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Sample records for states army medical

  1. Army Medical Support for Peace Operations and Humanitarian Assistance,

    Science.gov (United States)

    1996-01-01

    or contractors. Some coalition troops may uti - lize the theater medical system in ways it was not intended. Coalition partners’ own medical assets...agencies, and the State Depart- ment often urge the Army to expand medical services and to uti - lize any excess capacity for purposes other than the...Psychologists (new 67D). Similar concerns involved comptrollers and preventive medicine officers, field medical pharmacists , and personnel managers

  2. Army medical imaging system: ARMIS

    International Nuclear Information System (INIS)

    Siedband, M.P.; Kramp, D.C.

    1987-01-01

    Recent advances of stimulable phosphor screens, data cards using optical storage means, and new personal computers with image processing capability have made possible the design of economical filmless medical imaging systems. The addition of communication links means that remote interpretation of images is also possible. The Army Medical Imaging System uses stimulable phosphor screens, digital readout, a small computer, an optical digital data card device, and a DIN/PACS link. Up to 200 images can be stored in the computer hard disk for rapid recall and reading by the radiologist. The computer permits image processing, annotation, insertion of text, and control of the system. Each device contains an image storage RAM and communicates with the computer via the small computer systems interface. Data compression is used to reduce the required storage capacity and transmission times of the 1-mB images. The credit card-size optical data cards replace film and can store 12 or more images. The data cards can be read on an independent viewer. The research is supported by the U.S. Army Biomedical Research and Development Laboratory

  3. African-American Medical Personnel in the US Army in the First World War.

    Science.gov (United States)

    Marble, Sanders

    2018-02-01

    In WWI, the United States was segregated by custom and law, and the Army obeyed the laws, reducing opportunities for Black medical professionals to serve their country in uniform. This article surveys African-American medical personnel serving in the US Army in World War I. It includes physicians, dentists, veterinarians, and other commissioned officers, as well as medical enlisted men. Overall, despite segregation and associated professional limitations, determined individuals still served with distinction in a variety of roles, opening doors for future advances. Published by Elsevier Inc.

  4. The United States Army Medical Department Journal. January-March 2013

    Science.gov (United States)

    2013-01-01

    HEATSTROKE IN A MILITARY WORKING DOG January – March 2013 37 THE ARMY MEDICAL DEPARTMENT JOURNAL Respiratory alkalosis can develop as a result of...dropped to 99.1ºF within 35 minutes after presentation, and the pulse and respiratory rate normalized. The mu- cous membranes were pink, but tacky. The MWD...throughout the body, including blood cells, myocardium, skeletal muscle, soft tissues, and cells of the respiratory and nervous systems.5 Venom

  5. [On the role of army physicians in the creation of Ukrainian medical terminology].

    Science.gov (United States)

    Radysh, Ia F; Holyk, L A

    2002-01-01

    Tha article is devoted to the analysis of the role army surgeons had in creation of Ukrainean medical terminology. In the article, medical dictionaries are briefly analyzed, of which Ukrainean army surgeons are authors or co-authors.

  6. [Andrologic disease detected during army medical visit].

    Science.gov (United States)

    Campodonico, Fabio; Michelazzi, Alberto; Capurro, Anna; Carmignani, Giorgio

    2003-12-01

    Aim of this study is to investigate the prevalence of andrologic diseases in young men (age 18 years) recruited for conscription in a north-western Italian region. A random sample of 1993 young men was evaluated at the Army Medical Visit Center of the Military District of Genoa. The visits were performed by the same doctor. An examination of external genitalia and secondary sex characters was made and the medical history of each conscript was recorded. Investigation procedures were standardized according to the guidelines of the WHO for the diagnosis and management of the infertile male. Andrologic disorders were found in 547 subjects (27.5%) and first diagnosed in 412 (20.7%). Specific acquired or congenital disorders are discussed. Some patients with most significant diseases were referred to the Urologic Department for second level diagnostic exams. This study underlines the role of the army medical visit as a tool for andrologic screening in young males. The military health service may be a relevant institution for postpuberal control and it could be useful to prevent future sexual and fertility problems in adult males.

  7. [Formation and development of military-medical service of Terek Cossak Army in XIX--beginning XX c].

    Science.gov (United States)

    Akhmadov, T Z

    2012-10-01

    The article is dedicated to one nor enough investigated question of medical supplement of irregular Cossak army in North Caucasus in XIX--beginning XX c. The role of the government and cossaks in formation and development of medical service in Terek Cossak Army is showed. Characteristic pecularities of health care of mountain population after administrative development of the district by Tsar Russia. The author underlined that despite the disadvantages, medical service of Terek Cossak Army and Terek district in described period was right developing system of medical care for irregular army and population.

  8. US Army Medical Research and Development Report.

    Science.gov (United States)

    1979-10-01

    RI) US ARMY MEDICAL RESEARCH AND DEVELOPMENT REPORT. Colonel/John Jr DTIC JUL 1 5 1980; A USL &MY MEDICAL BIOENGINEERING RESEARCH AND DEVELOPMENT...pollutants in water or soil . Pollutant by-products and breakdown products in water, air or soil will be isolated, characterized, and quantified. Where...determination of selected low-level pollutants io soil and water. Degradation products and secondary pollutants arising from munitions manufacture or pest

  9. 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

  10. Medical students' unique experience of army leadership training: a qualitative study.

    Science.gov (United States)

    Earis, John; Garner, J; Haddock, D; Jenkins, J; Jha, V

    2017-10-01

    To assess the interactive experience of first year medical students attending the leadership and management course hosted by a British Army Reserve Field Hospital developed in partnership with Liverpool University. 244 students submitted a 1000-word structured reflective learning assignment about their reaction to, learning from and any behaviour and attitude changes as a result of, the training. The assignments were thematically analysed to identify how aspects of the training had impacted upon the students' understanding of leadership and teamwork. Their comments relating to the army were analysed to gain insight into their views and experience of the training. Students were surprised at how enjoyable and useful they found the course. Initially they expressed scepticism about what they could learn in an army-based environment. However, the training, particularly command and planning tasks, helped them appreciate and understand the different skills individuals can bring to a team environment, and the importance of everyone contributing. While some students were challenged by aspects of the course, with support and encouragement from team-mates and the army personnel, they learned they could achieve more together. Teaching leadership and management skills to medical students is a challenge which can be effectively addressed by adapting and developing army training resources. Students overcame initial scepticism about participating, and learned a lot about themselves and each other. In addition, the army developed a better understanding of the doctors of the future. The expertise of the army in delivering this training was crucial to its success as the medical school could not have provided this experience unsupported. 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/.

  11. U.S. Army Medical Department Journal (April-June 2006)

    Science.gov (United States)

    2006-06-01

    basic laboratory equipment and techniques acquired at the AMS, demonstrated that Puerto Rican anemia was due to the hookworm, Necator americanus.* In...Sciences, Bangkok, Thailand; US Army Medical Research Unit-Kenya, Nairobi; Naval Medical Research Center Detachment, Lima, Peru ; Naval Medical Research...2006 131 Colombia, Ecuador, El Salvador, Netherland Antilles, Antigua, Belize, Bolivia, Costa Rica, Guatemala, Nicaragua, Panama, Peru (air, water

  12. U.S. Army Medical Department Journal (July-September 1998)

    National Research Council Canada - National Science Library

    Peake, James B; Goodman, Robert L; Hillhouse, Roger H; Newsome, Steve; Reed, Lester H; Hume, Jr., Carroll R. Dotson ;Roderick F; Gussenhoven, Elisabeth; Garland, Frederick N; Still, Ron; Campbell, Kyle D; Austerman, Wayne R

    1998-01-01

    .... The "MAMC Improvement Award Program" describes the Madigan Army Medical Center's incentive program to reward organizational groups within a military hospital for improving efficiency, quality of care...

  13. The evolution of dependent medical care in the U.S. Army.

    Science.gov (United States)

    Herold, Thomas J S

    2011-10-01

    There is great focus within the military medical community regarding the ever growing cost of medical care overall and dependent care specifically. A great deal of discussion relates to the delivery of care through a growing military-civilian partnership, where an increased amount of health care will be referred to an ever growing network of civilian providers. The U.S. military establishment now stands at an important crossroad leading into the future of dependent care. However, the special concerns, which arise from the responsibility of caring for military dependents, are not a solely recent phenomenon. Ever since the establishment of a permanent standing U.S. Army in the late 1700s, there have been families in need of medical treatment. Although changes occurred continuously, the development and evolution of policies regulating the delivery of medical care to dependants can be divided into three periods. The first is the longest and ranges from the establishment of the Army until the year 1900. The second period spans from 1900 to the post-Korean War year of 1956. The third and final period is from 1956 to 1975. Special changes and advances in each of these periods have served to shape the face of dependent care in today's Army Medical Department.

  14. U.S. Army Medical Department Journal (January-March 2000)

    National Research Council Canada - National Science Library

    Peake, James B; Goodman, Petra; De Lorenzo, Robert A; LaRavia, Dennis; Thomas, Timothy L; O'Hara, Charles P; Goodman, Robert L

    2000-01-01

    This issue of the AMEDD Journal contains several articles of interest. "Proceedings of the 1999 Madigan Research Day" identifies the award-winning research abstracts of this annual Madigan Army Medical Center event...

  15. Department of the Army Supply Bulletin, Army Medical Department Supply Information, SB8-75-S7

    National Research Council Canada - National Science Library

    2002-01-01

    .... Army Medical Materiel Agency (USAMMA), Fort Detrick, Maryland This edition focuses on the mission and functions of the SCMD and its capability to support the "Warfighter" during a full range of contingency operations While all of...

  16. Army Medical Department Leaders in Military Operations Other Than War

    National Research Council Canada - National Science Library

    Sadlon, Gary

    2000-01-01

    .... Likewise, the Army Medical Department (AMEDD) must insure its leaders, specifically those selected to deploy world-wide, have a more diverse skill set that enables them to fully operate within the full spectrum of scenarios...

  17. Crucible of fire: the Boer War and the birth of the Canadian Army Medical Corps.

    Science.gov (United States)

    McCulloch, I

    1995-01-01

    Although Canada's military physicians didn't come to prominence until WW I and WW II, the Canadian Army Medical Corps (CAMC), the forerunner of the Royal Canadian Army Medical Corps and the current Canadian Forces Medical Service, actually had its origins in the Boer War. During that turn-of-the-century conflict, field hospitals accompanied Canadian troops to South Africa. Ian McCulloch discusses that early type of medical service and the steps that led to the creation of the CAMC. Images p1495-a p1496-a PMID:7585380

  18. Business Case Analysis of the Walter Reed Army Medical Center Medical/Surgical Prime Vendor Generation III Service Level Electron Program

    National Research Council Canada - National Science Library

    Markot, Peter B

    2007-01-01

    ...) staffing and medical/surgical services offered under the Prime Vendor (PV) Generation III contract would provide the best supply chain management solution for Walter Reed Army Medical Center (WRAMC...

  19. Implementation of the Asthma Practice Guideline in the Army Medical Department: Evaluation of Process and Effects

    National Research Council Canada - National Science Library

    Farley, Donna O; Cretin, Shan; Vernez, Georges; Pieklik, Suzanne; Quiter, Elaine; Ashwood, J. S; Tu, Wenli

    2005-01-01

    .... The Quality Management Directorate of the Army Medical Command (MEDCOM) contracted with RAND to work as a partner in the development and testing of guideline implementation methods for ultimate application to an Army-wide guideline program...

  20. Charges Assessed the Army by the Defense Logistics Agency for Deployable Medical Systems

    National Research Council Canada - National Science Library

    1995-01-01

    .... Deployable medical systems are standardized modular field hospitals that can be prepositioned in the event of a contingency, national emergency, or war operations. In FY 1994, the Defense Personnel Support Center billed the Army $25 million for acquiring and assembling deployable medical systems.

  1. Cost-Benefit Analysis of Radiation Therapy Services at Tripler Army Medical Center

    National Research Council Canada - National Science Library

    Diehl, Diane S

    2004-01-01

    The purpose of this analysis was to examine the costs and benefits associated with continuance of "in-house" radiation therapy services to eligible beneficiaries at Tripler Army Medical Center (TAMC...

  2. Walter Reed Army Medical Center's Internet-based electronic health portal.

    Science.gov (United States)

    Abbott, Kevin C; Boocks, Carl E; Sun, Zhengyi; Boal, Thomas R; Poropatich, Ronald K

    2003-12-01

    Use of the World Wide Web (WWW) and electronic media to facilitate medical care has been the subject of many reports in the popular press. However, few reports have documented the results of implementing electronic health portals for essential medical tasks, such as prescription refills and appointments. At Walter Reed Army Medical Center, "Search & Learn" medical information, Internet-based prescription refills and patient appointments were established in January 2001. A multiphase retrospective analysis was conducted to determine the use of the "Search & Learn" medical information and the relative number of prescription refills and appointments conducted via the WWW compared with conventional methods. From January 2001 to May 2002, there were 34,741 refills and 819 appointments made over the Internet compared with 2,275,112 refills and approximately 500,000 appointments made conventionally. WWW activity accounted for 1.52% of refills and 0.16% of appointments. There was a steady increase in this percentage over the time of the analysis. In April of 2002, the monthly average of online refills had risen to 4.57% and online appointments were at 0.27%. Online refills were projected to account for 10% of all prescriptions in 2 years. The "Search & Learn" medical information portion of our web site received 147,429 unique visits during this same time frame, which was an average of 326 visitors per day. WWW-based methods of conducting essential medical tasks accounted for a small but rapidly increasing percentage of total activity at Walter Reed Army Medical Center. Subsequent phases of analysis will assess demographic and geographic factors and aid in the design of future systems to increase use of the Internet-based systems.

  3. Quantitative Analysis of Contributing Factors Affecting Patient Satisfaction in Family Medicine Service Clinics at Brooke Army Medical Center

    Science.gov (United States)

    2008-06-06

    Predictors of patient satisfaction for Brooke Army Medical Center Family Medicine Service primary care clinics was performed. Data was obtained from...Factors Affecting Patient Satisfaction in Family Medicine Service Clinics at Brooke Army Medical Center Presented to MAJ Eric Schmacker, Ph.D. In...study. All patients ’ medical information was protected at all times and under no circumstances will be discussed or released to any outside agency

  4. Nuclear Medical Science Officers: Army Health Physicists Serving and Defending Their Country Around the Globe

    Science.gov (United States)

    Melanson, Mark; Bosley, William; Santiago, Jodi; Hamilton, Daniel

    2010-02-01

    Tracing their distinguished history back to the Manhattan Project that developed the world's first atomic bomb, the Nuclear Medical Science Officers are the Army's experts on radiation and its health effects. Serving around the globe, these commissioned Army officers serve as military health physicists that ensure the protection of Soldiers and those they defend against all sources of radiation, military and civilian. This poster will highlight the various roles and responsibilities that Nuclear Medical Science Officers fill in defense of the Nation. Areas where these officers serve include medical health physics, deployment health physics, homeland defense, emergency response, radiation dosimetry, radiation research and training, along with support to the Army's corporate radiation safety program and international collaborations. The poster will also share some of the unique military sources of radiation such as depleted uranium, which is used as an anti-armor munition and in armor plating because of its unique metallurgic properties. )

  5. Unwarranted Variation in the Medical Management of Injured Civilian Workers in the U.S. Army Medical Command

    National Research Council Canada - National Science Library

    Rice, William A

    2005-01-01

    ... submitted from each Army medical treatment facility (MTF). Using hierarchical multiple linear regression, these variables were tested as potential predictors of the average total cost per case of an injured civilian employee in each MTF...

  6. Analysis of the experience in participation of army medical service in medical arrangement in case of radiation accident

    International Nuclear Information System (INIS)

    Zhilyaev, E.G.; Goncharov, S.F.; Vorontsov, I.V.; Legeza, V.I.; Berzin, I.A.

    1995-01-01

    The paper presented calculations of manpower and money funds for rendering aid to the injured persons in case of radiation accident. The authors offered a scheme of using medical anti-radial aids on various stages of radiation accident; immediately after the accident in case of non-predicted and controlled radiation exposure. Army Medical Service is capable of solving promptly the tasks of medical aid with the help of highly mobile specialized medical units, the use of which is stipulated in the system of the Russian Service of disaster medicine. 10 refs.; 1 tab

  7. The United States Army Comprehensive Soldier Fitness: A Critical Look

    Science.gov (United States)

    2013-03-01

    Psychoanalysis Professor Stephen Soldz, stated “ the problems identified with CSF are legion. It is time for the Army to step back from uncritically...Frederick J. Gellert Department of Command, Leadership and Management Project Adviser This manuscript is submitted in partial fulfillment of the ...organization and at every level within the Army, MRTs serve as the principal advisor to the leadership regarding CSF and as a resource for Soldiers

  8. Army Healthcare Enterprise Management System

    National Research Council Canada - National Science Library

    2001-01-01

    ... to buy the Enterprise Management System. The Information Technology Business Center provides information technology services to Fort Sam Houston tenants which include the Army Medical Command and the Army Medical Department Center and School...

  9. Army Combat Medic Resilience: The Process of Forging Loyalty.

    Science.gov (United States)

    Abraham, Preetha A; Russell, Dale W; Huffman, Sarah; Deuster, Patricia; Gibbons, Susanne W

    2018-03-01

    This study presents a grounded theory analysis of in-depth interviews of United States Army Combat Medics (CMs) who had served in Iraq and/or Afghanistan. The study explores how 17 CMs nominated by their peers as resilient cope with military stressors in order to identify the factors that enable them to thrive amidst harsh conditions. Four distinct categories of characteristics unique to this group emerged: (1) social bonding, (2) readiness, (3) dual loyalty as performance, and (4) leader by example. Forging loyalty underpins these characteristics and represents the main process used by resilient CMs and comprised three behavior patterns: (1) commitment to the family, (2) commitment to the military mission, and (3) commitment to their guiding religious and spiritual beliefs. Prominent behavioral tendencies of forging loyalty likely developed during childhood and re-enforced by families, friends, and other role models. Based on the findings, new training and education efforts should focus on developing positive emotional, environmental, and social resources to enhance the health and well-being of service members and their families.

  10. Brigadier General James Stevens Simmons (1890-1954), Medical Corps, United States Army: a career in preventive medicine.

    Science.gov (United States)

    Marble, Sanders

    2012-02-01

    James Simmons began his career in the US Army as a laboratory officer and his assignments progressed into tropical medicine research. His interests and work evolved into preventive medicine (PM, as the Army termed public health), and he took both a PhD and a Doctorate in Public Health. As the Army's leading PM officer he was appointed head of PM in 1940 and guided the Army's PM effort through World War II. His responsibility ran from gas masks through healthy nutrition and occupational health to an enormous variety of diseases; by the war's end, the breadth and importance of PM was reflected in the Preventive Medicine Division, having fully one-sixth of all military personnel at the Surgeon General's Office. Simmons used his strong professional credentials to tap into civilian medicine for expertise the Army lacked and he established organizations that survive to this day. After retirement, he sought to expand the field of public health and raise another generation of public health physicians.

  11. United States Army Weapon Systems 2010

    Science.gov (United States)

    2009-09-18

    equipment, tractor, van, wrecker, 8.8-ton Load Handling System (LHS), 8.8-ton LHS trailer, and 10-ton dump truck models). Three truck variants and...NJ) hydraulic pump and motor: Vickers (Jackson, MS) 131 UnIteD StAteS Army ACqUISItIon phASe InveStment Component High Mobility Engineer Excavator...MEDEVAC and hoist configuration, the UH-72A is also being fielded in a VIP, National Guard Homeland Security (HLS) and a Combined Training Center

  12. [Medical service of Russian Army in the First World War 1914-1918 (to the 95th anniversary of the beginning of war)].

    Science.gov (United States)

    Korniushko, I G; Gladkikh, P F; Loktev, A E

    2009-08-01

    During the First World War 1914-1918 Russian Army hadn't a united medical service, military-medical affair was diluted in multiple governances. Evacuation of wounded and ill persons was an affair of Evacuation Governance of Main Governance the General Staff. Process of treatment in field and stationary medical formations was administered by sanitarium chiefs of armies and theaters of operation, bureaucrats of Russian Red Cross Society, Russian Union of Cities and Territorial Union. Supply by medical property, accounting and arrangement of medical staff was administered by Main Military-Sanitarium Governance, supply by sanitarium-household property--by Main Indent Governance, health resort affair--by Governance of Supreme chief of sanitarium and evacuation part in Empire of prince Ol'denburgskiy P.A. On the base of different sources were characterized casualty of Russian Army during the war.

  13. The Central Simulation Committee (CSC): a model for centralization and standardization of simulation-based medical education in the U.S. Army healthcare system.

    Science.gov (United States)

    Deering, Shad; Sawyer, Taylor; Mikita, Jeffrey; Maurer, Douglas; Roth, Bernard J

    2012-07-01

    In this report, we describe the organizational framework, operations and current status of the Central Simulation Committee (CSC). The CSC was established in 2007 with the goals of standardizing simulation-based training in Army graduate medical education programs, assisting in redeployment training of physicians returning from war, and improving patient safety within the Army Medical Department. Presently, the CSC oversees 10 Simulation Centers, controls over 21,000 sq ft of simulation center space, and provides specialty-specific training in 14 medical specialties. In the past 2 years, CSC Simulation Centers have trained over 50,000 Army medical students, residents, physician assistants, nurses, Soldiers and DoD civilian medical personnel. We hope this report provides simulation educators within the military, and our civilian simulation colleagues, with insight into the workings of our organization and provides an example of centralized support and oversight of simulation-based medical education.

  14. A Study to Evaluate the Organization and the Operating Procedures of the Patient Assistance Function at Brooke Army Medical Center, Fort Sam Houston, Texas

    Science.gov (United States)

    1979-08-01

    15 March 1979. 59Interview with Wendy L. Farace , Head Nurse, Obstetrics/Gynecology Clinic, Brooke Army Medical Center, Fort Sam Houston, Texas, 8...6 February 1979. Farace , Wendy L. Head Nurse, Obstetrica/Gynecology Clinic, Brooke Army Medical Center, Fort Sam Houston, Texas. Interview, 8 January

  15. Review of U.S. Army Aviation Accident Reports: Prevalence of Environmental Stressors and Medical Conditions

    Science.gov (United States)

    2017-10-18

    terminology related to an aforementioned stressor or medical condition. Table 1 presents the identified operational stressor with the keywords extracted...USAARL Report No. 2018-02 Review of U.S. Army Aviation Accident Reports: Prevalence of Environmental Stressors and Medical Conditions By Kathryn...Environmental Stressors and Medical Conditions N/A N/A N/A N/A N/A N/A Feltman, Kathryn A. Kelley, Amanda M. Curry, Ian P. Boudreaux, David A. Milam

  16. Diversity Issues in the Army as Perceived by Army Students at the United States Army War College

    National Research Council Canada - National Science Library

    Webster, Cecil

    1997-01-01

    ..., welfare, and other related programs. In recognizing this diversity, this paper identifies some diversity issues within the Army, analyzes the perception of those diversity issues by the resident Army students in the USAWC Class of 1997...

  17. The United States Army 1996 Modernization Plan.

    Science.gov (United States)

    1996-03-08

    time and with less risk. IMA technology improvements are leveraged and inserted into the Army’s information architectures as the competitive market place...to procure a family of complementary, interoperable systems. At the end of the near-term, "Active Defense RD&A Startegy Army will begin fielding...Haul and Engineer tractors were fielded that brought modern technologies from the commercial market to the Army. However, adequate quantities were

  18. Legacy in the Sand: The United States Army Armament, Munitions and Chemical Command in Operations Desert Shield and Desert Storm

    Science.gov (United States)

    1992-12-21

    States Army Medical Department, over 1.5 million British-designed Small Box Respirator ( SBR ) masks, utilizing activated coconut charcoal as a filter, had...conflicts this nation will tfce-short in rjuration but of high intensity. In such a war, relance must bpp oaced upon the established stockpile and the...Supply System SAW squad automatic weapon SBA Small Business Administration SBR small box respirator SCR senior command representati’e SCRAM self-contained

  19. Establishing a clinical pharmacy technician at a United States Army military treatment facility.

    Science.gov (United States)

    Evans, Jennifer L; Gladd, Ellen M; Gonzalez, Alicia C; Tranam, Salman; Larrabee, Joni M; Lipphardt, Sarah E; Chen, Tina T; Ronn, Michael D; Spain, John

    2016-01-01

    To describe the creation of a clinical pharmacy technician position within the U.S. Army and to identify the personal skills and characteristics required to meet the demands of this role. An outpatient military treatment facility located in Maryland. The clinical pharmacy technician position was designed to support clinical pharmacy services within a patient-centered medical home. Funding and a position description were established to hire a clinical pharmacy technician. Expected duties included administrative (45%), patient education (30%), and dispensing (25%). Local policy, in accordance with federal law and U.S. Army regulations, was developed to define the expanded technician responsibility to deliver patient medication education. In the initial 3 months, the clinical pharmacy technician spent 24 hours per week on clinical activities, affording an additional 10-15 hours per week for clinical pharmacists to provide patient care. Completed consults increased from 41% to 56%, and patient-pharmacist encounters increased from 240 to 290 per month. The technician, acting as a clinical pharmacist extender, also completed an average of 90 patient encounters independently each month. As a result of these improvements, the decision was made to hire a second technician. Currently, the technicians spend 28-40 hours per week on clinical activities, offsetting an average of 26 hours per week for the clinical pharmacists. A patient-centered medical home clinical pharmacy technician can reduce the administrative workload for clinical pharmacists, improve their efficiency, and enhance the use of clinical pharmacy services. Several characteristics, particularly medication knowledge, make pharmacy technicians particularly suited for this role. The results from the implementation of a clinical pharmacy technician at this military treatment facility resulted in an Army-wide expansion of the position and suggested applicability in other practice sites, particularly in federal

  20. 2013 CENTER FOR ARMY LEADERSHIP ANNUAL SURVEY OF ARMY LEADERSHIP (CASAL): MAIN FINDINGS

    Science.gov (United States)

    2014-04-30

    The Center for Army Profession and Ethic (CAPE) has fielded education and training materials (including doctrine, pamphlets , videos, brochures , and...Army Pamphlet (DA PAM) 600-3, Commissioned Officer Development and Career Management, states that a goal of warrant officer training and education... Pamphlet 600-25, U.S. Army noncommissioned officer professional development and career management. Washington, D.C.: Headquarters, Department of the Army

  1. Erica Marat, The Military and the State in Central Asia: From Red Army to Independence

    Directory of Open Access Journals (Sweden)

    Boris Petric

    2011-03-01

    Full Text Available Erica Marat is a one of the United States’ most brilliant Central Asian political scientists. She has offered numerous analyses of political transformations as presented by different think tanks and American foundations. In this book, Marat focuses on the role of the army in building state processes in contemporary Central Asian states. The book offers a wide panorama of Central Asian armies, compiling sources already published (books, reports in Russian and English etc. and some original da...

  2. Weapons Systems, United States Army 1997.

    Science.gov (United States)

    1997-01-01

    Mexico, Morocco , Philippines, Turkey Co-Production: Korea The Army began fielding the UH-60 in 1978. Between 1978 and 1989 the Army procured UH-60A...Improvement Program ( CSR TEP) to all Area Common User System (ACUS) switch users (except AN/TTC-39-A(V)l). Incorporate Enhanced Switch Operation Program...Finland, Greece, Italy, Kuwait, Morocco , Saudi Arabia National Guard, SHAPE Tech Ctr (NATO), Spain, Special Def Acq Fund (pre-purchased export

  3. Changes in Temporary Disability Reporting Following the Implementation of the Army Medical Readiness Transformation.

    Science.gov (United States)

    Sapp, Jason E; Cody, Matthew J; Douglas, Kevin M

    2018-02-07

    , 2016, 936 soldiers were placed on temporary disability. The majority was for orthopedic-related conditions (68.6%). Lower extremity (18.3%) and knee (17.5%) conditions were the two most common orthopedic issues. Behavioral health-related conditions (6.9%) and postoperative recovery (5.6%) were the next two most common categories. Implementation of the Army Medical Readiness Transformation resulted in a statistically significant increase in reported "non-deployable" MRC 3 soldiers compared with the previous "non-available" MRC 3A/3B population. One possible reason for this relates to how temporary disability is reported under each system, especially for those soldiers with only mild limitations. Under the new system, musculoskeletal conditions accounted for the majority of disability. Important limitations include small sample sizes, a fluctuating denominator representing authorized unit strength, and that the study did not take into account seasonal variation and the operational cycle for the unit. Future studies should look at those conditions or soldier characteristics that can help guide commanders as they make deployability decisions and how to address wellness and injury prevention to mitigate the risk of soldiers going on temporary disability. Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2018. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  4. Annihilating time and space: The electrification of the United States Army, 1875--1920

    Science.gov (United States)

    Brown, Shannon Allen

    2000-10-01

    The United States Army embraced electrical technology in the 1870s as part of a wider initiative to meet the challenge of the coastal defense mission. As commercial power storage, generation, and transmission technology improved and the army came to recognize the value of the energy source as a means and method of improving command and control, localized electrical networks were integrated into the active service of the military. New vulnerabilities emerged as the army became ever more reliant upon electric power, however, and electrification---the institutional adoption and adaptation of electrical technologies---emerged as a very expensive and contentious process guided by technical, political, and economic pressures, and influenced by conflicting personalities within the service. This study considers the institutional evolution of the U.S. Army before and during World War I with respect to the adoption and application of electrical technology. The changing relationships between the military and electrical manufacturing and utilities industries during the period 1875--1920 are also explored. Using a combination of military archival sources and published primary materials, this study traces the effects of electrification on the army. In the end, this study proves that electrification was, at first, a symptom of, and later, a partial solution to the army's struggle to modernize and centralize during the period under consideration. Electrification produced a set of conditions that encouraged a new maturity within the ranks of the army, in technical, doctrinal, and administrative terms. This growth eventually led to the development of new capabilities, new forms of military organization, new missions, and new approaches to warfare.

  5. A Study of Civilian Registered Nurse Recruitment at Madigan Army Medical Center, Tacoma, Washington.

    Science.gov (United States)

    1982-06-01

    34 May, 1981, "Nurse, Where Are You?" Judy Armstrong . 5 1nitial Report and Preliminary Recommendations, National Commission on Nursing (September 1981...Interview with Ms. R. Marsh, Staffing Specialist, Force Develop- ment Division, Madigan Army Medical Center, Tacoma, WA (Dec 81) 20Philip Kotler ...Marketing Management. Boston: Allyn and Bacon, Inc., 1980. Kotler , Philip. Marketing for Nonprofit Institutions. Englewood Cliffs, N.D.: Prentice-Hall

  6. The Evolution of Army Leader Development

    Science.gov (United States)

    2013-03-01

    Human Resources Command, OPMD- MFE -I. 4 U.S. Army General Officer Management Office, Army General Officer Roster (Washington, DC, U.S. Department of the...Human Resources Command, Command Management Branch post board data analysis. 15 Data from the United States Army Human Resources Command, OPMD- MFE -A...May 1, 2008), D-1. 25 19 Data from the United States Army Human Resources Command, OPMD- MFE -A, 01 February, 2013. 20 U.S. Joint Chiefs of

  7. The United States Army Medical Department Journal, April - June 2008

    Science.gov (United States)

    2008-06-01

    Amazon community at Iquitos, Stancil42 (Naval Medical Research Center Detachment, Peru ) received a grant to optimize strategies for preventing the breeding...Detachment, Lima, Peru ; Naval Medical Research Unit-2, Jakarta, Indonesia; and the Naval Medical Research Unit 3, Cairo, Egypt. These resources...the soil beneath tents and camps. In an effort to prevent sand flies breeding in rodent burrows, the Genesis Company (Wellington, Colorado) won an

  8. Chemical Weapons: FEMA and Army Must Be Proactive in Preparing States for Emergencies

    National Research Council Canada - National Science Library

    2001-01-01

    .... Such an accident could affect people in 10 different states. The Army plans to destroy its entire chemical weapons stockpile by 2007 and is taking measures to protect the public before and during the demilitarization process...

  9. Pathology and Laboratory Medicine Support for the American Expeditionary Forces by the US Army Medical Corps During World War I.

    Science.gov (United States)

    Wright, James R; Baskin, Leland B

    2015-09-01

    Historical research on pathology and laboratory medicine services in World War I has been limited. In the Spanish American War, these efforts were primarily focused on tropical diseases. World War I problems that could be addressed by pathology and laboratory medicine were strikingly different because of the new field of clinical pathology. Geographic differences, changing war tactics, and trench warfare created new issues. To describe the scope of pathology and laboratory medicine services in World War I and the value these services brought to the war effort. Available primary and secondary sources related to American Expeditionary Forces' laboratory services were analyzed and contrasted with the British and German approaches. The United States entered the war in April 1917. Colonel Joseph Siler, MD, a career medical officer, was the director, and Colonel Louis B. Wilson, MD, head of pathology at the Mayo Clinic, was appointed assistant director of the US Army Medical Corps Division of Laboratories and Infectious Disease, based in Dijon, France. During the next year, they organized 300 efficient laboratories to support the American Expeditionary Forces. Autopsies were performed to better understand treatment of battlefield injuries, effects of chemical warfare agents, and the influenza pandemic; autopsies also generated teaching specimens for the US Army Medical Museum. Bacteriology services focused on communicable diseases. Laboratory testing for social diseases was very aggressive. Significant advances in blood transfusion techniques, which allowed brief blood storage, occurred during the war but were not primarily overseen by laboratory services. Both Siler and Wilson received Distinguished Service Medals. Wilson's vision for military pathology services helped transform American civilian laboratory services in the 1920s.

  10. Army Hearing Program Status Report Quarter 2 Fiscal Year 2017

    Science.gov (United States)

    2017-07-01

    U.S. Army Publ ic Heal th Center Army Hearing Program Status Report Q2 FY17 Clinical Public Health and Epidemiology Directorate Army... Hearing Division General Medical: 500A July 2017 Approved for public release; distribution unlimited Army Hearing Program Status Report, Q2FY17...56               INTRODUCTION The Army Hearing Program Status Report (AHPSR) is a component of the Public Health

  11. Hazardous Waste Surveys of Two Army Installations and an Army Hospital.

    Science.gov (United States)

    1980-08-01

    232 Nickel-63 Uranium-238 Plutonium-239 Polonium - 210 6 Army Medical Treatment Facilities: General Administration Army Regulation (AR) 40-2, 42A peren...Adhesive BN R 0x AU DOI545AO GI. 312 F 44 0,3 27)d17 N6341( 2 14,5 0 6 Adhesive 81 A XY AO D041419A0 PI 210 82140 O0 5824596 RO.34 140376139 Adhesi E ON...conform to clean air pollutant standards. 46 4 Noninfectious Solid Waste. Most wastes in this category are: (1) food waste from the military mess and

  12. 76 FR 72914 - Army Educational Advisory Committee

    Science.gov (United States)

    2011-11-28

    ...: U.S. Army War College Subcommittee of the Army Education Advisory Committee. Dates of Meeting: December 14, 2011. Place of Meeting: U.S. Army War College, 122 Forbes Avenue, Carlisle, PA, Command... issues and matters related to the continued growth and development of the United States Army War College...

  13. The Center for the Army Profession and Ethic (CAPE) Annual Survey of the Army Profession (CASAP FY16)

    Science.gov (United States)

    2016-12-30

    incredibly fatiguing which cuts into my personal time to include mental health, physical health, and emotional well-being.” Understand this...April 2016. Its findings contribute to shared understanding of the State of the Army Profession within the Army Culture of Trust -- informing senior...Army leaders regarding the effectiveness of policies and practices intended to inspire and motivate Army professionals to “live by and uphold the Army

  14. 76 FR 66282 - Army Educational Advisory Committee

    Science.gov (United States)

    2011-10-26

    ... Committee: U.S. Army War College Subcommittee of the Army Education Advisory Committee. Dates of Meeting: November 15, 2011. Place of Meeting: U.S. Army War College, 122 Forbes Avenue, Carlisle, PA, Command... issues and matters related to the continued growth and development of the United States Army War College...

  15. PACS and its hospital-wide implementation: A case study at the Madigan Army Medical Center

    International Nuclear Information System (INIS)

    Choi, Hyung Sik; Kim, Yong Min; Smith, Donald V.; Bender, Gregory N.

    1993-01-01

    PACS represents the future of radiology in modern hospitals. Workstations and databases can be developed to substantially increase clinician's productivity, improve diagnostic accuracy, and make a large amount of knowledge and patient information available on-line to the physician. Currently, there are several hospitals in the process of implementing a total PACS system. They include Madigan Army Medical Center (Tacoma, Washington), VA Hospital in Baltimore, and Hammersmith Hospital in London (1). In order to provide the radiologist, the clinicians, and other health personnel in Korea with the general concept of PACS and its up-to-date status report, we describe the MDIS system being implemented in MAMC (Madigan Army Medical Center) which is the first hospital-wide large-scale PACS in the world. The major PACS components in MAMC have been installed since March 1992 and the full system implementation will be completed by summer 1993. The goal of the MDIS system in MAMC is to increase to more than 90% filmless by the end of 1993. In this paper, we discuss the introduction and background of PACS and its potential benefits, the current status of PACS installation in MAMC and the future plan, and the flow of image data and text information in MAMC

  16. A Statistical Analysis of the Relationship of Distance and Mode of Transportation on Length of Stay at Brooke Army Medical Center

    National Research Council Canada - National Science Library

    Hagen, John

    1997-01-01

    .... Transportation Command's (TRANSCOM) aeromedical evacuation system, to determine their influence on length of hospital stay at Brooke Army Medical Center in FY 1996 in order to better understand the irnpact these patients have on utilization management...

  17. 32 CFR 621.1 - Loan of Army/Defense Logistics Agency (DLA) owned property for use at national and State...

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Loan of Army/Defense Logistics Agency (DLA) owned... of Army/Defense Logistics Agency (DLA) owned property for use at national and State conventions. (a... and facilities on loan. (iv) Costs of packaging, packing, transportation and handling from source of...

  18. Social Media Misuse in the United States Army

    Science.gov (United States)

    2016-06-10

    phenomenon for the Army and it will increase as more Soldiers in the millennial generation communicate through social media as well as use numerous...social media . Soldiers and leaders must also understand the punitive actions that could result from not upholding the Army values and ethics resulting...browsing a social media network’s community page in 2014 when she came upon a video that she found offensive and sexist. In one scene of the video

  19. A history of US Army PAs.

    Science.gov (United States)

    Chalupa, Robyn L; Marble, W Sanders

    2017-11-01

    The US military has a long tradition of using physician assistants (PAs). The Army began using PAs in 1971 in an effort to supplement the physicians and surgeons in the medical corps. As their numbers grew, PAs gradually replaced general medical officers assigned to battalions. Later, specialty positions developed in aviation medicine, orthopedics, and emergency medicine. The need for a PA serving as an adviser in the major commands slowly developed at all levels of leadership. In 2015, the Army removed limitations on female PAs assigned to combat units. PAs lead in tactical and clinical settings, filling command roles, senior clinical positions, and administrative leadership roles.

  20. Motivational Profiles of Medical Students of Nepalese Army Institute of Health Sciences.

    Science.gov (United States)

    Shrestha, Lochana; Pant, Shambhu Nath

    2018-01-01

    Students enter the medical study with different types of motives. Given the importance of academic motivation for good academic achievement of the students, the present study was designed to reveal the possible relationship between academic motivation and achievement in medical students. In this cross-sectional study medical students (N=364) of Nepalese Army institute of Health Sciences were participated and classified to different subgroups using intrinsic and controlled motivation scores. Cluster membership was used as an independent variable to assess differences in study strategies and academic performance. Four clusters were obtained: High Intrinsic High Controlled, Low Intrinsic High Controlled, High Intrinsic Low Controlled, and Low Intrinsic Low Controlled. High Intrinsic High Controlled and High Intrinsic Low Controlled profile students constituted 36.1%, 22.6% of the population, respectively. No significant differences were observed as regards to deep strategy and surface strategy between high interest status motivated and high interest-motivated students. However, both of the clusters had significantly deeper, surface strategy and better academic performance than status-motivated and low-motivation clusters (p motivated and interest-motivated medical students were associated with good deep and surface study strategy and good academic performance. Low-motivation and status-motivated students were associated with the least academic performance with less interest learning behaviors. This reflected that motivation is important required component for good learning outcomes for medical students Keywords: Academic performance; controlled motivation; clusters; intrinsic motivation; motivation.

  1. Nanotechnology Laboratory Collaborates with Army to Develop Botulism Vaccine | FNLCR

    Science.gov (United States)

    The Nanotechnology Characterization Laboratory (NCL) is collaborating with the Army to develop a candidate vaccine against botulism. Under a collaboration agreement between the National Cancer Institute and the U.S. Army Medical Research Institute of

  2. What the Army Needs to Know to Align Its Operational and Institutional Activities

    Science.gov (United States)

    2007-01-01

    responsibilities of the Army leadership. In their roles as stakeholders in short-term acquisition, the Army leaders named here bring to bear the...required immunizations, be medically healthy, and have dental readiness classification of 1 or 2. Personal medical equipment (e.g., earplugs, eyeglasses

  3. US Army Medical Bioengineering Research and Development Laboratory Annual Progress Report for FY 84. Volume 1

    Science.gov (United States)

    1984-10-01

    guanidIne nitrate, is biodegraded slowly in surface waters alone and relatively rapidly if present with metabolizable carbon, in which case the compound...Operation." AORN Journal 40 (1984):330. Goethals, Gerald B. "So, You Want to be in Movies ?" Today’s OR Nurse 6 (1984):36-37. Goyal, Sagar M., S.A. Schaub...Development Laboratory MR 8-84 (May 1984). Mitchell, Wayne R. Preliminarx Results of Biodegradation Studies for Guanidine Nitrate. US Army Medical

  4. 2009 Center for Army Leadership Annual Survey of Army Leadership (CASAL): Army Education

    Science.gov (United States)

    2010-06-11

    right time, handling pre- education attitudes, and tracking performance gains and career advantages related to academics.  Developing current, relevant...Army Leadership Technical Report 2010-2 2009 CENTER FOR ARMY LEADERSHIP ANNUAL SURVEY OF ARMY LEADERSHIP (CASAL): ARMY EDUCATION ...Joshua Hatfield ICF International John P. Steele Center for Army Leadership June 2010 The Center for Army Leadership An

  5. Army dreamers.

    Science.gov (United States)

    1988-05-14

    The birth of the Army Nursing Service took place in 1854, when Florence Nightingale, at the request of the Secretary of State for War, recruited and took to Scutari Hospital 38 women to tend the wounded of the Crimean war.

  6. Fiscal Year 2011 United States Army Annual Financial Report. America’s Army: At a Strategic Crossroads

    Science.gov (United States)

    2011-01-01

    successful in any operational scenario. In FY 2011, the Army updated the Cost of the Doctrinal Army Model using improved and refined methods and the...General Fund uses engineering estimates and independently validated models to estimate environmental cleanup liabilities. The Remedial Action Cost ...Standard Price LCM = Lower of Cost or Market AC = Actual Cost O = Other MAC = Moving Average Cost Abnormal Balance The Revaluation Allowance for

  7. The health of the American slave examined by means of Union Army medical statistics.

    Science.gov (United States)

    Freemon, F R

    1985-01-01

    The health status of the American slave in the 19th century remains unclear despite extensive historical research. Better knowledge of slave health would provide a clearer picture of the life of the slave, a better understanding of the 19th-century medicine, and possibly even clues to the health problems of modern blacks. This article hopes to contribute to the literature by examining another source of data. Slaves entering the Union Army joined an organization with standardized medical care that generated extensive statistical information. Review of these statistics answers questions about the health of young male blacks at the time American slavery ended.

  8. 2007 Army Modernization Plan

    Science.gov (United States)

    2007-03-01

    Additional confi gurations include two NATO li ers with patients and one medical a endant. The aircra has a hoist for use in emergency...including airframes, wiring bundles and hydraulic systems on the remanufactured CH-47Fs are new. Program Status. The Army received its fi rst fully...Expansible Van and the 10T Dump Truck. Another new variant, the FMTV-Load Handling System, is expected to be fi elded in late-2007, initially to medical

  9. Evaluating Mobile Device Ownership and Usage in the U.S. Army: Implications for Army Training

    Science.gov (United States)

    2014-07-01

    Mercado University of Central Florida Randall D. Spain U.S. Army Research Institute July 2014 United States Army...NUMBER 633007 6. AUTHOR(S) Joseph E. Mercado ; Randall D. Spain 5c. PROJECT NUMBER A792 5d. TASK NUMBER 5e...13. SUPPLEMENTARY NOTES Subject Matter POC and Subject Matter Expert: Joseph E. Mercado 14. ABSTRACT (Maximum 200 words): As the U.S

  10. The Woman's Land Army: 1918-1920.

    Science.gov (United States)

    Laughlin, Margaret

    1994-01-01

    Describes the origins and work of the Women's Land Army, a World War I British volunteer agricultural production unit. Details similar program in the United States. Identifies the impact of the Women's Land Army including enhanced political, economic, and physical freedom for the participants and future generations of women. (CFR)

  11. Role of State Medical Boards in Continuing Medical Education

    Science.gov (United States)

    Johnson, David A.; Austin, Dale L.; Thompson, James N.

    2005-01-01

    The evaluation of physician competency prior to issuing an initial medical license has been a fundamental responsibility of medical boards. Growing public expectation holds that medical boards will ensure competency throughout a physician's career. The Federation of State Medical Boards (FSMB) strongly supports the right of state medical boards to…

  12. Measuring US Army medical evacuation: Metrics for performance improvement.

    Science.gov (United States)

    Galvagno, Samuel M; Mabry, Robert L; Maddry, Joseph; Kharod, Chetan U; Walrath, Benjamin D; Powell, Elizabeth; Shackelford, Stacy

    2018-01-01

    The US Army medical evacuation (MEDEVAC) community has maintained a reputation for high levels of success in transporting casualties from the point of injury to definitive care. This work served as a demonstration project to advance a model of quality assurance surveillance and medical direction for prehospital MEDEVAC providers within the Joint Trauma System. A retrospective interrupted time series analysis using prospectively collected data was performed as a process improvement project. Records were reviewed during two distinct periods: 2009 and 2014 to 2015. MEDEVAC records were matched to outcomes data available in the Department of Defense Trauma Registry. Abstracted deidentified data were reviewed for specific outcomes, procedures, and processes of care. Descriptive statistics were applied as appropriate. A total of 1,008 patients were included in this study. Nine quality assurance metrics were assessed. These metrics were: airway management, management of hypoxemia, compliance with a blood transfusion protocol, interventions for hypotensive patients, quality of battlefield analgesia, temperature measurement and interventions, proportion of traumatic brain injury (TBI) patients with hypoxemia and/or hypotension, proportion of traumatic brain injury patients with an appropriate assessment, and proportion of missing data. Overall survival in the subset of patients with outcomes data available in the Department of Defense Trauma Registry was 97.5%. The data analyzed for this study suggest overall high compliance with established tactical combat casualty care guidelines. In the present study, nearly 7% of patients had at least one documented oxygen saturation of less than 90%, and 13% of these patients had no documentation of any intervention for hypoxemia, indicating a need for training focus on airway management for hypoxemia. Advances in battlefield analgesia continued to evolve over the period when data for this study was collected. Given the inherent high

  13. The Need for the United States Army to Possess a Landing Craft with Maneuver Capabilities

    Science.gov (United States)

    2015-06-12

    landing craft after the 2004 Indian Ocean tsunami and the 2009 Myanmar cyclone.9 The landing craft enabled the relief effort to bypass partially...requirements for Army aviation . The Need for America’s Amphibious Capability In his thesis, “The Need for the United States of America’s Amphibious

  14. Optimizing the Distribution of United States Army Officers

    National Research Council Canada - National Science Library

    McElroy, Jeremy S

    2005-01-01

    .... The Army responds to imbalances by redistributing officers to provide each location with the minimum required officers while minimizing the number of unfilled targets and excess officers at each location...

  15. U.S. Army Medical Department Journal (January-March 2004)

    Science.gov (United States)

    2004-03-01

    the Center’s workforce emphasizes flexibility, adaptability, and a multi- disciplined approach in providing technical products to its Army...grant award to Slab DSP to develop new integrated circuit. Press release. Auckland , New Zealand: PHITEK Systems; June 4, 2002. 11. Sharp B

  16. We Want You: It Takes a Village To Market the Army

    Science.gov (United States)

    2013-03-01

    controls over its marketing activities. While policy governs Army behavior, principles of marketing shape it as well. In marketing , the brand...18. 92 Ibid., 18. 93 Head, 4. 94 Kotler and Lee, 239. 95 Ibid., 209. 96 Ibid., 218. 97 U.S. Army Marketing and Research Group, “Army...We Want You: It Takes a Village To Market the Army by Lieutenant Colonel Daniel C. Hodne United States Army

  17. Cultural Changes Required in the Army to Truly Achieve a Total Force

    Science.gov (United States)

    2016-02-16

    tailored to achieve anticipated objectives.”1 Honorable John M. McHugh , Secretary of the Army Army Directive 2012-08 (Army Total Force Policy...United States Soldier. 16 End Notes 1 McHugh , John M. “Army Directive 2012-08 (Army Total Force Policy).” Secretary of the Army, September 4...1 (February 2006): 40–42. McCullough, Amy. “Out of Reserve (Air Force Reserve Command)” 94, no. 12 (2011): 40. McHugh , John M. “Army Directive 2012

  18. Determining Market Categorization of United States Zip Codes for Purposes of Army Recruiting

    Science.gov (United States)

    2016-06-01

    Army uses commercial market segmentation data to analyze markets and past accessions to assign recruiters and quotas to maximize production. We use...Army Recruiting Command to rely on proprietary data with 66 market segments per ZIP code for market analysis and predicting recruiting potential...have different densities of potential recruits; the Army uses commercial market segmentation data to analyze markets and past accessions to assign

  19. Impact оf the First World War оn the Transformation of German Army

    Directory of Open Access Journals (Sweden)

    Evdokimova Tatyana

    2014-11-01

    Full Text Available Germany’s defeat in World War I and proclamation of the first German republic significantly influenced the change of the role of the army in the German state. At the stage of reorganization of the Kaiser’s army into the Reichswehr (1918–1921 the main result of this transformation became the creation of a new model of the German Army in which the principle of “distancing” the army from politics was replaced by new legislative and political realities that raised the question of inevitability of relationship between the army and the state. The Versailles Treaty and the Weimar constitution put forward the task of turning the German army into integral part of the state apparatus which led to losing its apoliticality. They also contributed to the emergence of Reich Ministry and the post of Reich Minister combined in one person the representative of the army and the state power. Besides, they helped to form a united German professional army and provided joint search of allies in the field of armaments by politicians and military men. The army tried to defend the old Prussian military traditions in terms of the German State called itself the Reich, and Weimar politicians sought to put the army under a parliamentary-presidential control. At the later stage of the Weimar Republic political generals will appear in the army, and important government positions will be taken by the representatives of the Generalitat. But the outcome of the force balance already at the stage of development of the temporary Reichswehr, when the real power in the army was in hands of the commander of the ground forces, and not of the Reich President and Reich Minister largely predetermined the strength of the conservative military elite in the future.

  20. Analysis of publications in Medical Journal of Chinese People’s Liberation Army during 2006 to 2010

    Directory of Open Access Journals (Sweden)

    Dong-ping ZHU

    2011-07-01

    Full Text Available Objective To analyze the characteristics of articles published in the Medical Journal of Chinese People’s Liberation Army(MJCPLA from year 2006 to 2010,so as to provide some beneficial references for further advance of the journal.Methods Each bibliometrics index of MJCPLA during 2006 to 2010 was analyzed with literature metrology.Results A total of 2442 articles were published in 60 issues over 5 years characterizing reasonable column setting,a high proportion,accounting for 43.5%,of fund-supported researches,with coauthor paper accounting for 95.6% and coauthor degree at 5.20.The articles were provided by authors widely distributed from 31 provinces,autonomous regions,mulicipality,and Macao Special Administrative Region,America,Ukraine,German and other overseas areas,implying the author ranks are of tremendous strength,and the readers group is of steady.Conclusion For the high quality of materials being published,the MJCPLA has a claim to one of the most important military medical information sources and an important core journal in medical field.

  1. Missing in Action: African American Combat Arms Officers in the United States Army

    National Research Council Canada - National Science Library

    Doward, Jr, Oscar W

    2008-01-01

    .... The monograph examines the African American Army officer's service during each period of major conflict over the last 100 years to explain why modern-day African American Army officers are prone...

  2. Response to work transitions by United States Army personnel: effects of self-esteem, self-efficacy, and career resilience.

    Science.gov (United States)

    Gowan, M A; Craft, S L; Zimmermann, R A

    2000-06-01

    This paper examined association of self-esteem, self-efficacy, and career resilience with the responses of 171 United States Army personnel making the transition to civilian jobs. Specifically, the study addresses whether personality traits are related to the appraisal of the transition from Army to civilian life and to how individuals plan to manage the transition to yield employment success. Self-esteem, self-efficacy, and career resilience were the personality variables examined. Only self-esteem and career resilience were related to harm appraisals of the transition. None of the personality variables were related to use of coping strategies. Limitations of the study and suggestions for research are provided.

  3. Child Abuse and Neglect United States Army U.S. Army Central Registry (1989-1996)

    Science.gov (United States)

    1998-03-31

    This report is an analysis of the child abuse and neglect cases that have been recorded in the Army Central Registry between 1989-1996. The following...were 30,551 initial substantiated cases of child abuse and neglect, or an average of about 3,80 cases per year. There were 2,336 subsequent incidents

  4. ISD Designed Medical Specialist Training.

    Science.gov (United States)

    Rock, Samuel K., Jr.; Chagalis, George P.

    The Basic Medical Specialist course has one of the largest enrollments of the U.S. Army's Academy of Health Sciences; 11,000 soldiers were trained in this course in 1977 and 1978. Training encompasses both emergency first aid (for field medics) and basic nursing skills. A task force working to improve Army training developed this course, in…

  5. Prevention of suicidal behaviour among army personnel: a qualitative study.

    Science.gov (United States)

    Crawford, M J; Sharpe, D; Rutter, D; Weaver, T

    2009-09-01

    To examine the context of suicidal behaviour among soldiers in the United Kingdom and identify factors that could reduce the risk of such behaviour. A series of in-depth interviews with service providers involved in treating soldiers following deliberate self harm. Their responses were compared with those of a small sub-sample of soldiers who presented to Army medical services following self harm. We interviewed 21 service providers with a range of experience and professional backgrounds and 10 soldiers. Service providers told us that the rarity of suicide among soldiers together with lower levels of mental illness amongst those who end their lives made suicide prevention in the Army a difficult task. However they highlighted concerns about recruitment and retention of young soldiers, and stated that stigmatisation of mental illness in the Army sometimes prevented those with suicidal ideation seeking help. They also highlighted the role of alcohol use in precipitating self-harm. Soldiers who had self-harmed told us that they struggled to balance the demands of work and family life and described harming themselves impulsively often while intoxicated with alcohol. Soldiers look to sources of support outside the Army, and see commanding officers, rather than healthcare professionals, as helping resolve their problems. Neither service providers nor soldiers mentioned helplines and other 'independent' sources of confidential advice and support which are available to soldiers serving with the British Army. Our findings highlight problems associated with efforts to reduce suicide among soldiers but suggest that these should focus continuing to try to reduce stigmatisation of mental distress and specifically on the role of commanding officers. Greater efforts should also be made to publicise existing sources of help and reduce levels of alcohol misuse.

  6. The Army rolls through Indianapolis: Fieldwork at the Virtual Army Experience

    Directory of Open Access Journals (Sweden)

    Robertson Allen

    2009-03-01

    Full Text Available This essay takes an ethnographic look at the individuals and institutions associated with the development, production, and implementation of the Virtual Army Experience (VAE, a mobile mission simulator that travels across the United States to venues such as state fairs and air shows. As an explicit aid to Army recruitment and interaction with the public, the VAE is an interesting nexus point that often channels public anxieties surrounding the medium of the video game and its role in the militarization of society. Here, I present my own experience of doing ethnography at this site, describing how it is received by visitors and interpreted by its employees. By means of the example of the VAE, I argue that polarizing media reports and academic criticisms that pit the processes of militarization against critical reflection of those processes are counterproductive and result in silencing more nuanced and thoughtful critical reflection that is already present at sites such as the VAE.

  7. Polyester Culture: The U.S. Army’s Aversion to Broadening Assignments

    Science.gov (United States)

    2012-04-18

    United States Army Human Resources Command, OPMD- MFE - I. 17 United States Code, Title X, Section 661, Office of the Law Revision Counsel. Web...Command, OPMD- MFE -Joint Policy Desk. 19 Data from the United States Army Human Resources Command, OPMD- MFE - I. 20 Ibid. 21 Max Webber, “Essays in

  8. 75 FR 22756 - Federal Advisory Committee; United States Army Science Board; Charter Renewal

    Science.gov (United States)

    2010-04-30

    ... relating to the Army's scientific, technical, manufacturing, acquisition, logistics, and business... the following disciplines: Science, technology, manufacturing, acquisition, logistics, business...; the Assistant Secretary of the Army for Acquisition, Logistics and Technology; and as requested, other...

  9. Army Sustainment. Volume 44, Issue 5. September-October 2012

    Science.gov (United States)

    2012-10-01

    Department of Defense or any of its agencies, and do not change or supersede official Army publications. The masculine pro - noun may refer to either gender...the Army Test and Evaluation Command (ATEC), AMC, and the Army staff, who con - stitute the candidate selection panel. CASCOM provides the TRADOC...improper use of these items that causes the fires. The Occupational Safety and Health Administration ( OSHA ) states that equipment needs to be used

  10. Operationalizing Army Cyber

    Science.gov (United States)

    2013-03-01

    killed just under 3,000 people and cost the U.S. economy somewhere between three and five trillion dollars. The Japanese attacked with a state... economy , and military readiness. The challenge is to design an Army Cyber force that can support the United States Cyber Command (USCYBERCOM) national...still keeps the intelligence and signal functions separate in most units today from battalion to echelon above Corps ( EAC ). There are many past reasons

  11. Equal Opportunity Program Management for the Army Medical Department

    Science.gov (United States)

    2008-04-09

    applies to someone who has the physical, cultural, or linguistic characteristics of a national group. Personal Racism , Sexism , or Bigotry: The ...Management and Army Demographics and Statistics Departments. LTC Horrell arranged my VIP trip to the Defense Equal Opportunity Management Institute (DEOMI...harassment in the organization. Organizational productivity is maximized when illegal discrimination is eradicated. One theory of why discrimination

  12. Army Technology

    Science.gov (United States)

    2015-02-01

    that allows them to perform applied research under the Institute for Biotechnology research team 1 2 3 20 | ARMY TECHNOLOGY MAGAZINE ...DASA(R&T) Deputy Assistant Secretary of the Army for Research and Technology Download the magazine , view online or read each individual story with...Army photo by Conrad Johnson) Front and back cover designs by Joe Stephens EXECUTIVE DEPUTY TO THE COMMANDING GENERAL Army Technology Magazine is an

  13. Creativity and Strategic Vision: The Key to the Army’s Future

    Science.gov (United States)

    1993-04-21

    future strategic leadership . 22 ENDNOTES 1. U.S. Army War College, Army Command. Leadership , and Management : Theory and Practice ([Carlisle Barracks...referring to a strategic leader, the Army War College reference text on command, leadership and management quoted earlier states. "he develops and...strategic leadership , are still applicable. He suggests that the Army should identify and track creative Individuals at the accession point, managing

  14. Grace Under Fire: The Army Nurses of Pearl Harbor, 1941.

    Science.gov (United States)

    Milbrath, Gwyneth R

    2016-01-01

    Much has been written about the military events of December 7, 1941; however, little has been documented about the nurses' work and experience at Pearl Harbor, Hawaii. The aerial assault on Pearl Harbor was the first time in US history that Army nurses had been on the front line of battle. Nurses quickly triaged and stabilized those who could be saved, and provided compassion and comfort to those who were dying, in an environment where the nurses were unsure of their own survival. Traditional historical methods and a social history framework were used in this investigation. Primary sources included oral histories from the US Army Medical Department Center of History and Heritage and the State of Hawaii's website, Hawaii Aviation. Secondary sources included published books, newspaper articles, military websites, and history texts. Due to the limited bed capacity, Hickam Field Hospital converted to an evacuation hospital. Nurses, physicians, and medical corpsman triaged, stabilized, and transported those likely to survive, while staging the dead behind the building. The emergency room at Tripler Hospital was quickly flooded with patients from the battlefield, but the staff was able to sort patients appropriately to the wards, to the operating room, or provide comfort care as they died. At Schofield Hospital, collaboration between tireless doctors, nurses, and corpsmen was key to providing life-saving surgery and care.

  15. Battling Bullying in the British Army 1987 – 2004

    Directory of Open Access Journals (Sweden)

    James K. Wither

    2004-09-01

    Full Text Available This article explores the attempts by the UK MOD to eradicate bullying in the British Army. Although British recruits are not confronted by mistreatment that compares with the phenomenon of dedovshchina, the Army has struggled to eliminate incidents of bullying from the ranks, which have tarnished the image of the British Army. The article examines the nature and extent of the problem, the efficacy of official policy to combat it, and suggests reasons why bullying persists even in a long- standing professional army. It also seeks to provide instructive insights for those militaries of the successor states of the Soviet Union that are currently blighted by dedovshchina.

  16. 75 FR 2463 - Continuing Contract for Civil Works Project Managed by the United States Army Corps of Engineers...

    Science.gov (United States)

    2010-01-15

    ... be considered a breach of contract and shall not entitle the Contractor to a price adjustment under... constitute a breach of this contract and shall not entitle the Contractor to any price adjustment under the... Continuing Contract for Civil Works Project Managed by the United States Army Corps of Engineers Clauses...

  17. Futures Seminar: The United States Army in 2025 and Beyond. A Compendium of U.S. Army War College Student Papers. Volume 1

    Science.gov (United States)

    2014-06-01

    Beyond.A Compendium of U.S. Army War College Student Papers. Volume 1 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d...is expected to result in considerable cost savings due to use of existing 31. Edward C. Cardon , “Moving to the Future,” Army Technology 1, iss. 2

  18. Historical Review: The U.S. Army Medical Belt for Front Line First Aid: A Well-Considered Design That Failed the Medical Department During the First World War.

    Science.gov (United States)

    Wever, Peter C; Korst, Mike B J M; Otte, Maarten

    2016-10-01

    In December 1913, a board of medical officers was appointed to adapt new U.S. Army equipment to the needs of the Hospital Corps. One of the improvements concerned substitution of the satchel-like Hospital Corps pouch used to carry first aid equipment. A waist belt with 10 pockets, known as the medical belt, was devised, and supplied with a tourniquet, adhesive plaster, safety pins, iodine swabs, sublimated gauze, individual dressing packets, gauze bandages, aromatic spirit of ammonia, and common pins. In addition, an ax carrier accommodating a hand ax, a canteen hanger, and a pouch to carry diagnosis tags and instruments were attached to the medical belt. In 1916, the medical belt was incorporated in the field supply tables in the Manual for the Medical Department. The next year, on April 6, 1917, the U.S. Congress declared war on Germany in reaction to sinking of American ships by German submarines. Although the medical belt had given satisfaction in preliminary trials, it did not withstand the test of war. In practice, the medical belt proved a source of dissatisfaction both as to the methods of packing and its contents, which were considered useless in modern warfare. Subsequently, discontinuance of the medical belt was recommended. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

  19. The Effects of a Customer Service Initiative at Moncrief Army Community Hospital

    Science.gov (United States)

    2008-04-06

    Vroom (1964) in job satisfaction , Linder-Pelz argued that expectancy (i.e., the evaluation of object attributes) was determined by the relationship...Sf. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADORESS(ES) MONCRIEF ARMY COMMUNITY HOSPITAL 4 500 STUART STREET FORT JACKSON, SC 29207...8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) US ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL

  20. The United States Army Operating Concept, 2016-2028

    Science.gov (United States)

    2010-08-19

    NationalDefenseStrategy.pdf Biddle , T. D. (2010, April). Educating Senior Military Officers: Observations from the Carlisle Parapet. [Unpublished...node/4077 National Intelligence Council Global Trends 2025: A Transformed World. (2008, November). Retrieved from http://www.dni.gov/ nic ...author. 118 Dr. Tami Davis Biddle , “Educating Senior Military Officers: Observations from the Carlisle Parapet,” US Army War College, Carlisle

  1. Combating Tobacco Use in the United States Army

    Science.gov (United States)

    2010-04-01

    videogame , tobacco use, military. 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE... videogame is theory-guided and uses animations, videos and interactive activities to provide facts about smoking and tobacco use, as well as provides...prevention and cessation interactive multimedia tool ( videogame ) among active Army personnel stationed at Fort Hood, Texas. Body Throughout the

  2. A Content Analysis of Army Newspapers Based in the Continental United States (CONUS) to Determine Editorial Differences Between Military and Civilian Editors

    National Research Council Canada - National Science Library

    Swiergosz, Paul

    1998-01-01

    A content analysis of four civilian enterprise Army newspapers published in the United States was conducted to determine if editorial differences in content and tone existed between military and civilian editors...

  3. Engineer: The Professional Bulletin of Army Engineers, Jan-Apr 2010

    Science.gov (United States)

    2010-04-01

    Dornstadter 51 Transformation in Korea By Major Rafael Pazos and Captain Miguel Uc Headquarters, Department of the ArmyVolume 40 PB 5-10-1...States with an By Major Rafael Pazos and Captain Miguel Uc January-April 201052 Engineer initial grant of 205 acres at USAG–Humphreys, allowing the...the quality of life of our Service members. Major Pazos is the deputy commander of the United States Army Corps of Engineers (USACE), Gulf Region

  4. Answering the Hottest Question in Army Education: What Is Army University?

    Science.gov (United States)

    Kem, John S.; LeBoeuf, Eugene J.; Martin, James B.

    2016-01-01

    The most common question heard by senior members of Army University is always, "What is Army University?" The newest education institution in the U.S. Army was created to unify the training and educational institutions of the Army, making the large learning organization more effective and efficient for its soldiers, bringing together 37…

  5. Differential Child Maltreatment Risk Across Deployment Periods of US Army Soldiers.

    Science.gov (United States)

    Taylor, Christine M; Ross, Michelle E; Wood, Joanne N; Griffis, Heather M; Harb, Gerlinde C; Mi, Lanyu; Song, Lihai; Strane, Douglas; Lynch, Kevin G; Rubin, David M

    2016-01-01

    We described the risk for maltreatment among toddlers of US Army soldiers over different deployment cycles to develop a systematic response within the US Army to provide families appropriate supports. We conducted a person-time analysis of substantiated maltreatment reports and medical diagnoses among children of 112,325 deployed US Army soldiers between 2001 and 2007. Risk of maltreatment was elevated after deployment for children of soldiers deployed once but not for children of soldiers deployed twice. During the 6 months after deployment, children of soldiers deployed once had 4.43 substantiated maltreatment reports and 4.96 medical diagnoses per 10,000 child-months. The highest maltreatment rate among children of soldiers deployed twice occurred during the second deployment for substantiated maltreatment (4.83 episodes per 10,000 child-months) and before the first deployment for medical diagnoses of maltreatment (3.78 episodes per 10,000 child-months). We confirmed an elevated risk for child maltreatment during deployment but also found a previously unidentified high-risk period during the 6 months following deployment, indicating elevated stress within families of deployed and returning soldiers. These findings can inform efforts by the military to initiate and standardize support and preparation to families during periods of elevated risk.

  6. A Pilotless Army in the Megalopolis

    National Research Council Canada - National Science Library

    Wegner, Robert

    2004-01-01

    This monograph answers the question, "Can unmanned aerial vehicles (UAVs) supplant manned United States Army attack and reconnaissance helicopters in the conduct of future urban operations" and the answer is, "not completely...

  7. U.S. Army Medical Department Journal, January-March 2007

    Science.gov (United States)

    2007-03-01

    events thundered onward. The term “Reconstruction Aides” was changed in 1926 to “ physiotherapy ” and “occupational therapy.”6 Only a few years later...The training of occupational therapists witnessed a similar buildup with the start of a student occupational therapy program in 1962.7 The decade...Soldiers was paramount.15 POST-VIETNAM In the year after the fall of Saigon, the Army Student Occupational Therapy program also ended due to the need

  8. Organizational Analysis of the United States Army Evaluation Center

    Science.gov (United States)

    2014-12-01

    customer at Redstone Arsenal, Alabama. Figure 14 shows the placement of the AEC APG directorates and was derived from Google Maps. Figure 14...Information (PII)  Portable Electronic Devices & Removable Storage Media  Phishing Awareness  Army G3 Computer Security Training In addition to the

  9. Military Medical Revolution: Military Trauma System

    Science.gov (United States)

    2012-01-01

    receive state-of-the-art physical therapy and occupational therapy , in- cluding demanding and challenging sports equipment and virtual reality systems...Knudson MM. Into the theater: perspectives from a civilian trauma sur- geon’s visit to the combat support hospital in Balad, Iraq. Bull Am Coll Surg...following type III open tibia fracture . J Orthop Trauma. 2012;26:43 47. 52. U.S Army Medical Research and Materiel Command. Armed Forces In- stitute of

  10. Organizational Analysis of the United States Army Contracting Command-Kuwait

    National Research Council Canada - National Science Library

    Orr, Kristine R

    2008-01-01

    This study of the U.S. Army Contracting Command - Kuwait (USACC-KU) used an organizational systems framework to analyze factors related to strategy structure, processes and results experienced at USACC-KU during 2006-2008...

  11. Evaluating the Coding and Workload Accounting Improvement Initiative of Madigan Army Medical Center

    National Research Council Canada - National Science Library

    Bewley, Lee W; Bender, Brian J

    2007-01-01

    ... documentation, provider coding accuracy and education, and clinic electronic medical record (AHLTA) usage. The desired end state of the CWAI is improved medical documentation and coding accuracy at MAMC...

  12. Application of the Taxonomy of Injuries: Analysis of Army Recruit Injuries, CY 2016

    Science.gov (United States)

    2018-01-31

    Assessing Fitness for Military Enlistment: Physical , Medical, and Mental Health Standards. Washington, DC: The National Academies Press. 13. U.S. Army...Public Health Information Paper Application of the Taxonomy of Injuries: Analysis of Army Recruit Injuries, CY 2016 PHIP No. 12-01-0118...Recruit Injuries, CY2016; Public Health Information Paper 12-01-0118 5a. CONTRACT NUMBER n/a 5b. GRANT NUMBER

  13. The United States Army Medical Department Journal. July-September 2010

    Science.gov (United States)

    2010-09-01

    wide range of dedicated healthcare professionals who collaborate time and again to advance the state-of-the- art of care for our Warriors who...2010. 5. Bsisu MS. The Arab Table. New York, NY: HarperCollins; 2005. 6. Zubaida S, Tapper R, eds. A Taste of Thyme: Culinary Cultures of the

  14. Portraying the Army Reserve Components in Army War Games and Exercises

    National Research Council Canada - National Science Library

    Dillon, Dick

    2002-01-01

    .... Ensuring that accuracy and realism was the primary purpose of the Role of the Army National Guard and Army Reserve in Army Exercises workshop conducted at the Collins Center for Strategic Leadership from 23-26 September 2002.

  15. Analysis of injuries from the Army Ten Miler: A 6-year retrospective review.

    Science.gov (United States)

    Pasquina, Paul F; Griffin, Sarah C; Anderson-Barnes, Victoria C; Tsao, Jack W; O'Connor, Francis G

    2013-01-01

    A number of long-distance running events are held each year in the United States; the Army Ten Miler (ATM) is one such race held annually in Washington, DC. The purpose of the present study was to retrospectively analyze medical encounters for runners participating in the ATM from 1998 to 2004. Of the estimated 91,750 runners over the 6-year period, 73,100 participants finished the race and were included in the data analysis. Demographic and injury data were collected from medical records of participants who received medical care while participating in the ATM, and injury-related factors were assessed. The most common category of injury was musculoskeletal (44%), followed by medical-related problems (27%) and dermatological injuries (27%). Similar to marathon and ironman races, ATM injury rates correlate with race-day temperature and dew point. Overall, however, the injury rates observed at the ATM were relatively low compared to those reported for longer distance events. Finally, we detail the medical coverage provided at the ATM, as this coverage could be used as a guide for similarly distanced races.

  16. A Surgical Business Composite Score for Army Medicine.

    Science.gov (United States)

    Stoddard, Douglas R; Robinson, Andrew B; Comer, Tracy A; Meno, Jenifer A; Welder, Matthew D

    2016-06-01

    Measuring surgical business performance for Army military treatment facilities is currently done through 6 business metrics developed by the Army Medical Command (MEDCOM) Surgical Services Service Line (3SL). Development of a composite score for business performance has the potential to simplify and synthesize measurement, improving focus for strategic goal setting and implementation. However, several considerations, ranging from data availability to submetric selection, must be addressed to ensure the score is accurate and representative. This article presents the methodology used in the composite score's creation and presents a metric based on return on investment and a measure of cases recaptured from private networks. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

  17. A Peer Sharing Approach to Mission Planning and Development in US Army Tactical Environments

    National Research Council Canada - National Science Library

    Lundy, Jacques

    2002-01-01

    This thesis analyzes the technical and information management environment that United States Army heavy combat tactical units operate in and provides a solution for how the Army's software development...

  18. Nostalgia in the Army (17th-19th Centuries).

    Science.gov (United States)

    Battesti, Michèle

    2016-01-01

    People died from nostalgia in the army in the 17th-19th centuries. The term 'nostalgia', created by the doctor Johannes Hofer (1669-1752), from Mulhouse, came from the Germanic Heimweh, or 'homesickness'. It affected the young people enrolled in the army, such as Swiss mercenaries. Longing for their native land, they were consumed by an ongoing desire to return home. If it was impossible to do so, they sank into 'a sadness accompanied with insomnia, anorexia and other unpleasant symptoms' that could lead to death. Nostalgia became classified as a disease during the last quarter of the 18th century and ravaged the French army during the Revolution and the Napoleonic wars. However, as soon as the wars ended, it ceased to exist in the army (except the colonial army). It was removed from the nosology in the first half of the 19th century. Rapidly explained as an example of a misdiagnosis or a confusion between 'connection and cause', nostalgia needs to be assessed in regard to the medical debate between 'alienists' and 'organicists'. Creating much concern, nostalgia needs to be considered in the historical context of a society destabilized by modernity, with some individuals uprooted by the sudden transition from civil society to military life. It raises questions about the role that the army played in the creation of the French national union. Nostalgia may have also covered psychic traumatisms later designated as combat fatigue, war neurosis, or post-traumatic stress disorder. © 2016 S. Karger AG, Basel.

  19. Medical Diplomacy in the United States Army: A Concept Whose Time Has Come

    National Research Council Canada - National Science Library

    Krueger, Mary V

    2008-01-01

    ... to the terrorists who wish to defeat US troops, as well as the Western way of life. Medical diplomacy is a nonlethal tool used in combination with economic and diplomatic efforts to achieve this end...

  20. Department of the Army - The Fiscal Year 2008 Military Personnel, Army Appropriation and the Antideficiency Act

    Science.gov (United States)

    2010-06-22

    of the Army, U.S. Army Audit Agency, Budgeting for the Military Personnel, Army Appropriation, Report No. A-2010-0028- FFM (Jan. 6, 2010); Department...of the Army, U.S. Army Audit Agency, Military Personnel, Army FY 05 Subsistence Charges, Report No. A-2008-0037- FFM (Feb. 12, 2008); Department of

  1. The United States Army Medical Department Journal. April-June 2010

    Science.gov (United States)

    2010-06-01

    against civilians residing in the United States). On the other hand, it is evident that terrorists are willing to both kill their countrymen and to...would have killed most men. By 1836 he was clearly in decline, but his reputation and force of personality were still such that most of the Alamo’s...War. New York, NY: Putnam; 1971:131-170. 26. James M. The Raven. Atlanta, GA: Mockingbird Books, Inc;1977:31. 27. Prucha FP. The Sword of the

  2. Army Logistician. Volume 41, Issue 1, January-February 2009

    Science.gov (United States)

    2009-02-01

    metrics and academic discipline. ARMy LOGISTICIAN PROFESSIONAL BULLETIN OF UNITED STATES ARMY LOGISTICS 47 According to Miles and Huberman , “when...transformation efforts from an NCW 8 Matthew B. Miles and A. Michael Huberman , Qualitative Data Analysis, Sage, Thousand Oaks, California, 1994. 9 Department of...their first 5 months in Iraq, the 426th BSB “Taskmasters” drove more than 89,000 miles on perilous roads to deliver their essential cargo—a feat

  3. Medical Student Education in State Psychiatric Hospitals: A Survey of US State Hospitals.

    Science.gov (United States)

    Nurenberg, Jeffry R; Schleifer, Steven J; Kennedy, Cheryl; Walker, Mary O; Mayerhoff, David

    2016-04-01

    State hospitals may be underutilized in medical education. US state psychiatric hospitals were surveyed on current and potential psychiatry medical student education. A 10-item questionnaire, with multiple response formats, was sent to identified hospitals in late 2012. Ninety-seven of 221 hospitals contacted responded. Fifty-three (55%) reported current medical student education programs, including 27 clinical clerkship rotations. Education and training in other disciplines was prevalent in hospitals both with and without medical students. The large majority of responders expressed enthusiasm about medical education. The most frequent reported barrier to new programs was geographic distance from the school. Limited resources were limiting factors for hospitals with and without current programs. Only a minority of US state hospitals may be involved in medical student education. While barriers such as geographic distance may be difficult to overcome, responses suggest opportunities for expanding medical education in the state psychiatric hospitals.

  4. POLLUTION PREVENTION OPPORTUNITY ASSESSMENT UNITED STATES ARMY CORPS OF ENGINEERS PITTSBURGH ENGINEER WAREHOUSE AND REPAIR STATION AND EMSWORTH LOCKS AND DAMS PITTSBURGH, PENNSYLVANIA

    Science.gov (United States)

    This report summarizes work conducted at the United States Army Corps of Engineers (USACE) Pittsburgh Engineering Warehouse and Repair Station (PEWARS) and Emsworth Locks and Dams in Pittsburgh, Pennsylvania under the U.S. Environmental Protection Agency's (EPA's) Waste Reduction...

  5. U.S. Army Medical Bioengineering Research and Development Laboratory Annual Progress Report FY 1985. Volume 1

    Science.gov (United States)

    1985-10-01

    Dental Corps, Malaysian Armed Forces; MAJ Johan van Geyzel, Malaysian Embassy, Washington, DC 7 March - BG Dato Chen Kwee Fong, Chief of Engineers... Malaysian Armed Forces; MAJ Johan van Geyzel, Malaysian Embassy, MAJ Tairobi bin Abdul Razak, Malaysian Army 2 July - BG William 0. Rodgers, Australian Army...and Diets for Culturing and Testing with Daphnia magna." Paper presented at the Ninth Symposium of Aquatic Toxicology and Environmental Fate sponsored

  6. Medical Logistics Lessons Observed During Operations Enduring Freedom and Iraqi Freedom.

    Science.gov (United States)

    Dole, Mark J; Kissane, Jonathan M

    2016-01-01

    Medical Logistics (MEDLOG) is a function of the Army's integrated System for Health that provides the medical products and specialized logistics services required to deliver health protection and care under all operational conditions. In unified land operations, MEDLOG is an inherent function of Health Service Support (HSS), which also includes casualty care and medical evacuation. This paper focuses on a few key lessons observed during Operations Enduring Freedom and Iraqi Freedom with direct implications for the support of HSS in future operations as envisioned in the Army Operating Concept and the Joint Concept for Health Services. It also examines a few key enablers that helped mitigate these challenges that are not yet fully acknowledged in Army Medical Department doctrine, policy, and planning.

  7. The United States Army’s Full-Spectrum Training Strategy Challenge

    Science.gov (United States)

    2012-05-17

    48 Ibid; Jeremy Pressman , “The Second Intifada: Background and Causes of Israeli-Palestinian...2007. Odierno, Raymond, “Initial Thoughts”, www.us.army.ml, 8 Sep 2011, (accessed 8 September, 2011). Pressman , Jeremy, The Second Intifada

  8. Colonial army recruitment patterns and post-colonial Military Coups ...

    African Journals Online (AJOL)

    Since time immemorial, societies, states and state builders have been challenged and transformed by the need and quest for military manpower. European states relied on conscript armies to 'pacify' and retain colonies in parts of the non-European world. These facts underscore the meticulous attention paid by the British to ...

  9. Medical ethics at Guantanamo Bay and Abu Ghraib: the problem of dual loyalty.

    Science.gov (United States)

    Clark, Peter A

    2006-01-01

    Although knowledge of torture and physical and psychological abuse was widespread at both the Guantanamo Bay detention facility and Abu Ghraib prison in Iraq, and known to medical personnel, there was no official report before the January 2004 Army investigation of military health personnel reporting abuse, degradation or signs of torture. Military medical personnel are placed in a position of a "dual loyalty" conflict. They have to balance the medical needs of their patients, who happen to be detainees, with their military duty to their employer. The United States military medical system failed to protect detainee's human rights, violated the basic principles of medical ethics and ignored the basic tenets of medical professionalism.

  10. A History of the Louisville District, Corps of Engineers United States Army, 1970-1983

    Science.gov (United States)

    1984-01-01

    on the project in 1954, and in 1962 Secretary of Army Elvis Stahr, Jr., recom- mended the project to Congress. Mter Con- gress approved the project...their opinions on the merits of the gorge and the project. One was former Secretary of the Army Elvis Stahr, who had become president of the National...Rick Garmom , Bob Weido, Frank DeGott, Kenny Hudston. Top pict.ure from left, front row: Eugene Presley , Bill Kreisle, Herschel St. Ledger, Farrel

  11. U.S. Army Medical Command Injury Summary, Active Duty Personnel, 2014

    Science.gov (United States)

    2016-07-01

    Michelle Canham-Chervak 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Army...Public Health Center (Provisional), Aberdeen Proving Ground, Maryland 21010-5403 8. PERFORMING ORGANIZATION REPORT NUMBER S.0023116-16 9. SPONSORING... softball bases (Pollack et al., 2005) • Mouthguards for football, basketball (Knapik et al., 2007) • Protective eyewear (Cass, 2012; Goldstein and Wee

  12. Comparative analysis of field ration for military personnel of the ukrainian army and armies of other countries worldwide

    OpenAIRE

    M. Mardar; M. Hkrupalo; M. Stateva

    2017-01-01

    For the purpose of improvement of the Ukrainian nutritional standards this Article provides comparative analysis of field rations of different countries worldwide to make a proposal on improvement of food-stuff assortment in food ration for military personnel in the Armed Forces of Ukraine, Army of USA, the British Army, Army of Germany, Army of Italy, Army of Canada, Army of France, Army of Belarus, Army of Armenia. In accordance with the comparative analysis it was established that ration c...

  13. Army's drinking water surveillance program

    International Nuclear Information System (INIS)

    Sneeringer, P.V.; Belkin, F.; Straffon, N.; Costick, S.A.

    1977-01-01

    In 1976 a total of 827 water sources from Army installations throughout the world were sampled and analyzed for 53 chemical constituents and physical parameters. Medically significant contaminants included radiation measurements, heavy metals, fluoride, nitrate, and pesticides. Radiological activity appeared to vary with geographic location; a majority being from water sources in the western part of the U.S. No results for tritium were found to exceed the health-reference limit. Confirmatory analyses for radium-226 identified 3 groundwater sources as exceeding the limit; one was attributed to natural activity and the other sources are currently being investigated. Of the metals considered to be medically significant, mercury, chromium, lead, cadmium, silver, barium and arsenic were found in amounts within health level limits. Nitrate levels exceeding the health limit were confirmed for 2 drinking water sources

  14. Administration: Army Congressional Fellowship Program

    National Research Council Canada - National Science Library

    2000-01-01

    This printing publishes a new Army Regulation. This regulation presents the policies and procedures under which the Army manages the Army Congressional Fellowship Program and supplements applicable Department...

  15. Medical Department, United States Army. Surgery in World War II. Neurosurgery. Volume 1

    Science.gov (United States)

    1958-01-01

    116 Photomicrograph showing petechial hemorrhages in cortex ------------------- 378 117 Photomicrograph showing nerve cell changes in caudate nucleus...headache unrelieved by ordinary medication or when there were signs of increasing intracranial hypertension; and (4) diagnosis of persistent fever ...hemorrhage at various points along the track of the bullet, was almost. invariably present for some days, or even for weeks, after injury. Fever was also

  16. Human Resource Automation Architecture Validation for a Transforming Army

    National Research Council Canada - National Science Library

    Devine, Patrick

    2005-01-01

    .... These steps if taken will result in better support to United States Army members while expediting access to commander's key information requirements and decreasing the workload of service providers...

  17. Pediatric care as part of the US Army medical mission in the global war on terrorism in Afghanistan and Iraq, December 2001 to December 2004.

    Science.gov (United States)

    Burnett, Mark W; Spinella, Philip C; Azarow, Kenneth S; Callahan, Charles W

    2008-02-01

    Our objective in this report was to describe the epidemiologic features of and workload associated with pediatric admissions to 12 US Army military hospitals deployed to Iraq and Afghanistan. The Patient Administration Systems and Biostatistics Activity database was queried for all local national patients Afghanistan and Iraq between December 2001 and December 2004. Pediatric admissions during the study period were 1012 (4.2%) of 24,227 admissions, occupying 10% of all bed-days. The median length of stay was 4 days (interquartile range: 1-8 days). The largest proportion of children were 11 to 17 years of age (332 of 757 children; 44%), although 45 (6%) of 757 children hospitalized were Afghanistan and Iraq. Military medical planners must continue to improve pediatric medical support, including personnel, equipment, and medications that are necessary to treat children injured during combat operations, as well as those for whom the existing host nation medical infrastructure is unable to provide care.

  18. The Role of the Army Reserve in the Weapons of Mass Destruction/Homeland Defense Program

    National Research Council Canada - National Science Library

    Smith, Joseph

    2000-01-01

    ... attack. Given these increasing threats to the territory, population, and infrastructure of the United States, the Army Reserve should have an expanded role in providing homeland defense capabilities. The Army Reserve is well suited to homeland defense missions.

  19. Review of Initiatives for Increasing Enlisted Reenlistment in the U.S. Army

    Science.gov (United States)

    2009-11-01

    PREP), suicide prevention, and family training in communication skills, conflict prevention, and family team build ing ("Fort Wainwright Website... Japan , or Okinawa, offering up to $350 per term for education-related expenses ("Army Education Programs;" military.com, n.d .a). The program is...Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). Military medical facilities were cited as understaffed and overworked , making

  20. Discovering the Army's Core Competencies

    National Research Council Canada - National Science Library

    Rudesheim, Frederick

    2001-01-01

    This paper seeks to answer the question, "Has the Army correctly identified its core competencies to ensure the Army can adequately respond to the national military strategy?" FM 1, The Army (Prototype Draft...

  1. Advanced information processing system: The Army fault tolerant architecture conceptual study. Volume 1: Army fault tolerant architecture overview

    Science.gov (United States)

    Harper, R. E.; Alger, L. S.; Babikyan, C. A.; Butler, B. P.; Friend, S. A.; Ganska, R. J.; Lala, J. H.; Masotto, T. K.; Meyer, A. J.; Morton, D. P.

    1992-01-01

    Digital computing systems needed for Army programs such as the Computer-Aided Low Altitude Helicopter Flight Program and the Armored Systems Modernization (ASM) vehicles may be characterized by high computational throughput and input/output bandwidth, hard real-time response, high reliability and availability, and maintainability, testability, and producibility requirements. In addition, such a system should be affordable to produce, procure, maintain, and upgrade. To address these needs, the Army Fault Tolerant Architecture (AFTA) is being designed and constructed under a three-year program comprised of a conceptual study, detailed design and fabrication, and demonstration and validation phases. Described here are the results of the conceptual study phase of the AFTA development. Given here is an introduction to the AFTA program, its objectives, and key elements of its technical approach. A format is designed for representing mission requirements in a manner suitable for first order AFTA sizing and analysis, followed by a discussion of the current state of mission requirements acquisition for the targeted Army missions. An overview is given of AFTA's architectural theory of operation.

  2. U.S. Army Officer Perceptions of the New OER (DA Form 67-8).

    Science.gov (United States)

    1982-12-01

    67-8. B. BACKGROUND The U.S. Army Officer Evaluation Reporting System (OERS) is the product of many years’of research and development. It is part of...Professional Study, Air War College, Maxwell AFB, AL, April 1975. Currey, Cecil B., Self-Destruction The Disintergration and Decay of the United States Army

  3. The 1991 Department of the Army Service Response Force exercise: Procedural Guide SRFX-91

    Energy Technology Data Exchange (ETDEWEB)

    Madore, M.A.; Thomson, R.S.; Haffenden, R.A.; Baldwin, T.E.; Meleski, S.A.

    1991-09-01

    This procedural guide was written to assist the US Army in planning for a chemical emergency exercise at Tooele Army Depot in Utah. The roles of various members of the emergency response community are described for various accident scenarios, and the relationships between the various responders are identified. For the June 1991 exercise at Tooele, the emergency response community includes the command structure at Tooele Army Depot; the US Army Service Response Force and other Department of Defense agencies; emergency response personnel from Tooele, Salt Lake, and Utah counties and municipal governments; the Utah Comprehensive Emergency Management Agency and other state agencies; and various federal agencies.

  4. Surveillance of Disease and Nonbattle Injuries During US Army Operations in Afghanistan and Iraq.

    Science.gov (United States)

    Hauret, Keith G; Pacha, Laura; Taylor, Bonnie J; Jones, Bruce H

    2016-01-01

    Disease and nonbattle injury (DNBI) are the leading causes of morbidity during wars and military operations. However, adequate medical data were never before available to service public health centers to conduct DNBI surveillance during deployments. This article describes the process, results and lessons learned from centralized DNBI surveillance by the US Army Center for Health Promotion and Preventive Medicine, predecessor of the US Army Public Health Command, during operations in Afghanistan and Iraq (2001-2013).The surveillance relied primarily on medical evacuation records and in-theater hospitalization records. Medical evacuation rates (per 1,000 person-years) for DNBI were higher (Afghanistan: 56.7; Iraq: 40.2) than battle injury rates (Afghanistan: 12.0; Iraq: 7.7). In Afghanistan and Iraq, respectively, the leading diagnostic categories for medical evacuations were nonbattle injury (31% and 34%), battle injury (20% and 16%), and behavioral health (12% and 10%). Leading causes of medically evacuated nonbattle injuries were sports/physical training (22% and 24%), falls (23% and 26%) and military vehicle accidents (8% and 11%). This surveillance demonstrated the feasibility, utility, and benefits of centralized DNBI surveillance during military operations.

  5. Self-medication of mood and anxiety disorders with marijuana: Higher in states with medical marijuana laws.

    Science.gov (United States)

    Sarvet, Aaron L; Wall, Melanie M; Keyes, Katherine M; Olfson, Mark; Cerdá, Magdalena; Hasin, Deborah S

    2018-05-01

    Self-medication with drugs or alcohol is commonly reported among adults with mood or anxiety disorders, and increases the risk of developing substance use disorders. Medical marijuana laws (MML) may be associated with greater acceptance of the therapeutic value of marijuana, leading individuals to self-medicate. The study utilized data from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (2004-2005). Participants were sampled from households in the general population and included adults with a mood or anxiety disorder in the past 12 months (n = 7418), and the subset of those who used marijuana and no other drug (n = 314). Weighted logistic regression models predicted the prevalence of self-medication with drugs in U.S. states with and without MML, adjusting for individual and state-level covariates. As a negative control, analyses were repeated for self-medication with alcohol. Overall, self-medication with drugs was 3.73 percentage points higher (95% confidence interval [CI]: 0.93-6.53) among those living in MML states (p = 0.01). For the subpopulation that only used marijuana, self-medication with drugs was 21.22 percentage points higher (95% CI: 3.91-38.53) among those living in MML states (p = 0.02). In contrast, self-medication with alcohol had nearly identical prevalence in MML and non-MML states, overall and for drinkers. Among adults with mood or anxiety disorders, living in a medical marijuana law state is associated with self-medication with marijuana. While additional research is needed to determine the reasons for this association, clinical screening for self-medication with marijuana may be particularly important in states with medical marijuana laws. Copyright © 2018 Elsevier B.V. All rights reserved.

  6. U.S. Army-Baylor University Health Care Administration Program: evidenced-based outcomes in the military health system.

    Science.gov (United States)

    Mangelsdorff, A David; Rogers, Jody; Finstuen, Kenn; Pryor, Rene

    2004-01-01

    The purpose of this research is to assess the impact of an educational program on the Military Health System on some of the evidence-based educational outcomes for the Individual (student) and the Society (all Army Medical Treatment Facilities). The U.S. Army-Baylor University HCA program provides a unique opportunity to assess the impact of an educational program on the Military Health System (MHS). Since the majority of the graduate students are military officers who serve in military medical treatment facilities (MTFs), tracking their career progression allows assessing the value added of the U.S. Army-Baylor University HCA experience from 1951 to 2001 (n = 2234). The context of Society outcomes includes all the Army MTFs where U.S. Army-Baylor University HCA graduates execute their leadership skills. During the time from 1994 to 2001, all of the Army MTFs in the MHS (n = 38) were examined by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). In a similar but shorter time frame (1997-2001), DoD patient satisfaction assessments were conducted. The Individual outcomes (career advancement, increase in status, higher professional association membership) demonstrate that the selection criteria used for program admission appear to be successful. The Society outcomes showed higher JCAHO scores and satisfied consumers in Army facilities with Baylor graduates as the Deputy Commander for Administration (DCA). Continued internal program assessments (curriculum reviews) and external reviews (Accrediting Commission on Education for Health Services Administration accreditations of 5 years in 1987, 8 years in 1993 and 7 years in 2001, and 7 ACHE student chapter awards) attest to the strengths of the U.S. Army-Baylor University HCA program. Educating the MHS shareholders (patients, beneficiaries, professional and support staff, senior leaders) and leveraging technology to. share best practices for all administrators (including non-Baylor graduates) will

  7. Inpatient Obstetric Care at Irwin Army Community Hospital: A Study to Determine the Most Efficient Organization

    Science.gov (United States)

    2001-03-01

    Reese’s new birthing suites may curb maternity malpractice suits. Modern Healthcare, 16 (11), 48. Clark, L., & Stewart, R. (1982). Nurse-midwifery...Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law , no person shall be...US Army Medical Department Center and School Bldg 2841 MCCS-HRA (US Army-Baylor Program in HCA) 3151 Scott Road, Suite 1412 Fort Sam Houston, TX 78234

  8. State-level medical and absenteeism cost of asthma in the United States.

    Science.gov (United States)

    Nurmagambetov, Tursynbek; Khavjou, Olga; Murphy, Louise; Orenstein, Diane

    2017-05-01

    For medically treated asthma, we estimated prevalence, medical and absenteeism costs, and projected medical costs from 2015 to 2020 for the entire population and separately for children in the 50 US states and District of Columbia (DC) using the most recently available data. We used multiple data sources, including the Medical Expenditure Panel Survey, U.S. Census Bureau, Kaiser Family Foundation, Medical Statistical Information System, and Current Population Survey. We used a two-part regression model to estimate annual medical costs of asthma and a negative binomial model to estimate annual school and work days missed due to asthma. Per capita medical costs of asthma ranged from $1,860 (Mississippi) to $2,514 (Michigan). Total medical costs of asthma ranged from $60.7 million (Wyoming) to $3.4 billion (California). Medicaid costs ranged from $4.1 million (Wyoming) to $566.8 million (California), Medicare from $5.9 million (DC) to $446.6 million (California), and costs paid by private insurers ranged from $27.2 million (DC) to $1.4 billion (California). Total annual school and work days lost due to asthma ranged from 22.4 thousand (Wyoming) to 1.5 million days (California) and absenteeism costs ranged from $4.4 million (Wyoming) to $345 million (California). Projected increase in medical costs from 2015 to 2020 ranged from 9% (DC) to 34% (Arizona). Medical and absenteeism costs of asthma represent a significant economic burden for states and these costs are expected to rise. Our study results emphasize the urgency for strategies to strengthen state level efforts to prevent and control asthma attacks.

  9. Evaluation of the Low Back Pain Practice Guideline Implementation in the Army Medical Department

    National Research Council Canada - National Science Library

    Farley, Donna

    2004-01-01

    ... clinical care practices across the Army health system. This report presents the final results of the evaluation that RAND conducted as part of the demonstration for the low back practice guideline, which was conducted in 1999 and 2000...

  10. US Army Weapon Systems Human-Computer Interface (WSHCI) style guide, Version 1

    Energy Technology Data Exchange (ETDEWEB)

    Avery, L.W.; O`Mara, P.A.; Shepard, A.P.

    1996-09-30

    A stated goal of the U.S. Army has been the standardization of the human computer interfaces (HCIS) of its system. Some of the tools being used to accomplish this standardization are HCI design guidelines and style guides. Currently, the Army is employing a number of style guides. While these style guides provide good guidance for the command, control, communications, computers, and intelligence (C4I) domain, they do not necessarily represent the more unique requirements of the Army`s real time and near-real time (RT/NRT) weapon systems. The Office of the Director of Information for Command, Control, Communications, and Computers (DISC4), in conjunction with the Weapon Systems Technical Architecture Working Group (WSTAWG), recognized this need as part of their activities to revise the Army Technical Architecture (ATA). To address this need, DISC4 tasked the Pacific Northwest National Laboratory (PNNL) to develop an Army weapon systems unique HCI style guide. This document, the U.S. Army Weapon Systems Human-Computer Interface (WSHCI) Style Guide, represents the first version of that style guide. The purpose of this document is to provide HCI design guidance for RT/NRT Army systems across the weapon systems domains of ground, aviation, missile, and soldier systems. Each domain should customize and extend this guidance by developing their domain-specific style guides, which will be used to guide the development of future systems within their domains.

  11. Standardization and Implementation of a Standard Emergency Code Call System within Estern Region Medical Command

    Science.gov (United States)

    2009-03-01

    ACHs) exist the same way that Kaiser has established different levels of services within a geographical region ( Hawaii : Hilo , Kona, Honolulu, Maui...California, Hawaii , etc., the Army MHS is divided into regions. Within these regions, Army Medical Centers (MEDCENSs) and Army Community Hospitals

  12. Secular Trends in the Physical Fitness of United States Army Recruits on Entry to Service, 1975-2013.

    Science.gov (United States)

    Knapik, Joseph J; Sharp, Marilyn A; Steelman, Ryan A

    2017-07-01

    Knapik, JJ, Sharp, MA, and Steelman, RA. Secular trends in the physical fitness of United States Army recruits on entry to service, 1975-2013. J Strength Cond Res 31(7): 2030-2052, 2017-A systematic literature search was conducted to identify and analyze articles that reported on physical fitness of new US Army recruits. The National Library of Medicine's PubMed and the Defense Technical Information Center were searched using the keywords (military personnel OR trainee OR recruit OR soldier) AND (physical fitness OR strength OR endurance OR flexibility OR balance OR coordination OR muscle contraction OR running OR exercise OR physical conditioning). Reference lists of obtained articles and contact with authors enhanced the search. Studies were selected if they involved recruits in Basic Combat Training or One-Station Unit Training, provided a quantitative assessment of at least one fitness measure, and the fitness measure(s) were obtained early in training. Average values for each fitness measure were obtained, plotted by the year of data collection, and fitted to linear regression models (fitness measure × year). Fifty-three articles met the review criteria. Regression analysis indicated little temporal change in height, but body weight, body mass index, body fat, and fat-free mass increased over time. Limited V[Combining Dot Above]O2max data suggested no temporal change in male recruits, but those in female recruits V[Combining Dot Above]O2max seem to have slightly improved. Apparently contradicting the V[Combining Dot Above]O2max findings, performance on endurance runs (1- and 2-mile) declined, possibly because of the increase in body weight. Muscular endurance (push-ups, sit-ups) demonstrated little systematic change over time. Limited but multiple measures of muscular strength suggest a temporal increase in strength. Specific components of US Army recruit fitness seem to have changed over time.

  13. Annual Research Progress Report Letterman Army Institute of Research

    Science.gov (United States)

    1974-06-30

    occurs in the human oral cavity following trauma °r -J J« "^ an important defense mechanism in the highly infected oral environment ^d...antiseptic to temporarily reduce the bacterial population of the oral cavity . A collaborative study between Letterman Army Medical Center and...penicillin resistant strains of bacteria are frequently- observed components of the microbiota of oral and maxlllofacial in- fections surveyed at Letterman

  14. Major Harvey Cushing's difficulties with the British and American armies during World War I.

    Science.gov (United States)

    Carey, Michael E

    2014-08-01

    This historical review explores Harvey Cushing's difficulties with both the British and American armies during his World War I service to definitively examine the rumor of his possible court martial. It also provides a further understanding of Cushing the man. While in France during World War I, Cushing was initially assigned to British hospital units. This service began in May 1917 and ended abruptly in May 1918 when the British cashiered him for repeated censorship violations. Returning to American command, he feared court martial. The army file on this matter (retrieved from the United States National Archives) indicates that US Army authorities recommended that Cushing be reprimanded and returned to the US for his violations. The army carried out neither recommendation, and no evidence exists that a court martial was considered. Cushing's army career and possible future academic life were protected by the actions of his surgical peers and Merritte Ireland, Chief Surgeon of the US Army in France. After this censorship episode, Cushing was made a neurosurgical consultant but was also sternly warned that further rule violations would not be tolerated by the US Army. Thereafter, despite the onset of a severe peripheral neuropathy, probably Guillian Barré's syndrome, Cushing was indefatigable in ministering to neurosurgical needs in the US sector in France. Cushing's repeated defying of censorship regulations reveals poor judgment plus an initial inability to be a "team player." The explanations he offered for his censorship violations showed an ability to bend the truth. Cushing's war journal is unclear as to exactly what transpired between him and the British and US armies. It also shows no recognition of the help he received from others who were instrumental in preventing his ignominious removal from service in France. Had that happened, his academic future and ability to train future neurosurgical leaders may have been seriously threatened. Cushing's foibles

  15. The Challenges of Adopting a Culture of Mission Command in the US Army

    Science.gov (United States)

    2015-05-23

    attributes of organizations. Culture includes core values and shared interpretations about how things are; climate includes individualistic ...attractive when compared to the changing organizational culture of business – which was moving to flatter organizations, with more individual autonomy ...The Challenges of Adopting a Culture of Mission Command in the US Army A Monograph by LTC James W. Wright United States Army School of

  16. Pornography and the United States Army: Ethical Considerations and Policy Implications

    Science.gov (United States)

    1991-07-12

    21bid, 9. 2 ethical concepts can helpfully inform Army ethics, values, and practices . Nevertheless, potent non-theological arguments against...prostitutes may, in fact, be pornographic, but the term applies to a wider spectrum of sexual description, explicitness, and practice . Depending on...may depict heterosexual activity, homosexual activity, child/adult sexual activity, bestiality, masturbation , sado-masochism, or other sexual

  17. Medical marijuana laws in 50 states: investigating the relationship between state legalization of medical marijuana and marijuana use, abuse and dependence.

    Science.gov (United States)

    Cerdá, Magdalena; Wall, Melanie; Keyes, Katherine M; Galea, Sandro; Hasin, Deborah

    2012-01-01

    Marijuana is the most frequently used illicit substance in the United States. Little is known of the role that macro-level factors, including community norms and laws related to substance use, play in determining marijuana use, abuse and dependence. We tested the relationship between state-level legalization of medical marijuana and marijuana use, abuse, and dependence. We used the second wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a national survey of adults aged 18+ (n=34,653). Selected analyses were replicated using the National Survey on Drug Use and Health (NSDUH), a yearly survey of ∼68,000 individuals aged 12+. We measured past-year cannabis use and DSM-IV abuse/dependence. In NESARC, residents of states with medical marijuana laws had higher odds of marijuana use (OR: 1.92; 95% CI: 1.49-2.47) and marijuana abuse/dependence (OR: 1.81; 95% CI: 1.22-2.67) than residents of states without such laws. Marijuana abuse/dependence was not more prevalent among marijuana users in these states (OR: 1.03; 95% CI: 0.67-1.60), suggesting that the higher risk for marijuana abuse/dependence in these states was accounted for by higher rates of use. In NSDUH, states that legalized medical marijuana also had higher rates of marijuana use. States that legalized medical marijuana had higher rates of marijuana use. Future research needs to examine whether the association is causal, or is due to an underlying common cause, such as community norms supportive of the legalization of medical marijuana and of marijuana use. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  18. Starting Strong: Talent-based Branching of Newly Commissioned U.S. Army Officers

    Science.gov (United States)

    2016-04-01

    security policy formulation. iii v Strategic Studies Institute and U.S. Army War College Press STARTING STRONG: TALENT -BASED BRANCHING OF NEWLY...public release; distribution is unlimited. ***** This publication is subject to Title 17, United States Code , Sections 101 and 105. It is in the public...SSI website at www.StrategicStudiesInstitute.army.mil/newsletter. ***** This volume is the 9th in a series of monographs on officer talent management

  19. America’s Army: The Strength of the Nation. 2010 Army Posture Statement

    Science.gov (United States)

    2010-02-19

    that the Army Soldier is the best equipped and most re- spected combatant in the world. In order to ex- ecute Army Modernization and ensure the con...Force Traumatic Brain Injury ( TBI ) Unaccompanied Personnel Housing (UPH) Unmanned Aircraft, Raven Small System Unmanned Aircraft, Shadow System Unmanned...Services TBI Traumatic Brain Injury 30 LoyaLty | Duty | Respect | seLfLess seRvice | HonoR | integRity | peRsonaL couRage 2010 Army

  20. Women in the Army

    Science.gov (United States)

    1980-06-06

    Army womenpower re- quirements with no apparent end in sight. No country, not even Russia or Israel, has ever made a conscious decision to include...provide a basis for decision making. iiI CHAPTER ONE AN HISTORICAL OVERVIEW Few books have been written which outline the history of military women...with a bill introducing the Women’s Army Auxillary Corps (WAAC). In order 7 that the Army could maintain control over this sensitive issue, General

  1. U.S. Army weapon systems human-computer interface style guide. Version 2

    Energy Technology Data Exchange (ETDEWEB)

    Avery, L.W.; O`Mara, P.A.; Shepard, A.P.; Donohoo, D.T.

    1997-12-31

    A stated goal of the US Army has been the standardization of the human computer interfaces (HCIs) of its system. Some of the tools being used to accomplish this standardization are HCI design guidelines and style guides. Currently, the Army is employing a number of HCI design guidance documents. While these style guides provide good guidance for the command, control, communications, computers, and intelligence (C4I) domain, they do not necessarily represent the more unique requirements of the Army`s real time and near-real time (RT/NRT) weapon systems. The Office of the Director of Information for Command, Control, Communications, and Computers (DISC4), in conjunction with the Weapon Systems Technical Architecture Working Group (WSTAWG), recognized this need as part of their activities to revise the Army Technical Architecture (ATA), now termed the Joint Technical Architecture-Army (JTA-A). To address this need, DISC4 tasked the Pacific Northwest National Laboratory (PNNL) to develop an Army weapon systems unique HCI style guide, which resulted in the US Army Weapon Systems Human-Computer Interface (WSHCI) Style Guide Version 1. Based on feedback from the user community, DISC4 further tasked PNNL to revise Version 1 and publish Version 2. The intent was to update some of the research and incorporate some enhancements. This document provides that revision. The purpose of this document is to provide HCI design guidance for the RT/NRT Army system domain across the weapon systems subdomains of ground, aviation, missile, and soldier systems. Each subdomain should customize and extend this guidance by developing their domain-specific style guides, which will be used to guide the development of future systems within their subdomains.

  2. Army Contract Writing System (ACWS)

    Science.gov (United States)

    2016-03-01

    2016 Major Automated Information System Annual Report Army Contract Writing System (ACWS) Defense Acquisition Management Information Retrieval...Information 4 Responsible Office 4 References 4 Program Description 5 Business Case 5 Program Status 6 Schedule 7 Performance...Program Information Program Name Army Contract Writing System (ACWS) DoD Component Army Responsible Office Program Manager References MAIS

  3. Median and ulnar neuropathies in U.S. Army Medical Command Band members.

    Science.gov (United States)

    Shaffer, Scott W; Koreerat, Nicholas R; Gordon, Lindsay B; Santillo, Douglas R; Moore, Josef H; Greathouse, David G

    2013-12-01

    Musicians have been reported as having a high prevalence of upper-extremity musculoskeletal disorders, including carpal tunnel syndrome. The purpose of this study was to determine the presence of median and ulnar neuropathies in U.S. Army Medical Command (MEDCOM) Band members at Fort Sam Houston, Texas. Thirty-five MEDCOM Band members (30 males, 5 females) volunteered to participate. There were 33 right-handed musicians, and the mean length of time in the MEDCOM Band was 12.2 yrs (range, 1-30 yrs). Subjects completed a history form, were interviewed, and underwent a physical examination of the cervical spine and bilateral upper extremities. Nerve conduction studies of the bilateral median and ulnar nerves were performed. Electrophysiological variables served as the reference standard for median and ulnar neuropathy and included distal sensory latencies, distal motor latencies, amplitudes, conduction velocities, and comparison study latencies. Ten of the 35 subjects (29%) presented with abnormal electrophysiologic values suggestive of an upper extremity mononeuropathy. Nine of the subjects had abnormal median nerve electrophysiologic values at or distal to the wrist; 2 had bilateral abnormal values. One had an abnormal ulnar nerve electrophysiologic assessment at the elbow. Nine of these 10 subjects had clinical examination findings consistent with the electrophysiological findings. The prevalence of mononeuropathies in this sample of band members is similar to that found in previous research involving civilian musicians (20-36%) and far exceeds that reported in the general population. Prospective research investigating screening, examination items, and injury prevention measures in musicians appears to be warranted.

  4. Effect of adaptability of field army recruits to psychological education

    Directory of Open Access Journals (Sweden)

    Meng-xue ZHAO

    2015-07-01

    Full Text Available Objective To explore the effect of psychological education adaptability on the mental quality and mental health of recruits of field army units. Methods A total number of 1244 recruits who joined the army in 2012 were tested with Mental Quality Questionnaire of Armyman (MQQA, Symptom Checklist 90 (SCL-90, Self-rating Anxiety Scale (SAS, Selfrating Depression Scale (SDS, State-Trait Anxiety Inventory (STAI, and self-compiled questionnaire for adaptability psychological education. 568 recruits received adaptability psychological education for 10 times (sessions in the experimental group, and 676 in the control group did not receive the education. Results After intervention, each dimension score of experimental and control groups on MQQA significantly increased (P0.05. Psychological education showed a significant effect on improving mental quality (P0.05. After education, the anxiety, depression, state-trait anxiety scores of the two groups reduced significantly (P<0.001; compared with the control group, the anxious emotion was effectively relieved by psychological education in experimental group (P<0.001. The recruits in the experimental group showed significant difference in 30 subjective evaluation items between before- and after-education periods (P<0.001. Conclusions The adaptability psychological education has a significant effect on promoting the mental quality, mental health, emotional state and positive cognition of the recruits in field army units. DOI: 10.11855/j.issn.0577-7402.2015.06.15

  5. Variability in United States Allopathic Medical School Tuition.

    Science.gov (United States)

    Gil, Joseph A; Park, Sarah H; Daniels, Alan H

    2015-11-01

    Over the course of the last generation, the cost of medical school attendance and medical student debt has increased drastically. Medical student debt has been reported as high as $350,000, and the Association of American Medical Colleges (AAMC) reports that medical school tuition continues to increase annually. The increasing cost of medical education and associated financial burden is now beginning to deter potential applicants from pursuing a career in medicine. In this study we aimed to assess medical school tuition across the US. We hypothesized that the cost of medical school attendance is variable across all regions of the US, and as a result, the financial burden on medical students is inconsistent. All 123 allopathic medical schools accredited by the AAMC were assessed in this investigation. In-state and out-of-state tuitions for the year 2016 were obtained from U.S. News and World Report. Additionally, medical school size was collected. Regions were defined according to the US Census Bureau definition, with the US being divided into 4 regions: Northeast, Midwest, South, and West. There was no difference in average medical school size among the 4 regions (P > .05). Average in-state tuition was $38,291.56 ± $9801.38 (95% confidence interval [CI], $34,658.07-$41,513.46) in the Midwest, $45,923.04 ± $9178.87 (95% CI, $42,566.28-$49,216.78) in the Northeast, $32,287.78 ± $12,277.53 (95% CI, $28,581.90-$35,378.68) in the South, and $37,745.40 ± $11,414.37 (95% CI, $30,063.28-$40,458.99) in the West. In-state tuition in the South was significantly lower than in the Northeast, West, and Midwest (P tuition in the Northeast was significantly higher than in the South, West, and Midwest (P tuition is $54,104.04 ± $8227.65 (95% CI, $51,207.6-$57,000.39) in the Midwest, $53,180.10 ± $3963.71 (95% CI, $51,761.71-$54,598.50) in the Northeast, $48,191.86 ± $12,578.13 (95% CI, $44,595.84-$51,787.89) in the South, and $52,920.47 ± $7400.83 (95% CI, $49

  6. U.S. Army Corps of Engineers Waste Experiences: More Than You May Think

    International Nuclear Information System (INIS)

    Hays, D. C.; Honerlah, H. B.

    2003-01-01

    U.S. Army Corps of Engineers (USACE) works with other federal, and state agencies through several different programs on numerous Hazardous, Toxic, and Radioactive Waste (HTRW) sites. Formerly Utilized Sites Remediation Program (FUSRAP), Formerly Used Defense Sites (FUDS), EPA Superfund, Installation Restoration, Army Deactivated Nuclear Reactor Program, and many other programs present hazardous, radioactive, and mixed waste issues. While the USACE has a reputation of excellent dirt movers, little is discussed of our other waste management experiences. This paper discusses some of the challenges facing the Health Physics (HP) staff of the USACE. The HP staff is currently organized as one team, the Radiation Safety Support Team (RSST), comprised of 15 individuals at 6 locations across the country. With typical RSST missions including HP consultation to USACE activities world wide, many waste challenges arise. These challenges have involved radioactive wastes of all classifications and stability. Sealed and unsealed sources; instruments and dials; contaminated earth and debris; liquids; lab, reactor, and medical wastes are all successfully managed by the USACE. USACE also develops, evaluates, and utilizes waste treatment Types of radioactive waste at HTRW sites include: Low Level Radioactive Wastes (LLRW) (class A, B, C, and greater than C), 11e.(2), Transuranic (TRU), Mixed, and Naturally Occurring (NORM/TENORM)

  7. Prior Mental Disorders and Lifetime Suicidal Behaviors Among US Army Soldiers in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).

    Science.gov (United States)

    Millner, Alexander J; Ursano, Robert J; Hwang, Irving; J King, Andrew; Naifeh, James A; Sampson, Nancy A; Zaslavsky, Alan M; Stein, Murray B; Kessler, Ronald C; Nock, Matthew K

    2017-09-19

    We report on associations of retrospectively reported temporally prior mental disorders and Army career characteristics with subsequent first onset of suicidal behaviors in a large, representative sample of US Army soldiers who participated in the Consolidated All-Army Survey of the Army Study to Assess Risk and Resilience in Servicemembers (N = 29,982). Results reveal that among men and women, all self-reported lifetime disorders measured (some assessed with screening scales) are associated with subsequent onset of suicide ideation. Among men, three disorders characterized by agitation and impulsiveness (intermittent explosive disorder, panic disorder, and substance disorders) predict the transition from suicide ideation to attempt. For both men and women, being in the Regular Army (vs. National Guard or Army Reserve) predicts suicide attempts in the total sample. For men, a history of deployment and junior rank are predictors of suicide attempts after adjusting for preenlistment disorders but not accounting for pre- and postenlistment disorders, suggesting that postenlistment disorders account for some of the increased suicide risk among these career characteristics. Overall, these results highlight associations between mental disorders and suicidal behaviors, but underscore limitations predicting which people with ideation attempt suicide. © 2017 The American Association of Suicidology.

  8. Medical impact analysis for the space station.

    Science.gov (United States)

    Nelson, B D; Gardner, R M; Ostler, D V; Schulz, J M; Logan, J S

    1990-02-01

    Since the Space Station Health Maintenance Facility can house only a relatively limited quantity of supplies and equipment, the decisions about what should be included must be based on documented research. In this study, Space Station medical care priorities were determined by a medical impact analysis of two analog populations, U.S. Army and U.S. Navy personnel. Diseases and injuries in the International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) were ranked, using a Medical Impact Score (MIS) combining modified incidence rate and a function of disease outcome. The validity of the analysis method was tested by measuring rank order correlation between the two analog populations. Despite virtually identical age and sex distributions, Army and Navy incidence rates differed significantly for half of the ICD-9-CM categories, p less than 0.05. Disability rates differed for 76%, p less than 0.05. Nevertheless, Army and Navy MIS rank orders for categories and sections were not significantly different, p less than 0.001. In critical ways, the Space Station will be a safer environment than Earth. Cardiac events, musculoskeletal injuries, affective psychoses, and renal calculi were among the highest scoring categories.

  9. 2005 United States Army Corps of Engineers (USACE) Post-Hurricane Katrina Levee Surveys

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These topographic data were collected for the U.S. Army Corps of Engineers by a helicopter-mounted LiDAR sensor over the New Orleans Hurricane Protection Levee...

  10. Commentary on "The Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)": Army STARRS: a Framingham-like study of psychological health risk factors in soldiers.

    Science.gov (United States)

    Ressler, Kerry J; Schoomaker, Eric B

    2014-01-01

    Although historically the Army suicide rate has been significantly lower than the civilian rate, in 2004, the suicide and accidental death rates began trending upward. By 2008, the Army suicide rate had risen above the national average (20.2 per 100,000). In 2009, 160 active duty Soldiers took their lives, making suicide the third leading cause of death among the Army population. If accidental death, frequently the result of high-risk behavior, is included, then more Soldiers died by their own actions than in combat in 2009. The Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) was thus created in 2009 to begin to address these problems. The Army STARRS project is a large consortium of seven different studies to develop data-driven methods for mitigating or preventing suicide behaviors and improving the overall mental health and behavioral functioning of Army Soldiers during and after their Army service. The first research articles from the Army STARRS project were published in late 2013 and early 2014. This work has already begun to outline important facets of risk in the military, and it is helping to drive an empirically derived approach to improvements in understanding mental disorders and risk behavior and to improve prevention and support of mental health and resilience. The Framingham Heart Study, started in the 1940s, marked a watershed event in utilizing large cross-sectional and prospective longitudinal collaborative research to identify and understand risk factors for cardiovascular disease. The Army STARRS project, through its collaborative, prospective, and robust innovative design and implementation, may provide the beginning of a similar scientific cohort in mental disorders. The work of this project will help understand biological and psychological aspects of military service, including those leading to suicide. When coupled with timely feedback to Army leadership, it permits near real-time steps to diagnose, mitigate, and

  11. 77 FR 50089 - Army Education Advisory Committee Meeting

    Science.gov (United States)

    2012-08-20

    ... DEPARTMENT OF DEFENSE Department of the Army Army Education Advisory Committee Meeting AGENCY... the Army announces the following committee meeting: Name of Committee: Army Education Advisory... learning environment. The agenda will include topics relating to Army Learning Model 2015 and support to...

  12. 77 FR 11084 - Army Education Advisory Committee Meeting

    Science.gov (United States)

    2012-02-24

    ... DEPARTMENT OF DEFENSE Department of the Army Army Education Advisory Committee Meeting AGENCY... the Army announces the following committee meeting: Name of Committee: Army Education Advisory... Army 2020 learning environment. The agenda will include topics relating Arm Learning Model 2015 and to...

  13. 75 FR 19302 - Radiation Sources on Army Land

    Science.gov (United States)

    2010-04-14

    ... possession of ionizing radiation sources by non-Army agencies (including their civilian contractors) on an... radiation sources on Army land. The Army requires Non-Army agencies (including their civilian contractors... ionizing radiation sources on an Army Installation. For the purpose of this proposed rule, ``ionizing...

  14. Insider Threat: Preventing Direct Action Attacks Within the United States Army

    Science.gov (United States)

    2017-06-09

    Intelligence Agency, 2012. Joint Chiefs of Staff. Joint Publication (JP) 3-07.2, Antiterrorism. Washington, DC: Government Printing Office, 2010. 81...Federal Bureau of Investigation GEN General (Army rank, O-10) HIPAA Health Insurance Portability and Accountability Act of 1996 INSCOM Intelligence and...commanders, and the intelligence community to prevent insider threats from developing into direct action attacks, this study sought to answer the

  15. The U.S. Army War College - An Analysis of Class and Seminar Composition and the Impacts of OPMS III

    National Research Council Canada - National Science Library

    Boltz, Cliff

    2003-01-01

    As the U.S. Army transforms, the United States Army War College (USAWC) endeavors to determine whether the right officers are attending the USAWC and what defines the experience base of arriving students...

  16. [The army of the East and health services].

    Science.gov (United States)

    Guivarc'h, Marcel

    2007-01-01

    A medical disaster due to the failure of a plan intended to free Belfort by an army of 90 000 men, formed by Bourbaki in Nevers, joined in Besancon by 40 000 men from Lyon and from Dijon. Envisaged in three days, the regrouping lasts three weeks. A gigantic railway blocking, by an icy cold, leaves in the trains of the soldiers without food, of the horses without irons nor fodder. A third of manpower is from the start inapt for the fights. The utter exhaustion of the men don't make possible to exploit the success of Villersexel's battle (January 9), nor to cross Lizaine. The medical army officers joined those of the civil ambulances formed in South-east, and that of Pamard. The care given with delay on the covered with snow ground, in precarious shelters or encumbered hospitals, is summary. Cold, gelures, walk feet, infection, associated variola, are the cause of a high mortality: 8 500 died, and much of casualties. Ordered by Bourbaki, the dramatic routed to Switzerland by Pontarlier and the Cluse collar, under the Prussian shells will add 15 000 killed. The Swiss ones collect sick and wounded in 200 ambulances along the border, and on 87 000 men to be disarmed in 9 000 hospitalize. Pamard will remain until March 18 at the Pontarlier' hospital.

  17. Army Hearing Program Status Report Quarter 1 Fiscal Year 2017

    Science.gov (United States)

    2017-03-27

    Occupational Health Objectives for Fiscal Year 2016, 21 October 2015. Memorandum, Office of the Surgeon General, subject: Public Health Management System ...Army’s Safety and Occupational Health objectives. U.S. Army Medical Command (MEDCOM) Chief of Staff Memorandum, dated 15 December 2016, mandates... Occupational and Environmental Health Readiness System – Hearing Conservation (DOEHRS-HC), and an average of 2 CIV and 3 MIL losses were recorded

  18. A Proposal for the Merger of the U.S. Army Recruiting Command (USAREC) and the U.S. Army Cadet Command: One Recruiting Organization - "More Than a Partnership"

    National Research Council Canada - National Science Library

    Kleppinger, Tim

    2001-01-01

    ...) and the United States Army Cadet Command into one accessions organization. For the past five years both USAREC and Cadet Command have found greater difficulty in achieving their annual missions...

  19. Contending medical ideologies and state formation: the nineteenth-century origins of medical pluralism in contemporary Colombia.

    Science.gov (United States)

    Sowell, David

    2003-01-01

    This article addresses the encounter between contending medical ideologies in nineteenth-century Colombia. The first era of medical pluralism, in colonial Latin America, developed from the imposition of Hispanic medicine on existing indigenous medical systems through an imperial structure. This produced a "colonial medical spectrum" incorporating various medical ideologies that came under attack by practitioners of scientific medicine in the 1800s. As scientific physicians gained privileged access to state resources, they undertook partially successful campaigns to deny Hispanic, homeopathic, and other medical systems the right to be practiced. As the state authorized scientific medicine, other practices became "popularized," thereby laying the foundation for the medical pluralism of contemporary Colombia that juxtaposes "academic" and "traditional" medicines.

  20. To Strive, to Seek, to Find, and Not Yield: How Chiefs of Staff of the Army Lead Change

    Science.gov (United States)

    2013-05-23

    The Savage Wars of Peace: Small Wars and the Rise of American Power (New York: Basic Books, 2002) 3...34 The Leadership Quarterly 18 (2007): 411-428. Bolger, Daniel P. "An Enduring Army: Getting It Right." Army, OCT 2010: 163-166. Boot, Max. The Savage ...History of the United States Army. Bloomington: University of Indiana Press, 1984. Westmorland, William C. A Soldier Reports. Garden City, NY: Doubleday

  1. The Army Ethic

    Science.gov (United States)

    2015-06-12

    The Constitution and Declaration of Independence simultaneously hold two different views of human nature, an individualist and a collectivist view...Profession, defines the Army Ethic as “the evolving set of laws, values, and beliefs, deeply embedded within the core of the Army culture and...incorporate other viewpoints or respond to shifts in morality, religion, economics, and other socio- cultural factors. This thesis will use the term

  2. Comparative analysis of field ration for military personnel of the ukrainian army and armies of other countries worldwide

    Directory of Open Access Journals (Sweden)

    M. Mardar

    2017-04-01

    Full Text Available For the purpose of improvement of the Ukrainian nutritional standards this Article provides comparative analysis of field rations of different countries worldwide to make a proposal on improvement of food-stuff assortment in food ration for military personnel in the Armed Forces of Ukraine, Army of USA, the British Army, Army of Germany, Army of Italy, Army of Canada, Army of France, Army of Belarus, Army of Armenia. In accordance with the comparative analysis it was established that ration composition used for the Armed Forces of Ukraine military personnel lags behind developed countries of the world both in nutrition arrangement and in nutrient composition, especially in relation to assortment and variety of ration food-stuff. Moreover, a field ration is strictly unified and doesn’t consider individual needs of military personnel in calories, proteins, fats, carbohydrates, food fibers. Selection of individual field ration takes to account only age of military personnel, i. e. individual needs related to nutrition composition such as physical abilities, level of physical activity, gender, type of occupation before military conscription and etc. are not consideredThe obtained results confirms practicability of assortment products assortment included to field rations for the purpose to correct nutrition rations towards optimal balance for military efficiency of army, adaptation of military personnel to physical and psychological loads.

  3. [When state authorisation was introduced for medical doctors in Norway].

    Science.gov (United States)

    Haave, Per

    2007-12-13

    In 1927, a law was implemented in Norway that for the first time required medical students to be state authorised before they could practice medicine and use the title medical doctor. The question of authorisation split the professional elite, both the Norwegian Medical Association and the Medical Faculty at the University of Oslo. Those very few members of the professional elite that advocated authorisation did, however, convince the government as well as the parliament that authorisation should be given and recalled by the state. State authorisation was first of all aimed at protecting the medical profession against "unfit" members; it was not a question of monopolising medical work or preventing other groups from working within the healthcare services. To put this into context, one should know that there had been a transition from a bureaucratic to a free labour market and most doctors were no longer engaged by the State, but had to practise in a private market. One feared that this would undermine the doctors' authority and status. In this situation, authorisation by the state was considered necessary to safeguard the public's confidence in doctors and their work.

  4. Decreasing Disability Processing Days for Soldiers in the U.S. Army Through Initiatives in Human Resource Management Support Systems: A Two-Tiered, Three Year Evaluation

    Directory of Open Access Journals (Sweden)

    Bernard Kerr, Jr.

    2005-02-01

    Full Text Available This essay highlights the findings of a two tiered, three year evaluation. The first tier studied human resource and quality management initiatives at Walter Reed Army Medical Center (WRAMC Washington, DC from 1992-1994. The second tier researched disability records through the United States Army Physical Disability Agency, Bethesda, Maryland in 1996. The first tier found that Total Quality Management reduced the average length of stay (ALOS and size of the disability population from 220 days and 240 disability cases to 65 days and 57 disability cases over 24 months. The second tier studied 8,301 soldiers whose disability records were processed in Fiscal Year 1996. The research shows only administrative variables affect ALOS. The authors recommend a program of disability case management and increasing emphasis on transition assistance programs to reduce ALOS in the PDES.

  5. The Army study to assess risk and resilience in servicemembers (Army STARRS).

    Science.gov (United States)

    Ursano, Robert J; Colpe, Lisa J; Heeringa, Steven G; Kessler, Ronald C; Schoenbaum, Michael; Stein, Murray B

    2014-01-01

    IMPORTANCE/OBJECTIVE: Although the suicide rate in the U.S. Army has traditionally been below age-gender matched civilian rates, it has climbed steadily since the beginning of the Iraq and Afghanistan conflicts and since 2008 has exceeded the demographically matched civilian rate. The Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) is a multicomponent epidemiological and neurobiological study designed to generate actionable evidence-based recommendations to reduce Army suicides and increase knowledge about risk and resilience factors for suicidality and its psychopathological correlates. This paper presents an overview of the Army STARRS component study designs and of recent findings. DESIGN/SETTING/PARTICIPANTS/INTERVENTION: Army STARRS includes six main component studies: (1) the Historical Administrative Data Study (HADS) of Army and Department of Defense (DoD) administrative data systems (including records of suicidal behaviors) for all soldiers on active duty 2004-2009 aimed at finding administrative record predictors of suicides; (2) retrospective case-control studies of fatal and nonfatal suicidal behaviors (each planned to have n = 150 cases and n = 300 controls); (3) a study of new soldiers (n = 50,765 completed surveys) assessed just before beginning basic combat training (BCT) with self-administered questionnaires (SAQ), neurocognitive tests, and blood samples; (4) a cross-sectional study of approximately 35,000 (completed SAQs) soldiers representative of all other (i.e., exclusive of BCT) active duty soldiers; (5) a pre-post deployment study (with blood samples) of soldiers in brigade combat teams about to deploy to Afghanistan (n = 9,421 completed baseline surveys), with sub-samples assessed again one, three, and nine months after returning from deployment; and (6) a pilot study to follow-up SAQ respondents transitioning to civilian life. Army/DoD administrative data are being linked prospectively to the large-scale survey

  6. Importance of external cause coding for injury surveillance: lessons from assessment of overexertion injuries among U.S. Army soldiers in 2014.

    Science.gov (United States)

    Canham-Chervak, Michelle; Steelman, Ryan A; Schuh, Anna; Jones, Bruce H

    2016-11-01

    Injuries are a barrier to military medical readiness, and overexertion has historically been a leading mechanism of injury among active duty U.S. Army soldiers. Details are needed to inform prevention planning. The Defense Medical Surveillance System (DMSS) was queried for unique medical encounters among active duty Army soldiers consistent with the military injury definition and assigned an overexertion external cause code (ICD-9: E927.0-E927.9) in 2014 (n=21,891). Most (99.7%) were outpatient visits and 60% were attributed specifically to sudden strenuous movement. Among the 41% (n=9,061) of visits with an activity code (ICD-9: E001-E030), running was the most common activity (n=2,891, 32%); among the 19% (n=4,190) with a place of occurrence code (ICD-9: E849.0-E849.9), the leading location was recreation/sports facilities (n=1,332, 32%). External cause codes provide essential details, but the data represented less than 4% of all injury-related medical encounters among U.S. Army soldiers in 2014. Efforts to improve external cause coding are needed, and could be aligned with training on and enforcement of ICD-10 coding guidelines throughout the Military Health System.

  7. 32 CFR 631.14 - Army policy.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Army policy. 631.14 Section 631.14 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW ENFORCEMENT AND CRIMINAL...-Installation Operations (Military Patrols and Investigative Activities) and Policy § 631.14 Army policy. (a...

  8. US Army War College Interwar Period Curriculum: Logistics and Joint Coordination

    Science.gov (United States)

    2017-05-25

    of the United States Army conference. Milley stated, “We are on the cusp of a fundamental change in the character of ground warfare . . . a revolution...the many other tasks traditionally performed by land forces, the best it can do now is to invest heavily in the intellectual development of its...

  9. The Total Army

    Science.gov (United States)

    2016-01-01

    http://thediplomat.com/2015/04/chinas-growing-cyberwar-capabilities/ (accessed April 25, 2016); Nicolas Giacometti, “China’s Nuclear Modernization and...link between the operational and tactical levels of war.48 47. Michelle Tan , “US Army Generals Criticize Outdated Deployment Model: ‘We’ve Gotten...unveils-its-big-8-initiatives/81882852/ (accessed March 16, 2016). 58. Michelle Tan , “US Army Generals Criticize Outdated Deployment Model: ‘We’ve

  10. ARMY CYBER STRUCTURE ALIGNMENT

    Science.gov (United States)

    2016-02-16

    content/?q=historic-cyber-unit-begins- daily-action . 14 John M. McHugh , Secretary of the Army, HQDA General Order 2014-02, Affirmation of Secretary of...support-plays-role-in-tactical-operations/75545442/. McHugh , John M., Secretary of the Army, HQDA General Order 2014-02, Affirmation of Secretary of

  11. Army Business Transformation - Next Steps

    National Research Council Canada - National Science Library

    2006-01-01

    As a follow-on to the Army Science Board 2005 Summer Study on Best Practices, the Army Science Board was tasked to identify areas where alternative approaches and application of transforming practices...

  12. Documented family violence and risk of suicide attempt among U.S. Army soldiers.

    Science.gov (United States)

    Ursano, Robert J; Stein, Murray B; Herberman Mash, Holly B; Naifeh, James A; Fullerton, Carol S; Zaslavsky, Alan M; Ng, Tsz Hin Hinz; Aliaga, Pablo A; Wynn, Gary H; Dinh, Hieu M; McCarroll, James E; Sampson, Nancy A; Kao, Tzu-Cheg; Schoenbaum, Michael; Heeringa, Steven G; Kessler, Ronald C

    2018-04-01

    Suicide attempt (SA) rates in the U.S. Army increased substantially during the wars in Afghanistan and Iraq. This study examined associations of family violence (FV) history with SA risk among soldiers. Using administrative data from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS), we identified person-month records of active duty, Regular Army, enlisted soldiers with medically documented SAs from 2004 to 2009 (n = 9650) and a sample of control person-months (n = 153,528). Logistic regression analyses examined associations of FV with SA, adjusting for socio-demographics, service-related characteristics, and prior mental health diagnosis. Odds of SA were higher in soldiers with a FV history and increased as the number of FV events increased. Soldiers experiencing past-month FV were almost five times as likely to attempt suicide as those with no FV history. Odds of SA were elevated for both perpetrators and those who were exclusively victims. Male perpetrators had higher odds of SA than male victims, whereas female perpetrators and female victims did not differ in SA risk. A discrete-time hazard function indicated that SA risk was highest in the initial months following the first FV event. FV is an important consideration in understanding risk of SA among soldiers. Published by Elsevier B.V.

  13. United States Army Medical Materiel Development Activity

    Science.gov (United States)

    1989-03-10

    and BPL were provided by the contractor to USAMMDA personnel as required. 3 ,I SAutomatic Data Processing Support: During 1988, USAMI.DA procured...PABO, and WRAIR cooperated to immunize 40,000 volunteers in a double blind study of 0. neningitidis Vaccine. Controls received a licensed Group C

  14. Robotics In Manufacturing: Army View

    Science.gov (United States)

    Michel, F. J.

    1983-05-01

    (Figure 1) This is an outline of my presentation today. The U. S. Army has a dual interest in the use of robots, namely: 1. As a substitute for or an extension of the soldier in the battlefield, and 2. in the factories that make Army materiel, or - as we call it -the the production base. The Production Base can again be divided into three separate segments, i.e., the Army owned and operated facilities or GOG6s, such as Rock Island and Watervliet arsenals, and not to be overlooked, the depot operations. There the Army manufactures gun tubes and other related parts for artillery weapons and repairs and overhauls them. A second category is the Army owned and contractor operated facilities or GOCOs,such as the ammunition plants, the tank plants at Lima, Ohio and Warren, Michigan and the Stratford Engine Plant in Connecticut where gas turbines for helicopter and the Abrams tank are manufactured. The last category covers the industrial base, that is those factories which are not only operated but also owned by the contractor himself also referred to as COCOs. You can see from this description that the Army is supported by a base which produces a diversified line of products. Therefore, the task of technology development and technology insertion is considerably more complex than what one encounters in the average U. S. Manufacturing organization.

  15. Getting it Right: The Endurance of Improvised Explosive Device Education in the US Army

    Science.gov (United States)

    2017-05-25

    NCO leadership and education was critical to success. This was especially true in divisional engineer units where squad operations in support of...Getting it Right: The Endurance of Improvised Explosive Device Education in the US Army A Monograph by MAJ Christian R. Johnson United States...Endurance of Improvised Explosive Device Education in the US Army 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S

  16. Stabilization and reconstruction operations: the role of the US Army Veterinary Corps.

    Science.gov (United States)

    Smith, John C

    2007-01-01

    Stabilization and reconstruction operations in failed or failing states are vital to US security interests. These operations require a bottom-up approach, focusing on the population as the strategic center of gravity. This bottom-up approach must address the population's basic needs, as defined by Dr Abraham Maslow's hierarchy of needs, and provide a long-term means of self-sufficiency, rather than creating an "aid dependent economy." Focusing operations on agricultural projects provides relief from donor dependency, stimulates economic growth, and thwarts the power of spoilers. US Army Veterinary Corps personnel provide essential services ensuring the procurement of safe and wholesome subsistence and provision of medical care to government-owned animals. Veterinary Corps officers are also uniquely qualified to design and implement agricultural stabilization and reconstruction programs in conjunction with host-state ministries and agencies across the full range of military operations. Early, sustained engagement by veterinarians stimulates agricultural productivity, improves animal and human health, directly supports the population's hierarchy of needs on all levels, and accelerates stabilization operations by reducing the population's susceptibility to spoilers.

  17. Development of diode-pumped medical solid-state lasers

    International Nuclear Information System (INIS)

    Kim, Cheol Jung; Kim, Min Suk

    2000-09-01

    Two thirds of human body consists of water and the absorption of laser by water is an important factor in medical laser treatment. Er medical lasers have been used in the dermatology, ophthalmology and dental treatments due to its highest absorption by water. However, 2.9 um Er laser can not be transmitted through an optical fiber. On the other hand, Tm laser can be transmitted through an fiber and also has very high absorption by water. Therefore, Tm lasers are used in ophthalmology and heart treatment wherein the fiber delivery is very important for the treatment. Until now, mainly lamp-pumped solid-state lasers have been used in medical treatments, but the lamp-pumped solid-state lasers are being replaced with the diode-pumped solid-state lasers because the diode-pumped solid-state lasers are more compact and much easier to maintain. Following this trend, end-pumped Er and side-pumped Tm lasers have been developed and the output power of 1 W was obtained for Er and Tm respectively

  18. Development of diode-pumped medical solid-state lasers

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Cheol Jung; Kim, Min Suk

    2000-09-01

    Two thirds of human body consists of water and the absorption of laser by water is an important factor in medical laser treatment. Er medical lasers have been used in the dermatology, ophthalmology and dental treatments due to its highest absorption by water. However, 2.9 um Er laser can not be transmitted through an optical fiber. On the other hand, Tm laser can be transmitted through an fiber and also has very high absorption by water. Therefore, Tm lasers are used in ophthalmology and heart treatment wherein the fiber delivery is very important for the treatment. Until now, mainly lamp-pumped solid-state lasers have been used in medical treatments, but the lamp-pumped solid-state lasers are being replaced with the diode-pumped solid-state lasers because the diode-pumped solid-state lasers are more compact and much easier to maintain. Following this trend, end-pumped Er and side-pumped Tm lasers have been developed and the output power of 1 W was obtained for Er and Tm respectively.

  19. Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board.

    Science.gov (United States)

    Papadakis, Maxine A; Hodgson, Carol S; Teherani, Arianne; Kohatsu, Neal D

    2004-03-01

    To determine if medical students who demonstrate unprofessional behavior in medical school are more likely to have subsequent state board disciplinary action. A case-control study was conducted of all University of California, San Francisco, School of Medicine graduates disciplined by the Medical Board of California from 1990-2000 (68). Control graduates (196) were matched by medical school graduation year and specialty choice. Predictor variables were male gender, undergraduate grade point average, Medical College Admission Test scores, medical school grades, National Board of Medical Examiner Part 1 scores, and negative excerpts describing unprofessional behavior from course evaluation forms, dean's letter of recommendation for residencies, and administrative correspondence. Negative excerpts were scored for severity (Good/Trace versus Concern/Problem/Extreme). The outcome variable was state board disciplinary action. The alumni graduated between 1943 and 1989. Ninety-five percent of the disciplinary actions were for deficiencies in professionalism. The prevalence of Concern/Problem/Extreme excerpts in the cases was 38% and 19% in controls. Logistic regression analysis showed that disciplined physicians were more likely to have Concern/Problem/Extreme excerpts in their medical school file (odds ratio, 2.15; 95% confidence interval, 1.15-4.02; p =.02). The remaining variables were not associated with disciplinary action. Problematic behavior in medical school is associated with subsequent disciplinary action by a state medical board. Professionalism is an essential competency that must be demonstrated for a student to graduate from medical school.

  20. Born Lucky: The Institutional Sources behind the Third United States Army Headquarters’ Procedures in Northwest Europe, 1944-45

    Science.gov (United States)

    2014-05-22

    Engineer Bn., Co. B, 942nd Engineer Avn . Bn., Third US Army, 1 August 1944- 9 May 1945: Vol. I, The Operations, After Action Report (Germany...practitioners are willing to investigate the possibilities. 69 BIBLIOGRAPHY 652nd Engineer Bn., Co. B, 942nd Engineer Avn . Bn. Third US Army, 1 August

  1. 78 FR 33074 - Army Science Board Summer Study Session

    Science.gov (United States)

    2013-06-03

    ...--This study evaluates what science and technology competencies the Army must maintain and/or develop as... DEPARTMENT OF DEFENSE Department of the Army Army Science Board Summer Study Session AGENCY... the Army announces the following committee meeting: 1. Name of Committee: Army Science Board (ASB). 2...

  2. A History of the Army Ground Forces; Study Number 16. The Army Ground Forces History of the Second Army

    Science.gov (United States)

    1945-09-01

    proficiency in conjunction with other arms and services.7 GHQ and Second Army placed great stress on the development of instructors and the proper training of...separate units. This was clearly brought out in a report of iuspection of Second Army units at Ft. Knox, Ky., by Maj. Gen. J. M. Cumins , Commander of the...covered were food and water, hygiene, housing, field sanitation, and contagious and communicable diseases. Physical exercise stressed mass calisthenics

  3. Integrating Medical Supply as Part of the Army's Single Integrated Materiel Manager Concept--Why or why Not?

    National Research Council Canada - National Science Library

    Baxter, Shelia

    1998-01-01

    .... To achieve the goal of seamless logistics integration capabilities, one concept is to establish a Single Integrated Materiel Manager for the Army which envisions integrating all such functions...

  4. Army Study Shows Decline In Behavioral Health Stigma

    Science.gov (United States)

    2012-01-01

    Army Study Shows Decline in Behavioral Health Stigma By Rob McIlvaine Army News Service WASHINGTON, Jan. 20, 2012 - A newly released Army study on...conference yesterday. The three-year study outlines the problem of suicide in the Army and related issues of substance abuse, spouse abuse and child abuse...REPORT TYPE 3. DATES COVERED 00-00-2012 to 00-00-2012 4. TITLE AND SUBTITLE Army Study Shows Decline In Behavioral Health Stigma 5a. CONTRACT

  5. United States Army Medical Department Journal. Leadership in the Army Medical Department, October - December 2009

    Science.gov (United States)

    2009-12-01

    growth following the gap is the grandchildren of the baby boomers known as generation Y , or millennial . The rise in the birth rate is noticeable in...M. Healthy design. Lancet. 2004;364:405-406. 13. Urich RS, Zimring CM, Zhu X, Dubose J, Seo H, Choi Y , et al. A review of the literature on...origin or background, from Latin ethnicus (nation, people). Religion \\ri-’li-J3n\\ a personal set or institutionalized system of attitudes, beliefs, and

  6. Challenging the Sacred Assumption: A Call for a Systemic Review of Army Aviation Maintenance

    Science.gov (United States)

    2017-05-25

    much to me. You three are my heroes, and I can never repay you for your selfless sacrifice for me, our Army and our Nation. 1 Introduction...Command (AMCOM) lamented the increasing costs of sustaining aging fleets of aircraft. Major General Collyar stated, “Sustainment costs are eating away at...indicates the Army aviation is not alone . Across the Department of Defense, given the rising O&M spending, the services cannot “clearly identify the

  7. [Management of military medical service in Ukraine: origin, trends, and mechanism of development (1992-2004)].

    Science.gov (United States)

    Radysh, Ia F

    2005-01-01

    Three periods of the development of military medical service management in Ukraine can be outlined according to the findings of the conducted study, they are the following: formation (1992-1994), consolidation and development (the end of 1994-2003), functional and structural transformation (2004). Leading tendencies of the formation of the management of medical military service in the period are shown in the article to be democratization and structural order of units of the system of the management of military service, integration of efforts and resources of medical military service in one medically covered area of the state, introduction and intensive expansion in army prophylactic and treatment institutions of wide spectrum of requiring payment medical service, rendering out-patient medical service to armed forces personnel and pensioner of Ministry of Defense by family physicians, orientation toward effective management.

  8. Monitoring of Federally Threatened and Endangered Species on U.S. Army Installations

    National Research Council Canada - National Science Library

    Mellon, Robert H; Balbach, Harold E; Ward, Michael

    2004-01-01

    ...) species on United States Army installations, and the results of a survey conducted to ascertain the kinds and quality of efforts being made to monitor these species in compliance with the Endangered...

  9. Strategic Analysis and Associated Management Products Supporting the Reengineering of Bayne-Jones Army Community Hospital: Consultative Products and Findings

    National Research Council Canada - National Science Library

    Fulton, Larry

    1998-01-01

    .... ̂Product 2 - "Bayne-Jones Army Community Hospital Web Site," a strategic Internet web site for marketing health and wellness, the TRICARE medical network, the Joint Readiness Training Center Surgeon's...

  10. Effectiveness of the Army Mentorship Program

    National Research Council Canada - National Science Library

    Nieberding, Richard J

    2007-01-01

    ...). From the artifacts associated with this mentorship program, it appears that the Army highly values this program as a way to create a culture and climate that fosters learning and development for future leadership. This project will examine the effectiveness of mentorship in the today's Army and evaluate whether the program is sufficient to meet the needs for the Army's next generation of soldiers and leaders.

  11. 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.

  12. 76 FR 56406 - Science and Technology Reinvention Laboratory Demonstration Project; Department of the Army; Army...

    Science.gov (United States)

    2011-09-13

    ... DEPARTMENT OF DEFENSE Office of the Secretary Science and Technology Reinvention Laboratory Demonstration Project; Department of the Army; Army Research, Development and Engineering Command; Tank... personnel management demonstration project for eligible TARDEC employees. Within that notice the table...

  13. 76 FR 12087 - Army Educational Advisory Committee

    Science.gov (United States)

    2011-03-04

    ...: U.S. Army War College Subcommittee of the Army Education Advisory Committee. Dates of Meeting: March 24, 2011. Place of Meeting: U.S. Army War College, 122 Forbes Avenue, Carlisle, PA, Command... faculty; table and examine online College issues; assess resident and distance education programs, self...

  14. 75 FR 7255 - Army Educational Advisory Committee

    Science.gov (United States)

    2010-02-18

    ... Committee: U.S. Army War College Subcommittee of the Army Education Advisory Committee. Date of Meeting: March 11, 2010. Place of Meeting: U.S. Army War College, 122 Forbes Avenue, Carlisle, PA, Command...; table and examine online College issues; assess resident and distance education programs, self- study...

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

    Science.gov (United States)

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

    2017-12-01

    Introduction Select units in the military have improved combat medic training by integrating their functions into routine clinical care activities with measurable improvements in battlefield care. This level of integration is currently limited to special operations units. It is unknown if regular Army units and combat medics can emulate these successes. The goal of this project was to determine whether US Army combat medics can be integrated into routine emergency department (ED) clinical care, specifically medication administration. Project Design This was a quality assurance project that monitored training of combat medics to administer parenteral medications and to ensure patient safety. Combat medics were provided training that included direct supervision during medication administration. Once proficiency was demonstrated, combat medics would prepare the medications under direct supervision, followed by indirect supervision during administration. As part of the quality assurance and safety processes, combat medics were required to document all medication administrations, supervising provider, and unexpected adverse events. Additional quality assurance follow-up occurred via complete chart review by the project lead. Data During the project period, the combat medics administered the following medications: ketamine (n=13), morphine (n=8), ketorolac (n=7), fentanyl (n=5), ondansetron (n=4), and other (n=6). No adverse events or patient safety events were reported by the combat medics or discovered during the quality assurance process. In this limited case series, combat medics safely administered parenteral medications under indirect provider supervision. Future research is needed to further develop this training model for both the military and civilian setting. Schauer SG , Cunningham C W, Fisher AD , DeLorenzo RA . A pilot project demonstrating that combat medics can safely administer parenteral medications in the emergency department. Prehosp Disaster Med. 2017;32(6):679-681.

  16. Company Level Commander Development In The US Army

    Science.gov (United States)

    2013-12-01

    pedagogy and andragogy in instruction can have a significant positive impact on developing combat arms officers to be successful company level commanders...Recommendations to achieve these improvements using andragogy are discussed. In the United States (US) Army, when an officer...use Malcom Knowles’ andragogy framework for understanding adults as learners in order to analyze the trainees and maximize the training outcomes for

  17. The Difference that Makes a Difference: Distinguishing between Knowledge Management and Information Management in the U.S. Army

    Science.gov (United States)

    2011-05-19

    Knowledge Management, Culture, Doctrine, 14. SUBJECT TERMS 52 15. NUMBER OF PAGES Theory of Knowledge, NUCOR Case Study, Learning Organization...27 Army Leadership Insights into Knowledge Management ............................................ 27 NUCOR Case Study...knowledge management is conducted in a Fortune 500 company, NUCOR . Additionally, interviews with active members of the United States Army provides

  18. 78 FR 24735 - Army Education Advisory Committee Meeting

    Science.gov (United States)

    2013-04-26

    ... include topics relating to the Army Learning Model that seeks to improve the Army's learning model by leveraging technology without sacrificing standards so the Army can provide credible, rigorous, and relevant...

  19. The U.S. Army Occupational and Environmental Medicine Residency at Aberdeen Proving Ground, Maryland: 1960-1996.

    Science.gov (United States)

    Gaydos, Joel C; Mallon, Timothy M; Rice, William A

    2016-11-01

    Reorganization of the Army and critical assessment of Army Graduate Medical Education programs prompted the Occupational and Environmental Medicine (OEM) Consultant to the Army Surgeon General to initiate a review of current Army OEM residency training. Available information indicated the Army OEM residency at Aberdeen Proving Ground, MD, was the first and longest operating Army OEM residency. Describing this residency was identified as the first step in the review, with the objectives of determining why the residency was started and sustained and its relevance to the needs of the Army. Records possibly related to the residency were reviewed, starting with 1954 since certification of physicians as Occupation Medicine specialists began in 1955. Interviews were conducted with selected physicians who had strong affiliations with the Army residency and the practice of Army OEM. The Army OEM residency began in 1960 and closed in 1996 with the transfer of Army OEM residency training to the Uniformed Services University of the Health Sciences, Bethesda, MD. Over 36 years, 47 uniformed residency graduates were identified; 44 were from the Army. Forty graduated between 1982 and 1996. The OEM residency was part of a dynamic cycle. Uniformed OEM leaders identified the knowledge and skills required of military OEM physicians and where these people should be stationed in the global Army. Rotations at military sites to acquire the needed knowledge and skills were integrated into the residency. Residency graduates were assigned to positions where they were needed. Having uniformed residents and preceptors facilitated the development of trust with military leaders and access to areas where OEM physician skills and knowledge could have a positive impact. Early reports indicated the residency was important in recruiting and retaining OEM physicians, with emphasis placed on supporting the Army industrial base. The late 1970s into the 1990s was a more dynamic period. There was

  20. Non-medical use of methylphenidate among medical students of the University of the Free State

    OpenAIRE

    Jain, Roshini; Chang, Chiech; Koto, Mpho; Geldenhuys, Alden; Nichol, Richard; Joubert, Gina

    2017-01-01

    Background: Faced with demanding training programmes, medical students may be more prone to use methylphenidate for non-medical purposes in order to improve concentration, alertness and academic performance. Aim: The study aimed to investigate the prevalence of the non-medical use of methylphenidate and knowledge of this drug among undergraduate medical students of the University of the Free State. Methods: This was a cross-sectional study. A self-administered, anonymous questionnaire...

  1. Horsemanship of ancient armies of Northern Black Sea region

    Directory of Open Access Journals (Sweden)

    K. M. Kolesnykov

    2015-06-01

    Full Text Available This article deal with the description, analysis and generalization of features of organization and tactics of cavalry of the army ancient states of the Northern Black Sea region: Olbia, Chersonese, Bosporus. Author sure that the foundation of the armed forces of these states was a civil militia – free, economically independent landowners, endowed with the broadest volume of political and social rights men – full citizens. Bosporus kings have attracted a significant number of hired troops that held by the royal treasury income and special direct tax. The cavalry is interacted with heavily armed infantry contingents – hoplites or swordsman­ thyureoforoi. The contingents of lightweight (arrow­toxots and heavy (akontists and spearmen cavalry were presented as part of ancient armies of the Northern Black Sea Region in Classical and Hellenistic periods. In the Roman period on the Bosporus fixed formation units of cathafractarian cavalry. The weapons and tactics of the Sarmatian nomadic nobility (Aspurhianian, Sirak, Aorsy and more were served as a model for Bosporus cataphractarian horsemen.

  2. The U.S. Army's Initial Impressions of Operations Enduring Freedom and Noble Eagle. Center for Strategic Leadership. October 2002. Issue Paper 10-02

    National Research Council Canada - National Science Library

    Thompson, Eugene

    2002-01-01

    .... During a 26-29 August 2002 conference conducted at the Collins Center for Strategic Leadership of the United States Army War College, a group of 51 representatives, from throughout the Army gathered...

  3. Army Transformation and the Future Combat System

    Science.gov (United States)

    2008-03-01

    Christina Fishback. “U.S. Army’s Reaction to FM 100-5.” Master’s Thesis Draft. (Manhattan: Kansas State University, 2008). Introduction . 12 U.S. Army...Military Revolution, 1300-2050. Ed. Macgregor Knox and Williamson Murray. ( Cambridge and New York: Cambridge University Press, 2001); Even with the...Ibid. This evident by his saying that "glory is fleeting, but obscurity is forever." 131 In an abstract manner, Shakespeare observes the similar

  4. 78 FR 69077 - Army Education Advisory Subcommittee Meeting Notice

    Science.gov (United States)

    2013-11-18

    ... DEPARTMENT OF DEFENSE Department of the Army Army Education Advisory Subcommittee Meeting Notice... leading to provisional findings will be referred to the Army Education Advisory Committee for deliberation...: ATFL-APO, Monterey, CA 93944, [email protected]us.army.mil , (831) 242-5828. SUPPLEMENTARY INFORMATION...

  5. 77 FR 4026 - Army Education Advisory Subcommittee Meeting Notice

    Science.gov (United States)

    2012-01-26

    ... DEPARTMENT OF DEFENSE Department of the Army Army Education Advisory Subcommittee Meeting Notice... Visitors, U.S. Army War College Subcommittee. Date of Meeting: February 23, 2012. Place of Meeting: U.S. Army War College, 122 Forbes Avenue, Carlisle, PA, Command Conference Room, Root Hall, Carlisle...

  6. Army Cost Culture: What Is It? What Should It Become?

    Science.gov (United States)

    2013-03-01

    Army leaders to implement inclusion of this Army cost culture value into the larger Army culture. Kotter warns us that failure to complete each step...inculcation of a cost culture. However, this circumstance does not really apply to the Army. Army senior leaders clearly understand that mission comes...changed: In this challenging environment, an improved Army cost culture will enable senior leaders to preserve the nation’s security. This Strategy

  7. Army Leader Transitions Handbook

    Science.gov (United States)

    2008-01-01

    The courseware allows users to tailor training materials to specific needs. Users access this at the CAL AKO website or Army eLearning https...usarmy.skillport.com/ skillportfe/login/usarmylogin.cfm. New users must register with eLearning . Then login, select “Army Custom Curricula” and scroll to...challenges of your transition. Patience, flexibility and a good understanding of influence techniques on your part will help make any needed realignment a

  8. 77 FR 27209 - Army Education Advisory Subcommittee Meeting Notice

    Science.gov (United States)

    2012-05-09

    ... DEPARTMENT OF DEFENSE Department of the Army Army Education Advisory Subcommittee Meeting Notice...: Board of Visitors, U.S. Army War College Subcommittee. Date of Meeting: May 31, 2012. Place of Meeting: U.S. Army War College, 122 Forbes Avenue, Carlisle, PA, Command Conference Room, Root Hall, Carlisle...

  9. 78 FR 23759 - Army Education Advisory Subcommittee Meeting Notice

    Science.gov (United States)

    2013-04-22

    ... DEPARTMENT OF DEFENSE Department of the Army Army Education Advisory Subcommittee Meeting Notice... Visitors, U.S. Army War College Subcommittee. Dates of Meeting: May 16, 2013. Place of Meeting: U.S. Army War College, 122 Forbes Avenue, Carlisle, PA, Command Conference Room, Root Hall, Carlisle Barracks...

  10. [Management of Grave's disease in the tropics (experience at Bouffard Army Hospital Center in Djibouti].

    Science.gov (United States)

    Coulet, O; Kraemer, P; Leyral, G; Cloatre, G

    2004-01-01

    Based on their experience in managing Grave's disease at the Bouffard Army Hospital Center within the local health care context in Djibouti, the authors advocate surgery as the first line treatment. Medical and economical factors supporting this preference are discussed so that readers can adapt them to his own local context.

  11. A state-level analysis of the economic impacts of medical tourism in Malaysia

    OpenAIRE

    Klijs, J.; Ormond, M.E.; Mainil, T.; Peerlings, J.H.M.; Heijman, W.J.M.

    2016-01-01

    In Malaysia, a country that ranks among the world's most recognised medical tourism destinations, medical tourism is identified as a potential economic growth engine for both medical and non-medical sectors. A state-level analysis of economic impacts is important, given differences between states in economic profiles and numbers, origins, and expenditure of medical tourists. We applied input–output (I–O) analysis, based on state-specific I–O data and disaggregated foreign patient data. The an...

  12. Army Programs: Army Finance and Accounting Quality Assurance Program

    National Research Council Canada - National Science Library

    1988-01-01

    This regulation discusses the primary responsibilities of commanders and staff officers at installation and higher levels for execution of the Army Finance and Accounting Quality Assurance (QA) Program...

  13. Miracle on the Vistula: The Red Army’s Failure and the Birth of the Deep Operations Theory of Annihilation

    Science.gov (United States)

    2017-04-09

    Miracle on the Vistula: The Red Army’s Failure and the Birth of the Deep Operations Theory of Annihilation A Monograph by MAJ Charles E. Thompson...United States Army School of Advanced Military Studies United States Army Command and General Staff College Fort Leavenworth, Kansas 2017...collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT

  14. Trust: Implications for the Army Profession

    Science.gov (United States)

    2013-10-01

    Georgia Institute of Technology, a MMAS from the School of Advance Military Studies, and an MSS from the U.S. Army War College. He was the U.S. Army...degrees from the School of Advance Military Studies, the US Army War College, and Webster University. His current research focus is senior military...The Repeal of Don’t Ask, Don’t Tell—1 Year Later,” Center for American Progress, from <http://www.americanprogress.org/issues/ lgbt /report/2012/09

  15. 15 CFR Notes Applicable to State... - Notes applicable to State of Understanding related to Medical Equipment:

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Notes applicable to State of Understanding related to Medical Equipment: applicable Notes applicable to State of Understanding related to Medical Equipment: Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) BUREAU OF INDUSTRY AND SECURITY,...

  16. Allowance officers Russian and Austro-Hungarian armies on the eve of the First World War

    Directory of Open Access Journals (Sweden)

    Alexander P. Abramov

    2016-09-01

    Full Text Available On the basis of historical material provides information on measures of state and military administration on the eve of the First World War to improve the welfare of Russian officers and Austro-Hungary, through various forms of material incentives, which are reflected in the cash payments, promotions, awards and social guarantees. On the basis of archival materials of the study period, open scientific publications and Internet resources there are disclosed the features of the destination of salaries, various allowances and compensations Russian army in comparison to the Austro-Hungarian army, who spoke Russian opponent in the First World War. The author notes that the existing system of money allowances in the Russian army was more advantageous than in the Austro-Hungarian army. However, neither one nor the other could not fully meet the needs of the majority of officers of both armies, entered as opponents in the First World War. One of its major shortcomings, both in Russia and in the Austro-Hungarian Empire, was a wide gap in the amounts of all kinds of money allowances between chief officers, staff officers and generals.

  17. Can Access to Data Prevent Army Suicides Identifying Optimal Response Strategies for Army Leaders

    Science.gov (United States)

    2016-01-01

    activities. One shortfall of this approach, however, is the lack of guidance on how Army leaders should interpret and use these data. To address this gap ...records Personal relationships Divorce, Army Community Service records Financial problems Wage garnishment, creditor notification agreed that leaders...endorsed by three panelists. compared, noting that there are significant differences between battalions with respect to age, gender , and rank

  18. A state-level analysis of the economic impacts of medical tourism in Malaysia

    NARCIS (Netherlands)

    Klijs, J.; Ormond, M.E.; Mainil, T.; Peerlings, J.H.M.; Heijman, W.J.M.

    2016-01-01

    In Malaysia, a country that ranks among the world's most recognised medical tourism destinations, medical tourism is identified as a potential economic growth engine for both medical and non-medical sectors. A state-level analysis of economic impacts is important, given differences between states in

  19. What the Army Needs to Know to Align Its Operational and Institutional Activities

    National Research Council Canada - National Science Library

    Camm, Frank; Cook, Cynthia R; Masi, Ralph; Wong, Anny

    2007-01-01

    ... from those mastered in years past. And a whole series of supporting organizations must adapt to the global deployments of an Army that will be based largely in the United States rather than overseas...

  20. Update: Exertional rhabdomyolysis, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2011-2015.

    Science.gov (United States)

    Armed Forces Health Surveillance Branch

    2016-03-01

    Among active component members of the U.S. Army, Navy, Air Force, and Marine Corps in 2015, there were 456 incident episodes of rhabdomyolysis likely due to physical exertion or heat stress ("exertional rhabdomyolysis"). Annual rates of incident diagnoses of exertional rhabdomyolysis increased 17% between 2014 and 2015. In 2015, the highest incidence rates occurred in service members who were male; younger than 20 years of age; black, non-Hispanic; members of the Marine Corps and Army; recruit trainees; and in combat-specific occupations. Most cases of exertional rhabdomyolysis were diagnosed at installations that support basic combat/recruit training or major ground combat units of the Army or Marine Corps. Medical care providers should consider exertional rhabdomyolysis in the differential diagnosis when service members (particularly recruits) present with muscular pain and swelling, limited range of motion, or the excretion of dark urine (e.g., myoglobinuria) after strenuous physical activity, particularly in hot, humid weather.

  1. A Cross-Sectional Comparison of Army Advertising Attributes

    Science.gov (United States)

    1990-11-01

    ARMY ADVERTISING ATTRIBUTES EXECUTIVE SUMMARY Research Requirement: In order to assess the impact of the Army’s advertising strategy and campaigns...Sample sizes varied from 4,875 to 4,926 for the NRS and from 3,569 to 3,602 for ACOMS. Improvement type themes. This advertising strategy would make...and college. I recommend that the Army focus advertising strategy on the Army as a positive step between high school and college in addition to work

  2. [The first and foremost tasks of the medical service].

    Science.gov (United States)

    Chizh, I M

    1997-07-01

    Now in connection with common situation in Russian Federation the problem of reinforcements of army and fleet by healthy personnel, scare of a call-up quota and its poor quality are the main problems of the Armed Forces at the state level. The uniform complex program of medico-social maintenance of the citizens during preparation for military service is necessary. The modern situation is difficult due to many infectious diseases, so the role and the place of military-medical service grows. In last years structure of quota, served by the military doctors, and number of other parameters have greatly changed, that require revision of some priorities. A problem of reinforcements of the Armed Forces by medical service officers remains actual, for decision of which a full-bodied admission on military medical faculty is required, as well as admission of the officers under contract and calling-up of reserve officers. In article the main lessons, received by the medical service during combat actions in Republic of Chechnya are also formulated.

  3. Department of the Army Installation Restoration Program

    International Nuclear Information System (INIS)

    Anderson, A.W.

    1988-01-01

    The Army's Installation Restoration Program (IRP) was established in 1975 in response to regulatory action at several installations where past disposal practices had caused contamination of streams and groundwater. The need to decontaminate excess Army-owned real estate also was considered in early IRP activities. A variety of site types have been discovered on Army installations. The major site types evaluated to date include: contaminated soil areas, landfills, lagoons, buildings, burning grounds, sumps, pits, storage tanks, sewage treatment plants, storage pads, industrial wastewater treatment plants, and salvage yards. Twenty Army installations have been proposed for or listed on the National Priorities List (NPL). The need for taking action at hazardous waste sites, however, is based on threats they pose to human health, welfare or the environment. Sites do not have to be on the SPL in order to be cleaned up through IRP activities. All of the sites that caused Army installations to be proposed for the NPL are being evaluated and cleaned up. In addition, all Army properties have been or will be assessed and where needed they will be addressed by the IRP

  4. Who was in Harold Bluetooth’s army?

    DEFF Research Database (Denmark)

    Price, Douglas; Frei, Karin; Dobat, A.S.

    2011-01-01

    The circular fortress of Trelleborg on Zealand in Denmark is well known as a military camp with a key role in the formation of the Danish state under Harald Bluetooth in the tenth century AD. Taking a sample of 48 burials from the fort, strontium isotope analysis once again demonstrates its ability...... with a silver casket. Trelleborg, home of Harald Bluetooth's army, was a fortress of foreigners with vivid implications for the nature of his political mission...

  5. Army Blast Claims Evaluation Procedures

    Science.gov (United States)

    1994-03-01

    ATIN: AFZX-JA Building 4551 Fort Polk, LA 71459-5000 Commander U.S. Army Engineer Center and Fort Leonard Wood ATIN: AlZT-JA Building 1706 East...U.S. Armed Forces Claims Service, Korea APO AP 96205-0084 No. of Copies Organization 1 Commander U.S. Army South ATI’N: SOJA Building 154 APO

  6. Selection and Classification of United States Military Officers: A fifty-Year Bibliography (1937-1986)

    Science.gov (United States)

    1989-03-01

    orientation in Naval aviation cadets. Journal of Educational Psychology , 45, 91-109. 908 Creelman , J.A. (1954). An analysis of the physical fitness index...International Index to Periodicals. (e) Military Testing Association Proceedings, and (f) Psychological Abstracts. The research organizations of the armed...Texas, can trace its beginning to a number of Psychological Research Units of the Medical Division of the United States Army Air Corps. Some of the

  7. U.S. Army Medical Department Journal, April-June 2008

    Science.gov (United States)

    2008-06-01

    IGR), against dengue vector mosquitoes. In the Peruvian Amazon community at Iquitos, Stancil42 (Naval Medical Research Center Detachment, Peru ...Research Unit- Kenya, Nairobi; Naval Medical Research Center Detachment, Lima, Peru ; Naval Medical Research Unit-2, Jakarta, Indonesia; and the Naval...These projects have revealed that sand flies often emerge from the soil beneath tents and camps. In an effort to prevent sand flies breeding in rodent

  8. Army Vocational Guidance in Two-Year Colleges

    Science.gov (United States)

    1987-11-01

    worklife . Second, counselors were quite receptive to the idea of having high quality Army information available that could aid student career planning...the CVG/JOIN information presentations to be informative and rather objective (i.e., balanced pros and cons about Army life/options). Nonetheless...presentation; variety, color is excellant. - Very honest and balanced presentations. "* 130 0 - - - - - - - - - - 15) quality of "Army Jobs" info

  9. Periodic medical check-up among residents of three Nigerian South-western States

    Directory of Open Access Journals (Sweden)

    Saheed Opeyemi Usman

    2016-09-01

    Full Text Available Objectives: General medical examination is a common form of preventive medicine. Periodic medical check-up generally involves thorough history, physical examination and screening of asymptomatic persons by physicians on a regular basis as part of a routine health care process. Periodic medical check-up is considered effective in preventing illness and promoting health and reducing morbidity and mortality. This study is therefore designed to determine the knowledge, attitude and practice of periodic medical check-up among residents of Osun, Ondo and Ekiti States of Nigeria. It is also to determine the influence of educational status on its practice and compare the outcomes in the three states. Materials and Methods: The cross-sectional survey study utilizing both qualitative and quantitative method of data collection was conducted at various locations across the three states. The locations included those of public servants, private sector workers, artisans, traders, business men/women, farmers, among others. Results: 1200 consenting residents participated in the study in each of the three states. 518 (43.2% of the respondents in Ondo State are males while 682 (57.8% are females. 465 (38.8% of the respondents in Ekiti State are males while 735 (61.2% are females. 494 (41.2% of the respondents in Osun State are males while 706 (59.8% are females. The mean age in Ondo, Ekiti and Osun were 43.8 +/- 10.7 years, 44.6 +/- 11.5 years and 41.7 +/- 10.1 years respectively. 89.2%, 88.3% and 87.4% of the respondents are aware of periodic medical check-up in Ondo, Ekiti and Osun states respectively. Conclusion: There is high level of awareness of periodic medical check-up in all three states but the level of practice of routine medical check-up is low. The majority of the respondents probably don't practice it because their health insurance plan does not cover the medical check-up or due to individual/organizational financial constraints. [J Contemp Med 2016

  10. The political importance of the Rhine Army during the fourth century

    Directory of Open Access Journals (Sweden)

    Diego SANTOS

    2012-03-01

    Full Text Available The Army of the Rhine was the constant source of invasions in the fourth century. The cause of these rebellions was that they could never be controlled effectively by the central government unless the emperor was found in the region. Their main interest was to protect their own border over the others, which made them behave as a regional unit pursuing their own interests, alien to those of the centre. These invasions were defeated which caused the weakening of the Gallic army and the Imperial State feared more the interior rebels than the external attacks. The result was that this force was deliberately dismantled which helped to breakdown the border in the year 406.

  11. 2014 Center for Army Leadership Annual Survey of Army Leadership (CASAL): Military Leader Findings

    Science.gov (United States)

    2015-09-22

    of representativeness across the Army. The respondent sample closely approximated the population of the Army in distribution of component and gender ...standards are types of behaviors that hinder trust by creating climates of perceived inequality . As expected, the display of favoritism is negatively...or ‘favorites’ in lieu of the most qualified personnel, unequal enforcement of standards and discipline, and use of discretion in workplace justice

  12. The Army National Guard Annual Financial Report, Fiscal Year 2010

    Science.gov (United States)

    2010-01-01

    provided supplemental security at the Kulani Prison near Hilo , Hawaii . Elements of the 93rd Civil Support Team provided immediate disaster...emergencies in CONUS (the continental United States), Hawaii , and Alaska as directed by higher headquarters. Enterprise Data Warehouse (EDW) In FY10, users...OEF-A). These two elements will redeploy and demobilize in early FY11. 43 state in Fo R M atio n su M M a R ies HAWAII In FY10, the Hawaii Army

  13. Obesity: A United States Strategic Imperative

    Science.gov (United States)

    2013-04-01

    States Department of Veterans Affairs 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) Dr. Thomas ...Army Ms. Karen Malebranche United States Department of Veterans Affairs Project Adviser Dr. Thomas Williams U.S. Army War...per American has increased by 57 pounds per year ( poultry representing 46 pounds).86 Surprisingly however, the percentage of calories from meat

  14. Army Reserve Military Intelligence: Time for Change

    Science.gov (United States)

    2010-04-20

    Miramax Books, 2002. Goleman , Daniel . Emotional Intelligence . New York: Bantam Books, 1997. Goleman , Daniel , Richard Boyatzis, and Annie McKee...or position of the Department of the Army, Department of Defense, or the U.S. Government. ARMY RESERVE MILITARY INTELLIGENCE : TIME FOR CHANGE...Research Project 3. DATES COVERED 00-00-2009 to 00-00-2010 4. TITLE AND SUBTITLE Army Reserve Military Intelligence : Time for Change 5a

  15. Medical cannabis laws and opioid analgesic overdose mortality in the United States, 1999-2010.

    Science.gov (United States)

    Bachhuber, Marcus A; Saloner, Brendan; Cunningham, Chinazo O; Barry, Colleen L

    2014-10-01

    Opioid analgesic overdose mortality continues to rise in the United States, driven by increases in prescribing for chronic pain. Because chronic pain is a major indication for medical cannabis, laws that establish access to medical cannabis may change overdose mortality related to opioid analgesics in states that have enacted them. To determine the association between the presence of state medical cannabis laws and opioid analgesic overdose mortality. A time-series analysis was conducted of medical cannabis laws and state-level death certificate data in the United States from 1999 to 2010; all 50 states were included. Presence of a law establishing a medical cannabis program in the state. Age-adjusted opioid analgesic overdose death rate per 100 000 population in each state. Regression models were developed including state and year fixed effects, the presence of 3 different policies regarding opioid analgesics, and the state-specific unemployment rate. Three states (California, Oregon, and Washington) had medical cannabis laws effective prior to 1999. Ten states (Alaska, Colorado, Hawaii, Maine, Michigan, Montana, Nevada, New Mexico, Rhode Island, and Vermont) enacted medical cannabis laws between 1999 and 2010. States with medical cannabis laws had a 24.8% lower mean annual opioid overdose mortality rate (95% CI, -37.5% to -9.5%; P = .003) compared with states without medical cannabis laws. Examination of the association between medical cannabis laws and opioid analgesic overdose mortality in each year after implementation of the law showed that such laws were associated with a lower rate of overdose mortality that generally strengthened over time: year 1 (-19.9%; 95% CI, -30.6% to -7.7%; P = .002), year 2 (-25.2%; 95% CI, -40.6% to -5.9%; P = .01), year 3 (-23.6%; 95% CI, -41.1% to -1.0%; P = .04), year 4 (-20.2%; 95% CI, -33.6% to -4.0%; P = .02), year 5 (-33.7%; 95% CI, -50.9% to -10.4%; P = .008), and year 6 (-33.3%; 95% CI, -44.7% to

  16. Medical Surveillance Monthly Report (MSMR). Volume 4, Number 3, April 1998

    Science.gov (United States)

    1998-04-01

    expressed are not necessarily those of the Department of the Army. Surveillance Trends Frequencies, rates and trends of hospitalizations and associated...Army Medical Center lets 33,000), and leukocytosis (WBCs 15.6). Her urinalysis revealed trace protein and hematuria. Serologic tests for IgM and IgG...addition, several cases received intravenous penicillin when they were admitted to TAMC. All cultures were negative for leptospira ; thus, it is

  17. THE BAND OF ABDUL QAHHAR MUDZAKKAR: Biographical Sketch of Rebelious Leaders of Islamic State-Indonesian Islamic Army (DI/TII of Sulawesi

    Directory of Open Access Journals (Sweden)

    Muhammad Hasbi

    2014-12-01

    Full Text Available The rebellious movement of Islamic State-Indonesian Islamic Army (DI/TII began from dissa­tis­faction towards the secular state of newly indepen­dent Indonesia. Abd. Qahhar Mudzakkar, the leader of DI/TII in Sulawesi and his followers revolted against the govern­ment, and subsequently formed their own Islamic government. Since Qahhar graduated from Muhammadiyah school, his theological basis in his cause to establishing an Islamc state is very prevalent. He believed that his Islamic state is to uphold the truth and to defend the religion of Allah. Thus whoever opposed his DI/TII movement would be considered infidel simply because of favoring or supporting the Indonesian government they considered secular and communist. His followers and supporters were preachers and clerics, who helped Qahhar by carrying out specific functions and positions in his Islamic state. In addition, those people played an important role in getting recognition and acceptance of Sulawesi muslim society for Islamic state campaign launched by Abdul Qahhar Mudzak­kar. Without their involvement, DI/TII would never had been so popular among muslim community in Sulawesi.

  18. Issues and Insights from the Army Technology Seminar Game

    National Research Council Canada - National Science Library

    Darilek, Richard

    2001-01-01

    ...). The AAN goals were to link Army XXI to a long-term vision of the Army extending well into the 21st century and to ensure that this vision informed evolving Army research and development requirements...

  19. Air Weather Service Support to the United States Army Tet and the Decade After

    Science.gov (United States)

    1979-08-01

    Emdo API Scott API Virginia Gem’Jew Alke ltnl Provide or Provides or himods or Ftevides or Provde o oranges for anugu for eworgss for elsgsfor oerr’s...confessed that it was a rein- carnation , really, a realization among Army commanders reborn with each war but buried during peace- Cot Edwin E. Carnel time

  20. Training programs in medical physics in the United States

    International Nuclear Information System (INIS)

    Lanzl, L.H.

    1977-01-01

    The history of the field of medical physics in the United States is reviewed; the importance of the development of the nuclear reactor and particle accelerators to medical physics is pointed out. Conclusions and recommendations of an IAEA/WHO seminar on the training of medical physicists (in 1972) are given and compared with existing programs in the US. It is concluded that the recommendations of the IAEA are, for the most part, followed. 1 table

  1. Observations of the role of science in the United States medical cannabis state policies: Lessons learnt.

    Science.gov (United States)

    Grbic, Jelica; Goddard, Perilou; Ryder, David

    2017-04-01

    Clinical trials have shown cannabis to be effective in the treatment of some medical conditions and there is mounting public and political pressure to enact laws enabling the use of cannabis for medicinal purposes. To date, 28 United States (U.S.) states and the District of Columbia have enacted medical cannabis laws. This study sought to identify the main issues pertaining to the development of medical cannabis laws in the U.S, including the role of scientific evidence. Data were collected from three groups of participants: government officials, lobbyists and medical professionals involved in the medical cannabis debate in five selected states in the U.S.; researchers from the same five states conducting funded research in the alcohol and other drugs field; and members of the International Society for the Study of Drug Policy. The data were analysed using thematic analysis. Six major themes emerged in relation to the factors influencing policy: scientific evidence plays a limited role in the development of policy; the available research is limited and mixed; there is a need for clearer communication and active dissemination of evidence to policy makers; researchers need to consider what research is likely to impact on policy; scientific evidence is not a major factor in policy development; and there is a need to consider evidence within a political context. Researchers need to be aware of the political context in which medical cannabis laws are or are not enacted and consider ways in which research findings can achieve a higher profile within this context. Copyright © 2016. Published by Elsevier B.V.

  2. The United States Army and the Sergeant Problem: The Army’s Systemic Inability to Produce Enough Sergeants and a Proposal to Fix it

    Science.gov (United States)

    2014-04-23

    Intelligence Agency https://www.cia.gov/ library / publications/the-world-factbook/index.html (accessed November 24, 2013); John Pike, "Royal Thai Army" http...accessed November 24, 2013); Barbara LePoer, Thailand: A Country Study, Area Handbook Series (Washington, DC: Library of Congress, 1989), 246, 259...accessed December 22, 2013); "Professional Leadership Programs: Apprenticeship, Internship, and Multicultural Fellowship", http

  3. Operational Reach: Is Current Army Doctrine Adequate?

    National Research Council Canada - National Science Library

    Heintzelman, Scott

    2003-01-01

    The term operational reach, an element of operational design, is new to U.S. Army doctrine. Operational reach is not found in the previous edition of the Army's basic operational doctrine, Field Manual...

  4. Megacities and the United States Army: Preparing for a Complex and Uncertain Future

    Science.gov (United States)

    2014-06-01

    fighting is not, in itself, a new challenge for the Army. From the streets of Aachen to the markets of Baghdad, Soldiers have de- feated enemies who...which if allowed to fester, may build over time, mobilize segments of the popula- tion, and erupt as triggers of instability. ENVIRONMENTAL...cultural institutions, as well as over 51 million do- mestic and foreign tourists each year, agencies that provide services and security within the

  5. History of the United States Army Engineer District Far East 1957 to 1975

    Science.gov (United States)

    1976-01-01

    property to the Ministry of De- fense was growing among Korean land owners for several reasons. Compensation monies from the ROK were usu- ally tardy or...work in Japan, Korea, Taiwan, the Ryukyu Islands and the Marshall Islands to the Army Corps of Engineers, and that in the Philippine Islands... tardiness in ordering materials from the US, Mitsubishi finished the center in December 1967 in- stead of September as planned. The US Government

  6. Optimizing the Sustainment of U.S. Army Weapon Systems

    Science.gov (United States)

    2016-03-17

    Dale Carnegie , Fellowship, etc.) NA None of the above OPTIMIZING SUSTAINMENT OF ARMY SYSTEMS 36 Question 11: Army Civilian Education System...Darden, Dale Carnegie , Fellowship, etc.) None of the above 11. Army Civilian Education System (check all that apply) Action Officer Development Course

  7. Satisfaction with life and job satisfaction of employees in Slovenian army

    Directory of Open Access Journals (Sweden)

    Tjaša Dimec

    2008-12-01

    Full Text Available The purpose of this study was to investigate satisfaction with life and job satisfaction in the Slovenian army. For this purpose we used Satisfaction With Life Scale (Diener, Emmons, Larsen, & Griffin, 1985 and Pogačnik's (2003 Job Satisfaction Scale. This research involved 168 employees of the Slovenian army: 68 soldiers, 60 officers, and 40 noncommissioned officers. The results showed that employees in Slovenian army are more satisfied than unsatisfied with their lives. Officers are the most satisfied with their life. We found out that appraisals on job satisfaction are rather low and indicate middle level of job satisfaction. The highest level of work satisfaction was expressed in the area of relations with co-workers. Participants were least satisfied with their salary and other material facilities. Individuals with subordinate co-workers showed higher level of satisfaction with work conditions, possibilities for promotion, salary and other material facilities, and also higher level of satisfaction about informing in the army, possibilities for professional development, independence and autonomy at work, work reputation, creativeness at work and also taking part in decision-making. Analysis of differences showed that officers gave the highest score to indicators of work satisfaction, with exception of independence and autonomy at work, work reputation, and pretentiousness of work. Based on the examination of the actual state, to the level the research was enabling, we identified some necessary changes, improvements or measures for improvement of the recognized weak areas.

  8. Priorities for a 21st-century defense: aligning u.s. Army environmental science and engineering officer resources with the department of defense strategic guidance.

    Science.gov (United States)

    Licina, Derek; Rufolo, Dennis; Story, Mike

    2013-01-01

    The recently published Department of Defense (DoD) strategic guidance highlights the need to ?shape a joint force for the future.? Supporting requirements to shape the joint force while the overall DoD force structure is reduced will be challenging. Fortunately, based on its unique training and experience, the Army Environmental Science and Engineering Officer (ESEO) profession is positioned today to fill anticipated joint public health requirements. Obtaining the U.S. Army Medical Department (AMEDD) approval to meet these requirements will have near-term consequences for the ESEO profession as some existing (albeit antiquated) authorizations may go unfilled. However, long-term dividends for the Medical Service Corps (MSC), AMEDD, Army, and DoD will be achieved by realigning critical resources to future joint and interagency requirements. Assigning ESEOs now to organizations such as the Theater Special Operations Commands (TSOCs), U.S. Agency for International Development (USAID), and the North Atlantic Treaty Organization (NATO) with perceived and real joint force health protection/public health requirements through unique means will ensure our profession remains relevant today and supports the joint force of tomorrow. 2013.

  9. Variations by state in physician disciplinary actions by US medical licensure boards.

    Science.gov (United States)

    Harris, John Alexander; Byhoff, Elena

    2017-03-01

    To investigate the variation in the rate of state medical board physician disciplinary actions between US states. Longitudinal study of state medical board physician disciplinary action rates using the US National Practitioner Data Bank and American Medical Association estimates of physician demographics across all 50 states and the District of Columbia from 2010 to 2014. Results were reliability adjusted using a multilevel logistic model controlling for year of disciplinary action, physicians per capita in each state and the rate of malpractice claims per physician in each state. From 2010 to 2014, there were a total of 5046 506 physician licensure years present. Medical boards reported a total of 21 647 disciplinary actions, of which 5137 (23.7%) were major disciplinary actions involving revocation, suspension or surrender of licence. The mean, reliability-adjusted rate of all disciplinary actions was 3.76 (95% CI 3.21 to 4.42) with a significant variation between states. State rates ranged from 2.13 (95% CI 1.86 to 2.45) to 7.93 (95% CI 6.33 to 9.93) actions per 1000 physicians. The mean rate of major disciplinary actions was 2.71 (95% CI 1.93 to 3.82), ranging from 0.64 (95% CI 0.53 to 0.76) to 2.71 (95% CI 1.93 to 3.82) actions per 1000 physicians. The correlation between the rate of major disciplinary action and minor disciplinary actions was 0.34. There is a significant, fourfold variation in the annual rate of medical board physician disciplinary action by state in the USA. When indicated, state medical boards should consider policies aimed at improving standardisation and coordination to provide consistent supervision to physicians and ensure public safety. 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/.

  10. Predicting non-familial major physical violent crime perpetration in the US Army from administrative data.

    Science.gov (United States)

    Rosellini, A J; Monahan, J; Street, A E; Heeringa, S G; Hill, E D; Petukhova, M; Reis, B Y; Sampson, N A; Bliese, P; Schoenbaum, M; Stein, M B; Ursano, R J; Kessler, R C

    2016-01-01

    Although interventions exist to reduce violent crime, optimal implementation requires accurate targeting. We report the results of an attempt to develop an actuarial model using machine learning methods to predict future violent crimes among US Army soldiers. A consolidated administrative database for all 975 057 soldiers in the US Army in 2004-2009 was created in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). Of these soldiers, 5771 committed a first founded major physical violent crime (murder-manslaughter, kidnapping, aggravated arson, aggravated assault, robbery) over that time period. Temporally prior administrative records measuring socio-demographic, Army career, criminal justice, medical/pharmacy, and contextual variables were used to build an actuarial model for these crimes separately among men and women using machine learning methods (cross-validated stepwise regression, random forests, penalized regressions). The model was then validated in an independent 2011-2013 sample. Key predictors were indicators of disadvantaged social/socioeconomic status, early career stage, prior crime, and mental disorder treatment. Area under the receiver-operating characteristic curve was 0.80-0.82 in 2004-2009 and 0.77 in the 2011-2013 validation sample. Of all administratively recorded crimes, 36.2-33.1% (male-female) were committed by the 5% of soldiers having the highest predicted risk in 2004-2009 and an even higher proportion (50.5%) in the 2011-2013 validation sample. Although these results suggest that the models could be used to target soldiers at high risk of violent crime perpetration for preventive interventions, final implementation decisions would require further validation and weighing of predicted effectiveness against intervention costs and competing risks.

  11. Developing an Army Market Research Index in Support of Army Recruiting

    National Research Council Canada - National Science Library

    Morath, Ray

    2001-01-01

    .... Generating appropriate market research for the Army requires first cataloguing the existing market research databases and identifying the critical questions that are not answered by current research...

  12. Medical Statistics in World War II (Medical Department, United States Army)

    Science.gov (United States)

    1975-01-01

    Glaucoma -.----------------------- .............------------- 1,198 140 438 800 R99 09 Ophthalmoplegls -------------------------.----------------- It0...03111 1.’,a .g. 0." ’.u11 O.121 11.10 (1.21 0.131 5 A.M3i 5.41 6.71 7.46 7.117 Ahm 4,111 11.54 C .31 l .... (i0.111 1.311 -0 1O.O 917 0.04 0.03 11.111...27 lalahmanlumi hkalmmmar) ............................ . . . .24 IIIM ~ ahM *Mnlt.IM &SR OuV. l L

  13. Adaptive Army: Embracing the Concept of Operational Manoeuvre from the Sea

    Science.gov (United States)

    2010-05-05

    PEACE Source: Headquarters Training Command- Army. Land Warfare Doctrine LWD 3-01: Formation Tactics. Australian Army, November 27, 2003. 27...Amphibious Capability Implementation Team, June 15, 2009. Headquarters Training Comrriand- Army. Land Warfare Doctrine LWD 3-0: Operations. Australian Army

  14. Physician Retention in the Army Medical Department

    Science.gov (United States)

    2009-03-16

    Fifteen years ago, these jobs were filled by General Medical Officers ( GMO ) -- graduates of internships who spent some time “muddying their boots” in the...field while waiting a year or two for the residency position of their choice. Today, the GMO is an endangered species. In an effort to provide the best

  15. An introduction to medical malpractice in the United States.

    Science.gov (United States)

    Bal, B Sonny

    2009-02-01

    Medical malpractice law in the United States is derived from English common law, and was developed by rulings in various state courts. Medical malpractice lawsuits are a relatively common occurrence in the United States. The legal system is designed to encourage extensive discovery and negotiations between adversarial parties with the goal of resolving the dispute without going to jury trial. The injured patient must show that the physician acted negligently in rendering care, and that such negligence resulted in injury. To do so, four legal elements must be proven: (1) a professional duty owed to the patient; (2) breach of such duty; (3) injury caused by the breach; and (4) resulting damages. Money damages, if awarded, typically take into account both actual economic loss and noneconomic loss, such as pain and suffering.

  16. Sustainment in the Army 2020: Using the Army’s Sustainment Principles to Identify and Mitigate Risks Associated with Organizational Change

    Science.gov (United States)

    2015-06-12

    2003. Accessed February 2, 2015. http://articles.latimes.com/ 2003/jul/24/world/fg-troops24. Silverman , David . Interpreting Qualitative Data: A Guide...IraqiFreedomText.pdf. 127 Gregory Fontenot, E. J. Degen, and David Tohn, On Point–The United States Army in Operation Iraqi Freedom (Fort...ground forces in OIF I and shows the axis of advance for both the 1st MEF and V Corps. Source: Gregory Fontenot, E. J. Degen, and David Tohn, On

  17. Medical practice in New Zealand 1769-1860.

    Science.gov (United States)

    Lawrenson, Ross

    2004-06-01

    New Zealand was discovered by Captain Cook in 1769. Over the next ninety years, increasing numbers of medical practitioners visited and began to settle in what became a British colony. The first medical visitors were usually naval surgeons or served on board whaling ships. The major influx of doctors occurred at the behest of the New Zealand Company between 1840 and 1848, although Christian missionaries, army doctors, and individual medical entrepreneurs also emigrated and provided services. This paper describes the pattern of medical settlement in the colony's earliest years and relates this to the health of the population and the development of medical and hospital services.

  18. Fiscal Year 2014 United States Army Annual Financial Report: Maintaining Readiness Through Fiscal Responsibility

    Science.gov (United States)

    2014-01-01

    citizens at home, to combating insurgents abroad. Providing Advanced Technologies The Army’s Science and Technology (S&T) investments support Army...Construction 29,892,790 33,309,504 (Less: Earned Revenue) $ (14,868,782) $ (14,584,858) Net Cost before Losses/(Gains) from Actuarial Assumption Changes for...Benefits consist of various employee actuarial liabilities not due and payable during the current fiscal year. These liabilities consist primarily

  19. U.S. Army Training and Testing Area Carrying Capacity (ATTACC) for Munitions (AFM)

    Science.gov (United States)

    2006-11-01

    Army Training Support Center USDA United States Department of Agriculture USGS United States Geological Survey USLE Universal Soil Loss Equation...Range condition is a function of climate, soil , and hydrology. The munitions impact, constituent load, and range condition are modeled using AFM...For ArcGIS v2 to attain expected concentrations of munitions constituents and corresponding risk due to exposure through soil - and water-related

  20. What the Army Needs to Know to Align Its Operational and Institutional Activities: Executive Summary

    National Research Council Canada - National Science Library

    Camm, Frank; Cook, Cynthia R; Masi, Ralph; Wong, Anny

    2007-01-01

    ... from those mastered in years past. And a whole series of supporting organizations must adapt to the global deployments of an Army that will be based largely in the United States rather than overseas...

  1. Orthopedic board certification and physician performance: an analysis of medical malpractice, hospital disciplinary action, and state medical board disciplinary action rates.

    Science.gov (United States)

    Kocher, Mininder S; Dichtel, Laura; Kasser, James R; Gebhardt, Mark C; Katz, Jeffery N

    2008-02-01

    Specialty board certification status has become the de facto standard of competency by which the profession and the public recognize physician specialists. However, the relationship between orthopedic board certification and physician performance has not been established. Rates of medical malpractice claims, hospital disciplinary actions, and state medical board disciplinary actions were compared between 1309 board-certified (BC) and 154 non-board-certified (NBC) orthopedic surgeons in 3 states. There was no significant difference between BC and NBC surgeons in medical malpractice claim proportions (BC, 19.1% NBC, 16.9% P = .586) or in hospital disciplinary action proportions (BC, 0.9% NBC, 0.8% P = 1.000). There was a significantly higher proportion of state medical board disciplinary action for NBC surgeons (BC, 7.6% NBC, 13.0% P = .028). An association between board certification status and physician performance is necessary to validate its status as the de facto standard of competency. In this study, BC surgeons had lower rates of state medical board disciplinary action.

  2. The Influence of U.S. Strategic Culture on Innovation and Adaptation in the U.S. Army

    Directory of Open Access Journals (Sweden)

    Hassan M. Kamara

    2015-12-01

    Full Text Available Culture is an abstract phenomenon that influences its environment. According to culture theorist Edgar Schein, “culture is an abstraction, yet the forces that are created in social and organizational situations that derive from culture are powerful. If we don’t understand the operation of these forces, we become victim to them.” As a subset of culture, the strategic culture of the United States requires study so we can understand its influences on innovation and adaptation in the U.S. Army, and try to manage those that adversely affect the insititution’s ongoing transformation. Using the American Interwar era (1919-1941 as a case—based on some similarities to the contemporary period—this article focuses on the adverse influences of America’s strategic culture on innovation and adaptation in the U.S. Army to provide insight to Army leaders addressing similar (recurring cultural hindrances to transformation. As the Army transforms amidst conflict and budget reductions, it is important to examine and mitigate the negative influences of the broader strategic culture on its ability to innovate and adapt.

  3. 32 CFR 553.7 - Design and layout of Army national cemeteries.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Design and layout of Army national cemeteries... RESERVATIONS AND NATIONAL CEMETERIES ARMY NATIONAL CEMETERIES § 553.7 Design and layout of Army national cemeteries. (a) General cemetery layout plans, landscape planting plans and gravesite layout plans for Army...

  4. The Army Communications Objectives Measurement System (ACOMS) Users’ Manual

    Science.gov (United States)

    1988-07-01

    and analysis system to support Army (1) assessments of advertising program effectiveness; (2) assessments of advertising strategy efficiencies; (3...advertising program effectiveness in a timely fashion; 2 (2) To support Army assessments of advertising strategy in an integrated framework; and (3...ACOMS data to assess the Army’s advertising strategy . ACOMS was designed to be used to examine the extent to which the Army’s intended messages are

  5. Army industrial, landscaping, and agricultural water use

    Energy Technology Data Exchange (ETDEWEB)

    Stoughton, Kate McMordie [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Loper, Susan A. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Boyd, Brian K. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States)

    2014-09-18

    The Pacific Northwest National Laboratory conducted a task for the Deputy Assistant Secretary of the Army to quantify the Army’s ILA water use and to help improve the data quality and installation water reporting in the Army Energy and Water Reporting System.

  6. Army Model and Simulation Standards Report FY98

    National Research Council Canada - National Science Library

    1997-01-01

    ...) standards efforts as work progresses towards the objective Army M&S environment. This report specifically documents projects approved for funding through the Army Model and Improvement Program (AMIP...

  7. The Lessons of Experience; How Strategic Leaders in the United States Army Develop and Their Lessons Learned

    National Research Council Canada - National Science Library

    Hampson, Michael

    1997-01-01

    ...". The Chief of Staff of the Army has indicated that a "Revolution in Military Affairs" will not occur until we first have a "Revolution in Military Logistics" with involved leadership of all senior commanders...

  8. Medical Cannabis Laws and Opioid Analgesic Overdose Mortality in the United States, 1999–2010

    Science.gov (United States)

    Bachhuber, Marcus A.; Saloner, Brendan; Cunningham, Chinazo O.; Barry, Colleen L.

    2015-01-01

    IMPORTANCE Opioid analgesic overdose mortality continues to rise in the United States, driven by increases in prescribing for chronic pain. Because chronic pain is a major indication for medical cannabis, laws that establish access to medical cannabis may change overdose mortality related to opioid analgesics in states that have enacted them. OBJECTIVE To determine the association between the presence of state medical cannabis laws and opioid analgesic overdose mortality. DESIGN, SETTING, AND PARTICIPANTS A time-series analysis was conducted of medical cannabis laws and state-level death certificate data in the United States from 1999 to 2010; all 50 states were included. EXPOSURES Presence of a law establishing a medical cannabis program in the state. MAIN OUTCOMES AND MEASURES Age-adjusted opioid analgesic overdose death rate per 100 000 population in each state. Regression models were developed including state and year fixed effects, the presence of 3 different policies regarding opioid analgesics, and the state-specific unemployment rate. RESULTS Three states (California, Oregon, and Washington) had medical cannabis laws effective prior to 1999. Ten states (Alaska, Colorado, Hawaii, Maine, Michigan, Montana, Nevada, New Mexico, Rhode Island, and Vermont) enacted medical cannabis laws between 1999 and 2010. States with medical cannabis laws had a 24.8% lower mean annual opioid overdose mortality rate (95% CI, −37.5% to −9.5%; P = .003) compared with states without medical cannabis laws. Examination of the association between medical cannabis laws and opioid analgesic overdose mortality in each year after implementation of the law showed that such laws were associated with a lower rate of overdose mortality that generally strengthened over time: year 1 (−19.9%; 95% CI, −30.6% to −7.7%; P = .002), year 2 (−25.2%; 95% CI, −40.6% to −5.9%; P = .01), year 3 (−23.6%; 95% CI, −41.1% to −1.0%; P = .04), year 4 (−20.2%; 95% CI, −33.6% to −4

  9. [Catering services bases in the Russian army under military regulation of Peter the Great].

    Science.gov (United States)

    Konyshev, I S; adamenko, A M; Koshelev, V P

    2014-01-01

    At Peter I the regular army was organized and the system of target state deliveries to troops of the food is created. Provisioning and fodder was normalized as portion and ration. Portion was contained the products forpeoplefood, and ration - fodder for horses food who were used by the serviceman. Portion and ration unit was identical to all categories of the military personnel. Difference in food level consisted in that, how many portions and rations serviceman received. Up to the end of existence of Russian army in 1918 in each rota there were contractor and the cook who were engaged in foodstuff and cooking under sergeant-major and one of rota officers supervision. According to the Charter it was necessary to carry with respect and attention to officers and soldiers, their needs, including in the field of supply and catering services and providing with the food: Despite the lack of scientific justification, soldiers' nutrition was sufficient to provide fighting capacity of the Russian army.

  10. Counter - Drug: Mandate for the Army.

    Science.gov (United States)

    1991-03-01

    this comprehensive review will provide a basis for responding to new missions assigned...observations for determining the short-, mid-, and long-term direction of Army support to the national counter-drug effort. Also, this comprehensive review will provide...and long-term direction of Army support to the national counter-drug effort. Also, this comprehensive review will provide a basis for responding

  11. The Cultural Dimension of Army Transition

    Science.gov (United States)

    2012-12-06

    by the conveyor belt of training. Instead of spending so much of their time as resource managers, the challenges become those of the operational...adaptability. 19The ARMY 2020 project defined the design of the future Army. A design team lead by...iterations, a design based approach uses systemic analysis to resolve these criteria. 27 Systems thinking reflects a departure from the common

  12. 2004 Army Research Office in Review

    Science.gov (United States)

    2004-01-01

    the thermal decomposition of nitrate - ester propellants. This is the first such data ever measured and will provide reliable input for Army...strain has been set for the actuator. The research program includes: Multiscale modeling of microstructural evolution and its affect on mechanical... Multiscale modeling and process optimization for engineered microstructural complexity” have had multiple transition interactions with the Army Research

  13. A 12-month descriptive analysis of emergency intubations at Brooke Army Medical Center: a National Emergency Airway Registry study.

    Science.gov (United States)

    April, Michael D; Schauer, Steven G; Brown Rd, Calvin A; Ng, Patrick C; Fernandez, Jessie; Fantegrossi, Andrea E; Maddry, Joseph K; Summers, Shane; Sessions, Daniel J; Barnwell, Robert M; Antonacci, Mark

    2017-01-01

    Emergency airway management is a critical skill for military healthcare providers. Our goal was to describe the Emergency Department (ED) intubations at Brooke Army Medical Center (BAMC) over a 12-month period. Physicians performing endotracheal intubations in the BAMC ED complete data collection forms for each intubation event as part of the National Emergency Airway Registry, including patient demographics, intubation techniques, success and failure rates, adverse events, and patient disposition. We cross-referenced these forms against the numbers of intubation events reported in the ED nursing daily reports to ensure capture of all intubations. Providers completed forms for every intubation within 6 weeks of the procedure. We analyzed data from March 28, 2016, to March 27, 2017. During the study period, providers performed 259 intubations in the BAMC ED. Reasons for intubation were related to trauma for 184 patients (71.0%) and medical conditions for 75 patients (29.0%). Overall, first-attempt success was 83.0%. Emergency medicine residents performed a majority of first attempts (95.0%). Most common devices chosen on first attempt were a video laryngoscope for 143 patients (55.2%) and a direct laryngoscope for 115 patients (44.4%). One patient underwent cricothyrotomy. The 2 most common induction agents were ketamine (59.8%; 95% CI, 55.2%-67.4%) and etomidate (19.3%; 95% CI, 14.7%-24.7%). The most common neuromuscular blocking agents were rocuronium (62.9%; 95% CI, 56.7%-68.8%) and succinylcholine (18.9%; 95% CI, 14.3%-24.2%). In the BAMC ED, emergency intubation most commonly occurred for trauma indications using video laryngoscopy with a high first-pass success.

  14. Inspector General, DoD, Oversight of the Army Audit Agency Audit of the FY 1998 Army General Fund Financial Statements

    National Research Council Canada - National Science Library

    1999-01-01

    ... Financial Statements for Fiscal Year 1998: Summary Audit Rep oft." Our objective was to determine the accuracy and completeness of the Army Audit Agency audit of the FY 1998 Army General Fund Fund Financial Statements...

  15. Boards Versus Bureaucracies: Field Grade Officer Education in the United States Army, 1946-1985

    Science.gov (United States)

    2013-05-24

    Army Officer Corps. iii ACKNOWLEDGMENTS I would like to thank my wife Amanda and kids Sidney Ruth, Edward Elijah, Kendall Leanne, and Gage...days a week, in order to coincide with basic pedagogical principles.31 This recommendation was a realization by the board, after consulting...4–5. While the board does site “basic pedagogical principles” and “Education specialists” in discussing the need to take class length and duration

  16. 32 CFR Appendix G to Part 623 - Continental US Army Boundaries

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Continental US Army Boundaries G Appendix G to Part 623 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY SUPPLIES AND EQUIPMENT LOAN OF ARMY MATERIEL Pt. 623, App. G Appendix G to Part 623—Continental US Army Boundaries...

  17. The U.S. Army Person-Event Data Environment: A Military-Civilian Big Data Enterprise.

    Science.gov (United States)

    Vie, Loryana L; Scheier, Lawrence M; Lester, Paul B; Ho, Tiffany E; Labarthe, Darwin R; Seligman, Martin E P

    2015-06-01

    This report describes a groundbreaking military-civilian collaboration that benefits from an Army and Department of Defense (DoD) big data business intelligence platform called the Person-Event Data Environment (PDE). The PDE is a consolidated data repository that contains unclassified but sensitive manpower, training, financial, health, and medical records covering U.S. Army personnel (Active Duty, Reserve, and National Guard), civilian contractors, and military dependents. These unique data assets provide a veridical timeline capturing each soldier's military experience from entry to separation from the armed forces. The PDE was designed to afford unprecedented cost-efficiencies by bringing researchers and military scientists to a single computerized repository rather than porting vast data resources to individual laboratories. With funding from the Robert Wood Johnson Foundation, researchers from the University of Pennsylvania Positive Psychology Center joined forces with the U.S. Army Research Facilitation Laboratory, forming the scientific backbone of the military-civilian collaboration. This unparalleled opportunity was necessitated by a growing need to learn more about relations between psychological and health assets and health outcomes, including healthcare utilization and costs-issues of major importance for both military and civilian population health. The PDE represents more than 100 times the population size and many times the number of linked variables covered by the nation's leading sources of population health data (e.g., the National Health and Nutrition Examination Survey). Following extensive Army vetting procedures, civilian researchers can mine the PDE's trove of information using a suite of statistical packages made available in a Citrix Virtual Desktop. A SharePoint collaboration and governance management environment ensures user compliance with federal and DoD regulations concerning human subjects' protections and also provides a secure

  18. The Army National Guard: Part of the Operational Force and Strategic Reserve

    Science.gov (United States)

    2016-05-26

    Training periods. John M. McHugh , the Secretary of the Army, published Army Directive 2012-08 (Army Total Force Policy) on September 4, 2012. The...Defense for Personnel and Readiness Jo Ann Rooney, “Equipping the Reserve Forces,” 2. 35 US Secretary of the Army John M. McHugh , “Army Directive 2012-08...Washington, DC: April 4, 2012. Accessed January 21, 2016. http://www.dtic.mil/whs/directives/corres/pdf/123512p.pdf. US Secretary of the Army John M. McHugh

  19. 2013 Center for Army Leadership Annual Survey of Army Leadership (CASAL): Army Civilian Leaders

    Science.gov (United States)

    2014-05-30

    Army civilian workforce with regard to gender and ethnic origin (Office of the Assistant G-1 for Civilian Personnel, 2013). The reported education...climates of perceived inequality . Civilian leader comments frequently referenced favoritism as reflecting cronyism, unfair personnel actions, and...interests of others, unequal enforcement of standards and discipline, and use of discretion in workplace justice. As demonstrated in previous CASAL

  20. 2007 Posture Statement, Army Reserve: An Operational Force

    National Research Council Canada - National Science Library

    Stultz, Jack C

    2007-01-01

    The 2007 Army Reserve Posture Statement describes how the Army Reserve continues to transform from a strategic reserve to an operational force, meeting today's challenges as it better prepares for future uncertainties...

  1. The Army Ethic-Inchoate but Sufficient

    Science.gov (United States)

    2015-06-12

    are constraints imposed by this thesis. Delimitations include the scope, jus ad bellum, cultural relativism , descriptive ethics , and implementation...politicians. Third, this thesis will not look in depth at cultural relativism and how changes in laws and society’s philosophical and ethical ...THE ARMY ETHIC –INCHOATE BUT SUFFICIENT A thesis presented to the Faculty of the U.S. Army Command and General Staff College

  2. International medical cooperation project for State of Libya using international medical tourism system in Thailand

    OpenAIRE

    奥寺, 敬; 坂本, 美重

    2013-01-01

    International medical cooperation project for State of Libya is reported. The concept of this project is to treat Libyan injured people using international medical tourism system in Thailand. Management of patient, including evaluation, domestic and international transportation arrangement of hospital, is supported by Normeca International Co., Ltd, (Pattaya, Thailand). Treatment of Libyan patient in two international hospitals (Bangpakok 9 Hospital and Navamin 9 Hopsital) in Bangkok was succ...

  3. The current state of basic medical education in Israel: implications for a new medical school.

    Science.gov (United States)

    Reis, Shmuel; Borkan, Jeffrey M; Weingarten, Michael

    2009-11-01

    The recent government decision to establish a new medical school, the fifth in Israel, is an opportune moment to reflect on the state of Basic Medical Education (BME) in the country and globally. It provides a rare opportunity for planning an educational agenda tailored to local needs. This article moves from a description of the context of Israeli health care and the medical education system to a short overview of two existing Israeli medical schools where reforms have recently taken place. This is followed by an assessment of Israeli BME and an effort to use the insights from this assessment to inform the fifth medical school blueprint. The fifth medical school presents an opportunity for further curricular reforms and educational innovations. Reforms and innovations include: fostering self-directed professional development methods; emphasis on teaching in the community; use of appropriate educational technology; an emphasis on patient safety and simulation training; promoting the humanities in medicine; and finally the accountability to the community that the graduates will serve.

  4. Army Communicator. Volume 27, Number 3, Fall 2002

    Science.gov (United States)

    2002-01-01

    play in the Army’s transformation to the Objec- tive Force.” Gizmo’s debut in the Beatle Bailey comic strip came July 4. And according to a source close...Approved for public release; distribution is unlimited. Headquarters, Department of the Army ARMY COMMUNICATOR Voice of the Signal Regiment ! PB 11...02-3 Fall 2002 Vol. 27 No. 3 ! Special focus: radio’s resurgence -- its “new” uses in the current and near- future Army, Pgs. 2-18 ! Signal-planning

  5. 76 FR 29812 - In the Matter of the Designation of Army of Islam, aka Jaish al-Islam, aka Jaysh al-Islam, as a...

    Science.gov (United States)

    2011-05-23

    ... DEPARTMENT OF STATE [Public Notice 7464] In the Matter of the Designation of Army of Islam, aka Jaish al- Islam, aka Jaysh al-Islam, as a Foreign Terrorist Organization Pursuant to Section 219 of the... respect to Army of Islam, also known as Jaish al-Islam, also known as Jaysh al-Islam. Therefore, I hereby...

  6. Preparing General Purpose Forces in the United States and British Armies for Counterinsurgent Operations

    Science.gov (United States)

    2010-12-10

    Operations In Iraq: Planning, Combat, And Occupation,” Thomas Ricks’ Fiasco, and reports by Army historian Major Isaiah Wilson, and former CENCTOM J-4...established Multi-National Forces-Iraq, and Lieutenant General Thomas Metz, commander of the Army’s III Corps, assumed the mantle of Multi-National Corps...Donald P. Wright and Colonel Timothy R. Reese or Thomas Ricks’ Fiasco among other books. 18Dr. Carter Malkasian, “Counterinsurgency in Iraq: May 2003

  7. Inspector General, DoD, Oversight of the Army Audit Agency Audit of the FY 2000 Army Working Capital Fund Financial Statements

    National Research Council Canada - National Science Library

    2001-01-01

    Our objectives were to oversee the Army Audit Agency audit of the FY 2000 Department of the Army Working Capital Fund financial statements to verify whether we can rely on their work and to determine...

  8. The risk of disciplinary action by state medical boards against physicians prescribing opioids.

    Science.gov (United States)

    Richard, Jack; Reidenberg, Marcus M

    2005-02-01

    Concern of physicians about being disciplined for prescribing opioids for patients in pain is one cause for undertreatment of pain. This study was done to assess the actual risk of being disciplined by state medical boards. A review of records of actions by the New York State Board for Professional Medical Misconduct for 3 years and of all medical boards in the United States for 9 months was done to determine this risk. New York State, with 7.8% of U.S. physicians, had 10 physicians disciplined annually related to overprescribing opioids, while the total for the entire U.S. was 120 physicians annually. Most physicians disciplined had multiple violations in addition to overprescribing controlled substances. In the national sample, 43% were prescribing for themselves or for nonpatients, 12% prescribed for addicts without addressing the patients' problems of addiction, 42% had inadequate records, 19% prescribed without indication for opioids, 13% were incompetent in additional ways, and 8% were having sexual activity with patients. Not a single physician, for whom information was available, was disciplined solely for overprescribing opioids. The actual risk of an American physician being disciplined by a state medical board for treating a real patient with opioids for a painful medical condition is virtually nonexistent.

  9. General of the Army George C. Marshall’s Strategic Leadership

    Science.gov (United States)

    2017-03-15

    Depression to perform conservation tasks in rural areas.31 In 1938, Marshall moved to the War Plans Division of the General Staff. Unbeknownst to...125 US Army Center of Military History, “Omar Nelson Bradley: The Centennial ,” US Army, 2006...Omar Nelson Bradley: The Centennial .” US Army, 2006. Accessed April 2, 2017. http://www.history.army.mil/brochures/bradley/bradley.htm. Watson

  10. A Short History of the U.S. Army Adjutant General’s Corps, 1775-2013

    Science.gov (United States)

    2013-01-01

    1973 DIRECTORS 2 1. COL Billy L. Oliver ----------------------------------- 1973-1974 * 2. COL Phillip A. Serrin II...Macmillan Press, 1967), 323: Postmaster General Charles Emory Smith to Elihu Root, cited in Graham A. Cosmas, An Army for Empire: The United States

  11. Army Maintenance System Transformation

    National Research Council Canada - National Science Library

    Gilbertson, Frank V

    2006-01-01

    .... Used in conjunction with pertinent historical data and developed with Army transformation goals in mind, General Systems thinking can provide the framework for guiding maintenance transformation...

  12. Clinical Investigation Program (Tripler Army Medical Center)

    Science.gov (United States)

    1991-10-01

    8217 I have learned an immense amount during this last year. Clinicians have no idea of the real world of medical research, finance, and politics. We (I...91. 10 Pfanner TP, Person DA, Berenberg JL, Lockett LJ: Eosinophilia Myalgia Syndrome: A Case Report and One Year Follow-Up. American College of ...protocol as yet. This is a non therapeutic study designed to gather epidemiologic and late effects data on long term (>Syrs) survivors of Wilms’ tumor

  13. The Pentomic Era. The U. S. Army Between Korea and Vietnam

    Science.gov (United States)

    1986-01-01

    34had no more Intention of bequeathing the world to the oyster-boring sea worm than we hive.," Wymnin, "The United States Army: Its Doctrine and in...strategy of "massive retaliation," At the heart of this strategy was greatly Increased reliance on nuclear weap- ons-on what Secretary of State John...spent $18.4 billion, $1 bil- lion less than the total outlays of the other two Services,r’ As the Air Force’s importance grew under the "New Look," that

  14. Force health protection support following a natural disaster: the 227th Medical Detachment's role in response to Superstorm Sandy.

    Science.gov (United States)

    Stanley, Scott E; Faulkenberry, Jason B

    2014-01-01

    On 3 November 2012, in the wake of Superstorm Sandy, the 227th Preventive Medicine Medical Detachment deployed to support relief operations in New Jersey and New York State. The unit was on the severe weather support mission (SWRF) and ordered to provide preventive medicine support to relief personnel within the affected area. In addition, teams from the 227th conducted environmental surveillance in the two-state region where Army Corps of Engineers were pumping floodwaters from affected neighborhoods. The 227th rapid deployment highlights the complexities associated with defense support to civil authorities and provides excellent teaching points that may enhance units expeditionary posture, regardless of mission. 2014.

  15. The Role of the US Army Reserve in Support of the US Army Force 2025 and Beyond: Challenges and Opportunities

    Science.gov (United States)

    2015-06-12

    the Army Reserve mission or force structure will radically be rebalanced , but it did point to a new emerging mindset which the Total Army will be...verified and validated within individual portfolio reviews, professional certifications and trade credentials in support of civilian career requirements

  16. Combat Operations in Mountainous Terrain: Are United States Army Light Infantry Divisions Preparing Properly?

    Science.gov (United States)

    1987-06-05

    Mountain Division, Charles Hauptman, Comeany I. 97th Mountain Infantry Regiment by CPT George Earle, and PFC Hugh Graves (1945), and 10th Mountain...training in this country is believed to depend primarily ’Albert H. Jackman , "The Tenth Mountain Division, A Successful Experiment," The Algine Journal...44-48. Houston, Charles S., Dr. "Altitude Sickness and the Army," 112zard. 2d Qtr 1986: n.p. Jackman , Albert H. "The Tenth Mountain Division, A

  17. Army agrees to new study of biowarfare laboratory.

    Science.gov (United States)

    Smith, R Jeffrey

    1985-02-08

    As a result of a lawsuit initiated by Washington activist Jeremy Rifkin and joined by the attorney general for the state of Utah, the U.S. Army has agreed to defer construction, pending a study of potential environmental hazards, of a new laboratory that was authorized by a small number of Congressmen under an unusual procedure in December 1984. The laboratory, intended for tests of highly infectious and lethal biological aerosols, has aroused controversy because of fears that the data gathered there might be used to develop offensive biological weapons.

  18. Prevalence of Medical Disorders in Pregnancy in Ebonyi State ...

    African Journals Online (AJOL)

    Background: Pregnancy is a physiological state, but when associated with an underlying medical disorder, it has a large ..... bacteriuria in pregnant women versus inpatient treatment ... implication of routine screen for asymptomatic bacteria.

  19. Medical Surveillance Monthly Report

    Science.gov (United States)

    2016-12-01

    Illness Prevention and Sun Safety. “Sun Safety.” https:// phc.amedd.army.mil/ topics /discond/hipss/Pages/ SunSafety.aspx. Accessed on 7 December 2016. 22...febrile illness; however, after its wide- spread introduction into immunologically MSMR Vol. 23 No. 12 December 2016 Page 8 naïve populations, a...October 2016 (data as of 22 November 2016) MSMR’s Invitation to Readers Medical Surveillance Monthly Report (MSMR) invites readers to submit topics for

  20. Florence Nightingale: on feeding an army.

    Science.gov (United States)

    Calkins, B M

    1989-12-01

    Florence Nightingale's work for the British Army during the Crimean War earned her the well-deserved honor of being considered the mother of modern nursing. Less well recognized is her involvement with the development of nutritional services for the military. A nutrient-intake analysis is developed here based on her recommendations and recipes for army troops. The intake profile is compared with modern recommendations for dietary intake for adequacy of the diet.

  1. The Impact of Training and Culture on Leadership Values and Perceptions at the United States Army Engineer School

    National Research Council Canada - National Science Library

    Thomas, Ted

    1998-01-01

    .... The EOBC students are training to assume leadership positions which the EOAC students were in. A random sample of business leaders values were then compared to the Army engineers values to draw cultural leadership...

  2. Audit of annual medical appraisal and revalidation activity across the UK Defence Medical Services 2013-2014.

    Science.gov (United States)

    Morris, Louisa E; Withnall, Rdj

    2017-02-01

    To provide the first annual audit of Defence Medical Services (DMS) medical appraisal and revalidation activity. A questionnaire-based survey of appraisal and revalidation activity within the 2013-2014 appraisal year (1 April 2013 - 1 March 2014) across the Royal Navy (RN), Army, Royal Air Force (RAF) and Ministry of Defence (MOD) and Defence Postgraduate Medical Deanery (DPMD) Designated Bodies (DBs). Mandatory annual medical appraisal of all DMS doctors was introduced in 2002. The General Medical Council (GMC) introduced licences to practise in November 2011. Revalidation went live in December 2012. In the 2013-2014 appraisal year, there were 1379 DMS doctors. The Responsible Officers (ROs) of the RN, Army, RAF, MOD and Defence Postgraduate Medical Deanery (DPMD) provide appraisal and revalidation services for doctors within their DBs. In the 2013-2014 appraisal year, 82% of DMS doctors completed an annual appraisal. ROs provided positive revalidation recommendations for 90% of DMS doctors without the need for additional supporting information. Additional supporting evidence was required for 10% of DMS trained doctors, but ultimately 100% of DMS doctors due revalidation in the 2013-2014 appraisal year received a positive recommendation. To assist DMS compliance with GMC quality assurance requirements, HQ Surgeon General now maintains a central database of appraisal and revalidation data across the five DMS DBs. Appropriately targeted appraiser training and 'revalidation ready top-up' training should be provided to ensure the demand for military appraisers is met, and that DMS appraisers appropriately maintain their skills. MOD now maintains a central live database for ongoing appraisal and revalidation monitoring. 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/.

  3. A prospective investigation of injury incidence and injury risk factors among Army recruits in military police training.

    Science.gov (United States)

    Knapik, Joseph J; Graham, Bria; Cobbs, Jacketta; Thompson, Diane; Steelman, Ryan; Jones, Bruce H

    2013-01-17

    United States Army military police (MP) training is a 19-week course designed to introduce new recruits to basic soldiering skills, Army values and lifestyle, and law enforcement skills and knowledge. The present investigation examined injury rates and injury risk factors in MP training. At the start of training, 1,838 male and 553 female MP recruits were administered a questionnaire containing items on date of birth, height, weight, tobacco use, prior physical activity, injury history, and menstrual history. Injuries during training were obtained from electronic medical records and the training units provided data on student graduation and attrition. Successfully graduating from the course were 94.3% of the men and 83.7% of the women. Experiencing at least one injury during training were 34.2% of the men and 66.7% of the women (risk ratio (women/men) = 1.95, 95% confidence interval = 1.79-2.13). Recruits were at higher injury risk if they reported that they were older, had smoked in the past, or had performed less frequent exercise or sports prior to MP training. Men were at higher injury risk if they reported a prior injury and women were at higher risk if they reported missing at least six menstrual cycles in the last year or had previously been pregnant. The present investigation was the first to identify injury rates and identify specific factors increasing injury risk during MP training.

  4. Biological dosimetry methods and their application in the Czech Army

    International Nuclear Information System (INIS)

    Zarybnicka, Lenka; Sinkorova, Zuzana; Pejchal, Jaroslav; Vilasova, Zdena

    2009-01-01

    Biodosimetric methods estimate the absorbed dose based on the irradiated body's individual response. Cytological, cytogenetic, and molecular methods are employed, each having its assets and shortcomings. The diagnosis of acute radiation sickness and the medical care of irradiated and/or contaminated individuals in the Czech Army are based on 5 basic indicators: dosimetric data, radiation history, type and intensity of prodromal signs, laboratory tests, and radiation dermatitis. Based on those indicators the affected individuals and categorized on-site into evacuation priority classes. The need for a rapid absorbed dose determination in the field environment is also associated with the requirement of a minimal laboratory and personnel background.

  5. Improving life-cycle cost management in the US. Army: analysis of the U.S. Army and Commercial Businesses life-cycle cost management.

    OpenAIRE

    White, Bradley A.

    2001-01-01

    The roles and responsibilities of the Army acquisition and logistics communities, as they pertain to the life-cycle management, are undergoing fundamental change. The early identification and total control of life-cycle cost, in particular operations and sustainment costs which comprises as much as 70-80% of a systems total life-cycle cost, is a high priority for the Army. The basis of this change is adoption of commercial best practices to support the Army's goal to organize. tram. equip, an...

  6. Role Of The Army In Modern Pakistan

    Directory of Open Access Journals (Sweden)

    Vladislav Viktorovich Vorobiev

    2014-01-01

    Full Text Available The article studies the political development of the country in the modern period. Special attention is paid to the position of the army and its role in the Pakistani society. The article explores in detail the processes of gradual distancing of the army from politics and strengthening of civil society institutions. It is the first time in the Pakistani history that the civilian government managed to complete its full five-year constitutional term. Meanwhile, the country has been advancing on the path to democracy even after the elections 2013: a new civilian government has been formed in Pakistan. As compared with the previous phases of the country's development, the status of the army has considerably changed, evolved from "guiding force" to "shadow" guarantee of democratic development. The process has been largely encouraged by popular among officers feeling of tiredness: many of them are not ready to take power into their own hands and committed to their strictly constitutional duties. Despite this recent positive trend, the army continues to enjoy great authority in the society, often brokers political crisis and helps civilian authorities in settling such pressing problems as, for example, fight against extremism. The military will exert influence on government unless civil authorities are able to resist the current challenges and settle the actual problems. The role of "power broker" fully serves the interests of the top army brass.

  7. ROLE OF THE ARMY IN MODERN PAKISTAN

    Directory of Open Access Journals (Sweden)

    Vladislav Viktorovich Vorobiev

    2014-01-01

    Full Text Available The article studies the political development of the country in the modern period. Special attention is paid to the position of the army and its role in the Pakistani society. The article explores in detail the processes of gradual distancing of the army from politics and strengthening of civil society institutions. It is the first time in the Pakistani history that the civilian government managed to complete its full five-year constitutional term. Meanwhile, the country has been advancing on the path to democracy even after the elections 2013: a new civilian government has been formed in Pakistan. As compared with the previous phases of the country's development, the status of the army has considerably changed, evolved from "guiding force" to "shadow" guarantee of democratic development. The process has been largely encouraged by popular among officers feeling of tiredness: many of them are not ready to take power into their own hands and committed to their strictly constitutional duties. Despite this recent positive trend, the army continues to enjoy great authority in the society, often brokers political crisis and helps civilian authorities in settling such pressing problems as, for example, fight against extremism. The military will exert influence on government unless civil authorities are able to resist the current challenges and settle the actual problems. The role of "power broker" fully serves the interests of the top army brass.

  8. Military organization and army command of ancient armies of Northern Black Sea Region

    Directory of Open Access Journals (Sweden)

    K. M. Kolesnykov

    2015-06-01

    Full Text Available This article deal with the description, analysis and generalization of features organization of command structure of the army ancient states of the Northern Black Sea region: Olbia, Chersonese, Bosporus. Author sure that the foundation of the armed forces of these states was a civil militia – free, economically independent landowners, endowed with the broadest volume of political and social rights men – full citizens. Accordingly, the assemblies of citizens were electing strategists, who led militia forces. In case of need the people also claimed commanders’ mercenary troops. Bosporus kings have attracted a significant number of hired troops that held by the royal treasury income and special direct tax. Bosporus military command came from magistrates of polis only at the lower levels. Middle and higher level of «officer corps» of the Bosporus were appointed by the monarch from among the landowners, officialdom and military aristocracy. For example, in the Roman period on the Bosporus fixed formation units of cathafractarian cavalry. The weapons and tactics of the Sarmatian nomadic nobility (Aspurhianian, Sirak, Aorsy and more were served as a model for Bosporus cataphractarian horsemen.

  9. Mission aware energy saving strategies for Army ground vehicles

    Science.gov (United States)

    Dattathreya, Macam S.

    on, gear is on neutral position, the vehicle is stationary, and the alternator powers the systems. The proposed energy saving strategy for silent surveillance mission minimizes unnecessary battery discharges by controlling the power states of systems according to the mission needs and available battery capacity. Initial experiments show that the proposed approach saves 3% energy when compared with the baseline strategy for one scenario and 1.8% for the second scenario. The proposed energy saving strategy for normal surveillance mission operates the engine at fuel-efficient speeds to meet vehicle demand and to save fuel. The experiment and simulation uses a computerized vehicle model and a test bench to validate the approach. In comparison to vehicles with fixed high-idle engine speed increments, experiments show that the proposed strategy saves fuel energy in the range of 0-4.9% for the tested power demand range of 44-69 kW. It is hoped to implement the proposed strategies on a real Army ground vehicle to start realizing the energy savings.

  10. Department of the Army, FY 1999 Amended Budget Estimates, Army Working Capital Fund

    National Research Council Canada - National Science Library

    1998-01-01

    The Department of the Army has historically operated a significant number of its organic commercial and industrial facilities under revolving fund concepts to encourage these activities to function...

  11. Using Technology, Clinical Workflow Redesign, and Team Solutions to Achieve the Patient Centered Medical Home

    Science.gov (United States)

    2011-01-01

    Redesign, and Team Solutions to Achieve the Patient Centered Medical Home LTC Nicole Kerkenbush, MHA, MN Army Medical Department, Office of the...TITLE AND SUBTITLE Using Technology, Clinical Workflow Redesign, and Team Solutions to Achieve the Patient Centered Medical Home 5a. CONTRACT...Describe how these tools are being used to implement the Patient Centered Medical Home care model 2 2011 MHS Conference MEDCOM AHLTA Provider Satisfaction

  12. U.S. Army Space Operational Narrative

    Science.gov (United States)

    2012-03-20

    fire, and effects ( MFE ), the operational support (OS), and the functional support division (FSD); it is further divided into many more specialties...cyberspace expertise at the highest levels is a must for the Army. Both ARCYBERCOM and USASMDC/ARSTRAT commands are key positions filled by MFE officers... MFE officers with the majority from infantry and armor (31). The FA, AD, and EN branches will round out the top five.47 Half of the Army branches are

  13. Terror Operations: Case Studies in Terrorism (U.S. Army TRADOC G2 Handbook No. 1.01)

    Science.gov (United States)

    2007-07-25

    terrorism topics. Unless stated otherwise, masculine nouns or pronouns do not refer exclusively to men. Proponent Statement. Headquarters, U.S. Army...Economic and political disruptions can have profound global consequences. Sources of instability within the region include hegemony , terrorism

  14. Perceptions of the state policy environment and adoption of medications in the treatment of substance use disorders.

    Science.gov (United States)

    Knudsen, Hannah K; Abraham, Amanda J

    2012-01-01

    Despite growing interest in the use of evidence-based treatment practices for treating substance use disorders, adoption of medications by treatment programs remains modest. Drawing on resource dependence and institutional theory, this study examined the relationships between adoption of medications by treatment programs and their perceptions about the state policy environment. Data were collected through mailed surveys and telephone interviews with 250 administrators of publicly funded substance abuse treatment programs in the United States between 2009 and 2010. Multiple imputation and multivariate logistic regression were used to estimate the associations between perceptions of the state policy environment and the odds of adopting at least one medication for the treatment of substance use disorders. A total of 91 (37%) programs reported having prescribed any medication for treatment of a substance use disorder. Programs were significantly more likely to have adopted at least one medication if they perceived greater support for medications by the Single State Agency. The odds of adoption were significantly greater if the program was aware that at least one medication was included on their state's Medicaid formulary and that state-contract funding permitted the purchase of medications. States may play significant roles in promoting the adoption of medications, but adequate dissemination of information about state policies and priorities may be vital to further adoption. Future research should continue to study the relationships between the adoption of medications for treating substance use disorders and the evolving policy environment.

  15. Satellite and Ground Communication Systems: Space and Electronic Warfare Threats to the United States Army

    Science.gov (United States)

    2017-02-01

    as if SATCOM is guaranteed. This complacency is accompanied by the procurement of high-data communication and mission command systems that deny...threat. To overcome these significant vulnerabilities, the US Army must procure communications systems that maintain the information high ground, but...precious gift of our freedom.”1 A key element of remaining strong on the ground is maintaining the capability to effectively communicate on the ground. If

  16. A Policy Analysis of U.S. Army Professional Filler System (PROFIS) Sourcing Management at the Regional Medical Command Level in Support of an Expeditionary Army at War

    Science.gov (United States)

    2005-04-29

    many personnel had little knowledge or understanding of their wartime units and jobs and met for the very first time when they arrived at the...this handbook useful in teaching an undergraduate introduction to public policy and for executive education groups" (Bardach, 1996, Foreword,). The...FY04 Budget ($M) (includes $76.8 GWOT) D...cM F F A 47% Percent Residency wf, 9.. Ft . TX Ci 0 Programs of Army Total El P-.TX GPk * ft C.- Cb, X PROFIS

  17. Democratic civilian control of the Nepalese Army

    Science.gov (United States)

    2013-06-14

    following are recommendations or principles the Army must institutionalize to guide it through the still-evolving civil-military relationship discussions...society. The following are recommendations or principles the Army must institutionalize to guide it through the still-evolving civil-military...hence, the principal–agent framework developed in microeconomics and already used in various political applications can be profitably extended to

  18. Assessing Army Professional Forums Metrics for Effectiveness and Impact

    National Research Council Canada - National Science Library

    Cianciolo, Anna T; Heiden, Charles G; Prevou, Michael I

    2006-01-01

    ... meet the challenges brought on by Army transformation. Army professional forums (APFs), powered by advances in collaborative toolsets and multimedia presentation software, provide a means for leader self-development and professional growth...

  19. Non-medical use of methylphenidate among medical students of the University of the Free State

    Directory of Open Access Journals (Sweden)

    Roshini Jain

    2017-01-01

    Full Text Available Background: Faced with demanding training programmes, medical students may be more prone to use methylphenidate for non-medical purposes in order to improve concentration, alertness and academic performance. Aim: The study aimed to investigate the prevalence of the non-medical use of methylphenidate and knowledge of this drug among undergraduate medical students of the University of the Free State. Methods: This was a cross-sectional study. A self-administered, anonymous questionnaire was distributed during lectures to all students in the five year groups of the undergraduate medical programme. Results: Of the 643 undergraduate medical students, 541 completed the questionnaire (response rate: 84.1%. Approximately 11.0% of surveyed students were using methylphenidate at the time of the study, of which the majority (67.9% used it for academic purposes and 70.6% received it from a medical health professional. Less than a third of users had been diagnosed with Attention-Deficit/Hyperactivity Disorder. Methylphenidate users’ median knowledge was greater than non-users, and methylphenidate knowledge increased from first-year and second-year students to third-year to fifth-year students. Median knowledge scores per year group ranged from 52.0% to 60.0%. Conclusion: Methylphenidate is mainly used for non-medical purposes by medical students. Students generally have a low level of knowledge on methylphenidate. Specific information on methylphenidate should be included in lectures on stress management and study methods during the course of the medical curriculum.

  20. Sales Training for Army Recruiter Success: Sales Strategies and Skills Used by Excellent U. S. Army Recruiters

    Science.gov (United States)

    1987-11-01

    Army recruiters. Neurolinguistic programming (NLP) was used as the protocol for modeling performance and acquiring information on the communication...kills -Linguistic pattern~ Sales cycle, Communica tion s trategies Mode-H.R-g. Sales skills, {:( ~Expert kn0\\vlc dge1 ’ Neurolinguist ic~ Sales...describe s a program of r esearch on the communicat ion st rate - gies a nd skills use d by excellen t Army r ecrui t e rs. Information to be used to

  1. Radioisotope devices and sanitary control over its application in the units and institutions of Army and Navy

    International Nuclear Information System (INIS)

    Velichkin, E.V.; Rymarchuk, A.A.; Shishkanov, A.P.

    1991-01-01

    Sanitary control over the use of radioisotope devices (RID) is considered. To avoid losses of radioactive sources, an attention is paid to the order of RID account, their storage and issue, writing off unfit devices and sources and their burial. The role of military medical personnel grows. They must provide efficiency of safety of radioactive substance use in the units of Army and Navy

  2. The Effects of Multiple Deployments on Army Adolescents

    Science.gov (United States)

    2010-01-01

    deployment-related feelings.12 Focusing on a parent’s absence, dwelling on potential negative outcomes, or ruminating on problems often sends a child...maintain balance in the pull of both noble institutions. Some Army adolescents contend poorly in this dilemma; others—many more than soldiers or Army

  3. 76 FR 6692 - Radiation Sources on Army Land

    Science.gov (United States)

    2011-02-08

    ... possession of ionizing radiation sources by non-Army entities (including their civilian contractors) on an... Radiation Permit (ARP) from the garrison commander to use, store, or possess ionizing radiation sources on an Army installation. For the purpose of this rule, ``ionizing radiation source'' means any source...

  4. Exploring the Use of Microworld Models to Train Army Logistics Management Skills

    National Research Council Canada - National Science Library

    Levy, Dina

    2001-01-01

    The Army faces new challenges in training its logistics managers. As the Army evolves into a force-projection Army, the design and management of large-scale logistics systems assume increasing importance...

  5. Army AL&T, October-December 2007

    Science.gov (United States)

    2007-12-01

    appearance. The results of this research have been exploited in movies such as Spider Man II, Superman Returns and King Kong. A new challenge being...project manager/superintendent and quality control manager at LEAD who work from an office trailer in the depot’s industrial area. The availability of...and I think AMC as a command is much better to do that for the Army. The 3.5-day event also included a tour of and reception at the U.S. Army

  6. The Amphibian Research and Monitoring Initiative (ARMI): 5-year report

    Science.gov (United States)

    Muths, Erin; Gallant, Alisa L.; Campbell Grant, Evan H.; Battaglin, William A.; Green, David E.; Staiger, Jennifer S.; Walls, Susan C.; Gunzburger, Margaret S.; Kearney, Rick F.

    2006-01-01

    The Amphibian Research and Monitoring Initiative (ARMI) is an innovative, multidisciplinary program that began in 2000 in response to a congressional directive for the Department of the Interior to address the issue of amphibian declines in the United States. ARMI’s formulation was cross-disciplinary, integrating U.S. Geological Survey scientists from Biology, Water, and Geography to develop a course of action (Corn and others, 2005a). The result has been an effective program with diverse, yet complementary, expertise.

  7. A Transformed Army in Europe For a Transformed World

    National Research Council Canada - National Science Library

    Brown, James

    2003-01-01

    General Gordon R. Sullivan was the Army Chief of Staff when he wrote, "Ultimately, the Army's objective in leveraging change is to create a "learning organization," one that adapts in ever-quicker response cycles...

  8. Army Communicator. Voice of the Signal Regiment. Volume 33, Number 2, Spring 2008

    Science.gov (United States)

    2008-01-01

    Militant Islam, and one on Cultural Aware- ness. Many of these works can be downloaded. http://www-cgsc.army.mil/carl/resources/ biblio ...CAC_counterinsurgency.asp http://www-cgsc.army.mil/carl/resources/ biblio /CAC_militant.asp http://www-cgsc.army.mil/carl/resources/ biblio /CAC_cultural.asp Are you...deploying to Iraq or Afghanistan? http://cgsc.leavenworth.army.mil/carl/re- sources/ biblio /3acrart.asp http://cgsc.leavenworth.army.mil/carl/re- sources

  9. Learning styles of postgraduate and undergraduate medical students.

    Science.gov (United States)

    Shukr, Irfan; Zainab, Roop; Rana, Mowadat H

    2013-01-01

    To compare learning styles of undergraduate and postgraduate medical students. Observational, comparative study. Department of Medical Education, Army Medical College, NUST, Rawalpindi, Pakistan, during February and March 2012. A total of 170 students were divided into two equal groups of undergraduate students of Army Medical College, and postgraduate students of Armed Forces Post Graduate Medical Institute, Rawalpindi. Learning Style Questionnaire (LSQ) was used to assess and categorize the participants into Honey and Mumford classification of learning styles. The responses of each student ranging from 'very strong,' 'strong', 'moderate', and 'low' preference towards activist, theorist, reflector and pragmatist learning styles were compiled. The two groups were compared using SPSS version 17, using Fisher's exact test and the chi-square test. A p-value of $lt; 0.05 was considered significant. Preferences for all four learning styles were present in both groups. The results reveal an overall statistically significant difference in the 'very strong' preference in learning styles between the two study groups (p=0.002). Among the undergraduate students, 45% had a very strong preference for being an activist, whereas in postgraduate students, 38% had very strong preference for reflector, and 35% for theorist. This was statistically significant for activist, and reflector, and attained a p-value of learning style was pragmatist in both undergraduate and postgraduate students. Diversity of learning styles at undergraduate and postgraduate level of medical education calls for multiplicity of instructional and assessment modalities to match them. The learning styles amongst the undergraduate medical students are different from the postgraduates. The postgraduates commonly have the reflector learning style while the undergraduates are predominantly activists and theorists.

  10. Slaves of the statemedical internship and community service in ...

    African Journals Online (AJOL)

    Owing to a chronic shortage of medical staff in South Africa, sleep-deprived medical interns and community service doctors work up to 200 hours of overtime per month under the state's commuted overtime policy. Nurses moonlight in circumvention of the Basic Conditions of Employment Act. For trainee doctors, overtime ...

  11. Online nutrition and T2DM continuing medical education course launched on state-level medical association.

    Science.gov (United States)

    Hicks, Kristen K; Murano, Peter S

    2017-01-01

    The purpose of this research study was to determine whether a 1-hour online continuing medical education (CME) course focused on nutrition for type 2 diabetes would result in a gain in nutrition knowledge by practicing physicians. A practicing physician and dietitian collaborated to develop an online CME course (both webinar and self-study versions) on type 2 diabetes. This 1-hour accredited course was launched through the state-level medical association's education library, available to all physicians. Physicians (n=43) registered for the course, and of those, 31 completed the course in its entirety. A gain in knowledge was found when comparing pre- versus post-test scores related to the online nutrition CME ( P Online CME courses launched via state-level medical associations offer convenient continuing education to assist practicing physicians in addressing patient nutrition and lifestyle concerns related to chronic disease. The present diabetes CME one-credit course allowed physicians to develop basic nutrition care concepts on this topic to assist patients in a better way.

  12. Psychological effects of sexual harassment, appraisal of harassment, and organizational climate among U.S. Army soldiers.

    Science.gov (United States)

    Rosen, L N; Martin, L

    1998-02-01

    This study examines the effects of three types of unwanted sexual experiences in the workplace on the psychological well-being of male and female U.S. Army soldiers, and the mediating or moderating roles of appraisal of sexual harassment, organizational climate, and the sociodemographic profile of victims. A survey was administered to 1,060 male soldiers and 305 female soldiers between May and July, 1995, at three Army posts in the United States. Unwanted sexual experiences were found to be significant predictors of psychological symptoms for male and female soldiers. Certain aspects of organizational climate and appraisal of sexual harassment were also significant predictors of psychological symptoms.

  13. Army Energy and Water Reporting System Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Deprez, Peggy C.; Giardinelli, Michael J.; Burke, John S.; Connell, Linda M.

    2011-09-01

    There are many areas of desired improvement for the Army Energy and Water Reporting System. The purpose of system is to serve as a data repository for collecting information from energy managers, which is then compiled into an annual energy report. This document summarizes reported shortcomings of the system and provides several alternative approaches for improving application usability and adding functionality. The U.S. Army has been using Army Energy and Water Reporting System (AEWRS) for many years to collect and compile energy data from installations for facilitating compliance with Federal and Department of Defense energy management program reporting requirements. In this analysis, staff from Pacific Northwest National Laboratory found that substantial opportunities exist to expand AEWRS functions to better assist the Army to effectively manage energy programs. Army leadership must decide if it wants to invest in expanding AEWRS capabilities as a web-based, enterprise-wide tool for improving the Army Energy and Water Management Program or simply maintaining a bottom-up reporting tool. This report looks at both improving system functionality from an operational perspective and increasing user-friendliness, but also as a tool for potential improvements to increase program effectiveness. The authors of this report recommend focusing on making the system easier for energy managers to input accurate data as the top priority for improving AEWRS. The next major focus of improvement would be improved reporting. The AEWRS user interface is dated and not user friendly, and a new system is recommended. While there are relatively minor improvements that could be made to the existing system to make it easier to use, significant improvements will be achieved with a user-friendly interface, new architecture, and a design that permits scalability and reliability. An expanded data set would naturally have need of additional requirements gathering and a focus on integrating

  14. The Army Lawyer

    Science.gov (United States)

    2007-07-01

    authors in the articles do not necessarily reflect the view of The Judge Advocate General or the Department of the Army. Masculine or feminine...for the hegemonic power (read ‘United States’) and its followers to determine international public enemy on a case-by-case basis. A legal

  15. United States Army Medical Department Journal, January-March 2010

    Science.gov (United States)

    2010-03-01

    uti - lization of government-owned inventions by licensing inventions to the private sector. Licensing of federally owned inventions and other...physical therapists, podiatrists, optometrists, clinical dieticians, social workers, clinical pharmacists , clinical psychologists, occupational

  16. Assisting IAEA Member States to Strengthen Regulatory Control, Particularly in the Medical Area

    International Nuclear Information System (INIS)

    Johnston, P.

    2016-01-01

    As per its Statue and Mandate, IAEA is developing Safety Standards and is also providing assistance for their application in Member States. One target and very large audience of this programme is the community of national regulatory bodies for radiation safety, expected to be established in all 168 Member States. Ionizing radiation is being used throughout the world in medical practices and medical exposure is the most significant manmade source of exposure to the population from ionizing radiation. Radiation accidents involving medical uses have accounted for more injuries and early acute health effects than any other type of radiation accident, including accidents at nuclear facilities. With the constant emerging of new technologies using ionizing radiation for medical diagnostic and treatment, there are on-going challenges for Regulatory bodies. The presentation will highlight some figures related to the medical exposure worldwide, and then it will introduce the main safety standards and other publications developed specifically for Regulatory Bodies and focusing on medical practices. It will also highlight the most important and recent mechanisms (tools, peer reviews and advisory services, training courses, networks) that the Agency is offering to its Member States in order to cope with the main challenges worldwide, contributing thus to the efficiency and effectiveness of the regulatory oversight of medical facilities and activities. (author)

  17. medical recipients of the victoria cross during the anglo-boer war

    African Journals Online (AJOL)

    ofall orders ofchivalry - the most enviable order ofthe. Victoria Cross.' MEDICAL .... Major Babtie, a Scot by birth, obtained his Bachelor of Medicine in 1880 and entered the Army ..... a personality type that is given to this kind of action? Will one.

  18. US Army primary radiation standards complex

    Energy Technology Data Exchange (ETDEWEB)

    Rogers, S.C. [Radiation Standards and Dosimetry Laboratory, Redstone Arsenal, AL (United States)

    1993-12-31

    This paper describes the U.S. Army Primary Radiation Standards Complex (PRSC) to be constructed at Redstone Arsenal, Alabama. The missions of the organizations to be located in the PRSC are described. The health physics review of the facility design is discussed. The radiation sources to be available in the PRSC and the resulting measurement capabilities of the Army Primary Standards Laboratory Nucleonics section are specified. Influence of the National Voluntary Laboratory Accrediation Program (NVLAP) accreditation criteria on facility design and source selection is illustrated.

  19. Slaves of the state - medical internship and community service in South Africa.

    Science.gov (United States)

    Erasmus, Nicolette

    2012-06-05

    Owing to a chronic shortage of medical staff in South Africa, sleep-deprived medical interns and community service doctors work up to 200 hours of overtime per month under the state's commuted overtime policy. Nurses moonlight in circumvention of the Basic Conditions of Employment Act. For trainee doctors, overtime over 80 hours is unpaid, and rendered involuntarily under threat of not qualifying to practise medicine in South Africa. As forced labour, and sleep deprivation amounting to cruel and degrading treatment, it is outlawed in international law. No other professional group in the country is subjected to such levels of exploitation and discrimination by the state. These abuses should be challenged under the Constitution. Solutions include the installation of electronic time-recording in state hospitals, cessation of unpaid overtime, limits on medical intern shifts to a maximum of 16 hours, and an investigation by the Human Rights Commission of South Africa.

  20. Army Business Transformation: The Utility of Using Corporate Business Models within the Institutional Army

    National Research Council Canada - National Science Library

    Bailer, Jr., John J

    2007-01-01

    .... Through a survey of the literature of published corporate business plans and models, military reports, Army depot case studies, and comparative analysis of emerging computer software technology...

  1. Analysis of Lean Six Sigma in the Army Contracting Process

    Science.gov (United States)

    2011-12-01

    xii THIS PAGE INTENTIONALLY LEFT BLANK xiii LIST OF ACRONYMS AND ABBREVIATIONS AC Acquisition Center ACA Army Acquisition Agency ACAT... Utilizing the Results of Lean Six Sigma efforts (www.armyobt.army.mil) The Army mimics the DoD structure for Business Transformation to align with the DoD...understand the marketplace and work collaboratively to clearly describe the government’s requirements in a way that can generate robust competition. 15

  2. The Impact of Irregular Warfare on the US Army

    National Research Council Canada - National Science Library

    McDonald, III, Roger L

    2006-01-01

    Although the U.S. Army has yet to clearly define irregular warfare, it is imperative that the Army take near-term action to enhance the ability of Soldiers and units to operate effectively in an irregular warfare environment...

  3. Operational Reservations: Considerations for a Total Army Force

    Science.gov (United States)

    2014-06-01

    individually proficient. To answer some of the questions about the viabil- ity of a 5-year training cycle for RC units, Major Gen- eral Tim Orr, the Adjutant...resident school). 85. “Structured Self-Development,” Ft. Bliss , TX: U.S. Army Sergeants Major Academy, available from https://usasma.bliss. army.mil

  4. Occupational stress in the armed forces: An Indian army perspective

    Directory of Open Access Journals (Sweden)

    Sakshi Sharma

    2015-09-01

    Full Text Available This study attempts to explore factors influencing occupational stress faced by Indian army soldiers and evaluate applicability of the scale used for measuring occupational stressors. Structured interview schedules were used to collect first hand data from a sample of 415 soldiers. Exploratory Factor Analysis (EFA highlights lack of control at work, role conflict, inadequate awareness about profession, workload and job pressure, and indifferent organisational attitude as the major occupational stressors in the Indian army. In addition, Confirmatory Factor Analysis (CFA confirms occupational stressor as an eight factor model in the army. The study recommends implementing commitment-based management approach and techniques such as Sahaja Yoga meditation in the army.

  5. Medical tourism today: what is the state of existing knowledge?

    Science.gov (United States)

    Hopkins, Laura; Labonté, Ronald; Runnels, Vivien; Packer, Corinne

    2010-07-01

    One manifestation of globalization is medical tourism. As its implications remain largely unknown, we reviewed claimed benefits and risks. Driven by high health-care costs, long waiting periods, or lack of access to new therapies in developed countries, most medical tourists (largely from the United States, Canada, and Western Europe) seek care in Asia and Latin America. Although individual patient risks may be offset by credentialing and sophistication in (some) destination country facilities, lack of benefits to poorer citizens in developing countries offering medical tourism remains a generic equity issue. Data collection, measures, and studies of medical tourism all need to be greatly improved if countries are to assess better both the magnitude and potential health implications of this trade.

  6. Leadership Stability in Army Reserve Component Units

    Science.gov (United States)

    2013-01-01

    OMB control number. 1. REPORT DATE 2013 2. REPORT TYPE 3. DATES COVERED 00-00-2013 to 00-00-2013 4. TITLE AND SUBTITLE Leadership Stability in...standards for research quality and objectivity. Leadership Stability in Army Reserve Component Units Thomas F. Lippiatt, J. Michael Polich NATIONAL SECURITY...RESEARCH DIVISION Leadership Stability in Army Reserve Component Units Thomas F. Lippiatt, J. Michael Polich Prepared for the Office of the

  7. Defining and Using the Subject Matter Expert's Role in Transforming Army Training and Education Programs

    Science.gov (United States)

    Wilson, William Rollyn

    2009-01-01

    The United States Army is a complex and diverse organization that must keep pace with the changing global environment to meet its Constitutional responsibility to fight and win the nation's wars. Today, organizations, doctrine, logistics, material, facilities, concepts, techniques, procedures, and training and education are all changing to meet…

  8. Netherlands Army Long Range Anti Armour Study - Status Report

    OpenAIRE

    Schagen, P.A.B. van

    1989-01-01

    At the end of the nineties the munition for the TOW weapon system in use at The Netherlands army, has to be replaced. The Life of Type of The Tow carrier ends in 2005. The long range anti armour study is to gain insight into the possibilities and limitations for the Netherlands army to deploy future (time period 1995-2000) weapon systems in the long range anti armour battle. The first study results are expected at the end of 1989. The study is sponsored by the Netherlands army and is carried ...

  9. Army TLS

    Science.gov (United States)

    2014-12-10

    Fast Deflation Device Tether marking Pennants Balloon / Tether marking LED Flashing light Loading Ramps Customized Trailer for transportation and Field...amount of xtra lift that permits the ballon to rise (if Res_Lift = 0, balloon is at equilibrium) RL = NL – Payload – Tether Payload: the weight of...Army TLS The TLS uses tethered aerodynamic blimps and precision-powered winches to loft one or more specialty-designed meteorological payloads that

  10. Boundaries - US Army Corps of Engineers - St. Paul District (MVP) Civil Works

    Data.gov (United States)

    Army Corps of Engineers, Department of the Army, Department of Defense — The US Army Corps of Engineers - St. Paul District Civil Works boundary. Boundary is based on 1:24k watershed data and coordination with MVR to determine shared...

  11. United States Army Officer Personnel Reforms and the Decline of Rank Flexibility, 1890s-1920s

    Science.gov (United States)

    2014-12-04

    like that displayed by Emory Upton. The system has adopted a bureaucratic comic -point is that despite a vast education , his reliance on rote...Management Policies, 84-85. 41 Todd R. Brereton, Educating the U.S. Army: Arthur Wagner and Reform, 1875-1905 (Lincoln, NE: University of Nebraska...interwa r debate on military reform to efficiency, professionalism, and education .47 The further removed the traditional system

  12. Army Healthcare Enterprise Management System

    National Research Council Canada - National Science Library

    2001-01-01

    .... The complaint alleged that the Army Healthcare Enterprise Management System was not properly competed, potential conflicts of interest existed, and possible contract performance problems existed...

  13. Curb your premium! evaluating state intervention in medical malpractice insurance

    OpenAIRE

    Sofia, AmaralGarcia; Veronica, Grembi

    2011-01-01

    Using data of Italian public healthcare providers over years 2001 through 2008, we evaluate the impact of two policies adopted by Italian Regions (i.e., States) to cope with increasing medical malpractice costs using a Difference-in-Difference specification. We assess the impact of the policies on premiums paid and legal expenditures. The first policy consisted in collecting information and monitoring both compensation requests and any legal action related to a medical malpractice claim again...

  14. The effect of medical marijuana laws on crime: evidence from state panel data, 1990-2006.

    Directory of Open Access Journals (Sweden)

    Robert G Morris

    Full Text Available Debate has surrounded the legalization of marijuana for medical purposes for decades. Some have argued medical marijuana legalization (MML poses a threat to public health and safety, perhaps also affecting crime rates. In recent years, some U.S. states have legalized marijuana for medical purposes, reigniting political and public interest in the impact of marijuana legalization on a range of outcomes.Relying on U.S. state panel data, we analyzed the association between state MML and state crime rates for all Part I offenses collected by the FBI.Results did not indicate a crime exacerbating effect of MML on any of the Part I offenses. Alternatively, state MML may be correlated with a reduction in homicide and assault rates, net of other covariates.These findings run counter to arguments suggesting the legalization of marijuana for medical purposes poses a danger to public health in terms of exposure to violent crime and property crimes.

  15. Army Business Transformation: The Utility of Using Corporate Business Models within the Institutional Army

    National Research Council Canada - National Science Library

    Bailer, Jr., John J

    2007-01-01

    .... This study finds that working corporate models, such as Lean Six Sigma (LSS), are available which are already enabling the transformation of a very specific aspect within the institutional Army...

  16. The Process of Curriculum Innovations in the Army

    Science.gov (United States)

    2016-08-01

    just tell them they were wrong. The hands-on exercises were viewed as one way of developing the technical competence needed, as instructors...PowerPoint) __Soldier competencies per the Army Learning Model __Learner-centered and/or problem solving activities/ exercises /scenarios __Principles...Diffusion of Innovations, Program of Instruction, Instructional Techniques, Curriculum Development, Soldier Competencies , Army Training and Education 16

  17. A Candidate Army Energy and Water Management Strategy

    National Research Council Canada - National Science Library

    Fournier, Donald F; Westervelt, Eileen T

    2004-01-01

    .... This work augments on-going energy and water management initiatives within the Army by developing a new candidate Army level strategy that responds to anticipated legislation; reflects current DOD and DA requirements, vision, and values in light of the current world situation; incorporates sound science and management principles; and organizes and focuses efforts into an integrated program.

  18. Army Secure Operating System: Information Security for Real Time Systems

    National Research Council Canada - National Science Library

    Anderson, Eric

    1984-01-01

    The Army Secure Operating System (ASOS) project, under the management of the U.S. Army CECOM organization, will provide real time systems software necessary for fielding modern Battlefield Automation Systems...

  19. Diversity of United States medical students by region compared to US census data

    Directory of Open Access Journals (Sweden)

    Smith MM

    2015-05-01

    Full Text Available Mark M Smith,1 Steven H Rose,1 Darrell R Schroeder,2 Timothy R Long1 1Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN, USA; 2Division of Biomedical Statistics and Informatics, Mayo Clinic College of Medicine, Rochester, MN, USA Purpose: Increasing the diversity of the United States (US physician workforce to better represent the general population has received considerable attention. The purpose of this study was to compare medical student race data to that of the US general population. We hypothesized that race demographics of medical school matriculants would reflect that of the general population. Patients and methods: Published race data from the United States Census Bureau (USCB 2010 census and the 2011 Association of American Medical Colleges (AAMC allopathic medical school application and enrollment by race and ethnicity survey were analyzed and compared. Race data of enrolled medical students was compared to race data of the general population within geographic regions and subregions. Additionally, race data of medical school applicants and matriculants were compared to race data of the overall general population. Results: Race distribution within US medical schools was significantly different than race distribution for the overall, regional, and subregional populations of the US (P<0.001. Additionally, the overall race distribution of medical school applicants differed significantly to the race distribution of the general population (P<0.001. Conclusion: This study demonstrated that race demographics of US medical school applicants and matriculants are significantly different from that of the general population, and may be resultant of societal quandaries present early in formal education. Initiatives targeting underrepresented minorities at an early stage to enhance health care career interest and provide academic support and mentorship will be required to address the racial disparity that exists in US

  20. [HIGH VELOCITY PENETRATING HEAD AND NECK INJURIES OF SYRIAN CIVIL WAR CASUALTIES TREATED IN THE GALILEE MEDICAL CENTER].

    Science.gov (United States)

    Ronen, Ohad; Assadi, Nidal; Sela, Eyal

    2017-05-01

    For two years the State of Israel has been treating casualties from the Syrian civil war. The Galilee Medical Center in Nahariya is the main hospital for this humanitarian mission. Objectives: To evaluate the demographic and clinical characteristics of the casualties that were treated in our department. Information from medical records of all Syrian casualties evacuated to the Galilee Medical Center were evaluated. Between March 2013 and December 2014, 450 casualties were evacuated to the Galilee Medical Center. Of those, 45 were treated in the Department of Otolaryngology - Head and Neck Surgery. Of the 45 cases, 43 were male (95.5%) and the mean age was 30.4 years (range 1-79 years). There was a significant difference in terms of gender (p Syria, and 12 died. Of all Syrian injured treated in the ENT department, the vast majority were young men. The main cause of injury was gunshot wounds. It is likely that the lack of protective gear that exist in western armies is a factor in the complex injuries treated at the Galilee Medical Center.

  1. Getting AM Up to SpeedAcross the Army Life Cycle

    Science.gov (United States)

    2016-12-01

    Getting AM Up to Speed Across the Army Life Cycle Stacey L. Clark Clark is deputy director of Systems Engineering for the U.S. Army Research...In general, the Army is interested in the promise of AM for the following reasons : • Point-of-use manufacturing—the ability to produce spare parts...acquisition domain, more engi- neering work is needed to better define what standards should be used in Data Item Descriptions (DID) and Contract Data

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

    Science.gov (United States)

    2016-03-01

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

  3. Mapping medical marijuana: state laws regulating patients, product safety, supply chains and dispensaries, 2017.

    Science.gov (United States)

    Klieger, Sarah B; Gutman, Abraham; Allen, Leslie; Pacula, Rosalie Liccardo; Ibrahim, Jennifer K; Burris, Scott

    2017-12-01

    (1) To describe open source legal data sets, created for research use, that capture the key provisions of US state medical marijuana laws. The data document how state lawmakers have regulated a medicine that remains, under federal law, a Schedule I illegal drug with no legitimate medical use. (2) To demonstrate the variability that exists across states in rules governing patient access, product safety and dispensary practice. Two legal researchers collected and coded state laws governing marijuana patients, product safety and dispensaries in effect on 1 February 2017, creating three empirical legal data sets. We used summary tables to identify the variation in specific statutory provisions specified in each state's medical marijuana law as it existed on 1 February 2017. We compared aspects of these laws to the traditional Federal approach to regulating medicine. Full data sets, codebooks and protocols are available through the Prescription Drug Abuse Policy System (http://www.pdaps.org/; Archived at http://www.webcitation.org/6qv5CZNaZ on 2 June 2017). Twenty-eight states (including the District of Columbia) have authorized medical marijuana. Twenty-seven specify qualifying diseases, which differ across states. All states protect patient privacy; only 14 protect patients against discrimination. Eighteen states have mandatory product safety testing before any sale. While the majority have package/label regulations, states have a wide range of specific requirements. Most regulate dispensaries (25 states), with considerable variation in specific provisions such as permitted product supply sources number of dispensaries per state and restricting proximity to various types of location. The federal ban in the United States on marijuana has resulted in a patchwork of regulatory strategies that are not uniformly consistent with the approach usually taken by the Federal government and whose effectiveness remains unknown. © 2017 Society for the Study of Addiction.

  4. Operational, Social, and Religious Influences upon the Army Chaplain Field Manual, 1926-1952

    National Research Council Canada - National Science Library

    Nay, Robert

    2008-01-01

    The early formulation of the Army Chaplain Field Manual reveals the Army Chaplaincy struggling with individuals using the Army Chaplain Field Manual to further their social and religious beliefs upon other chaplains...

  5. United States Army physical readiness training: rationale and evaluation of the physical training doctrine.

    Science.gov (United States)

    Knapik, Joseph J; Rieger, William; Palkoska, Frank; Van Camp, Steven; Darakjy, Salima

    2009-07-01

    This paper reviews the rationale and evaluations of Physical Readiness Training (PRT), the new U.S. Army physical training doctrine designed to improve soldiers' physical capability for military operations. The purposes of PRT are to improve physical fitness, prevent injuries, progressively train soldiers, and develop soldiers' self-confidence and discipline. The PRT follows the principles of progressive overload, regularity, specificity, precision, variety, and balance. Specificity was achieved by examining the standard list of military (warrior) tasks and determining 1) the physical requirements, 2) the fitness components involved, and 3) the training activities that most likely could improve the military tasks. Injury-prevention features include reduced running mileage, exercise variety (cross-training), and gradual, progressive training. In 3 military field studies, the overall adjusted risk of injury was 1.5-1.8 times higher in groups of soldiers performing traditional military physical training programs when compared with groups using a PRT program. Scores on the Army Physical Fitness Test were similar or higher in groups using PRT programs. In an 8-week laboratory study comparing PRT with a weightlifting/running program, both programs resulted in major improvements in militarily relevant tasks (e.g., 3.2-km walk/run with 32-kg load, 400-m run with 18-kg load, 5- to 30-second rushes to and from prone position, 80-kg casualty drag, obstacle course). When compared with traditional military physical training programs, PRT consistently resulted in fewer injuries and in equal or greater improvements in fitness and military task performance.

  6. A Comparative Analysis of Patient Access Modes at Wilford Hall United States Air Force Medical Center and Selected Civilian Medical Centers

    Science.gov (United States)

    1983-12-01

    In A COMPARATIVE ANALYSIS OF PATIENT ACCESS MODES AT WILFORD HALL UNITED STATES AIR FORCE MEDICAL CENTER N AND SELECTED CIVILIAN MEDICAL CENTERS0 N...current patient access modes at WHMC and several civilian medical centers of comparable size. This project has pursued the subject of patient access in...selected civilian medical centers which are comparable to WHMC in size, specialty mix, workload, and mission, providing responsive and efficient patient

  7. The Army Family Team Building Program: Facilitating a Transformative Learning Process--An Intrinsic Case Study

    Science.gov (United States)

    Gall, Joseph A.

    2009-01-01

    This study sought to understand how the Army Family Team Building program influences self-reliance and self-sufficiency in Army spouses as they integrate into the Army community. The purpose of the Army Family Team Building program is to empower Army spouses with knowledge and skills, which foster well-being and improve quality of life. The…

  8. Impact of physical fitness and body composition on injury risk among active young adults: A study of Army trainees.

    Science.gov (United States)

    Jones, Bruce H; Hauret, Keith G; Dye, Shamola K; Hauschild, Veronique D; Rossi, Stephen P; Richardson, Melissa D; Friedl, Karl E

    2017-11-01

    To determine the combined effects of physical fitness and body composition on risk of training-related musculoskeletal injuries among Army trainees. Retrospective cohort study. Rosters of soldiers entering Army basic combat training (BCT) from 2010 to 2012 were linked with data from multiple sources for age, sex, physical fitness (heights, weights (mass), body mass index (BMI), 2 mile run times, push-ups), and medical injury diagnoses. Analyses included descriptive means and standard deviations, comparative t-tests, risks of injury, and relative risks (RR) and 95% confidence intervals (CI). Fitness and BMI were divided into quintiles (groups of 20%) and stratified for chi-square (χ 2 ) comparisons and to determine trends. Data were obtained for 143,398 men and 41,727 women. As run times became slower, injury risks increased steadily (men=9.8-24.3%, women=26.5-56.0%; χ 2 trends (pfitness levels. While the most aerobically fit Army trainees experience lower risk of training-related injury, at any given aerobic fitness level those with the lowest BMIs are at highest risk. This has implications for recruitment and retention fitness standards. Copyright © 2017. Published by Elsevier Ltd.

  9. Gamma irradiation for sewage treatment at US army facilities

    International Nuclear Information System (INIS)

    Van den Berg, A.J.; Hollis, H.D.; Musselman, H.D.; Woodbridge, D.D.

    1975-01-01

    The US Army Corps of Engineers has been sponsoring research for many years on the use of gamma irradiation for disinfection and sterilization of sewage plant effluents. Initial research was directed to laboratory experiments using sterile solutions to determine the effects of gamma irradiation on E. coli, M-pyogenes and M-smegmatis organisms, and on the chemical constituents of sewage such as phenols, surfactants and pesticides. The results of the initial research warranted further study using municipal sewage secondary effluent as test samples. Current research is directed towards investigating the effects of radiation on the constituents of sewage sludge and on the cyst stage of the amoebic protozoa. Consideration has been given by the Corps to the management of waste-waters by disposal on land. Legal and medical reasons dictate that the plant effluents be sterilized before being used as fertilizers and soil conditioners. Gamma radiation from isotopic sources appears to be the best source of sterilizing energy for Army waste-water disposal. The Corps of Engineers is considering the construction of an experimental gamma irradiation pilot facility to validate laboratory experimental work and to establish design criteria for operating plants. The data obtained will provide a basis for performing detailed cost effectiveness studies on gamma irradiation as a method to treat secondary plant effluent. In addition, optimization work will be conducted to determine where in the sewage treatment cycle the use of gamma irradiation will produce the best results in meeting current and anticipated standards. (author)

  10. Is the Chinese Army the Real Winner in PLA Reforms

    Science.gov (United States)

    2016-10-01

    44 Commentary / The Chinese Army and PLA Reforms JFQ 83, 4th Quarter 2016 Is the Chinese Army the Real Winner in PLA Reforms? By Phillip C. Saunders...and John Chen G round force officers run China’s military, the People’s Liberation Army ( PLA ). About 70 percent of PLA soldiers serve in the PLA ...Saunders and Chen 45 services and arms of the PLA ” has meant reductions in “technologically backward” PLAA units and personnel increases for the other

  11. Army Plasma/Propellant Interaction Workshop - U.S. Army Research Office, 17-18 November 1998

    National Research Council Canada - National Science Library

    Shaw, Robert

    1999-01-01

    .... Army Research Laboratory (ARL)-ARO effort to develop a coordinated research program to address the needs of advanced gun propulsion, in particular, in the application of plasmas as ignition and energy augmentation sources...

  12. U.S. Army Medical Department Journal (January-March 2003)

    National Research Council Canada - National Science Library

    Porr, Darrel R; Melanson, Mark A; Winstead, , Alison D; Zolman, Ryan P; Moore, Christopher J; Gbur, Jr., Lester W. Grau ;Charles J; Yarvis, Clint Schreckhise ;Jeffrey; Bordnick, Patrick; Jones, Timothy K; Austerman, Wayne R

    2003-01-01

    .... "Ground Evacuation in the Republic of Korea," by CPT Christopher J. Moore, MS, USA, outlines the medical evacuation system in South Korea and the difficulties that terrain, weather, and overcrowded highways may pose in the event of hostilities...

  13. U.S. Army War College Key Strategic Issues List, 2015-2016

    Science.gov (United States)

    2015-09-28

    the Army outsource to contractors in a deployed environment before we risk operational effectiveness? What are the pitfalls for moving entire...support of expeditionary operations? What are the appropriate timelines for bringing better QOL to our soldiers? (POC: COL Stephanie Howard, CSLD...717- 245-3457) 79. How do Army Conventional Forces and Army Special Operations Forces build and maintain modern, scalable C2 structures that ensure

  14. Pharmacist prescriptive authority for smoking cessation medications in the United States.

    Science.gov (United States)

    Adams, Alex J; Hudmon, Karen Suchanek

    2018-02-06

    To characterize the status of state laws regarding the expansion of pharmacists' prescriptive authority for smoking cessation medications and to summarize frequently asked questions and answers that arose during the associated legislative debates. Legislative language was reviewed and summarized for all states with expanded authority, and literature supporting the pharmacist's capacity for an expanded role in smoking cessation is described. The core elements of autonomous tobacco cessation prescribing models for pharmacists vary across states. Of 7 states that currently have fully or partially delineated protocols, 4 states (Colorado, Idaho, Indiana, New Mexico) include all medications approved by the U.S. Food and Drug Administration for smoking cessation, and 3 (Arizona, California, Maine) include nicotine replacement therapy products only. The state protocol in Oregon is under development. Most states specify minimum cessation education requirements and define specific elements (e.g., patient screening, cessation intervention components, and documentation requirements) for the autonomous prescribing models. Through expanded authority and national efforts to advance the tobacco cessation knowledge and skills of pharmacy students and licensed pharmacists, the profession's role in tobacco cessation has evolved substantially in recent years. Eight states have created, or are in the process of creating, pathways for autonomous pharmacist prescriptive authority. States aiming to advance tobacco control strategies to help patients quit smoking might consider approaches like those undertaken in 8 states. Copyright © 2018 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  15. Educating for Innovation: Finding Balance in the Army’s Professional Military Education System

    Science.gov (United States)

    2016-06-10

    house and senate by Secretary of the Army, John McHugh , and Chief of staff of the Army, General Raymond Odierno. Of particular interest is the chapter...Strategic Leader Education for the 21st-Century Army.” Parameters (Autumn 2001): 17-33. McHugh , John. 2014 Army Posture Statement. Presented 25 March 2014

  16. State-Targeted Funding and Technical Assistance to Increase Access to Medication Treatment for Opioid Use Disorder.

    Science.gov (United States)

    Abraham, Amanda J; Andrews, Christina M; Grogan, Colleen M; Pollack, Harold A; D'Aunno, Thomas; Humphreys, Keith; Friedmann, Peter D

    2018-04-01

    As the United States grapples with an opioid epidemic, expanding access to effective treatment for opioid use disorder is a major public health priority. Identifying effective policy tools that can be used to expand access to care is critically important. This article examines the relationship between state-targeted funding and technical assistance and adoption of three medications for treating opioid use disorder: oral naltrexone, injectable naltrexone, and buprenorphine. This study draws from the 2013-2014 wave of the National Drug Abuse Treatment System Survey, a nationally representative, longitudinal study of substance use disorder treatment programs. The sample includes data from 695 treatment programs (85.5% response rate) and representatives from single-state agencies in 49 states and Washington, D.C. (98% response rate). Logistic regression was used to examine the relationships of single-state agency targeted funding and technical assistance to availability of opioid use disorder medications among treatment programs. State-targeted funding was associated with increased program-level adoption of oral naltrexone (adjusted odds ratio [AOR]=3.14, 95% confidence interval [CI]=1.49-6.60, p=.004) and buprenorphine (AOR=2.47, 95% CI=1.31-4.67, p=.006). Buprenorphine adoption was also correlated with state technical assistance to support medication provision (AOR=1.18, 95% CI=1.00-1.39, p=.049). State-targeted funding for medications may be a viable policy lever for increasing access to opioid use disorder medications. Given the historically low rates of opioid use disorder medication adoption in treatment programs, single-state agency targeted funding is a potentially important tool to reduce mortality and morbidity associated with opioid disorders and misuse.

  17. Battlefield Tourniquets: Lessons Learned in Moving Current Care Toward Best Care in an Army Medical Department at War.

    Science.gov (United States)

    Kragh, John F; Dubick, Michael A

    2016-01-01

    Bleeding prevention and control by tourniquet use by out-of-hospital caregivers is a major breakthrough in military medicine of current wars. The present review documents developments in tourniquet practices since 2001 among the US military services for aid in improving doctrine, policy, and especially care in wars to come. Tourniquets are an adjunct for resuscitation in self-care and buddy aid and today are issued to all military servicepersons who deploy into a combat zone. In the US Army, virtually every Soldier is trained in first aid tourniquet use; since 2009 they are instructed early and often to use them early and often. Despite substantial knowledge gains among the services in tourniquet use and resulting improvements in casualty survival, current evidence shows persistent difficulties in achieving best care with tourniquet use for individual trauma patients. Nevertheless, contemporary tourniquet use incorporates key lessons learned over the last 14 years of war that include: (1) tourniquet use reliably stops bleeding from limb wounds and prevents mortality in prehospital settings; and (2) brief tourniquet use appears to be safe. These 2 lessons have become so evident that civilian emergency medical systems have begun using them, albeit unevenly. Collection and interpretation of data of casualties with tourniquet use have showed that such intervention has lifesaving benefit through 2 mechanisms: control of both ongoing hemorrhage and shock severity. The next generation of interventions in bleeding control involves developing the skill sets, education, and standards of tourniquet users which may improve hemorrhage control in wars to come.

  18. Who killed Rambhor?: The state of emergency medical services in India

    Directory of Open Access Journals (Sweden)

    Rajesh H Garg

    2012-01-01

    Full Text Available In India, the healthcare delivery system starts up from the sub-center at the village level and reaches up to super specialty medical centers providing state of the art emergency medical services (EMS. These highest centers, located in big cities, are considered the last referral points for the patients from nearby cities and states. As the incidents of rail and road accidents have increased in recent years, the role of EMS becomes critical in saving precious lives. But when the facilities and management of these emergency centers succumbs before the patient, then the question arises regarding the adequate availability and quality of EMS. The death of an unknown common man, Rambhor, for want of EMS in three big hospitals in the national capital of India put a big question on the "health" of the emergency health services in India. The emergency services infrastructure seems inadequate and quality and timely provision of EMS to critical patients appears unsatisfactory. There is lack of emergency medicine (EM specialists in India and also the postgraduation courses in EM have not gained foot in our medical education system. Creation of a Centralized Medical Emergency Body, implementation of management techniques, modification of medical curriculum, and fixing accountability are some of the few steps which are required to improve the EMS in India.

  19. United States academic medical centers: priorities and challenges amid market transformation.

    Science.gov (United States)

    Thompson, Irene M; Anason, Barbara

    2012-01-01

    United States academic medical centers (AMCs) have upheld their long-standing reputation for excellence by teaching and training the next generation of physicians, supporting medical research, providing world-class medical care, and offering breakthrough treatments for highly complex medical cases. In recent years, the pace and direction of change reshaping the American health care industry has created a set of new and profound challenges that AMC leaders must address in order to sustain their institutions. University HealthSystem Consortium (UHC) is an alliance of 116 leading nonprofit academic medical centers and 276 of their affiliated hospitals, all of which are focused on delivering world-class patient care. Formed in 1984, UHC fosters collaboration with and among its members through its renowned programs and services in the areas of comparative data and analytics, performance improvement, supply chain management, strategic research, and public policy. Each year, UHC surveys the executives of its member institutions to understand the issues they view as most critical to sustaining the viability and success of their organizations. The results of UHC's most recent 2011 member survey, coupled with a 2012 Strategic Health Perspectives Harris Interactive presentation, based in parton surveys of major health care industry stakeholders reveal the most important and relevant issues and opportunities that hospital leaders face today, as the United States health care delivery system undergoes a period of unprecedented transformation.

  20. Service to the Nation, Strength for the Future. Fiscal Year 2013 United States Army Annual Financial Report

    Science.gov (United States)

    2013-01-01

    September 25, 2013. Forward-stationed Army forces in the Republic of Korea, Japan, Europe, and elsewhere provide Geographic Combatant Commands with...designs more easily tailored to meet the varied demands of the geographic combatant commanders and reduce the complexities of joint planning and... Nike Hercules systems in Italy. The North Atlantic Treaty Organization (NATO) MEADS Management Agency (NAMEADSMA) is the NATO contracting authority

  1. US Army Research Office research in progress, July 1, 1991--June 30, 1992

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-31

    The US Army Research Office, under the US Army Materiel Command (AMC), is responsible for coordinating and supporting research in the physical and engineering sciences, in materials science, geosciences, biology, and mathematics. This report describes research directly supported by the Army Research Projects Agency, and several AMC and other Army commands. A separate section is devoted to the research program at the US Army Research, Development and Standardization Group - United Kingdom. The present volume includes the research program in physics, chemistry, biological sciences, mathematics, engineering sciences, metallurgy and materials science, geosciences, electronics, and the European Research Program. It covers the 12-month period from 1 July 1991 through 30 June 1992.

  2. The 1986/1987 Army Communications Objectives Measurement System. Supplementary Tabulations of Officer Markets

    Science.gov (United States)

    1988-08-01

    assessments of advertising strategy efficiencies; (3) management of the advertising program; and (4) planning and development of new marketing strategies and...fashion; (2) To support Army assessments of advertising strategy in an integrated framework; and (3) To support Army advertising management and planning for...Army attain its annual recruiting goals. A second set of goals for ACOMS involved the use of ACOMS data to assess the Army’s advertising strategy . ACOMS

  3. Closing the Door Behind You: How the United States Army Conducts Logistical Withdrawals after Lengthy Operations

    Science.gov (United States)

    2013-05-23

    great and MACV decided not to implement the program in total. 13 Lieutenant General Joseph M Heiser , Jr. served as the commander of the 1 st...13 Jeffery Clarke, Advice and Support: The Final Years 1965-1973 (Washington: Department of the Army, 1988), 427-429. 14 Joseph M. Heiser , Vietnam...focused on a redistribution of weapon systems. According to Heiser , The phasedown of U.S. operations in Southeast Asia permitted an accelerated delivery

  4. International Affairs Programs: The Air Force Versus the Army

    Science.gov (United States)

    2015-10-01

    individual tutoring programs . Additionally RAS personnel are offered regional enhancement studies opportunities at several facilities.48 RAS personnel...AU/ACSC/2015 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY INTERNATIONAL AFFAIRS PROGRAMS : THE AIR FORCE VERSUS THE ARMY by Robin L...5 COMPARISON: INTERNATIONAL AFFAIRS PROGRAMS AIR FORCE VERSUS ARMY 8

  5. Force Structure: Capabilities and Cost of Army Modular Force Remain Uncertain

    National Research Council Canada - National Science Library

    2006-01-01

    .... The Army's goals for increasing combat power while introducing predictability in deployments for its soldiers are important, and the Army leadership in headquarters, military and civilian staffs...

  6. Increasing Army Retention Through Incentives

    National Research Council Canada - National Science Library

    Beerman, Kevin

    2006-01-01

    .... If the Army fails to address the enlisted retention issue in the near future departures of experienced NCOs will have a detrimental impact our military's ability to provide for our nation's security...

  7. Army ROTC: A Strategy for Developing Tomorrow's Army Leadership in an Era of Diminishing Resources

    National Research Council Canada - National Science Library

    Betoney, Charles

    1997-01-01

    .... This study addresses the need to continue a viable Army ROTC program to produce high quality junior officers as well as maintain a positive, mutually beneficial presence on university and college...

  8. Pain clinic definitions in the medical literature and U.S. state laws: an integrative systematic review and comparison.

    Science.gov (United States)

    Andraka-Christou, Barbara; Rager, Joshua B; Brown-Podgorski, Brittany; Silverman, Ross D; Watson, Dennis P

    2018-05-22

    In response to widespread opioid misuse, ten U.S. states have implemented regulations for facilities that primarily manage and treat chronic pain, called "pain clinics." Whether a clinic falls into a state's pain clinic definition determines the extent to which it is subject to oversight. It is unclear whether state pain clinic definitions model those found in the medical literature, and potential differences lead to discrepancies between scientific and professionally guided advice found in the medical literature and actual pain clinic practice. Identifying discrepancies could assist states to design laws that are more compatible with best practices suggested in the medical literature. We conducted an integrative systematic review to create a taxonomy of pain clinic definitions using academic medical literature. We then identified existing U.S. state pain clinic statutes and regulations and compared the developed taxonomy using a content analysis approach to understand the extent to which medical literature definitions are reflected in state policy. In the medical literature, we identified eight categories of pain clinic definitions: 1) patient case mix; 2) single-modality treatment; 3) multidisciplinary treatment; 4) interdisciplinary treatment; 5) provider supervision; 6) provider composition; 7) marketing; and 8) outcome. We identified ten states with pain clinic laws. State laws primarily include the following definitional categories: patient case mix; single-modality treatment, and marketing. Some definitional categories commonly found in the medical literature, such as multidisciplinary treatment and interdisciplinary treatment, rarely appear in state law definitions. This is the first study to our knowledge to develop a taxonomy of pain clinic definitions and to identify differences between pain clinic definitions in U.S. state law and medical literature. Future work should explore the impact of different legal pain clinic definitions on provider decision

  9. U.S. Army War College Library Communicative Skills: A Selected Bibliography.

    Science.gov (United States)

    1987-10-01

    D-Ai87 489 US ARMY MAR COLLEGE LIBRARY COMMUNICATIVE SKILLS: A i/l SELECTED BIBLIOGRAPHY(U) ARMY WAR COIL CARLISLE BARRACKS PA OCT 87 UNCLASSIFIED F...PERIOD COVERED U.S. Army War College Library Bibliography Communicative Skills A Seecte Bibiogrphy6. PERFORMING ORG. REPORT NUMBER 7. AUTHOR(&) S...BIBLIOGRAPHY as an invitation for you to enjoy the wealth of materials readily available in our library that will help you improve your communicative skills. It

  10. The Effect of Medical Marijuana Laws on Crime: Evidence from State Panel Data, 1990-2006

    OpenAIRE

    Morris, Robert G.; TenEyck, Michael; Barnes, J. C.; Kovandzic, Tomislav V.

    2014-01-01

    Background Debate has surrounded the legalization of marijuana for medical purposes for decades. Some have argued medical marijuana legalization (MML) poses a threat to public health and safety, perhaps also affecting crime rates. In recent years, some U.S. states have legalized marijuana for medical purposes, reigniting political and public interest in the impact of marijuana legalization on a range of outcomes. Methods Relying on U.S. state panel data, we analyzed the association between st...

  11. Distinguishing medication-free subjects with unipolar disorder from subjects with bipolar disorder: state matters.

    Science.gov (United States)

    Rive, Maria M; Redlich, Ronny; Schmaal, Lianne; Marquand, André F; Dannlowski, Udo; Grotegerd, Dominik; Veltman, Dick J; Schene, Aart H; Ruhé, Henricus G

    2016-11-01

    Recent studies have indicated that pattern recognition techniques of functional magnetic resonance imaging (fMRI) data for individual classification may be valuable for distinguishing between major depressive disorder (MDD) and bipolar disorder (BD). Importantly, medication may have affected previous classification results as subjects with MDD and BD use different classes of medication. Furthermore, almost all studies have investigated only depressed subjects. Therefore, we focused on medication-free subjects. We additionally investigated whether classification would be mood state independent by including depressed and remitted subjects alike. We applied Gaussian process classifiers to investigate the discriminatory power of structural MRI (gray matter volumes of emotion regulation areas) and resting-state fMRI (resting-state networks implicated in mood disorders: default mode network [DMN], salience network [SN], and lateralized frontoparietal networks [FPNs]) in depressed (n=42) and remitted (n=49) medication-free subjects with MDD and BD. Depressed subjects with MDD and BD could be classified based on the gray matter volumes of emotion regulation areas as well as DMN functional connectivity with 69.1% prediction accuracy. Prediction accuracy using the FPNs and SN did not exceed chance level. It was not possible to discriminate between remitted subjects with MDD and BD. For the first time, we showed that medication-free subjects with MDD and BD can be differentiated based on structural MRI as well as resting-state functional connectivity. Importantly, the results indicated that research concerning diagnostic neuroimaging tools distinguishing between MDD and BD should consider mood state as only depressed subjects with MDD and BD could be correctly classified. Future studies, in larger samples are needed to investigate whether the results can be generalized to medication-naïve or first-episode subjects. © 2016 John Wiley & Sons A/S. Published by John Wiley

  12. Army Sustainability Report 2010

    Science.gov (United States)

    2011-09-01

    the Fairfax Village Neighborhood Center’s native plant and butterfly garden. The center is the first LEED platinum military project (photo: US Army... Bush in 2007. 11 Statement of Deputy Under Secretary of Defense for Strategy, Plans, and Forces, Kathleen Hicks before the Senate Environment and

  13. Army Hearing Program Talking Points Calendar Year 2016

    Science.gov (United States)

    2017-09-12

    provides summary information regarding the prevalence of hearing injury experienced by U.S. Army Soldiers in 2016. Soldiers who completed a DD Form...2215 (Reference Audiogram) or DD Form 2216 ( Hearing Conservation Data) during Calendar Year 2016 (CY16) were included in the analysis. Information is...broken out by Service component and will be updated annually. TOTAL ARMY STATISTICS FOR CY16 24% of Soldiers have some degree of hearing

  14. From Darkness to Light: Posttraumatic Growth among Recently Deployed Army National Guard Soldiers

    Science.gov (United States)

    2013-02-14

    Stress and Associated Functioning of Army National Guard Following Exposure to Iraq Warzone Trauma,” Traumatology 14 (2008): 51. 9. Army National...Associated Functioning of Army National Guard Following Exposure to Iraq Warzone Trauma.” Traumatology , 14 (2008): 51–56. Ouimette, Paige, Dawne Vogt

  15. Inspector General, DoD, Oversight of the Army Audit Agency Audit of the U.S. Army Corps of Engineers, Civil Works Program, FY 1996 Financial Statements

    National Research Council Canada - National Science Library

    Lane, F

    1997-01-01

    The audit objective was to determine the accuracy and completeness of the audit of the U.S. Army Corps of Engineers, Civil Works Program, FY 1996, financial statements conducted by the Army Audit Agency...

  16. Netherlands Army Long Range Anti Armour Study - Status Report

    NARCIS (Netherlands)

    Schagen, P.A.B. van

    1989-01-01

    At the end of the nineties the munition for the TOW weapon system in use at The Netherlands army, has to be replaced. The Life of Type of The Tow carrier ends in 2005. The long range anti armour study is to gain insight into the possibilities and limitations for the Netherlands army to deploy future

  17. Christian Contributions to Army Values

    National Research Council Canada - National Science Library

    D'Emma, Gregory

    2000-01-01

    .... The Army builds the soldier's heart, spirit, and soul by the values we instill. Over the years these values of loyalty, duty, respect, selfless service, honor, integrity, and personal courage have been trained and reinforced...

  18. Recruiting and Retaining Army Nurses: An Annotated Bibliography

    OpenAIRE

    Roberts, Benjamin J.; Kocher, Kathryn M.

    1988-01-01

    This listing of annotated references includes studies dealing with the labor market behavior of registered nurses. References describing both the military and the civilian working environments for RNs are contained in the bibliography. Because the Army must recruit and retain nurses in the context of the national labor market for nurses, a broad perspective was maintained in selecting publication. Studies dealing with the factors influential in attracting and retaining Army Active Duty and Re...

  19. A Study of Placing Army Requirements on Contract

    Science.gov (United States)

    2016-04-01

    the program office in an integrated product team fashion under the leadership of the program manager. The U.S. Army contracting command is a key... fashion 46 A STUDY OF PLACING ARMY REQUIREMENTS ON CONTRACT  Our requirements can be routinely changed by the Acquisition Center. The reason for... consulted .  No, processes were unclear and if there are/were process, they were not communicated well with Program Office and even among the ACC personnel

  20. Association Between State Medical Malpractice Environment and Postoperative Outcomes in the United States.

    Science.gov (United States)

    Minami, Christina A; Sheils, Catherine R; Pavey, Emily; Chung, Jeanette W; Stulberg, Jonah J; Odell, David D; Yang, Anthony D; Bentrem, David J; Bilimoria, Karl Y

    2017-03-01

    The US medical malpractice system assumes that the threat of liability should deter negligence, but it is unclear whether malpractice environment affects health care quality. We sought to explore the association between state malpractice environment and postoperative complication rates. This observational study included Medicare fee-for-service beneficiaries undergoing one of the following operations in 2010: colorectal, lung, esophageal, or pancreatic resection, total knee arthroplasty, craniotomy, gastric bypass, abdominal aortic aneurysm repair, coronary artery bypass grafting, or cystectomy. The state-specific malpractice environment was measured by 2010 medical malpractice insurance premiums, state average award size, paid malpractice claims/100 physicians, and a composite malpractice measure. Outcomes of interest included 30-day readmission, mortality, and postoperative complications (eg sepsis, myocardial infarction [MI], pneumonia). Using Medicare administrative claims data, associations between malpractice environment and postoperative outcomes were estimated using hierarchical logistic regression models with hospital random-intercepts. Measures of malpractice environment did not have significant, consistent associations with postoperative outcomes. No individual tort reform law was consistently associated with improved postoperative outcomes. Higher-risk state malpractice environment, based on the composite measure, was associated with higher likelihood of sepsis (odds ratio [OR] 1.22; 95% CI 1.07 to 1.39), MI (OR 1.14; 95% CI 1.06 to 1.23), pneumonia (OR 1.09; 95% CI 1.03 to 1.16), acute renal failure (OR 1.15; 95% CI 1.08 to 1.22), deep vein thrombosis/pulmonary embolism (OR 1.22; 95% CI 1.13 to 1.32), and gastrointestinal bleed (OR 1.18; 95% CI 1.08 to 1.30). Higher risk malpractice environments were not consistently associated with a lower likelihood of surgical postoperative complications, bringing into question the ability of malpractice lawsuits to

  1. Medical tourism services available to residents of the United States.

    Science.gov (United States)

    Alleman, Brandon W; Luger, Tana; Reisinger, Heather Schacht; Martin, Rene; Horowitz, Michael D; Cram, Peter

    2011-05-01

    There are growing reports of United States (US) residents traveling overseas for medical care, but empirical data about medical tourism are limited. To characterize the businesses and business practices of entities promoting medical tourism and the types and costs of procedures being offered. DESIGN, PARTICIPANTS, AND OUTCOMES: Between June and August 2008, we conducted a telephone survey of all businesses engaged in facilitating overseas medical travel for US residents. We collected information from each company including: the number of employees; number of patients referred overseas; medical records security processes; destinations to which patients were referred; treatments offered; treatment costs; and whether patient outcomes were collected. We identified 63 medical tourism companies and 45 completed our survey (71%). Companies had a mean of 9.8 employees and had referred an average of 285 patients overseas (a total of approximately 13,500 patients). 35 (79%) companies reported requiring accreditation of foreign providers, 22 (50%) collected patient outcome data, but only 17 (39%) described formal medical records security policies. The most common destinations were India (23 companies, 55%), Costa Rica (14, 33%), and Thailand (12, 29%). The most common types of care included orthopedics (32 companies, 73%), cardiac care (23, 52%), and cosmetic surgery (29, 66%). 20 companies (44%) offered treatments not approved for use in the US--most commonly stem cell therapy. Average costs for common procedures, CABG ($18,600) and knee arthroplasty ($10,800), were similar to previous reports. The number of Americans traveling overseas for medical care with assistance from medical tourism companies is relatively small. Attention to medical records security and patient outcomes is variable and cost-savings are dependent on US prices. That said, overseas medical care can be a reasonable alternative for price sensitive patients in need of relatively common, elective medical

  2. 1996 Inventory of Endangered Species and Wildlife Resources on US Army Kwajalein Atoll, Republic of the Marshall Islands (NODC Accession 0000251)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This report summarizes the results of the first United States Army Kwajalein Atoll (USAKA) Activities in the Republic of the Marshall Islands (UES) inventory of...

  3. Pattern of Medical Admissions at Enugu State University of Science ...

    African Journals Online (AJOL)

    Technology Teaching Hospital, Parklane, Enugu, 2Department of Community Medicine, University of Nigeria Teaching. Hospital, Ituku/Ozalla ... A review of medical admissions into the Enugu State University of Science and Technology. Teaching .... Cord lesions, rabies, Guilliane Barré syndrome, motor neuron disease and ...

  4. The Victory Disease and the US Army After the Cold War

    National Research Council Canada - National Science Library

    Allen, John

    1999-01-01

    This study investigates the US Army after the end of the Cold War, specifically how the "Victory Disease" resulting from winning the Cold War caused a complacency in the US Army which eventually led...

  5. POLLUTION PREVENTION OPPORTUNITY ASSESSMENT OF THE UNITED STATES ARMY CORPS OF ENGINEERS GARRISON DAM HYDRO- ELECTRIC POWERPLANT - RIVERDALE, NORTH DAKOTA

    Science.gov (United States)

    The report describes the results of pollution prevention opportunity assessments conducted at a representative U.S. Army Corps of Engineers civil works dam and hydroelectric power plant. ecommended methods for reducing pollution resulting primarily from the operation of these fac...

  6. A Pilotless Army in the Megalopolis

    National Research Council Canada - National Science Library

    Wegner, Robert

    2004-01-01

    .... Although Army aviation can provide mobility, intelligence gathering, and massive precision fires, its current aviation systems are highly vulnerable within the urban environment and a solution...

  7. The Army Communications Objectives Measurement System (ACOMS): Survey Methods

    Science.gov (United States)

    1988-07-01

    advertising strategy efficiencies; (3) management of the advertising program; and (4) planning and development of new marketing strategies and...scientific methodology. ACOMS is being used for Army (1) assessments of advertising program effectiveness; (2) assessments of advertising strategy efficiencies...advertising program effectiveness in a timely fashion; (2) To support Army assessments of advertising strategy in an integrated framework; and (3) To support

  8. The Army Communications Objectives Measurement System (ACOMS): Parental User’s Manual

    Science.gov (United States)

    1988-07-01

    system to support Army (1) assessments of advertising program effectiveness; (2) assessments of advertising strategy efficiencies; (3) management of the... advertising strategy in an integrated framework; and * (3) To support Army advertising management and planning for future strategy. 0 2 ACOMS was...recruiting goals. A second set of goals for ACOMS involved the use of ACOMS data to assess the Army’s advertising strategy . ACOMS was designed to be used

  9. Introduction - The Relation of the Post-Soviet Army to Muslim Minorities

    Directory of Open Access Journals (Sweden)

    Elisabeth Sieca-Kozlowski

    2009-12-01

    Full Text Available As the melting pot of the Nation, the Russian army has always been confronted with the issue of ethnic and religious diversity. Depending on the times, it has dealt with it in various ways. What is the relationship today between the post-soviet Russian army and its minorities, the Muslim minorities in particular?The fact that conscription has been maintainedmakes this issue particularly relevant: the Russian army is faced with a strong rise in its Muslim population, along with the virulent pr...

  10. Predicting risk for disciplinary action by a state medical board.

    Science.gov (United States)

    Cardarelli, Roberto; Licciardone, John C; Ramirez, Gilbert

    2004-01-01

    Disciplinary actions taken against physicians in the United States have been increasing over the last decade, yet the factors that place physicians at risk have not been well identified. The objective of this study is to identify predictors of physician disciplinary action. This case-control study used data from the Texas State Board of Medical Examiners from January 1989 through December 1998. Characteristics of disciplined physicians and predictors of disciplinary action for all violations and by type of violation were the main outcome descriptors. Years in practice, black physicians, and osteopathic graduates were positive predictors for disciplinary action. In contrast, female physicians, international medical graduates, and Hispanic and Asian physicians were less likely to receive disciplinary action compared with male, US allopathic, and white physicians, respectively. Most specialists, except psychiatrists and obstetrician-gynecologists, were less likely to be disciplined than were family practitioners, whereas general practitioners were more likely to be disciplined. More studies are needed to corroborate these findings.

  11. 77 FR 75783 - Disposal of Controlled Substances

    Science.gov (United States)

    2012-12-21

    ... relievers, anti-anxiety medications, stimulants, and sedatives--non-medically in the previous month.\\18... Protection Agency, the Food and Drug Administration, the U.S. Postal Service, the U.S. Army, and state and...

  12. State-Propagated Narratives about a National Defender in Central Asian States

    Directory of Open Access Journals (Sweden)

    Erica Marat

    2007-03-01

    Full Text Available This article examines the relationship between narratives propagated by the state about a historical national hero and a contemporary soldier's professional ideology in the post-Soviet Central Asian countries (Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan. It argues that while elite-maintained mass publishing of cohesive narratives about a vividly drawn historical persona, male and warrior, trigger at raising a loyal soldier unified with his compatriots on the basis of cultural values and objects of loyalty, state elites seek to link a contemporary army recruit with his historical predecessors who fought for unity, integrity, and  dominance of the nation. But the link inevitably merges with ethno-centric ideas of protecting the cultural community identified with the narrative, as opposed to a physical entity within the state borders. State elites  reinforce the significance of military experience of the titular ethnic entity in accordance with their own political interests. Narratives about a national defender articulate what the political elites expect from the military service but are restrained from depicting in official policy documents. In order to reach effective results, the Central Asian states retained the same Soviet tools of cultivating patriotism as the basis for the army's internal discipline, but primordial characters have also been incorporated into the indoctrination.

  13. Nuclear, biological and chemical contamination survivability of Army material

    International Nuclear Information System (INIS)

    Feeney, J.J.

    1987-01-01

    Army Regulation (AR) 70-71, Nuclear, Biological and Chemical (NBC) Contamination Survivability of Army Material, published during 1984, establishes Army policy and procedures for the development and acquisition of material to ensure its survivablility and sustainability on the NBC-contaminated battlefield. This regulation defines NBC contamination as a term that includes both the individual and collective effects of residual radiological, biological, and chemical contamination. AR 70-71 applies to all mission-essential equipment within the Army. NBC contamination survivability is the capability of a system and its crew to withstand an NBC-contaminated environment, including decontamination, without losing the ability to accomplish the assigned mission. Characteristics of NBC contamination survivability are decontaminability, hardness, and compatability. These characteristics are engineering design criteria which are intended for use only in a developmental setting. To comply with AR 70-71, each mission-essential item must address all three criteria. The Department of Defense (DOD) has published a draft instruction addressing acquisition of NBC contamination survivable systems. This instruction will apply throughout DOD to those programs, systems and subsystems designated by the Secretary of Defense as major systems acquisition programs and to those non-major systems that have potential impact on critical functions

  14. The Expanded Application of Forensic Science and Law Enforcement Methodologies in Army Counterintelligence

    Science.gov (United States)

    2017-09-01

    enforcement (LE) capabilities during the investigation of criminal offenses has become commonplace in the U.S. criminal justice system . These... system , and FORENSICS AND LAW ENFORCEMENT IN ARMY COUNTERINTELLIGENCE 22 would likely need to go to their local Army CID or military police...THE EXPANDED APPLICATION OF FORENSIC SCIENCE AND LAW ENFORCEMENT METHODOLOGIES IN ARMY COUNTERINTELLIGENCE A RESEARCH PROJECT

  15. Army Civilian Leadership Development: Self-Efficacy, Choice, and Learning Transfer

    Science.gov (United States)

    Godinez, Eileen; Leslie, Barry B.

    2015-01-01

    The mission of the Army Management Staff College (AMSC) is to provide leader development educational experiences for Army civilians. To develop as leaders, students must recognize they have a choice to take action that influences their work environment. The authors suggest the learning environment at AMSC is intentionally designed to be…

  16. Comparing U.S. Army suicide cases to a control sample: initial data and methodological lessons.

    Science.gov (United States)

    Alexander, Cynthia L; Reger, Mark A; Smolenski, Derek J; Fullerton, Nicole R

    2014-10-01

    Identification of risk and protective factors for suicide is a priority for the United States military, especially in light of the recent steady increase in military suicide rates. The Department of Defense Suicide Event Report contains comprehensive data on suicides for active duty military personnel, but no analogous control data is available to permit identification of factors that differentially determine suicide risk. This proof-of-concept study was conducted to determine the feasibility of collecting such control data. The study employed a prospective case-control design in which control cases were randomly selected from a large Army installation at a rate of four control participants for every qualifying Army suicide. Although 111 Army suicides were confirmed during the study period, just 27 control soldiers completed the study. Despite the small control sample, preliminary analyses comparing suicide cases to controls identified several factors more frequently reported for suicide cases, including recent failed intimate relationships, outpatient mental health history, mood disorder diagnosis, substance abuse history, and prior self-injury. No deployment-related risk factors were found. These data are consistent with existing literature and form a foundation for larger control studies. Methodological lessons learned regarding study design and recruitment are discussed to inform future studies. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

  17. Characteristics of HIV-Positive Transgender Men Receiving Medical Care: United States, 2009-2014.

    Science.gov (United States)

    Lemons, Ansley; Beer, Linda; Finlayson, Teresa; McCree, Donna Hubbard; Lentine, Daniel; Shouse, R Luke

    2018-01-01

    To present the first national estimate of the sociodemographic, clinical, and behavioral characteristics of HIV-positive transgender men receiving medical care in the United States. This analysis included pooled interview and medical record data from the 2009 to 2014 cycles of the Medical Monitoring Project, which used a 3-stage, probability-proportional-to-size sampling methodology. Transgender men accounted for 0.16% of all adults and 11% of all transgender adults receiving HIV medical care in the United States from 2009 to 2014. Of these HIV-positive transgender men receiving medical care, approximately 47% lived in poverty, 69% had at least 1 unmet ancillary service need, 23% met criteria for depression, 69% were virally suppressed at their last test, and 60% had sustained viral suppression over the previous 12 months. Although they constitute a small proportion of all HIV-positive patients, more than 1 in 10 transgender HIV-positive patients were transgender men. Many experienced socioeconomic challenges, unmet needs for ancillary services, and suboptimal health outcomes. Attention to the challenges facing HIV-positive transgender men may be necessary to achieve the National HIV/AIDS Strategy goals of decreasing disparities and improving health outcomes among transgender persons.

  18. Racial Extremism in the Army

    National Research Council Canada - National Science Library

    Hudson, Walter M

    1998-01-01

    ... modem phenomenon of "skinheads." I then discuss the history of white supremacist extremism in the Army, culminating in the December, 1995 murders of two black civilians by soldiers assigned to the 82d Airborne Division at Fort Bragg, North Carolina...

  19. Army Transformation to Expeditionary Formations

    National Research Council Canada - National Science Library

    Bryson, Jeff

    2008-01-01

    This thesis explores the path of transformation in the U.S. Army from its inception in the late 1990s by then Chief of Staff GEN Eric Shinseki to the Interim Brigade Combat Team and through Operations Enduring and Iraqi Freedom...

  20. U.S. Army War College Key Strategic Issues List (KSIL) 2012-2013

    Science.gov (United States)

    2012-08-01

    modified and what DOTMLPF changes would be needed? 20 11. What are the impacts of changes in the local economy on a local NG unit? Do changes in the... economy have a major effect on the unit and the National Guard as a whole at state and/or federal level? 21 U.S. Army Reserve, Office of the Chief POC...movement to a DoD-wide cloud architecture (the Joint Information Environment), which would allow the repurposing of Global Information Grid ( GIG

  1. Could the United States Army Have a Positive Impact on the Insurgency and Counterdrug Problems in Peru

    Science.gov (United States)

    1994-06-03

    CGSC, Fort Leavenworth, KS, Dec. 1990 LAS FUERZAS ARMADAS DEL PERU Y LOS DERECHOS HUMANOS EN LA LUCHA CONTRA EL TERRORISMO (Not Dated), A Booklet...op- erations were countered by the DINCOTE (Direccion Nacional Contra el Terrorismo ), a special antiterrorist branch of the national police. They...branches of our Army could contribute to a joint and combined operation in Peru to defeat Shining Path ele - ments. In addition to this, the reader may

  2. [The state's physics examinations for medical students and the construction of a natural science basis for academic medical training between 1865-1880].

    Science.gov (United States)

    Van Lieburg, M J

    1995-01-01

    Betweem 1865, when the new Dutch Health Acts introduced the legal monopoly of the academic medical profession, and 1879, when a new law for higher education provided the basis for the integration of the non-academic teaching of medicine within the universities, non-academic students could pass state medical examinations in order to become a physician. In this article I studied in detail the first phase of this examination route, when students were questioned about their knowledge of mathematics, physics, chemistry and the life sciences. The state commissions responsible for taking these examinations have certainly played an important role in the process of the introduction of scientific medicine into the universities as well as the introduction of the sciences into secondary schools, preparing scholars for academic medical training. Moreover, because scientists, physicians and secondary school teachers participated together in these commissions, the science examination boards linked the several educational echelons and divisions in science and medicine concerned with this process of transformation of the medical professions and medical science in the 1860s and 1870s.

  3. Je Maintiendrai: The Royal Netherlands Army Within the Alliance

    Science.gov (United States)

    1989-06-01

    CHAPTER I Combat History of the Dutch Army The Kir.ngdom of the Netherlands has tended to favor neutrality or abstentionism over involvement in...a small power and the Dutch increasingly favored abstentionism from European conflicts. Subsequently, the wartime organization of the Royal Army was...Netherlands abandoned its traditional policy of abstentionism and became a founding member of the Brussels Treaty (1948) and the North Atlantic

  4. Typology of Army Families. Coping Styles of Successful, Career Army Families

    Science.gov (United States)

    1988-06-01

    to deal with environment induced stress tend to become non- * productive and dysfunctional. This is a qualitative study of the coping styles of 18...and can only guess at the number, either through surveys or through Non- Combatant Evacuation Operation (NEO) sign-up exercises . NEO is the Army plan...headaches, stomach upsets, amenorrhea , a~id sleep difficulties. There was also a significant increase in weight change problems. Perceptions of

  5. An Evaluation of Army Wellness Center Clients' Health-Related Outcomes.

    Science.gov (United States)

    Rivera, L Omar; Ford, Jessica Danielle; Hartzell, Meredith Marie; Hoover, Todd Allan

    2018-01-01

    To examine whether Army community members participating in a best-practice based workplace health promotion program (WHPP) experience goal-moderated improvements in health-related outcomes. Pretest/posttest outcome evaluation examining an autonomously participating client cohort over 1 year. Army Wellness Center facilities on 19 Army installations. Army community members sample (N = 5703), mostly Active Duty Soldiers (64%). Assessment of health risks with feedback, health assessments, health education classes, and health coaching sessions conducted by health educators at a recommended frequency of once a month for 3 to 12 months. Initial and follow-up outcome assessments of body mass index (BMI), body fat, cardiorespiratory fitness, blood pressure, and perceived stress. Mixed model linear regression testing for goal-moderated improvements in outcomes. Clients experienced significant improvements in body fat (-2% change), perceived stress (-6% to -12% change), cardiorespiratory fitness (+6% change), and blood pressure (-1% change) regardless of health-related goal. Only clients with a weight loss goal experienced BMI improvement (-1% change). Follow-up outcome assessment rates ranged from 44% (N = 2509) for BMI to 6% (N = 342) for perceived stress. Army Wellness Center clients with at least 1 follow-up outcome assessment experienced improvements in military readiness correlates and chronic disease risk factors. Evaluation design and follow-up-related limitations notwithstanding results suggest that best practices in WHPPs can effectively serve a globally distributed military force.

  6. A Medical Research and Evaluation Facility (MREF) and Studies Supporting the Medical Chemical Defense Program: Task 95-39: Methods Development and Validation of Two Mouse Bioassays for Use in Quantifying Botulinum Toxins (A, B, C, D and E) and Toxin Antibody Titers

    National Research Council Canada - National Science Library

    Olson, Carl

    1997-01-01

    Ths task was conducted for the U.S. Army Medical Materiel Development Activity (USAMMDA) to validate two mouse bioassays for quantify botulinum toxin potency and neutralizing antibodies to botulimun toxins...

  7. Baseline Marine Biological Survey ROI-NAMUR Outfall United States Army Kwajalein Atoll, Republic of the Marshall Islands, 1997(NODC Accession 0000630)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Roi-Namur is located at the northernmost tip of Kwajalein Atoll, approximately 64 kilometers north of the U.S. Army Kwajalein Atoll(USAKA) central command post on...

  8. Army Science Conference Proceedings, 12-15 June 1990, Volume 2: Principal Authors G-M

    Science.gov (United States)

    1990-07-30

    C. Measurement of the Refractive Indices of Fluoride Glasses Using Digital Refractometry II 333 Kyle, Dennis E. See Milhous, Wilbur K. II 543...Fluoride Glasses using Digital Refractometry (U) Hon C. Kwan, CPT, SC Steven S. Cotariu, CPT, IN US Army Photonics Research Cell united States Military...manner. We have applied Digital Refractometry to the measure- ment of the refractive index of four new fluoride glasses. Digital Refractometry is

  9. 1998 Inventory of Endangered Species and Wildlife Resources at the US Army Kwajalein Atoll, Republic of the Marshall Islands (NODC Accession 0000631)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This report summarizes the results of the second United States Army Kwajalein Atoll (USAKA) Activities in the Republic of the Marshall Islands (UES) inventory of...

  10. Medical abortion practices : a survey of National Abortion Federation members in the United States

    NARCIS (Netherlands)

    Wiegerinck, Melanie M. J.; Jones, Heidi E.; O'Connell, Katharine; Lichtenberg, E. Steve; Paul, Maureen; Westhoff, Carolyn L.

    2008-01-01

    Background: Little is known about clinical implementation of medical abortion in the United States following approval of mifepristone as an abortifacient by the Food and Drug Administration (FDA) in 2000. We collected information regarding medical abortion practices of National Abortion Federation

  11. Profesional medical library education in the United States in relation to the qualifications of medical library manpower in Ohio.

    Science.gov (United States)

    Rees, A M; Rothenberg, L; Denison, B

    1968-10-01

    THE PRESENT SYSTEM OF EDUCATION FOR MEDICAL LIBRARY PRACTICE IN THE UNITED STATES CONSISTS OF FOUR MAJOR COMPONENTS: graduate degree programs in library science with specialization in medical librarianship; graduate degree programs in library science with no such specialization; postgraduate internships in medical libraries; continuing education programs. Data are presented illustrating the flow of graduates along these several educational pathways into medical library practice.The relevance of these educational components to the current medical library work force is discussed with reference to manpower data compiled for Ohio. The total number of medical library personnel in Ohio in 1968 is 316. Of this total, only forty-two (approximately 14 percent) have received any formal library training. Seventy persons have only a high school education. From these figures, it is concluded that there is no standard or essential qualification which is universally accepted as educational preparation for work in medical libraries; that the comparative sophistication of the educational programs in medical librarianship has yet to be reflected widely in general medical library practice; that an increasingly large number of non-professional or ancillary personnel are being, and will continue to be, utilized in medical libraries; that large numbers of untrained persons have sole responsibility for medical libraries; and that appropriate educational programs will have to be designed specifically for this type of personnel.

  12. The United States Army Medical Department Journal, July-September 2009

    Science.gov (United States)

    2009-09-01

    including Escherichia coli O157:H7, Salmonella enteritidis, Yersinia pseudotuberculosis, Helicobactor pylori, Vibrio cholerae , and rotavirus,3-11 as shown...of houseflies (Musca domestica) in the transmission of Vibrio cholerae in India. Acta Tropica. 2001;78:31-34. 11. Tan SW, Yap KL, Lee HL. Mechanical...northeastern Mexico . J Am Mosq Control Assoc. 2001;17(2):93-97. 22. Cohnstaedt LW, Gillen JI, Munstermann LE. Light- emitting diode technology improves

  13. The United States Army Medical Department Journal, January - March 2009

    Science.gov (United States)

    2009-03-01

    discovered while an assessor is in the food establishment, so the assessor should remain flexible, observant, and receptive . While assessing a food...space. Kuwait had an acceptable facility which included a designated veterinary trailer with a storage area, as well as a treatment room/laboratory...Veterinary Corps officer.7ŕ𔃽" Although historically inaccurate, the 1963 movie entitled "Miracle of the White Stallions" was loosely based on

  14. The United States Army Medical Department Journal. October - December 2010

    Science.gov (United States)

    2010-12-01

    sciences and biomedical information. As such, the Journal’s articles are readily accessible to researchers and scholars throughout the global ...and training.” However, realizing this vision in today’s highly interactive, information- saturated, and global environment is tougher than ever...assignment reminders, and learning aids. According to the eLearning Guild, over 30 percent of organizations surveyed currently deliver some amount of

  15. Radiology in World War II (Medical Department, United States Army)

    Science.gov (United States)

    1966-01-01

    efornied each wvorkinog dav. bv a roil utie dlevelopied lo1 expiediite till(- elir . t8 ii~ap .11id ~iieiui’iie~hiiloi’ij~i were. facil itated by thle...ETOUSA. The officer sent to the European theater as Chief of Redeployment, a pharmacist by training, made arbitrary decisions on matters in which he was...lgt44 f.4t. wL*r ithi1l14’iI that lo4,keli tiks, pilorlen e-xuldite bill thant wals found14 ote il411’ uti r After f1’,lebidelo’ilt. I cavit v 1II4

  16. The United States Army Medical Department Journal. October-December 2007

    Science.gov (United States)

    2007-12-01

    understanding of the concepts of emotional intelligence researched and championed by Daniel Goleman and his associates for the past several decades hold...Agincourt EMOTIONAL INTELLIGENCE – INTRODUCTION READING: Goleman D. What makes a leader? Harv Bus Rev. 2004;82(1):82-91. VIDEO: Gettysburg, Scenes: 8...10; Prisoner delivery/Used by idiots/What we’re fighting for (New Line Cinema, 1993). EMOTIONAL INTELLIGENCE – STYLES OF LEADERSHIP I READING: Goleman

  17. The United States Army Medical Department Journal. October - December 2012

    Science.gov (United States)

    2012-12-01

    designer drugs.4 Spice is used as an alternative to marijuana because of the similarity of their “high” effects. Depending on the synthetic compound in...Poison Control Centers (bath salts data, synthetic marijuana data); http://www.aapcc.org/dnn/NewsandEvents/NewsMediaResources.aspx, accessed June 11...A review of herbal marijuana 1. alternatives (K2, spice), synthetic cathinones (bath salts), kratom, Salvia divinorum, methoxetamine, and pipera

  18. The United States Army Medical Department Journal. July-September 2012

    Science.gov (United States)

    2012-01-01

    efforts have been conducted in endemic countries (Mexico, Guatemala, Brazil, and Peru ) in Central and South America. Surveillance techniques in...Parsippany, NJ Simple Green Concentrate, Sunshine Makers Inc,  Huntington Beach , CA Pine Sol Concentrate (active ingredient 8.7% pine  oil), The...High levels of ambient particulate matter and burn pit smoke can irritate the eyes and respiratory passages at the time of exposure. Air pollution

  19. The United States Army Medical Department Journal. October-December 2011

    Science.gov (United States)

    2011-12-01

    left side of the shield are the 13 stripes of the American Flag. The green staff is the staff of Asclepius (according to Greek mythology , the first...endures but change. When the Greek philosopher Heraclitus penned that contemplation some 2,500 years ago, he undoubtedly had no concept of its

  20. The United States Army Medical Department Journal. July - September 2011

    Science.gov (United States)

    2011-09-01

    wide.3 Ships of the US Maritime Prepositioning Force regularly anchor at Saipan,4 and there are US military training sites on the island. It is a... ankle sprains) and overuse (eg, anterior knee pain, medial tibial stress syndrome, and plantar fasciitis), accounted for over 4.8 million of the...patients with PFPS. Gastrocnemius and soleus muscle flexibility are important to ankle joint range of motion. Using ankle dorsiflexion as a measure for

  1. Pattern of medical admissions at Enugu state university of science ...

    African Journals Online (AJOL)

    Pattern of medical admissions at Enugu state university of science and technology teaching hospital: a 5 year review. ... The diseases encountered most were diabetes mellitus‑735/3,865 (19.1%), hypertension/congestive cardiac failure‑703/3,865 (18.2%), strokes‑614/3,865 (15.9%) and human immunodeficiency virus ...

  2. Army Net Zero: Energy Roadmap and Program Summary, Fiscal Year 2013 (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2014-08-01

    The U.S. Army (Army) partnered with the National Renewable Energy Laboratory (NREL) and the U.S. Army Corps of Engineers to assess opportunities for increasing energy security through improved energy efficiency and optimized renewable energy strategies at nine installations across the Army's portfolio. Referred to as Net Zero Energy Installations (NZEIs), these projects demonstrate and validate energy efficiency and renewable energy technologies with approaches that can be replicated across DOD and other Federal agencies, setting the stage for broad market adoption. This report summarizes the results of the energy project roadmaps developed by NREL, shows the progress each installation could make in achieving Net Zero Energy by 2020, and presents lessons learned and unique challenges from each installation.

  3. U.S. Army Primary Helicopter School Training Program Performance Norms.

    Science.gov (United States)

    Barnes, John A.; Statham, Flavous D.

    The Helicopter Pilot Training Program of the Army differs from those of the other services in concept. It takes nonpilot servicemen and trains them to fly helicopters. The study provides normative performance data for a pilot trainee in an army light-observation helicopter as a first step toward establishing normative data for pilot performance in…

  4. Controls exercised by the Army over radioactive consumer-type items

    International Nuclear Information System (INIS)

    Taras, D.N.

    1978-01-01

    There are considerations that must be taken into account in the selection of radioactive products for military use that are of less consequence in consumer use. Because of these considerations, the Army and the other military services exercise control over radioactive commodities for military use. This paper describes the requirements of the Army safety policy

  5. Which US States Pose the Greatest Threats to Military Readiness and Public Health? Public Health Policy Implications for a Cross-sectional Investigation of Cardiorespiratory Fitness, Body Mass Index, and Injuries Among US Army Recruits.

    Science.gov (United States)

    Bornstein, Daniel B; Grieve, George L; Clennin, Morgan N; McLain, Alexander C; Whitsel, Laurie P; Beets, Michael W; Hauret, Keith G; Jones, Bruce H; Sarzynski, Mark A

    2018-01-09

    Many states in the southern region of the United States are recognized for higher rates of obesity, physical inactivity, and chronic disease. These states are therefore recognized for their disproportionate public health burden. The purpose of this study was to investigate state-level distributions of cardiorespiratory fitness, body mass index (BMI), and injuries among US Army recruits in order to determine whether or not certain states may also pose disproportionate threats to military readiness and national security. Sex-specific state-level values for injuries and fitness among 165 584 Army recruits were determined. Next, the relationship between median cardiorespiratory fitness and injury incidence at the state level was examined using Spearman correlations. Finally, multivariable Poisson regression models stratified by sex examined state-level associations between fitness and injury incidence, while controlling for BMI, and other covariates. Cardiorespiratory fitness and training-related injury incidence. A cluster of 10 states from the south and southeastern regions (Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, and Texas) produced male or female recruits who were significantly less fit and/or more likely to become injured than recruits from other US states. Compared with the "most fit states," the incidence of injuries increased by 22% (95% CI, 17-28; P < .001) and 28% (95% CI, 19-36; P < .001) in male and female recruits from the "least fit states," respectively. The impact of policies, systems, and environments on physical activity behavior, and subsequently fitness and health, has been clearly established. Advocacy efforts aimed at active living policies, systems, and environmental changes to improve population health often fail. However, advocating for active living policies to improve national security may prove more promising, particularly with legislators. Results from this study demonstrate

  6. The Army Communications Objectives Measurement System (ACOMS): Survey Design

    Science.gov (United States)

    1988-04-01

    tiveness, assessments of advertising strategy efficiencies, management of the advertising program, and planning and development of new marketing strategies... advertising strategy and market segmentation. The ACOMS development effort has focused on specifying the design and analysis plan for the survey...second set of goals involves the use of ACOMS data to assess the Army’s advertising strategy . ACOMS is examining the extent to which the Army’s in

  7. The Dynamics of Change: Regeneration of the Indonesian Army.

    Science.gov (United States)

    1984-11-15

    Army Special Forces (KOPASSANDHA): COI1U11a11Idl MG Yogic Suardi Memet * it(B) CCL, W ismuy Ar i.-j MU11,1IL101 A (N4) Deputy Commander *MG Soedjasmin0...KLTG Yogic Suardi Memet Cdr KODAM, VI/Cdr Special Forces Cdr KOWILHAN II BG S. Momon HI. Ad ip)Utro) Unknown Chi Army F iulaaic L’uia’ BC IP1

  8. Medical abortion practices: a survey of National Abortion Federation members in the United States

    NARCIS (Netherlands)

    Wiegerinck, Melanie M. J.; Jones, Heidi E.; O'Connell, Katharine; Lichtenberg, E. Steve; Paul, Maureen; Westhoff, Carolyn L.

    2008-01-01

    Little is known about clinical implementation of medical abortion in the United States following approval of mifepristone as an abortifacient by the Food and Drug Administration (FDA) in 2000. We collected information regarding medical abortion practices of National Abortion Federation (NAF) members

  9. 78 FR 65977 - Board of Visitors, United States Military Academy (USMA)

    Science.gov (United States)

    2013-11-04

    [email protected]us.army.mil . 7. Due to the lapse of appropriations, the Department of Defense cancelled the... DEPARTMENT OF DEFENSE Department of the Army Board of Visitors, United States Military Academy... the Sunshine Act of 1976 (5 U.S.C. 552b, as amended), and 41 CFR 102-3.150, the Department of Defense...

  10. The Tangiers School of Medicine and its Physicians: A Forgotten Initiative of Medical Education Reform in Morocco (1886-1904)

    OpenAIRE

    Martínez Antonio, Francisco Javier

    2011-01-01

    In 1886, the Spanish army medical officer Felipe Óvilo Canales (1850-1909) opened up a school of medicine in the Moroccan city of Tangiers. This school was originally sponsored by the Spanish government and intended to provide a number of Spanish Franciscan priests and young upper-class Moroccans a basic education in Western medicine. Later, with support from Sultan Hassan I, it was transformed into a training centre for Muslim military doctors for the Moroccan army. My paper will try to pres...

  11. A portrait of Fielding H Garrison (1870-1935): America's pioneering medical historian.

    Science.gov (United States)

    Colman, Eric G

    2004-11-01

    Fielding Hudson Garrison once remarked that because his birthday fell on 5 November, Guy Fawkes Day, he was "fated to suffer from in-ward hell-fire and brimstone all [his] life". Though said in jest, Garrison was a vulnerable, melancholic and self-confessed lonely man who found solace in the papers, periodicals and books of the Army Medical Library-today's National Library of Medicine. Over the course of approximately 25 years, and often while working in his spare time, Garrison went from a clerk in the world's largest medical library to America's pioneering and, arguably, most prolific medical historian, past or present.

  12. Defense Small Business Innovation Research Program (SBIR). Volume 1. Army Abstracts of Phase 1 Awards 1991

    Science.gov (United States)

    1991-01-01

    RESERVE SERVICE. GELTECH, INC. Topic#: 91-242 W. 91SDC-017 TWO INNOVATION DRIVE Office: SDC ALACHUA, FL 32615 Contract #: Phone: (904) 462-2358 P1: VINAY K...REFERENCE PHYSICAL OPTICS CORP. PRADEEP K. GUPTA , INC. ARMY 91-071 AF 91-128 ARMY 91-144 ARMY 91-169 PRECISION COMBUSTION, INC. NAVY 91-102 ARMY 91-011 NAVY

  13. Immigrants and the US Army: A Study in Readiness and the American Dream

    Science.gov (United States)

    2016-05-26

    Immigrants and the US Army: A Study in Readiness and the American Dream A Monograph by LTC Che T. Arosemena...Approval Page Name of Candidate: LTC Che T. Arosemena Monograph Title: Immigrants and the US Army: A Study in Readiness and the American Dream Approved by...Abstract Immigrants and the US Army: A Study in Readiness and the American Dream , by LTC Che T. Arosemena, USA, 71

  14. Demographic and Anthropometric Assessment of US Army Anthropometric Data Base

    Science.gov (United States)

    1985-08-01

    suggest that any projections for future demographic characterizations for the Army should be based on Army data and policy alone, and not on trends...decade in adults. 33 .7.-a , ... ,5 ,.W *.1n LU) I--4 cncd Cc 0 U) 4- 34 Military surveys, which are generally conducted on subjects either at or near the

  15. Culture and medical decision making: Healthcare consumer perspectives in Japan and the United States.

    Science.gov (United States)

    Alden, Dana L; Friend, John M; Lee, Angela Y; de Vries, Marieke; Osawa, Ryosuke; Chen, Qimei

    2015-12-01

    Two studies identified core value influences on medical decision-making processes across and within cultures. In Study 1, Japanese and American adults reported desired levels of medical decision-making influence across conditions that varied in seriousness. Cultural antecedents (interdependence, independence, and power distance) were also measured. In Study 2, American adults reviewed a colorectal cancer screening decision aid. Decision preparedness was measured along with interdependence, independence, and desire for medical information. In Study 1, higher interdependence predicted stronger desire for decision-making information in both countries, but was significantly stronger in Japan. The path from information desire to decision-making influence desire was significant only in Japan. The independence path to desire for decision-making influence was significant only in the United States. Power distance effects negatively predicted desire for decision-making influence only in the United States. For Study 2, high (low) interdependents and women (men) in the United States felt that a colorectal cancer screening decision aid helped prepare them more (less) for a medical consultation. Low interdependent men were at significantly higher risk for low decision preparedness. Study 1 suggests that Japanese participants may tend to view medical decision-making influence as an interdependent, information sharing exchange, whereas American respondents may be more interested in power sharing that emphasizes greater independence. Study 2 demonstrates the need to assess value influences on medical decision-making processes within and across cultures and suggests that individually tailored versions of decision aids may optimize decision preparedness. (c) 2015 APA, all rights reserved).

  16. Type 2 diabetes in 'the young' | Iro | Abia State University Medical ...

    African Journals Online (AJOL)

    Abia State University Medical Students' Association Journal. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 2, No 1 (2000) >. Log in or Register to get access to full text downloads.

  17. Special Army Reports Prepared by Defense Finance and Accounting Service Indianapolis Operations

    National Research Council Canada - National Science Library

    Granetto, Paul J; Marsh, Patricia A; Armstrong, Jack L; Wenzel, Paul C; Barnes, Leslie M; Grum, Andrew D; Kleiman, E. E; Baer, Joseph A; Maroska, Chad A; Thompson, Ann L

    2007-01-01

    .... This is the second in a series of reports related to Army budget execution operations. The first report discussed the transmission of Army budget execution data by the Defense Finance and Accounting Service (DFAS...

  18. Identifying British Army infantry recruit population characteristics using biographical data.

    Science.gov (United States)

    Kiernan, M D; Arthur, A; Repper, J; Mukhuty, S; Fear, N T

    2016-04-01

    The infantry accounts for more than a quarter of the British Army but there is a lack of data about the social and educational background of its recruits. To provide an insight into British Army infantry recruits' personal, social and educational background prior to enlistment. The study sample consisted of infantry recruits who enlisted into the British Army School of Infantry. Each recruit completed a 95-item biographical questionnaire. Descriptive statistics were used to describe the sample in terms of demographic, physical, personal, social and educational attributes. The study sample consisted of 1000 male recruits. Over half of the recruits were consuming alcohol at a hazardous or harmful level prior to enlistment and 60% of recruits had used cannabis prior to joining the Army. Academic attainment was low, with the majority of recruits achieving GCSE grade C and below in most subjects, with 15% not taking any examinations. Over half the recruits had been in trouble with the police and either been suspended or expelled from school. Substance misuse and poor behaviour are highly prevalent among recruits prior to enlistment. Taken alongside existing evidence that some of these problems are commonplace among personnel in regular service, the assumption that the British Army infantry is, in itself, a cause of these behaviours should be questioned. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  19. Army Roof Management and Improvement Opportunities

    National Research Council Canada - National Science Library

    Bailey, David

    1999-01-01

    ... - about $200 million annually. Systemic, integrated solutions offer the Army a great opportunity to save millions of dollars annually in repair and replacement costs, and to avoid incidental costs incurred due to interrupted...

  20. Sensors, nano-electronics and photonics for the Army of 2030 and beyond

    Science.gov (United States)

    Perconti, Philip; Alberts, W. C. K.; Bajaj, Jagmohan; Schuster, Jonathan; Reed, Meredith

    2016-02-01

    The US Army's future operating concept will rely heavily on sensors, nano-electronics and photonics technologies to rapidly develop situational understanding in challenging and complex environments. Recent technology breakthroughs in integrated 3D multiscale semiconductor modeling (from atoms-to-sensors), combined with ARL's Open Campus business model for collaborative research provide a unique opportunity to accelerate the adoption of new technology for reduced size, weight, power, and cost of Army equipment. This paper presents recent research efforts on multi-scale modeling at the US Army Research Laboratory (ARL) and proposes the establishment of a modeling consortium or center for semiconductor materials modeling. ARL's proposed Center for Semiconductor Materials Modeling brings together government, academia, and industry in a collaborative fashion to continuously push semiconductor research forward for the mutual benefit of all Army partners.

  1. Otolaryngology in the medical school curriculum: Current trends in the United States.

    Science.gov (United States)

    Boscoe, Elizabeth F; Cabrera-Muffly, Cristina

    2017-02-01

    To identify trends in medical school otolaryngology curriculum requirements. Survey of United States allopathic medical schools. A survey was sent to deans of curriculum at allopathic medical schools. We identified opportunities for medical students to learn basic concepts in otolaryngology during their undergraduate medical training. The opportunities were classified into preclinical and clinical as well as elective and mandatory rotations. Of the schools surveyed, 60% responded. Mean class size was 149 students. Sixty-eight percent of surveyed schools noted that 75% to 100% of their students participated in preclinical otolaryngology experiences, with 59% reporting a mandatory preclinical otolaryngology module for all students. Eighty-nine percent of schools offered otolaryngology as a clinical elective rotation, with a mean of 12 students participating yearly. Only 7% of schools required a mandatory otolaryngology clinical rotation. Our data suggest that medical students do not receive sufficient exposure to otolaryngology during medical school. Increased requirements for otolaryngology curriculum may be beneficial to all medical students, regardless of their specialty choice. NA. Laryngoscope, 00:000-000, 2016 127:346-348, 2017. © 2016 The American Laryngological, Rhinological and Otological Society, Inc.

  2. The Army Communications Objectives Measurement System (ACOMS): Quarterly Reports

    Science.gov (United States)

    1988-09-01

    program effectiveness; (2) assessments of advertising strategy efficiencies; (3) management of the advertising program; and (4) planning and development...for ACOMS has involved the use of ACOMS data to assess the Army’s advertising strategy . ACOMS has been used to examine the extent to which the Army’s...intended messages are actually being exposed to, and perceived by, their target audiences. Advertising strategy has been supported by the analysis of

  3. Improving Mentorship and Leader Development in the US Army

    Science.gov (United States)

    2012-03-15

    the son of Odysseus, penned by the classic storyteller Homer. In this classic example, a senior and experienced mentor provided sage advice to a...34receives minimal exposure in the structured classroom instruction in the Army’s formal educations system.” It would almost indicate that the Army...outside of the classroom . In a perfect scenario, they receive 15 further guidance in this area so that in the non-distant future they may assume

  4. The United States Army Medical Department Journal, April - June 2011. Prehospital combat casualty care; The starting point of battlefield survival

    Science.gov (United States)

    2011-04-01

    from a porcine model of acute respiratory diseases secondary to pulmonary contusion. TRANSCUTANEOUS CO2 Are more accurate methods of estimating...combat medic diagnoses a tension pneumothorax from observing the patient and, if feasible, by auscultation with a stethoscope . Dyspnea, distended...Jugular veins, hypotension, and decreased unilateral breath sounds are the major findings for the diagnosis. The stethoscope was invented in 1816 by

  5. Women in the US Army: A Quiet Revolution in Military Affairs

    Science.gov (United States)

    2007-05-24

    coeducational basic training for men and women recruits. 1978 Women’s Army Corps (WAC) terminated by Public Law 95-485. Women were integrated into the...instituted gender integrated training was 1977 with coeducational basic training for men and women recruits. In 1982, the army returned to segregated

  6. Boundaries - US Army Corps of Engineers - Habitat Restoration and Enhancement Projects (HREPs)

    Data.gov (United States)

    Army Corps of Engineers, Department of the Army, Department of Defense — Congress authorized the Environmental Management Program (EMP) in the 1986 Water Resources Development Act to help address ecological needs on the Upper Mississippi...

  7. 2010 Center for Army Leadership Annual Survey of Army Leadership (CASAL): Volume 1, Executive Summary

    Science.gov (United States)

    2011-05-01

    activities and Army leadership requirements. Steele and Fullagar (2009) demonstrated a link between 3 primary course characteristics and student engagement , namely...Institute. Steele, J. P., & Fullagar, C. J. (2009) Facilitators and outcomes of student engagement in a college setting. Journal of Psychology, 143, 5-27.

  8. Factors associated with high-severity disciplinary action by a state medical board: a Texas study of medical license revocation.

    Science.gov (United States)

    Cardarelli, Roberto; Licciardone, John C

    2006-03-01

    There has been an increase in research evaluating factors associated with disciplinary action of physicians by state medical boards. However, factors related to the severity of disciplinary action are lacking. By investigating these factors while controlling for the type of violation, the authors sought to determine whether physician characteristics influenced the process of disciplinary action by state medical boards. Physicians disciplined by the Texas Medical Board between January 1, 1989, and December 31, 1998, were included in this case-controlled study (N=1129). Multivariate logistic regression analysis was used to compute odds ratios (ORs) and 95% confidence intervals (CIs) for factors associated with license revocation, the most severe disciplinary action, compared with all other forms of disciplinary action combined. Anesthesiologists (OR, 2.45; 95% CI, 1.05-5.74), general practitioners (OR, 1.80; 95% CI, 1.01-3.19), and psychiatrists (OR, 2.68; 95% CI, 1.41-5.13), as well as those with multiple disciplinary actions (OR, 1.91; 95% CI, 1.29-2.83) were most susceptible to license revocation. The more years a disciplined physician was in practice, the greater risk he or she had of license revocation (OR, 1.05; 95% CI, 1.04-1.07). Factors associated with a greater likelihood of license revocation for physicians are: primary medical specialty, number of years in practice, and a history of multiple disciplinary actions.

  9. Preliminary assessment report for Army Aviation Support Facility No. 3, Installation 13307, Hunter Army Airfield, Savannah, Georgia

    International Nuclear Information System (INIS)

    Kolpa, R.; Smith, K.

    1993-07-01

    This report presents the results of the preliminary assessment (PA) conducted by Argonne National Laboratory at the Georgia Army National Guard property located on Hunter Army Airfield (HAA) near Savannah, Georgia, known as Army Aviation Support Facility (AASF) No. 3. Preliminary assessments of federal facilities are being conducted to compile the information necessary for completing preremedial activities and to provide a basis for establishing corrective actions in response to releases of hazardous substances. The principal objective of the PA is to characterize the site accurately and determine the need for further action by examining site activities, types and quantities of hazardous substances utilized, the nature and amounts of wastes generated or stored at the facility, and potential pathways by which contamination could affect public health and the environment. This PA satisfies, for the AASF No. 3 property, requirements of the Department of Defense Installation Restoration Program (IRP). The scope of this assessment is limited to the facilities and past activities contained within the area now occupied by AASF No. 3. However, this assessment report is intended to be read in conjunction with a previous IRP assessment of HAA completed in 1992 (USATHAMA 1992) and to provide comprehensive information on AASF No. 3 for incorporation with information contained in that previous assessment for the entirety of HAA

  10. Variation in cash price of the generic medications most prescribed by dermatologists in pharmacies across the United States.

    Science.gov (United States)

    Alghanem, Noor; Abokwidir, Manal; Fleischer, Alan B; Feldman, Steven R; Alghanem, Ward

    2017-03-01

    The United States has the highest drug costs in the world. Consumers complain about large price differences at pharmacies on generic drugs. To evaluate variation in cash prices of generic medications most prescribed in dermatology across different drugstores and states in United States. The 11 generic drugs most prescribed by dermatologists according to National Ambulatory Medical Care Survey were assessed. By using Google, the most common used pharmacies in United States were listed, which are located at a random selection of six states. By calling the first available number of each pharmacy in the six states and asking about the generic cash price of the smallest stock size and the most prescribed type, the data were collected. Drug prices varied; the median cumulative price of the 11 medications was highest at Rite Aid ($1226) and lowest at Walmart ($795.34) with 35% difference. The prices at CVS differed by 20% across different states; however, the prices at Walmart, Rite Aid and Walgreens were consistent. New York has the highest and Iowa the lowest prices, especially at CVS, ($1160.79) versus ($931.32). There are varieties in the prices for the generic medications in different pharmacies and States.

  11. Pediatric Care as Part of the US Army Medical Mission in the Global War on Terrorism in Afghanistan and Iraq, December 2001 to December 2004

    National Research Council Canada - National Science Library

    Burnett, Mark W; Spinella, Philip C; Azarow, Kenneth S; Callahan, Charles W

    2008-01-01

    OBJECTIVE. Our objective in this report was to describe the epidemiologic features of and workload associated with pediatric admissions to 12 US Army military hospitals deployed to Iraq and Afghanistan. METHODS...

  12. Medical devices and the Middle East: market, regulation, and reimbursement in Gulf Cooperation Council states

    Directory of Open Access Journals (Sweden)

    Howard JJ

    2014-11-01

    Full Text Available Jason J Howard Division of Paediatric Orthopaedics, Department of Surgery, Sidra Medical and Research Center, Doha, Qatar Abstract: With some of the richest economies in the world, the Gulf Cooperation Council (GCC is undergoing rapid growth not only in its population but also in health care expenditure. Despite the GCC's abundance of hydrocarbon-based wealth, the drivers of the medical device industry in the GCC are still in flux, with gains yet to be made in areas of infrastructure, regulation, and reimbursement. However, the regional disease burden, expanding health insurance penetration, increasing privatization, and a desire to attract skilled expatriate health care providers have led to favorable conditions for the medical device market in the GCC. The purpose of this article is to investigate the current state of the GCC medical device industry, with respect to market, regulation, and reimbursement, paying special attention to the three largest medical device markets: Saudi Arabia, the United Arab Emirates, and Qatar. The GCC would seem to represent fertile ground for the development of medical technologies, especially those in line with the regional health priorities of the respective member states. Keywords: medical devices, regulation, reimbursement, Middle East 

  13. Cross-cultural medical education in the United States: key principles and experiences.

    Science.gov (United States)

    Betancourt, Joseph R; Cervantes, Marina C

    2009-09-01

    The field of cross-cultural care focuses on the ability to communicate effectively and provide quality health care to patients from diverse sociocultural backgrounds. In recent years, medical schools in the United States have increasingly recognized the growing importance of incorporating cross-cultural curricula into medical education. Cross-cultural medical education in the United States has emerged for four reasons: (1) the need for providers to have the skills to care for a diverse patient population; (2) the link between effective communication and health outcomes; (3) the presence of racial/ethnic disparities that are, in part, due to poor communication across cultures; and (4) medical school accreditation requirements. There are three major approaches to cross-cultural education: (1) the cultural sensitivity/awareness approach that focuses on attitudes; (2) the multicultural/categorical approach that focuses on knowledge; and (3) the cross-cultural approach that focuses on skills. The patient-based approach to cross-cultural care combines these three concepts into a framework that can be used to care for any patient, anytime, anywhere. Ultimately, if cross-cultural medical education is to evolve, students must believe it is important and understand that the categorical approach can lead to stereotyping; it should be taught using patient cases and highlighting clinical applications; it should be embedded in a longitudinal, developmentally appropriate fashion; and it should be integrated into the larger curriculum whenever possible. At the Harvard Medical School, we have tried to apply all of these lessons to our work, and we have started to develop a strategic integration process where we try to raise awareness, impart knowledge, and teach cross-cultural skills over the 4 years of schooling.

  14. Unitary Transformations in 3 D Vector Representation of Qutrit States

    Science.gov (United States)

    2018-03-12

    ARL-TR-8330 ● MAR 2018 US Army Research Laboratory Unitary Transformations in 3- D Vector Representation of Qutrit States by...return it to the originator. ARL-TR-8330 ● MAR 2018 US Army Research Laboratory Unitary Transformations in 3- D Vector...2018 2. REPORT TYPE Technical Report 3. DATES COVERED June–December 2017 4. TITLE AND SUBTITLE Unitary Transformations in 3- D Vector

  15. Interest Patterns and Leadership Styles of Successful U S Army Officers.

    Science.gov (United States)

    The paper reports the findings of a study which was made to measure the interests and leadership styles of some senior, male Army officers. Army...however, there seems to be a low positive correlation between these two leadership styles . Eighteen percent of the sample would prefer that their

  16. AMEDD Clinical Psychology Short Course Held in Letterman Army Medical Center, San Francisco, California on 5-9 February 1990

    Science.gov (United States)

    1990-02-02

    hypochondriasis about AIDS (62-67). The medical consequenLes of irrational fears and erroneous beliefs about HIV transmission include (a) shortages of...report emotional or somatic symptoms through cognitive or somatic complaints. The BASIC-BIS approach recommends that psychosomatic states be assessed...via somatic parameters (physical complaints/symptoms, galvanic skin response, skin temperature, heart rate, and electromyogram, etc.) and cognitive

  17. Khwarezmian Army of Jalal ad-Din Mingburnu during the Mongol Invasion of Central Asia

    Directory of Open Access Journals (Sweden)

    D.M. Timokhin

    2013-11-01

    Full Text Available This article examines the features of formation and functioning of the Khwarezmian army of Jalal ad-Din Mingburnu during the period of the Mongol conquest of Central Asia. In addition to a detailed analysis of a military clash between the Mongol and Khwarezmian armies, the author determines the size and ethnic composition of the Jalal ad-Din’s army. The article considers the reflection by the Arab-Persian sources both of the military confrontation between Khwarezmians and Mongols and of the Khwarezmian army itself. The author defines the amount of information on this subject contained in the sources.

  18. A Critical Analysis of U.S. Army Accessions through Socioeconomic Consideration between 1970 and 1984.

    Science.gov (United States)

    1985-06-01

    ADDRESS 10. PROGRAM ELEMENT, PROJECT. TASK AREA & WORK UNIT NUMBERS Naval Postgraduate School Monterey, California 93943 11. CONTROLLING OFFICE NAME AND...determine the sccioeccnomic representativeness of the Army’s enlistees in that iarticular year. In addition, the socioeconomic overviev of Republic cf...accomplished with the use of the Statistical Analysis System (SAS), an integrated computer system for data analysis. 32 TABLE 2 The States in Each District

  19. Green Warriors: Army Environmental Considerations for Contingency Operations from Planning through Post-Conflict

    National Research Council Canada - National Science Library

    Mosher, David E; Lachman, Beth E; Greenberg, Michael D; Nichols, Tiffany; Rosen, Brian; Willis, Henry H

    2008-01-01

    .... Army conducts overseas. Countries in which the Army conducts operations tend to have environmental problems caused by industrialization, lack of environmental protection, long-running conflict, and natural conditions...

  20. Male parentage in army ants

    DEFF Research Database (Denmark)

    Kronauer, Daniel J C; Schöning, Caspar; Boomsma, Jacobus J

    2006-01-01

    of active research in insect sociobiology. Here we present microsatellite data for 176 males from eight colonies of the African army ant Dorylus (Anomma) molestus. Comparison with worker genotypes and inferred queen genotypes from the same colonies show that workers do not or at best very rarely reproduce...