items were scored on a five-point scale anchored by 1: strongly agree and 5: strongly disagree. Study participants included all military physicians who were in clerkship training period at Gulhane Military Medical Academy in 2004. A total of 106 graduates were accepted to response the questionnaire. The mean age of participants was 25.2 +/- 1.1. At the time of study only 8 (7.5%) graduates were married. The study results have showed that the measurement tool with 31 items had a sufficient reliability with a Cronbach's alpha value of 0.91. Factor analysis has resulted a final measurement tool of 24 items with five factors. Total score and the scores of five subdimensions have been estimated and compared between groups based on living city and marital status. The study has shown the dimension of symbol received positive perceptions while the dimension of organizational structure and efficiency received the most negative perceptions. GMMS has a unique organizational culture with its weak and strong aspects. Conducting this kind

Fast food intake and prevalence of obesity in school children in Riyadh City.

Science.gov (United States)

Almuhanna, Monira Abdulrahman; Alsaif, Mohammed; Alsaadi, Muslim; Almajwal, Ali

2014-01-01

Childhood obesity has become a new challenge for healthcare providers. The issue is not limited to certain parts of the world; its prevalence is increasing worldwide. The causes of obesity are poorly understood and continue to be debated and studied. It is a multifactorial disorder which involves dietary, behavioral, environmental as well as genetic factors. The increased consumption of more energy-dense, nutrient-poor foods with high levels of sugar and saturated fats, combined with reduced physical activity, have led to high obesity rates among children. The aim of this study was to assess the effect of dietary intake on the occurrence of childhood obesity, and study other associated factors including the education, occupation and income of parents and the living status. Normal healthy school girls (n =196) and school boys (n = 85) between the age of 6- 15 were recruited for the study. We found that obesity among children in Riyadh City was significantly associated with fast food intake (p = 0.0280). It was also observed that 72.5% of the overweight or obese students consumed fast food at least 4 times/week, and the other 15.9% were taking fast food 1- 3 times/week, while only 11.6% of the same overweight or obese group did not consume any fast food/ week. Father's and mother's occupations were not significantly correlated to their children's body weight. The prevalence of childhood obesity is changing and increasing yearly and is attributed to the nutritional risk factors for the Saudi school-age children. It is interesting to know that most of overweight or obese school students belonged to the families of highincome. Parents must take necessary precautions for the diet of their children and should adopt healthy life style in order to prevent or manage obesity of their children.

Charles Bernard Puestow (1902-1973): American surgeon and commander of the 27th Evacuation Hospital during the Second World War.

Science.gov (United States)

Bosmia, Anand N; Christein, John D

2017-08-01

Dr. Charles Bernard Puestow (1902-1973) was an American surgeon who is well known for developing the longitudinal pancreaticojejunostomy, which is known as the "Puestow procedure" in his honor. Puestow served in the American military during the Second World War and commanded the 27th Evacuation Hospital, which provided medical and surgical services to wounded individuals in Europe and North Africa. In 1946, he founded the surgical residency training program at the Hines Veterans Hospital, which was the first such program in the United States based at a veterans hospital.

Parenting and Military Children’s Behavior: Preliminary Finding in Military Family of New Order Era and Reformation

Directory of Open Access Journals (Sweden)

Ruri Dindasari Fatimah

2018-03-01

Full Text Available Abstrak Pola asuh keluarga militer berimplikasi terhadap pola perilaku anak sebagaimana ditunjukkan oleh beberapa kajian. Kajian-kajian tersebut lebih banyak membahas mengenai pola asuh tanpa melihat adanya hubungan dengan perubahan struktur organisasi yang bersifat fundamental pada tubuh militer Indonesia pasca Reformasi. Karena itu, kajian ini kemudian membahas tentang perbedaan pola asuh yang diterapkan pada keluarga militer di era Orde Baru dan pasca Reformasi serta implikasinya terhadap pola perilaku anak. Hal ini didasarkan pada argumentasi bahwa, sejalan dengan perubahan nilai-nilai di dalam tubuh militer Indonesia di masa Orde Baru dan pasca reformasi, terjadi juga perubahan pola asuh dalam keluarga anggota militer. Penelitian ini menggunakan kasus pada keluarga militer yang orang tuanya bergabung dengan militer pada era Orde Baru dan pasca Reformasi. Penelitian dilakukan dengan menggunakan metode kualitatif di mana data dikumpulkan dengan wawancara mendalam padakeluarga militer era Orde Baru dan pasca Reformasiyang masing-masing keluarga terdiri dari ayah, ibu, dan anak yang tinggal di Kota Depok. Hasil penelitian menunjukkan bahwa pola asuh pada keluarga militer Orde Baru dan pasca Reformasi berada pada ruang antara yang sifatnya demokratis dan otoriter. Pola asuh pada gilirannya juga berpengaruh pada pola perilaku anak-anak dalam keluarga militer. Penelitian ini juga mengemukakan faktor-faktor lain di luar pola asuh yang berkontribusi terhadap pola perilaku anak di dalam keluarga militer. Abstract The parenting patterns of military family has had a implication towards their children’s behavior as stated by several studies. Those studies discussed on the parenting patterns but few has associated it with the fundamental change of Indonesian military organization post Reformation era. Therefore, this study poladiscuss the difference of parenting pattern applied in the military family before (new order and post Reformation and how the

MILITARY TRADE UNIONS: A THREAT TO NATIONAL SECURITY ...

African Journals Online (AJOL)

sacrificed at the altar of soldiers' constitutional rights to form and join trade unions .... includes a rights-based culture, a rise in individualism, a change in the acceptance of ... military leadership with the military unions that poses the greatest threat to civil– ... 10 European Organisation of Military Associations, available at ...

Redefined Soviet military doctrine in perspective

International Nuclear Information System (INIS)

Menning, B.W.

1992-01-01

On May 29, 1987, the Warsaw Pact's Political Consultative Committee issued a communique proclaiming that the military doctrine of the Warsaw Pact member states is strictly defensive and proceeds from the fact that the application of military means to resolve any dispute is inadmissible under current conditions. Following this declaration, a corresponding redefinition of Soviet military doctrine to emphasize defensiveness and war prevention has evoke lively commentary and debate in both the West and the East. Because doctrinal issues are likely to retain significance during arms control and security negotiations. The purpose of this paper is to highlight important trends associated with a continuing dialogue over Soviet military doctrine and to assess what the future portends as doctrinal discussions unfold. Since 1987 the accelerating pace of change has accentuated the importance of doctrinally related concerns. As a result of the INF Treaty and the Stockholm agreement, there has been greater transparency regarding Soviet and Warsaw Pact military developments. On December 7, 1988, General Secretary Mikhail Gorbachev announced unilateral troop reduction over the next two years, which, when completed, would reduce the offensive capabilities of Soviet forces in Eastern Europe. In March 1989 talks on Confidence- and Security-Building Measures (CSBM) opened in Vienna, with suggestions for exchanges of views on military policy. At the very same time, NATO and the Warsaw Pact began formal negotiations on reduction of Conventional Forces in Europe (CFE) with a specific mandate to reduce those asymmetries that most favored prosecution of deep operations

The "new" military and income inequality: A cross national analysis.

Science.gov (United States)

Kentor, Jeffrey; Jorgenson, Andrew K; Kick, Edward

2012-05-01

Military expenditures have escalated over the last three decades in both developed and less developed countries, without a corresponding expansion of military personnel. Spending has instead been directed towards hi-tech weaponry, what we refer to as the "new" military. We hypothesize that this new, increasingly capital-intensive military is no longer a pathway of upward mobility or employer of last resort for many uneducated, unskilled, or unemployed people, with significant consequences for those individuals and society as a whole. One such consequence, we argue, is an increase in income inequality. We test this hypothesis with cross-national panel models, estimated for 82 developed and less developed countries from 1970 to 2000. Findings indicate that military capital-intensiveness, as measured by military expenditures per soldier, exacerbates income inequality net of control variables. Neither total military expenditures/GDP nor military participation has a significant effect. It appears from these findings that today's "new" military establishment is abrogating its historical role as an equalizing force in society, with important policy implications. Copyright © 2011 Elsevier Inc. All rights reserved.

The demand for military spending in Egypt

OpenAIRE

Abu-Qarn, A. S.; Dunne, J. P.; Abdelfattah, Y.; Zaher, S.

2013-01-01

Egypt plays a pivotal role in the security of the Middle East as the doorway to Europe and its military expenditure reflects its involvement in the machinations of such an unstable region, showing considerable variation over the last forty years. These characteristics make it a particularly interesting case study of the determinants of military spending. This paper specifies and estimates an econometric model of the Egyptian demand for military spending, taking into account important strategi...

Regulation of human cytokines by Cordyceps militaris

OpenAIRE

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

2014-01-01

Cordyceps (Cordyceps militaris) exhibits many biological activities including antioxidant, inhibition of inflammation, cancer prevention, hypoglycemic, and antiaging properties, etc. However, a majority of studies involving C. militaris have focused only on in vitro and animal models, and there is a lack of direct translation and application of study results to clinical practice (e.g., health benefits). In this study, we investigated the regulatory effects of C. militaris micron powder (3 dos...

JPRS Report, Soviet Union, Military Affairs.

Science.gov (United States)

1988-01-07

Meetings of students and veterans, militarized physical culture celebrations , department and school activities which develop a sense of patriotism, formal...they capable of making military affairs interesting to a young men in Adidas jackets with dyed- hackle hairdos, of getting them to love military

The use of creatine supplements in the military.

Science.gov (United States)

Havenetidis, Konstantinos

2016-08-01

Creatine is considered an effective nutritional ergogenic aid to enhance exercise performance. In spite of the publication of several reviews in the last decade on the topic of exercise performance/sports and creatine there is a need for an update related to the military given the lack of information in this area. The aim of this study was to critically assess original research addressing the use of creatine supplements in the military. A search of the electronic databases PubMed and SPORTDiscus, for the following key words: military personnel, trainees, recruit, soldier, physical fitness, physical conditioning, creatine supplementation, creatine ingestion, nutritional supplements to identify surveys and randomised clinical trials from journal articles and technical reports investigating the effect of creatine supplementation on military populations. Thirty-three out of 90 articles examined the use of creatine as a dietary supplement in military personnel. Twenty-one studies were finally selected on the basis of stated inclusion criteria for military surveys and randomised clinical trials. Most of the surveys (15/17) in the military indicate a high popularity of creatine (average 27%) among supplement users. In contrast, in most of the exercise protocols used (6/9) during randomised clinical trials creatine has produced a non-significant performance-enhancing effect. Creatine is one of the most widely used supplemental compounds in the military. It is not considered a doping infraction or related to any adverse health effects but its long-term usage needs further investigation. Experimental research suggests that creatine supplementation does not enhance physical performance in the military. However, limitations in creatine dosage, military fitness testing and sample group selection might have underestimated the ergogenic properties of creatine. Recent studies also indicate positive effects on various aspects of total force fitness such as cognitive

Civil-Military Relations in Thailand: Military Autonomy or Civilian Control?

National Research Council Canada - National Science Library

Matthews, Warren E

2005-01-01

...: economic development, political parties, and the Monarchy. Next, the thesis analyzes three different periods in Thailand's political development to determine trends in the level of military autonomy and civilian control...

Characteristics of plasmids in multi-drug-resistant enterobacteriaceae isolated during prospective surveillance of a newly opened hospital in Iraq

Science.gov (United States)

Multidrug-resistant (MDR) bacteria such as Escherichia coli and Klebsiella spp. are increasingly common causes of infections in hospitals worldwide and also in the U.S. military treatment facilities. Plasmids are thought to play an important role in the dissemination of antibiotic resistance in thes...

Making IT Happen: Transforming Military Information Technology

National Research Council Canada - National Science Library

Mait, Joseph N

2005-01-01

.... This report is a primer for commercial providers to gain some understanding of the military's thinking about military information technology and some of the programs it foresees for the future...

Information Management: Military Affiliate Radio System (MARS)

National Research Council Canada - National Science Library

1986-01-01

.... It describes a program sponsored by the Department of Defense and supported by the Department of the Army in which military installations, military units, clubs, and volunteer licensed amateur radio...

Military Expenditure and Socio-Economic Development.

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Ball, Nicole

1983-01-01

The relationship between military expenditure and the stimulation of aggregate demand, inflation, investment, trade balance, foreign exchange, the improvement of taxation, and employment creation and industrialization in the Third World is analyzed. To some extent military expenditure does promote economic growth, but it does not automatically…

PROBLEMS AND CLASSIFICATION OF FORMER MILITARY AREAS

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Svirezhev C.A.

2014-09-01

Full Text Available Integration of the Russian Federation in the international community, to find the most effective ways to implement the military and land reforms require a comprehensive study. The paper identifies the main problems that hinder the effective implementation of the reform of the conversion, the ways of their solutions, including use of the experience of the advanced countries of the European Union. Identified military objects to be conversion, shown combining them into groups according to various criteria. Proposed a typology of ex-military territories. Notes the role of the organization of effective land use conversion in the areas of land use planning, identifies the main documents required for the implementation of planned activities. The problems of land use planning conversion ex-military territories.

Military Professionalism and Political Influence: A Case Study of the Mexican Military, 1917-1940

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1992-01-01

refused to support Obreg6n’s campaign and attempted to impose a relative unknown, Ignacio Bonillas , as the next president. 2 0 When Carranza...from military forces that claimed to be followers of such revolutionary leaders as Carranza, Villa, and Pablo Gonzalez. These armies were led by...was busy as the Director of Military Education, his successor as Secretary of War, General Pablo Quiroga (and for a short period, General Ldzaro C

Intercultural Interactions in a Military Context

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Georgieva Valentina

2017-09-01

Full Text Available The article focuses on the impact of various factors on the process of communication between military specialists and with the local civilians during peace support operations. The importance of religion, national and ethnic identities, military subculture, social status, and personal characteristics for achieving success or failure in interactions is underlined. Some differences between civil culture and military culture are disclosed and the need for cultural knowledge of the military members is stressed. The study is based on presenting and analysing situations of current intercultural interactions in Afghanistan, which deal with various problems that could be encountered by servicemen on a daily basis, i.e. body language differences, expression of friendly, unfriendly or indifferent attitude, typical reactions to gestures, common everyday topics for informal chats. Although the cultural interactions take place in present-day Afghanistan, the conclusions and suggestions are applicable to a much wider context of interacting between people with different cultural background.

Prevalence of Military Sexual Trauma and Sexual Orientation Discrimination Among Lesbian, Gay, Bisexual, and Transgender Military Personnel: a Descriptive Study.

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Gurung, Sitaji; Ventuneac, Ana; Rendina, H Jonathon; Savarese, Elizabeth; Grov, Christian; Parsons, Jeffrey T

2018-03-01

Despite the repeal of Don't Ask, Don't Tell, Don't Pursue (DADT) and the update to the Transgender Policy, there remain concerns about the persistence of military sexual trauma (MST) and sexual orientation discrimination against lesbian, gay, bisexual, and transgender (LGBT) service members. A sample of 253 participants (89 women, 164 men) completed an Internet-based survey that assessed the prevalence of sexual orientation discrimination (e.g., offensive speech, physical or discriminatory behaviors) and MST (e.g., sexual harassment and sexual assault). The survey was conducted between April 2012 and October 2013. Women and men reported similar levels of sexual orientation discrimination in the military. Participants reported experiencing more threats and intimation, vandalism, and physical assault outside of the military than inside the military ( p sexual harassment and sexual assault) in the military was high among both genders, women were more likely to report experiences of sexual harassment compared to men ( p sexual orientation discrimination among LGBT service members in the military and point to the need for strong accountability and oversight to protect sexual minority persons while they are serving their country.

Orthodontic treatment need among young Saudis attending public versus private dental practices in Riyadh.

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Al-Jobair, Asma M; Baidas, Laila F; Al-Hamid, Anfal A; Al-Qahtani, Sara G; Al-Najjar, Amani T; Al-Kawari, Huda M

2016-01-01

To assess and compare the severity of malocclusion and orthodontic treatment need among young Saudis receiving free treatment at public dental practices versus those paying for treatment at private practices. This retrospective study evaluated the records of 300 patients (179 females, 121 males; age 13-21 years) treated at orthodontic clinics from 2013 through 2015. The public sample was selected from orthodontic clinics at the College of Dentistry, King Saud University (KSU); the private sample was selected from five private orthodontic clinics in Riyadh, Saudi Arabia. The records were examined for the severity of malocclusion and for orthodontic treatment need using the Dental Health Component of the Index of Orthodontic Treatment Need. The prevalence of each occlusal discrepancy and the Dental Health Component grade were recorded. The severity of malocclusion and orthodontic treatment need were compared between practice types, age groups, and sexes with the chi-square test. Displacement, increased overjet, and Class II and III malocclusion were the most common orthodontic problems in this study. Patients attending public clinics at KSU generally had more severe malocclusion than the patients attending private clinics. Seventy-seven percent of orthodontically treated patients at KSU clinics were in great need of treatment, compared with 58.5% of patients treated at private clinics ( P =0.003). Among the patients with great treatment need, approximately 62% of male patients and 70% of patients ≤16 years of age were treated at KSU clinics, compared with 38% and 48%, respectively, treated at private clinics ( P orthodontic treatment at public clinics at KSU had more severe malocclusion with greater need of orthodontic treatment than the patients paying for treatment at private clinics.

Research on 6R Military Logistics Network

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Jie, Wan; Wen, Wang

The building of military logistics network is an important issue for the construction of new forces. This paper has thrown out a concept model of 6R military logistics network model based on JIT. Then we conceive of axis spoke y logistics centers network, flexible 6R organizational network, lean 6R military information network based grid. And then the strategy and proposal for the construction of the three sub networks of 6Rmilitary logistics network are given.

The Transgender Military Experience

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Michelle Dietert

2015-04-01

Full Text Available Although there have been studies that focus on the experiences of the gay and lesbian population serving in the United States military, few have focused on the experience of active duty transgender service members. Transgender individuals transgress the binary conception of gender by deviating from societal gender norms associated with assigned sex at birth. The Department of Defense has set policies and standards that reflect a binary conception of gender, with a focus on conformity. We argue that able-bodied gender variant service personnel are just as capable of serving their country as anyone else. Because of the repercussions associated with active duty transgender military personnel, our sample is small and involves nine clandestine service members and two international service members who wanted to share their stories from a different perspective. Snowball sampling was aimed at finding current active duty and reserve transgender service members. Using a combination of telephone interviews and questionnaires, data were collected from active duty transgender service personnel throughout the United States and two from international militaries that allow transgender people to serve. Data collection focused on the overall experiences of the participants along with questions regarding workplace discrimination, suggestions for policy changes, and their views about the overturn of Don’t Ask, Don’t Tell. Our findings add to a growing source of information about the transgender military experience in the U.S. armed forces and the importance of overturning discriminatory workplace policies that negatively impact transgender service members.

Accreditation status of U.S. military graduate medical education programs.

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De Lorenzo, Robert A

2008-07-01

Military graduate medical education (GME) comprises a substantial fraction of U.S. physician training capacity. The wars in Iraq and Afghanistan have placed substantial stress on military medicine, and lay and professional press accounts have raised awareness of the effects on military GME. To date, however, objective data on military GME quality remains sparse. Determine the accreditation status of U.S. military GME programs. Additionally, military GME program data will be compared to national (U.S.) accreditation lengths. Retrospective review of Accreditation Council for Graduate Medical Education (ACGME) data. All military-sponsored core programs in specialties with at least three residencies were included. Military-affiliated but civilian-sponsored programs were excluded. The current and past cycle data were used for the study. For each specialty, the current mean accreditation length and the net change in cycle was calculated. National mean accreditation lengths by specialty for 2005 to 2006 were obtained from the ACGME. Comparison between the overall mean national and military accreditation lengths was performed with a z test. All other comparisons employed descriptive statistics. Ninety-nine military programs in 15 specialties were included in the analysis. During the study period, 1 program was newly accredited, and 6 programs had accreditation withdrawn or were closed. The mean accreditation length of the military programs was 4.0 years. The overall national mean for the same specialties is 3.5 years (p < 0.01). In previous cycles, 68% of programs had accreditation of 4 years or longer, compared to 70% in the current cycle, while 13% had accreditation of 2 years or less in the previous cycle compared to 14% in the current cycle. Ten (68%) of the military specialties had mean accreditation lengths greater than the national average, while 5 (33%) were below it. Ten (68%) specialties had stable or improving cycle lengths when compared to previous cycles